Missouri Nurse - April 2021

MISSOURI 

NURSING NEWS 

Volume 1 • No. 3 

April, May, June 2021 

The Official Publication of the Missouri Nurses Association with a quarterly circulation of approximately 72,000 to RNs and LPNs 

Message from the President 

Celebrating Certification 

Caryl Goodyear, PhD, RN, 

NEA-BC, CCRN-K, FAAN, 

MONA President 

March 19 was our day 

to celebrate professional 

certification. Why March 19? 

National Certified Nurses Day 

was established on March 

19 in honor of Margretta 

Madden Styles, a nurse leader 

and advocate for certification 

who was born on March 

19. Dr. Styles advocated for Caryl Goodyear 

certification standards and 

is widely known to be the inspiration of creating the 

American Nurses Credentialing Center (ANCC), part of 

the American Nurse Association Enterprise which also 

includes the American Nurses Foundation. 

We all may have different reasons to become 

certified in our area of practice. For me, to obtain 

certification meant I was an expert in the field of 

critical care nursing practice. Being certified gave me 

confidence to care for critically ill patients when their 

lives are the most vulnerable. The continued knowledge 

and practice experience to keep my certification 

meant I was advancing my skills on a continual basis. 

Obtaining my CCRN was a significant career event and 

one that I’m most proud of. 

As I moved into leadership roles, I knew I needed 

to validate my knowledge, skills and experience as a 

leader – my new area of practice. That’s why I obtained 

my certification through ANCC as a Nurse Executive 

Advanced, NEA-BC. This certification has given me 

the confidence, once again, to lead and maintaining 

this certification signifies that I am current on the 

best leadership practice within our current healthcare 

system. 

On every March 19 let’s celebrate all of our 

certification achievements with meaningful recognition 

for all nurses who have committed themselves to 

practice validation. ANA has good ideas to help plan 

these celebrations. https://www.nursingworld.org/ 

education-events/certified-nurses-day/. I would love to 

hear what you did this year to celebrate. Please email 

me at carylgoodyear@gmail.com. 

Would you like to take the next step of getting 

certified? Or if you are certified, who would you tap on 

the shoulder to encourage them to get certified? 

Missouri Nurses Association is sponsoring anyone 

interested in getting certified through the many 

certifications from ANCC. For our members, we have 

a reduced rate and you only pay if you pass! We 

hope this eases the barrier of test-taking anxiety and 

financial concerns. Please visit our webpage, www. 

missourinurses.org/success-pays for more information. 

Director’s Letter 

At the time of this writing, 

we are in the middle of the 

busiest time of year here at the 

Missouri Nurses Association 

(MONA). We are past the 

midway point of the legislative 

session and we are starting to 

see the bills that are moving 

that have a chance at the finish 

line and those that do not. We 

have had movement on many 

of our priority bills including 

ones around workplace 

violence, needle exchange, and 

Heidi Lucas 

APRNs. Members of the Missouri Nurses Association 

are sent a weekly legislative report from our lobbyist, 

Kyna Iman, that goes into the bills we are following this 

year. We also have information available on the MONA 

website about all of the bills we are tracking available 

to members. We work hard to support nursing 

practice and policy at the legislative level and our nurse 

members support that work that we do on behalf of 

all nursing. Can you imagine what we could accomplish 

if all nurses in the state of MO were members of the 

Association? Membership is only $15 a month or $174 

a year. 

This is also the time of year when my speaking 

engagements pick up! We are still in a bit of limbo 

as the world continues to be vaccinated so most 

presentations continue to be virtual but hope to be 

fully back in person by this summer. If you wish me 

to give a presentation to your organization, school, 

or hospital, I would love to have that opportunity! 

I can speak about advocacy and nursing, the 

legislative landscape, association membership, the 

social determinates of health, and/or special topics in 

nursing. Please reach out to me at my email, director@ 

missourinurses.org to set up a date and time. 

Director’s Letter continued on page 2 

current resident or 

Presort Standard 

US Postage 

PAID 

Permit #14 

Princeton, MN 

55371 

Inside this Issue 

Three Missouri universities earn nursing grant 

awards.............................................................2 

Ebola Clinical Alert for U.S. Healthcare Personnel.......3 

Essential During COVID-19: Learning Lessons 

from the Past to Best Utilize Informatics in 

Patient Care and Vaccine Distribution................4 

Poems.................................................................6 

MNF License Plates..............................................8 

Seeking Staff RNs Working on Inpatient 

Hospital Units - Online Survey Research............9 

Coming Together in Advanced Practice.............. 10 

Advocacy Day 2021........................................... 12 

This is an official CDC HEALTH ADVISORY......... 13 

MNF 100 for 100............................................... 14 

MONA/ANA Membership Application................ 14 

Redefining Nursing - Reaffirming Our Practice.... 15

2 

Missouri Nursing News April, May, June 2021 

Three Missouri universities earn nursing 

grant awards 

Jefferson City - The Missouri State Board of Nursing 

recently announced the award of substantial nursing 

education program grants to three Missouri universities. 

