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Future of Nursing in Michigan - December 2020

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THE FUTURE OF NURSING IN MICHIGAN<br />

The Official Publication <strong>of</strong> the<br />

American Nurses Association <strong>Michigan</strong><br />

The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> will<br />

reach over 5,600 <strong>Michigan</strong> nurses and<br />

State Legislators through direct mail and over<br />

145,000 by email distribution.<br />

Message from the President-Elect<br />

current resident or<br />

Page 2<br />

Free COVID-19 Tra<strong>in</strong><strong>in</strong>g Program for<br />

K-12 Teachers, Faculty, Staff<br />

Page 5<br />

Advanc<strong>in</strong>g Your Idea & Creat<strong>in</strong>g a<br />

Successful Side-Hustle Workshop<br />

Page 13<br />

Presort Standard<br />

US Postage<br />

PAID<br />

Permit #14<br />

Pr<strong>in</strong>ceton, MN<br />

55371<br />

Volume 6 • Number 4 • <strong>December</strong> <strong>2020</strong><br />

PRESIDENT’S MESSAGE<br />

As we approach the end <strong>of</strong><br />

<strong>2020</strong>, it feels like it has been<br />

a very long year. The onset<br />

<strong>of</strong> the COVID-19 pandemic <strong>in</strong><br />

March seems like it has been<br />

forever ago, and we cont<strong>in</strong>ue<br />

to feel the desire for all to<br />

go back to normal. However,<br />

COVID <strong>in</strong>fection rates are not<br />

slow<strong>in</strong>g down and are even<br />

gett<strong>in</strong>g higher as we move <strong>in</strong>to<br />

the next wave. We collectively<br />

Tak<strong>in</strong>g Care <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong><br />

Julia Stocker<br />

Schneider, PhD,<br />

RN, CNL<br />

feel a sense <strong>of</strong> fatigue <strong>in</strong> our personal lives from<br />

social distanc<strong>in</strong>g, mask-wear<strong>in</strong>g, zoom meet<strong>in</strong>g<br />

and homeschool<strong>in</strong>g. Yet, this new way <strong>of</strong> life is<br />

needed to protect our families and communities<br />

from <strong>in</strong>fection. Many <strong>of</strong> us, or those we know,<br />

have directly experienced COVID illness or loss<br />

<strong>of</strong> a loved one and many more have endured job<br />

loss and f<strong>in</strong>ancial hardship. Then there is political<br />

polarization, extreme weather and protest for<br />

social justice that also weigh heavily on us.<br />

In our pr<strong>of</strong>essional lives as nurses, we never<br />

hesitated as we directly took on the pandemic.<br />

We masked and gowned up as we learned to<br />

care for patients fight<strong>in</strong>g this novel virus. We<br />

adjusted our care processes accord<strong>in</strong>g to chang<strong>in</strong>g<br />

<strong>in</strong>fection guidel<strong>in</strong>es and the availability <strong>of</strong> PPE. We<br />

changed how we care for COVID patients based<br />

on evidence, such as pron<strong>in</strong>g patients, while<br />

physician led COVID treatment and medications<br />

also evolved. We <strong>in</strong>novated how we provided<br />

support and family connection to patients while<br />

visitors were forbidden. As a result <strong>of</strong> the dramatic<br />

shift to COVID care <strong>in</strong> the spr<strong>in</strong>g, we accepted<br />

reassignment or furlough accord<strong>in</strong>g to our health<br />

system’s need. We re<strong>in</strong>vigorated public health<br />

practices to protect our communities. Though<br />

th<strong>in</strong>gs settled significantly over the summer<br />

and early fall, they are now mov<strong>in</strong>g aga<strong>in</strong><br />

as our COVID numbers climb. Despite these<br />

challenges, <strong>Michigan</strong> nurses will cont<strong>in</strong>ue<br />

to be there to meet the care needs <strong>of</strong> our<br />

<strong>Michigan</strong> residents.<br />

While I am proud <strong>of</strong> our actions and<br />

confident <strong>in</strong> our ongo<strong>in</strong>g dedication to<br />

nurs<strong>in</strong>g and to those we care for, I know<br />

that it has taken a significant toll. Given the<br />

many added stressors that nurses are fac<strong>in</strong>g<br />

due to COVID, we are <strong>in</strong>creas<strong>in</strong>gly more at<br />

risk for anxiety, depression and post-traumatic<br />

stress disorder. As nurses, we need to successfully<br />

address these threats so that we can keep<br />

meet<strong>in</strong>g the need amplified by this pandemic.<br />

This starts with tak<strong>in</strong>g care <strong>of</strong> yourself. Know<br />

and acknowledge the stress you are under and<br />

take <strong>in</strong>ventory <strong>of</strong> your cop<strong>in</strong>g and what is gett<strong>in</strong>g<br />

you through. Exercise m<strong>in</strong>dfulness and share<br />

your experience and feel<strong>in</strong>gs with others <strong>in</strong> your<br />

trusted circle. Seek resources to help you such as<br />

those found on the ANA-<strong>Michigan</strong> site. Consider<br />

jo<strong>in</strong><strong>in</strong>g one <strong>of</strong> our upcom<strong>in</strong>g Networks <strong>of</strong> Support.<br />

As nurses, we also need to take care <strong>of</strong> one<br />

another. We need to check <strong>in</strong> with each other<br />

and <strong>of</strong>fer support. We also need to be aware <strong>of</strong><br />

warn<strong>in</strong>g signs from our fellow nurses. Research<br />

published just before the COVID outbreak found<br />

that nurses are at higher risk <strong>of</strong> suicide than the<br />

general population. ANA-<strong>Michigan</strong> soon will be<br />

<strong>of</strong>fer<strong>in</strong>g QPR tra<strong>in</strong><strong>in</strong>g to help nurses talk with<br />

other nurses about suicide <strong>in</strong> order to prevent it.<br />

I urge you to participate <strong>in</strong> this valuable tra<strong>in</strong><strong>in</strong>g<br />

to give us additional tools to care for our fellow<br />

nurses dur<strong>in</strong>g this try<strong>in</strong>g time.<br />

F<strong>in</strong>ally, we need to keep tak<strong>in</strong>g care <strong>of</strong> our<br />

pr<strong>of</strong>ession. By advocat<strong>in</strong>g for what we need<br />

as nurses <strong>in</strong> organizations and <strong>in</strong> policy arenas,<br />

we are better able to equip ourselves for the<br />

ongo<strong>in</strong>g challenges brought on by COVID. Us<strong>in</strong>g<br />

our collective voice, we can make real impact as<br />

we work through the current COVID wave. Your<br />

participation <strong>in</strong> ANA-<strong>Michigan</strong> can help us take<br />

action to support nurses <strong>in</strong> <strong>Michigan</strong>. I urge you<br />

to jo<strong>in</strong> us as we take care <strong>of</strong> ourselves, each other<br />

and our pr<strong>of</strong>ession.<br />

Save the Date<br />

Annual Conference &<br />

Membership Assembly<br />

March 24, 2021<br />

Virtual Event


Page 2 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

MESSAGE FROM THE PRESIDENT ELECT<br />

Dear ANA-<strong>Michigan</strong> nurses,<br />

I cont<strong>in</strong>ue to applaud you<br />

on your efforts to rema<strong>in</strong><br />

strong and vigilant dur<strong>in</strong>g<br />

these turbulent times. Your<br />

commitment to nurs<strong>in</strong>g<br />

practice, patient care and<br />

nurs<strong>in</strong>g education is truly<br />

aligned with the vision <strong>of</strong><br />

Florence Night<strong>in</strong>gale - which<br />

makes me so very proud to be a nurse.<br />

Bridget Leonard,<br />

DNP, MBA, RN<br />

I hope you had a chance to attend the ANA-<br />

<strong>Michigan</strong> virtual series on Strengthen<strong>in</strong>g the<br />

Voice <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>of</strong>fered on October 22nd as an<br />

exclusive complimentary benefit <strong>of</strong> ANA-<strong>Michigan</strong><br />

membership. It was a very enlighten<strong>in</strong>g program<br />

that provided tips for nurses at every level to f<strong>in</strong>d<br />

their voice, tell their story and act on issues that<br />

are near and dear to the heart <strong>of</strong> nurs<strong>in</strong>g.<br />

From this day forward I challenge you to not<br />

only f<strong>in</strong>d your voice, but to use it! I look forward<br />

to all the great th<strong>in</strong>gs that you will be do<strong>in</strong>g <strong>in</strong> the<br />

near future.<br />

ANA-<strong>Michigan</strong> Board <strong>of</strong> Directors<br />

Newly-Licensed Director Appo<strong>in</strong>ted<br />

ANA-<strong>Michigan</strong> is honored to announce that Mr.<br />

Gerardo Infante, BSN, RN, has been appo<strong>in</strong>ted by<br />

the ANA-<strong>Michigan</strong> Board <strong>of</strong> Directors to fill the<br />

Newly-Licensed Director position. Mr. Infante will<br />

serve <strong>in</strong> this position until the spr<strong>in</strong>g <strong>of</strong> 2022. We are<br />

so excited that he has accepted this role and look<br />

forward to his enthusiasm, ideas and diverse cultural<br />

perspectives which will help advance our mission and<br />

to have him jo<strong>in</strong> us <strong>in</strong> the evolution <strong>of</strong> our amaz<strong>in</strong>g<br />

pr<strong>of</strong>ession.<br />

Per the Bylaws, the ANA-<strong>Michigan</strong> Board <strong>of</strong><br />

Directors appo<strong>in</strong>ted Mr Infante to serve <strong>in</strong> this<br />

position for the rema<strong>in</strong><strong>in</strong>g term as the elected Newly-<br />

Licensed Director position was vacated by Megan<br />

Piotrowski.<br />

Gerardo has the honor <strong>of</strong><br />

be<strong>in</strong>g the current President<br />

<strong>of</strong> the National Association<br />

<strong>of</strong> Hispanic Nurses <strong>Michigan</strong><br />

Chapter (NAHN-MI) where he<br />

has served for the last four<br />

years. He has been actively<br />

participat<strong>in</strong>g <strong>in</strong> community<br />

events and research projects<br />

that benefit the Lat<strong>in</strong>o<br />

population <strong>in</strong> <strong>Michigan</strong>.<br />

Gerardo O.<br />

Infante, BSN, RN<br />

S<strong>in</strong>ce January <strong>2020</strong> Gerardo is currently the charge<br />

nurse and cl<strong>in</strong>ical coord<strong>in</strong>ator <strong>in</strong> a DaVita Dialysis<br />

Cl<strong>in</strong>ic <strong>in</strong> Monroe, <strong>Michigan</strong>. Prior to jo<strong>in</strong><strong>in</strong>g DaVita<br />

Dialysis, Gerardo was a nurse for CHASS (Community<br />

Health and Social Services) a FQHC <strong>in</strong> Detroit<br />

<strong>Michigan</strong>. He was part <strong>of</strong> a $1.5 Million grant from<br />

the U.S. Department <strong>of</strong> Health and Human Services<br />

Health Resources and Services Adm<strong>in</strong>istration lead<br />

by the University <strong>of</strong> <strong>Michigan</strong> School <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong>. The<br />

objective was to improve chronic care coord<strong>in</strong>ation<br />

for underrepresented and underserved populations<br />

utiliz<strong>in</strong>g bil<strong>in</strong>gual-bicultural registered nurses serv<strong>in</strong>g<br />

as leaders to <strong>in</strong>terdiscipl<strong>in</strong>ary teams. Gerardo is also<br />

part <strong>of</strong> the <strong>Michigan</strong> <strong>Nurs<strong>in</strong>g</strong> Action Coalition work<strong>in</strong>g<br />

on the “<strong>Nurs<strong>in</strong>g</strong> Workforce Diversity Project.”<br />

He has also been a part <strong>of</strong> the “ANA-<strong>Michigan</strong><br />

Networks <strong>of</strong> Support Virtual Meet-Ups” as a<br />

discussion moderator and thought leader, and<br />

participates on the Implicit Bias Tra<strong>in</strong><strong>in</strong>g Rules<br />

Advisory Workgroup headed by LARA.<br />

Gerardo received his bachelor <strong>of</strong> science <strong>in</strong><br />

nurs<strong>in</strong>g from American Sent<strong>in</strong>el University, Colorado,<br />

graduat<strong>in</strong>g Magna cum laude.<br />

His short nurs<strong>in</strong>g career has been dedicated to<br />

br<strong>in</strong>g<strong>in</strong>g culturally appropriate care to the Hispanic<br />

population.<br />

Dios te Bendiga / God Bless<br />

CONTACT INFORMATION<br />

ANA-<strong>Michigan</strong><br />

2501 Jolly Road, Suite 110<br />

Okemos, MI 48864<br />

517-325-5306<br />

nurse@ana-michigan.org<br />

EXECUTIVE DIRECTOR<br />

Tobi Lyon<br />

The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> is published<br />

quarterly every March, June, September and<br />

<strong>December</strong> by the Arthur L. Davis Publish<strong>in</strong>g<br />

Agency, Inc. Subscriber rates are available,<br />

804-282-1808.<br />

For advertis<strong>in</strong>g rates and <strong>in</strong>formation, please<br />

contact Arthur L. Davis Publish<strong>in</strong>g Agency,<br />

Inc., PO Box 216, Cedar Falls, Iowa 50613. (800)<br />

626-4081, sales@aldpub.com.<br />

ANA-<strong>Michigan</strong> and the Arthur L. Davis<br />

Publish<strong>in</strong>g Agency, Inc. reserve the right to<br />

reject any advertisement. Responsibility for<br />

errors <strong>in</strong> advertis<strong>in</strong>g is limited to corrections<br />

<strong>in</strong> the next issue or refund <strong>of</strong> price <strong>of</strong><br />

advertisement.<br />

Acceptance <strong>of</strong> advertis<strong>in</strong>g does not imply<br />

endorsement or approval by the American<br />

Nurses Association <strong>Michigan</strong> <strong>of</strong> the products<br />

advertised, the advertisers or the claims<br />

made. Rejection <strong>of</strong> an advertisement<br />

does not imply that a product <strong>of</strong>fered for<br />

advertis<strong>in</strong>g is without merit, or that the<br />

manufacturer lacks <strong>in</strong>tegrity, or that this<br />

association disapproves <strong>of</strong> the product<br />

or its use. American Nurses Association<br />

<strong>Michigan</strong> and the Arthur L. Davis Publish<strong>in</strong>g<br />

Agency, Inc. shall not be held liable for any<br />

consequences result<strong>in</strong>g from purchase or use<br />

<strong>of</strong> advertisers’ products. Articles appear<strong>in</strong>g<br />

<strong>in</strong> this publication express the op<strong>in</strong>ions <strong>of</strong><br />

the authors; they do not necessarily reflect<br />

views <strong>of</strong> the staff, board, or membership <strong>of</strong><br />

American Nurses Association <strong>Michigan</strong>, or<br />

those <strong>of</strong> the American Nurses Association.


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 3<br />

MESSAGE FROM THE EXECUTIVE DIRECTOR<br />

None <strong>of</strong> us could have ever<br />

predicted the extensiveness<br />

and breadth <strong>of</strong> this year<br />

be<strong>in</strong>g the Year <strong>of</strong> the Nurse.<br />

More so than ever before,<br />

my heart swells with pride<br />

as our members and nurses<br />

across the country went<br />

above and beyond to respond Tobi Lyon, MBA<br />

to the needs <strong>of</strong> our fellow<br />

<strong>Michigan</strong>ders throughout this historic pandemic.<br />

Our nurses stood masked, shoulder to shoulder<br />

on the front l<strong>in</strong>es, meet<strong>in</strong>g every possible need for<br />

both COVID and non-COVID patients. Our nurses<br />

stood masked, shoulder to shoulder to support<br />

our nurs<strong>in</strong>g students who will be our legacies<br />

and future. Our nurses stood masked, shoulder<br />

to shoulder through times <strong>of</strong> civil and cultural<br />

unrest – united and committed to us<strong>in</strong>g our voices<br />

to speak-up for what is right and to advance the<br />

nurs<strong>in</strong>g pr<strong>of</strong>ession. There were so many tears<br />

along the way…and fears that have not gone<br />

away…and still, nurses stand.<br />

It is that time <strong>of</strong> year where many people<br />

beg<strong>in</strong> to th<strong>in</strong>k about everyth<strong>in</strong>g for which they<br />

are thankful. Although it is nice to count your<br />

bless<strong>in</strong>gs on Thanksgiv<strong>in</strong>g, be<strong>in</strong>g thankful<br />

throughout the entire year could have tremendous<br />

benefits on your quality <strong>of</strong> life.<br />

We have gone through so much together this<br />

year as a pr<strong>of</strong>ession and as a country. As I reflect<br />

on what we have been through and this “new<br />

normal,” I am so thankful for each one <strong>of</strong> our<br />

valued ANA-<strong>Michigan</strong> members and all nurses, and<br />

so <strong>in</strong>spired by your perseverance and resiliency.<br />

I am grateful as your patient, your servant and as<br />

a fellow <strong>Michigan</strong>der. The entire ANA-<strong>Michigan</strong><br />

team is here to support you; we cont<strong>in</strong>ue to stand<br />

by you and will be there as we push forward <strong>in</strong>to<br />

the new year - masked, shoulder to shoulder and<br />

at the ready.<br />

As <strong>2020</strong> comes to an end, gratitude may be<br />

one <strong>of</strong> the most overlooked tools that we all<br />

have access to every day. I would rem<strong>in</strong>d all our<br />

<strong>Michigan</strong> nurses to take some time and focus<br />

on gratitude as you are deal<strong>in</strong>g with more than<br />

you ever thought you would have to dur<strong>in</strong>g this<br />

pandemic.<br />

1. Gratitude opens the door to more<br />

relationships.<br />

2. Gratitude improves physical health.<br />

3. Gratitude improves psychological health.<br />

4. Gratitude enhances empathy and reduces<br />

aggression.<br />

5. Grateful people sleep better.<br />

6. Gratitude improves self-esteem.<br />

7. Gratitude <strong>in</strong>creases mental strength.<br />

CHAMPIONS FOR NURSING PARTNERSHIP PROGRAM<br />

The 2021 ANA-<strong>Michigan</strong> Champions for <strong>Nurs<strong>in</strong>g</strong> Partnership Program is an enhancement <strong>of</strong> the current<br />

Organizational Affiliate Program.<br />

ANA-<strong>Michigan</strong> <strong>in</strong>vites <strong>in</strong>dividuals and<br />

organizations to take part <strong>in</strong> the Champions<br />

for <strong>Nurs<strong>in</strong>g</strong> Partnership Program (CNPP), an<br />

enhancement to the pre-exist<strong>in</strong>g Organizational<br />

Affiliiate Program. The CNPP benefits are designed<br />

to provide a mutually valuable and long-term<br />

partnership between ANA-MI and the supporter.<br />

CNPP <strong>of</strong>fers multiple levels to allow for different<br />

tiers <strong>of</strong> engagement.<br />

BENEFITS OF CNPP<br />

• Complimentary subscription to ANA-<br />

<strong>Michigan</strong>’s weekly e-newsletter<br />

• Complimentary subscription to ANA-<br />

<strong>Michigan</strong>’s quarterly publication, The <strong>Future</strong> <strong>of</strong><br />

<strong>Nurs<strong>in</strong>g</strong><br />

• Discounted ANA-<strong>Michigan</strong> member rates<br />

• Priority consideration for other ANA-<strong>Michigan</strong><br />

sponsorship opportunities<br />

By becom<strong>in</strong>g a part <strong>of</strong> the CNPP, members <strong>of</strong> the<br />

ANA-<strong>Michigan</strong> will receive enhanced, diverse and<br />

more <strong>in</strong>clusive resources that support our mission,<br />

vision and strategic plan.<br />

Mission: Advanc<strong>in</strong>g the nurs<strong>in</strong>g pr<strong>of</strong>ession <strong>in</strong><br />

<strong>Michigan</strong>.<br />

Vision: ANA-<strong>Michigan</strong> is a vital community <strong>of</strong><br />

pr<strong>of</strong>essional nurses <strong>in</strong> <strong>Michigan</strong>. Together, we are<br />

the experts <strong>in</strong> nurs<strong>in</strong>g practice. Our strength is<br />

our solution-focused thought leadership, our longterm<br />

view <strong>of</strong> the nurs<strong>in</strong>g pr<strong>of</strong>ession <strong>in</strong> a dynamic<br />

healthcare environment, and our impact on quality<br />

care and patient safety.<br />

<strong>2020</strong>-21 Goals: Advanc<strong>in</strong>g Nurses Leadership,<br />

Engag<strong>in</strong>g Membership Experience and Bolster<br />

Advocacy.<br />

CNPP LEVELS<br />

Market<strong>in</strong>g and promotion <strong>of</strong> partners with CNPP<br />

would beg<strong>in</strong> immediately <strong>in</strong> 2021. The payment and<br />

agreement are based on a calendar year.<br />

• Individual Ally - $250 M<strong>in</strong>imum annual<br />

contribution<br />

• Bronze - $500<br />

• Silver - $1,000<br />

• Gold - $2,000<br />

CHAMPIONS FOR NURSING<br />

PARTNERSHIP PROGRAM<br />

Company:<br />

Contact Title:<br />

Mail<strong>in</strong>g Address:<br />

City, State, Zip:<br />

Phone:<br />

Website:<br />

E-mail:<br />

Contact Person:<br />

BENEFITS BY TIER<br />

Individual Ally $250+<br />

Bronze $500<br />

Silver $1,000<br />

Gold $2,000<br />

PAYMENT METHOD<br />

(Make all checks payable to ANA-<strong>Michigan</strong>) Total Due / Enclosed: $<br />

Credit Card: Visa MasterCard Discover American Express<br />

Card Number: Expiration Date: CVV:<br />

Card Holder (name pr<strong>in</strong>ted on card):<br />

Bill<strong>in</strong>g Address (if different than above):<br />

Signature:<br />

Pay Onl<strong>in</strong>e or Mail to:<br />

ANA-<strong>Michigan</strong><br />

2501 Jolly Road, Suite 110<br />

Okemos, MI 48864<br />

Phone: 517.325.5306<br />

www.ana-michigan.org<br />

AGREEMENT:<br />

Thank you for your consideration and support <strong>of</strong> the ANA-<strong>Michigan</strong> Champions for <strong>Nurs<strong>in</strong>g</strong> Partnership Program! The below<br />

party hereby wishes to apply for the ANA-<strong>Michigan</strong> Champions for <strong>Nurs<strong>in</strong>g</strong> Partnership Program and agrees to abide by the<br />

rules and regulations as pr<strong>in</strong>ted and provided by ANA-<strong>Michigan</strong>. Payment <strong>in</strong> full is required to reserve Champions for <strong>Nurs<strong>in</strong>g</strong><br />

Partnership Program and are non-refundable.<br />

Name: _____________________________________________________<br />

Signature: __________________________________________________ Date: __________________


Page 4 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

Preventive Health Suffers Under COVID<br />

Marge Freundl, MSN, RN<br />

ANA-<strong>Michigan</strong> <strong>Nurs<strong>in</strong>g</strong> Practice Committee Member<br />

In this “new normal” <strong>of</strong> stay<strong>in</strong>g home, stay<strong>in</strong>g<br />

away, and social distanc<strong>in</strong>g, emerg<strong>in</strong>g data has<br />

shown an impact on preventive health for adults and<br />

children. Mehrotra, Chernew & L<strong>in</strong>etsky, et al (July<br />

<strong>2020</strong>) reported earlier this year that the COVID-19<br />

pandemic has “dramatically changed how outpatient<br />

care is delivered.” Initially, providers deferred elective<br />

and preventive health visits, and converted <strong>in</strong>-person<br />

visits to telemedic<strong>in</strong>e. Many patients avoided visits<br />

because <strong>of</strong> fear <strong>of</strong> leav<strong>in</strong>g their homes and risk<strong>in</strong>g<br />

exposure. The authors reported that by April,<br />

the number <strong>of</strong> visits to ambulatory care practices<br />

decl<strong>in</strong>ed by nearly 60 percent, with a rebound <strong>in</strong><br />

May; but the number <strong>of</strong> visits plateaued, and were<br />

still roughly one-third lower than what was seen<br />

before the pandemic. Of noted concern was that the<br />

rebound was less evident for children’s visits.<br />

Wagle, Isakadze &, Eatz, et al (July <strong>2020</strong>) discussed<br />

the impact <strong>of</strong> comorbid diseases, <strong>in</strong>clud<strong>in</strong>g CVD,<br />

diabetes, or hypertension, on COVID-19 cl<strong>in</strong>ical<br />

outcomes. They note early discussions concern<strong>in</strong>g<br />

ACE-Inhibitors may have caused some patients<br />

to stop these medications, despite their known<br />

advantage to hypertension and heart failure<br />

management. Admissions for acute coronary<br />

syndromes, decompensated heart failure, stroke, and<br />

ST-segment elevation myocardial <strong>in</strong>farction catheter<br />

lab activations were all decreased. Unique challenges<br />

were also reported <strong>in</strong> ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g rapport through<br />

video cl<strong>in</strong>ic visits, cardiac rehabilitation opportunities,<br />

and medication availability and ensur<strong>in</strong>g care for<br />

patients without technologic access.<br />

Mart<strong>in</strong>, Kurowski & Given, et al (Sept <strong>2020</strong>)<br />

reported on a large study sample <strong>of</strong> health claims<br />

clear<strong>in</strong>ghouse records from 18 states conta<strong>in</strong><strong>in</strong>g<br />

184 million claims from 30 million patients <strong>in</strong> 2019<br />

and 94 million claims from 20 million patients for<br />

the first 6 months <strong>in</strong> <strong>2020</strong>. They exam<strong>in</strong>ed women’s<br />

preventative health services, select services<br />

provided dur<strong>in</strong>g pregnancy and delivery, childhood<br />

immunizations and other sent<strong>in</strong>el preventive medical<br />

services <strong>in</strong>clud<strong>in</strong>g colonoscopies and prostatespecific<br />

antigen (PSA) tests. Overall, they found<br />

that the pandemic has significantly decreased<br />

use <strong>of</strong> certa<strong>in</strong> health care services: childhood<br />

immunizations (down about 60 percent <strong>in</strong> mid-<br />

April <strong>in</strong> <strong>2020</strong> compared to 2019), mammograms and<br />

Pap smears (down nearly 80 percent <strong>in</strong> April <strong>2020</strong><br />

compared to 2019, and by June were down nearly<br />

a quarter from 2019), Colonoscopies decreased<br />

almost 90% at one po<strong>in</strong>t <strong>in</strong> mid-April <strong>2020</strong> but as<br />

<strong>of</strong> June rebounded to about 30% compared to<br />

2019). PSA tests for prostate cancer screen<strong>in</strong>g,<br />

decreased approximately 22% then rebounded,<br />

with delivery <strong>of</strong> PSA tests reach<strong>in</strong>g near 2019<br />

levels start<strong>in</strong>g <strong>in</strong> June. The Centers for Disease<br />

Control (<strong>2020</strong>) has stated: “ensur<strong>in</strong>g immunization<br />

services are ma<strong>in</strong>ta<strong>in</strong>ed or re<strong>in</strong>itiated is essential<br />

for protect<strong>in</strong>g <strong>in</strong>dividuals and communities from<br />

vacc<strong>in</strong>e-preventable diseases and outbreaks and<br />

reduc<strong>in</strong>g the burden <strong>of</strong> respiratory illness dur<strong>in</strong>g the<br />

upcom<strong>in</strong>g <strong>in</strong>fluenza season.<br />

Each <strong>of</strong> these studies presents missed<br />

opportunities <strong>in</strong> the provision <strong>of</strong> preventive<br />

health. As nurses, we work <strong>in</strong> a variety <strong>of</strong> sett<strong>in</strong>gs<br />

and live <strong>in</strong> communities that need to be <strong>in</strong>formed<br />

about the importance <strong>of</strong> preventive health dur<strong>in</strong>g<br />

these “challeng<strong>in</strong>g times.” Consider ways that you<br />

can help <strong>in</strong> this effort: post someth<strong>in</strong>g on social<br />

media, write a short article for a community or<br />

church publication, talk with patients and families<br />

(<strong>in</strong>clud<strong>in</strong>g your own!) at discharge from care about<br />

resum<strong>in</strong>g preventive health activities with their<br />

providers and other resources. Perhaps most<br />

importantly, take care <strong>of</strong> yourself dur<strong>in</strong>g this time<br />

<strong>of</strong> stress...remember to have an annual health check<br />

up, get your mammogram, colonoscopy, flu shot and<br />

other important vacc<strong>in</strong>es!<br />

Support<strong>in</strong>g Resilience <strong>in</strong> <strong>Nurs<strong>in</strong>g</strong> Education and Practice<br />

As the <strong>Michigan</strong> Department<br />

<strong>of</strong> Health and Human Services,<br />

Office <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> Safety and<br />

Workforce Plann<strong>in</strong>g (ONP)<br />

closes Fiscal Year (FY) <strong>2020</strong><br />

and beg<strong>in</strong>s FY 2021, the<br />

theme for both years is one <strong>of</strong><br />

provid<strong>in</strong>g the necessary data<br />

and opportunities to support<br />

nurs<strong>in</strong>g resilience <strong>in</strong> challeng<strong>in</strong>g<br />

times for both nurs<strong>in</strong>g academia<br />

and practic<strong>in</strong>g nurses. These<br />

Deborah Bach-<br />

Stante, RN, MPH,<br />

Director<br />

efforts consist <strong>of</strong> leverag<strong>in</strong>g technology to support<br />

transition <strong>of</strong> nurses to new practice sett<strong>in</strong>gs and the<br />

cl<strong>in</strong>ical education <strong>of</strong> student nurses.<br />

• Associate’s degree<br />

• Valid <strong>Michigan</strong> Driver’s License<br />

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989-797-3472 Sag<strong>in</strong>aw, <strong>Michigan</strong><br />

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<strong>in</strong> all 50 states, and filter by location and credentials.<br />

Browse our onl<strong>in</strong>e database <strong>of</strong> articles and content.<br />

F<strong>in</strong>d events for nurs<strong>in</strong>g pr<strong>of</strong>essionals <strong>in</strong> your area.<br />

Your always-on resource for nurs<strong>in</strong>g jobs, research, and events.<br />

The analysis <strong>of</strong> data collected from users <strong>of</strong><br />

our onl<strong>in</strong>e transition to practice modules and<br />

nurse adm<strong>in</strong>istrators surveyed about the use <strong>of</strong><br />

the modules (and any outcomes associated with<br />

their use), demonstrated a large <strong>in</strong>crease <strong>in</strong> the<br />

number <strong>of</strong> students complet<strong>in</strong>g the modules.<br />

The full report <strong>of</strong> the analysis <strong>of</strong> f<strong>in</strong>d<strong>in</strong>gs <strong>of</strong> this<br />

transition to practice effort may be found us<strong>in</strong>g<br />

the follow<strong>in</strong>g l<strong>in</strong>k: https://www.michigan.gov/<br />

mdhhs/0,5885,7-339-71551_2945_66405_103306---,00.<br />

html.<br />

Based on the responses to transition to practice<br />

surveys received <strong>in</strong> FY2019, an organizational<br />

survey implemented to assess whether health<br />

care organizations <strong>in</strong> <strong>Michigan</strong> have a workplace<br />

violence prevention program or policy <strong>in</strong> place<br />

and what strategies are be<strong>in</strong>g used to monitor<br />

and address workplace violence, questions were<br />

added to the <strong>2020</strong> Survey <strong>of</strong> <strong>Michigan</strong> Nurses to<br />

gather <strong>in</strong>formation <strong>of</strong> nurses’ firsthand experience<br />

with workplace violence with<strong>in</strong> the past year. This<br />

effort was guided by a steer<strong>in</strong>g committee <strong>of</strong><br />

nurs<strong>in</strong>g stakeholders that will aga<strong>in</strong> be convened<br />

