WEST VIRGINIA NURSE
“Nurses working together
for a healthy West Virginia”
The official publication of the West Virginia Nurses Association
Quarterly publication distributed to approximately 19,600 RNs & LPNs in West Virginia.
April, May, June 2021 Volume 22 • No. 2
2021 WVNA Policy Day
Poster Presentations. ........... 2
Executive Director’s Message. ....... 3
Tips for Nurses. ............... 4
2021 WVNA Awards. ............ 4
Failure to Report Changes
in a Patient’s Condition.......... 5
A Letter to the WV Legislature....... 6
Legislative Updates ............ 7
WVNA Nursing Leaders. .......... 8
Access to Palliative Care Can
Help in Serious Illness. ......... 9
An Examination of
Regarding Blood Donation. ...... 10
Membership Update. ........... 11
Conferences & Meetings ......... 11
WV COVID-19 Updates. ......... 12
Historical Perspective on
Vaccine Development. ........ 13
Telehealth and Social Media
Usage Since COVID-19. ........ 14
WV Board of Nursing
Health Coach Program. ........ 15
current resident or
Dear WV Nursing Colleagues,
I’m writing this on the
13th day of the 2021 WV
legislative session. Because of
the pandemic, things are very
different at the State Capitol.
The WVNA has had a few
Zoom and phone meetings
with legislators. At the time
of this writing, our executive
director, Julie Huron, and
our lobbyist, Loarie Butcher, Joyce Wilson
have had one in-person
meeting with Delegate Eric Householder (R-64th
district: Martinsburg area) and Del. Vernon Criss
(R-10th district: Parkersburg area). The meeting was
to discuss finding avenues to assist nurses who are
working in WV who exhausted their PTO early in the
pandemic due to furloughs or quarantine, and have
no income if they now have to be off work because
they have contracted COVID-19. We also had a phone
call meeting with Del. Matthew Rorhbach (R-17th
district: Huntington area). All three of the delegates
are supportive of WVNA and are helping us draft a bill
as I write this.
We closely monitored other bills that influence or
impact nursing in WV, including:
• HB 2672 Relating to posting safety information
• HB 2674 Relating to the administration of
• HB 2707 Relating to prescriptive authority for
These were our priority bills for this legislative
session. We followed many more. We would not have
been successful if it were not for our lobbyist. Thank
you, Loarie, for all your hard work and skill, and all the
networking you did for the WVNA during this unusual
The bills will be decided by the time you are
reading this. The important takeaway is that the
WVNA is active in the political process. The association
is growing in number and in diversity. Hearing all
the different stories of how certain legislation
impacts nurses and patients in different
geographical areas in WV helps to guide the
stance that we take on legislation. We need to
hear from all WV nurses.
You can keep up to date with the legislative
process, goals, upcoming events, and much
more on the WVNA website. Julie does an
outstanding job keeping it updated.
The 2021 Policy Summit titled “Voices from
The Front Line” was held on March 25, 2021.
Board of Nursing executive director Sue Painter, DNP,
RN was the keynote speaker. She spoke on Protecting
Your Nursing License During COVID 19. Thank you, Sue
for your expertise and for speaking to us about this
important topic during this uncertain time.
This year event was held virtually: a new experience
for us. We contracted with NGAGE, which was a
tremendous help in making the event a success.
It’s been said so many times, but I feel that it
cannot be said enough: Nurses are essential during
“normal” times, but I have never been prouder of
nurses or more proud to be a nurse. We are all tired
– emotionally, physically, and spiritually – yet we
continue to rise to be there to give care wherever and
whenever it is needed.
Know that the WVNA is working hard for you. We
appreciate all the long hours and extra shifts that you
are doing in order to bring care to all West Virginians
during COVID-19, risking your own health and that of
All the members of the executive board are also
working on the front line of the pandemic. Many of us
have had loved ones that have been hospitalized with
COVID-19. We all have been affected by the loss of
family or friends. We really are all in this together.
For more than a year now we have been in a
steady state of mourning. Week after week in our
community newspapers we read obituaries of our
family, friends, and neighbors. In usual times we hold
each other up with visits, hugs, and meals. During
this trying time, our grieving is incomplete. In usual
times grief takes so much energy. Now, the grief is
held in, and our fatigue is profoundly affecting our
It appears that anger, the second stage of grief is
also exaggerated right now. We have been through
so much over the past year with all the stress, fatigue,
and loss. Coping skills are sometimes frayed, which
can make for an impulsive, negative response when
someone takes an opposing view.
Now is the time that we can also rise as peace
makers by realizing that when someone lashes out at
us, they are also stressed, fatigued, and mourning. We
should offer grace as our first response. Hard times
makes us wise and strong, but they don’t mean letting
yourself be taken advantage of. Speaking truth with
kindness is strength.
Our communities, state, and country need healing
right now, and that is what nursing is all about.
We always rise up and walk on. One step at a time.
It’s all we can really do.
Blessings to you,
Joyce Wilson, RN
Page 2 West Virginia Nurse April, May, June 2021
2021 WVNA Policy Day
West Virginia Nurse
Official Publication of the
West Virginia Nurses Association
P.O. Box 1946 | Charleston, WV 25327
Phone: 866.986.8773 or 866.WVNURSE
Brad Phillips, MSN, RN, CNE
Clinical Education Assistant Professor, WVU School of Nursing
The poster presentations at the 2021 West Virginia Nurses Association Policy Summit consisted of ten posters with a total
of 21 presenters (many posters had more than one author). All poster presentations were recorded by the presenters and
uploaded to the virtual conference platform, utilizing innovative technologies to disseminate work despite restrictions of
the COVID-19 pandemic.
The poster topics addressed current health policy issues in the state of West Virginia, with special focus on voices from
the frontline. Topics were identified by various methods, including evidence-based research, clinical practice improvement
projects, community engagement, and class assignments. Content areas included nursing education, advanced practice
provider scope of practice, WV legislature, health promotion/prevention, disease management, substance abuse disorders,
veterans, and health disparities.
Presenters selected topics by various methods including policy issues in the workplace, issues in the community, and
issues that sparked passion within themselves. In doing so, the posters presented identified timely and relative issues in
West Virginia that both current and future nurses wish to see changed in their workplace and in their communities. Some of
the posters even gave recommendations for change.
Maria Heck, MSN, APRN, FNP-BC
Beth White, DNP, NP-C, AACC
Leah Lewis, APRN, FNP-BC, ACNS-BC
West Virginia University School of Nursing Faculty
Sandra Cotton, DNP, APRN, FNP
Angel Smothers, DNP, APRN, FNP-BC
Stephanie Young, MSN, RN
Veronica Gallo, PhD, RN
James Messer, MSN, RN
Elizabeth Morrissey, BSN, RN
Brad Phillips, MSN, RN, CNE
Stacy Russell, MSN, RN
West Virginia University School of Nursing Students
Barbara Hamilton, BSN, RN
Kady Raines, BSN, RN
Melissa Lowther, BSN, RN
Vanesa Ochoa, BSN, RN
Maria Irvin, BSN, RN
Ian Avis, SN
Sarah Cain, SN
Danielle Emerick, SN
Evan Estrada, SN
Rachel Mullins, SN
Ateria Walker, SN
Jenna Wermers, SN
Katherine Hetman, SN
“Nurse Practitioner Fellowship Programs: An
Educational Stepping Stone for Improved Patient
Outcomes and Job Satisfaction”
“Decreasing Suicide: Identification & Screening
of Veterans by Community Care Nurses”
“Community Access Strategies for
Faith Community Nurses in WV
During the Pandemic”
“Expanding the Children’s Health Insurance Program (CHIP) for West Virginians”
“Virtual Reality: A Plausible Modality to Increase the
Number of Simulation Hour Requirements in
Undergraduate Nursing Education”
“Inpatient Mental Health Treatment Gaps for Children
and Adolescent Populations in West Virginia”
Melanie Vogt-McCloy, BSN, RN
“Nurse Recruitment and Retention”
“Routine Pediatric Vaccinations in the Medical Home”
“Meeting Nurses’ Self-Care Needs to
Improve Patient Outcomes”
Published quarterly every January, April, July and October for the West
Virginia Nurses Association, a constituent member of the American
The opinions contained herein are those of the individual authors and do
not necessarily reflect the views of the Association.
WV Nurse reserves the right to edit all materials to its style and space
requirements and to clarify presentations.
WVNA Mission Statement
The mission of the WVNA is to support WV nurses and to work for a
healthier West Virginia.
WVNA Executive Board
President: Joyce Wilson email@example.com
President-Elect: Teresa Hovatter firstname.lastname@example.org
Vice President: Lori McComas Chaffins email@example.com
Treasurer: Roger Carpenter firstname.lastname@example.org
Secretary: Jon H. Casto email@example.com
Immediate Past President: Toni DiChiacchio firstname.lastname@example.org
District Leader Representative:
Crystal Chapman email@example.com
Early Career Nurse: Luke Velickoff firstname.lastname@example.org
APRN Congress Chair: Jodi Biller email@example.com
Health Policy & Legislative Co-Chairs:
Teresa Hovatter firstname.lastname@example.org
Jodi Biller email@example.com
PAC Chair: Jon H. Casto firstname.lastname@example.org
Immediate Past PAC Chair: Joyce Wilson email@example.com
Membership Chair: Anitra Ellis firstname.lastname@example.org
Nominations and Awards Chair:
Toni DiChiacchio email@example.com
Nursing Workforce Initiative:
Heather Glasko-Tully firstname.lastname@example.org
ANA Membership Assembly Delegate:
Moira Tannenbaum email@example.com
Julie Absher Huron, Executive Director
WV Nurse Staff
Moira Tannenbaum, Editor
West Virginia Nurse Copy Submission Guidelines
All WVNA members are encouraged to submit material for publication that
is of interest to nurses. The material will be reviewed and may be edited for
publication. There is no payment for articles published in the West Virginia
Article submission is accepted in Microsoft Word or similar format.
