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Vermont Nurse Connection - February 2022

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ANA-<strong>Vermont</strong><br />

Official Publication<br />

Quarterly Publication sent to 19,500 Registered <strong>Nurse</strong>s,<br />

Volume 25 • Number 2 LPNs, and LNAs in <strong>Vermont</strong><br />

<strong>February</strong>, March, April <strong>2022</strong><br />

current resident or<br />

Legislative Update<br />

Page 4<br />

ANA Leadership Summit<br />

Page 11<br />

<strong>Nurse</strong> Survey Results &<br />

Pre-Session Gathering 2021<br />

Page 12<br />

Presort Standard<br />

US Postage<br />

PAID<br />

Permit #14<br />

Princeton, MN<br />

55371<br />

Jessilyn Dolan<br />

At times I joke around saying that I just learned how to vote<br />

a few years ago. Of course that’s an exaggeration, but it's not<br />

too far from the truth. In the past, I never paid much attention<br />

to politics, avoided political conversations, and pretended that<br />

what I didn't know didn't hurt me. Fast forward a few years to<br />

show the growth I’ve experienced in the political and advocacy<br />

arena. I now spend a huge chunk of my time poring over the<br />

<strong>Vermont</strong> legislative website, watching the schedule, trying<br />

to see what bills are new or being discussed and identifying<br />

bills that need support and testimony. What my current<br />

actions say to me, and hopefully can inspire and show others,<br />

is that anyone can get involved at any point, and as nurses,<br />

we sure need to pay attention. <strong>Nurse</strong>s can and do make a<br />

huge difference advocating for patients and our own nursing<br />

rights. Many nurses think they don't have the understanding,<br />

knowledge, or time to do advocacy work. Many nurses think<br />

engaging in politics will be stressful or intimidating.<br />

But look at us - we’re NURSES! We are well-educated<br />

professionals who care for the sick and injured. We are equal<br />

partners within a care team. We comfort families. We deal<br />

with broken bones and bodily fluids. We are present for birth,<br />

death and some of the most intense experiences life can dish<br />

out. Nursing is also considered the most trustworthy of all<br />

professions by our clients and patients and their families. As<br />

<strong>Vermont</strong> nurses, we garner enormous respect, and we need to<br />

use our voices, and speak up even louder for the wellness and<br />

quality of life for all <strong>Vermont</strong>ers.<br />

Now, while I’m still fairly new to political advocacy work,<br />

I’ve got enough experience under my belt that I can share a<br />

little information and advice for other nurses looking to get<br />

more involved. Remember, you don’t have to do everything all<br />

at once. Political advocacy is a long game - punctuated by some<br />

highly charismatic moments. It’s appropriate to take your time<br />

to get prepared.<br />

Getting Involved<br />

You may find you are responding in your head or out loud<br />

to an article in the newspaper or a television story that piqued<br />

your interest. Look at your state government's website for<br />

any bill-related legislation. Often you can type a keyword or<br />

phrase in the search bar and get a list of all the current bills,<br />

their sponsors, and which committee is actively looking at the<br />

legislation. Bills often pass from committee to committee.<br />

Even if you’re focusing on one bill in particular, it’s still helpful<br />

to understand any other related or conflicting bills.<br />

Try to get to know a little bit about your representatives<br />

and their staff. Find out their stance on the particular bill<br />

in question, if they’re sponsoring or co-sponsoring<br />

any bills, or if they actively oppose any particular<br />

legislation. You never know where folks are going to<br />

stand. For example, one of my local representatives is<br />

a quality assurance officer and doctor specializing in<br />

high risk pregnancy, and is generally against integrative<br />

and alternative medicine. The other representative is<br />

a licensed social worker and therapist who supports<br />

integrative and alternative medicine. The approach to<br />

each of them is the same, but the advocacy aspect is<br />

stronger towards the doctor because the argument of<br />

my viewpoint is to change their usual stance. The thing<br />

is, even if your legislators disagree with you, don’t ever<br />

completely write them off. They work for you, and<br />

it’s their job to listen to what you have to say and take<br />

your views into consideration. So, always be polite and<br />

Advocacy<br />

respectful. After all, they might agree with you on something<br />

else you care about. Think of this as building a professional<br />

relationship which has the potential to operate on multiple<br />

fronts over time.<br />

Taking Action<br />

Get In Touch<br />

Understand that our state and federal legislators are busy<br />

and are usually not picking up the phone when you call or<br />

personally responding to your concerns. Often, you leave<br />

a voicemail or talk to an aid who takes notes. It will not be a<br />

political debate with someone on the other line. Your emails<br />

are also reviewed by aides. Most representatives have an online<br />

presence that makes it easy to leave a comment. They also<br />

need to hear when you agree with their position and advocacy.<br />

Local representatives are people you see in your stores, around<br />

town, and affect what occurs in your town. Stopping one of<br />

them in the grocery aisle to talk about an issue might not be<br />

appropriate, but asking for a time to call to discuss an issue is<br />

respectful.<br />

Dialogue can be conducted by phone, their online site, or<br />

email (see the basic email template below). If you don’t know<br />

your legislator and their stance on a particular issue, start by<br />

introducing yourself as a constituent and asking about their<br />

position. If they don’t have a position yet - and many don’t<br />

- this is a great opportunity to educate them, and set yourself<br />

up as a resource for when they want to learn more. If they<br />

oppose something you support, don’t worry. You still have an<br />

opportunity to shift or soften their thinking. So be polite and<br />

explain your personal stance on the issue. If your legislator<br />

sponsored or co-sponsored a bill you support, thank your<br />

representative as a great way to make a connection.<br />

Note: Facts are valuable for framing and supporting<br />

arguments, but personal stories have much more emotional<br />

impact. Be sure to include both.<br />

Testify<br />

This is NOT as scary as you might think! After all,<br />

legislators are public servants who represent you. You’re their<br />

boss. You pay their salary. You can vote them out of office.<br />

You have every right to speak about legislation you consider<br />

important. However, it’s also vital to do your homework and<br />

make sure you know the details of the bill - as well as any other<br />

relevant bills which might come up during your testimony.<br />

How To Get A Speaking Slot<br />

To receive a slot to speak to a committee or congress:<br />

• Contact your state representatives and ask if they can<br />

help you get a slot to testify. This is when knowing their<br />

stances on the bill are helpful. For example, I would<br />

never ask my anti-cannabis representative for help<br />

testifying on a cannabis-related bill.<br />

• Contact the sponsor of the bill and ask them for a slot.<br />

Let them know who you are, what you want to say, and<br />

why you would be a good person for them to listen to.<br />

• Contact the American <strong>Nurse</strong>s Association in <strong>Vermont</strong><br />

(ANA-<strong>Vermont</strong>) board or chair of their government<br />

affairs committee, which currently is me. They might<br />

also have ideas that can help you.<br />

• Depending on the bill and their stance, you may contact<br />

the <strong>Vermont</strong> Board of Nursing.<br />

President’s Letter continued on page 10


Page 2 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

Seasons Greetings<br />

Meredith Roberts, RN, PhD<br />

ANA-VT Executive Director<br />

We so hoped it would be over by now. The pandemic<br />

stretches on and on, with variants such as Delta, and now<br />

Omicron, and people continue to die; yet at death “it is<br />

change, not destruction, which takes place” (Florence<br />

Nightingale)<br />

People who used to see us as heroic, no longer cheer us<br />

and instead get angry at us for quarantine rules. Are we<br />

less heroic now? Christopher Reeve defined a hero as “an<br />

ordinary individual who finds the strength to persevere<br />

and endure in spite of overwhelming obstacles.” <strong>Nurse</strong>s<br />

are heroic.<br />

In spite of our weariness and frustration at those not<br />

vaccinated, nurses continue on, often putting ourselves in<br />

harm’s way. As we prepare for the holidays, feeling more<br />

tired than usual, we think of spiritual leaders, some of<br />

whom were condemned for their actions. They also got<br />

tired, sad, and worse, yet gave comfort. We recognize that<br />

the way of enlightened leaders and those who inspire is not<br />

an easy path. Having the courage to continue counts. We<br />

choose to keep walking, though we are tired, following<br />

Eleanor Roosevelt’s advice to “do the things you think you<br />

cannot do.”<br />

Sometimes we need to take a break to recharge and<br />

remember who we are, rebuilding our strength. We must<br />

nurture ourselves, not just others, or we will not stay well,<br />

mentally, spiritually, or physically. Over the holidays, take<br />

time with family and friends. Helen Keller knew, “The<br />

best and most beautiful things in the world cannot be seen<br />

or even touched - they must be felt with the heart.” We can<br />

choose to embrace joy, to be kind, and to carry our lamp<br />

If you wish to submit a “Letter to the Editor,” please<br />

address it to:<br />

ANA-<strong>Vermont</strong><br />

Attn: <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong><br />

4 Carmichael Street, Suite 111, #215<br />

Essex, VT 05452<br />

Please remember to include contact information,<br />

as letter authors may need to be contacted by the<br />

editors of the VNC for clarification. NOTE: Letters to<br />

the Editor reflect the opinions of the letter authors<br />

and should not be assumed to reflect the opinions<br />

of the ANA-<strong>Vermont</strong>.<br />

Jean Graham, Editor<br />

Opportunity Awaits<br />

REGISTERED NURSES<br />

Emergency Department<br />

IPCU<br />

Specialty Clinic<br />

Psychiatric Inpatient<br />

Adult Day Program<br />

To view all current job<br />

opportunities, and to apply<br />

please go to:<br />

https://<br />

springfieldhospital.org/<br />

careers/<br />

Equal Opportunity Employer<br />

that spreads light, so people can find their way. “Every day<br />

you are alive is a special occasion. Every minute, every<br />

breath, is a gift from God” (Mary Manin Morrissey).<br />

New Year’s Eve will be a new starting place, and after<br />

seeing the past, we are not afraid of tomorrow. No one<br />

is guaranteed tomorrow, so fully live each day. Thrive,<br />

dream, and notice the extraordinary. Pearl Bailey notes<br />

“People see God every day, they just don't recognize<br />

him”. Florence Nightingale believed: the greatest heroes<br />

are those who do their duty in the daily grind of domestic<br />

affairs whilst the world whirls as a maddening dreidel.”<br />

I just know that nurses make the world better. Thankyou<br />

and Peace, love and joy to all.<br />

Deadlines for the<br />

<strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong><br />

Are you interested in contributing an article to an<br />

upcoming issue of the <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong>? If so,<br />

here is a list of submission deadlines for the next 2 issues:<br />

Vol. 25 #3 – April 11, <strong>2022</strong><br />

Vol. 25 #4 – July 10, <strong>2022</strong><br />

Articles may be sent to the editors of the <strong>Vermont</strong><br />

<strong>Nurse</strong> <strong>Connection</strong> at:<br />

ANA-<strong>Vermont</strong><br />

Attention: VNC<br />

4 Carmichael Street, Suite 111, #215<br />

Essex, VT 05452<br />

Articles may also be submitted electronically to<br />

vtnurse@ana-vermont.org.<br />

Voices of <strong>Vermont</strong> <strong>Nurse</strong>s<br />

premiered at VSNA Convention 2000 and<br />

is available from the ANA-<strong>Vermont</strong> Office at:<br />

ANA - <strong>Vermont</strong><br />

4 Carmichael Street, Suite 111, #215<br />

Essex, VT 05452<br />

Price: $20 each book<br />

(plus $3.95 for postage and handling)<br />

Make check or money order payable to:<br />

VERMONT STATE NURSES FOUNDATION<br />

Name: _____________________________________<br />

Address: ___________________________________<br />

City: _______________________________________<br />

State: __________________ Zip: _______________<br />

CLINIC PRACTICE MANAGER<br />

White River Family Practice is looking for an experienced Registered<br />

<strong>Nurse</strong> or Advanced Associate Provider to manage our office. This is an<br />

exciting opportunity to lead an award- winning, NCQA-certified family<br />

medicine group into the next decade. We are a cohesive group of 5<br />

physicians, three nurse practitioners and 15 support staff committed<br />

to offering compassionate care. The relatively small size of the office<br />

allows us to provide care with a personal touch and to also be nimble<br />

enough to navigate the everchanging medical landscape efficiently.<br />

Management experience of a clinical team of 5 or more people is<br />

required. Salary is competitive and compensatory with level of medical<br />

training and managerial skills<br />

Please send your CV to Dr. Michael Lyons<br />

at Michael.l.lyons@dartmouth.edu<br />

Official publication of ANA-<strong>Vermont</strong>, a constituent member<br />

of the American <strong>Nurse</strong>s Association. Published quarterly every<br />

January, April, July and October. Library subscription price is $20<br />

per year. ISSN# 1529-4609.<br />

Editorial Offices<br />

ANA-<strong>Vermont</strong>, 4 Carmichael Street, Suite 111, #215, Essex, VT<br />

05452, PH: (802) 651-8886, E-mail: vtnurse@ana-vermont.org<br />

Editor: Jean E. Graham<br />

Advertising<br />

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

L. Davis Publishing Agency, Inc., PO Box 216, Cedar Falls, Iowa<br />

50613, (800) 626-4081, sales@aldpub.com. ANA-<strong>Vermont</strong> and the<br />

Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any<br />

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

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

Acceptance of advertising does not imply endorsement or<br />

approval by ANA-<strong>Vermont</strong> of products advertised, the advertisers,<br />

or the claims made. Rejection of an advertisement does not imply<br />

a product offered for advertising is without merit, or that the<br />

manufacturer lacks integrity, or that this association disapproves<br />

of the product or its use. ANA-<strong>Vermont</strong> and the Arthur L. Davis<br />

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

resulting from purchase or use of an advertiser’s product. Articles<br />

appearing in this publication express the opinions of the authors; they<br />

do not necessarily reflect views of the staff, board, or membership of<br />

ANA-<strong>Vermont</strong> or those of the national or local associations.<br />

Content<br />

ANA-<strong>Vermont</strong> welcomes unsolicited manuscripts and<br />

suggestions for articles. Manuscripts can be up to:<br />

• 750 words for a press release<br />

• 1500 words for a feature article<br />

Manuscripts should be typed double-spaced and spell-checked<br />

with only one space after a period and can be submitted:<br />

1) As paper hard copy<br />

2) As a Word Perfect or MS Word document file saved to a<br />

CD-Rom or zip disk<br />

3) Or e-mailed as a Word Perfect or MS Word document file to<br />

vtnurse@ana-vermont.org.<br />

No faxes will be accepted. Authors’ names should be placed after<br />

title with credentials and affiliation. Please send a photograph of<br />

yourself if you are submitting a feature article.<br />

All articles submitted to and/or published in <strong>Vermont</strong> <strong>Nurse</strong><br />

<strong>Connection</strong> become the sole property of ANA-<strong>Vermont</strong> and may not<br />

be reprinted without permission.<br />

All accepted manuscripts may undergo editorial revision to conform<br />

to the standards of the newsletter or to improve clarity.<br />

The <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> is not a peer review publication.<br />

Articles appearing in this publication express the opinions of the<br />

authors; they do not necessarily reflect views of the staff, board,<br />

or membership of ANA-<strong>Vermont</strong> or those of the national or local<br />

association.<br />

Copyright Policy Criteria for Articles<br />

The policy of the ANA-<strong>Vermont</strong> Editorial Board is to retain<br />

copyright privileges and control of articles published in the <strong>Vermont</strong><br />

<strong>Nurse</strong> <strong>Connection</strong> unless the articles have been previously published<br />

or the author retains copyright.<br />

ANA-<strong>Vermont</strong> Officers and Board of Directors<br />

President ...................................Jessilyn Dolan<br />

Vice President ............................. Dionne Heyliger<br />

Secretary ...............................Samantha Gambero<br />

Treasurer ......................................Amy Swarr<br />

Director .................................Amy Visser-Lynch<br />

Director ....................................Michelle Wade<br />

Director .......................................... Vacant<br />

Delegate Membership Assembly .................Betsy Hassan<br />

Alternative Delegate ........................Cynthia Peterson<br />

ANA-<strong>Vermont</strong> Foundation Board<br />

President ....................................Carol Hodges<br />

Vice President ..............................Christina Olcott<br />

Treasurer ......................................Amy Swarr<br />

Secretary ..................................Christina Olcott<br />

Trustee .....................................Jessilyn Dolan<br />

Trustee ...................................Meredith Roberts<br />

Trustee .....................................Michelle Wade<br />

Trustee ........................................... Vacant<br />

Trustee ........................................... Vacant<br />

VNC Editor<br />

Jeannie Graham<br />

Committee Chairpersons<br />

Bylaws ........................................Amy Swarr<br />

Finance ........................................Amy Swarr<br />

Government Affairs ..........................Jessilyn Dolan<br />

Membership & Publicity ...................Amy Visser-Lynch<br />

Nominations & Elections ......................Michelle Wade<br />

Programs ......................................... Vacant<br />

Congressional Coordinator for Welch .........Meredith Roberts<br />

Senate Coordinator for Sanders ..............Meredith Roberts<br />

Senate Coordinator for Leahy ...............Meredith Roberts


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 3<br />

When a Patient Tells Their Story<br />

There is no greater agony than<br />

bearing an untold story inside<br />

you.<br />

~ Maya Angelou<br />

Stories are the essential<br />

building blocks of empathy<br />

and human connection. As<br />

a child I was very curious,<br />

asking questions, reading<br />

books and listening to my<br />

parents as they told me<br />

fascinating stories about where<br />

our ancestors came from and<br />

the accumulated information<br />

that went back generations.<br />

Priscilla Smith-<br />

Trudeau<br />

When I became a nurse, I realized pretty quickly that<br />

every patient has a story and that every patient’s story is<br />

important and, in many cases, needs to be told to begin the<br />

healing process. When I became a holistic rehabilitation<br />

nurse, I learned that nurses foster relationships with their<br />

patients to promote healing and wellness. Holistic nursing<br />

is based on the principle that a patient's biological, social,<br />

psychological and spiritual aspects are interconnected.<br />

These aspects fit together to form a unique person. The<br />

ideal healing environment is quiet, serene and private. It is<br />

a place where the patient feels comfortable and safe to tell<br />

their story.<br />

Sometimes all a person wants is an empathetic ear; all he<br />

or she needs is to talk it out. Just offering a listening ear<br />

and an understanding heart for his or her suffering can be<br />

a big comfort.<br />

~ Roy T. Bennett<br />

Stories have existed in our culture from the beginning<br />

of time. We use stories to derive meaning from experience<br />

and to pass along knowledge and wisdom. