The Newsletter of the American Nurses Association–Maine
Quarterly publication distributed to approximately 15,600 RNs and LPNs in Maine.
A Message of Hope in the Time of Covid from the President
Robert Abel, MSN, RN,
CHPH, CCM, CMC
A message of hope in the
time of covid from the ANA-
When will all this end?
When This Will All End…
our world she slumbers
beneath the moon
the midnight sky
her chance to dream
to her Mr. Sandman goes
to us he brings dreams
we remember what was
we think about what is
we imagine what might be
what can be
what will be
In dreams we see those we love
those we have loved
those we will love
Do you think When This Will All End will we love more?
Because When This Will All End
we'll see things we could not imagine
we'll see heroes
we'll see entire nations come together
to honor the bravery of those who showed up
day after day
night after night
to serve them.
We’ll see a world coming out of hibernation from
behind screens and a world that will stop staring
and start again on a life less ordinary
When This Will All End
we'll see waterfalls,
we'll see birds flying high
sun in the sky
and “hey Nina we know how you feel”
with the new dawn
and damn it’ll feel good and
When This Will All End
our hearts will have broken with millions of tiny
but hearts are strong
and they’ll mend
and as they do they'll soldier and soldier
and sow and flow with souls together and these
souls will too be stronger because of this and
When This Will All End
we will be reunited
so now just for a minute let’s imagine it,
the moment you hear that voice again
see that face again
feel that embrace again
and we will embrace the old
the friendly rivals
the rival rivals
those you wouldn't have thought twice about
and we will cry
oh we will cry
fat, hot, wet tears will roll down our faces as we
hold each other tight
and for far too long because
When This Will All End
it won't feel right to ever let go again and
When This Will All End
you'll ask me to dance and I will say “yes let's
for the dawn of a new world
for those we love
for those we've lost
for another chance
and you'll put on your red shoes and dance my blues
away and as we sway you look in my eyes at my soul
reviving, burning, arising
and those fat, hot, wet tears will fall and we will
never ever forget it
and we will never ever let go again
This, This Will All End
From The Phoenix a three-minute short film
produced by Dublin, Ireland creative agency The Tenth
Man and released on YouTube.
current resident or
The Many Roles of the Registered Nurse
Food and Drug Administration authorizes Pfizer’s
COVID-19 vaccine for children ages 5 to 11...6
Book Review for Our Times: The Plague by
Surgeon General’s Report About the Threat of
Dr. Breen Health Care Provider Protection Act....9
Faculty needed to train the next nursing
York County Emergency Management Clinic....10
Membership Application.................................. 11
Page 2 ANA Maine Journal January, February, March 2022
The Many Roles of the Registered Nurse
Deb Gillespie, Ph.D.,R.N. and
Juliana L’Heuerux, B.S. M.H.S.A. R.N.
PORTLAND - A jointly
sponsored educational video
program sponsored by
the University of Southern
Maine School of Nursing
and the American Nurses
Association of Maine (ANA-
Maine), about “The Many
Roles of the Registered
Nurse,” will be available in
February 2022 for students
and professional nurses
to view and learn about
nursing as a career or
opportunities to change
their career paths.
shortages are reported
throughout the U.S. Caring
for the health and wellbeing
of an aging Baby
Boomer generation is
compounding the need for
nurses, especially during the
COVID pandemic with its
variant mutations. Nursing
recruitment and retention are the focus of the February
video program. Prospective students as well as those
who are already licensed will hear from the nurses who
discuss their diverse experiences serving in a variety of
interesting health care organizations specialties.
Nurses who contributed to “The Many Roles of the
Registered Nurse,” edited by USM Assistant Professor
Deb Gillespie, are the program presenters. Dr. Gillespie
edited the academic anthology, written by nurses
who are accomplished in their particular specialties.
A collection of first person experiences are written by
nurses who are specialists in particular areas of clinical
This program will be video-taped, at the University
of Southern Maine, on the Portland Campus on
Monday, February 21, 2022 in room 204, Payson Smith
Hall beginning at 10 AM until 11:30 AM. The video
will be available for free viewing on the USM YouTube
channel. The public is invited to attend the program
live, while it is being video-taped in Payson Smith
Hall on the Portland campus. Masks are required to
be worn by all participants and guests. Strict COVID
prevention protocols will be followed.
This timely program will provide information to
students who are considering nursing as a career, but
want to know more about the profession. Moreover,
experienced nurses will be able to provide information
to those who are considering a career change, but who
want to remain in the profession.
“Nurses who may consider leaving the profession
will learn about the many roles in health care where
they can find professional support, and therefore, apply
their experience to a different specialty,” said Professor
Gillespie. Students who will benefit from hearing the
presentations are freshman nursing students and
undergraduates with an undeclared major.
Nurses who contributed to “The Many Roles of the
Registered Nurse” anthology and who volunteered to
present on video about their experiences are:
Polly Campbell, B.S., is a registered nurse with
over three decades in the field of violence and abuse
prevention working with victims of trauma, and
teaching health care providers and others on care and
treatment of survivors.
Sarah DeCato, MSN, a registered nurse with two
decades of experience in public health.
Jan Fogel, MSN, a registered nurse and vice
president informatics officer at Northern Light Health in
Tricia Foley, BSN, registered nurse at Maine Medical
Center, in Portland.
Deb Gillespie, PhD., registered nurse, and assistant
professor and assistant director of research and
resourses at the University of Southern Maine.
Debra Kramlich, PhD, a registered nurse who is an
associate professor of nursing at the University of New
England, and has five years of experience in school
Juliana L’Heureux, B.S., M.H.S.A., a registered
nurse with twenty years of experience as a health
care administrator including six years as the executive
director of Southern Maine Emergency Medical
Services and is the president-elect of the American
Nurses Association of Maine (ANA-Maine).
Jan Morrissette, MSN, is a board certified advanced
public health nurse with 26 years of experience in
Maine Public Health and is a Robert Wood Johnson
Executive Nurse Fellow.
Rebecca Quirk, MSN, is a registered nurse who
worked at the Barbara Bush Children’s Hospital
Inpatient Unit at Maine Medical Center for almost 30
Linda Samia, PhD., is a registered nurse who has
practiced for 45 years in acute care, home care, and
hospice. Her specialty areas include gerontology,
community heath, and health policy. Dr. Samia has
taught at the University of Southern Maine since 2007,
primarily at the graduate level.
Bonnie Smith, MFA, BSN, is a registered nurse who
has worked at Maine Medical Center in Portland,
Maine in the level I Trauma Center and as an
Emergency Department nurse.
Hilary Speare, B.A., is a registered nurse who
has 25 years of experience in neonatal nursing and
transitioned to home infusion nursing.
More information about this free program
is available by contacting Debra Gillespie at
email@example.com or Juliana L’Heureux at
This program is applying for 1.5 Continuing
Education Units from the American Nurses Association
of Maine. More information will be made available on
the ANA-Maine website at www.anamaine.org and
on the University of Southern Maine School of Nursing
website at https://usm.maine.edu/nursing.
ESM, Inc. IS CURRENTLY OFFERING
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Volume 18 • Number 1
Published by the
AMERICAN NURSES ASSOCIATION-MAINE
a constituent member association of the
American Nurses Association
Web Site: www.anamaine.org
P.O. Box 647
Kennebunk, ME 04043
ANA-MAINE BOARD OF DIRECTORS
Robert Abel, MSN, RN, CHPH, CCM, CMC
Juliana L’Heureux, BS, MHSA, RN
Cynthia Randall, DNP, RN, CHSE
Carla Randall, PhD, RN, CNE
Mary Therese Cully-Onoshko, RN, CHPN
Patricia Eldershaw, PhD (Soc), MSN, RN
Samantha Foss, MBA, MSN, RN, NE-BC
Debra Gillespie, PhD, RN
Director, Cape Elizabeth
Amanda Savage, DNP, MEd, BSN, RN
Contents of this newsletter are the opinion of the
author alone and do not reflect the official position of
ANA-MAINE unless specifically indicated. We always
invite leaders of specialty organizations to contribute.
ANA-MAINE EDITORIAL COMMITTEE
Michelle L. Schweitzer (Editor)
Juliana L’Heureux, BS, RN, MHSA (Co-Editor)
Jean Dyer, PhD, MSN, BSN, CNE
We welcome submissions, but we reserve the right to reject
submission of any article. Send to firstname.lastname@example.org.
CE calendar listings are without charge.
Attribution: We do not knowingly plagiarize. We encourage
our authors to fact check their material but we do not assume
responsibility for factual content of ads or articles.
For advertising rates and information, please contact Arthur
L. Davis Publishing Agency, Inc., PO Box 216, Cedar Falls, Iowa
50613, (800) 626-4081, email@example.com. ANA-Maine 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. Published quarterly every January, April, July
Acceptance of advertising does not imply endorsement
or approval by ANA-Maine 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. ANA-Maine
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
ANA-Maine or those of the national or local associations.
Postal Address corrections: This list of addressees is
obtained from the Maine State Board of Nursing (MSBON)
each issue. To keep your address current for these mailings,
simply notify the MSBON of any needed changes in your postal
Permission must be obtained from ANA-Maine to replicate or
reproduce any content from ANA-Maine Journal.
January, February, March 2022 ANA Maine Journal Page 3
Book Review for Our Times: The Plague by Albert Camus
Reviewed by Juliana L’Heureux, BS, MHSA, RN
“I have no idea what's awaiting me, or what will
happen when this all ends. For the moment I know
this: there are sick people and they need curing.” This
line is spoken by Dr. Bernard Rieux in the novel The
Plague, written by Albert Camus (1947).
Very few books are more worthy for multiple reads
than Albert Camus’s The Plague (or in French La Peste.)
I have read this book two times and still refer to essays
written about the content, because the philosophical
themes in the plot continue to mature over time. Of
course, the story’s pandemic theme is the most relevant
existential theme to consider at this time, being the
public’s response to the COVID-19 pandemic, as it is
impacting on everyone.