Copy submission via email: Please attach a Microsoft Word (or similar) file
to email. We ask that you not paste the text of the article into email. Please
do not embed photos in Word files; please send photos as separate JPEG
Please do not convert the file to a PDF. When sending pictures, please
provide a description identifying the people in the pictures and note who
the photographer was, if relevant.
Approximately 1,600 words equal a full page in the paper. This does
not account for headlines, photos, special graphics, pull quotes, etc.
Submit material to:
West Virginia Nurse
PO Box 1946, Charleston, WV 25327
For advertising rates and information, please contact Arthur L. Davis Publishing
Agency, Inc., PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.
com. WVNA and the Arthur L. Davis Publishing Agency, Inc. reserve the right to
reject any advertisement. Responsibility for errors in advertising is limited to
correction in the next issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement or approval by the
West Virginia Nurses Association of products advertised, the advertisers, or the
claims made. Rejection of an advertisement does not imply a product offered
for advertising is without merit, or that the manufacturer lacks integrity, or that
this association disapproves of the product or its use. WVNA and the Arthur L.
Davis Publishing Agency, Inc. shall not be held liable for any consequences
resulting from purchase or use of an advertiser’s product. Articles appearing
in this publication express the opinions of the authors; they do not necessarily
reflect views of the staff, board, or membership of WVNA or those of the
national or local associations.
April, May, June 2021 West Virginia Nurse Page 3
Executive Director’s Message
WVNA Policy Summit Wrap-Up
Julie A. Huron
It’s our favorite time of year – the WVNA Policy Summit
took place March 25, 2021. It was a chance to bring nurses
and students together and to benefit from the West Virginia
It seems every year, there is a new twist to our policy
event. This year, we were forced to move our event to a virtual
platform, and it turned out to be a great event. The success
was due to two factors: NGAGE, an association management
company that quickly became leaders in hosting virtual events
last year, and a fantastic team of WVNA volunteers. The NGAGE
virtual platform brought a real conference atmosphere to us,
virtually. It included a lounge area, meeting space, exhibitor and Julie A. Huron
sponsor locations, poster presentation area, and the hit of the
day, Taylor Taylor – with her acoustic music at lunch while we looked at posters.
West Virginia is fortunate to have two nurses
in the House of Delegates: Majority Leader Amy
Summers and Delegate Heather Tully, both of
whom agreed to be our event keynote speakers,
bringing valuable information. We usually
connect nurses (in person) with their legislators;
however, 2021 brought more of a challenge to
do this. In the true spirit of nursing, we found
the workaround, and we brought the nurse
legislators to our event. An excellent session led
by Jodi Biller and Teresa Hovatter taught nurses
how to navigate the WV legislature’s website.
Our sponsorships and exhibitors in 2021 included Stonerise, CeraVE, Barbour
Community Health Association, Chamberlain College of Nursing, Grand Canyon University,
Northern Kentucky University, NSO, Sizewise, Waynesburg University, the WV RN Board
(also an excellent talk by executive director Sue Painter, DNP), and Xenex. Some of our
WVNA Organizational Affiliates joined us: the WV Affiliate of the American College of
Nurse-Midwives (ACNM-WV), the WV Association of Nurse Anesthetists (WVANA), and the
WV Association of School Nurses (WVASN).
The Policy Summit event platform will remain live for 90 days. Please take the time to
register for the event and take advantage of everything that is still offered. WVNA truly
cares about West Virginia nurses and we want to share this information that is key to your
This October, we are planning an in-person event. Please watch our emails and our
news and announcements regarding the event details. It will include our membership
assembly and election results, along with a day of education.
Nurses’ Week is now Nurses’ MONTH. Again, this year, WVNA, ANA, and numerous
other nursing organizations have expanded what has traditionally been known as Nurses’
Week (May 6 to 12 annually) to the full month of May. If you are not a WVNA member
yet, I hope you realize that we need your voice. We are often contacted to find out what
nurses think about issues or organizations want us to sign on to support healthcare issues.
We believe that your time is valuable. We as an organization move quickly, have efficient
meetings, and bring about results, and we would love to have your input. If this speaks to
you – we are the organization for you, and you should get involved immediately. Being
an organization that you connect with, that has boots on the ground, and is invested in
bringing about real change for nurses – that is what WVNA strives for. We work for nurses,
we hear you, and we validate you.
Julie A. Huron
Jodi Biller and Teresa Hovatter taught nurses how to
navigate the WV legislature’s website
To access electronic copies of the
West Virginia Nurse, please visit
Poster presented at the 2021 West Virginia Nurses Association Policy Summit
Page 4 West Virginia Nurse April, May, June 2021
Announcing the 2021 WVNA Awards
WVNA gave three awards this year, with our members
voting for the winners, including some brand-new categories
WVU Medicine received the 2021 Beacon Award, which
is presented to a West Virginia health care facility that
demonstrates patient-centered care and exemplifies a nursefriendly
WV House of Delegates member Tom Fast (32nd district)
won the Friend of Nursing Award for his nurse- and patientcentered
Jodi Biller, MSN, APRN, FNP-BC, won the 2021 Politically
Active Nurse of the Year Award. This award honors a nurse who
presents a positive view of West Virginia nursing to state and
local elected officials and is engaged in policy work.
The three honorees were formally presented at WVNA’s
Policy Summit Awards Ceremony on March 25, 2021. Photo
ops took place in the days leading up to the Policy Summit.
L to R: Heather Tully, RN, Joyce Wilson, RN, Delegate Tom Fast,
Lisa Fast, RN, and Amy Summers, RN
Jodi Biller (L) receives Politically
Active Nurse Award from
Joyce Wilson (R)
Doug Mitchell, WVU Medicine-WVU Hospitals vice president & chief nursing officer, with WVNA President Joyce Wilson and nursing staff
at WVU Medicine’s J.W. Ruby Memorial Hospital
• Most affordable RN-BSN in West Virginia
• Work while completing your degree
• 24/7 access to courses
• Small class sizes and individual feedback
For more information or questions:
Please email firstname.lastname@example.org.
Time Management Tips for Nurses
Tina Edwards, MSN, MBA, RN / ONA Emerging Nurse Director
Reprinted with permission from Oklahoma Nurse, November 2020
Unexpected situations. Short staffed. Tangled wires.
Alarms going off. Call light ringing away. Another day or
night, another 12-hour shift in most cases, etc. A whole
new environment, and yet, you wear more hats than just
that of a nurse. You are a leader, teacher, mentor, team
player, coach, engineer, food server, and many others.
All of these roles can create a huge anxiety for any nurse
(even seasoned ones). Do you struggle with managing
your time filling all these roles in a 12-hour shift?
Here are 6 signs & symptoms of time management
• Documenting after your shift is over.
• Forgetting to complete a task.
• Feeling overwhelmed and exhausted.
• Remembering to do something after your shift is
• Having anxiety when you go back.
• Losing track of what you are supposed to do.
Here are 5 methods for better time management:
• Do not try to memorize handoffs of every patient.
Have a checklist ready that you create. Always
listen and ask questions after report. Remember,
not every handoff is exactly the way you would
want, but if you have your checklist, then you
can get key data. Another important thing about
handoff reports is that they are the first essential
step at knowing what to prioritize. Also, be patient
with the person giving report, as you too will be
tired at the end of a 12-hour shift.
• Read the charts, look at previous labs, look to see
when labs are due, and look at previous nursing
notes. Try to learn your patient as best as possible
before you go and do your assessment.
• Schedule yourself, hour by hour, on a checklist.
Write down your tasks.
• Chart in live time in the patient’s room, not at the
• Most importantly, have flexibility and patience. Do
not get too overwhelmed, and if you are feeling
overwhelmed, ask for help.
The most ironic saying is, “Time management will get
better with time.” By learning to manage time wisely,
you can also assist a coworker who may be battling with
their time management skills. Who knows? Maybe you
can even teach them (teacher’s hat) something you just
learned to make a 12-hour shift seem possible.
April, May, June 2021 West Virginia Nurse Page 5
Failure to Report Changes in a Patient’s Condition
Omobola Awosika Oyeleye, EdD, JD, MSN, MEd, RN-BC, CNE, CHSE
A nurse’s ability to recognize and respond to changes in a patient’s condition is a
crucial element of professional nursing practice. Failure to respond appropriately to clinical
changes can lead to complications and even death (Massey, Chaboyer, & Anderson,
2016). In a study that investigated the impact of communication in malpractice lawsuits,
communication failure was a factor in 32% of cases involving nurses, with most involving
poor communication with other health care professionals about the patient’s status. These
cases often result in huge financial consequences in cost of care and legal damages (Crico
Communication of a patient’s status has been the focus of much attention and
research, and various communication frameworks have been generated to facilitate
clinical communication among health care professionals about patient status (Institute for
Healthcare Improvement, n.d.; Cudjoe, 2016).,Widely used examples include SBAR (situation,
background, assessment, and recommendation) and ISBARR (introduction, situation,
background, assessment, recommendation, and read back).
In some cases, however, it is not about the nurses’ ability to communicate with primary
care providers. Rather, it is about the competence and decision-making skills needed that
enable a nurse to assess a patient’s condition and determine the appropriate intervention,
including when to escalate care and seek the expertise of appropriate personnel.
Barriers to Communication
Many factors can play into why nurses may not communicate a patient’s status promptly,
or at all. These include a busy schedule, a reluctance to “bother” the primary care provider,
or a failure to recognize the circumstances under which a primary care provider should be
notified due to a lack of clinical competence (Crico Strategies). Nurses need to recognize the
severity and emergent nature of a patient’s condition.
A nurse’s failure to recognize an emergency indicates a lack of competence in nursing
fundamentals and a lack of knowledge about the possible physiologic consequences. This
gap in knowledge can contribute to a catastrophic deterioration in the patient’s condition.