The Nursing Education Incentive Program (NEIP) 

grants were established in 2011 in order to increase the 

physical and educational capacity of professional nursing 

programs in Missouri. The funding, through legislative 

appropriations, comes from the Missouri State Board of 

Nursing funds. 

“We are extremely proud of our Missouri nursing 

programs for recognizing solutions to the nursing 

shortage need to focus on several strategies, including 

increasing the number of nurse educators, developing 

a pipeline from nurse aide training to Registered Nurses 

and increasing clinical partnerships,” said Lori Scheidt, 

Executive Director of the Missouri State Board of Nursing. 

In 2021 an additional 13 grant proposals were 

received. On March 2, 2021 the Missouri State Board 

of Nursing approved three proposals for a total grant 

award of $418,864 this year; bringing total NEIP 

awards to $7,098,505.74. 

The following nursing schools earned 2021 NEIP awards: 

Missouri Western University - $120,700 

Grant funds will be utilized to open the clinical 

simulation lab for greater use and establish a full- 

NOW HIRING 

RNs, LPNs and Nurse Practitioner 

CONTACT 

Lyle Williams, Recruiter 

lylewilliams@fitzgibbon.org 

www.fitzgibbon.org 

time simulation lab director position. The program will 

partner with the Youth Alliance CNA program and area 

employers to increase the pipeline of nursing students. 

Truman State University - $150,000 

Grants will increase seat capacity and expand clinical 

partnerships. Utilization of a clinical coordinator position 

and technology will aid in clinical scheduling. The 

program plans to be able to expand undergraduate 

enrollment due to these enhancements. 

University of Central Missouri - $148,164 

This proposal is geared toward expansion of nursing 

faculty resources and the addition of one faculty position 

would add 14 seats for the Nurse Educator program. 

Three scholarships would add faculty for the Bachelor 

of Science in Nursing program with a commitment to 

teach for three years at UCM or another undergraduate 

program in Missouri. 

Director’s Letter continued from page 1 

Our regions have also become more active and 

have started holding monthly virtual trainings and 

events that are free to MONA members. We also offer 

some to all nurses for a small fee! We have had a lot 

of success with our first few webinars; including our 

four-part Cannabis and Nursing webinar series, Yoga 

for Nurse Stress Management, and COVID Vaccine 

Hesitancy. Look for more events in the coming weeks. 

All of these trainings will also be recorded and archived 

on the MONA website for viewing at a later date. Look 

for the rollout of that page in the near future. 

Once again, thank you for your all you do for the 

citizens of Missouri, and please consider becoming a 

member of the Missouri Nurses Association if you are 

not already! 

“Work for a company that fits” 

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Drug testing required. Some restrictions apply. 

MONA’s Mission: 

The mission of the Missouri Nurses Association is to 

promote, protect and enhance registered professional 

nursing practice through advocacy, education, collaboration 

and partnership. 

MONA’s Official Publication: 

The Missouri Nursing News is an official publication of the 

Missouri Nurses Association (MONA) (a constituent member 

of the American Nurses Association), published quarterly 

every January, April, July and October. The MONA provides 

education, networking opportunities, publications and 

other products and services to its members and extends its 

mission to all nurses in Missouri. 

Phone: (573) 636-4623 

Email: director@missourinursess.org 

Web site: www.MissouriNurses.org 

Mail: c/o Midwest Multistate Division 

3340 American Avenue, Suite F 

Jefferson City, MO 65109 

Questions about your nursing license? 

Contact the Missouri State Board of Nursing at: 

(573) 751-0681. 

This newsletter is a service of the Missouri Nurses 

Association and your receipt of it does not mean 

you are automatically a member. Your membership 

in support of this work is encouraged; please visit 

www.missourinurses.org. 

Writer’s Guidelines: 

• Any topic related to nursing will be considered for 

publication in the Missouri Nursing News. 

• Authors are not required to be members of the MONA; 

however, when space is limited, preference will be given 

to MONA members. 

• Photos are welcome, digital is preferred. MONA does not 

assume responsibility for lost or damaged photos. 

• Use current APA formatting for any article requiring 

citation. 

• Provide a brief author biography indicating the author’s 

nursing experience and/or expertise with the paper’s 

content. 

o Limit the author’s biography to 4-sentences. 

• Submitted material is due by the 10th of the month in 

March, June, September and December of each year. 

• The peer-review is blinded; submit the title page 

separately from the article 

• Submit the title page and article as Word documents to 

info@missourinurses.org 

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. MONA and the 

Arthur L. Davis Publishing Agency, Inc. reserve the right to 

reject any advertisement. Responsibility for errors in advertising 

is limited to corrections in the next issue or refund of price of 

advertisement. 

Acceptance of advertising does not imply endorsement 

or approval by the Missouri 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. MONA 

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 MONA or 

those of the national or local associations. 

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April, May, June 2021 Missouri Nursing News 3 

Ebola Clinical Alert for U.S. 

Healthcare Personnel 

Outbreaks of Ebola virus disease (EVD) are ongoing in the Democratic Republic of 

the Congo (DRC) and Guinea. The U.S. Centers for Disease Control and Prevention 

(CDC) is providing this communication as a reminder to U.S. healthcare personnel 

about CDC infection prevention and control guidance for identifying and managing 

patients with possible and confirmed EVD. 

