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VOLUME 7 NUMBER 2<br />

MARCH <strong>2021</strong><br />

The Official Publication of the <strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong>, in cooperation with<br />

the <strong>Wisconsin</strong> <strong>Nurse</strong>s Association. Delivered to you courtesy of the WNA membership.<br />

WNA Welcome<br />

Loss of a WNA Nursing Leader<br />

WNA lost our President, Pam Macari Sanberg, on January 14, <strong>2021</strong> due to<br />

cancer. Pam was a passionate advocate for the nursing profession and nurses<br />

recognizing their important contributions to quality health delivery. She<br />

was as equally passionate about WNA and ANA and recruited many nurses<br />

to become members during her nursing career. Pam was so proud to be the<br />

50th President of WNA and her leadership appreciated. At the January 22,<br />

<strong>2021</strong> WNA Annual Meeting, Beth Markham, Acting WNA President, read a<br />

Resolution of Memoriam that was developed by the WNA Board of Directors<br />

in honor of Pam. The Resolution of Memoriam was presented to Pam’s<br />

husband and son along with the Nightingale Tribute at her private funeral.<br />

In Remembrance<br />

The Nightingale Tribute<br />

The Presenter may then provide special readings.<br />

CEREMONY<br />

The Nightingale Tribute is offered<br />

by a designated friend or nurse<br />

colleague. The ceremony is in honor<br />

and recognition of the individual’s<br />

commitment and dedication to<br />

science and the practice of nursing.<br />

The suggested ceremony may<br />

include the following:<br />

• the lighting of a white candle;<br />

• a brief summary of the individual’s<br />

nursing career;<br />

• special readings; and,<br />

• the presentation of a white rose<br />

with the casket or urn.<br />

A sample ceremony would proceed<br />

as follows:<br />

The Presenter steps forward and<br />

lights the white candle, and says:<br />

“We honor and recognize NAME‘s<br />

commitment and dedication to<br />

science and the practice of nursing.”<br />

Sample Reading #1<br />

“Nursing is giving of one’s self to enhance<br />

the lives of others. We join together today<br />

to honor NAME and his/her lifetime commitment<br />

to caring. We acknowledge his/her<br />

nursing practice and know that his/her<br />

accomplishments can only be measured in<br />

the lives he/she affected through knowledge,<br />

dedication and caring.”<br />

Sample Reading #2<br />

He/She Was There<br />

When a calming, quiet presence was all that<br />

was needed, He/She was there.<br />

In the excitement and miracle of birth or in the<br />

mystery and loss of life, He/She was there.<br />

When a silent glance could uplift a patient,<br />

family member or friend, He/She was there.<br />

At those times when the unexplainable needed<br />

to be explained, He/She was there.<br />

When the situation demanded a swift foot and<br />

sharp mind, He/She was there.<br />

When a gentle touch, a firm push, or an encouraging<br />

word was needed, He/She was there.<br />

In choosing the best one from a family’s “Thank<br />

You” box of chocolates, He/She was there.<br />

To witness humanity — its beauty, in good times<br />

and bad, without judgment, He/She was there.<br />

To embrace the woes of the world, willingly, and<br />

offer hope, He/She was there.<br />

And now, that it is time to be at the<br />

Greater One’s side, He/She is there!<br />

CONCLUSION<br />

In conclusion, the presenter will say:<br />

“We honor NAME this day and give<br />

you a white rose to symbolize our<br />

appreciation for the privilege of<br />

being your nurse colleague.”<br />

Other nurses in attendance may<br />

honor the deceased by presenting<br />

individual white roses.<br />

IF I CAN STOP<br />

ONE HEART FROM BREAKING<br />

By<br />

Emily Dickinson<br />

If I can stop one heart from breaking<br />

I shall not live in vain<br />

If I can ease one life the aching<br />

or cool one pain<br />

or help one fainting robin<br />

onto his nest again<br />

I shall not live in vain.<br />

current resident or<br />

Non-Profit Org.<br />

U.S. Postage Paid<br />

Princeton, MN<br />

Permit No. 14<br />

Members Get a Member ....................2<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates:<br />

Announcing 2020 WNA Election Results .....3<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Starts<br />

<strong>2021</strong> FRESH ...........................4<br />

WNA Annual Business Meeting Highlights ...4<br />

Welcome New WNA Members .............5<br />

Upcoming Conferences ..................... 6<br />

WNA Public Policy Agenda. .................. 7<br />

COVID Update ............................. 7<br />

Mutual Interest Groups (MIGs) Updates:<br />

Environmental Health. ..................... 8<br />

<strong>Nurse</strong> Practitioner Forum ................... 10<br />

<strong>Wisconsin</strong> Center for Nursing. .............. 12<br />

Legislative Update. ......................... 14<br />

Grant Updates. ............................ 15


Page 2 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

Membership<br />

JOIN<br />

TODAY<br />

TODAY!<br />

JUST BECAUSE YOU<br />

RECEIVED THIS NEWSLETTER<br />

DOESN’T MEAN YOU’RE A<br />

MEMBER OF WNA.<br />

VISIT WWW.JOINANA.ORG OR<br />

COMPLETE THIS APPLICATION.<br />

THE<br />

WISCONSIN<br />

NURSE<br />

WISCONSIN NURSES ASSOCIATION<br />

<strong>2021</strong> BOARD OF DIRECTORS<br />

Beth Markham, President<br />

Megan LeClair-Netzel, Vice President<br />

Tanya Brueggen, Treasurer<br />

Kristine Moses, Secretary<br />

Julie Olson, Director at Large<br />

Lisa Pisney, APRN Rep<br />

Emilie Kreilkamp, WNA Staff <strong>Nurse</strong> Rep<br />

WISCONSIN NURSES ASSOCIATION STAFF<br />

Gina Dennik-Champion, Executive Director<br />

Megan Leadholm, Associate Director<br />

Briona Dunbar, Events and Membership<br />

Coordinator<br />

Teresa Prattke, Education Program Coordinator<br />

NURSES FOUNDATION OF WISCONSIN<br />

BOARD OF DIRECTORS<br />

Beth Markham, President<br />

Beth Markham, Treasurer<br />

Jana Esden, Secretary<br />

Alex Hetzer, Director-at-Large<br />

Gina Fellenz, Director-at-Large<br />

Isabelle Garibaldi, Director-at-Large<br />

Jill Berg, Director-at-Large<br />

Laurie Radojevich, Director-at-Large<br />

Lindsey Lucero, Director-at-Large<br />

Rorey Pritchard, Director-at-Large<br />

Julie Olson, WNA Board Representative<br />

Lea Acord<br />

Pat Borgman<br />

THE WISCONSIN NURSE EDITORIAL STAFF<br />

Gina Dennik-Champion, Deputy Executive Editor<br />

Briona Dunbar, Managing Editor<br />

CONTACT INFORMATION<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association/<br />

<strong>Nurse</strong>s Foundation of <strong>Wisconsin</strong><br />

2820 Walton Commons, Suite 136<br />

Madison, WI 53718<br />

info@wisconsinnurses.org<br />

www.wisconsinnurses.org – @wisconsinnurses<br />

American <strong>Nurse</strong>s Association<br />

8515 Georgia Avenue, Suite 400<br />

Silver Spring, MD 20910-3492<br />

memberinfo@ana.org – www.nursingworld.org<br />

Join live virtually for ambulatory care clinical,<br />

management, leadership, CCTM, and telehealth<br />

knowledge you need now! Attend for as low as $219.<br />

Early Bird deadline <strong>March</strong> 18th.<br />

Register Today! conference.aaacn.org<br />

The <strong>Wisconsin</strong> <strong>Nurse</strong> is published quarterly every<br />

<strong>March</strong>, June, September, and December by the Arthur<br />

L. Davis Publishing Agency, Inc. Subscriber rates are<br />

available, 608-221-0383.<br />

For advertising rates and information, please contact<br />

Arthur L. Davis Publishing Agency, Inc., PO Box 216,<br />

Cedar Falls, Iowa 50613. (800) 626-4081, sales@aldpub.<br />

com.<br />

NFW and the Arthur L. Davis Publishing Agency,<br />

Inc. reserve the right to reject any advertisement.<br />

Responsibility for errors in advertising is limited to<br />

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

advertisement.<br />

Acceptance of advertising does not imply<br />

endorsement or approval by the <strong>Nurse</strong>s Foundation of<br />

<strong>Wisconsin</strong> of the products advertised, the advertisers<br />

or the claims made. Rejection of an advertisement<br />

does not imply that a product offered for advertising is<br />

without merit, or that the manufacturer lacks integrity,<br />

or that this association disapproves of the product or its<br />

use. NFW and the Arthur L. Davis Publishing Agency,<br />

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

resulting from purchase or use of advertisers’ products.<br />

Articles appearing in this publication express the<br />

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

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

those of the American <strong>Nurse</strong>s Association.


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 3<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />

Announcing 2020 WNA Elections Results!<br />

Thank you for all of those that ran for a WNA<br />

Elected Position and for those of you that took the<br />

time to vote. We are looking forward to continuing<br />

WNA’s work of protecting, promoting, and<br />

advancing professional nursing in <strong>Wisconsin</strong>. We<br />

would like to congratulate the winners and we look<br />

forward to working with you all for the next two<br />

years!<br />

WNA Board of Directors<br />

Elizabeth Markham,<br />

PhD, RN<br />

Adjunct Faculty –<br />

Graduate School, Aspen<br />

University<br />

Vice President<br />

Location: Racine<br />

WNA Committees and Councils<br />

Linda Matheson,<br />

PhD, RN<br />

Vice President Nursing<br />

Services, Orbis, Inc.<br />

TriCouncil<br />

Location: Hilbert<br />

Melissa Zar, RN, MSN<br />

Assistant Professor,<br />

Marian University<br />

TriCouncil<br />

Location: Fond Du Lac<br />

Kristin Brunsell Merss,<br />

BSN, RN<br />

PhD Student; Graduate<br />

Research Assistant,<br />

University of<br />

<strong>Wisconsin</strong> – Madison,<br />

School of Nursing<br />

Public Policy<br />

Location: Madison<br />

Rebecca Kwiesielewicz,<br />

BSN, RN, DNP-S<br />

Registered <strong>Nurse</strong> Lead<br />

– Clinic Administration,<br />

overseeing five clinics<br />

Public Policy<br />

Location: Menasha<br />

Kristine Moses,<br />

RN, MSN<br />

Nursing Program<br />

Specialist – Ambulatory<br />

Operations, UW Health<br />

Secretary<br />

Location: Middleton<br />

Nikki Sinn, RN, BSN<br />

Nursing Supervisor,<br />

RN, Memorial Medical<br />

Center<br />

TriCouncil<br />

Location: Mellen<br />

Roberta Pawlak, PhD,<br />

RN, NEA-BC<br />

Professor, Edgewood<br />

College and University of<br />

<strong>Wisconsin</strong> - Madison<br />

Public Policy<br />

Location: Middleton<br />

Emilie Kreilkamp,<br />

BSN, RN, CPN<br />

Acute Care RN in the<br />

Clinical Resource<br />

Unit & Patient Care<br />

Services Representative,<br />

Children’s <strong>Wisconsin</strong><br />

Staff nurse<br />

Representative<br />

Location: Watertown<br />

Hilary Boyd, MSN, RN,<br />

APNP, PMHNP-BC<br />

APNO, Rogers Behavioral<br />

Health<br />

Workforce Advocacy<br />

Location: Pewaukee<br />

Kathy Rozema, MS, RN,<br />

SPNP, FNP-BC<br />

Family <strong>Nurse</strong><br />

Practitioner, UW Health<br />

Nominating Committee<br />

Location: Stoughton<br />

Amy Hermes, MSN, RN<br />

CNO/VP Patient Services<br />

Stoughton Health<br />

Director-at-Large<br />

Location: Stoughton<br />

Adrianne Ewald-<br />

Peterson, BSN, RN<br />

Senior Market<br />

Development<br />

Professional, Humana<br />

Workforce Advocacy<br />

Location: Two Rivers<br />

Patricia (Pat) Borgman,<br />

MSN, RN<br />

Retired<br />

Nominating Committee<br />

Location: Oconomowoc<br />

Patrick McNally,<br />

MSN, MA, RN, NE-BC,<br />

CPPD, CSSGB<br />

Director of Critical Care<br />

and Emergency Services,<br />

Froedtert Health<br />

Director-at-Large<br />

Location: Wauwatosa<br />

Jennifer Kowalkowski,<br />

MS, MPH, RN<br />

Project Assistant/<br />

Graduate Student,<br />

University of <strong>Wisconsin</strong>-<br />

Madison<br />

Workforce Advocacy<br />

Location: Madison<br />

Carolyn Krause, PhD,<br />

RN<br />

Retired<br />

Nominating Committee<br />

Location: Waukesha


Page 4 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />

WNA Annual Business<br />

Meeting Highlights<br />

The WNA Annual Business Meeting was held virtually on Friday, January<br />

22, <strong>2021</strong> from 12:00 pm – 1:00 pm. Information and action items from the<br />

meeting are as follows:<br />

• Resolution of Memoriam for Pam Macari Sanberg, WNA President<br />

from January 18, 2020 – January 14, <strong>2021</strong> was presented by WNA Acting<br />

President, Beth Markham<br />

• Condolences were offered by Barbara Nichlols on behalf of the WNA<br />

Past Presidents.<br />

• Treasurer’s Report was provided by Tanya Brueggen, WNA Treasurer.<br />

• Approved amendments to the 2008 WNA Human Trafficking Reference<br />

which reads:<br />

That WNA will:<br />

1. Affirm that the global issue of human trafficking is pertinent to the<br />

public health of our nation and therefore impacts the profession of<br />

nursing.<br />

2. Educate and provide nurses and the community with information<br />

and skill sets necessary to identify and refer victims of trafficking.<br />

3. Advocate for and support legislative activities that further enhance<br />

protection in an effort to decrease the incidence of trafficking.<br />

4. Partner with key stakeholders, nursing organizations, and media<br />

outlets to address the human trafficking crisis.<br />

5. Continue with and expand our task force on human trafficking.<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association<br />

Starts <strong>2021</strong> FRESH<br />

Have you had an opportunity to visit <strong>Wisconsin</strong><strong>Nurse</strong>s.org website lately?<br />

We took time in 2020 to consider how we wanted to our site to look and<br />

where we could make some updates. We have a brand-new look on the site!<br />

A few things our regular visitors should be aware of:<br />

• Our new site employs what is known as a MEGA MENU, you should have<br />

an easier time locating exactly what you are looking for on our website!<br />

• Most of our MIGs (Mutual Interest Groups) are now housed on<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Connect (our WNA Members Only platform). If you<br />

are a member who is not on WNC, please contact Bri by email at Bri@<br />

<strong>Wisconsin</strong><strong>Nurse</strong>s.org<br />

• Our Nightingale Tribute can now directly be found under <strong>Nurse</strong>s<br />

Foundation of <strong>Wisconsin</strong>.<br />

• Our upcoming conferences can be found under events. Specific past<br />

conferences can be found Education > Virtual Learning Center.<br />

Our relaunched website was developed by Netphoria, a Madison, WI based<br />

web development company with over 20 years of experience.<br />

The re-launch of <strong>Wisconsin</strong><strong>Nurse</strong>s.org will assist with our mission of being<br />

the voice and principal advocate for <strong>Wisconsin</strong> <strong>Nurse</strong>s.<br />

• Approved the proposed amendments to the Bylaws.<br />

Deleted Article VI, 6.B.1.n. which requires a CPA Audit every two years.<br />

Strengthen the role and responsibility of the WNA Board of Directors<br />

related to their fiduciary role. Article VI, 6.B.1.e. Adopt the annual<br />

budget, promulgate financial policies and procedures, and conduct<br />

surveillance of funds<br />

• Administered the Oath of Office to Beth Markham as the 51st WNA<br />

President.<br />

• Announced the winners of the 2020 WNA Elections and received the<br />

Oath of Office administered by Beth Markham, WNA President.<br />

• Recognized the nurses who passed away during 2020 through the<br />

reading of the Nightingale Tribute. (<strong>Nurse</strong>s recognized can be found<br />

on the NFW section of the WNA website.)


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 5<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association Updates<br />