Critical thinking extends beyond mere information, attentiveness, and assessment. How
do nurses acquire the decision-making and critical-thinking skills necessary for their practice?
The clinical competence needed to make decisions, especially in acute situations, develops
over time as the nurse advances from novice to expert (Benner, 1982).
Implications for Practice
To determine appropriate interventions and recognize when it is necessary to escalate
care, nurses must:
• Accept only patients that they are capable of caring for (Buppert, 2019).
• Develop the education and skills necessary to recognize when the interventions they
initiate are not effective (Massey et al.).
• Escalate the patient’s care to a more experienced nurse or the health care provider
when they find that a patient’s status change is beyond their capability (NSO, 2012).
• Follow the facility’s chain of command. A nurse’s vigilance, recognition of an urgent
situation, evaluation of changes in the patient’s condition, and steps taken to escalate
appropriately should be evident in the medical record (Thielen, 2014). Documentation
should include the persons consulted and the actions that resulted from the
consultation (ANA, 2010).
• Be aware that nurses can be held legally liable for actions they omit, as well as actions
they fail to take in a timely manner (NSO).
The failure to report changes in a patient’s condition can have serious health
consequences for the patient, as well as legal and financial implications for all involved
in the care of the patient. But by meeting the standards of professional nursing care,
nurses can and should avoid these costly consequences.
American Nurses Association. (2010). ANA’s principles for nursing documentation: Guidance for
registered nurses. Silver Spring, MD: Author.
Austin, S. (2011). Stay out of court with proper documentation. Nursing, 41(4), 24-29.
Benner, P. (1982). From novice to expert. American Journal of Nursing, 82(3), 402-407.
Brous, E. (2017). Reciprocal enforcement and other collateral issues with licensure discipline. The
Journal for Nurse Practitioners, 13(2), 118-122. https://doi.org/10.1016/j.nurpra.2016.08.016
Buppert, C. (2019, April 26). A “safe harbor” for unsafe nursing assignments. Medscape. https://
Crico Strategies. (2015). Malpractice risks in communication failures. Annual benchmarking
Cudjoe, K.G. (2016). Add identity to SBAR. Nursing Made Incredibly Easy, 14(1), 6-7.
Institute for Health care Improvement. (n.d.). SBAR tool: Situation-background-assessmentrecommendation.
Massey, D., Chaboyer, W., & Anderson, V. (2016). What factors influence ward nurses’ recognition
of and response to patient deterioration? An integrative review of the literature. Nursing
Open, 4(1), 6-23. doi: 10.1002/nop2.53
Nurses Service Organization (NSO). (2012). Failure to report changes in the patient’s medical
condition to practitioner. https://www.nso.com/Learning/Artifacts/Legal-Cases/Failureto-report-changes-in-the-patients-medical-condition-to-practitioner
Sherman, D. W. (2019). A review of the complex role of family caregivers as health team
members and second-order patients. Healthcare (Basel), 7(2), 63. doi 10.3390/
Thielen, J. (2014). Failure to rescue as the conceptual basis for nursing clinical peer review.
Journal of Nursing Care Quality, 29(2), 155-163. doi: 10.1097/ncq.0b013e3182a8df96
This article has been adapted for space and originally appeared in the November 2019 issue of
Nursing. © 2019 Wolters Kluwer Health, Inc.
This risk management information was provided by Nurses Service Organization (NSO), the nation’s
largest provider of nurses’ professional liability insurance coverage for over 550,000 nurses since
1976. The individual professional liability insurance policy administered through NSO is underwritten
by American Casualty Company of Reading, Pennsylvania, a CNA company. Reproduction without
permission of the publisher is prohibited. For questions, send an e-mail to email@example.com or call
Guidelines for Practice
Keep these general guidelines in mind:
• When documenting adverse events, follow your facility’s policies and procedures.
The record should be objective, including only clinical facts without any guesses,
assumptions, speculations about the cause of the event, or personal opinions (Austin,
• Listen to family members’ concerns. They are often at the bedside much longer than
the clinical staff. They know the patient and are likely already engaging in the care
of the patient at home. They are a valuable source of information and their concerns
should be taken seriously (Sherman, 2019).
• Nurses should consider carrying their own liability insurance, both for the purposes
of legal liability and for any disciplinary actions taken by the board of nursing (Brous,
If your passion is caring for people – then we want you!
CURRENTLY HIRING FOR:
Registered Nurses – Charleston Licensed Practical Nurse – Charleston
Registered Nurses – Huntington Licensed Practical Nurse – Huntington
Page 6 West Virginia Nurse April, May, June 2021
2021 West Virginia
WV Nurse is a quarterly newspaper.
The due dates for the rest of 2021 are: .
• July 2021 issue: material due to WV Nurse
by May 24, 2021
• October 2021 issue: material due to WV Nurse
by August 23, 2021
For submission information, see p. 2 of this issue, or
the info on WVNA’s website, West Virginia Nurse Copy
Submission Guidelines. (“Copy” is journalism jargon for
written material; did you already know that?)
February 23, 2021
Re: Health Care Workforce Study Results
A Letter to the
West Virginia Legislature
Dear Member of the West Virginia Legislature:
During the 2020 Legislative Session HB 4434 was passed, requesting the Department of Commerce study the current and
projected status of the health care workforce in WV. The study looks at various health care disciplines across the spectrum of
care and the growth expected in the top 10 jobs in the health care industry over the next decade.
According to the study, nursing is the largest health care profession in WV at 19.5%. Also, according to the survey there is a
surplus nearly 500 registered nurses (RNs) in the state and a small shortage of advance practice registered nurses (APRNs),
including nurse practitioners (NPs) and certified registered nurse anesthetists (CRNAs). What the study was unable to analyze
was nurse attrition and retention rates. While these were requested by the legislature in HB 4434, the response rates from
nurse employers for this data did not permit an adequate sample size to assure statistical reliability.
Like most service professions, nursing is a calling as well as a job. Becoming a registered nurse takes a year of pre-nursing
courses including chemistry and biology before starting the two years to complete an Associate of Science in Nursing or the 4
years to complete a Bachelor of Science in Nursing. Only with a calling to tend to the sick would someone take on the task of
nursing school, yet many quit within a few months to a few years after entering practice.
The basic reason of providing care to the sick has not much changed since the time of Florence Nightingale; however, the
environment in which nurses provide care has greatly changed.
Patients are sicker, but lengths of stay are compressed; electronic charting, while having many benefits, has added a
substantial amount of work to what used to be notes on flowsheets and paper, and the ever-expanding regulatory and payer
compliance requirements often fall to the nursing staff to implement, chart, or collect. Yet at the bedside, the number of
nurses tending to these increased demands has remained the same or decreased.
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There is also the emotional strain. The pandemic has shown the lengths to which nurses will go to take care of their patients
and the families of the patients. They work long hours and extra shifts. They worry about contracting COVID themselves or
worse, taking it home to their own families. They stay with the dying patients when family members cannot help their loved
ones cross over. Seeing so much suffering and death while being fatigued has taken an emotional toll on the nurses of WV.
Working conditions are challenging. The WVNA is hearing stories daily of nurses who were furloughed at the beginning of
the pandemic and had to take personal paid time off (PTO). Now they are needing to take time off because of quarantine
or because they themselves have the virus and are unable to work. They are out of PTO and are being denied worker’s
compensation. Nurses are being asked to reuse PPE and as stated before, work extra shifts and longer hours.
During the last surge of COVID-19, the shortage that was the most problematic was the shortage of nurses to care for the
patients. Many hospitals were using contract/traveling nurses, which was costing the hospitals more money and pulling
nurses from area of need to another area of need, leaving the first area with a shortage of nurses.
Nurses do not want to leave a profession that they are called to and love. According to the study, the health care job market
remains strong. And nurses continue to be in demand, yet nursing turnover remains a problem. Hospital administrators
have a challenge of retaining experienced nurses.
According to the AACN Nursing Fact Sheet April 2019, nursing is the nation’s largest health care profession, with more than 3.8
million nurses. Of all the licensed RNs in the U.S., 84.5% are employed in nursing, while 15.5 % are not working.
The 2020 NSI National Health Care Retention and RN Staffing Report shows that in 2019, the RN turnover rate was 15.9%. Since
2015, the average hospital in the U.S. has turned over more than 80% of their RN staff. Nationally, over 20% of new nurses leave
within their first year and more than 25% of RN turnover is nurses with tenure of 1 year or less. The report also shows that
the average cost of turnover for a bedside RN is $36,000 - $56,000 resulting in the average hospital losing $3.6 million to $6.1
million per year.
Much effort has been made in WV on expanding nurse recruitment and nursing education to create a pipeline into the
profession. That is a laudable goal, but without shifting some energy toward examining retention, the cycle will not change.
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To the WV House of Delegates, the WV Senate, and the WV Bureau of Business and Economic Research, please do not let this
report be the end of your study: Please continue the study by looking into what causes job dissatisfaction and nursing turnover.
• Insufficient staffing
• Long shifts, extra shifts, and mandatory overtime
• Being pulled to an unfamiliar area to work
• Emotional stress
(Just to name a few.)
Please study strategies to retain nurses:
• Shared governance
• Adequate staffing
• The need for nurses to have work/life balance
• Proper orientation
• Safe working environment and transparency of patient acuity and the number of nurses working
• Nurse-led patient assignment committees
(Again, just to name a few.)
Thank you for doing the study. It was thorough for the topics that were studied and well thought out. I agree that
there is a surplus of nurses in WV. I believe that there are more than 500. The problem is they are not working, at
least not in the nursing profession. If things do not change, more will leave. The WVNA stands wanting to assist in the
study of attrition and retention of nurses in WV.