Please share this information with all personnel who might conduct screening 

and triage activities or be responsible for initial clinical management of patients 

(e.g., including Emergency Medical Services, outpatient, and emergency department 

personnel). 

Liability Insurance: 

MONA Partners with NSO 

Triage of Patients 

Currently, all U.S. healthcare settings are recommended to screen and triage 

everyone entering the facility for signs and symptoms of COVID-19. 

Additionally, it is recommended that facilities 

• Ask about and document international travel histories to alert healthcare 

personnel to the possibility of other communicable infections, such as viral 

hemorrhagic fevers, that need specific infection control precautions and/or 

treatment. 

• Post contact information for infection control personnel and the local public 

health jurisdiction for reporting of communicable diseases, including EVD, in 

easily visible locations. 

Current Infection Prevention and Control Recommendations for EVD in U.S. 

Healthcare Facilities 

Current CDC infection prevention and control guidance for U.S. healthcare 

facilities is available on the CDC Ebola website for clinicians. Specific guidance and 

tools that may be of interest to facilities include 

• Separate personal protective equipment (PPE) guidance remains in place for 

the management of Clinically Stable PUIs and Confirmed Ebola Patients or 

Clinically Unstable PUIs. 

• A PPE Calculator Tool is available to assist healthcare facilities in determining 

the appropriate supply of PPE to have on hand to manage a PUI or patient 

with confirmed EVD. 

A healthcare facility evaluating a PUI or treating a patient with EVD 

should consult with public health authorities if they are unable to meet these 

recommendations due to PPE shortages caused by the COVID-19 pandemic. 

The Regional Treatment Network for Ebola and Other Special Pathogens 

Healthcare facilities and public health officials should be familiar with the tiered 

U.S. Regional Treatment Network for Ebola and other special pathogens. 

• Healthcare facilities should understand their role in the tiered network as a 

Frontline facility, State-designated Assessment Hospital, State-designated 

Treatment Center, or HHS-designated Regional Treatment Center. 

• Healthcare facilities and public health officials should have established plans 

for how PUIs or EVD patients are to be managed and referred. 

• CDC continues to coordinate with the HHS Office of the Assistant Secretary 

for Preparedness and Response, Hospital Preparedness Program and the 

National Emerging Special Pathogens Training and Education Center (NETEC) 

to increase U.S. capability to safely manage patients with EVD and other 

special pathogens. NETEC maintains online resources at the link above, and 

remains available to provide consultation to hospitals for managing patients 

with EVD. 

Nurses need to protect themselves and 

their career by maintaining Professional 

Liability Insurance, a.k.a. Medical Malpractice 

Insurance. Do not assume your employer’s 

liability insurance will cover you when a 

lawsuit or complaint is filed. Nurses Service 

Organization (NSO) has a 45+ year history 

of defending nursing professionals from 

allegations of medical malpractice and 

licensing complaints. With over 500,000 

nursing professionals insured and 60+ 

professional nursing association partners, 

they are the premier administrator of nurses’ 

malpractice insurance in the U.S. 

We encourage you to explore NSO’s 

website, receive a quick rate quote, and 

browse the case studies and articles in NSO’s 

Learning Center. In the Learning Center, you will find NSO’s 4th Nurses Claim Report. 

It provides statistical data and an analysis of malpractice and licensing claims, as well 

as recommendations on how you can avoid potential problems in your practice. 

Learn more about NSO and receive an instant quote at www.nso.com/mona 

Additional Public Health Resources 

• CDC EVD website 

• World Health Organization Disease Outbreak News 

CDC has also issued an Order for airlines, which you can find here: Order: 

Requirement for Airlines to Collect Designated Information for Passengers Destined 

for the United States Who are Departing From, or Were Otherwise Present In, the 

Democratic Republic of the Congo or the Republic of Guinea | Quarantine | CDC 

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4 


Essential During COVID-19: Learning Lessons from the Past to 

Best Utilize Informatics in Patient Care and Vaccine Distribution 

Bonny Kehm, PhD, RN 

Faculty Program Director, Excelsior College 

School of Nursing and Vice President of the 

Missouri State Board of Nursing 

BIO: Bonny Kehm is the faculty program director in 

the baccalaureate and Master of Science programs for 

the School of Nursing at Excelsior College, where she 

designs curriculum and conducts research. Her nursing 

career has been dedicated to developing the next 

generation of nurses to lead in these ever-changing 

times. 

In 2017, Kehm was appointed by the governor 

of Missouri, and confirmed by the full state senate 

to the Missouri State Board of Nursing. The board 

governs and regulates the profession of more than 

140,377 licensed nurses in the state. She is the board’s 

vice president and serves on the Nursing Education 

Committee, which regulates and oversees nursing 

education programs. 

Kehm’s commitment to improving the nursing 

profession includes work to increase awareness of 

interprofessional education opportunities that link 

nursing, nutrition, pharmacy, and health sciences 

education to improve interdisciplinary learning. 

Kehm has received several honors and awards 

throughout her nursing career. She was a speaker at 

the Royal College of Nursing Centennial International 

Conference in England in 2016 and a speaker at the 

Nursing Educational Institute in New York in 2017. 