Perhaps a simplistic, but succinctly concrete
summary about the book is the fulfillment of the 150
year old French proverb attributed to French writer
Jean-Baptiste Alphonse Karr, who wrote “plus ça
change, plus c'est la même chose – the more things
change, the more they stay the same.”
Albert Camus (1913-1960) is the author of The
Plague. Published in 1947, it tells the story of an
epidemic from the point of view of a narrator, who is
dealing with a plague sweeping the French Algerian
city of Oran. Camus was drawn to his theme because,
in his philosophy, we are all – unbeknownst to us –
already “living through a plague: that is a widespread,
silent, invisible disease that may kill any of us at any
time and destroy the lives we assumed were solid” (ref.
School of Life.com here).
In the novel, Dr. Bernard Rieux is the narrator of
The Plague. He is one of the first people in Oran to
urge that stringent sanitation measures be taken to
fight the rising epidemic. In fact, as the physician who
is dedicated to managing the epidemic, he keeps
statistics about the daily death toll and even projects
the mathematical modeling about trajectory of the
In 1957, the Nobel Prize in Literature was awarded
to Albert Camus "for his important literary production,
which with clear-sighted earnestness illuminates the
problems of the human conscience in our times."
(ref. NobelPrize.org here.) A personal postscript
to this Nobel commentary would italicize “in our
times”, because COVID-19 will be in our times for the
"The Plague" is one of the best literature works by
Albert Camus. It translates the political, economic and
religious context during an epidemic in a secluded
Algerian town. Later, the author reveals the analogy
with the German occupation of France during World
War II. But, in real time, during an actual 21st century
pandemic, the ordeal experienced by the French
Algerian physician, Dr. Rieux, is relatable to the erratic
public response to the COVID-19 crises.
Even if you read La Peste in French or The Plague
in the English translation, a re-read will likely create a
renewed respect for Albert Camus. In addition to being
a Nobel Prize winning writer, he could well be a literary
prophet. His famous novel, the character of Dr. Rieux
and the people who struggle with survival during La
Peste, are very reminiscent of our times.
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Page 4 ANA Maine Journal January, February, March 2022
Influenza options offer coverage across the population
Chad Rittle, DNP, MPH, RN, FAAOHN and
Holly Carpenter BSN, RN
This article was published in the October 2021 edition
of the American Nurse Journal and MyAmericanNurse.
com, and reprinted with the permission of the author
Holly Carpenter, BSN,
In 2020, the incidence of influenza worldwide was
For example, less than 0.4% of respiratory samples
tested positive for flu each week during the 2020–
2021 flu season, according to the Centers for Disease
Control and Prevention (CDC). Experts hypothesize that
this was caused by the high number of flu vaccinations
given, as well as a host of COVID-19 preventive
measures, such as mask wearing, social distancing,
better interior ventilation, closures of schools and other
establishments, reduced travel, better handwashing,
and remaining at home.
Nevertheless, the incidence of influenza this
year likely will be higher compared to last year
because of less stringent COVID-19 precautions and
decreasing natural flu antibodies among the public.
CDC recommends annual influenza vaccination for
everyone six months or older who doesn’t have
contraindications, so nurses should get vaccinated
every year. We also should encourage our patients,
loved ones, and community members to get
vaccinated. Those who are comfortable doing so
should share their experiences of receiving the flu shot
on social media to remind and inspire others. The CDC
recommends getting any licensed, age-appropriate
flu vaccine, with no preference for any vaccine over
In the United States, September and October are
ideal because getting vaccinated too early could mean
reduced effectiveness later in the season. However, the
vaccine should be offered throughout the flu season;
late is better than not at all. Groups most at risk include
individuals older than age 65, those with underlying
health conditions, racial and ethnic minority groups,
children, and pregnant women. Most flu vaccines are
given by injection, although the live attenuated vaccine
is a nasal spray. The quadrivalent vaccine protects
against four different flu strains. The high-dose vaccine
has quadruple the amount of antigen as standard flu
shots and is licensed for those age 65 or older. The
adjuvanted (i.e.- formulated as part of a vaccine to
boost immune responses) flu vaccine ensures a robust
immune response and also is licensed for those 65, or
Cell-based and recombinant flu vaccines are
manufactured without the use of eggs. Each type
of vaccine has information on adverse events,
contraindications, precautions, questions to ask
patients before vaccination, as well as how to
administer it safely. For clinician information, visit cdc.
htm. The strains selected for the 2021–2022 Northern
Hemisphere influenza vaccine include the following:
• For H1N1 coverage, the A/Victoria/ 2570/2019
(H1N1)pdm09-like virus (for eggbased vaccines)
and A/Wisconsin/588/2019 (H1N1)pdm09-like
virus (for cell- or recombinant-based vaccines).
• H3N2 coverage will be the A/Cambodia/
e0826360/2020 (H3N2)-like virus.
• For Influenza B, trivalent and quadrivalent
vaccines will include B/Washington/02/ 2019-like
virus (B/Victoria lineage).
• For quadrivalent vaccines, the B/
Phuket/3073/2013-like virus (Yamagata lineage)
is added to the preceding three strains.
The CDC recommends that pregnant women get
vaccinated during any trimester to protect themselves
and to help protect their babies after birth since
expectant mothers pass antibodies onto developing
fetuses. According to the CDC, flu vaccination has
several benefits, including preventing influenza,
reducing health care visits and the risk of flu-associated
hospitalizations, and preventing complications from
certain chronic conditions. Vaccinations also reduce the
risk of a child dying due to flu, and they protect nurses
and those around us—including our patients.
Chad Rittle is an associate professor at Chatham
University in Pittsburgh, Pennsylvania and a
Pennsylvania State Nurses Association member. Holly
Carpenter is a senior public advisor for the American
January, February, March 2022 ANA Maine Journal Page 5
Faculty needed to train the next nursing generation
Rayna M. Letourneau,
This article by Dr. Rayna M.
Letourneau was published
in The Conversation, an
Permission to republish
articles for free, online or
in print, is allowed under a
Creative Commons license.
Despite a national nursing shortage in the United
States, over 80,000 qualified applications were not
accepted at U.S. nursing schools in 2020, according to
the American Association of Colleges of Nursing.
This was due primarily to a shortage of nursing
professors and a limited number of clinical placements
where nursing students get practical job training.
Additional constraints include a shortage of
experienced practitioners to provide supervision during
clinical training, insufficient classroom space and
inadequate financial resources.
Although the 80,000 may not account for students
who apply to multiple nursing schools, it clearly
suggests that not all qualified students are able to
enroll in nursing school.
As a nurse researcher, professor of nursing and
founding director of WIRES, an office at the University
of South Florida that focuses on the well-being of the
health care workforce. I’ve found that the nursing
shortage is a complex issue that involves many factors
– but chief among them is the shortage of faculty to
train future nurses.
Growing demand for nurses
There are not enough new nurses entering the U.S.
health care system each year to meet the country’s
growing demand. This can have serious consequences
for patient safety and quality of care.
Nationally, the number of jobs for registered nurses
is projected to increase by 9% between 2020 and
Some states project an even higher demand for
registered nurses because of their population and
their needs. Florida, for example, will need to increase
its number of registered nurses by 16% over the next
The U.S. Bureau of Labor Statistics estimates there
will be about 194,500 openings for registered nurses
each year over the next decade to meet the demands
of the growing population, and also to replace nurses
who retire or quit the profession. This means the U.S.
will need about two million new registered nurses by
In addition to a shortage of registered nurses,
there is also a shortage of nurse practitioners. Nurse
practitioner is identified as the second fastest-growing
occupation in the next decade, after wind turbine
technicians, with a projected increase of 52.2%.
Nurse practitioners have an advanced scope of
practice compared with registered nurses. They must
complete additional clinical hours, earn a master’s or
doctoral degree in nursing, and complete additional
certifications to work with specific patient populations.
As the COVID-19 pandemic has exacerbated, the
health and wellness problems of the nursing workforce.
Despite these problems, student enrollment in nursing
schools increased in 2020. The pandemic has not
turned people away from wanting to pursue a career in
nursing. However, without enough nursing faculty and
clinical sites, there will not be enough new nurses to
meet the health care demands of the nation.
Need for more nursing faculty
Currently, the national nurse faculty vacancy rate
is 6.5%. This is slightly improved from the 2019 rate
of 7.2%. More than half of all nursing schools report
vacant full-time faculty positions. The highest need is in
nursing programs in Western and Southern states.
Nursing education in clinical settings requires smaller
student-to-faculty ratios than many other professions in
order to maintain the safety of patients, students and
faculty members. Regulatory agencies recommend at
least one faculty member to no more than 10 students
engaged in clinical learning.
Moreover, the faculty shortage is also affected by
the fact that many current nursing faculty members are
reaching retirement age. The percentage of full-time
nursing faculty members aged 60 and older increased
from roughly 18% in 2006, to nearly 31% in 2015.
The American Association of Colleges of Nursing
reports the average ages of doctorally prepared nurse
faculty members at the ranks of professor, associate
professor and assistant professor were 62.6, 56.9 and
50.9 years, respectively.
Another factor that contributes to the nursing
faculty shortage, and the most critical issue related
to faculty recruitment, is compensation. The salary of
a nurse with an advanced degree is much higher in
clinical and private sectors than it is in academia.
An American Association of Nurse Practitioners
survey reported the median salary of a nurse
practitioner, across settings and specialties, is $110,000.
By contrast, the AACN reported in March 2020, that
the average salary for master’s-prepared assistant
professors in nursing schools was just under $80,000.
Fixing the faculty shortage
Innovative strategies are needed to address the
nursing faculty shortage. The Title VIII Nursing
Workforce Reauthorization Act of 2019 was a
start. The act provides funding for nursing faculty
development, scholarships and loan repayment for
nurses, and grants for advanced nursing education,
nursing diversity initiatives and other priorities.
The Build Back Better Act that passed the U.S.
House of Representatives in November 2021 includes
funding to help nursing schools across the country
recruit and retain diverse nursing faculty and enroll and
retain nursing students. The act is now before the U.S.
In addition to national strategies, individual
states are addressing the shortage at the local level.
Maryland, for example, awarded over $29 million in
grants to 14 higher education institutions with nursing
programs in Maryland to expand and increase the
number of qualified nurses.
Finally, offering faculty salaries comparable to those
in clinical settings may attract more nurses to use their
expertise to train and expand the next generation of
health care workers.
Rayna M. Letourneau, Ph.D., R.N., is an assistant
professor of nursing at the University of South Florida
College of Nursing.
Dr. Rayna M. Letourneau is an assistant professor
at the University of South Florida College of Nursing.
She earned her Bachelor of Science in Nursing and
Master of Science in Nursing Administration from
the University of Rhode Island in 2002 and 2008,
respectively. In 2017, she earned her PhD in Nursing
from the University of Massachusetts Dartmouth.
Page 6 ANA Maine Journal January, February, March 2022
Food and Drug Administration authorizes Pfizer’s COVID-19
vaccine for children ages 5 to 11
A pediatrician explains how the vaccine was tested for safety and efficacy.
Debbi-Ann Shirley, MD, MPH
Note: This article is republished from in The
Conversation, under a Creative Commons license.
Elementary school children in the United States will
have one more layer of protection to keep them safe
On Oct. 29, 2021, the Food and Drug Administration
authorized emergency use of the Pfizer-BioNTech
COVID-19 vaccine for children ages 5 to 11. The move
came after a tense and careful deliberation of its key
scientific advisory committee, on Oct. 26, 2021, in
which members voted 17-0 to authorize the Pfizer shot,
with one abstention.
After the CDC issues its recommendation, the
28 million eligible U.S. children in this age group
will have the opportunity to receive the Pfizer shot
through health departments, medical institutions,
doctor’s offices and pharmacies, as well as school and
The FDA authorization is given after months of
pediatric clinical trial investigation involving about
4,500 children ages 5 to 11. Pfizer released new data
on Oct. 22, 2021, stating that its vaccine is almost 91%
effective at preventing COVID-19 in that age group,
with similar tolerability and antibody responses to that
seen in older age groups.
Moderna has also released preliminary results
showing that its low-dose vaccine is safe and produces
a strong immune response in children ages 6 to 11
years. It plans to submit data to the FDA for review
As a pediatrician specializing in infectious diseases, I
have worked closely on many aspects of the COVID-19
response at the University of Virginia. I have helped
care for children with severe COVID-19 and also
observed the burden of the pandemic on children and
their families. Vaccines, which work by teaching your
immune system to make disease-fighting antibodies
without giving you the actual disease, have emerged
as the most important tool that we currently have to
prevent severe COVID-19.
The COVID-19 vaccine was tested for efficacy and
safety on children and access to these shots could alter
the impact of COVID-19 for American kids.
The risks of COVID-19 in school-age children:
The FDA advisory committee openly grappled with the
risks and benefits of the vaccine and the weightiness
of the decision for younger children. Ultimately, it
concluded that parents should be presented with the
option to vaccinate their kids against COVID-19. One
committee member – Centers for Disease Control and
Prevention vaccine expert Amanda Cohn – noted that
COVID-19 was the eighth-highest killer of kids in the
5-11 age group over the past year. She pointed out that
children are continuing to be hospitalized and to die
or otherwise suffer adverse long-term effects from a
largely vaccine-preventable disease.
As of Oct. 21, 2021, more than six million American
children tested positive for COVID-19. Cases in children
rapidly increased during the delta variant surge, which
coincided with the opening of in-person school across
much of the country. Children now account for a
quarter of new weekly cases.
While severe disease and hospitalization from
COVID-19 are far more rare in children than in adults,
intensive care admission and the need for invasive
ventilation do occur in children. There have been over
1.9 million COVID-19 cases in children ages 5 to 11,
with nearly 100 deaths.
Rates of COVID-19 hospitalization among children
and adolescents rose to the highest rates ever in
August and September 2021, with over 8,300 children
in the 5-11 age group hospitalized since the beginning
of the pandemic. Many children hospitalized with
COVID-19 have underlying medical conditions, but onethird
of them do not.
Additionally, more than 5,200 children have been
diagnosed with the rare but serious condition called
multisystem inflammatory syndrome in children, or
MIS-C, in the weeks after COVID-19 infection. MIS-C
can cause inflammation of the heart, brain, skin, gut
and other organs, requiring hospitalization and often
intensive care. The syndrome most commonly occurs in
children 6 to 11 years of age.
The pandemic has also harmed children’s social,
emotional and mental well-being and delayed their
education progress. Safe and effective vaccines are
one of the most promising ways that children can be
protected from COVID-19, prevent spread and have
as little disruption as possible in their schooling and
Summer Camp Positions
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January, February, March 2022 ANA Maine Journal Page 7
COVID-19 vaccine development for children
Before use in the general public, all vaccines go
through rigorous phases of testing starting with preclinical
studies in the laboratory and in animals. Then
they must go through three phases of clinical studies
in people, allowing investigators and regulators to
evaluate the vaccine’s safety at each stage before
moving on to test it in larger numbers of people.
Once a vaccine is shown to be safe and effective
in adults, trials move on to children, who may differ
in their reactions and immune response to vaccines.
Going down stepwise by age, Pfizer studied children
ages 12 to 15 before the younger age groups. The FDA
expanded its emergency authorization of the Pfizer
COVID-19 vaccine to include that age group in May
2021. In adolescents ages 12 to 18, the vaccine was
shown to reduce hospitalizations by 93% from June
through September 2021.
Monitoring for vaccine safety continues. This allows
very rare side effects not seen in large late-phase trials
to be detected and investigated. Safety surveillance
with the COVID-19 vaccines following authorization in
adults and older adolescents ages 16 and up quickly
identified a rare increase in inflammation of the heart
known as myocarditis following COVID-19 vaccines,
particularly in young males. Most patients responded
well to supportive care and rapidly improved.
Myocarditis can also occur with COVID-19 or as a
complication of multisystem inflammatory syndrome.
In fact, the Pfizer trial for those under age 12 began
with three different doses; ultimately, researchers
determined the optimal dosage for children ages 5
to 11 to be one-third of the dose given to adults and
adolescents and administered as a two-shot regimen
three weeks apart.
No serious side effects related to the vaccine, and
no cases of myocarditis were reported. The Pfizer data
also showed that the vaccine in that age group seems
to provide similar high levels of protective antibody
responses to those seen in older age groups. And
the antibodies produced demonstrated an ability to
neutralize the delta variant.
Ongoing studies will continue to follow vaccinated
children closely for safety and to provide more insight
into the durability of immunity. The results of the Pfizer
vaccine trial for the younger two age cohorts, those
two to five years and six months to two years, are
expected later this year. Testing of the Moderna and
Johnson & Johnson vaccines in clinical trials in children
is also underway.
Given that the pediatric clinical trial data show
the overall benefits outweigh risks in this age group,
I look forward to being one step closer to offering
the COVID-19 vaccine to newly eligible children and
their families if the CDC recommendations make this
Author Debbie-Ann Shirley, MD, MPH, is a boardcertified
pediatrician in the University of Virginia
(UVA) Department of Pediatrics and head of the UVA
Division of Pediatric Infectious Disease. She specializes
in diagnosing and treating infections in children, with a
special interest in global health.
Page 8 ANA Maine Journal January, February, March 2022
Surgeon General’s Report About the Threat of Health
U.S. Surgeon General Issues Advisory During COVID-19 Vaccination Push Warning American Public About
Threat of Health Misinformation
U.S. Surgeon General Dr. Vivek Murthy is issuing the
first Surgeon General's Advisory of this Administration
to warn the American public about the urgent threat of
health misinformation. Health misinformation, including
disinformation, have threatened the U.S. response to
COVID-19 and continue to prevent Americans from
getting vaccinated, prolonging the pandemic and putting
lives at risk, and the advisory encourages technology and
social media companies to take more responsibility to stop
online spread of health misinformation.
During the COVID-19 pandemic, Americans have
been exposed to a wide range of misinformation about
masks and social distancing, treatments, and vaccines.
As of late May, 67% of unvaccinated adults had heard
at least one COVID-19 vaccine myth and either believed
it to be true or were not sure of its veracity. Health
misinformation has already caused significant harm,
dividing families and communities and undermining
vaccination efforts. An analysis of millions of social
media posts found that false news stories were 70
percent more likely to be shared than true stories.
And a recent study showed that even brief exposure
to misinformation made people less likely to want a
"Health misinformation is an urgent threat to
public health. It can cause confusion, sow mistrust,
and undermine public health efforts, including our
ongoing work to end the COVID-19 pandemic,"
said U.S. Surgeon General Dr. Vivek Murthy. "As
Surgeon General, my job is to help people stay safe
and healthy, and without limiting the spread of health
misinformation, American lives are at risk. From the
tech and social media companies who must do more
to address the spread on their platforms, to all of us
identifying and avoiding sharing misinformation,
tackling this challenge will require an all-of-society
approach, but it is critical for the long-term health of
Health misinformation is information that is false,
inaccurate, or misleading according to the best
available evidence. It is not a recent phenomenon, and
persistent rumors about HIV/AIDS for decades have
undermined efforts to reduce infection rates in the
U.S. During the Ebola epidemic, misinformation spread
rapidly on social media. A 2014 study - PDF found that
Ebola-related tweets that contained misinformation
were more likely to be politically charged and have
content promoting discord.
This advisory lays out how the nation can confront
health misinformation by helping individuals,
families, and communities better identify and limit its
spread, and issues a number of ways institutions in
education, media, medicine, research, and government
stakeholders can approach this issue. It also
underscores the urgent need for technology and social
media companies to address the way misinformation
and disinformation spread on their platforms,
threatening people's health.
Surgeon General's Advisories are public statements
that call the American people's attention to a public
health issue and provide recommendations for how
it should be addressed. Advisories are reserved for
significant public health challenges that need the
American people's immediate attention.
Read the full Surgeon General's Advisory here:
For more information about the Office of the Surgeon
General, please visit: www.surgeongeneral.gov.
Portland Sea Dogs Host Nurse
Appreciation Night at the
We have openings in:
Community Living Center
(Recruitment incentives up to $15K
for some positions)
Melissa Lasley, RN
VA Maine Healthcare System
Building 203, Room 307B
1 VA Center | Augusta, ME 04330
Join ANA-Maine at the
Portland Sea Dogs Nurse
Appreciation Day on May 6, 2022
On Friday, May 6th, The Portland
Sea Dogs are pleased to welcome
nurses to be recognized before the
game against the Reading Fightin'
Phils. We appreciate all that nurses
do and especially their efforts over
the past two years.
We welcome all nurses to the
field during our pregame to be
honored in front of the Hadlock
crowd. (on-field recognition subject
to current state, local and league
The game is scheduled for 6:00
PM and the gates will open at 4:30
To be recognized on the field, please check in at the first base gate by 5:10 PM
Ticket Prices for this special event:
General Admission: $6.00*
Reserved seating: $8.00*
*+$2.00 processing fee per order
Visit www.anamaine.org to purchase your tickets.
For orders of 10 or more tickets, please call the ticket office at 207-879-9500 and
ask for Alan.
If you have any questions, please email Abarker@seadogs.com for more
We look forward to seeing you at the ball game!
January, February, March 2022 ANA Maine Journal Page 9
Dr. Breen Health Care Provider Protection Act
Zachary Levine and
ANA- SILVER SPRING,
MD- SILVER SPRING, MD
— The American Nurses
Association (ANA) hails the
passage of the Dr. Lorna
Breen Health Care Provider
Protection Act (S. 610/H.R.
1667) by the U.S. House
of Representatives. This
bipartisan legislation will
Dr. Lorna M. Breen
direct $140 million in funds from the American Rescue
Plan Act (H.R. 1319) to train current and future health
professionals on how to prevent suicide, burnout, and
substance use disorders. The legislation will be sent
back to the Senate, which passed the bill this summer,
to approve the final text. The bill is named for Dr.
Lorna Breen, who tragically died by suicide after being
consumed by feelings of helplessness and despair while
treating COVID-19 patients.
Key provisions in the bill will establish a national
evidence-based education and awareness initiative to
encourage health care professionals to seek support
and care for their mental health and substance use
concerns. This initiative will also teach health care
professionals how to identify and respond to the
risk factors associated with suicide, mental health
issues, and substance use disorders while reducing
the stigma associated with seeking help for them. A
reporting mandate also requires the Secretary of Health
and Human Services to provide an update on the
progress of this initiative to the Committee on Health,
Education, Labor, and Pensions of the Senate and the
Committee on Energy and Commerce of the House of
Representatives no later than two years after the bill is
“I am pleased that the U.S. Congress recognizes
the importance of this legislation and is committed
to investing in the mental health of our nursing and
health care workforce,” said ANA President Ernest
J. Grant, PhD, RN, FAAN. “Our nation’s nurses have
been working under extraordinary duress created by
the COVID-19 pandemic for nearly two years, and this
legislation will provide critical resources and programs
to help relieve suffering from fatigue, burnout, and
depression. Thank you to Representatives Susan Wild
(D-PA) and David McKinley (R-WV) for their unwavering
leadership, and to all the members of Congress who
supported this bill.”
ANA is committed to advocating for the needs of
nurses and supporting their mental health and wellbeing.
According to a survey of more than 9,500 by
the American Nurses Foundation (the Foundation)
in October of 2021, close to half (42%) of nurse
respondents answered “yes,” when asked if they have
had an extremely stressful, disturbing, or traumatic
experience due to COVID-19. ANA’s Nurse Suicide
Prevention website offers resources, toolkits, and
information to mitigate the risk of nurse suicide. The
Foundation has developed the Well-being Initiative, a
collection of resources designed to help nurses take the
necessary steps to manage the stress and overcome the
trauma caused by COVID-19.
Dr. Lorna M. Breen, was the medical director of the
emergency department at New York-Presbyterian Allen
Hospital. She died in Charlottesville, VA, where she was
staying with family, her father said in an interview. Dr.
Breen, 49, did not have a history of mental illness, her
father told The New York Times.
COVID in Maine message from
Maine Senator Angus King
Senator Angus King
This message was published in the December, 2021, newsletter by Senator Angus
King: Protect yourself and your loved ones. It is roughly twenty months into the
pandemic, and COVID-19 is as great a threat to Maine people as it has ever been.
Indeed, the Omicron variant has been driving record highs in both new cases
and hospitalizations, taking lives and putting Maine’s most vulnerable citizens in
Moreover, I fear the risks to health have the potential to become even greater.
This dangerous surge is stretching the capacity of Maine’s hospitals and healthcare
providers and threatening to affect vital care for Mainers who have non-COVID
related needs. We can’t keep traveling down this path – with cold weather setting
in, it is absolutely critical that Maine people take steps to protect themselves and
reduce the danger of spreading the virus.
The most effective way to reduce your risk is simple: get vaccinated. It is clear at
this point that we are fighting two different wars against this virus – one by those
who have been vaccinated and have resiliency, and one by those who have yet to
get this proven protection and are at far greater risk of serious illness.
Hospitals across Maine are reporting that the overwhelming majority of
hospitalized COVID-19 patients are unvaccinated – and unvaccinated people
make up an even larger share of patients in ICUs and on ventilators. Getting your
vaccine – and, when possible, your booster – is the most effective way to prevent a
potentially life-threatening case of COVID-19.
Also, I urge Maine people to continue to wear masks while indoors and in close
proximity to others, whether they are vaccinated or not. We all want to take off the
masks, but it’s a small sacrifice to keep yourself and your loved ones safe.
I know that many of us want to be done with the pandemic – but it is clear that
the pandemic is not yet done with us.
Maine people must take the safe, proven and commonsense steps that will
protect ourselves, our loved ones and our communities from infectious COVID and
the Omicron variant.
Page 10 ANA Maine Journal January, February, March 2022
York County Emergency
Thank you Patricia Boston, R.N., past president of ANA-Maine and Betsy Martin,
R.N., for administering COVID vaccines at the York County Maine Emergency
Management clinic in Sanford. They gave the Moderna, and both adult and
pediatric Pfizer to all who were eligible. The Johnson and Johnson vaccine has
been available for those who requested it. For information check https://www.
yorkcountymaine.gov/emergency-management. Other CDC vaccine clinics are open
in Maine. Check the CDC web site.
Ask Your Organization
My name is Denise and I am currently enrolled in the Husson University Masters
One of my current classes is Public Health Policy Issue and Challenges.
In this course, I have learned that one way a nurse can be involved in policy
advocacy is to be a member of a professional nursing association. I have learned
that there is strength in numbers at state and national levels. How can your
association help me realize my potential to influence health outcomes?
Thank you for your time.
The short answer to your question: ANA-Maine is a membership organization
that provides its constituency practice-based webinars, evidence-based resources, a
quarterly published journal/newsletter, and access to experts in the field. In addition,
our up-to-date website enables you to remain current with legislative practice-based
initiatives in Maine, educational opportunities, job opportunities, and current ANA
Enterprise member services. All of these resources have the potential to enable you
to influence population health outcomes in Maine.
Please let me know if I can be of any further assistance.
Jean, ANA-Maine Executive Director
I am currently a Registered Nurse in my graduate program at Husson University.
I am working hard to become a Family Nurse Practitioner and are almost finished
with my online schooling. I am currently enrolled in Public Health Policy and
Challenges course. I am looking to interview the president of MSNA, Coralie Giles
for less than 15 minutes about policy advocate. If she could please take the time to
call me or if easier respond to the question below:
In this course I have learned that one way a nurse can be involved in policy
advocacy is to be a member of a professional nursing association. I have learned
that there is strength in numbers at state and national levels. How can your
association help me realize my potential to influence health outcomes?
Please leave your full name and credentials so I can reference your response in
APA format with reference.
I appreciate the time you give me either with a phone call or email back.
Thank you for contacting ANA-Maine. We are not MSNA (which is a union). We
are a membership organization under the American Nurses Association for Maine
(not a union). Would you want our president's information (Robert Abel) or are you
interested in speaking with the union president?
Jean Dyer, ANA-Maine Executive Director
Come Join Our Team!
NURSES OF ALL EXPERIENCE
Be at the forefront of innovative mental
health care. Expand your knowledge base and
acquire new skills. Our nurses work closely
with our experienced physicians and are fully
supported by a team of clinical social workers,
rehabilitation, acuity specialist, mental health
workers and more.
To access electronic copies of the
ANA Maine Journal, please visit
Great benefit packages, including $200
monthly student loan reimbursement
Multiple shift options available.
APPLY ONLINE (HOSPITAL WIDE OPENINGS):
If you have questions or would like to speak with our nursing recruiter
Kelly Flagg | Kelly.firstname.lastname@example.org | 207-624-4785
January, February, March 2022 ANA Maine Journal Page 11
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Registered Nurse (Medical
Surgical Unit) Full-Time Days
Northern Light Mayo Hospital is currently seeking a Registered
Nurse in our Medical Surgical Unit for 36 hours per week. This
position will be for 7:00 a.m. – 7:30 p.m.
Please apply online at www.northernlighthealth.org
There aren’t enough ways to
say “thank you” for all you have
done these past two years