Joyce Wilson, APRN, FNP-C, WVNA President
April, May, June 2021 West Virginia Nurse Page 7
WVNA 2021 Legislative Updates
Health Policy & Legislation Committee
Here is an update on legislative bills that WVNA HP&L
Committee is working and/or tracking. Updates are as of
press time. You can click on the hyperlink for any bill in
this article to link to its status.
HB 2672 – Relating to posting of safety information in
Lead Sponsor: Del. Tully
Sponsor: Majority Leader Summers
The purpose of this bill is to require a hospital to post
the contact information to the Office for Health Facility
Licensure and Certification to notify individuals on how
to file a complaint.
Pending: House Health Committee
HB 2869 – To remove any mandatory mask mandate in
Lead Sponsor: Sen. Jeffries, J.
Sponsors: Sens. Longanacre, Kimes, Graves, Jennings,
Burkhammer, McGeehan, Horst, Martin, Pack, J., Householder
Pending: House Judiciary Committee
SB 568 – Eliminate mask mandate; relating to emergency
powers of Governor.
Lead Sponsor: Sen. Azinger
Sponsors: Sen. Karr
Pending: Senate Government Organization Committee
HB 2796 – Supplemental appropriations bill
Lead Sponsor: Majority Leader Summers
Sponsors: Dels. Tully, Householder, Criss, Reynolds,
Supplemental appropriation bill is to expire funds
to the surplus balance of General Revenue and to
supplement and increase an item of appropriation in the
aforesaid account for the designated spending unit for
expenditure during the fiscal year 2021.
The purpose of this bill is to provide relief for nurses who
become ill from COVID-19 while caring for patients, using
excess surplus funds paid from nursing licensure fees. Fifteen
states have enacted legislation or executive orders to provide
compensation for nurses who become ill from COVID-19 in
the workplace. These states include AR, CA, IL, KY, MI, MN,
NH, NM, ND, UT, VT, WI, and WY; as well as the U.S. territory of
Puerto Rico. Several states have pending legislation.
Pending: House Finance Committee
HB 2707 – APRN: Relating to prescriptive authority for
advanced practice registered nurses; legislate executive orders.
Lead Sponsor: Del. Tully
Sponsor: Majority Leader Summers
Pending: House Health Committee
HB 2674 – CRNA: Relating to the administration of
anesthetics; legislative executive orders.
Lead Sponsor: Del. Tully
Sponsors: Dels. Summers, Bates
Passed: House of Delegates
Pending: Senate Health Committee
HB 2368 Mylissa Smith’s Law, creating patient
Lead Sponsor: Del. Jeffries, D.
Sponsors: Dels. Summers, Tully, Pack, J., Rohrbach,
Ellington, Steele, Espinosa, Linville, Howell, Pack, L.
Passed: House of Delegates
Pending: Senate Health & Human Resources Committee
HB 2363 – “Best Interests of the Child Protection Act
of 2021,” regarding shared child custody
Lead Sponsor: Del. Foster
Sponsors: Dels. Summers, Storch, Phillips, Steele,
Sypolt, Pinson, McGeehan, Jeffries, J., Jeffries, D., Rowan
Passed: House of Delegates
Pending: Senate Judiciary Committee
SB 277 COVID-19 Jobs Protection Act
Lead Sponsor: Sen. President Blair
Sponsor: Sen. Baldwin
WVNA and AARP were vocal in encouraging the removal
of the immunity for willful misconduct and reckless or
intentional infliction of harm. Added amendments to make
the bill safer, 3/9/21.
Passed: WV Legislature
Signed into law by Governor
SB 334 – Establishing license application process for
needle exchange programs.
Lead Sponsor: Sen. Tarr
Sponsor: Sen. Grady
Pending: House Health Committee
HB 2344 – Modify statute related to licensed veterinary
technician, modifying the definition of “Registered
Veterinary Technician” from “Technician” to “Nurse.”
Lead Sponsor: Del. Pack, J.
Pending: House Agriculture and Natural Resources
Page 8 West Virginia Nurse April, May, June 2021
West Virginia Nurses Association Nursing Leaders
West Virginia Nurses Association recognizes our dedicated
West Virginia nursing leaders who graciously volunteer their
time, talent, and expert advice to help advance the nursing
profession in West Virginia through serving WVNA.
Board of Directors
President: Joyce Wilson, APRN, MSN, FNP-BC
President-Elect: Teresa Hovatter, BSN, RN, TTS, MSOL
Meet the Board of Directors
Vice President: Lori McComas Chaffins, BSN, RN
Secretary: Jon H. Casto, RN, CRNI
Treasurer: Roger Carpenter, PhD, NE-BC, CNE
Early Career Nurse: Luke Velickoff, BSN, RN
Immediate Past President: Toni DiChiacchio, DNP, APRN,
WVNA Voting Member to ANA Membership Assembly:
Moira Tannenbaum, MSN, APRN, CNM, IBCLC
Chair: Luke Velickoff, RN
Joyce Wilson, RN
Denise Campbell, DNP, MSN, RN, LNHA
Chair: Lori McComas Chaffins, RN
Joyce Wilson, RN
Roger Carpenter, RN
Pam Alderman, EdD, MSN, RN
Sandra Cotton, DNP, APRN, ANP-BC, FNAP
Brad Phillips, MSN, RN, CNE
Michaela Smith, RN
Luke Velickoff, RN
Denise Campbell, RN
Anitra Ellis, DNP, MSN, FNP-BC
Moira Tannenbaum, RN
Chair: Roger Carpenter, RN
Joyce Wilson, RN
Toni DiChiacchio, RN
Denise Campbell, RN
Jon H. Casto
Health Policy and Legislative Committee
Chair: Teresa Hovatter, RN
Chair-Elect: Jodi Biller, MSN, APRN, FNP-BC, CCRN
Legislative Leader Chair: Crystal Chapman, BSN, RN
Joyce Wilson, RN
Pamela Alderman, RN
Jon H. Casto, RN, CRNI
Lori McComas Chaffins, RN
Toni DiChiacchio, RN
Luke Velickoff, RN
Heather ONeal, MSN, APRN, CNM, IBCLC
Beth Hughes Ross, MSN, APRN, CNM – ACNM-WV
Kellon Smith, MHS, APRN, CRNA – WVANA
Samantha Knapp, BSN, RN, NSNA – WVASN
Chair: Anitra Ellis, RN
Joyce Wilson, RN
Luke Velickoff, RN
Adam Guthrie, RN
Nominations and Awards Committee
Chair: Toni DiChiacchio, RN
Sandra Cotton, RN
Brad Phillips, RN
New LPN to RN Bridge Program, Spring 2022
LPN Need Assessment Survey -
We want to hear from you!
For more information or questions
please email firstname.lastname@example.org.
April, May, June 2021 West Virginia Nurse Page 9
Access to Palliative Care
Can Help in Serious Illness
Chris Zinn, MSc, BSN, RN
“When you’re in the blue chair, I get to talk and you have
to listen to me!” Shirley Roberson had questions about her
test results and her treatment plan, but she couldn’t get her
doctor to stop talking long enough to let her talk. So she told
him to sit in the blue chair opposite, where patients usually
Shirley was one of the speakers at the Coalition to
Transform Advanced Care’s (C-TAC) virtual summit in October
2020. With the “Blue Chair” story, Shirley highlights the
importance of patient empowerment. As a patient advocate
with advanced cancer, she knows that people with serious
illness need to be involved in their care and to share what
matters most to them. This is the kind of care you get with
Palliative care is not end-of-life care and is different from
hospice. One key difference is that it can be provided at any
stage of advanced illness alongside curative treatment. It is
specialized care that can be provided at home, in a facility,
or at a hospital. Many hospitals in West Virginia and some
hospices have palliative consultation teams, but there needs
to be better access in rural communities. These teams can
help with decision-making regarding treatment options;
pain and symptom management; and support for family
and caregivers. They help each person with their unique
physical, emotional, and social needs and may engage other
Last year, West Virginia’s State Advisory Coalition on
Palliative Care introduced Senate Bill (SB) 748 to define
palliative care and the interdisciplinary palliative care team.
This bill also directed the WV Bureau for Public Health to help
them develop educational materials on palliative care. This is
vital, as West Virginians know very little about palliative care
and often mistake it for end-of-life care. Governor Justice
proclaimed that November was Palliative Care Awareness
Month, but this did not get much coverage, even though
palliative care has been helping so many people across the
nation during the pandemic.
The COVID-19 pandemic highlights the need for more
care to be delivered at home and by telehealth, because this
is what many people prefer. The WV Center for End-of-life
Care’s survey, funded by the Claude Worthington Benedum
Foundation, found that 77% of West Virginians were
unfamiliar with palliative care. However, when people with
serious illness were asked what mattered most, 44% selected
“being at home.”
C-TAC is working to improve care for people with serious
illness and the Hospice Council of West Virginia has joined
more than 140 organizations that share this goal. National
organizations such as AARP, the American Heart Association,
and the American Cancer Society are involved, as well as
health plans. C-TAC ranked states for the period 2003-2016
with their Advanced Care Transformation (ACT) Index.
Sadly, this shows that West Virginia and Kentucky perform
worst in the nation. The ACT index measures higher quality,
timely care; greater caregiver support; greater community
support; ensuring cost-effective care is aligned with individual
goals and values; and ensuring there are compassionate
coordinated communications. Although West Virginia ranks
poorly in the ACT index, analysis of quality scores in Medicare’s
Care Compare ranked West Virginia’s hospice care as top in the
nation. High-quality hospice care is available in every county
in the Mountain State, but we need to make palliative care
more accessible. We also need to work to improve the health
care system so we can rise to the top of the nation in all C-TAC’s
measures. “Compassionate coordinated communications” and
“ensuring care is aligned with patient goals” for all people with
advanced illness may be West Virginia’s moonshot. Hopefully,
many West Virginia organizations will join the Hospice Council
to make this a reality by 2030. The work of the State Advisory
Coalition and the Governor’s proclamation are important first
steps, but we need to make palliative care more sustainable
and more widely available.