She received the Rising Nurse Leader Award from 

the Missouri Organization of Nurse Leaders in 2016; 

the International Quality Research Paper Award from 

The United States Distance Learning Association in 

2018, and was selected as one of the winners in the 

inaugural Nabisco 100 Calorie Packs “Celebrating 100 

Extraordinary Women” contest for her community 

service in 2009, to name a few. 

Kehm earned her bachelor’s and master’s degrees 

in nursing from Webster University, her doctorate in 

nursing education from Capella University, and her 

graduate certificate in Health Care Informatics from 

Excelsior College. 

Lillian Weiser inspired me to become a nurse. Lillian 

was my aunt, but I never knew her. Sadly, she died 

from polio as a child, over two decades before I was 

born. The last two years of Lillian’s short, tragic life tell 

a tale that will ring familiar to anyone who has lost a 

loved one during the COVID-19 pandemic. Lessons of 

logistics and health management learned during the 

polio era could guide efforts for COVID-19 care and 

vaccinations. 

At age 10, Lillian (pictured above) came home 

from St. Rose Catholic School in Great Bend, Kansas, 

with flu-like symptoms. Within a few hours she was 

completely paralyzed and unable to breathe on her 

own. Lillian was soon diagnosed with polio, a common 

diagnosis in mid-century America. Great Bend, Kansas, 

in 1953 offered far from state-of-the-art medical care. 

Lillian’s fate relied on treatment in Hutchinson, Kansas, 

a 125-mile round trip drive from tiny Great Bend, and 

the closest hospital that had the technology that would 

keep her alive — an iron lung. 

Lillian’s father, my grandfather, lived on a farm and 

worked in the grocery business. For two years, he 

spent every Wednesday night sleeping on the floor in 

Lillian’s hospital room. Every Saturday, he brought her 

five siblings to visit. When my mother spoke about 

her sister in the iron lung, she always mentioned how 

Lillian would smile and never once complained. To 

help keep the family together, the small Kansas town 

raised money and purchased a brand-new iron lung, so 

Lillian could live at home once again. Unfortunately, no 

local healthcare professionals were trained on how to 

operate the technology. Lillian would be forced to stay 

in Hutchinson, and the newly purchased iron lung went 

unused. 

I have often wondered how the application 

of nursing informatics could have improved 

Lillian’s treatment. Improved data and information 

management could have aided in coordination of 

her care while keeping her family together in rural 

America. Nursing informatics focuses on use of datadriven 

information, technology, and communication in 

the delivery of health care. Throughout the COVID-19 

pandemic, we have seen informatic responses to 

social distancing with the expansion of telehealth and 

tele-education. Use of technology allows health care 

workers to provide care while enabling patients and 

health care professionals to remain safe yet connected. 

This has been essential for COVID-19 care and is vital 

now with the vaccine rollout. However, it remains 

underutilized especially in rural America, where we 

have seen too many patients die alone. 

Lillian died in June of 1955, at age 12. She died 

alone in the hospital hours away from her family. The 

first mass immunizations against polio began in 1954— 

one year after she was diagnosed, and one year before 

she died.


The COVID-19 vaccine rollout has led to a 

surge in the need for logistical coordination and 

communication, especially in rural areas. Informatics 

will facilitate speedy coordination in vaccine distribution 

and administration to millions of Americans to help 

gain control of the deadly virus. Vaccine distribution 

can be streamlined to track vaccinated patients, 

schedule second doses, locate and assign nurses 

trained in vaccine administration, and collaborate with 

local administrations to identify burdens in distribution. 

While it is easy to look at my Aunt Lillian’s short life 

as a tragic “what if” story, it is more important to look 

at her life and death as a cautionary tale. The townpurchased 

iron lung that was never used due to lack 

of expertise has resided in a museum in Kansas for the 

past several decades. It has occasionally been displayed 

at state fairs to educate the public on the need for 

vaccinations. Now, after a year of the COVID-19 

pandemic ravaging communities, hope has arrived 

in the form of multiple vaccines that can be used to 

thwart this deadly virus. But vaccines, like iron lungs, 

are only effective when they are used. Stories have 

emerged of vaccine doses simply being left on shelves 

and in refrigerators or thrown away due to lack of 

tracking protocols and shortages of personnel. We can 

and must avoid creating another museum relic. 

The use of informatics by highly trained nurses 

has never been more important or vital, especially 

as distribution and administration of the vaccines is 

stalled. We have developed the tools to fight this 

virus. We must now quickly develop the personnel and 

tactics to take up the fight. That starts with nurses 

trained in the use of informatics and analytics. Armed 

with data and logistics training, nurse informaticists 

are learning from history and vital to the future success 

of the COVID-19 vaccination plan, distribution, and 

administration. 

Bonny's mother in 2019 visiting the museum in 

Kansas that houses Lillian's unused iron long. 

Lillian in her Iron Lung at the hospital with 

Bonny's mother (the 3-year-old in the picture 

holding one of Lillian's dolls), and Lillian's Mom). 