Welcome New WNA Members! 11/16/20 – 2/12/21<br />

Charlene Anderson<br />

Margaret M Anderson<br />

Alexandra M Andrus<br />

Cassandra Mae Arneson<br />

Katrina Laura Arnold<br />

Nisreen Atta<br />

Robin L Austin<br />

Robin Bach<br />

Laura Banning<br />

Jennifer Becker-Manthey<br />

Denise Behlke-Rodriguez<br />

Paula Jean Beltran<br />

Nora C Bennett<br />

Grace M Birch<br />

Veronika Blada<br />

Rebecca Joy Bland<br />

Laurie Lynn Bloecher<br />

Cathleen Bowman<br />

Lisa Brennan<br />

David Burke<br />

Lindsay Lee Buttles<br />

Jami Carlovsky<br />

Constance L Cayer Wirtz<br />

Jill M Ceren<br />

Debra Ann Check Janisch<br />

Sarah Cherkinian<br />

Heidi Marie Clements<br />

Yolanda Coleman<br />

Rachel K Conlin<br />

Teresa Rose Cramer-<br />

Mcdonald<br />

Sharlene Crawford<br />

Ariel Culver<br />

Jessica Joann Curtiss<br />

Laura A Davidson<br />

Mellisa P Debraal<br />

Solomon Demby<br />

Sarah Dillman<br />

Darlene Dochnahl<br />

Jennifer Lynn Engel<br />

Katie Ensaldo<br />

Kari Everson<br />

Caitlin Fox<br />

Cassie Frank<br />

Tracy Lynn Gallenberger<br />

Robin Gates<br />

Cynthia Irene Georgeson<br />

Gail Lavoie Geraci<br />

Therese Gion<br />

Araceli Gonzalez<br />

Ashley Marie Goss<br />

Lekesha Grays<br />

Susan Greene<br />

DeShawntae Griffin<br />

Robin Griffin<br />

Jessica Grinde<br />

Jessica L Habeck<br />

Connie Marie Hagenow<br />

Kelsey Marie Halopka<br />

Alissa Hannan<br />

Gera A Harrison<br />

Andrea Heaston-Stewart<br />

Kristy M Hecker<br />

Melanie Terese Heese<br />

Ann Hefter<br />

Amy Henry<br />

Allison Hensel<br />

Jamer Edwuar Hernandez<br />

Maravilla<br />

Jill K Hill<br />

Lisa Hoffmann<br />

Heather Anne Hollander<br />

Darlene Honeysucker<br />

Emma Hood<br />

Leslie Ironside<br />

Wendy Jenkins<br />

Christine M Johnsen<br />

Megan Lee Johnson<br />

Jessica Johnson<br />

Michelle Ann Jorgensen<br />

Ashley Elaine Kamla<br />

Jennifer R Kaus<br />

Nicole M Kazin<br />

Johannah Marie Kempfert<br />

Marietta S Kern<br />

Christopher Klika<br />

Carol Klingbeil<br />

Victoria Marie Knutson<br />

Amanda Jean Krekling<br />

Joseph Kuchler<br />

Kate Lapierre<br />

Jessica Leclair<br />

Julie Leibfried<br />

Marie Lelivelt<br />

Regan M Lemke<br />

Diane Marie Lohff<br />

Stacy Luedeman<br />

Katherine Madson<br />

Tahseen Majid<br />

Jenny Malak<br />

Tanya Malek<br />

John L Mapes<br />

Tamara Marek<br />

Elizabeth Mason<br />

Elizabeth Mathis<br />

Courtney Maurer<br />

Debra J. McCann<br />

Diane Patricia Melrose<br />

Jazmine Mendez<br />

Rachel E Meyers<br />

Vicki M. Miller<br />

Brenda R Monnot<br />

Therese E Murkowski<br />

Alexandra Neish<br />

Ester Lily Susa Nelson<br />

Laura Ann Nelson<br />

James Nencka<br />

Madelyn Neumann<br />

Amy Olson<br />

Christopher Osowski<br />

Tiffany Palubicki<br />

Himali Patel<br />

Daphne Pontius<br />

Jennifer Anne Popies<br />

Skye Pugh<br />

Maria Pulver<br />

Christina Pytleski<br />

Melissa L Quandt<br />

Sabine Rayson<br />

Julie Reynolds<br />

Kimberly Reynolds<br />

Jamie Lee Rich<br />

Kelly Analiese Richards<br />

Kimberly Jean Riffle<br />

Claude A Rochon<br />

Dina W Romero<br />

Rebecca Rossenbach<br />

Sarah M Rowe<br />

Nikki Rowin<br />

Casey Rutten<br />

Sarah Rose Sarandos<br />

Denise Marie Sargent<br />

Emily Schillinger<br />

Barbara A Schira<br />

Sara Schlesner Vaughn<br />

Maggie Schmidt<br />

Stacy Schmitt<br />

Bethany Elaine Schwefel<br />

Angela Scipior<br />

Tammie J Seymour<br />

Erin Lynn Shadbolt<br />

Kelly Shafaie<br />

Shannon Simonis<br />

Kirsten Ann Simonsen<br />

Samantha Skaife<br />

Lisa Smieja<br />

Karen Smith<br />

Bonnie L Sommers-Olson<br />

Terri Splinter<br />

Timothy Staffeld<br />

Michelle Stahl<br />

Amanda Steffek<br />

Angela M Stombaugh<br />

Stephanie Anne Strand<br />

Amy Stuhlmacher<br />

Page Taylor<br />

Roxanne Tienor<br />

Adrienne Trepanier<br />

Joanna V Tulachka<br />

Lauren Taubensee Havey Tyler<br />

Rhonda S Voss<br />

Marissa L Walczak<br />

Rhonda Wallace<br />

Kim Walters<br />

Rachel Walts<br />

Stacy Weeks<br />

Theresa Lynn Weiler<br />

Kristina Welch<br />

Yujian Weng<br />

Renee Wenzlaff<br />

Rebecca L Wicks<br />

Jody Wilmet<br />

Erin Wipperfurth<br />

Melissa L Zimmermann


Page 6 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

Upcoming Conferences<br />

Notice of Vacancy for<br />

NURSE CLINICIAN 2<br />

Sand Ridge Secure Treatment Center<br />

Mauston, <strong>Wisconsin</strong> (Juneau County)<br />

<strong>Wisconsin</strong>’s Department of<br />

Health Services (DHS), Sand Ridge Secure<br />

Treatment Center (SRSTC) in Mauston, is seeking candidates<br />

for the position of <strong>Nurse</strong> Clinician 2. There are currently several<br />

vacancies available.<br />

To be considered for this position, you will need to create an account and<br />

apply online. For instructions please visit the State of <strong>Wisconsin</strong> website<br />

at www.wisc.jobs and refer to Job Announcement<br />

Code 20-01853.<br />

EOE<br />

Celebrating<br />

50 years<br />

$10,000 SIGN ON BONUS!<br />

Cedar Park Regional is offering a<br />

$10,000 sign-on bonus and relocation<br />

assistance for RNs with at least one<br />

year of acute care experience in the<br />

following areas:<br />

Med/Surg, ICU, ED, Labor & Delivery<br />

Cedar Park Regional Medical Center is a 126<br />

bed acute care facility located in the northwest<br />

corridor of Austin, Texas, one of the fastest<br />

growing areas in the nation.<br />

The area offers an abundance of outdoor<br />

activities with many parks, hiking and bike trails.<br />

Austin is known as the culture center of Texas<br />

and prides itself on being dubbed the live music<br />

capital of the world. The area will not disappoint<br />

with many diverse shopping venues, amazing<br />

dining experiences, microbreweries and wineries<br />

to suit every taste.<br />

Hiring for RNs<br />

Competitive Wages and Benefits<br />

Flexible Work Schedules<br />

With Beloit Health System, you’ll find the facilities<br />

and medical technology of a large medical center,<br />

coupled with the warmth and personal service of a<br />

community health system.<br />

Do you want to work for a Health System with<br />

over 50 years of experience that is known for our<br />

friendly atmosphere and focus on patients?<br />

Then Beloit Health System is the destination for<br />

you!<br />

At Beloit Health System you will experience all this<br />

and more as a Registered <strong>Nurse</strong>.<br />

Apply online at www.cedarparkregional.com<br />

www.beloithealthsystem.org


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 7<br />

WNA Public Policy Agenda for the <strong>2021</strong>-2022 Legislative Biennium<br />

The WNA Board of Directors approved the <strong>2021</strong>-<br />

2022 WNA Public Policy Agenda for the <strong>2021</strong>-2022<br />

Legislative Biennium that was developed by WNA’s<br />

Public Policy Council. The “Agenda” serves as<br />

WNA’s communication regarding the important<br />

health policy issues for this legislative biennium. The<br />

WNA Public Policy Council refers to the “Agenda”<br />

when reviewing legislative proposals that impact<br />

nursing and health care. The “Agenda” is as follows:<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Association<br />

Legislative & Regulatory Agenda<br />

<strong>2021</strong> - 2022 Biennium<br />

WNA - Vision - To be a true catalyst for<br />

transforming health care through advancing the<br />

nursing profession.<br />

WNA - Mission - To be the voice and principal<br />

advocate for the nursing profession grounded in our<br />

core values<br />

WNA - Core Values - Service-focused, Innovative,<br />

Data Driven, Impactful, Inclusive and Integrity<br />

WNA Public Policy - Guiding Principles:<br />

• WNA and its members are the collective and<br />

collaborative voice to advocate for access to<br />

comprehensive and coordinated healthcare,<br />

nursing profession education, and optimal<br />

workforce conditions.<br />

• Registered and Advanced Practice Registered<br />

<strong>Nurse</strong>s are critical to achieve the goals of<br />

improving healthcare delivery and population<br />

health in <strong>Wisconsin</strong>.<br />

• Strong interprofessional partnerships promote<br />

the health of the public and address health<br />

disparities.<br />

WNA Public Policy Priorities:<br />

• Access - Advocate for policies that...<br />

o Increase access to equitable, economical,<br />

safe, quality, ethical, and innovative<br />

healthcare for all<br />

o Increase patient access to care by advancing<br />

the scope of practice for Advanced Practice<br />

Registered <strong>Nurse</strong>s (APRN)<br />

• Education - Advocate forpolicies that...<br />

o Increase educational opportunities to grow<br />

the future nursing workforce<br />

o Address barriers to increase the number of<br />

nurse educators<br />

• Nursing Practice & Workforce - Advocate for<br />

policies that...<br />

o Strengthen public health to promote<br />

prevention, health promotion, and safety of<br />

population health<br />

o Minimize nurse exposure to COVID through<br />

appropriate access to personal protective<br />

equipment, enhanced community standard<br />

for wearing of masks, provide appropriate<br />

pay, safe work environment, access to<br />

workers compensation.<br />

o Maintain funding for data driven profession<br />

forecasting and workforce demands -<br />

Nursing Workforce Survey<br />

o Allow school districts to exceed stateimposed<br />

revenue limits to pay the cost of<br />

school nurses<br />

The <strong>Wisconsin</strong> <strong>Nurse</strong>s Association (WNA) is the<br />

premier organization representing the interests of<br />

<strong>Wisconsin</strong>’s 90,000 registered nurses. WNA advances<br />

the nursing profession by fostering high standards of<br />

nursing practice, promoting a safe and ethical work<br />

environment, bolstering the health and wellness of<br />

nurses, and advocating on health care issues that<br />

affect nurses and the public. WNA is at the forefront<br />

of improving the quality of health care for all.<br />

WE ARE HIRING!<br />

Rock Haven Nursing Home<br />

The Rock Haven Nursing Home is a 128 bed skilled nursing facility<br />

serving a diverse population of residents in Janesville, WI.<br />

We are currently recruiting for:<br />

RN, LPN, CNA<br />

Apply directly at www.co.rock.wi.us<br />

Employment Opportunities<br />

CAMP<br />

NURSES<br />

NEEDED<br />

COVID Update<br />

WNA Participates on State Disaster Medical Advisory<br />

Committee (SDMAC)<br />

The State Disaster Medical Advisory Committee<br />

(SDMAC) is a standing committee of 12 members that<br />

advise the <strong>Wisconsin</strong> Department of Health Services<br />

(DHS) Secretary regarding medical ethics during a<br />

declared disaster or public health emergency and to<br />

recommend policy relating to the equitable and fair<br />

delivery of medical services to those who need them<br />

under resource-constrained conditions. WNA is the<br />

only nursing association that has been appointed<br />

and represented by Gina Dennik-Champion, WNA<br />

Executive Director. The Committee was formed<br />

shortly after the realization that <strong>Wisconsin</strong> was<br />

experiencing the pandemic. Meetings occurred<br />

weekly along with subcommittee meeting work. The<br />

members discussion led to the development of a<br />

number of guidance to health care organizations and<br />

professionals documents. The documents can be<br />

found on the <strong>Wisconsin</strong> Department of Health (DHS)<br />

Services Website. The following documents were<br />

approved by the DHS Secretary and legal advisors:<br />

Ethical frameworks<br />

• Ethical Framework for the Allocation of<br />

Therapeutics for COVID-19 in <strong>Wisconsin</strong><br />

• Ethical Allocation Framework for Bamlanivimab<br />

Treatment of COVID-19 in <strong>Wisconsin</strong><br />

• SDMAC Ethics Subcommittee: Ethical<br />

Framework to Guide the Allocation of<br />

COVID-19 Therapeutics and Vaccines<br />

Memos to Long-Term Care<br />

• Prevention and Control of Acute Respiratory<br />

Illness Outbreaks in Long-Term Care Facilities<br />

• Guidance on the role of COVID-19 testing in<br />

decisions around transfers from acute care<br />

hospitals to post-acute and long-term care<br />

facilities<br />

• Guidance on the transfer of hospitalized<br />

patients infected with COVID-19 to post-acute<br />

and long-term care facilities<br />

• Guidance on the disposition of medically stable<br />

post-acute and long-term care residents with<br />

confirmed or clinically suspected COVID-19<br />

infection<br />

Vaccines<br />

• Guidance for the State of <strong>Wisconsin</strong> on<br />

Distributing a Multiple Dose Series of<br />

COVID-19 Vaccine<br />

• Recommendations for the <strong>Wisconsin</strong><br />

Department of Health Services when<br />

Distributing Phase 1a COVID-19 Vaccine<br />

Allotments to Vaccinating Entities<br />

• Phase 1a Guidance for Vaccinating Entities<br />

to Prioritize COVID-19 Vaccine in Priority<br />

Populations<br />

• Priority Group 1b<br />

WNA Partners with the WNA COVID Organization<br />

Affiliates in Wear a Mask Campaign<br />

One of the activates that the WNA Response to<br />

COVID Committee instituted was bringing together<br />

the state nursing associations to meet and discuss<br />

strategies for supporting nurses during COVID. One<br />

of the strategies developed was to increase public<br />

awareness on the impact of not wearing a mask in<br />

the community has on the number of COVID cases<br />

needing intensive nursing care in our hospitals and<br />

clinics. Over 20 nursing associations signed on to a<br />

message to the public from the <strong>Nurse</strong>s of <strong>Wisconsin</strong>;<br />

“Wear a Mask, For You, For Us.“ Each of the nursing<br />

associations took responsibility for asking their<br />

members to post and distribute using their social<br />

media. The graphic is below.<br />

If you want to make<br />

a positive impact<br />

in a child’s life, we<br />

want you to apply.<br />

Chippewa Ranch Camp is a residential summer camp<br />

located in Eagle River in the Northwoods of <strong>Wisconsin</strong>.<br />

We are hiring nurses to join our healthcare team for<br />

the summer in our state-of-the-art health center. June<br />

5th-August 13th (beginning date is somewhat flexible).<br />

Please contact: sari@chippewaranchcamp.com<br />

and/or check out our website at<br />

www.chippewaranchcamp.com for more information.<br />

Summer Camp <strong>Nurse</strong> Opportunity<br />

Do you Love Being Outdoors? Do you Like to Help<br />

Young People?? Well then, we have a job for you!!<br />

Red Pine Camp for Girls located in Northern <strong>Wisconsin</strong> is seeking<br />

a full-time registered nurse from June 4 through August 08, <strong>2021</strong>.<br />

Applicants must possess experience in first aid and an understanding<br />

of health needs for girls and young adults ranging from ages 7 to 16.<br />

Will work alongside & under the supervision of another camp nurse.<br />

Duties Include:<br />

Reviewing camper health histories; Communicating health needs<br />

of campers to administration and counselors; Distribution of<br />

prescription & over the counter medication; Providing first aid for<br />

minor injuries/Illnesses; Maintaining accurate health logs<br />

Salary based on Experience & Qualification<br />

Please contact the Camp Director, Connie Scholfield:<br />

952-270-0579 | rpc@redpinecamp.com<br />

www.redpinecamp.com


Page 8 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

Environmental Health<br />

Composting: Yes, you can do this!<br />

Kathryn Lammers PhD PHN RN<br />

Composting is probably one of the least popular methods to reduce climate<br />

change gases. Hang in here with me to reveal some fun fascinating facts.<br />

My composting efforts started on accident. I wanted to be done with<br />

transporting bags of leaves to the waste site. My small, really small garden with<br />

chicken wire fence was dying off in the fall. With a hopeful wish, I dumped three<br />

garbage bags of leaves. Soon twigs, weeds, and unwanted plants went into this<br />

“sort of” bin. Lo and behold all of the leaves decomposed in a few weeks!?!<br />

Suddenly I had a compost bin. I was surprised and relieved to abandon this rocky<br />

flowerless garden. What luck!! A compost bin.<br />

With years and perhaps maturity, I started adding some food and coffee<br />

grounds. I learned that turning the leaves over hastened the process.<br />

Now, many years later, I realize that composting lowers methane, which lowers<br />

climate change gases. Good news.<br />

The bad news is that landfill food wastes do break down but give off methane<br />

in the landfill. Turning the food wastes regularly actually lowers methane. Covering<br />

and turning the food waste in aerobic compost leads to “black gold dirt.”<br />

My Granddaughter, Evelyn Bottner, wanted to make money consequently<br />

she started a business in composting. Who knew a 12 year could make money<br />

collecting food waste from her neighbors? She created a business plan to simplify<br />

food waste collection in her neighborhood. Participating families pay a monthly<br />

fee and receive a special compost container to place on their porch every<br />

day. On her bicycle Evelyn picks up the containers and returns the container<br />

after cleaning. She dreams that everyone in the nation will learn to compost<br />

for environmental reasons. She hopes to encourage more children to start<br />

environmental businesses.<br />

Evelyn Bottner lives in a Minnesota town with a centralized city collection<br />

place. Every week she deposits the large bin of food waste at the city site. The<br />

city’s extensive composing program is illustrated with the schools’ placement<br />

of their food waste in dumpsters outside of the buildings. Cities, counties,<br />

hospitals, and institutions are spotty about the food waste management. Some<br />

farm communities have food waste programs. A few <strong>Wisconsin</strong> towns have<br />

started centralized collection places. My town is starting to offer low-cost plastic<br />

containers that make the turning easier.<br />

Climate change has resulted in severe flooding, fires, storms, and changes in<br />

our plants, animals, and insects. The majority of people feel like climate change<br />

is a problem but out of the hands of individuals. Actually, individuals can make<br />

significant changes to lower the problem through their shopping habits and waste<br />

management.<br />

Individual level activities are:<br />

1. Waste less food, enjoy left overs, plan ahead<br />

2. Buy local foods, buy from hydroponic farms, select farm products raised<br />

with less pesticides<br />

3. Eat less meat, eat plant proteins, engage people in conversation about<br />

climate change<br />

4. Compost your food wastes, use that black gold dirt<br />

Grocery stores and restaurants also discard food waste to landfills, which adds<br />

to the methane problems. Farmers will discard food that is unattractive or past the<br />

prime. Altogether, we discard about 30% of food. We can do better.<br />

If we compost our home waste, we can lower methane, which lowers<br />

climate change gases. Interesting truth. Individual level composting is less well<br />

understood and seldom accomplished. Taking small first steps are doable for all of<br />

us. You can collect coffee grounds, fruits, vegetables, tea, and more foods. These<br />

products can be placed in wide variety of containers that work for your living<br />

situation.<br />

Different types of composting containers are:<br />

1. DIY chicken wired bin, fancier wood structure, one corner of the yard, or<br />

brick edging<br />

2. DIY trash can with many holes drilled on bottom and sides, five-gallon<br />

bucket with lots of holes<br />

3. Purchase containers that are easy to turn and clean<br />

Many cities and counties are developing compost programs that can facilitate<br />

receiving large amounts of food wastes. Community level composting would<br />

include schools, hospitals, restaurants, farmers, neighborhoods, and/or food<br />

processing plants.<br />

A few common collection methods on community level are:<br />

1. Community gardens may host a large composing program<br />

2. County or city level may have drop off site<br />

3. Groceries, restaurants, universities, or institutions may host food waste<br />

programs<br />

4. Neighbors may share a compost pile or container<br />

5. Businesses can collect food waste with trucks…with a bicycle if you are 12<br />

years old!<br />

The Alliance of <strong>Nurse</strong>s for Healthy Environments (ANHE) is my national go-to<br />

resource for nursing input on environmental issues. ANHE developed a network<br />

of nurses and nursing organizations from around the world that are acting at the<br />

intersection of health and the environment to promote health. ANHE launched<br />

the inaugural Student <strong>Nurse</strong> Committee in 2020 with eight student nurses from<br />

across the country. Students self-divided into two subcommittees that had the<br />

opportunity to explore their passion about environmental health, engage in peer<br />

learning and sharing, and develop educational materials geared towards nurses,<br />

nursing students, and community members.<br />

Mindless Composting at Home: Starter Guide<br />

Talya Briana (Massachusetts), Elizabeth Flores (Minnesota), Andrew Jensen<br />

(Minnesota), and Daniella Rossi (California) joined together to design the<br />

Mindless Composting Guide based on their passion for health, environmental<br />

activism, food waste, and their personal experiences with composting. These<br />

young nurses believe our ethical duty is to care for the health of people,<br />

communities, and our planet. Composting is a feasible, environmentally friendly<br />

lifestyle change that will benefit our planet and, in turn, our health. The roughly<br />

30 pages have great art, challenge games, EPA messages, references, and many<br />

encouraging strategies.<br />

To learn more or to join ANHE, go to the website: www.enviRN.org/join<br />

Mindless Upkeep: The Step-By-Step Process by Elizabeth Flores<br />

To begin composting, you need to collect materials that can break down<br />

naturally. Collect your left over produce or other kitchen scraps to later add to the<br />

pile.<br />

STEP 1: COLLECT Add collected materials to a designated bin or pile. Ensure<br />

the correct ratio of green waste and brown waste (1:2) to enhance the process.