Editor’s Note: Chris Zinn has provided some palliative
care resources for West Virginia Nurse readers: see below.
More information about C-TAC can be found at C-TAC.
The Blue Chair Story is here: Shirley’s Roberson’s Blue
The Center to Advance Palliative Care (CAPC), part of
the Icahn School of Medicine at Mount Sinai in New York
City, provides more detailed information on palliative
care and a listing of palliative providers by state at Get
The Hospice Council of West Virginia maintains a
listing of WV community palliative care teams. You
can find out more at WV Hospice Council Community
Palliative Care Teams.
Chris Zinn, MSc, BSN, RN,
is the executive director of
the Hospice Council of West
Virginia and a registered
nurse who earned a Master of
Science in Palliative Care from
the University of Glasgow,
Scotland. Chris established
WV’s first inpatient hospice, WV
HospiceCare’s Hubbard Hospice
House, in Charleston in 2001.
Chris did not start out in Chris Zinn
nursing, however. Originally,
she was studying French and philosophy at the University
of Edinburgh, when a summer job as a hospital aide on
a psycho-geriatric unit led her to care for a terminally ill
young person. This work allowed her to participate in the
emotional care required – in addition to the physical care
– when people are dying. This led Chris to recognize the
value of nursing, and she subsequently switched gears after
earning her undergraduate degree, going on to earn her
nurse-midwifery degree in a pilot program from the Royal
Infirmary School of Nursing in Edinburgh.
After immigrating to the U.S., Chris again switched
gears, moving into hospice work, first as a volunteer nurse
with HospiceCare, then as its first paid staff nurse. In her
decades in West Virginia, she has been involved in many
organizations, including West Virginians for Affordable
Health Care and Faith in Action of the Greater Kanawha
Valley. Among her accolades, the University of Glasgow
recognized her as the 2011 Ann B. McNaught Prize winner
(awarded annually to the most distinguished graduate of
the MSc program), and in 2018, she was recognized as one of
the 40 Over 40 by Future of Nursing West Virginia (FONWV).
Chris Zinn can be contacted at email@example.com.
RN: Responsible for utilizing comprehensive skills in assessment,
treatment planning, case management, medication administration and,
Qualifications: valid WV-RN license and driver’s license with a clean
driving record. West Virginia Medicaid Title XIX, and behavioral health
experience preferred. Sign on bonus is available.
Visit our website at www.eastridgehealthsystems.org
for additional job opportunities.
Send cover letter and resume to firstname.lastname@example.org.
Eastridge Health Systems | Attn: Human Resources
235 S. Water Street | Martinsburg, WV 25401
West Virginia Veterans Nursing Facility – Clarksburg
Currently hiring for:
CNA’s, LPN’s, and RN’s
5% wage increase at one, three, and six years of continuous service.
Government benefits including:
Annual Leave Sick Leave Holiday Pay Health Insurance
Life Insurance Eye Dental
Open interview every Wednesday from 9 am to 3 pm
Apply online www.personnel.wv.gov
Or contact Human Resources 304-626-1600
As one of the largest
employers in West
Virginia, we want to be
a leader in the state and
region when it comes
to pay and benefits.
give employees the
opportunity to make
based on their needs.
Be Part of Something Great
their children may
be eligible for tuition
For more information on these positions and additional job openings,
please visit: wvumedicine.org/united-hospital-center
We are an EOE/AA Employer. All qualified applicants will receive consideration for employment and will
not be discriminated against on the basis of disability, veteran status or other protected status.
Page 10 West Virginia Nurse April, May, June 2021
An Examination of Stigmatizing Guidelines
Regarding Blood Donation
Luke Velickoff, BSN, RN, and Sara Vincelli, BSN, RN
As nurses, many of us have seen firsthand the necessity for a
life-saving blood transfusion. In my own experience as a critical
care nurse, the exercise of transfusing blood products is quite
honestly mundane. It is commonplace to my practice. But the
reality is that behind every single unit of this blood product,
there is tremendous work and meticulous planning.
Every two seconds in the United States, an individual
requires a blood transfusion. Roughly 36,000 units of packed
red blood cells, 7,000 units of platelets, and 10,000 units
of plasma are needed in the U.S. daily. As blood products
cannot be manufactured, this massive supply is dependent
on volunteer donation alone (American Red Cross, 2021). Luke Velickoff
When I was a freshman at university, a representative from
the American Red Cross came to educate students and the
wider academic community regarding these baffling statistics.
Wanting to do my part, I searched for a donation site and signed
up! However, I quickly realized that I was barred from donating.
The U.S. Food and Drug Administration regulated guidelines
for blood donation state that sexually active gay and bisexual
men must be abstinent for a specified period of time before
they are eligible to donate blood. This, according to the FDA, is
to ensure the “prevention of Human Immunodeficiency Virus
(HIV) transmission by blood and blood products” (Center for
Biologics Evaluation and Research, 2020). I remember feeling a
mix of frustration, thinking that these policies were archaic and
one-sided, with a sense that I was “contaminated” — that as a
gay man I was seen as infected or dirty.
It was only in 2015 that the FDA moved from a lifelong ban of gay and bisexual men
donating blood, to allow a one-year deferral between the amount of time a man had sexual
contact with another man and the blood donation itself (Human Rights Campaign, 2020). In
April of 2020, under the devastating strain of the COVID-19 pandemic, the FDA emergently
allowed this twelve-month period to be shorted to three (Center for Biologics Evaluation
and Research, 2020). The issue that I and many other health care professionals find with
these guidelines is the fact that instead of making everyone undergo a personalized risk
assessment, gay and bisexual men are specifically marginalized.
For an already disparaged community, the current blood donation policies as they stand
not only label a man who has sex with men (MSM) [individual’s] blood as “undesirable,”
but also promotes the idea of this group at large to be “unworthy” and “unclean.” These
mandates augment and promote stigma. An individual’s risk for bloodborne pathogen
infection should not be determined solely by their sexual orientation; risk assessments
should be individualized and comprehensive. Donated blood undergoes rigorous
screening for transmissible pathogens, which has evolved drastically in the last 35 years;
however, regulations concerning blood donation from MSM “have not kept pace” (Skelly
et al., 2020). The article by Skelly et al. (2020) “Science over stigma: the need for evidencebased
blood donation policies for men who have sex with men in the USA,” discusses Italy’s
blood donation policy change, which eliminated MSM discrimination and implemented
an individualized risk assessment and “did not lead to an increase in HIV-positive blood
donations”; this suggests that “allowing MSM to donate did not endanger the blood
supply” (Skelly). The impact of the HIV epidemic varies among communities, states, and
nations. While rates of HIV may be higher in MSM in certain locations, those who inject nonprescribed
substances may constitute an increased proportion of the HIV prevalence in
Let’s examine our own state. As of December 15, 2020, there have been 211 documented
new HIV infections due to injection drug use alone, since the beginning of the outbreak in
2018 (WV DHHR, 2020). Amid the novel COVID-19 pandemic, earlier this month the Centers
for Disease Control and Prevention dubbed West Virginia’s current HIV outbreak the “most
concerning” in the United States (Noon, 2021). Still, other infections such as hepatitis B virus,
which is more prevalent in some populations and [over two times] more transmissible via
blood products than HIV,” have no blood donor restrictions and is only dependent upon
blood product screening (Skelly et al., 2020).
Infection outbreaks affect not only individuals participating in select social and sexual
behaviors, but the community as a whole. Statewide, testing for HIV and viral hepatitis in
West Virginia desperately needs to increase. Due to the current COVID-19 pandemic, HIV
testing efforts have substantially decreased, resulting in an unknown prevalence. Without
adequate testing of bloodborne pathogens and sexually transmitted infections, how can
we possibly adequately assess community risk if assessments are not individualized? The
current blood donor screening addresses possible bloodborne pathogen risk for people
who inject substances and for the MSM population; however, the assessment questionnaire
does not examine risk as a whole.
For example, it is more than unfair and inequitable to allow a man who has sex with
men, who is in a monogamous relationship, to be ineligible from blood donation, when
a heterosexual cis-woman would be eligible to donate without question, even if she has
had multiple condomless sexual encounters. Every blood donor’s social and sexual history
should be individually assessed prior to donation and education should be provided on
bloodborne pathogens and what activities increase infection acquisition, as evidence
shows this will not increase HIV in the donor blood supply. Greater risk mitigation could be
achieved through increased donor — as well as public — education concerning social and
sexual behavior that increases bloodborne pathogen acquisition.
American Red Cross. (2021). Blood needs & blood supply – Facts about blood needs. https://www.
Center for Biologics Evaluation and Research, U.S. Food & Drug Administration. (2018, February 2).
Revised recommendations for reducing the risk of human immunodeficiency virus transmission
by blood and blood products – Questions & answers. https://www.fda.gov/vaccines-bloodbiologics/blood-blood-products/revised-recommendations-reducing-risk-humanimmunodeficiency-virus-transmission-blood-and-blood
Human Rights Campaign. (2020). Blood donations. https://www.hrc.org/resources/blood-donations
Noon, E. (2021, February 12). CDC says Kanawha County is experiencing ‘most concerning’ outbreak of
HIV in the US. Nexstar Inc. Channel 13 News WOWK. https://www.wowktv.com/news/cdcsays-kanawha-county-is-experiencing-most-concerning-outbreak-of-hiv-in-the-us/
Skelly, A. N, Kolla, L., Tamburro, M. K., & Bar, K. J. (2020, November). Science over stigma: The
need for evidence-based blood donation policies for men who have sex with other
men in the USA. The Lancet Haemotology, 7(11), E779-782. https://www.thelancet.com/
West Virginia Department of Health and Human Resources (WVDHHR). (2020). Human
immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). WV Office of
Epidemiology and Prevention Services. https://oeps.wv.gov/hiv-aids/pages/default.aspx
April, May, June 2021 West Virginia Nurse Page 11
WELCOME to WVNA! It’s exciting to see our
membership grow every month. The West Virginia
Nurses Association welcomed 36 new/reinstated
members from January 1 through March 11,
2021. It takes both you, the nurse, and a group of
volunteer board and committee members to
represent the state nurses’ association in West
WVNA is the professional voice for all West
Virginia nurses and we wouldn’t exist without you!