<strong>in</strong> 2021 to review the data collected and discuss<br />

next steps. An analysis <strong>of</strong> the results <strong>of</strong> the 103<br />

responses to the Workplace Violence Aga<strong>in</strong>st<br />

Nurses Survey Tool, along with the associated<br />

questions on the <strong>2020</strong> Survey <strong>of</strong> <strong>Michigan</strong><br />

Nurses Data Collection Tool, may be found at<br />

the follow<strong>in</strong>g l<strong>in</strong>k: https://www.michigan.gov/<br />

mdhhs/0,5885,7-339-71551_2945_66405_103306---,00.<br />

html.<br />

<strong>Nurs<strong>in</strong>g</strong> workforce <strong>in</strong>formation is collected and<br />

reported annually <strong>in</strong> two formats. In November <strong>of</strong><br />

<strong>2020</strong>, the ONP will convene stakeholders to provide<br />

<strong>in</strong>put <strong>in</strong>to the 2021 nurs<strong>in</strong>g licensure survey and<br />

analysis <strong>of</strong> f<strong>in</strong>d<strong>in</strong>gs and mapp<strong>in</strong>g <strong>of</strong> nurs<strong>in</strong>g licensure<br />

data.<br />

The results <strong>of</strong> the <strong>2020</strong> Survey <strong>of</strong> <strong>Michigan</strong> Nurses,<br />

implemented February-May <strong>2020</strong>, were analyzed and<br />

an associated report was completed by MPHI. The<br />

report may be found at: https://www.michigan.gov/<br />

mdhhs/0,5885,7-339-71551_2945_66405_103306---,00.<br />

html.<br />

The results <strong>of</strong> the survey may also be found us<strong>in</strong>g<br />

the follow<strong>in</strong>g l<strong>in</strong>k: https://www.m<strong>in</strong>urse.org/.<br />

In addition, MPHI updated and cont<strong>in</strong>ues to<br />

ma<strong>in</strong>ta<strong>in</strong> data mapp<strong>in</strong>g the characteristics <strong>of</strong> all<br />

nurses licensed <strong>in</strong> <strong>Michigan</strong>. It may be found at the<br />

follow<strong>in</strong>g website: https://www.m<strong>in</strong>ursemap.org/.<br />

The ONP provided a grant to support an<br />

academic-practice partnership demonstration<br />

project implement<strong>in</strong>g technologically supported,<br />

remote supervision <strong>of</strong> nurse practitioner cl<strong>in</strong>ical<br />

education experiences at two locations <strong>in</strong> the<br />

fall <strong>of</strong> the 2019/<strong>2020</strong> school year. This effort and<br />

the associated outside evaluation will cont<strong>in</strong>ue<br />

at new cl<strong>in</strong>ical placement sites <strong>in</strong> FY 2021. The<br />

evaluation <strong>of</strong> this effort was completed <strong>in</strong><br />

September <strong>of</strong> <strong>2020</strong> and may be viewed at the<br />

follow<strong>in</strong>g l<strong>in</strong>k: https://www.michigan.gov/<br />

mdhhs/0,5885,7-339-71551_2945_66405_103306---,00.<br />

html.<br />

F<strong>in</strong>ally, <strong>in</strong> addition to support<strong>in</strong>g a web<strong>in</strong>ar to<br />

share resources and best practices for embedd<strong>in</strong>g<br />

virtual resources <strong>in</strong> nurs<strong>in</strong>g cl<strong>in</strong>ical education,<br />

the ONP supported development <strong>of</strong> a suite<br />

<strong>of</strong> immersive learn<strong>in</strong>g modules to facilitate<br />

nurs<strong>in</strong>g cultural competency and improved<br />

nurs<strong>in</strong>g practice <strong>in</strong> the care <strong>of</strong> <strong>in</strong>dividuals who<br />

are deaf and hard <strong>of</strong> hear<strong>in</strong>g. L<strong>in</strong>ks to these<br />

modules may be accessed on the ONP website<br />

at the follow<strong>in</strong>g l<strong>in</strong>k: https://www.michigan.gov/<br />

mdhhs/0,5885,7-339-71551_2945_66405-479941--,00.<br />

html.<br />

COVID-19 has sh<strong>in</strong>ed a spotlight on the variability<br />

<strong>in</strong> remote cl<strong>in</strong>ical education resources among<br />

undergraduate nurs<strong>in</strong>g programs <strong>in</strong> the state.<br />

Because <strong>of</strong> this, an RFP will identify grantees to<br />

be awarded fund<strong>in</strong>g for the development and<br />

dissem<strong>in</strong>ation <strong>of</strong> immersive, undergraduate<br />

nurs<strong>in</strong>g, cl<strong>in</strong>ical education resources to facilitate<br />

the development <strong>of</strong> culturally competent nurs<strong>in</strong>g<br />

practice that addresses social determ<strong>in</strong>ants <strong>of</strong><br />

health and health equity. In tandem with this effort,<br />

the ONP plans to collect <strong>in</strong>formation about the<br />

availability and characteristics <strong>of</strong> immersive cl<strong>in</strong>ical<br />

education resources utilized <strong>in</strong> nurs<strong>in</strong>g educational<br />

programs <strong>in</strong> <strong>Michigan</strong>.


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 5<br />

ANA-<strong>Michigan</strong> Provides Free COVID-19 Tra<strong>in</strong><strong>in</strong>g<br />

Program for K-12 School Teachers, Faculty and Staff<br />

The American Nurses Association <strong>of</strong> <strong>Michigan</strong><br />

(ANA-<strong>Michigan</strong>) has launched a free onl<strong>in</strong>e four-part<br />

COVID-19 tra<strong>in</strong><strong>in</strong>g program. for teachers, faculty and<br />

staff for K-12 schools. With so much <strong>in</strong>formation<br />

circulat<strong>in</strong>g that is constantly chang<strong>in</strong>g or completely<br />

<strong>in</strong>accurate, ANA-<strong>Michigan</strong> is determ<strong>in</strong>ed to secure<br />

the facts and share appropriate safety measures<br />

to help schools support their worried staff and<br />

concerned parents.<br />

The comprehensive virtual tra<strong>in</strong><strong>in</strong>g course <strong>in</strong>cludes<br />

the follow<strong>in</strong>g sections:<br />

Part 1: Introduction to Coronavirus<br />

• Background and overview <strong>of</strong> virus<br />

• Overview <strong>of</strong> safety practices<br />

• Overview <strong>of</strong> symptoms<br />

• Comparison <strong>of</strong> COVID-19 vs flu<br />

• Exposure and test<strong>in</strong>g<br />

Part 2: Ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g Safety Practices Dur<strong>in</strong>g COVID-19<br />

• Importance <strong>of</strong> implement<strong>in</strong>g safety practices<br />

• Creat<strong>in</strong>g and implement<strong>in</strong>g new safety rout<strong>in</strong>es<br />

• Spread<strong>in</strong>g <strong>of</strong> virus<br />

• Clean<strong>in</strong>g and dis<strong>in</strong>fect<strong>in</strong>g<br />

• Hand hygiene<br />

• Mask<strong>in</strong>g<br />

• Social distanc<strong>in</strong>g<br />

• Stay<strong>in</strong>g healthy<br />

Part 3: Manag<strong>in</strong>g Stress Dur<strong>in</strong>g COVID-19<br />

• What stress looks like for students and<br />

teachers/staff<br />

• How to support the student<br />

• Tak<strong>in</strong>g care <strong>of</strong> yourself and your school<br />

community<br />

• Common concerns<br />

• Cop<strong>in</strong>g with stress and anxiety<br />

• Stress management vs. resilience<br />

• Helpful apps and supportive video resources<br />

Part 4: Tool kit for School Faculty and Personnel<br />

Resources<br />

• Recommended general, evidence-based<br />

resources<br />

• Resources on stress reduction, mental health &<br />

cop<strong>in</strong>g<br />

• Recommended resources and lesson plans by<br />

grade level<br />

• Student engagement mask mak<strong>in</strong>g activity<br />

• Videos - tool kit can be viewed on-demand<br />

Schools that would like to work with one <strong>of</strong><br />

our nurse tra<strong>in</strong>ers for specific questions, or for an<br />

onl<strong>in</strong>e Q&A chat can schedule now through ANA-<br />

<strong>Michigan</strong>. Please direct specific questions about the<br />

COVID-19 Tra<strong>in</strong><strong>in</strong>g Program or ANA-<strong>Michigan</strong> to Lea<br />

Osborne, Deputy Director <strong>of</strong> ANA-<strong>Michigan</strong> at Lea@<br />

ana-michigan.org or (517) 325-5306 or onl<strong>in</strong>e on our<br />

website at ana-michigan.org.<br />

About ANA-<strong>Michigan</strong><br />

American Nurses Association-<strong>Michigan</strong> (ANA-<br />

<strong>Michigan</strong>) is the premier organization represent<strong>in</strong>g<br />

the <strong>in</strong>terests <strong>of</strong> registered nurses (RNs) across the<br />

state. ANA-<strong>Michigan</strong> br<strong>in</strong>gs nurses together to<br />

advance their careers and the pr<strong>of</strong>ession through<br />

standard-sett<strong>in</strong>g, advocacy, and pr<strong>of</strong>essional<br />

development.<br />

About ANA-<strong>Michigan</strong> Recognizes Expert Workgroup<br />

and Tra<strong>in</strong>ers<br />

ANA-<strong>Michigan</strong> would like to recognize and thank<br />

the follow<strong>in</strong>g members who shared their time and<br />

expertise to develop the curriculum and resources<br />

to help support our K-12 schoolteachers, faculty and<br />

staff across the state.<br />

ANA-<strong>Michigan</strong> COVID-19<br />

Tra<strong>in</strong><strong>in</strong>g Program for K-12 School<br />

Teachers, Faculty & Staff:<br />

AUTHORS & TRAINERS<br />

The ANA-<strong>Michigan</strong> COVID-19 Tra<strong>in</strong><strong>in</strong>g Program was<br />

developed by the follow<strong>in</strong>g ANA-<strong>Michigan</strong> members<br />

on behalf <strong>of</strong> ANA-<strong>Michigan</strong> <strong>in</strong> response to the <strong>2020</strong><br />

COVID-19 Pandemic. This Tra<strong>in</strong><strong>in</strong>g Program, and all its<br />

<strong>in</strong>cluded materials, are the property <strong>of</strong> ANA-<strong>Michigan</strong>.<br />

Authors and Tra<strong>in</strong>ers are listed below <strong>in</strong> alphabetical<br />

order by last name.<br />

Dayna Bennett, MSN, APRN,<br />

FNP-C<br />

Dayna Bennett is a Family<br />

Nurse Practitioner who<br />

works with Opdyke Medical,<br />

a family medical practice<br />

where she treats <strong>in</strong>dividuals<br />

through the lifespan. She has<br />

a special <strong>in</strong>terest <strong>in</strong> women’s health, child health,<br />

diabetes, hypertension and weight management.<br />

She graduated with her Bachelor <strong>of</strong> Science <strong>in</strong><br />

<strong>Nurs<strong>in</strong>g</strong> from the University <strong>of</strong> W<strong>in</strong>dsor and Master<br />

<strong>of</strong> Science <strong>in</strong> <strong>Nurs<strong>in</strong>g</strong> from Ursul<strong>in</strong>e College. She is a<br />

member <strong>of</strong> the ANA-<strong>Michigan</strong> and <strong>Michigan</strong> Council<br />

<strong>of</strong> Nurse Practitioners. She enjoys liv<strong>in</strong>g <strong>in</strong> <strong>Michigan</strong><br />

with her three children and husband.<br />

Dr. Donna Cassidy, DHSc, MSN,<br />

RN<br />

Donna Cassidy has been an<br />

RN for 26 years. Dur<strong>in</strong>g her<br />

career Donna has worked <strong>in</strong> a<br />

variety <strong>of</strong> roles with <strong>in</strong>creas<strong>in</strong>g<br />

responsibilities. Donna spent<br />

11 years work<strong>in</strong>g <strong>in</strong> education<br />

before mov<strong>in</strong>g <strong>in</strong>to a nurse leadership role. Donna<br />

currently serves as the Hospital Adm<strong>in</strong>istrator for a<br />

small community hospital <strong>in</strong> Southwest <strong>Michigan</strong>.<br />

Donna earned her Associates Degree <strong>in</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong><br />

1994 and her BSN <strong>in</strong> 2002. Donna has a MSN from<br />

Walden University with a focus on <strong>Nurs<strong>in</strong>g</strong> Education<br />

and a Doctorate <strong>of</strong> Health Sciences with a focus on<br />

Organizational Leadership and Behavior earned from<br />

AT Still University.<br />

Dr. Wanda Chukwu, DNP, MA,<br />

CNEcl, RN<br />

Wanda Chukwu, DNP, MA,<br />

CNEcl, RN, is a proud member<br />

<strong>of</strong> ANA- <strong>Michigan</strong>. Dr. Chukwu<br />

is currently tak<strong>in</strong>g time<br />

out <strong>of</strong> her daily rout<strong>in</strong>e to<br />

<strong>in</strong>corporate new strategies<br />

to manage stress and build resilience dur<strong>in</strong>g the<br />

COVID-19 pandemic. She is currently employed as a<br />

fulltime nurs<strong>in</strong>g faculty member; and also works as<br />

an <strong>in</strong>dependent consultant help<strong>in</strong>g <strong>in</strong>dividuals create<br />

policies and procedures for their health-related<br />

ventures. In her spare time she enjoys watch<strong>in</strong>g old<br />

movies and listen<strong>in</strong>g to good music.<br />

L<strong>in</strong>da Dunmore, MSN, RN,<br />

NE-BC, CPHQ, CHSP<br />

L<strong>in</strong>da Dunmore serves<br />

as the Senior Director <strong>of</strong><br />

Cl<strong>in</strong>ical Services for Mercy<br />

Health <strong>in</strong> Muskegon. She has<br />

been with the organization<br />

for over 30 years and<br />

is currently responsible for the leadership <strong>in</strong><br />

Quality, Accreditation, Patient Safety, Infection<br />

Prevention and Control (IPC), Cl<strong>in</strong>ical Education<br />

and Employee Health. L<strong>in</strong>da is an adjunct faculty<br />

for Indiana Wesleyan University. L<strong>in</strong>da is a member<br />

<strong>of</strong> ANA-<strong>Michigan</strong> and sits on the <strong>Nurs<strong>in</strong>g</strong> Practice<br />

Committee.<br />

Noor Khalil, M.Ed., BSN, RN<br />

Noor Khalil is a family nurse<br />

practitioner student <strong>in</strong>terested<br />

<strong>in</strong> community nurs<strong>in</strong>g, holistic<br />

health care, transcultural<br />

health and reduc<strong>in</strong>g health<br />

disparities among vulnerable<br />

populations. Dur<strong>in</strong>g the<br />

pandemic, she has cared for COVID-19 patients<br />

provid<strong>in</strong>g patient- family centered care. Her cl<strong>in</strong>ical<br />

background is <strong>in</strong> medical surgical nurs<strong>in</strong>g. She<br />

earned a Master <strong>of</strong> Education <strong>in</strong> health education<br />

concentrat<strong>in</strong>g on community health education from<br />

Wayne State University and a Bachelor <strong>of</strong> Science <strong>in</strong><br />