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 9<br />

STEP 2: DUMP To aerate the pile to ensure the bacteria has enough oxygen,<br />

turn the pile after the first two weeks. Use a shovel to move the pile around and<br />

shake it up. Do this once every 2 - 4 weeks.<br />

STEP 3: AERATE Compost piles need moisture to help the process. The pile<br />

should be like a damp sponge in moisture. When you turn the pile, consider<br />

adding water to ensure it has enough moisture.<br />

STEP 4: WATER Often you need to add water to keep moist unless rain has<br />

been sufficient.<br />

STEP 5: USE IT After 4 - 6 weeks, compost should be ready to use, although time<br />

varies per pile. Use the compost dirt in your garden, sprinkle along your lawn, or<br />

used unfinished compost as mulch.<br />

For those who decided to start their own composting bin, here are some tips<br />

and tricks for you to have success. Whether you purchase a compost bin or make<br />

your own with chicken wire, the container needs to have holes in which air can<br />

pass through. This will help keep your bin aerated so the aerobic bacteria can<br />

thrive. Otherwise, more turning of the pile may be necessary.<br />

Our microscopic friends are essential to maintaining a successful compost<br />

pile. In order to introduce the right bacteria, add soil or a compost starter to the<br />

bottom of your bin. To begin a bin, you will need the right compostable materials.<br />

These materials are described as "green" or "brown" based on the core element,<br />

nitrogen or carbon.<br />

Recognizing greens vs browns is necessary in order to create the appropriate<br />

ratio. In practical terms, there should be one part green and two parts brown.<br />

That means the brown materials will have a slight majority in the bin.<br />

For example, say you repurpose a one gallon ice cream container and fill it<br />

with your green food scraps. When you decide to dump it into your pile, put two<br />

containers worth of the brown material.<br />

Green materials are food wastes, coffee grounds, coffee filters, house plants,<br />

grass clippings, and moldy bread.<br />

Brown materials shredded paper, brown leaves, egg shells, small twigs, and<br />

toilet paper rolls.<br />

Watch out for the word biodegradable which might be confused with<br />

compostable. Biodegradable often has longer break down times and residuals<br />

like metal or plastic. Ideally stay with all-natural products for your composting<br />

materials.<br />

In conclusion consider small ways to start to reduce and compost waste. Seek<br />

out like minded colleagues to encourage your composting journey. Just like<br />

Weight Watchers assists like minded people through supportive strategies to<br />

make better food choices. Working with others often adds more joy to changing<br />

habits. Changing habits will take deliberate steps and willingness to consider<br />

priorities and methods to lower climate change gases. <strong>Nurse</strong>s have access to make<br />

the changes in their worksites, neighborhoods, and homes to make a difference.<br />

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Page 10 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

For some, safer at home is not safe at all<br />

Domestic violence (DV) often used<br />

interchangeably with intimate partner violence<br />

(IPV) includes the emotional, physical, or sexual<br />

assault by a current or past intimate partner, child,<br />

and elder abuse (Center for Disease Control,<br />

2008). At baseline annually, the rate of DV/IPV<br />

is one in four women and one in ten men (Smith,<br />

Zhang, Basilek, et al, 2018). Since the pandemic’s<br />

safer at home order, measures preventing families<br />

from leaving their homes has caused the rate of<br />

domestic and intimate partner violence to rise<br />

more than sixty percent. Data from all of 2019<br />

identified 52 domestic homicides for the year<br />

(Luthern, 2020), yet as of the end of October<br />

2020, there were an alarming 78 domestic deaths<br />

with two additional months of data collection<br />

pending. Examples of this increase is further seen<br />

in the number of calls to law enforcement. As of<br />

May 2020, there was a 16% increase in calls to the<br />

Madison police department (Walters, 2020). Across<br />

the country, similar reports to law enforcement<br />

were identified as early as one week after the saferat-home<br />

orders went into effect. The percentage<br />

of call volume increased between 10% in New<br />

York to 27% in Jefferson County, Alabama with<br />

22% increase in Portland, Oregon and 18% in San<br />

Antonio, Texas (Boserup, McKenney, & Elkbuli,<br />

2020). Additionally, shelters were closed or offered<br />

limited bed space due to pandemic restrictions. A<br />

rise in DV is not new and these trends have been<br />

seen following other natural disasters. Following<br />

the aftermath of hurricane Katrina, studies<br />

reported a fourfold increase, primarily intimate<br />

partner violence toward women (Anastario,<br />

Shehab, & Lawry, 2009). Another study recorded<br />

a 98% increase in prevalence of physical abuse of<br />

women following hurricane Andrew (Laudisio,<br />

1993). The rise in DV is likely multifactorial<br />

including unemployment, anxiety, economic<br />

strain, mental health, and a lack of social support<br />

(Boserup, McKenney, & Elkbuli, 2020).<br />

DEPARTMENT OF NURSING OFFERS THE FOLLOWING<br />

OPPORTUNITIES STARTING IN FALL <strong>2021</strong><br />

Full-time Clinical/Instructional Faculty<br />

and Adjunct Clinical positions<br />

• Teach traditional undergraduate baccalaureate students<br />

• Enjoy classrooms with latest technology to enhance<br />

teaching and learning<br />

• Join a talented team of educators<br />

• Utilize state of the art simulation center<br />

• Help to educate the next generation of nurses<br />

• Enjoy support for professional development and scholarship<br />

Faculty Application Deadline: April 1st<br />

For more information and application, visit<br />

https://www.carrollu.edu/employment<br />

Recognizing the signs of domestic violence and<br />

greatest risk factors increasing the likelihood of<br />

homicide will be important for nurse practitioners.<br />

Women 20-24 are at the highest risk of non-fatal<br />

violence. This same age is also at risk of the highest<br />

rate of sexual assault and rape, followed closely by<br />

those 16-19 years old. Stalking rates are the highest<br />

among 18-19 years old. Native Americans and<br />

Alaskan Natives experience the highest rates of IPV<br />

(Catalano, 2007 & Centers for Disease Control and<br />

Prevention, 2008). Teenagers are equally a highrisk<br />

population in the United States, one in three<br />

teen girls are a victim of physical, emotional, or<br />

verbal abuse from a dating partner (Davis, 2008).<br />

Additionally, nurse practitioners must know the<br />

highest risk when counseling their female patients<br />

to consider leaving their perpetrator. The highest<br />

risk of fatality is access to a firearm. Access to a<br />

firearm increases the risk of homicide ten times.<br />

The highest risk of harm occurs in the first three<br />

months following the escape from a perpetrator of<br />

DV (Spencer & Stith, 2020). Although challenging,<br />

conversations assessing safety risks include prior<br />

threats with a weapon or harm of strangulation as<br />

these risks increase homicide seven times (Spencer<br />

& Stith, 2020). Working with these patients should<br />

include creating a safety plan and identifying a<br />

haven available to support the patient and any<br />

children when ready to leave.<br />

<strong>Nurse</strong> practitioners should incorporate<br />

screening tools for IPV/DV into standard patient<br />

care. Several screening tools are available, with the<br />

most studied screening tools including the Hurt,<br />

Insult, Threaten, and Scream (HITS), the Women<br />

Abuser Screening Tool/Woman Abuse Screening<br />

Tool (WAST/WAST-SF), the Partner Violence<br />

Screening (PVS), and the Abuse Assessment Screen<br />

(AAS). (Rabin, Jennings, Campbell, & Bair-Merritt,<br />

2009). These tools can be utilized to identify<br />

patients at risk of IPV/DV and resources can be<br />

provided to maintain safety and promote a strategy<br />

to abandon the abuser. During this pandemic, the<br />

utilization of these screen tools could potentially<br />

save a life.<br />

Reference<br />

Adverse Health Conditions and Health Risk Behaviors<br />

Associated with Intimate Partner Violence,<br />

Morbidity and Mortality Weekly Report.<br />

February 2008. Centers for Disease Control and<br />

Prevention. Available at www.cdc.gov/mmwr/<br />

preview/mmwrhtml/mm5705a1.htm.<br />

Anastario, M., Shehab, N., & Lawry, L. (2009). Increased<br />

gender-based violence among women<br />

internally displaced in Mississippi 2 years post-<br />

Hurricane Katrina. Disaster Medicine and Public<br />

Health Prepared-ness, 3, 18–26. http://dx.doi.<br />

org/10.1097/DMP.0b013e3181979c32<br />

Boserup,B., McKenney, M., & Elkbuli, A.(2020). Alarming<br />

trends in US domestic violence during the<br />

COVID-19 pandemic. The American Journal<br />

of Emergency Medicine. 38. 2753- 2755.<br />

Doi:10.1016/j.ajem.2020.04.077.<br />

Brown (1996). WAST Screening for Intimate Partner<br />

Violence. Family Medicine. 28(6): 422-8<br />

Catalano, Shannan. 2007. Intimate Partner Violence<br />

in the United States. U.S. Department of<br />

Justice, Bureau of Justice Statistics. Available<br />

at http://www.ojp.usdoj.gov/bjs/intimate/<br />

ipv.htm. Retrieved from: http://www.<br />

futureswithoutviolence.org/userfiles/file/<br />

Children_and_Families/DomesticViolence.pdf<br />

Davis, Antoinette, MPH. 2008. Interpersonal and Physical<br />

Dating Violence among Teens. The National<br />

Council on Crime and Delinquency Focus.<br />

Available at http://www.nccdcrc.org/nccd/pubs/<br />

Dating%20Violence%20Among%20Teens.pdf.<br />

Hope domestic violence homicide help (2020). Retrieved<br />

from: https://domesticviolencehomicidehelp.<br />

com/2020-deaths/<br />

Kofman,Y. B. & Garfin, D. R. (2020). Home is not always<br />

a haven: the domestic violence crisis amid the<br />

COVID-19 pandemic. American Psychological<br />

Association. 12(S1). S199-S201.http://dx.doi.<br />

org/10.1037/tra0000866<br />

Laudisio, G. (1993). Disaster aftermath: Redefining<br />

response—Hurricane Andrew’s impact on I&R.<br />

Emmitsburg, MD: National Emergency Training<br />

Center<br />

Luthern, J. (2020). 'A sobering reminder': <strong>Wisconsin</strong><br />

had 52 victims of domestic violence homicide<br />

last year, and experts fear those numbers are<br />

growing. Retrieved from: https://www.jsonline.<br />

com/story/news/crime/2020/09/16/wisconsin-<br />

domestic-violence-statistics-52-killed-2019-<br />

homicides/5819004002/<br />

Rabin, R. F., Jennings, J. M., Campbell, J. C., & Bair-<br />

Merritt, M. H. (2009). Intimate partner violence<br />

screening tool. American Journal of Preventive<br />

Medicine. 36(5). 439–445.e4. doi: 10.1016/j.<br />

amepre.2009.01.024<br />

Spencer, C. M. & Smithm S.M. (2018). Risk factors for<br />

m ale perpetrator and female victimization of<br />

intimate partner homicide: A meta-analysis.<br />

Retrieved from: https://journals.sagepub.<br />

com/doi/full/10.1177/1524838018781101?ca<br />

sa_token=7xFMAjOwSH0AAAAA%3Aqhi_a9tL<br />

Z8hn9f32pLqmVcSE3JUkKV1N2juR3J77HIJEGbVTxHaN9RCcdu4brTqq_orwId1v2g-mg.<br />

https://<br />

doi.org/10.1177/1524838018781101<br />

Smith, S.G., Zhang, X., Basileck, C. et al, (2018). The<br />

national intimate partner and sexual violence<br />

survey: 2015 data brief update. CDC. Retrieved<br />

from: https://stacks.cdc.gov/view/cdc/60893<br />

Walter, A. (2020). Madison’s only emergency domestic<br />

violence handles pandemic-related surge in<br />

demand. Retrieved from: https://badgerherald.<br />

com/news/2020/05/09/madisons-onlyemergency-domestic-violence-shelter-handlespandemic-related-surge-in-demand/<br />

We’re looking for<br />

Superheroes!<br />

RNs, LPNs, CNAs | All Shifts Available<br />

Christian Community Homes<br />

www.cchhudson.org<br />

or call 715-386-4534<br />

Two Locations:<br />

Hudson & Osceola<br />

Bryant & Stratton College<br />

Nursing Department Openings<br />

Program Administrator – Nursing | https://bit.ly/3pgY72k<br />

The focus of this position is supporting the Nursing Program and Dean<br />

of Nursing with ongoing faculty development, program accreditation<br />

activities, managing data, supporting students, and ongoing curriculum<br />

review and revision.<br />

• Five (5) years teaching experience in higher education setting;<br />

instruction in educational theory and techniques preferred<br />

Registered <strong>Nurse</strong> Instructor | https://bit.ly/36ecUDv<br />

• Teach 15 to 21 contact hours clinical and/or theory classes<br />

• Collaborate with nursing faculty in developing and evaluating<br />

course curriculum, learning support, and assessments<br />

• Implement and evaluate strategies for improved student retention and<br />

success<br />

Contact Linda Krueger for more info<br />

lmkrueger@bryantstratton.edu


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 11<br />

CMS Evaluation and<br />

Management Coding Changes<br />

Dr. Tina Bettin DNP, MSN, RN FNP-BC, APNP, FAANP<br />

As of January 1, <strong>2021</strong>, the requirements for documentation of office<br />

visits in the clinic/outpatient setting changed significantly. This change is<br />

the most substantial in 30 years to CPT evaluation and management (E/M)<br />

codes. For those of you who do not know about E/M codes, these are the<br />

requirements for charting documentation to bill or charge different levels<br />

for the visit. Back when I first started working at a nurse practitioner,<br />

there was only one level for billing CMS and insurance companies. This<br />

eventually changed to five levels of billing based history and physical<br />

exam along with being either a new or established patient. In the former<br />

E/M levels, one billed based the elements addressed and medical decision<br />

making. These elements included a system (i.e., respiratory) and then<br />

the number of bullets addressed under this system (lung sounds, chest<br />

excursion, etc.). There was also an option for time spent with the patient<br />

but this was only face to face time for counseling.<br />

Approximately three years ago, CMS under took an initiative called<br />

“Patients over Paperwork.” This initiative was to get the provider back to<br />

caring for patients and not spending excessive time charting/documenting,<br />

which is one of the most common complaints of providers. This article will<br />

provide a high level overview of the changes.<br />

CPT code 99201or level 1, which is the lowest level, was deleted. This<br />

leaves levels of 99202 to 99215 for new and established patients. In the<br />

new way of coding, your level is based on medical decision making or total<br />

time of visit including non-face to face time such as chart review on the<br />

day of the encounter. The visits are now based on the number of new or<br />

old problems addressed. With old problems/illness, it is stable or has there<br />

been an exacerbation or progression of the disease state from previous.<br />

Within the medical management section, the provider can receive credit<br />

for social determinants of health, emergency surgery, elective surgery with<br />

no risk or risk factors identified, drug therapy requiring monitoring for<br />

toxicity, decision for hospitalization or decision for do not resuscitate. The<br />

criteria for new and established patients are the same whereas previously<br />

the provider had to address more elements and bullet points for a new<br />

patient.<br />

For most providers, this is a huge change. The change was also very<br />

quickly implemented with most providers hearing about it in early<br />

December 2020 with the effective date of January 1, <strong>2021</strong>. Hopefully, this<br />

change does what it was intended to do–patients over paperwork. This is<br />

yet to be determined, since the new guidelines were only implemented two<br />

weeks ago. Please stay posted for additional information and/or changes.<br />

<strong>Wisconsin</strong> Emergency<br />

Assistance Volunteer Registry<br />

(WEAVR)<br />

Help Support <strong>Wisconsin</strong> During the<br />

COVID-19 Pandemic.<br />

Join WEAVR Today!<br />

https://weavrwi.org/<br />

WEAVR is open to active and retired health care<br />

professionals and also welcomes behavioral health<br />

and animal health professionals.<br />

What is WEAVR?<br />

The <strong>Wisconsin</strong> Emergency Assistance Volunteer<br />

Registry (WEAVR), is a secure, password-protected,<br />

web-based volunteer registration system for<br />

health care and behavioral health professionals.<br />

Volunteers interested in filling critical response<br />

and recovery roles following a major public health<br />

emergency self-register and are the only ones that<br />

can update their information.<br />

Based on the information collected from each volunteer, public health<br />

officials identify those professionals willing to fill the specific volunteer roles<br />

needed in an emergency. Public health officials use the WEAVR registry to<br />

generate a list of volunteers to be contacted. Those contacted will be given<br />

information on where to report and the role that is needed, as well as the<br />

option to accept or decline the opportunity. Training will be provided at the<br />

reporting site.<br />

WNA offers a member-only<br />

professional development and<br />

networking platform all in one<br />

place<br />

WNA created <strong>Wisconsin</strong> <strong>Nurse</strong>s Connect for<br />

you the WNA member. If one of your New Years<br />

Resolutions is to increase your professional<br />

knowledge that is time sensitive, nursingfocused<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>sConnect will help<br />

you with your goal. <strong>Wisconsin</strong> <strong>Nurse</strong>sConnect<br />

will also allow you to post and have real time<br />

on-line discussions.<br />

Give <strong>Wisconsin</strong> <strong>Nurse</strong>sConnect a try in <strong>2021</strong>!<br />

https://www.mightynetworks.com/<br />

Is being a My Choice<br />

<strong>Wisconsin</strong> <strong>Nurse</strong> right for me?<br />

My Choice <strong>Wisconsin</strong> nursing is ideal for:<br />

• Recent graduates ready to start their nursing careers<br />

• RNs that are re-entering the workforce; looking for work and life balance<br />

• Experienced <strong>Nurse</strong>s that are ready for a change<br />

• RNs that enjoy autonomous, but supported work<br />

Ask about our sign-on bonus!<br />

www.mychoicewi.org/careers/NN


Page 12 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

<strong>Wisconsin</strong> Center for Nursing<br />

Priority Training Receives Innovation Award,<br />

Expands to <strong>Nurse</strong>s Across the State<br />

As the COVID-19 pandemic continues to<br />

expand throughout the State, the negative health<br />

consequences experienced by disparate and<br />

vulnerable populations continues to be magnified and<br />

the need to have a nursing workforce better prepared<br />

to respond to these needs remains the central focus<br />

of the <strong>Wisconsin</strong> <strong>Nurse</strong>s Respond Now (WNRN)<br />

Priority Training Project. This training provided by the<br />

<strong>Wisconsin</strong> Center for Nursing (WCN) in partnership<br />

with the National RN Case Manager Training<br />

Center, is designed to contribute positively towards<br />

addressing social determinants, improving potential<br />

health outcomes and ensuring more equitable care is<br />

provided to all <strong>Wisconsin</strong>ites. Focused on ensuring<br />

public health initiatives are supported, vulnerable<br />

populations are identified and strategies to reduce risk<br />

are offered, this workforce development education<br />

initiative received an Innovation Award from the Future<br />

of Nursing Campaign for Action at the Center for<br />

Championing Nursing in America (CCNA), an initiative<br />

of the AARP Foundation, AARP, and the Robert Wood<br />

Johnson Foundation.<br />

“Initial funding provided by Bader Philanthropies,<br />

allowed us to accomplish Phase 1 of the project which<br />

was to pilot the training with nurses in Milwaukee<br />

as this was the State’s highest need area” said WCN<br />

Executive Director, Barbara Nichols PhD, (Hon) MSN,<br />

RN. Through this Innovation Award, WCN will be able<br />

to move into Phase 2 of this 3 Phase training which<br />

includes a limited number of tuition scholarships for<br />

nurses throughout the State. “It’s exciting to see this<br />

training have value for nurses from across the State<br />

whether they are working in Milwaukee, a rural critical<br />

access hospital or community clinic,” says Kelly Kruse<br />

Nelles RN, APRN-BC, MS, National RNCM Director.<br />

Designed for busy nurses in practice, this 6 hour<br />

Priority Training is available as an online independent<br />

study and can easily be completed in 30 days.<br />

For more information or to reserve your seat for the<br />

April 4 – May 4 class, please contact, Kelly Kruse Nelles<br />

at (608) 437-6035 or email Kelly.kruse@nationalrncm.<br />

com. Visit the <strong>Wisconsin</strong> Center for Nursing website<br />

at https://wicenterfornursing.org/ to download the<br />

WNRN Fact Sheet or register online for the training.<br />

ABOUT:<br />

The <strong>Wisconsin</strong> Center for Nursing (WCN) is a 501c3<br />

non-profit organization that was created in 2006 to<br />

engage nurse and healthcare organizations, public<br />

and private academic programs, government agencies<br />

and related service providers to work together as<br />

collaborative partners in an effort to ensure an<br />

adequate, competent and diverse nursing workforce<br />

for the people of <strong>Wisconsin</strong>. Through partnership<br />

with the <strong>Wisconsin</strong> Department of Workforce<br />

Development, it strives to accurately and continually<br />

collect, analyze and disseminate nursing workforce<br />

data to assist health care organizations and academic<br />

institutions to fully assess both nursing resources<br />

and nursing education so they are utilized effectively<br />

now, and in the future. As Director of WCN, Barbara<br />

Nichols PhD, (Hon) MS, RN, FAAN provides leadership<br />

focused on assuring a well-prepared and diverse<br />

nurse workforce to meet the needs of the citizens of<br />

<strong>Wisconsin</strong>. Learn more at: www.wcn.org<br />

The National RN Case Manager Training Center<br />

LLC also known as National RNCM, is a <strong>Wisconsin</strong><br />

based, nurse led organization developed in 2010<br />

by Kelly Kruse Nelles RN, APRN-BC, MS and Mary<br />

Jo Borden RN, APRN-BC, MSN in response to the<br />

passage of the Patient Protection and Affordable Care<br />

Act and the release of The Future of Nursing Report in<br />

which the critical need to reduce care fragmentation<br />

through improved care coordination and case/care<br />

management by RNs was identified. The workforce<br />

development initiatives of the Training Center<br />

focus on delivery of high quality role development<br />

education designed to support rapid translation of<br />

new knowledge back into practice with an emphasis<br />

on full scope nursing practice. National RNCM faculty<br />

is proud to have prepared more than 1000 RNs for RN<br />

Case Manager, Care Manager and Care Coordination<br />

roles. These nurses are now practicing throughout the<br />

U.S. Healthcare system in acute, primary, public health<br />

and long term care settings and working every day to<br />

improve health outcomes that include addressing the<br />

social determinants of health in the patient populations<br />

that they are partnered with. Learn more at: www.<br />

nationalrncm.com


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 13<br />

<strong>Wisconsin</strong> Center for Nursing<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s Respond Now Priority Training Project<br />

Fact Sheet<br />

Preparing <strong>Wisconsin</strong> <strong>Nurse</strong>s to Address the Needs of<br />

Vulnerable Populations in a Public Health Emergency<br />

• WCN is focused on ensuring the current<br />

nursing workforce is prepared to meet the<br />

needs of <strong>Wisconsin</strong>’s populations.<br />

• Currently the COVID-19 pandemic has<br />

magnified the negative health consequences<br />

experienced by disparate and vulnerable<br />

populations: greater health risks, poorer health<br />

outcomes and higher death rates.<br />

• In Milwaukee County, communities of color<br />

are at increased risk for experiencing serious<br />

illness and death if they become infected with<br />

coronavirus, as compared to Whites. Currently,<br />

African Americans represent 73% of Milwaukee<br />

County’s COVID related deaths.<br />

• Current reports show that if infected with<br />

coronavirus, 27% of African Americans, 20% of<br />

Hispanic/Latino, and 34% of American Indian/<br />

Alaska Natives are more likely to experience<br />

serious illness.<br />

• Higher rates of certain underlying health<br />

conditions, increased challenges accessing<br />

COVID-19 related testing and treatment, and<br />

economic and social circumstances have<br />

all been identified as social determinants<br />

impacting overall health outcomes of<br />

<strong>Wisconsin</strong> populations of color.<br />

• WCN 2017 Work Force data shows 93.7%<br />

of RNs and 90.4% LPNs in <strong>Wisconsin</strong> are<br />

white therefore potentially limiting authentic<br />

knowledge of these increased challenges and<br />

social determinants of health that place their<br />

patients of color at higher risk.<br />

• As the largest professional workforce, nurses<br />

not only live in <strong>Wisconsin</strong> communities where<br />

their expertise may be needed but are present<br />

in all health care settings that patients move<br />

through thus placing them in prime positions to<br />

contribute positively towards improving health<br />

outcomes for all <strong>Wisconsin</strong>ites.<br />

• This project proposes to offer a priority training<br />

project to provide relevant, high-quality<br />

education for nurses about the disparities,<br />

social determinants of health, and equity<br />

concerns experienced by <strong>Wisconsin</strong>’s most<br />

vulnerable populations<br />

TRAINING DESCRIPTION<br />

In this priority training series, RNs will gain<br />

specialized knowledge needed to better respond<br />

to vulnerable populations during a public health<br />

emergency.<br />

that most <strong>Nurse</strong>s report receiving emergency<br />

preparedness training by their employers, nursing<br />

expertise is still needed by communities to ensure<br />

that public health initiatives are supported, vulnerable<br />

populations are identified and social determinants<br />

of health are addressed. Strategies nurses can offer<br />

to reduce risk and improve health outcomes for<br />

individuals and families will be discussed.<br />

PRACTICE OUTCOMES<br />

<strong>Nurse</strong>s who complete this series will be able to:<br />

1. Identify the impact of COVID-19 as a public<br />

health emergency on vulnerable populations<br />

including African Americans, Hispanic/Latino,<br />

American Indians and older adults.<br />

2. Examine the concepts of vulnerability and<br />

health equity as it relates to health disparity.<br />

3. Describe Nursing’s professional commitment<br />

and responsibility to care for at risk and<br />

vulnerable populations including recognition of<br />

my own unconscious bias.<br />

4. Apply Social Determinants of health as a<br />

framework to identify and address the needs of<br />

vulnerable populations.<br />

5. Identify ways registered nurses can support<br />

public health initiatives during the COVID-19<br />

public health emergency.<br />

6. Describe practice strategies registered nurses<br />

can use to reduce risk and improve potential<br />

for positive health outcomes for vulnerable<br />

populations during the COVID-19 pandemic.<br />

ORGANIZATION OUTCOMES<br />

Healthcare systems who enroll their nursing staff<br />

will:<br />

1. Be uniquely positioned to help meet the health<br />

care needs of patients and the community<br />

during the COVID-19 pandemic.<br />

2. Deploy registered nurses who have an<br />

enhanced understanding of patient risks,<br />

vulnerability and disparities, as well as social<br />

determinants of health, and who can improve<br />

overall Healthcare System response during a<br />

public health emergency.<br />

3. Be able to assure that their nursing staff<br />

have increased knowledge and resources to<br />

develop strategies and contribute to creative<br />

solutions that can improve health outcomes for<br />

vulnerable and at risk patients.<br />

WHO SHOULD ENROLL<br />

• All RNs seeking to contribute positively towards<br />

improving potential health outcomes and<br />

ensuring more equitable care is provided for all<br />

<strong>Wisconsin</strong>ites<br />

• Registered <strong>Nurse</strong>s responsible for discharge<br />

planning, care transitions or care coordination<br />

who are seeking a better understanding of<br />

the impact of social determinants of health on<br />

health outcomes for vulnerable populations<br />

• RNs and Advanced Practice RNs working<br />

across all practice settings including acute<br />

care, primary care and long term services and<br />

supports (i.e. nursing home, assisted living,<br />

hospice, home health, etc.)<br />

LEARNING OPTIONS: Independent Online Study<br />

Webinar and Conference Format Dates TBD<br />

Because of the emergent and prolonged effects<br />

of the COVID-19 pandemic, nurses must be able to<br />

receive information easily and in a way that allows<br />

for rapid translation of new knowledge back into<br />

practice. To that end, WCN has sought collaboration<br />

with the National RN Case Manager Training Center,<br />

a <strong>Wisconsin</strong> based nurse led education organization<br />

with experience in developing highly effective<br />

education programs designed to support rapid<br />

translation of new knowledge back into nursing<br />

practice.<br />

This six CE training series will be offered online<br />

as an independent study module, in a webinar<br />

format and twice as a face to face live conference.<br />

All methods will include the National RNCM faculty,<br />

eLearning platform, course metrics, materials and<br />

practice resources.<br />

CLASS DATES & TUITION<br />

Tuition: $295.00/participant<br />

A limited number of tuition scholarships for this<br />

training series are provided by the Future of Nursing<br />

Campaign for Action at the Center for Championing<br />

Nursing in America 2020 Innovations Award.<br />

Class Dates:<br />

Feb 15 – <strong>March</strong> 15, <strong>2021</strong> Online independent study.<br />

Deadline to Register Feb. 5.<br />

April 4 – May 4, <strong>2021</strong> Online independent study.<br />

Deadline to Register <strong>March</strong> 29.<br />

For more information or to reserve your seat,<br />

please contact, Kelly Kruse Nelles at (608) 437-6035 or<br />

Kelly.kruse@nationalrncm.com.<br />

This curriculum has been reviewed for accuracy,<br />

authenticity, and unconscious bias regarding the needs,<br />

perspectives, and current outcomes of vulnerable<br />

populations by expert nurses within the field.<br />

Part 1: Identifying Vulnerable Populations as an<br />

Essential Part of Community Preparedness (3.0 HR)<br />

Community safety and personal preparedness<br />

is vital to the overall preparedness of the United<br />

States yet vulnerable populations are often impacted<br />

by social determinants that limit their ability to<br />

respond and participate. This session discusses at risk<br />

populations most likely to be impacted by a public<br />

health emergency including African Americans,<br />

Hispanic/Latino, American Indians and older adults.<br />

Concepts of vulnerability and health equity will be<br />

examined within the context of nursing’s professional<br />

role and responsibilities.<br />

Part 2: The <strong>Nurse</strong>s’ Role in Responding to Public<br />

Health Emergencies in Your Community (3.0 HR)<br />

<strong>Wisconsin</strong> <strong>Nurse</strong>s who understand and are<br />

prepared to respond to public health emergencies<br />

can provide valuable leadership to our communities<br />

needing to plan and respond to a threat like<br />

COVID-19. Although data collected from the<br />

<strong>Wisconsin</strong> Workforce Development Survey indicates<br />

NOW<br />

HIRING<br />

SCHOOL NURSES<br />

For more information, please contact:<br />

Susan M. Wollmer, Nursing Coordinator III<br />

wollmesm@milwaukee.k12.wi.us<br />

To apply please visit<br />

MPSMKE.com/jobs


Page 14 The <strong>Wisconsin</strong> <strong>Nurse</strong> <strong>March</strong> <strong>2021</strong><br />

Legislative Update<br />

Funding to Increase the Supply of <strong>Nurse</strong> Educators<br />

WNA is partnering with the Administrators of<br />

Nursing Education in <strong>Wisconsin</strong> (ANEW) to request<br />

that dollars be allocated in the state budget to<br />

support recruitment of nurses to become nurse<br />

educators. A survey of nursing education programs<br />

reveals that <strong>Wisconsin</strong> is moving into a severe<br />

nurse faculty shortage. The COVID-19 pandemic<br />

demonstrated the effects of having a nursing<br />

shortage. The demand for nurses will continue<br />

but without the needed supply of nurse faculty<br />

<strong>Wisconsin</strong> will face another shortage. WNA and<br />

ANEW are working with many stakeholders to<br />

request that the budget request will be approved<br />

by the legislature. To the right is a letter that<br />

was sent to Governor Evers as well as our State<br />

Legislators. If you would like to contact your<br />

legislators, you can go to WNA’s website and click<br />

the Advocacy tab.


<strong>March</strong> <strong>2021</strong> The <strong>Wisconsin</strong> <strong>Nurse</strong> Page 15<br />

Grant Updates<br />

WNA Chronic Disease and Prevention Grant Update<br />

WNA Introduces Patient-Centered Team-Based Care Educational Video<br />

WNA has produced an educational video for APRNs, other nurses and health<br />

care providers about the benefits of using team-based care to prevent, detect,<br />

and manage hypertension and high cholesterol. The video provides a conceptual<br />

model of patient-centered team-based care and the various workflows and<br />

processes that can be implemented in the primary care setting to address<br />

patient needs and services. The 25 minute video serves as an adjunct to two<br />

WNAs landmark documents: Patient-centered Team-Based Care in <strong>Wisconsin</strong>:<br />

Working Conceptual Model, Interprofessional Clinical Hypertension Expert Panel<br />

Recommendations, and Using Patient-Centered Team-Based Care to Improve<br />

High Cholesterol Prevention, Detection, and Management in <strong>Wisconsin</strong>. All of<br />

these documents are located on the WNA website under the “Practice” tab.<br />

Your health tomorrow depends on what<br />

you do today. Don’t put off your care.<br />

<strong>March</strong> 24 is Diabetes Alert Day –<br />

Focus on Benefits of Diabetes Self-<br />

Management Education and Support<br />

Programs<br />

In recognition of Diabetes Alert<br />

Day, WNA has issued a video “Diabetic<br />

and pre-diabetic care involving<br />

Certified Diabetes Educators in Disease<br />

Management.” This presentation<br />

is a live recording from the August<br />

18, 2020 Virtual WNA APRN Clinical<br />

Pharmacology Update that also includes<br />

questions from the participants and<br />

responses.<br />

The presenter is Jean Roedl, Family<br />

<strong>Nurse</strong> Practitioner. Jean has over 20 years’ experience as a practicing <strong>Nurse</strong><br />

Practitioner. Her practice is focused on Advanced Diabetes Management<br />

and holds certification as a certified diabetes educator. Jean is from Webster,<br />

<strong>Wisconsin</strong> and is one of the health care staff for a Tribal clinic. Part of Jean’s<br />

1½ hour presentation includes information and benefits of referring patients<br />

with Diabetes to Diabetes Self-Management Education and Support programs<br />

(DSMES). Diabetes self-management education and support (DSMES) provides<br />

an evidence-based foundation to empower people with diabetes to navigate<br />

self-management decisions and activities. DSMES is a cost-effective tool proven<br />

to help improve health behaviors and health outcomes for people with diabetes.<br />

(Citation: Diabetes self-management education for adults with type 2 diabetes<br />

mellitus: A systematic review of the effect on glycemic control. Patient Education<br />

and Counseling, Vol. 99, Issue 6, June 2016, Pages 926-943<br />

Faleash Gallagher,<br />

WNA Grant Project<br />

Coordinator<br />

Meet WNA’s Grant Project Coordinator<br />

WNA is very fortunate to bring on our new 1815<br />

Grant Project Coordinator consultant, Faleasha K.<br />

Gallagher BSN, RN. Faleasha brings her knowledge<br />

and care of hospitalized adults. She is in the process<br />

of completing her Master’s Degree in Public Health<br />

through the UW-Madison School of Public Health<br />

and Nursing. Faleasha will be involved in our grant<br />

activities promoting DSMES, Team-Based Care and<br />

Self-Measured Blood Pressure.<br />

Most things in life have to wait right now. But your<br />

health isn’t one of them. While some people can<br />

make sure their health is on track with a phone call or<br />

video chat, others need to come in. If you have an inperson<br />

visit, there are extra precautions to create a safe<br />

environment for you and your family. Your health care<br />

will help you decide the approach for your needs.<br />

WNA Partners with <strong>Wisconsin</strong><br />

Medical Society on Public<br />

Service Announcement<br />

Perhaps you have seen the television public service announcements, Stay<br />

Healthy <strong>Wisconsin</strong>, that are sponsored by WNA and the <strong>Wisconsin</strong> Medical<br />

Society. The purpose of the PSA is to increase awareness of the public to schedule<br />

an appointment with their health care provider. This is important as individuals<br />

with chronic health diseases have not followed up with NP or physician. This is<br />

resulting in a high volume of acute care hospitalizations needing very intensive<br />

nursing care related to hypertension, high cholesterol or diabetes. There are<br />

radio PSA’s targeting the Latinx population. Grant dollars are allocated to get this<br />

message out.<br />

This is the third year of five of the 1815 Center for Disease and Prevention,<br />

<strong>Wisconsin</strong> Department of Health Services, <strong>Wisconsin</strong> Division of Health Grant<br />

awarded to WNA.

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