We invite you and your co-workers to join our
Town Hall meetings, consider joining a committee
member or become a legislative leader. WVNA
advocates for you (the nurse) and for your patients.
Please watch for our news and announcements,
attend our virtual and in person events, and please
share your voice with WVNA and other nursing
organization surveys and when public comments
We invite you to get involved and get to know
• Arlene Ablang
• Alicia Aracich
• Joann Ashworth
• Kimberly Bird
• Melissa Bragg
• Laura Cadle
• Falynn Canaday
• Mary Carroll
• Melissa Christian
• Colleen Clark
• Deanna Conley
• Sarah Figueroa
• Jennifer Greer
• Juanita Haden
• Cami Handlan
• Kathy Hill
• Rebecca Hitt
• Russell Holbert
• Lisa Jacobs
• Sherry Keller
• Alycia Kline
• Kassie Latimer
• Tetyana Marshall
• Tara Matthews
• Kimberly Mays
• Katherine Miller
• Kathlyn Nelson
• Brett Showalter
• Ameneh Sloane
• Abigail Spangler
• Josiah Spangler
• Sharon Swick
• Susan Tyska
• Courtney Walker
• Cindy Williams
• Junemarie Williams
Conferences & Meetings
As we are going to press, many conferences through July 2021 have gone virtual, and a few have been canceled, due to
the COVID-19 pandemic. Conferences listed here are still “on” as of press time, whether virtual, hybrid, in-person, or to be
determined. For any conference you’re interested in attending, WVNA recommends checking for updates on their website.
April 30, 2021 (Friday)
“Virtual Workforce Summit:
Partnering for Better Solutions”
Future of Nursing WV (FONWV)
FONWV 2021 Workforce Summit
May 11-13, 2021 (Tuesday-Thursday)
Global Reproductive and Sexual Health Institute
Online; 8-10:30 a.m. each day
UM Global Sexual and Reproductive Health Conference
June 10-13, 2021 (Thursday-Sunday)
American Psychiatric Nurses Association (APNA)
19th Annual Clinical Psychopharmacology Institute:
“Adapting & Innovating: Psychopharmacologic
Nursing Care in the Midst of Crisis”
APNA Clinical Pharmacology Institute
June 15-August 31, 2021 online
American Academy of Nurse Practitioners (AANP)
AANP 2021 Conference Online
July 1-5, 2020 (Wednesday-Sunday)
Philippine Nurses Association of America, Inc. (PNAA)
41st Annual Convention
San Diego, Ca.
PNAA 41st Annual Convention
July 22-24, 2021 (Thursday-Saturday)
Philadelphia Trans Wellness Conference
Virtual & FREE
Philly 2021 Trans Health Conf. (PTWC)
August 3-8, 2021 (Tuesday-Sunday)
National Black Nurses Association (NBNA)
48th Annual Conference and Institute
NBNA 2021 Conference
August 30-September 2, 2021 (Monday-Thursday)
International Lactation Consultant Association (ILCA)
ILCA 2021 Conference
September 11-15, 2021 (Saturday-Wednesday)
World Congress of Intensive & Critical Care (WCICC)
Canadian Association of Critical Care Nurses
and Canadian Critical Care Society
World Congress of Intensive & Critical Care 2021
October 7-10, 2021 (Thursday-Sunday)
American Association of Birth Centers (AABC)
Annual Birth Institute
San Diego, Ca.
AABC 2021 Birth Institute
October 9-13, 2021 (Saturday-Wednesday)
Association of Women’s Health, Obstetric, and Neonatal
(AWHONN) National Conference
AWHONN 2021 Convention
October 13-16, 2021 (Wednesday-Saturday)
American Psychiatric Nurses Association Conference
“Psychiatric-Mental Health Nurses:
Revolutionizing Access to Person-Centered Care”
TBD: virtual, in-person, or hybrid
APNA Annual Conference 2021
October 22, 2021 (Friday)
“Breaking Stereotypes: Pandemic Inequities in Appalachia”
4th Annual Conference
Appalachian Breastfeeding Network
ABN 2021 Conference
October 27-30, 2021 (Wednesday-Saturday)
DONA International Summit:
world’s first and largest doula organization
Calgary, Alberta, Canada
DONA Summit 2021
November 16-19, 2021 (Tuesday-Friday)
National Association of Hispanic Nurses (NAHN)
46th Annual Conference
NAHN 2021 Conference
Page 12 West Virginia Nurse April, May, June 2021
West Virginia COVID-19 Vaccine Updates
Lisa M. Costello, MD, MPH, FAAP,
and Elaine Darling, MPH
West Virginia has
experienced landmark times in
the pandemic response these
past few months, as the U.S.
Food and Drug Administration
(FDA) authorized three COVID-19
vaccines since the start of
Since then, West Virginia has
been leading the nation in our
vaccine administration rate. As
of March 3, 2021, over 502,000 Lisa M. Costello
doses of vaccine have been
administered and approximately
11.8% of West Virginians have
been fully vaccinated.
In the short period of time
since the COVID-19 vaccines
have become available, we
have already seen a positive
impact on our state: from
December 31, 2020 to March 4,
2021 confirmed COVID-19 cases
have decreased by over 80% in
West Virginia. Additionally, in his
March 3, 2021, COVID-19 press
briefing, WV Department of Health and Human Services
Secretary Bill Crouch reported that in a recent nursing
School Nurses Day
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present and future School Nurses!
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join our We CARE team!
Now hiring for:
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If you are interested in applying for a position, go to
home outbreak “all of the residents had been vaccinated
and, as a result, zero residents were positive in that
outbreak.” The outbreak was among seven staff members
who had chosen not to receive the vaccine.
Following the U.S. Centers for Disease Control and
Prevention (CDC) guidelines and West Virginia’s data,
our state implemented an overlapping phased approach
to offering vaccines based on four principles to drive
decisions about which high-risk
groups receive the vaccine while it
is in limited supply.
The driving principles are:
1. Protect the most vulnerable
2. Reduce deaths
3. Reduce hospitalizations
4. Maintain critical services and
As vaccine supply increases,
vaccine allocation will be
expanded to more of the public,
following these guiding principles.
Having administered vaccine to health care workers,
long-term care facility staff and residents, teachers ages
50 and over, other critical sectors, and West Virginians
65 and older, our state expanded vaccine allocation on
March 3, 2021 to all West Virginians ages 50 and older, all
education workers 40 and over, and individuals age 16 and
older with chronic medical conditions.
can point you right to that perfect
Our state expanded vaccine
allocation on March 3, 2021 to
all West Virginians ages 50 and
older, all education workers
40 and over, and individuals
age 16 and older with chronic
Free to Nurses
Easy to Use
E-mailed Job Leads
All the vaccines that have been authorized for
use in the United States have been proven to be safe
and effective. On February 27, 2021, the FDA granted
emergency use authorization for Johnson & Johnson’s
Janssen COVID-19 vaccine, subsequently increasing the
supply of vaccine available to protect our communities
from COVID-19. Vaccination with any of the three
COVID-19 vaccines in use in the U.S. greatly reduces the
risk of serious illness and death due
to the virus.
The J&J Janssen COVID-19
vaccine is expected to increase
the availability of vaccine doses
nationwide. With only one dose
needed and the ability to store it in
a regular refrigerator, this vaccine
will help to increase access to
This is a time to be hopeful,
because the COVID-19 vaccine can
help end this pandemic, protect
the health and well-being of our communities, and
reduce the impact on our health care and public health
systems. Stopping a pandemic requires using all the
public health tools we have available, and vaccination is
our strongest tool yet.
We thank you, the nurses of West Virginia, and the
other health care and public health professionals who
have worked tirelessly in response to the pandemic
and to ensure that West Virginians, particularly those
who are at highest risk for COVID-19, have been able to
access the vaccine as quickly as possible.
For more information about COVID-19 vaccination in West
Virginia, visit www.vaccinate.wv.gov. Additional information
and materials that can be shared with your patients and
communities can be found at Community Immunity WV.
Editor’s note: Lisa Costello is an assistant professor
in the Department of Pediatrics at WVU, where she
is the clerkship co-director. Dr. Costello serves as the
president of the WV Chapter of the American Academy
of Pediatrics (AAP), as well as the Vice President of the
West Virginia State Medical Association (WVSMA).
Elaine Darling is the Senior Program Director for
the Center for Rural Health Development, based in
Retina Consultants, a specialty practice in
Charleston, is seeking applicants for a fulltime
Registered Nurse to join our team.
Patient care and team work are a top priority.
We are looking for candidates with leadership
qualities and supervisory experience.
Travel to satellite offices is required.
To apply, send resume to:
PO Box 3970, Charleston WV 25339
or email to: Lynnette@retinawv.com
April, May, June 2021 West Virginia Nurse Page 13
Historical Perspective on Vaccine Development
West Virginians for Health Freedom
Thomas Jefferson noted, “Knowledge is power,” and Winston Churchill observed,
“[T]hose who fail to learn from history are condemned to repeat it.” West Virginia
nurses can apply these aphorisms to many situations, including the COVID-19
pandemic. There are three things we can learn from history about viruses and
First, vaccine development is challenging and can take a long time.
Since the 1960s, researchers have been working on a vaccine for respiratory syncytial
virus (RSV). It is the most important cause of viral lower respiratory tract illness in
infants and children globally, and it is responsible for one-third of deaths resulting from
acute lower respiratory infection in the first year of life. Researchers are proceeding
with caution because their first attempt, a formalin-inactivated RSV vaccine, resulted
in worsened disease and deaths (Higgins, 2016). The proposed mechanism for this
response after vaccination involved the induction of high titers of non-neutralizing
antibodies, which led to immune complex deposition, complement activation, and
allergic inflammation in the lungs in animal models of the disease. Now, 60 years later,
researchers have still not successfully produced a safe and effective RSV vaccine.
Second, failure to study a vaccine in populations in whom it will be administered can lead
to disastrous results.
Dengue is the most common mosquito-transmitted viral infectious disease in
the world. A 2016 study estimated there are annually nearly 60 million symptomatic
dengue cases worldwide, resulting in about 10,000 deaths yearly (The Lancet, 2018).
There are four billion people at risk in 128 countries where the dengue-carrying Aedes
mosquito vector is present. The first vaccine, DengvaxiaÆ, was licensed in 2015.
Prior to vaccination, the DengvaxiaÆ vaccine trial participants were not asked about
previous dengue infection. Regional mass vaccination programs in the Philippines
and Brazil followed. The vaccination program in the Philippines was suspended
within two years, because researchers observed that vaccination increased the risk of
severe dengue infection and hospitalizations in patients who had not previously had
dengue. Compared with unvaccinated controls, those vaccine recipients who were
seronegative had a higher risk of severe dengue disease and hospital admission (The
The World Health Organization now recommends the vaccine only in settings of high
dengue seroprevalence, and it now stipulates that serostatus should be determined prior
to vaccination. At least 19 children died after DengvaxiaÆ vaccination in the Philippines,
and their deaths are presumed to be from antibody-dependent immune enhancement.
Filipino Department of Justice prosecutors have issued criminal charges against
the physician who developed Dengvaxia, stating that the vaccine was released
prematurely, and it should have been more thoroughly studied in children (Arkin,
2019). History has shown that a vaccine must be studied in the populations to whom
it will be administered. The Covid-19 vaccine was only studied in healthy adults and
those with chronic, stable medical conditions. We do not know what effects this
vaccine will have on those who have had the infection previously or those in whom
it was not studied. This latter group includes frail older patients with multiple medical
problems, like those living in nursing homes, pregnant and breastfeeding women, and
those who are sick and being actively treated for disorders of their immune system.
Third, rushing a vaccine to a nationwide mass vaccination program can result in many
vaccine-related injuries and deaths.
In 1976, in response to concerns about a possible swine flu epidemic, the CDC
recommended a nationwide vaccination program, with a goal of vaccinating 95% of
the U.S. population. The first case of swine flu had been diagnosed in late January
1976, and nationwide immunization began October 1, 1976. Vaccine development
occurred in a matter of months. Within the first ten weeks of the program about 45
million Americans (25% of the population) were vaccinated—about one-third of the
adult population. Days after vaccinations began, there were reports of a paralyzing
neurologic syndrome, Guillain-Barré syndrome, and deaths in these vaccinees. Less
than three months after vaccinations started, the program was halted. All told,
532 vaccinees developed Guillain-Barré syndrome (sevenfold higher than in the
unvaccinated) and 58 died (Reitze, 1986). CBS News reported on 60 Minutes that the
federal government paid out over $3.5 billion in swine flu vaccine injury lawsuits
The Covid-19 vaccine was manufactured in less than 11 months. It is recommended
in unstudied patient populations, and as of February 12, 2021 (just two months after
vaccinations began in the US), the CDC’s Vaccine Adverse Event Reporting System (VAERS)
has registered 602 deaths and 405 life-threatening events associated with COVID-19
vaccination (CDC, 2021).
West Virginians for Health Freedom hopes that this information will be helpful to WV
nurses as they continue to gather information about how to respond to the COVID-19
pandemic. For more information, please contact us at email@example.com or
visit our website, WV for Health Freedom.
If you are interested in receiving a weekly message about vaccination, please send your
email address to firstname.lastname@example.org.
Arkin, F. (2019, April 24). Dengue vaccine fiasco leads to criminal charges for researcher in the
Philippines. Sciencemag.org. https://www.sciencemag.org/news/2019/04/dengue-vaccinefiasco-leads-criminal-charges-researcher-philippines
CBS’s 60 Minutes (Wallace, M., narrator). (1979). Deja Vu: The swine flu vaccination fraud of 1976. https://
Higgins, D., Trujillo, C., & Keech, C. (2016). Advances in RSV vaccine research and development - A
global agenda. Vaccine, 34(26), 2870-2875. doi 10.1016/j.vaccine.2016.03.109
Reitze, A. W., Jr. (1986). Federal compensation for vaccination induced injuries. Boston Environmental
Affairs Law Review, 13(2), 169-214. https://lawdigitalcommons.bc.edu/ealr/vol13/iss2/2/
The Lancet. (2018). The dengue vaccine dilemma [editorial]. Lancet Infectious Disease, 18(2), 123.
Anita Carfagna and
Savannah Conley and
Emily Wilson Starks
Page 14 West Virginia Nurse April, May, June 2021
Telehealth and Social Media Usage Since COVID-19:
How the Pandemic Has Forced Health Care Change in 2020
Bryan R. Werry, BSN, RN, CCRN / FNP Graduate Student, College of
Nursing, Gonzaga University
Reprinted with permission from RN Idaho, February 2021
Telehealth and Telemedicine
Eight years ago, I was introduced to the concept of telehealth, and the potential
use of technology as a means of delivering medical and behavioral health care at
a distance to rural areas and large agricultural communities. According to The
National Organization of Nurse Practitioner Faculties (NONPF), telehealth is defined
as “the use of technology to provide health care services at a distance including
direct patient care, remote monitoring, and education” (Rutledge et al., 2018, p.
1). Telehealth includes both clinical and nonclinical aspects of health care, such as
administration and financial services, while telemedicine is a narrower term limited
to the provision of clinical services. Although the concept of telemedicine seemed
logical and within our nation’s technological capabilities, there have always been
stringent conditions and regulations regarding its use. For example, reimbursement
from the Centers for Medicare & Medicaid Services (CMS) and other health insurance
companies has been complicated and inadequate. These conditions clearly
discouraged providers from utilizing telehealth technology in practice.
Regulations and reimbursement practices quickly changed due to the
circumstances of the COVID-19 pandemic. Recently, the U.S. Congress passed the
Emergency COVID Telehealth Response Act, which allowed all providers the ability to
furnish telemedicine services eligible for Medicare reimbursement (U.S. Congress,
May 1, 2020). This act improved access to health care during the pandemic by
providing compensation for medical services without face-to-face interaction. Jerich
(2020) noted, “The relaxation of telehealth regulations in response to the COVID-19
pandemic has triggered a wave of interest and support, with patients noting the
convenience, discretion, and safety of virtual care as a major selling point” (p. 1).
Increased Use of Telehealth
Even prior to the pandemic, there has been an increase of telemedicine-related
services across all sectors of health care. Advancements in technology, electronics,
computers, and the internet have made health care delivery possible through
telemedicine (Claypool, 2019). A few years ago, NONPF suggested that telehealth
be incorporated into the core curriculum of nurse practitioner (NP) education, so
students could become knowledgeable and proficient at delivering health care in
this manner (Rutledge et al., 2018). Presently, the COVID-19 pandemic has forced us
into a situation that warrants the use of telemedicine in order to safely deliver health
care. According to Webel et al. (2020), the response to COVID-19 has included an
astonishing increase in telemedicine usage and applications. For example, since the
outbreak of COVID-19, my stepfather, a psychiatrist, has conducted the majority of
his patient visits through the application doxy.me. This provides him a safe, reliable,
and fairly easy way to deliver health care while maintaining social distancing. Prior
to the pandemic, my stepfather only used telemedicine to deliver care to patients
in rural areas. Puro and Feyereisen (2020) reported that prior to COVID-19, rural
areas were already utilizing telemedicine as a means to deliver health care. They
concluded that urban areas hard-hit by the pandemic have the potential to improve
outcomes by exploiting this same capability. The COVID-19 pandemic has opened
up a sort of “Pandora’s Box” of developments in technology use that leads to the
question: How can providers best use technology during this pandemic to improve
both business practices and benefit patient outcomes?
Social Media in Health care:
Implications for Practice
Increased Use of Social Media
Social media has become ubiquitous in our culture, with more and more users
being added daily. According to Ventola (2014), the term “social media” has a
“constantly evolving” definition but can be loosely defined as “internet-based
tools that allow individuals and communities to gather and communicate; to share
information, ideas, personal messages, images, and other content; and, in some
cases, to collaborate with other users in real time” (p. 491). Ventola (2014) identified
categories of social media tools as:
• Social networking (Facebook, MySpace, Google Plus, Twitter)
• Professional networking (LinkedIn)
• Media sharing (YouTube, Flickr)
• Content production (blogs [Tumblr, Blogger] and microblogs [Twitter])
• Knowledge/information aggregation (Wikipedia)
• Virtual reality and gaming environments (Second Life)
Ventola reported that over 70% of health care organizations, systems, and
companies use social media to their benefit, with the most popular being Facebook,
Twitter, and YouTube.
Benefits of Social Media in Health care
The benefits of social media are multiple. It can be used locally, regionally,
nationally, and even world-wide. For example, a health care provider (HCP) working
as an infectious disease specialist out of London, England, can utilize a social media
application to connect with another HCP in a third-world country like Somalia.
Another example is how certain medical and surgical procedures can now be
streamed via YouTube. Social media signals a new era of communication and
networking, where HCPs can exchange information and knowledge at an unparalleled
rate (Ventola, 2014). I recently performed a Google search (www.google.com) and
found that Facebook alone has over a billion users. With such a large audience, social
media has the potential for a tremendous impact on patient empowerment and
outcomes. It can facilitate dialogue between sizable groups of providers and patients,
as it offers quick and widespread communication (American Hospital Association,
2018). In a systematic review of social media in health care, Smailhodzic et al. (2016)
reported that patients found social media to be a helpful tool for social, emotional,
and informational support in health care.
Social Media Obstacles
The negative aspects of social media include potential loss of privacy, being
targeted for promotions and labeling, and addiction to social media itself. These
disadvantages are complicated by numerous factors. First, there are no encompassing
social media standards to guide its appropriate use in health care. The American
Nurses Association’s (ANA) social media guidelines and tips specify that nurses must
use the same professional standards online as in other circumstances and also need
to develop organizational policies and ensure privacy settings are in place when using
technology (ANA Enterprise, n.d.). The American Medical Association’s (AMA) Journal
of Ethics recommends that online behavior should reflect “offline professional conduct
found in-person” as a starting point (Kind, 2015, p. 442). They also suggest that social
media guidelines should help users address opportunities and challenges that arise in
Although many HCPs would never deliberately commit a violation of patient
privacy, many end up doing so by simply posting online about their day at work
(Sewell, 2019). Patient privacy is also under the constant threat of unauthorized
users trying to illegally access sensitive information. Malicious security breaches
include social media intrusions, identity thefts, phishing scams, malware,
misinformation, and misuse of sensitive medical information. While most
providers do maintain high ethical standards when using social media, this does
not guarantee that the platform will exist without issues and non-professional
behavior (Claypool, 2019).
Facilitating Patient Use of Social Media in the Pandemic
At the hospital where I work as a critical care nurse, mandatory physical distancing
requirements are in place and have resulted in restrictions to visitation rights for
patients/families and limitations on staff meetings. These policy changes have
led to greater use of technology applications such as secure work chats and use
of Facetime and Zoom to help our patients communicate with loved ones. On my
April, May, June 2021 West Virginia Nurse Page 15
current unit, the staff often connect family/friends on a tablet at a scheduled time.
Once all participants are accounted for, we place the tablet on a secure stand
next to the bedside, and the family can interact with their loved one while we
assume care of other patients. The process is not perfect but overall has been well
Patients throughout the U.S. are not limited to a single avenue of social media
for encounters with their providers. The variety in online communication methods
is rapidly increasing, and patients can often choose the platform they prefer.
Although the opportunities for social media seem promising, there are still many
obstacles and challenges to overcome. Examples include limited access to the
internet or devices (computers and smartphones) and limited user knowledge
regarding such technology. These barriers are typically more prevalent in the
poorer/rural communities (Koonin et al., 2020).
From my experience working in an ICU during this pandemic, families have
been able to communicate with their loved ones infected with COVID-19
through social media, the most popular choice being Facetime. My co-workers
and I welcome the use of such communication options, as we witness firsthand
the feeling of isolation and helplessness our patients are experiencing. In
the past, many clinicians were wary about using social media as a method of
communicating with patients and their families (Ventola, 2014). However, it is now
considered commonplace amongst hospitals/clinics, colleges, businesses, and
many other organizations. Users are finding that it provides a sense of community
and sharing that was unimaginable years ago (Sewell, 2019).
I predict that social media and telehealth will continue to see favorable
acceptance by providers; the public’s response and acceptance during the
pandemic suggests that its use will continue to grow. However, as we gain access
to more technology and scientific evidence, there is also a growing need to
govern and legislate the appropriate use of the information available (Kind, 2015).
Evaluating the safety, privacy, and quality of information being delivered remains
a cause for concern.
With the rapid advancement of telehealth and the use of social media, it
seems clear that a high percentage of patients and providers will continue to
use this technology after the COVID-19 pandemic comes to an end. Koonin et
al. (2020) found that consumers use social media as a complement rather than a
replacement to health care services. Whether a provider is treating the patient
face-to-face or online, the standards of professional behavior should remain the
same: Providers should maintain their integrity, respect, and compassion for
others. If committed to these principles, HCPs will be able to use social media for
educational purposes, networking, quality improvement initiatives, satisfaction
surveys, and measuring outcomes (Kind, 2015). As long as social media and
telehealth are consistent with current models of ethics, such as the ANA Code of
Ethics for Nurses with Interpretive Statements (ANA, 2015), these technological
advancements will augment what providers are capable of offering (Sulmasy et
al., 2017). The COVID-19 pandemic has been a tragedy and struggle for so many
people worldwide. However, one silver lining is the opportunity to evaluate the
success of telemedicine and the ways that it has helped us provide better medical
services during this challenging time.
American Hospital Association. (2020, October 9). Social media policy. https://www.aha.org/
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements.
American Nurses Association (ANA) Enterprise. (n.d.) Social media. https://www.
Claypool, B. (2020, April 20). Telemedicine and COVID-19: 6 tips to ace your first visit.
Mental Health Weekly, 30(17), 5–6. https://onlinelibrary.wiley.com/doi/full/10.1002/
Jerich, K. (2020, November 3). Telehealth’s uncertain future raises alarm bells for cancer
patients. Healthcare IT News. https://www.healthcareitnews.com/news/telehealthsuncertain-future-raises-alarm-bells-cancer-patients
Kind, T. (2015, May). Professional guidelines for social media use: A starting point. AMA
Journal of Ethics Clinical, 17(5), 441-447. http://doi.org/10.1001/journalofethics.2015.1
Koonin, L., Hoots, B., Tsang, C., Leroy, Z., Farris, K., Jolly, B. … & Harris, A. (2020, October 30).
Trends in the use of telehealth during the emergence of the COVID-19 pandemic.
Morbidity and Mortality Weekly Report, 69(43), 1595-1599. https://www.cdc.gov/
Puro, N., & Feyereisen, S. (2020). Telehealth availability in U.S. hospitals in the face of
the COVID-19 pandemic. The Journal of Rural Health, 36(4), 577-583. https://doi.
Rutledge, C., Pitts, C., Poston, R., & Schweickert, P. (2018). NONPF supports telehealth in
nurse practitioner education. https://cdn.ymaws.com/www.nonpf.org/resource/
Sewell, J. (2019). Informatics and nursing: Opportunities and challenges (6th ed.).
Philadelphia: Wolters Kluwer.
Smailhodzic, E., Hooijsma, W., Boonstra, A., & Langley, D. (2016). Social media use in health
care: A systematic review of effects on patients and on their relationship with health
care professionals. BMC Health Services Research, 16(442). https://doi.org/10.1186/
Sulmasy, L. S., Lopez, A. M., & Horwitch, C. A. (2017). Ethical implications of the electronic
health record: In the service of the patient. Journal of General Internal Medicine, 32(8),
935-939. doi 10.1007/s11606-017-4030-1
United States Congress. (2020). H.R. 6654 – Emergency COVID Telehealth Response Act.
Ventola, L. (2014). Social media and health care professionals: Benefits, risks, and best
practices. Pharmacy and Therapeutics, 39(7), 491-499. https://www.ncbi.nlm.nih.gov/
Weber, E., Miller, S. J., Astha, V., Janevic, T., & Benn, E. (2020). Characteristics of telehealth
users in NYC for COVID-related care during the Coronavirus pandemic. Journal of the
American Medical Informatics Association, 27(12), 1949-1954. https://doi.org/10.1093/
The author reports he has no conflicts of interest with this content. The author can be reached
WV Board of Nursing
Health Coach Program
Lori Chaffins, BSN, RN
Hello West Virginia Registered Nurses,
As you know, there are many nurses in our
state seeking recovery from stress associated with
COVID-19, trauma, mental illness, and/or addiction.
The Board has appropriated funding to provide a
four-day conference to train nurse health coaches throughout West Virginia. Training will be
offered virtually, so travel is not required.
The Board is seeking volunteers to become nurse health coaches. Qualifications include
an active, unencumbered RN license; your primary state of residence must be West Virginia.
Nurse Health Coaches promote recovery by assisting in the removal of barriers and serving
as personal guides for those who are seeking help with life transitions and journey. Nurse
Health Coaches are not employees of the Board.
The next Nurse Health Coach Training Coach conference will be held April 19-22, 2021.
We will be accepting 15 nurses and there will be no registration fee for participants. The
hours will be 8:30 a.m. – 5:30 p.m. each day, with a break for lunch.
In return for this free training, the Board asks that participants volunteer at least 52 hours
(average one hour a week) over the next year in our Nurse Health Program as a Nurse Health
Coach for the participants in WV Restore, and any registered nurse who needs assistance
with life’s challenges. Nurse Health Coaches are volunteers and not employees of the Board.
Participants in this course will learn to:
• Describe the roles and functions of a life/recovery coach
• List the fundamental principles of life/recovery coaching
• Explore different definitions and pathways of recovery
• Build communication skills to enhance relationships
• Discover attitudes about self-disclosure
• Understand the role of belief systems and values in the coaching relationship
• Describe the different roles and applications for life/recovery coaching
• Increase awareness of culture, power and privilege
• Address ethical and boundary issues
• Experience life recovery wellness planning
Nurse Health Coaches promote recovery by assisting in the removal of barriers and
serving as personal guides for those who are seeking help with life transitions and journey.
If you are interested in becoming a Recovery Coach for the Nurse Health Program, please
contact Lori Chaffins at the Board office – 304-389-1197 or email@example.com.
Doctor of Nursing Practice
Two points of entry
Family Nurse Practitioner
Two areas of study
Advanced Nursing Practice
MSN & DNP Concentrations of Study
Nurse-Midwifery (joint program with Shenandoah University)
Psychiatric Mental Health Nurse Practitioner (joint program with Shenandoah University)
Post-Graduate APRN Certificate -
Family Nurse Practitioner
Programs offer online and hybrid course designs; students can choose their own pace of study.
Contact: Dr. Amy Coffman, APRN-BC, FNP, Director of Graduate Programs School of Nursing
304-473-8227 | firstname.lastname@example.org | http://www.wvwc.edu/academics/schools/graduate-programs