We are looking for LPNs 

in Springfield and Bolivar 

$17/hr for part time 

For more information and to apply visit 

https://easylivinginc.org

6 


Poems 

A Nurse 

A Nurse 

Her shoes are worn and dirty 

From long hard hours here. 

Her hands tough and calloused 

Still gently wipe a tear. 

Her heart is full of stories, 

Some are near and dear. 

Some she tries to forget, 

But remembers all too clear. 

Her walk is purposeful, 

Eyes set on a goal. 

She still stops to listen, 

When people bear their soul. 

She is a nurse who cares. 

She’ll listen to their fears. 

She’ll carry them in her heart. 

And she’ll swallow her tears. 

She’ll walk on to the next, 

And make them feel loved. 

Because that’s what nurses do. 

Even masked, gowned and gloved. 

Ansley Little BSN, RN 

What an Honor 

What an honor it is 

Caring for you like this. 

What an honor it is. 

Here with ones you hold dear. 

Drying their quiet tears. 

As your end now draws near. 

I know you can hear me, 

So I will speak gently 

As you soon leave me. 

Soon good is all you’ll see. 

Go on. 

It’s ok. 

You’re safe. 

Pass gracefully. 

Ansley Little BSN, RN

8 


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Seeking Staff 

RNs Working on 

Inpatient Hospital 

Units - Online 

Survey Research 

Hyeonmi Cho, PhD(c), RN, Nursing PhD Student 

University of Wisconsin - Madison, School of 

Nursing, hyeonmi.cho@wisc.edu 

If you are a registered nurse (RN) providing 

direct bedside patient care on inpatient hospital 

units, please consider participating in this study 

about hospital nurse fatigue. 

This is a nation-wide online survey study recruiting 

staff RNs who provide bedside patient care on inpatient 

hospital units in the United States. The purpose of 

the study is to better understand what leads to nurse 

fatigue and its consequences. 

Nurse fatigue is common and reduces safety and 

impairs health for both nurses and patients. In order to 

develop future interventions to address nurse fatigue, 

we must learn more about what leads to fatigue and its 

consequences. 

It is anticipated the survey will take approximately 20 

minutes or less for you to complete. Your responses are 

completely confidential, and your responses will not be 

linked to your identity. 

Responses will be securely stored at UW-Madison. 

Only researchers associated with this project will have 

access to the information gathered. By participating in 

this survey, you are consenting to be a participant in 

this research and future analysis of this data. 

To say thank you for participating, after 

completing the survey you will have the 

opportunity to enter a drawing for one of 30, $50 

Amazon gift cards. 

Here is the link to participate: https://uwmadison. 

co1.qualtrics.com/jfe/form/SV_0H4zCferWDsFjcW 

Thank you ahead of time for participating in this 

important work for our patients, coworkers, and 

ourselves. 

Please feel free to forward this email and share 

with others! 

This study has been determined by a UW-Madison 

Institutional Review Board to be exempt research. 

This email has been approved by a UW-Madison 

Institutional Review Board. If you have questions about 

the study, please contact Hyeonmi Cho at hyeonmi. 

wisc.edu@wisc.edu 

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10 


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Liberty Hospital 

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As a partner of MU Orthopaedics, our 

community hospital is growing and we need 

nurses to help us care for our community. 

Interested RNs can contact 

Laura Vincent at 

Laura.Vincent@libertyhospital.org


MONA Member Benefit for 

ANCC Certification 

Statewide Vaccine Registration 

Website and Call Center 

The state has set up an online form and call center to help people get registered 

to receive the vaccine. The call center phone number is: 877-435-8411 and their 

hours are Mon-Fri: 7 am - 7 pm and Saturday: 8 am - 5 pm 

The website to sign up is: https://covidvaccine.mo.gov/navigator/ 

Success Pays is a way to assist healthcare professionals in achieving certification 

while eliminating test-taking anxiety and financial barriers. Clinicians are given 

two opportunities to test for a certification specialty, and ONLY PAY IF YOU PASS! 

Members of the Missouri Nurses Association also receive a reduced rate 

of $260. Certification renewals with ANCC are also available through MONA at a 

reduced price of $250. 

For a list of qualifying certifications and full details, please visit: https:// 

missourinurses.org/success-pays/

12 


Caryl Goodyear, 

PhD, RN, NEA-BC, CCRN-K, FAAN 

Using our personal power to advocate for our patients 

is one of the most important duties of being a nurse. 

It’s the individual connection – nurse to patient – that is 

foundational for the broader perspective of caring and 

advocacy. Going beyond our nurse to patient advocacy, 

one of our necessary skills is in actualizing our political 

power and influence by being involved in policy – as the 

ANA’s Code of Ethics states, it is our duty as a nurse to be 

involved in policy that shapes and impacts our profession, 

our patients, and our society. 

This year Missouri Nurses Association hosted on March 

3 an online (via Zoom webinar) Advocacy Day where 

over 200 joined our efforts in learning more about the 

advocacy efforts with our Missouri’s General Assembly. 

We heard from our lobbyist, Kyna Iman, about the many 

bills MONA is supporting or not supporting in our efforts to 

support nurses like you in removing barriers to our practice. 

