Maine Journal - January 2022




The Newsletter of the American Nurses Association–Maine

Quarterly publication distributed to approximately 15,600 RNs and LPNs in Maine.


President’s Message

A Message of Hope in the Time of Covid from the President

Robert Abel, MSN, RN,


President, ANA-Maine

A message of hope in the

time of covid from the ANA-

Maine President.

When will all this end?

When This Will All End…

She sleeps,

our world she slumbers

beneath the moon

the stars

the midnight sky

She sleeps,

her chance to dream

to her Mr. Sandman goes

to us he brings dreams

fever dreams

In 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

jaded and

bloody and

exhausted and

sick and

tired and

glittering and


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

new day

new life

and damn it’ll feel good and

When This Will All End

our hearts will have broken with millions of tiny

shattered tears

but hearts are strong

and they’ll mend

and as they do they'll soldier and soldier

and grow

and flourish

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 young

the family

the friends

the friendly rivals

the rival rivals

those you wouldn't have thought twice about

touching before

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

Presort Standard

US Postage


Permit #14

Princeton, MN



The Many Roles of the Registered Nurse

Education Program.......................................2

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

Albert Camus...............................................3

Surgeon General’s Report About the Threat of

Health Misinformation..................................8

Influenza Prevention..........................................4

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

Education Program

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.

Registered nurse

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

Deb Gillespie

Juliana L’Heuerux

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

Brewer, Maine.

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 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 and

on the University of Southern Maine School of Nursing

website at



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Volume 18 • Number 1

Published by the


a constituent member association of the

American Nurses Association


Web Site:

P.O. Box 647

Kennebunk, ME 04043


Robert Abel, MSN, RN, CHPH, CCM, CMC

President, Portland

Juliana L’Heureux, BS, MHSA, RN

President-Elect, Topsham

Cynthia Randall, DNP, RN, CHSE

Treasurer, Gray

Carla Randall, PhD, RN, CNE

Secretary, Auburn

Mary Therese Cully-Onoshko, RN, CHPN

Director, Union

Patricia Eldershaw, PhD (Soc), MSN, RN

Director, Mapleton

Samantha Foss, MBA, MSN, RN, NE-BC

Director, Medford

Debra Gillespie, PhD, RN

Director, Cape Elizabeth

Amanda Savage, DNP, MEd, BSN, RN

Director, Hampden

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.


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

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, 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

and October.

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

mailing address.

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 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. here.) A personal postscript

to this Nobel commentary would italicize “in our

times”, because COVID-19 will be in our times for the

foreseeable future.

"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 Prevention

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

and ANA.

Chad Rittle

Holly Carpenter, BSN,


In 2020, the incidence of influenza worldwide was

unprecedentedly low.

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

Nurses Association.

January, February, March 2022 ANA Maine Journal Page 5

Faculty needed to train the next nursing generation

Rayna M. Letourneau,

Ph.D., R.N.

This article by Dr. Rayna M.

Letourneau was published

in The Conversation, an

electronic newsletter.

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

from COVID-19.

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

community-based sites.

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

everyday life.

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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.

Next steps

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

Juliana L’Heureux

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

COVID-19 vaccine.

"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

our nation."

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:

Portland Sea Dogs Host Nurse

Appreciation Night at the

Hadlock Field

We have openings in:

Float Pool


Community Living Center

(Recruitment incentives up to $15K

for some positions)


Melissa Lasley, RN

Nurse Recruiter

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 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 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

Keziah Proctor



— 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

Management Clinic

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. Other CDC vaccine clinics are open

in Maine. Check the CDC web site.

Ask Your Organization

Hello Jean,

My name is Denise and I am currently enrolled in the Husson University Masters

Nursing program.

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.



Hi Denise,

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.


Hello April,

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!




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.


If you have questions or would like to speak with our nursing recruiter

Kelly Flagg | | 207-624-4785

January, February, March 2022 ANA Maine Journal Page 11


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