<strong>Nurs<strong>in</strong>g</strong> from Oakland University with summa cum<br />

laude dist<strong>in</strong>ction.<br />

Krist<strong>in</strong> Mahler, MPH, RN, NCSN<br />

Krist<strong>in</strong> Mahler, RN,BSN, MPH,<br />

NCSN, is a proud member <strong>of</strong><br />

ANA- <strong>Michigan</strong>. Krist<strong>in</strong> has<br />

worked as a school nurse <strong>in</strong><br />

Ann Arbor Public Schools<br />

s<strong>in</strong>ce 2007. Prior to school<br />

nurs<strong>in</strong>g worked <strong>in</strong> a variety <strong>of</strong><br />

<strong>in</strong>patient and out patient sett<strong>in</strong>gs. Active member <strong>of</strong><br />

the <strong>Michigan</strong> Association <strong>of</strong> School Nurses Board <strong>of</strong><br />

Directors. Nationally Certified School Nurse.<br />

Joshua Mer<strong>in</strong>ga, MPA, MHA,<br />

MBA, BSN, RN, NPD-BC<br />

Joshua Mer<strong>in</strong>ga is a Nurse<br />

Educator and Academic<br />

Liaison at Spectrum Health<br />

<strong>in</strong> Grand Rapids, <strong>Michigan</strong>.<br />

His responsibilities <strong>in</strong>clude<br />

facilitat<strong>in</strong>g orientation tra<strong>in</strong><strong>in</strong>g<br />

for new RNs and Nurse Technicians, manag<strong>in</strong>g<br />

academic affiliations with nurs<strong>in</strong>g programs at<br />

colleges and universities throughout West <strong>Michigan</strong><br />

and provid<strong>in</strong>g leadership and oversight for the<br />

Authors and Tra<strong>in</strong>ers cont<strong>in</strong>ued on page 6


Page 6 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

Authors and Tra<strong>in</strong>ers cont<strong>in</strong>ued from page 5<br />

ANA-<strong>Michigan</strong> Cont<strong>in</strong>ues Monthly Networks <strong>of</strong><br />

Support Virtual Meet-Ups for Nurses &<br />

<strong>Nurs<strong>in</strong>g</strong> Students<br />

ANA-<strong>Michigan</strong> is honored to cont<strong>in</strong>ue host<strong>in</strong>g<br />

monthly Networks <strong>of</strong> Support Virtual Meet-Ups.<br />

These calls were created dur<strong>in</strong>g the early on-set<br />

<strong>of</strong> the COVID-19 pandemic to connect <strong>Michigan</strong><br />

nurses to provide a safe place for connection,<br />

discussion, shar<strong>in</strong>g <strong>of</strong> <strong>in</strong>sight, perspective and<br />

support among nurs<strong>in</strong>g peers.<br />

Discussion Topics Have Included:<br />

• Advanc<strong>in</strong>g Your <strong>Nurs<strong>in</strong>g</strong> Career Ladder:<br />

Certifications, Licenses & Degrees<br />

• Crush<strong>in</strong>g the Wheel <strong>of</strong> Disparities: Diversity,<br />

Equity and Inclusion<br />

• Tis’ the Season: Prepar<strong>in</strong>g for Influenza & the<br />

Next Wave <strong>of</strong> COVID-19<br />

• Multiple COVID-19 discussions<br />

• Multiple nurse self-care discussions<br />

Upcom<strong>in</strong>g Networks <strong>of</strong> Support Virtual<br />

Meet-Ups<br />

November 18 at 8:00 PM ET by Zoom<br />

Discussion Topic: “Reflection <strong>of</strong> Gratitude -<br />

What Nurses are Most Grateful For”<br />

<strong>December</strong> 9 at 11:30 AM ET by Zoom<br />

Discussion Topic: “Light at the End <strong>of</strong> the Tunnel<br />

- COVID-19 Vacc<strong>in</strong>ations”<br />

These meet-ups are complimentary to all<br />

nurses and nurs<strong>in</strong>g students so please <strong>in</strong>vite your<br />

nurs<strong>in</strong>g colleagues and friends to jo<strong>in</strong> us! For<br />

more <strong>in</strong>formation and to access the Zoom log<strong>in</strong>s<br />

for each virtual meet-up, please visit www.ANA-<br />

<strong>Michigan</strong>.org.<br />

Spectrum Health nurs<strong>in</strong>g cont<strong>in</strong>u<strong>in</strong>g education<br />

program. Mr. Mer<strong>in</strong>ga has been a Registered Nurse<br />

s<strong>in</strong>ce 2002 and is certified <strong>in</strong> nurs<strong>in</strong>g pr<strong>of</strong>essional<br />

development through the American Nurses<br />

Credential<strong>in</strong>g Center and as a certified Basic Life<br />

Support Instructor through the American Heart<br />

Association. He is a member <strong>of</strong> ANA- <strong>Michigan</strong><br />

and the Wiscons<strong>in</strong> Nurses Association Cont<strong>in</strong>u<strong>in</strong>g<br />

Education Approval Committee. Mr. Mer<strong>in</strong>ga is<br />

the immediate past Chair <strong>of</strong> the <strong>Michigan</strong> Board <strong>of</strong><br />

<strong>Nurs<strong>in</strong>g</strong>. He holds a Bachelor <strong>of</strong> Science <strong>in</strong> <strong>Nurs<strong>in</strong>g</strong><br />

from Calv<strong>in</strong> College, and Master’s degrees <strong>in</strong> Public<br />

Adm<strong>in</strong>istration, Healthcare Adm<strong>in</strong>istration and<br />

Bus<strong>in</strong>ess Adm<strong>in</strong>istration from Grand Valley State<br />

University. Mer<strong>in</strong>ga lives <strong>in</strong> Grandville, <strong>Michigan</strong> with<br />

his wife and three school-aged children.<br />

Marnie VanDam, RN, BSN, MSN<br />

Marnie VanDam, RN, BSN,<br />

MSN earned her Bachelor <strong>of</strong><br />

Science degree from Oakland<br />

University and her Master <strong>of</strong><br />

Science <strong>in</strong> nurs<strong>in</strong>g education<br />

from Capella University.<br />

She has 27 years <strong>of</strong> nurs<strong>in</strong>g<br />

experience with the last 10 years <strong>in</strong> emergency<br />

medic<strong>in</strong>e. Mrs. VanDam is also employed by her<br />

local school district as a nurse consultant. Marnie<br />

is an active member <strong>of</strong> the ANA-<strong>Michigan</strong> <strong>Nurs<strong>in</strong>g</strong><br />

Practice Committee.<br />

To request a meet<strong>in</strong>g with one <strong>of</strong> the ANA-<strong>Michigan</strong><br />

Authors/Tra<strong>in</strong>ers so that they may address any specific<br />

questions or concerns that your teachers, faculty or<br />

staff may have, please contact ANA-<strong>Michigan</strong> directly at:<br />

Lea Osborne, Deputy Director at Lea@anamichigan.org<br />

Office: (517) 325-5306


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 7<br />

Emergency Orders Filed Seek<strong>in</strong>g to Clarify Worker’s Compensation<br />

Coverage for “COVID-19 First Response Employees”<br />

Evelyn Sweeney, ANA-<strong>Michigan</strong> Legislative Consultant,<br />

Muchmore Harr<strong>in</strong>gton Smalley & Associates (MHSA)<br />

As the battle aga<strong>in</strong>st COVID-19 wages on, so too<br />

do the legal and legislative battles surround<strong>in</strong>g the<br />

power and authority vested <strong>in</strong> the <strong>of</strong>fice <strong>of</strong> the<br />

Governor. On October 2, the <strong>Michigan</strong> Supreme<br />

Court ruled that the Governor lacked the unilateral<br />

authority to keep <strong>Michigan</strong> under a declared state<br />

<strong>of</strong> emergency <strong>in</strong>determ<strong>in</strong>ately. The Supreme Court<br />

rul<strong>in</strong>g left close to 200 executive orders issued by the<br />

Governor null and void, forc<strong>in</strong>g the state to rapidly<br />

review multiple executive orders and f<strong>in</strong>d alternative<br />

legal authority to enforce various protections no<br />

longer <strong>in</strong> effect.<br />

The most press<strong>in</strong>g orders the Governor has<br />

attempted to immediately re<strong>in</strong>stitute have perta<strong>in</strong>ed<br />

to protect<strong>in</strong>g the public health and various protections<br />

specific to <strong>Michigan</strong>’s health care providers and other<br />

front-l<strong>in</strong>e workers. As such, on Friday, October 16,<br />

Governor Whitmer filed emergency rules to clarify<br />

workers’ compensation coverage for health care<br />

employees and first responders who have tested<br />

positive for COVID-19. The new rules were very specific<br />

<strong>in</strong> highlight<strong>in</strong>g, to date, an estimated 32% <strong>of</strong> identified<br />

COVID-19 outbreaks <strong>in</strong> <strong>Michigan</strong> have been attributed<br />

to workplace exposures. Of these outbreaks,<br />

approximately 86% are attributed to work that cannot<br />

feasibly be done from the safety <strong>of</strong> one’s home,<br />

<strong>in</strong>clud<strong>in</strong>g manufactur<strong>in</strong>g, food service and health care.<br />

The rules were promulgated by the Director <strong>of</strong><br />

the <strong>Michigan</strong> Department <strong>of</strong> Labor and Economic<br />

Opportunity for the preservation <strong>of</strong> the public<br />

health, safety and welfare and to clarify coverage<br />

for “COVID-19 first response employees” under the<br />

<strong>Michigan</strong> Worker’s Disability Compensation Act<br />

(WDCA). The <strong>Michigan</strong> WDCA provides wage loss<br />

compensation, medical care, and rehabilitation<br />

for <strong>in</strong>dividuals <strong>in</strong>jured and disabled because <strong>of</strong><br />

workplace <strong>in</strong>jury which can <strong>in</strong>clude exposure to<br />

deadly <strong>in</strong>fections. The rules go on to state critical<br />

workers, who risk their personal health to save<br />

the lives <strong>of</strong> <strong>in</strong>fected <strong>Michigan</strong>ders, need special<br />

protections under the WDCA which <strong>in</strong>cludes<br />

a special presumption to ensure first response<br />

employees receive wage replacement, medical, and<br />

rehabilitation benefits if they are diagnosed with<br />

COVID-19, either by a physician or as the result <strong>of</strong> a<br />

presumed positive test result.<br />

The emergency rules def<strong>in</strong>e a COVID-19 response<br />

employee as “an employee whose job responsibilities<br />

require them to have regular or prolonged contact<br />

with COVID-19 <strong>in</strong> the course <strong>of</strong> their employment.”<br />

Pr<strong>of</strong>essionals covered under the rules <strong>in</strong>clude<br />

physicians, physician assistants, licensed practical<br />

nurses, registered pr<strong>of</strong>essional nurses, medical<br />

first responders, nurses, and emergency medical<br />

technicians to name a few.<br />

These emergency rules replace protections<br />

previously afforded by Executive Order <strong>2020</strong>-128,<br />

which was nullified as a result <strong>of</strong> the <strong>Michigan</strong><br />

Supreme Court’s f<strong>in</strong>d<strong>in</strong>g that the Emergency Powers<br />

<strong>of</strong> the Governor Act <strong>of</strong> 1945 is unconstitutional. The<br />

new emergency rules are effective through March<br />

20, 2021.<br />

<strong>2020</strong>: A Year and an Election to Remember<br />

Evelyn Sweeney, ANA-<strong>Michigan</strong> Legislative<br />

Consultant, Muchmore Harr<strong>in</strong>gton Smalley &<br />

Associates (MHSA)<br />

The <strong>2020</strong> general election season has f<strong>in</strong>ally<br />

come to a dramatic close and as predicted, it<br />

provided some extraord<strong>in</strong>ary storyl<strong>in</strong>es. Lead<strong>in</strong>g<br />

up to the election, we knew <strong>Michigan</strong> would play<br />

a significant role <strong>in</strong> determ<strong>in</strong><strong>in</strong>g the country’s next<br />

President and boy did we! The state captured the<br />

national spotlight and proved critical <strong>in</strong> secur<strong>in</strong>g<br />

the necessary 270 electoral votes President-elect<br />

Biden needed to w<strong>in</strong> the Presidency. Although<br />

President Trump has yet to concede the election<br />

and has leveled accusations <strong>of</strong> voter irregularities<br />

and fraud <strong>in</strong> several contested states, the courts<br />

have thus far thrown out any legal challenge.<br />

What rema<strong>in</strong>s undisputed is the record-break<strong>in</strong>g<br />

number <strong>of</strong> <strong>Michigan</strong>ders that cast a ballot <strong>in</strong> this<br />

year’s election; approximately 5.5 million votes,<br />

3.2 million by mail. Although President Trump was<br />

able to replicate (and <strong>in</strong> some counties <strong>in</strong>crease)<br />

his popularity, he lost the election <strong>in</strong> <strong>Michigan</strong> by<br />

146,119 votes. By comparison, President Trump<br />

won <strong>Michigan</strong> by 10,704 votes <strong>in</strong> 2016 (0.23%). As<br />

expected, the voter rich counties <strong>of</strong> Oakland,<br />

Wayne and Kent swung big for Mr. Biden and<br />

although President Trump still carried Macomb, he<br />

did so with a smaller marg<strong>in</strong> <strong>of</strong> votes than <strong>in</strong> 2016.<br />

Perhaps the most surpris<strong>in</strong>g results <strong>of</strong> the<br />

even<strong>in</strong>g was the extremely competitive United<br />

States Senate race which pitted <strong>in</strong>cumbent<br />

Democratic Senator Gary Peters aga<strong>in</strong>st the<br />

Republican challenger, John James and the State<br />

House race (more on that <strong>in</strong> a m<strong>in</strong>ute). Throughout<br />

much <strong>of</strong> election night, Mr. James held a narrow<br />

lead over Senator Peters. However, as more<br />

absentee ballots were tabulated, Senator Peters<br />

reta<strong>in</strong>ed his position <strong>in</strong> the U.S. Capitol by a slim<br />

85,236 votes. That reflects a 1.5% difference <strong>in</strong><br />

votes between the two gentlemen. It should be<br />

noted, Mr. James has yet to concede the race<br />

assert<strong>in</strong>g similar claims as President Trump and<br />

alleg<strong>in</strong>g election “irregularities.”<br />

As for the State House, millions and millions <strong>of</strong><br />

dollars was spent by both parties as the stakes<br />

were very high this election. Republicans have<br />

controlled the State House for 10 years. That<br />

is significant given the House is up for election<br />

every two years and has traditionally vacillated<br />

control between the two parties. Republicans had<br />

amassed a significant war chest <strong>of</strong> resources and<br />

deployed millions <strong>of</strong> dollars to ensure they reta<strong>in</strong><br />

majority. To say Democrats were laser focused on<br />

flipp<strong>in</strong>g the House is an understatement, as they<br />

felt President’s Trump’s unpopularity, particularly<br />

<strong>in</strong> competitive Oakland County could help flip<br />

multiple seats critical for their march to majority.<br />

Although the Democrats did flip two Republican<br />

controlled seats (one <strong>in</strong> Oakland County and one<br />

<strong>in</strong> Kalamazoo County) they lost two <strong>in</strong>cumbents,<br />

one <strong>in</strong> Bay County and the other <strong>in</strong> northern<br />

Genesee County. The House therefore rema<strong>in</strong>s<br />

under Republican control with a 58-52 majority<br />

(mirror<strong>in</strong>g the current House composition).<br />

Representative Jason Wentworth, (R-Farwell) will<br />

be the next Speaker <strong>of</strong> the House. Representative<br />

Donna Las<strong>in</strong>ski (D-Scio Twp.) will be the next House<br />

Democratic Leader <strong>in</strong> the 2021-2022 session.<br />

Although the Supreme Court does not<br />

traditionally garner as much attention as some <strong>of</strong><br />

the other state races, its significance and <strong>in</strong>fluence<br />

over daily life cannot be overstated. For the first<br />

time <strong>in</strong> 10 years, the Supreme Court’s composition<br />

will lean Democratic (4-3) as Chief Justice Bridget<br />

McCormack and newly elected Justice Elizabeth<br />

Welch won seats on the state’s highest court.<br />

There were no upsets or surprises to report <strong>in</strong> any<br />

<strong>of</strong> <strong>Michigan</strong>’s Congressional races, and, f<strong>in</strong>ally,<br />

both ballot proposals were overwhelm<strong>in</strong>gly<br />

adopted by <strong>Michigan</strong> voters with both secur<strong>in</strong>g<br />

over 80% <strong>of</strong> the vote.<br />

Politics can be a nasty bus<strong>in</strong>ess, but I believe<br />

most Americans agree, pursu<strong>in</strong>g public service<br />

rema<strong>in</strong>s one <strong>of</strong> life’s noblest call<strong>in</strong>gs. We<br />

salute every candidate that sacrificed so much<br />

throughout this election season and are grateful<br />

for the privilege <strong>of</strong> cast<strong>in</strong>g a vote.<br />

ANA-<strong>Michigan</strong> Secretary<br />

Nikeyia Davis Featured <strong>in</strong><br />

the American Nurse Journal<br />

ANA-<strong>Michigan</strong> Secretary<br />

and member, Nikeyia Davis,<br />

MBA, HCM, BSN, RN, CNN,<br />

was featured <strong>in</strong> this month’s<br />

American Nurse Journal article<br />

on “Care Dur<strong>in</strong>g the Pandemic.”<br />

Nikeyia shares with readers<br />

her frontl<strong>in</strong>e experience at<br />

the beg<strong>in</strong>n<strong>in</strong>g <strong>of</strong> the COVID-19<br />

pandemic.<br />

“There was a huge learn<strong>in</strong>g curve for doctors and<br />

nurses us<strong>in</strong>g telehealth. Nurses’ [telehealth] assessments<br />

for issues like fluid overload really had to be on po<strong>in</strong>t to<br />

make sure our patients were able to rema<strong>in</strong> at home.”<br />

ANA-<strong>Michigan</strong> would like to<br />

wish NP’s a very happy Nurse<br />

Practitioner’s Week! Thank<br />

you for all you do every day to<br />

care for <strong>Michigan</strong>ders.


Page 8 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

ANA-MICHIGAN Unwaver<strong>in</strong>g Support for<br />

<strong>Nurs<strong>in</strong>g</strong> Students Dur<strong>in</strong>g the Pandemic<br />

Nad<strong>in</strong>e Wodwaski, DNP, MSN-ed, ACNS, RN<br />

ANA-<strong>Michigan</strong> Faculty Advisor to MNSA<br />

Isn’t it great that ANA-<br />

<strong>Michigan</strong> supports future<br />

nurs<strong>in</strong>g students on their<br />

academic journey with a<br />

faculty advisor, especially<br />

dur<strong>in</strong>g these unprecedented<br />

pandemic times? S<strong>in</strong>ce COVID<br />

can be stressful for everyone,<br />

nurs<strong>in</strong>g students are “stepp<strong>in</strong>g<br />

up” with courage and determ<strong>in</strong>ation, but also<br />

with trepidation, fear and anxiety. These strong<br />

overwhelm<strong>in</strong>g emotions can be caused by cl<strong>in</strong>ical<br />

placements and changes to the course delivery<br />

method, not to mention question<strong>in</strong>g if, “nurs<strong>in</strong>g<br />

is the job” for them. To compound the pandemic<br />

crisis, the nurs<strong>in</strong>g workforce is ag<strong>in</strong>g, and baby<br />

boomer nurses will eventually retire. But, by<br />

provid<strong>in</strong>g expertise mentorship to the students,<br />

ANA- MI is support<strong>in</strong>g the next generation <strong>of</strong><br />

pr<strong>of</strong>essional “super-heroes”.<br />

As registered nurses, we can remember<br />

our educational challenges where we wore<br />

many different hats; student, learner, question<br />

generator, problem solver, and not to mention<br />

parental challenges for many. Because <strong>of</strong> these<br />

Located <strong>in</strong> Grand Haven, MI on the shores <strong>of</strong> Lake <strong>Michigan</strong>.<br />

Grand Haven is known for its family-oriented community with<br />

beautiful beaches, highly ranked school districts,<br />

and high rat<strong>in</strong>gs for “Quality <strong>of</strong> Life.”<br />

We are currently seek<strong>in</strong>g RN’s and LPN’s for Full Time,<br />

Part Time and Casual (As Needed) open<strong>in</strong>gs.<br />

Competitive benefit package available.<br />

Please apply via our website www.noch.org<br />

For questions call 616-847-5263.<br />

challenges and many more, ANA-MICHIGAN<br />

wanted to support students’ endeavors to<br />

undertake the nurs<strong>in</strong>g curriculum and become<br />

an essential registered nurse workforce. One<br />

focus is to provide the <strong>Michigan</strong> Student Nurses<br />

Association (MSNA) with a faculty advisor.<br />

The faculty advisor’s role is to make a dist<strong>in</strong>ct<br />

connection with the MSNA executive board<br />

to help guide, encourage and support these<br />

talented nurs<strong>in</strong>g students, especially dur<strong>in</strong>g these<br />

unprecedented times, and help them achieve<br />

their pr<strong>of</strong>essional goals, ultimately, jo<strong>in</strong><strong>in</strong>g our<br />

workforce as registered nurses.<br />

To build the effective <strong>in</strong>teractive relationship<br />

between MSNA & the faculty advisor, ANA-<br />

<strong>Michigan</strong> has provided a foundational premise<br />

based upon mutual respect, empowerment and<br />

trust, thus contribut<strong>in</strong>g to our future <strong>Michigan</strong><br />

nurse’s growth and development. Because <strong>of</strong><br />

this unprecedented foundation, ANA-MICHIGAN<br />

supports MSNA, by provid<strong>in</strong>g a direct channel<br />

with the faculty advisor connection, contribut<strong>in</strong>g<br />

to <strong>Michigan</strong>’s nurs<strong>in</strong>g workforce’s growth and<br />

viability. By truly advocat<strong>in</strong>g and collaborat<strong>in</strong>g<br />

with MSNA board members, ANA- <strong>Michigan</strong> can<br />

provide essential key <strong>in</strong>formation and materials<br />

that will support the upward pr<strong>of</strong>essional mobility<br />

amidst the COVID pandemic. Likewise, the nurs<strong>in</strong>g<br />

students’ need our unwaver<strong>in</strong>g support on their<br />

academic journey, and as pr<strong>of</strong>essionals <strong>in</strong> the<br />

workforce, we can exude Florence Night<strong>in</strong>gales’<br />

compassionate care. Together, as a team, we can<br />

leverage the student’s <strong>in</strong>volvement and amplify<br />

the nurs<strong>in</strong>g pr<strong>of</strong>ession’s advancement. The goal<br />

<strong>of</strong> ANA-<strong>Michigan</strong> is to assist with pr<strong>of</strong>essional<br />

registered nurses’ upward trend with the key<br />

endeavors, aid<strong>in</strong>g to a stronger, more resilient<br />

registered nurse. Ultimately, with ANA- <strong>Michigan</strong><br />

leadership as a driv<strong>in</strong>g force, the complementary<br />

relationship between students, faculty advisors,<br />

and registered nurses can work as a functional<br />

cycle and is <strong>in</strong>strumental to the pr<strong>of</strong>ession.<br />

<strong>Future</strong>s for Frontl<strong>in</strong>ers:<br />

Free College Tuition for<br />

Nurses & Other Essential<br />

Frontl<strong>in</strong>e <strong>Michigan</strong>ders<br />

Earlier this fall on September 10, Governor<br />

Gretchen Whitmer held a press conference to<br />

provide a state update on the COVID-19 pandemic<br />

and announce the launch <strong>of</strong> the <strong>Future</strong>s for<br />

Frontl<strong>in</strong>ers program, the nation’s first program<br />

<strong>of</strong>fer<strong>in</strong>g tuition-free college to an estimated 625,000<br />

<strong>Michigan</strong>ders who provided essential, frontl<strong>in</strong>e<br />

services dur<strong>in</strong>g the COVID-19 Stay Home, Stay Safe<br />

orders between April and June <strong>2020</strong>.<br />

Under this program, a tuition-free pathway is<br />

available to those without college degrees or high<br />

school diplomas who provided essential services dur<strong>in</strong>g<br />

the pandemic <strong>in</strong> the medical field, essential workers<br />

<strong>in</strong> manufactur<strong>in</strong>g, nurs<strong>in</strong>g homes, grocery stores,<br />

sanitation, delivery, retail and more, to ga<strong>in</strong> the skills<br />

needed to obta<strong>in</strong> high-demand, high-wage careers.<br />

Th<strong>in</strong>k<strong>in</strong>g about go<strong>in</strong>g back to school? Choose the<br />

path that’s right for you:<br />

• Start at your local community college and earn<br />

a skill certificate or associate degree.<br />

• Complete your high school diploma or<br />

equivalent and cont<strong>in</strong>ue onto college.<br />

To be eligible, you must:<br />

• Be a <strong>Michigan</strong> resident<br />

• Have worked <strong>in</strong> an essential <strong>in</strong>dustry at least<br />

part-time for 11 <strong>of</strong> the 13 weeks between April 1<br />

– June 30, <strong>2020</strong><br />

• Have been required by their job to work outside<br />

the home at least some <strong>of</strong> the time between<br />

April 1 – June 30, <strong>2020</strong><br />

• Not have previously earned an associate or<br />

bachelor’s degree<br />

• Not be <strong>in</strong> default on a Federal student loan<br />

• Complete a <strong>Future</strong>s for Frontl<strong>in</strong>ers scholarship<br />

application by 11:59 pm on <strong>December</strong> 31, <strong>2020</strong><br />

For more <strong>in</strong>formation to apply onl<strong>in</strong>e now, visit<br />

https://www.michigan.gov/Frontl<strong>in</strong>ers.<br />

Nurses!<br />

What Are You Most<br />

Grateful For?<br />

Dur<strong>in</strong>g these unprecedented times, let us<br />

reflect on what we are most grateful for as<br />

nurses and personally! Please take 2-3 m<strong>in</strong>utes<br />

to share what you are most grateful for this<br />

year.<br />

ANA-<strong>Michigan</strong> will proudly share your<br />

gratitude statements <strong>in</strong> upcom<strong>in</strong>g<br />

publications and on our social media handles.<br />

To share what you are most grateful now, visit:<br />

https://www.surveymonkey.com/r/8Z7SS2Y


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 9<br />

What Do You Do When a Home-Bound Patient is on Oxygen and<br />

Cont<strong>in</strong>ues to Smoke?<br />

The need for adequate and comprehensive patient and<br />

family education is highlighted <strong>in</strong> a fairly recent Texas<br />

court case. 1 The chance that a similar case would prevail<br />

<strong>in</strong> <strong>Michigan</strong> is hard to imag<strong>in</strong>e, but the facts <strong>in</strong> this case<br />

should serve as a rem<strong>in</strong>der to hospice and home health<br />

nurses <strong>of</strong> the importance <strong>of</strong> provid<strong>in</strong>g adequate patient<br />

and family education.<br />

Facts – The Texas case was filed as a medical<br />

malpractice and negligence case aga<strong>in</strong>st Amed-Health,<br />

Inc., a hospice company and the company’s medical<br />

director, Dr. Ojo. The case was brought by the patient and<br />

Donna J. Craig,<br />

RN, JD<br />

his friends <strong>in</strong> whose home he received hospice care. While receiv<strong>in</strong>g hospice<br />

care a fire was sparked when the patient smoked a cigar while us<strong>in</strong>g oxygen<br />

prescribed by the hospice company’s medical director.<br />

In the orig<strong>in</strong>al case the trial judge found there was no basis for the case<br />

and dismissed the case without a trial. The pla<strong>in</strong>tiffs <strong>in</strong> the case appealed the<br />

dismissal to the Texas Court <strong>of</strong> Appeals, which ruled that the trial court judge<br />

<strong>in</strong>appropriately dismissed the case, not<strong>in</strong>g that there were sufficient issues<br />

and evidence that warranted the case to be presented at a trial. The Court <strong>of</strong><br />

Appeals sent the case back to the trial court for further proceed<strong>in</strong>gs.<br />

The patient had multiple medical conditions when he was admitted to the<br />

hospital for treatment <strong>of</strong> pneumonia and congestive heart failure. At the<br />

time <strong>of</strong> discharge from the V.A. hospital, multiple discharge options were<br />

considered but it was determ<strong>in</strong>ed that the patient would be released to<br />

hospice care at home. Because the patient had fallen on hard times he was<br />

discharged to a friend’s home for hospice care.<br />

The hospice nurse assessed the patient <strong>in</strong> the home and developed a care<br />

plan. Dr. Ojo’s admitt<strong>in</strong>g orders were implemented. Among other orders, Dr.<br />

Ojo prescribed a “comfort kit” <strong>of</strong> medications which <strong>in</strong>cluded morph<strong>in</strong>e and<br />

lorazepam. Accord<strong>in</strong>g to Dr. Ojo, the purpose <strong>of</strong> the comfort kit was to allow<br />

the patient to die <strong>in</strong> peace. Dr. Ojo also cont<strong>in</strong>ued the hospital’s orders for<br />

the patient to receive oxygen, Norco, anti-depressants and sleep<strong>in</strong>g aids.<br />

The next day the hospice nurse went to the home and provided nurs<strong>in</strong>g<br />

services to the patient. Her nurs<strong>in</strong>g assessment revealed the patient was<br />

alert and oriented and able to take his medications without the aid <strong>of</strong> a<br />

caregiver. Dur<strong>in</strong>g this visit the patient advised the hospice nurse that he<br />

was a smoker. In response, the hospice nurse provided him with verbal<br />

and written admonishments regard<strong>in</strong>g the dangers <strong>of</strong> smok<strong>in</strong>g while us<strong>in</strong>g<br />

oxygen.<br />

It was not clear whether written smok<strong>in</strong>g and oxygen warn<strong>in</strong>g signs were<br />

posted <strong>in</strong> the home. The hospice nurse testified at her deposition that she placed<br />

warn<strong>in</strong>g signs on the wall <strong>in</strong> the home, the oxygen canisters, and the oxygen<br />

concentrator near the patient’s bed. The homeowner testified to the contrary<br />

at his deposition, <strong>in</strong>dicat<strong>in</strong>g he did not see any warn<strong>in</strong>g signs, but admitted he<br />

wasn’t look<strong>in</strong>g for them.<br />

Four days later the hospice nurse visited the patient aga<strong>in</strong> and determ<strong>in</strong>ed<br />

the patient was alert and oriented and was able to understand and act on the<br />

<strong>in</strong>structions that she had provided to him. Dur<strong>in</strong>g this visit the hospice nurse<br />

noticed an ashtray at the bedside next to the oxygen canister. The patient told<br />

the hospice nurse the ashtray was old. She aga<strong>in</strong> warned him regard<strong>in</strong>g the<br />

dangers <strong>of</strong> smok<strong>in</strong>g. The hospice nurse also encouraged the patient to take all<br />

his prescribed medications. Medication records show that the patient took her<br />

directions to heart as this was the first day that he began to take all prescribed<br />

medications.<br />

Later that even<strong>in</strong>g while the homeowner was <strong>in</strong> the shower, the patient<br />

decided to smoke a cigar. S<strong>in</strong>ce it was cold outside, the patient did not go<br />

outside to smoke but <strong>in</strong>stead lit his cigar <strong>in</strong>side the residence. When the<br />

patient lit his cigar a fire broke out because his oxygen was not turned <strong>of</strong>f.<br />

Both the patient and the homeowner got out <strong>of</strong> the house as well as two<br />

young children who were <strong>in</strong> the home at the time. The patient and the<br />

homeowner susta<strong>in</strong>ed burns requir<strong>in</strong>g treatment at a burn center. The home<br />

was completely destroyed by the fire.<br />

The pla<strong>in</strong>tiffs filed their lawsuit and cited the hospice company’s, through<br />

the actions <strong>of</strong> the hospice nurse, failure to adequately and properly educate<br />

both the patient and the homeowner about the dangers <strong>of</strong> smok<strong>in</strong>g<br />

while us<strong>in</strong>g oxygen and for failure to explicitly identify the high risk <strong>of</strong><br />

fire. The pla<strong>in</strong>tiffs argued that the hospice nurse should have provided<br />

educational alternatives (although it is not clear what those alternatives<br />

were) and educate the caregivers <strong>of</strong> the dangers <strong>of</strong> fire. They also allege<br />

that because the hospice nurse discovered the ashtray at the bedside, she<br />

failed to re-evaluate the consequences <strong>of</strong> the patient smok<strong>in</strong>g. Also, the<br />

pla<strong>in</strong>tiffs argued the hospice nurse should have discussed the patient’s noncompliance<br />

with Dr. Ojo after she found the ashtray. F<strong>in</strong>ally, the pla<strong>in</strong>tiffs<br />

argued that the hospice company should have <strong>of</strong>fered a smok<strong>in</strong>g cessation<br />

program, counsel<strong>in</strong>g, and if necessary should have removed the oxygen from<br />

the home.<br />

The allegations aga<strong>in</strong>st Dr. Ojo were that she failed to appreciate the risk<br />

<strong>of</strong> a patient who was a smoker, be<strong>in</strong>g adm<strong>in</strong>istered home oxygen, and who<br />

was on multiple medications that could impact his alertness. The pla<strong>in</strong>tiffs<br />

also faulted Dr. Ojo for not provid<strong>in</strong>g or <strong>of</strong>fer<strong>in</strong>g the patient a nicot<strong>in</strong>e<br />

replacement. In support <strong>of</strong> the pla<strong>in</strong>tiffs’ position they relied on a U.S.<br />

Department <strong>of</strong> Veteran Affairs’ directive to guide providers <strong>in</strong> evaluat<strong>in</strong>g the<br />

risk <strong>of</strong> patients start<strong>in</strong>g fires while on oxygen treatment, to require nicot<strong>in</strong>e<br />

replacement therapy, and to provide education to the other residents <strong>in</strong> the<br />

home.<br />

While the f<strong>in</strong>al outcome <strong>of</strong> this case is yet to be determ<strong>in</strong>ed, the facts <strong>of</strong><br />

this case should cause nurse practitioners, hospice nurses and home care<br />

nurses to pause and reflect on how best to address non-compliant patients<br />

who smoke when on home oxygen. There is no easy answer, but hopefully<br />

caregivers will take the opportunity to exam<strong>in</strong>e their options when faced<br />

with this situation.<br />

Donna J. Craig, RN, JD is legal counsel to ANA-<strong>Michigan</strong>. She practiced as a<br />

cardiac care nurse for several years before a chance opportunity to audit a<br />

graduate course <strong>in</strong> health care law and ethics changed her career path. That<br />

course propelled her to earn her law degree. After law school Ms. Craig jo<strong>in</strong>ed<br />

a medical malpractice defense law firm before transition<strong>in</strong>g her focus to health<br />

care corporate and adm<strong>in</strong>istrative law matters. For over 20 years she has<br />

ma<strong>in</strong>ta<strong>in</strong>ed her private health law practice, represent<strong>in</strong>g health care providers<br />

and facilities <strong>in</strong> bus<strong>in</strong>ess, licensure and compliance matters. For her expertise<br />

and accomplishments, Detroit’s dbus<strong>in</strong>ess Magaz<strong>in</strong>e awarded Ms. Craig its<br />

Top Lawyer <strong>in</strong> Health Care Law award on three occasions. Ms. Craig has the<br />

dist<strong>in</strong>ction and is proud <strong>of</strong> be<strong>in</strong>g a bar member <strong>of</strong> the Supreme Court <strong>of</strong> the<br />

United States <strong>of</strong> America. For more <strong>in</strong>formation about The Health Law Center,<br />

go to www.healthlawcenterplc.com.<br />

1<br />

Mason v. Amed-Health, Inc. 582 S.W. 3d 773 (2019)


Page 10 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

<strong>2020</strong>-2021 ANA-<strong>Michigan</strong> Board <strong>of</strong> Directors,<br />

Committees & Task Force Members<br />

Please jo<strong>in</strong> ANA-<strong>Michigan</strong> <strong>in</strong> recogniz<strong>in</strong>g our dedicated nurse<br />

leaders who graciously donate their time and expertise to<br />

help advance the nurs<strong>in</strong>g pr<strong>of</strong>ession <strong>in</strong> <strong>Michigan</strong>.<br />

Board <strong>of</strong> Directors<br />

President: Julia Stocker Schneider, PhD, RN, CNL<br />

President-Elect: Bridget Leonard, DNP, MBA, RN<br />

Secretary: Nikeyia Davis, MBA-HCM, BSN, RN, CNN<br />

Treasurer: Nancy Mart<strong>in</strong>, DNP, RN<br />

Director at Large: Margaret Calarco, PhD, RN, NEA-BC<br />

Director at Large: Kather<strong>in</strong>e Dontje, PhD, FNP-BC, FAANP<br />

Director at Large: Suzanne Keep, PhD, RN<br />

Director at Large: Anne Kreft, BSN, RN<br />

Newly Licensed Director: Gerardo Infante, BSN, RN<br />

Bylaws Committee<br />

Chair: V<strong>in</strong>eta Mitchell, RN, BSN, MBA, MHCM, CMCN, CCM<br />

Nadia Farhat, MSN, RN-BC, AGCNS-BC<br />

Kechi Iheduru-Anderson, DNP, RN, CNE, CWCN<br />

Suzanne Keep, PhD, RN<br />

L<strong>in</strong>da Taft, RN<br />

Education Committee<br />

Chair: Bridget Leonard, DNP, MBA, RN<br />

April Liberty, BSN, RN<br />

Nancy Mart<strong>in</strong>, DNP, RN<br />

Jennifer Mecomber, MSN, RN<br />

Mihaela Reed, MSN<br />

Mary Zugcic, RN, ACNS-BC, CRNI<br />

F<strong>in</strong>ance Committee<br />

Chair: Nancy Mart<strong>in</strong>, DNP, RN<br />

Jason Baker, MSN, AGACNP-BC, CCRN, RN<br />

Julie Bulson, DNP, MPA, RN, NE-BC<br />

V<strong>in</strong>eta Mitchell, RN, BSN, MBA, MHCM, CMCN, CCM<br />

Karen Paulosky, MSN, RN HTP, EEM-CLP<br />

Legislative Committee<br />

Chair: L<strong>in</strong>da Buck, DNP, RN<br />

Remy Bruder, DNP, RN<br />

Jean<strong>in</strong>e Easterday, MSN RN NE-BC<br />

Nancy George, PhD, RN, FNP-BC, FAANP<br />

Lori Glenn, DNP, CNM, RN<br />

Peggy Kearney, MSN-Ed<br />

April Liberty, BSN, RN<br />

Cynthia McNerl<strong>in</strong>, MSN, ANP-BC, FCCP<br />

Susan Wiers, DNP, RN<br />

Nom<strong>in</strong>ations Committee<br />

Chair: Carole Stacy, MSN, MA, RN<br />

MaryLee Pakieser, MSN, RN, BC-FNP<br />

Joyce Reder, MSN<br />

Leslie Simons, DNP, ANP-BC<br />

Beth VanDam, MSN, RN-BC, CNL<br />

<strong>Nurs<strong>in</strong>g</strong> & Health Policy Committee<br />

Chair: Kather<strong>in</strong>e Kessler, MSN, MSA, RN<br />

Beth Ammerman, DNP, FNP-BC<br />

Krist<strong>in</strong> Cast<strong>in</strong>e, MSN, RN, ANP-BC<br />

Nikeyia Davis, MBA-HCM, BSN, RN, CNN<br />

Cheryl LaPlaunt, RN, MPA, BSN<br />

Barbara Medvec, DNP, RN, NEA-BC<br />

Joshua Mer<strong>in</strong>ga, MPA, MHA, MBA, BSN, RN-BC<br />

L<strong>in</strong>da Sarantis, MSN, RN, S.A.N.E.<br />

Nad<strong>in</strong>e Wodwaski, DNP, MSN-ed, CNS, RN<br />

<strong>Nurs<strong>in</strong>g</strong> Practice Committee<br />

Chair: Kather<strong>in</strong>e Dontje, PhD, FNP-BC, FAANP<br />

Margaret Calarco, PhD, RN, NEA-BC<br />

L<strong>in</strong>da Dunmore, MSN, RN, NE-BC, CPHQ, CPHS<br />

Nadia Farhat, RN, MSN, AGCNS-BC<br />

Marge Freundl, MSN<br />

Julie Powell, MSN, RN, AGCNS-BC<br />

Molly Stapish, MSN, CMSRN<br />

Marnie VanDam, MSN, RN<br />

COVID-19 Task Force<br />

Chair: Suzanne Keep, PhD, RN<br />

Nikeyia Davis, MBA-HCM, BSN, RN, CNN<br />

Kather<strong>in</strong>e Dontje, PhD, FNP-BC, FAANP<br />

Bridget Leonard, DNP, MBA, RN<br />

Imana “Mo” M<strong>in</strong>ard, RN<br />

Mary White, RN<br />

Leadership Academy Task Force<br />

Chair: Jeanette Klemczak, RN<br />

Shari Carson, BSN, RN, CDP, CDONA, FACDONA, IP-BC<br />

Kather<strong>in</strong>e Kessler, MSN, MSA, RN<br />

Nancy Mart<strong>in</strong>, DNP, RN<br />

Barbara Medvec, DNP, RN, NEA-BC<br />

Joshua Mer<strong>in</strong>ga, MPA, MHA, MBA, BSN, RN-BC<br />

Carole Stacy, MSN, MA, RN<br />

Year <strong>of</strong> the Nurse Task Force<br />

Chair: Carole Stacy, MSN, MA, RN<br />

Andrea Corrie, BSN, RN, CCRN<br />

MaryLee Pakieser, MSN, RN, BC-FNP


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 11<br />

ANA-<strong>Michigan</strong> Members Serv<strong>in</strong>g on State <strong>of</strong> <strong>Michigan</strong>’s<br />

Workgroups to Develop New Implicit Bias Licensure<br />

Requirements and Tra<strong>in</strong><strong>in</strong>g<br />

The COVID-19 pandemic has illustrated, with<br />

brutal pro<strong>of</strong>, the persistence <strong>of</strong> racial disparities <strong>in</strong><br />

our society. As <strong>of</strong> July 5, <strong>2020</strong>, Black <strong>Michigan</strong>ders<br />

represented 14% <strong>of</strong> the state population, but over<br />

35% <strong>of</strong> confirmed COVID-19 cases where the race<br />

<strong>of</strong> the patient was known. COVID-19 is over four<br />

times more prevalent among Black <strong>Michigan</strong>ders<br />

than among white <strong>Michigan</strong>ders. And <strong>Michigan</strong><br />

is no outlier. Accord<strong>in</strong>g to the Centers for Disease<br />

Control and Prevention (CDC), “non-Hispanic<br />

Black persons have a [COVID-19 associated<br />

hospitalization] rate approximately 4.7 times that<br />

<strong>of</strong> non-Hispanic White persons.” Moreover, Black<br />

and Lat<strong>in</strong>o people have been nearly twice as likely<br />

to die from the virus as white people, accord<strong>in</strong>g<br />

to CDC data. Indigenous populations have<br />

experienced a hospitalization rate even higher<br />

than that <strong>of</strong> Black Americans.<br />

This disparity is not limited to COVID-19. People<br />

<strong>of</strong> color face disparities <strong>in</strong> terms <strong>of</strong> morbidity,<br />

mortality and health status. Black, Hispanic and<br />

Indigenous Americans have higher <strong>in</strong>fant mortality<br />

rates than white and Asian Americans. The<br />

premature death rate from heart disease and<br />

stroke is highest among Black Americans.<br />

Race and ethnicity are not the only<br />

demographic factors associated with disparity <strong>in</strong><br />

health outcomes. For example, women are more<br />

likely to experience delayed diagnosis <strong>of</strong> heart<br />

disease compared to men, as well as <strong>in</strong>ferior heart<br />

attack treatment. Sometimes, these disparities<br />

<strong>in</strong>tersect, as <strong>in</strong> the case <strong>of</strong> childbirth, where<br />

the United States is one <strong>of</strong> the few countries<br />

experienc<strong>in</strong>g a rise <strong>in</strong> the maternal mortality rate,<br />

and Black women are nearly four times as likely to<br />

die dur<strong>in</strong>g childbirth as are white women.<br />

Faced with these disparities dur<strong>in</strong>g the COVID-19<br />

pandemic, <strong>Michigan</strong> has led the way <strong>in</strong> identify<strong>in</strong>g<br />

and address<strong>in</strong>g the problem. <strong>Michigan</strong> was one<br />

<strong>of</strong> the first states to report COVID-19 data by race<br />

and ethnicity. When it became clear the virus had<br />

devastated communities <strong>of</strong> color with particular<br />

force, Governor Gretchen Whitmer issued<br />

Executive Order <strong>2020</strong>-55, creat<strong>in</strong>g the <strong>Michigan</strong><br />

Coronavirus Task Force on Racial Disparities—a<br />

group dedicated to study<strong>in</strong>g, report<strong>in</strong>g on and<br />

f<strong>in</strong>d<strong>in</strong>g solutions to the disparate effects <strong>of</strong><br />

COVID-19 on people <strong>of</strong> color.<br />

While programs like these are encourag<strong>in</strong>g,<br />

much work rema<strong>in</strong>s. To be sure, the causes <strong>of</strong><br />

these disparities are multiple and complex.<br />

Social determ<strong>in</strong>ants <strong>of</strong> health such as education,<br />

employment and environmental factors—all <strong>of</strong><br />

which correlate with race and ethnicity—are part<br />

<strong>of</strong> the explanation. Research also shows that<br />

disparities result <strong>in</strong> part because <strong>of</strong> differences<br />

<strong>in</strong> the delivery <strong>of</strong> medical services to people<br />

<strong>of</strong> different races. The National Healthcare<br />

Disparities Report concluded that white patients<br />

received care <strong>of</strong> a higher quality than did Black,<br />

Hispanic, Indigenous and Asian Americans. People<br />

<strong>of</strong> color face more barriers to access<strong>in</strong>g health<br />

care than do white people and are generally less<br />

satisfied with their <strong>in</strong>teractions with health care<br />

providers.<br />

These disparities can arise even when not<br />

<strong>in</strong>tended because <strong>of</strong> the prevalence <strong>of</strong> what is<br />

sometimes called implicit bias: thoughts and<br />

feel<strong>in</strong>gs that, by def<strong>in</strong>ition, <strong>of</strong>ten exist outside <strong>of</strong><br />

conscious awareness, and therefore are difficult to<br />

control. But they can shape behavior, <strong>in</strong>clud<strong>in</strong>g the<br />

behavior <strong>of</strong> health care pr<strong>of</strong>essionals. One way to<br />

reduce disparities <strong>in</strong> health outcomes, therefore,<br />

is to seek to elim<strong>in</strong>ate the unconscious biases,<br />

misconceptions and stereotypes that can lead to<br />

disparities <strong>in</strong> how health care is provided.<br />

<strong>Michigan</strong>’s front-l<strong>in</strong>e health-care workers<br />

have been its greatest heroes <strong>in</strong> the fight aga<strong>in</strong>st<br />

COVID-19. Without their selfless and courageous<br />

service, many more lives would be lost and<br />

disrupted due to this pandemic. Nevertheless,<br />

we—all <strong>of</strong> us—need to do better, and tra<strong>in</strong><strong>in</strong>g<br />

health-care workers how to recognize and<br />

mitigate implicit bias will only help these workers<br />

carry out their mission <strong>of</strong> provid<strong>in</strong>g the best<br />

health care to all they serve.<br />

For this reason, and on the recommendation<br />

<strong>of</strong> the <strong>Michigan</strong> Coronavirus Task Force on<br />

Racial Disparities, the Department <strong>of</strong> Licens<strong>in</strong>g<br />

and Regulatory Affairs (LARA) has convened<br />

an Implicit Bias Stakeholders Workgroup and<br />

Subgroups to establish new rules requir<strong>in</strong>g all<br />

health care pr<strong>of</strong>essionals, <strong>in</strong>clud<strong>in</strong>g nurses, to<br />

receive tra<strong>in</strong><strong>in</strong>g on implicit bias and the way it<br />

affects delivery <strong>of</strong> health care services. This type<br />

<strong>of</strong> tra<strong>in</strong><strong>in</strong>g has value for all <strong>Michigan</strong>ders <strong>in</strong> every<br />

pr<strong>of</strong>ession and walk-<strong>of</strong>-life and is fully supported<br />

by ANA-<strong>Michigan</strong>.<br />

We are honored and grateful to have the<br />

follow<strong>in</strong>g dedicated and passionate ANA-<br />

<strong>Michigan</strong> leaders serv<strong>in</strong>g on the LARA Implicit Bias<br />

Stakeholders Workgroup and Subgroups:


Page 12 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

Ac<strong>in</strong>g an Interview: Lessons Learned & Tips for Success from<br />

20+ Years <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> Management Experience<br />

1) What is the proper way to<br />

dress for an <strong>in</strong>terview?<br />

Ladies wear a nice dress<br />

or dress shirt, dress pants,<br />

or skirt with no/short slit;<br />

ensure the items are not<br />

low cut, more than an<br />

<strong>in</strong>ch above the knee or<br />

excessively tight. You want<br />

to avoid multiple pierc<strong>in</strong>gs,<br />

especially <strong>in</strong> the facial<br />

area and brightly colored<br />

Bridget A.<br />

Leonard, DNP,<br />

MBA, RN<br />

hair. Wear a closed toe, low heel if possible as a<br />

walk<strong>in</strong>g tour may be part <strong>of</strong> the <strong>in</strong>terview. Avoid<br />

excessive earr<strong>in</strong>gs, bracelets and perfume.<br />

2) What’s the best way to prepare for an <strong>in</strong>terview?<br />

Read the job description, ensure that you<br />

either meet the qualifications or the bus<strong>in</strong>ess<br />

will provide the tra<strong>in</strong><strong>in</strong>g dur<strong>in</strong>g orientation.<br />

Have a friend/family member ask you <strong>in</strong>terview<br />

questions, become comfortable with only<br />

answer<strong>in</strong>g the question be<strong>in</strong>g asked. Research<br />

the company and take notes on some important<br />

facts. Review the mission and vision <strong>of</strong> the<br />

company. Do they align with your skills, ethics,<br />

and beliefs? If so, prepare an answer so you<br />

can share the ways you align with their mission<br />

specifically.<br />

What should you def<strong>in</strong>itely know about yourself?<br />

You must know your strengths, opportunities for<br />

improvement, motivation level, ability to work<br />

on a team, ability to lead <strong>in</strong>itiatives and th<strong>in</strong>k<br />

outside the box. Most importantly, know your<br />

self-worth. What do you br<strong>in</strong>g to a team?<br />

3) What are some th<strong>in</strong>gs to say that could set you<br />

apart from every other <strong>in</strong>terviewee?<br />

a) Why should I consider work<strong>in</strong>g for this<br />

company, what do you <strong>of</strong>fer that I can’t get<br />

from your biggest competitor?<br />

b) I love learn<strong>in</strong>g, grow<strong>in</strong>g and conquer<strong>in</strong>g<br />

challenges. Is that a possibility work<strong>in</strong>g here?<br />

with an MBA and/or MBA with an Account<strong>in</strong>g Concentration.<br />

Affordable, choose from 100% onl<strong>in</strong>e or <strong>in</strong>-person even<strong>in</strong>g classes.<br />

www.nmu.edu/mba<br />

c) Are there opportunities for advancement?<br />

d) What makes you keep com<strong>in</strong>g back every<br />

day?<br />

e) May I give you a hard copy <strong>of</strong> my resume?<br />

4) What is a complete turn<strong>of</strong>f for most<br />

<strong>in</strong>terviewers? Name some do’s and don’ts.<br />

a) Don’t be late.<br />

b) Don’t be more than ½ hour early.<br />

c) Don’t be improperly dressed.<br />

d) Don’t wear strong perfume.<br />

e) Don’t be too comfortable, speak<strong>in</strong>g as if<br />

you’ve known each other for years.<br />

f) Don’t ask about pay.<br />

g) Don’t speak bad about a previous employer<br />

or co-workers.<br />

h) Don’t drop names.<br />

i) Do answer only the question be<strong>in</strong>g asked.<br />

j) Do not use your phone or have the r<strong>in</strong>ger on.<br />

k) Do not br<strong>in</strong>g friends, kids or family to the<br />

<strong>in</strong>terview.<br />

l) Don’t chew gum.<br />

5) What’s the best way to handle a group <strong>of</strong><br />

<strong>in</strong>terviewers vs. a s<strong>in</strong>gle <strong>in</strong>terviewer?<br />

Take notes with either s<strong>in</strong>gle or groups <strong>of</strong><br />

<strong>in</strong>terviewers. A s<strong>in</strong>gle <strong>in</strong>terviewer wants<br />

constant eye contact, wants only the question<br />

be<strong>in</strong>g asked answered, wants you to clarify<br />

questions if needed and thanks them at the<br />

end <strong>of</strong> the <strong>in</strong>terview. When with a group <strong>of</strong><br />

<strong>in</strong>terviewers ma<strong>in</strong>ta<strong>in</strong> eye contact, appear<br />

confident, repeat the question or ask that the<br />

question is repeated. Try to ask each <strong>in</strong>terviewer<br />

a follow-up question, thank everyone at the end<br />

<strong>of</strong> the <strong>in</strong>terview.<br />

6) How important is it to do your research on the<br />

company you are try<strong>in</strong>g to get hired by?<br />

Very important. Take time to do some research.<br />

Speak about some <strong>of</strong> the company facts, it<br />

shows you are <strong>in</strong>terested and have taken extra<br />

steps to assess the company’s needs.<br />

What about research<strong>in</strong>g yourself?<br />

You must do a self-analysis and be truthful about<br />

your strengths, weaknesses and opportunities<br />

for to do better.<br />

7) How should you handle advis<strong>in</strong>g the <strong>in</strong>terviewer<br />

about your crim<strong>in</strong>al record or missed time on an<br />

application?<br />

I wouldn’t freely disclose my crim<strong>in</strong>al record<br />

unless asked, yet if it is asked on the application<br />

be truthful as this can be a reason for<br />

term<strong>in</strong>ation if <strong>in</strong>formation is falsified on the<br />

application. Missed time on an application can<br />

be expla<strong>in</strong>ed by stat<strong>in</strong>g you were car<strong>in</strong>g for the<br />

kids, look<strong>in</strong>g for a different career path or tak<strong>in</strong>g<br />

classes for growth.<br />

8) Is it appropriate to ask the <strong>in</strong>terviewer<br />

questions? When is the right time to ask about<br />

money?<br />

Def<strong>in</strong>itely ask questions as this shows <strong>in</strong>terest,<br />

<strong>in</strong> fact, come to the <strong>in</strong>terview with at least 3<br />

questions <strong>in</strong> m<strong>in</strong>d. The right time to ask about<br />

money is when the job <strong>of</strong>fer is be<strong>in</strong>g made, you<br />

can <strong>in</strong>form them you need 24 hours to consider<br />

the <strong>of</strong>fer and you may counter their <strong>of</strong>fer if you<br />

feel that the pay is too low (they don’t have to<br />

<strong>in</strong>crease pay, but it usually warrants further<br />

discussion on their end especially if they really<br />

want you to come to the company).<br />

9) How important is it to remove negative or<br />

derogatory th<strong>in</strong>gs from your social media<br />

accounts before the <strong>in</strong>terview?<br />

This is critical, <strong>in</strong> todays social media some<br />

employers are visit<strong>in</strong>g your pages to assess<br />

your character even before they contact you<br />

for an <strong>in</strong>terview. When beg<strong>in</strong>n<strong>in</strong>g a job search<br />

immediately remove any derogatory statements<br />

and <strong>in</strong>appropriate pictures.<br />

10) Does an <strong>in</strong>terviewer have the right to your social<br />

media pages?<br />

Yes, they have a right as this is public <strong>in</strong>formation<br />

you’ve shared. As bus<strong>in</strong>ess owners they want to<br />

protect the <strong>in</strong>tegrity <strong>of</strong> the company.<br />

If not, how should you handle it if they ask you for<br />

the l<strong>in</strong>k <strong>in</strong>formation?<br />

If they ask for your l<strong>in</strong>k <strong>in</strong>formation, feel free to<br />

ask them is it mandatory for employment and<br />

how will the <strong>in</strong>formation be used.<br />

11) How important is it to have some personal goals<br />

<strong>in</strong> m<strong>in</strong>d <strong>in</strong> case you are asked about it?<br />

Very important, it allows the <strong>in</strong>terviewer to see<br />

you have potential and the desire to do more<br />

<strong>in</strong>side and outside <strong>of</strong> the company.<br />

12) How should you handle the tough questions<br />

when you have to th<strong>in</strong>k on the spot, especially if<br />

you don’t have an answer?<br />

Ask that the question be repeated. Try to break<br />

up the question <strong>in</strong> chunks, if you can’t th<strong>in</strong>k <strong>of</strong> an<br />

answer immediately ask the <strong>in</strong>terviewer can you<br />

come back to that question.<br />

13) Give examples <strong>of</strong> good body language and bad<br />

body language on an <strong>in</strong>terview.<br />

Good: Sitt<strong>in</strong>g up straight, ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g eye<br />

contact, limit<strong>in</strong>g talk<strong>in</strong>g with hands, firm<br />

handshake, unfolded arms, relaxed facial<br />

expression, smile, and lean <strong>in</strong> slightly to show<br />

you are engaged.<br />

Bad: Poor or aggressive eye contact, slouch<strong>in</strong>g<br />

<strong>in</strong> seat, fidget<strong>in</strong>g with nails/clothes, excessive<br />

laugh<strong>in</strong>g, roll<strong>in</strong>g eyes, limp handshake, look<strong>in</strong>g<br />

bored or dis<strong>in</strong>terested, play<strong>in</strong>g with hair, not<br />

smil<strong>in</strong>g.<br />

14) How important is eye contact?<br />

Very important, good eye contact implies trust,<br />

<strong>in</strong>terest, and engagement.<br />

15) Is it ever okay to follow up with the company<br />

before they contact you?<br />

Yes, preferably send a thank you letter via email<br />

<strong>in</strong>stead <strong>of</strong> a phone call (ask for <strong>in</strong>terviewer’s<br />

bus<strong>in</strong>ess card before you leave so you can have<br />

access to their email) after the <strong>in</strong>terview.<br />

16) Is it appropriate to give a copy <strong>of</strong> your resume<br />

and cover letter to the <strong>in</strong>terviewer?<br />

Yes, a hard copy shows <strong>in</strong>terest and<br />

pr<strong>of</strong>essionalism especially pr<strong>in</strong>ted on highquality<br />

paper. This simple act helps to separate<br />

you from the rest <strong>of</strong> the applicants.<br />

17) What is your <strong>in</strong>formation if people wanted to<br />

contact you?<br />

Email: <strong>in</strong>fo@bridgetleonard.com<br />

Website: www.bridgetleonard.com<br />

Facebook: Dr Bridget Leonard DNP<br />

Instagram: IamBridgetLeonard


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 13<br />

Nurses Educational Funds (NEF)<br />

Scholarship Application Process Beg<strong>in</strong>s on<br />

October 1, <strong>2020</strong><br />

Advanc<strong>in</strong>g Your Idea &<br />

Creat<strong>in</strong>g a Successful<br />

Side-Hustle (Two-Part<br />

Virtual Workshop)<br />

Date & Time:<br />

• Part 1 <strong>of</strong> 2: <strong>December</strong> 3, <strong>2020</strong> from<br />

12 noon to 1:30 PM ET<br />

• Part 2 <strong>of</strong> 2: <strong>December</strong> 10, <strong>2020</strong> from<br />

12 noon to 1:30 PM ET<br />

Expert Nurse Innovators:<br />

• Dr. Bonnie Clipper, DNP, MA, MBA, CENP,<br />

FACHE<br />

• Claudia Perez, MHI, BSN, RN<br />

Overview:<br />

This truly <strong>in</strong>novative two-part workshop<br />

will help nurses learn how to build a bus<strong>in</strong>ess<br />

plan for their idea for a product or service,<br />

<strong>in</strong>corporate design th<strong>in</strong>k<strong>in</strong>g, develop a<br />

market<strong>in</strong>g strategy and identify fund<strong>in</strong>g.<br />

Outcomes:<br />

• Def<strong>in</strong>e <strong>in</strong>novation, <strong>in</strong>vention and<br />

improvement<br />

• Advance your Innovator’s m<strong>in</strong>dset<br />

• Design th<strong>in</strong>k<strong>in</strong>g as framework<br />

• Creat<strong>in</strong>g a bus<strong>in</strong>ess and a plan to run it<br />

• Development <strong>of</strong> product/service pitch<br />

• Identify<strong>in</strong>g metrics for success<br />

Cont<strong>in</strong>u<strong>in</strong>g Education:<br />

Up to 3 nurse contact hours will be<br />

provided.<br />

Oklahoma Nurses Association is approved as<br />

a provider <strong>of</strong> nurs<strong>in</strong>g cont<strong>in</strong>u<strong>in</strong>g pr<strong>of</strong>essional<br />

development by the Midwest Multistate<br />

Division, an accredited approver by the American<br />

Nurses Credential<strong>in</strong>g Center’s Commission on<br />

Accreditation.<br />

Registration:<br />

Registration will be limited to the first 40<br />

nurse registrants so be sure to register now to<br />

secure your place!<br />

The cost for participation <strong>in</strong> this 2-part<br />

virtual workshop is $119 for ANA-<strong>Michigan</strong><br />

members. Non-members can register and<br />

participate at the rate <strong>of</strong> $159.<br />

Full participation <strong>in</strong> both Parts 1 & 2 is<br />

recommended; these parts cannot be sold<br />

<strong>in</strong>dividually.<br />

To register now or for more <strong>in</strong>formation,<br />

visit www.ANA-<strong>Michigan</strong>.org.<br />

October 1, <strong>2020</strong> Nurses Educational Funds opens<br />

its onl<strong>in</strong>e application process for pr<strong>of</strong>essional<br />

nurses <strong>in</strong> master’s or doctoral nurs<strong>in</strong>g programs.<br />

NEF is the largest pr<strong>of</strong>essionally endorsed source<br />

<strong>of</strong> scholarships for advanced nurs<strong>in</strong>g study <strong>in</strong> the<br />

US.<br />

The need for nurse leaders is critical. NEFfunded<br />

scholars have become outstand<strong>in</strong>g faculty<br />

and deans <strong>of</strong> schools <strong>of</strong> nurs<strong>in</strong>g, renowned<br />

researchers and experts <strong>in</strong> healthcare delivery,<br />

adm<strong>in</strong>istration and policy – all lead<strong>in</strong>g change<br />

<strong>in</strong> every arena across the country and globally.<br />

Fund<strong>in</strong>g scholarships for graduate nurs<strong>in</strong>g<br />

education is an ongo<strong>in</strong>g and challeng<strong>in</strong>g process<br />

that has been the key focus <strong>of</strong> NEF’s volunteer<br />

board <strong>of</strong> directors.<br />

If you are seek<strong>in</strong>g to elevate your career by<br />

return<strong>in</strong>g to school for a master’s or doctoral<br />

degree and seek f<strong>in</strong>ancial assistance, our annual<br />

completely onl<strong>in</strong>e application process at www.ne-f.org<br />

opens on October 1 each year and closes on<br />

February 1 <strong>of</strong> the follow<strong>in</strong>g year. A description <strong>of</strong><br />

the requirements for NEF Scholarship application<br />

follow:<br />

About the Scholarships:<br />

• Scholarships are based on academic<br />

performance, a personal essay, reference<br />

letters and validated study already <strong>in</strong><br />

progress <strong>in</strong> graduate programs throughout<br />

the United States.<br />

• Scholarships are provided directly to students<br />

for their use <strong>in</strong> support<strong>in</strong>g their studies.<br />

• S<strong>in</strong>ce 1912 over 1,300 pr<strong>of</strong>essional nurses have<br />

received a Nurses Educational Funds, Inc.<br />

Scholarship.<br />

• Each student’s application is reviewed and<br />

scored by two separate nurse reviewers from<br />

NEF Board <strong>of</strong> Directors who do not consult<br />

with each other regard<strong>in</strong>g their reviews.<br />

The review scores are then tabulated by<br />

the Criteria and Eligibility Committee nurse<br />

members, for the f<strong>in</strong>al scholarship application<br />

determ<strong>in</strong>ation.<br />

About the criteria:<br />

• GREs are not required as part <strong>of</strong> the<br />

application process.<br />

• Student applicants must be licensed<br />

registered nurses <strong>in</strong> the United States with<br />

a bachelor <strong>of</strong> science <strong>in</strong> nurs<strong>in</strong>g degree (or<br />

the equivalent accredited nurs<strong>in</strong>g program<br />

requirement).<br />

• References are required from the student’s<br />

academic, employment and pr<strong>of</strong>essional<br />

colleagues.<br />

<strong>Nurs<strong>in</strong>g</strong>ALD.com can po<strong>in</strong>t you<br />

right to that perfect NURSING JOB!<br />

<strong>Nurs<strong>in</strong>g</strong>ALD.com<br />

Free to Nurses<br />

Privacy Assured<br />

Easy to Use<br />

• Scholarship awards are given to students <strong>in</strong><br />

nurs<strong>in</strong>g research, cl<strong>in</strong>ical practice, education<br />

and adm<strong>in</strong>istration.<br />

Nurse Philanthropy:<br />

S<strong>in</strong>ce 1912, Nurses Educational Funds, Inc. has<br />

depended solely on donations to advance our<br />

only mission, to promote leadership through<br />

scholarship support for pr<strong>of</strong>essional nurses<br />

seek<strong>in</strong>g masters and doctoral degrees <strong>in</strong> nurs<strong>in</strong>g<br />

education, practice, research and adm<strong>in</strong>istration.<br />

You can read about our work on our website:<br />

www.n-e-f.org. Charitable contributions to NEF<br />

are tax deductible to the extent allowed by law.<br />

As pr<strong>of</strong>essionals, we can also be philanthropists,<br />

while help<strong>in</strong>g others understand the need for<br />

philanthropy. Nurses Educational Funds, Inc.<br />

will only cont<strong>in</strong>ue to be a successful graduate<br />

nurs<strong>in</strong>g scholarship provider if we can mobilize a<br />

give- back spirit among our colleagues. Individual<br />

nurses can give as part <strong>of</strong> their legacy. Nurses are<br />

essential to their communities and health care<br />

but need to help their communities understand<br />

their vital health care delivery contributions. It<br />

is imperative that NEF cont<strong>in</strong>ue to expand the<br />

number <strong>of</strong> graduate nurs<strong>in</strong>g scholarships if we are<br />

to facilitate and susta<strong>in</strong> nurs<strong>in</strong>g faculties, nurse<br />

researchers and nurs<strong>in</strong>g leaders. With a give-back<br />

spirit nurses can greatly contribute to graduate<br />

nurs<strong>in</strong>g scholarship support.<br />

For further <strong>in</strong>formation about Nurses<br />

Educational Funds, Inc., please see our web site at:<br />

www.n-e-f.org or contact our Executive Director,<br />

Jerelyn Weiss, at: jweiss@n-e-f.org, (917) 524-8051,<br />

Nurses Educational Funds, Inc., 137 Montague<br />

Street, Ste. 144, Brooklyn, NY 11201.<br />

Resources:<br />

Jerelyn Weiss, Executive Director<br />

Bowar-Ferres, S., Fitzpatrick, M.L., McClure, M.L. (2014,<br />

October). One hundred years and still count<strong>in</strong>g,<br />

The story <strong>of</strong> NEF: yesterday, today, and tomorrow.<br />

<strong>Nurs<strong>in</strong>g</strong> Adm<strong>in</strong>istration Quarterly, 38, (4) 303-310.<br />

E-mailed Job Leads


Page 14 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> <strong>December</strong> <strong>2020</strong>, January, February 2021<br />

New Standards <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong>: Cont<strong>in</strong>u<strong>in</strong>g Education and You<br />

Mary Zugcic, RN, ACNS-BC<br />

ANA-<strong>Michigan</strong> Education Committee Nurse Planner/<br />

Content Expert<br />

Liv<strong>in</strong>g with the Coronavirus has complicated<br />

our lives and made th<strong>in</strong>gs more difficult <strong>in</strong>clud<strong>in</strong>g<br />

engag<strong>in</strong>g <strong>in</strong> cont<strong>in</strong>u<strong>in</strong>g education. Even though<br />

f<strong>in</strong>d<strong>in</strong>g educational opportunities is more<br />

challeng<strong>in</strong>g the need to do so has been made even<br />

greater by the pandemic. In person, educational<br />

<strong>of</strong>fer<strong>in</strong>gs are not an option for nurses <strong>in</strong> most<br />

cases and go<strong>in</strong>g onl<strong>in</strong>e for yet another meet<strong>in</strong>g<br />

is not appeal<strong>in</strong>g to most <strong>of</strong> us. Onl<strong>in</strong>e learn<strong>in</strong>g,<br />

unless done creatively, denies the participant<br />

the opportunity to network and <strong>in</strong>teract with<br />

colleagues. Yet hav<strong>in</strong>g accurate and current<br />

<strong>in</strong>formation regard<strong>in</strong>g the COVID-19 to guide our<br />

practice is essential to provid<strong>in</strong>g the best possible<br />

care to patients.<br />

Now<br />

Hir<strong>in</strong>g<br />

Opportunities for Correctional Care:<br />

Full-time & Part-time RN’s & LPN’s Days, Even<strong>in</strong>gs & Nights<br />

Wayne County Andrew C. Baird Detention Facility <strong>in</strong> Detroit, MI<br />

To learn more about these and other opportunities, call or email;<br />

Shannon Tracy 586-945-5123 or Stracy@Wellpath.us<br />

Comprehensive Benefits // 401k // Sign On Bonus<br />

Competitive Compensation // So Much More…<br />

If your passion is to make a difference, jo<strong>in</strong> Wellpath today!<br />

Learn more at Wellpathcareers.com<br />

Wellpath IS PROUDLY AN EQUAL OPPORTUNITY EMPLOYER<br />

Cont<strong>in</strong>u<strong>in</strong>g education is required to ma<strong>in</strong>ta<strong>in</strong><br />

your nurs<strong>in</strong>g license. The <strong>Michigan</strong> Public Health<br />

Code and board adm<strong>in</strong>istrative rules require<br />

the completion <strong>of</strong> at least 25 hours <strong>of</strong> approved<br />

cont<strong>in</strong>u<strong>in</strong>g education contact hours every 2 years<br />

prior to license renewal. This requirement is for all<br />

nurses wish<strong>in</strong>g to renew their license even if they<br />

are retired or not employed. There is a specific<br />

requirement for at least two hours related to<br />

pa<strong>in</strong> and symptom management. Additionally,<br />

completion <strong>of</strong> education on human traffick<strong>in</strong>g<br />

was also required. At this time, LARA is work<strong>in</strong>g to<br />

f<strong>in</strong>alize the new cont<strong>in</strong>u<strong>in</strong>g education requirement<br />

<strong>of</strong> Implicit Bias tra<strong>in</strong><strong>in</strong>g. Be sure your contact hours<br />

are approved by an accredited provider. Refer to<br />

the LARA website for details. It is important to<br />

reta<strong>in</strong> records <strong>of</strong> your cont<strong>in</strong>u<strong>in</strong>g education s<strong>in</strong>ce<br />

the state does periodically audit <strong>in</strong>dividuals and<br />

request pro<strong>of</strong> <strong>of</strong> cont<strong>in</strong>u<strong>in</strong>g education.<br />

Many nurses have taken the <strong>in</strong>itiative to<br />

acquire and ma<strong>in</strong>ta<strong>in</strong> certification for their area <strong>of</strong><br />

specialization. Certifications granted by various<br />

pr<strong>of</strong>essional nurs<strong>in</strong>g organizations (e.g. ANCC,<br />

ACCN, INS) usually required cont<strong>in</strong>u<strong>in</strong>g education<br />

to renew certifications. Requirements vary widely<br />

but are usually <strong>in</strong> addition to the state cont<strong>in</strong>u<strong>in</strong>g<br />

education requirements.<br />

The ANA Standards <strong>of</strong> Pr<strong>of</strong>essional Practice<br />

require nurses to participate <strong>in</strong> ongo<strong>in</strong>g learn<strong>in</strong>g<br />

and educational activities. Research shows that<br />

cont<strong>in</strong>u<strong>in</strong>g education improves patient outcomes.<br />

The dissem<strong>in</strong>ation <strong>of</strong> research and best practice<br />

provides nurses with knowledge and skills needed<br />

to improve practice and provide a higher level<br />

<strong>of</strong> care. Translat<strong>in</strong>g best practice <strong>in</strong>formation to<br />

actual patient care is an arduous task that beg<strong>in</strong>s<br />

with education. As pr<strong>of</strong>essionals we have the<br />

responsibility to participate <strong>in</strong> lifelong learn<strong>in</strong>g and<br />

strive to improve our practice.<br />

There is a wide variety <strong>of</strong> cont<strong>in</strong>ued educational<br />

programs that meet the approval guidel<strong>in</strong>es<br />

for licensure and certification. Before you make<br />

your choices for cont<strong>in</strong>u<strong>in</strong>g education take the<br />

time to do an <strong>in</strong>ventory <strong>of</strong> areas you may need to<br />

improve on or get an update. Are you competent<br />

<strong>in</strong> provid<strong>in</strong>g culturally competent care for all your<br />

patients? Do you have the knowledge and skill to<br />

meet the needs <strong>of</strong> the whole patient - physical,<br />

social, emotional? As nurses, we are <strong>of</strong>ten asked<br />

to provide health advice for conditions outside<br />

their area <strong>of</strong> practice. Are you current with what is<br />

happen<strong>in</strong>g outside your comfort zone? Sometimes<br />

it is easier to look for programs that re<strong>in</strong>force what<br />

we already know. Now might be a good time to get<br />

out <strong>of</strong> your box and explore different knowledge<br />

pools.<br />

Where to f<strong>in</strong>d quality programs? We will need<br />

to be patient and wait for the return <strong>of</strong> most face<br />

to face programs and br<strong>in</strong>g our own c<strong>of</strong>fee to the<br />

zoom meet<strong>in</strong>gs. There are many onl<strong>in</strong>e programs<br />

available through ANA-Michgan, ANA, pr<strong>of</strong>essional<br />

nurs<strong>in</strong>g organizations and health care <strong>in</strong>stitutions.<br />

There are some <strong>of</strong>fer<strong>in</strong>gs by other pr<strong>of</strong>essional<br />

groups (e.g. SW) that provide nurs<strong>in</strong>g cont<strong>in</strong>u<strong>in</strong>g<br />

education credits. Be sure to share your best f<strong>in</strong>ds<br />

with your colleagues and be sure to visit the ANA-<br />

<strong>Michigan</strong> website rout<strong>in</strong>ely at www.ana-michigan.<br />

org.<br />

For the time be<strong>in</strong>g, onl<strong>in</strong>e learn<strong>in</strong>g is <strong>of</strong>ten the<br />

easiest choice for cont<strong>in</strong>u<strong>in</strong>g education. Keep <strong>in</strong><br />

m<strong>in</strong>d some <strong>of</strong> the benefits <strong>of</strong> onl<strong>in</strong>e learn<strong>in</strong>g – you<br />

can wear your bunny slippers, you don’t need to<br />

fight traffic to get there, park<strong>in</strong>g is free and there<br />

will not be a person sitt<strong>in</strong>g next to you that <strong>in</strong>sists<br />

on us<strong>in</strong>g their cell phone.


<strong>December</strong> <strong>2020</strong>, January, February 2021 The <strong>Future</strong> <strong>of</strong> <strong>Nurs<strong>in</strong>g</strong> <strong>in</strong> <strong>Michigan</strong> Page 15<br />

Your Input is<br />

Needed!<br />

Survey Assess<strong>in</strong>g<br />

<strong>Michigan</strong> Nurses’<br />

Experience with<br />

Electronic Health<br />

Records<br />

Documentation burden contributes to<br />

burnout and workplace dissatisfaction. Nurses<br />

know best what the challenges are and what<br />

needs to be improved. If you use electronic<br />

health records <strong>in</strong> your nurs<strong>in</strong>g practice, we<br />

need your <strong>in</strong>put!<br />

ANA-<strong>Michigan</strong> is collaborat<strong>in</strong>g with the<br />

<strong>Michigan</strong> Organization <strong>of</strong> Nurse Leaders<br />

(MONL) on a research study that evaluates<br />

nurses’ perspectives related to the usability<br />

and usefulness <strong>of</strong> cl<strong>in</strong>ical <strong>in</strong>formation systems<br />

used <strong>in</strong> patient care delivery. Your feedback<br />

on the survey will help researchers, cl<strong>in</strong>icians<br />

and policymakers better understand nurses’<br />

documentation burden and will <strong>in</strong>form<br />

potential policies to reduce burnout and<br />

improve care delivery. This study is part <strong>of</strong> a<br />

larger collaboration with the Texas Nurses<br />

Association, and the Texas Organization for<br />

<strong>Nurs<strong>in</strong>g</strong> Leadership that will allow for a stateto-state<br />

comparison <strong>of</strong> data. Survey responses<br />

are voluntary and confidential.<br />

The survey will take 10-15 m<strong>in</strong>utes<br />

to complete and may be taken at your<br />

convenience via the Internet. Survey<br />

participation is voluntary, responses are<br />

confidential, and results will be reported<br />

as aggregated data. When the analysis is<br />

complete, you can review the results <strong>in</strong> a<br />

report posted on the ANA-<strong>Michigan</strong> or MONL<br />

website.<br />

If you use an electronic health record <strong>in</strong><br />

your practice, no matter what sett<strong>in</strong>g you<br />

work <strong>in</strong>, please take this survey today to<br />

make your voice heard. Please also encourage<br />

your <strong>Michigan</strong> nurse colleagues to complete<br />

the survey. We need nurses from all practice<br />

sett<strong>in</strong>gs and cl<strong>in</strong>ical roles to share their<br />

perspectives.<br />

The survey is available at: https://nurs<strong>in</strong>g.<br />

ttuhsc.edu/surveys/ehr-michigan/ or from<br />

the l<strong>in</strong>ks available on the ANA-<strong>Michigan</strong> and<br />

MONL websites. Thank you for shar<strong>in</strong>g your<br />

valuable <strong>in</strong>sights!

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