Advocacy Day 2021 

We heard from the MONA Vice President of Advocacy, 

Sarah Oerther, about why it was important to establish a 

relationship with your state representatives and senators. 

Also, legislators who support nurses joined us online 

and we learned about their efforts at the State Capitol. 

Together, online, we completed an advocacy ‘call to action’ 

which is a communication to legislators to clarify the issues 

and bills we support. The legislators’ emails I’m sure were 

overloaded with messages from nurses! 

I hope you will consider joining us in the efforts to 

support and advocate not only for nurses but for our 

patients and families. It is vital that we hear your voice. 

Come Join Our Team! 

CenterPointe Hospital is a premiere provider of 

psychiatric and behavioral health care services in 

St. Louis for adults and adolescents. 

We offer career opportunities in both our inpatient and 

outpatient facilities. Priority jobs: 

RNs, LPNs, Mental Health Techs, 

Inpatient and Outpatient Therapists, 

Dietary Aides, Housekeepers 

For more information about these positions and others, 

please visit our website at: 

https://www.centerpointehospital.com/careers/ 

or contact Human Resources at 636-441-7300. 

COME JOIN OUR CARING TEAM! 

RN’s and LPN’s needed 

• Assistant Director of Nursing • Day Supervisor 

• MDS Coordinator • FT and PT floor nurses all shifts 

Apply in person or check us out at 

www.manorgrove.com 

711 S. Kirkwood, Kirkwood MO 63122 Phone: 314-965-0864 

Registered Nurses 

Join our Team and “Changes Lives” 

Generous shift differential & benefit package 

available for FT positions 

FT & PRN positions - 12 hour shifts 

Apply at www.heartlandbehavioral.com 

Heartland BHS - 1500 W. Ashland Nevada, MO 64772 

NURSING 

University of Missouri – St. Louis 

The Next Step in Your 

NURSING CAREER 

Faculty in the 

School of Nursing 

• Doctorate in nursing practice 

degree with NP preparation 

• Four or more years of experience 

as a professional nurse. 

Director of Nursing 

Resource and SIM Lab 

• Ability to establish or advance an extramurally 

funded program of research. 

• Earned doctorate in nursing or related field with a graduate 

degree in nursing. 

For further information call 

1-888-NURSEUM (1-888-687-7386) or visit our website at 

nursing.umsl.edu 

Dear Missouri Nurses: 

COVID-19 has brought unprecedented challenges to our 

profession. We understand. 

That’s why we are writing to you directly to introduce a new 

statewide initiative, RNconnect 2 Well-being, a free resource from 

the Missouri Nurses Association to easily integrate well-being 

into your day. Text RNconnectMO to 60298 to receive twiceweekly 

tips on how to de-stress, strengthen your mind and body, 

and take care of yourself. We’ve simplified finding support like 

counseling, resources, and opportunities to connect with other 

nurses facing the same challenges as you. 

Sign up by texting RNconnectMO to 60298 today! 

LEARN MORE: American Nurses Foundation Well-Being Initiative 

https://www.nursingworld.org/practice-policy/workenvironment/health-safety/disaster-preparedness/coronavirus/ 

what-you-need-to-know/the-well-being-initiative/ 

Msg&data rates may apply. Terms & privacy: slkt.io/7YfV


This is an official 

CDC HEALTH ADVISORY 

Distributed via the CDC Health Alert Network 

March 31, 2021, 4:00 PM ET 

CDCHAN-00441 

***Missouri healthcare providers and public health 

practitioners: Please contact your local public health 

agency or the Missouri Department of Health and 

Senior Services’ (DHSS’) Bureau of Environmental 

Health Services at 573-751-6095 or 800-392-0272 

(24/7) with questions regarding this Advisory or to 

report a case of acute non-viral hepatitis of unknown 

etiology potentially associated with an alkaline water 

product.*** 

Additionally, consumers who may have recalled 

products are advised to discard it immediately and 

to not drink the water. Consumers with questions, 

or to obtain a refund, may contact the company at 

1-702-310-5437 or by email at customerservice@ 

drinkrealwater.com. 

Acute Non-Viral Hepatitis of 

Unknown Etiology Potentially 

Associated with an Alkaline 

Water Product 

Summary 

Five cases of acute non-viral hepatitis of unknown 

etiology in children were reported to the Southern 

Nevada Health District (SNHD) between November and 

December 2020. The Centers for Disease Control and 

Prevention (CDC) is assisting the SNHD in investigating 

a potential link between these illnesses and the 

consumption of an alkaline water product called “Real 

Water” and other possible etiologies. The purpose of 

this Health Alert Network (HAN) Advisory is to advise 

clinicians and health departments to have a high index 

of suspicion for cases of acute non-viral hepatitis and to 

report any cases to their local health authority. 

Background 

CDC and the U.S. Food and Drug Administration 

(FDA) were notified of five cases of acute non-viral 

hepatitis of unknown etiology in children by the SNHD 

in Nevada on March 13, 2021. The cases occurred 

in children ranging in ages from seven months to 

five years who presented to a hospital between 

November 10, 2020, and December 3, 2020, with 

signs and symptoms of vomiting, poor intake, and 

fatigue. Laboratory testing on the patients showed 

elevated hepatic transaminases, hyperbilirubinemia, 

coagulopathy, and a negative viral hepatitis serology 

panel. All patients required transfers to a pediatric 

tertiary-care specialty liver unit because of concerns 

for acute liver failure and the possible need for liver 

transplantations. All children recovered and were 

discharged home. In addition to these cases, several 

adults and other children living in the cases’ households 

reported similar but mostly less severe symptoms 

including nausea, vomiting, anorexia, and fatigue. 

Information to date from the preliminary 

epidemiologic investigation supports that there is a 

strong link between these cases of acute non-viral 

hepatitis and Real Water alkaline water. Real Water, Inc. 

owns this brand of alkaline water and has headquarters 

in Mesa, Arizona. This product is available in 5-gallon, 

3-gallon, 1 gallon, 1.5 liters, 1 liter, and 500 ml bottles, 

and “Real Water” concentrate. Bottles and concentrate 

products are available for purchase online and in stores 

nationwide. Real Water has issued a recall on their 

products. The FDA advises consumers, restaurants, 

and retailers not to drink, cook with, sell, or serve Real 

Water alkaline water until more information is known 

about the cause of the illnesses. Further, FDA advises 

that Real Water not be given to pets. 

Recommendations 

For Clinicians 

1) Counsel your patients (or their caregivers and 

guardians) to stop drinking, cooking with, or 

using Real Water until more is known about the 

cause of the illnesses per FDA recommendations. 

NHSC Loan Repayment 

NHSC Loan Repayment Programs are accepting 

applications NOW! Compare between the 3 NHSC 

Loan Repayment Programs and apply today. A 

comparison of the programs is also attached. 

Please share this widely. NHSC has a historical 

amount of money to award. Let’s bring as much of it as 

we can to the Show-Me State! 

Visit: https://bit.ly/3s3AGKG for more information. 

2) Educate your patients on the signs and 

symptoms of acute hepatitis due to any cause, 

which may include fever, fatigue, loss of appetite, 

nausea, vomiting, abdominal pain, dark urine, 

light-colored stools, joint pain, and yellow skin 

or eyes; and the importance of seeking medical 

care. 

3) Maintain a high index of suspicion for non-viral 

hepatitis in your differential diagnosis of acute 

hepatitis in adults and children presenting with 

compatible clinical findings. 

4) Obtain a more detailed exposure history in 

patients when you suspect acute non-viral 

hepatitis. Possible etiologies associated with 

acute non-viral hepatitis include exposure to 

medications, contaminated water or food, 

dietary and herbal supplements, traditional or 

home remedies, wild-growing mushrooms and 

plants, and chemicals such as metals, solvents, 

paint thinners, or pesticides. 

5) Obtain early consultation with and/or referral 

to a gastroenterologist or infectious disease 

specialist for medical workup and management 

of patients with signs and symptoms of acute 

hepatitis. 

6) Contact your local health authority to report 

cases of acute non-viral hepatitis of unknown 

etiology. 

7) Contact your local poison center (1-800-222- 

1222) for information on chemical or druginduced 

liver toxicity and report any cases. 

For Public Health 

1) Please contact CDC via email (NCEHOutbreak@ 

cdc.gov) for case classification criteria, suggested 

reporting guidelines, case investigation forms, 

and other questions. Acute non-viral hepatitis is 

currently not a nationally notifiable disease. Case 

findings may be mainly from clinicians reporting 

who may recognize these illnesses in their 

patients. The forms provided by CDC will help 

prepare public health agencies to receive these 

reports from clinicians. 

2) Consider conducting case-finding activities that 

leverage existing data sources such as hospital 

discharge data, electronic syndromic surveillance 

systems, your local poison center, and other 

applicable surveillance systems. Contact CDC at 

NCEHOutbreak@cdc.gov for guidance on search 

criteria. 

For More Information 

• FDA Investigation 

• FDA Case Reporting: 

o MedWatch 

• Online 

• Paper 

o FDA Consumer Complaints 

• Southern Nevada Health District FAQ 

• American Association of Poison Control Centers 

The Centers for Disease Control and Prevention 

(CDC) protects people's health and safety by preventing 

and controlling diseases and injuries; enhances 

health decisions by providing credible information 

on critical health issues; and promotes healthy living 

through strong partnerships with local, national, and 

international organizations. 

Categories of Health Alert Network messages: 

Health Alert Requires immediate action or 

attention, highest level of importance 

Health Advisory May not require immediate 

action; provides important information for a specific 

incident or situation 

Health Update Unlikely to require immediate 

action; provides updated information regarding an 

incident or situation 

HAN Info Service Does not require immediate 

action; provides general public health information 

##This message was distributed to state and 

local health officers, state and local epidemiologists, 

state and local laboratory directors, public 

information officers, HAN coordinators, and clinician 

organizations##

14 


MNF 100 for 100 

Victor Hugo is credited with the observation that 

there is nothing so powerful as an idea whose time 

has come. Unfortunately, until their time arrives, the 

best ideas can repeatedly fail to launch for decades. 

You may be familiar with the case of James Lancaster, 

an English sea captain who suspected that citrus juices 

prevented scurvy in his sailors (this idea occurred to him 

at a time when scurvy killed more sailors than warfare 

or sea accidents). Today, we know he was correct. As 

early as 1601, he proved his theory with real sailors and 

a control group. Even so, his innovation failed to catch 

on. 

Finally, in 1747 (150 years later), a British Navy 

physician, James Lind, read about Lancaster’s 

experiments & began some of his own. Lind’s 

experiments also proved the theory. It was so 

undeniable, the British Navy ultimately required 

oranges, lemons & limes for sailors on its entire fleet 

of ships, to prevent scurvy among its sailors… in 

1795, nearly 50 years after this re-discovery of James 

Lancaster’s original experiments. 

You may wonder why, in the face of so many 

deaths, when the answer was so simple, it took two 

centuries for this medical innovation to catch on. In 

short, bureaucratic inertia was a major barrier. There 

was evidence that citrus prevented scurvy, but not 

everyone agreed it was a cure. Further, Dr. Lind may 

have been correct, but he was not a prominent figure 

in Navy medicine, so his message was slow to gain 

traction. One thing we know for sure: During the 

intervening 200 years, the Navy adopted numerous 

innovations in shipbuilding & weaponry. It was simply 

not the case that the Navy was averse to innovation in 

general. 

In his seminal work, Diffusion of Innovations, 

Everett Rogers found that for a new idea to be widely 

adopted, it has to meet four basic criteria: 

1. It has to be innovative. 

2. It has to be communicated through certain 

channels. 

3. It has to occur over time. 

4. It has to happen among the members of a social 

system. 

One of the most important roles of the Missouri 

Nurses Association is our promotion of innovation in 

the field of Nursing. One way we do this is by offering 

an Early Career Nurse Innovator Award – an annual 

cash prize for a creative new nurse, who looks at the 

profession with fresh eyes, whose innovative approach 

accomplishes something noteworthy & respectable that 

advances the profession of Nursing & the health of 

Missourians. 

This year, we are using a somewhat innovative 

approach to fundraising for the grant. We are asking 

100 people to donate $100 to support the Early Career 

Nurse Innovator Award. As leaders in the social system 

of Nursing, we believe that by communicating these 

innovative acts to & through our members & our 

colleagues over time, we’re well-positioned to help 

these innovations diffuse in the time-tested manner 

supported by research. We are asking you to visit our 

website & make a $100 donation to our effort, and to 

send this letter to a couple of your friends, encouraging 

them to consider doing the same. 

To give, please visit: https:// 

missourinursesfoundation.org/100for100/ 

With your help, as always, we hope to connect the 

past, improve the present & anticipate the future of 

Nursing in Missouri. 

Thank you, 

Matt Younger, M.S., LNHA 

President, Missouri Nurses Foundation 

Striking a balance between work and life is something we 

all want. Visit us online at lakeregional.com/careers/ourcommunity 

to learn more about the Lake of the Ozarks, 

the Midwest’s premier lake resort destination 

Lake Regional Health System is a growing and 

collaborative health system with a supporting, dynamic 

learning environment. Improving lives is at the center of 

all we do, and we proudly make our days about serving 

others. Learn more at lakeregional.com/careers.


NursingALD.com 

can point you right to that perfect 

NURSING JOB! 

NursingALD.com 

Free to Nurses 

Privacy Assured 

Easy to Use 

E-mailed Job Leads 

Redefining Nursing — 

Reaffirming Our Practice 

Register today for our free Nurses Month webinar, 

Redefining Nursing — Reaffirming Our Practice. 

Introducing the Nursing: Scope and Standards of 

Practice, Fourth Edition, you'll be able to identify 

innovations in nursing and future opportunities, and 

explore changes in select standards and accompanying 

competencies. https://hubs.ly/H0Jl_rQ0 

NOW HIRING 

Nursing Instructor 

Apply online: 

and 

Clinical Nursing Instructor 

www.statetechmo.edu/ 

career-openings/ 

Center for Behavioral Medicine 

Center for Behavioral Medicine (CBM) formerly 

Western Missouri Mental Health Center is an agency 

for the Department of Mental Health. The facility 

is located on Hospital Hill in the heart of Kansas 

City and provides comprehensive psychiatric care to 

patients from Kansas City and the seven surrounding 

counties. CBM currently operates 65 adult acute 

beds and 25 adult residential beds. 

NOW RECRUITING for 

REGISTERED NURSES 

Current MO licensure required. Psychiatric/Mental 

health experience a plus but not required. 

You may fax or email your résumé to (816) 512-7415 

or email cbm.hr@dmh.mo.gov. 

Applications are accepted in Human Resources at: 

Center for Behavioral Medicine 

1000 East 24th Street | Kansas City, MO 64108 

A Drug-Free/Smoke-Free Workplace | EOE

NOW HIRING 

Central Ozarks Medical Centers 

has been providing quality healthcare since 1979. 

COMC believes that everyone deserves 

access to high quality healthcare regardless 

of their insurance status. 

Check out our website at 

www.centralozarks.org 

for our current listing of career 

opportunities.

Missouri Nurse - April 2021

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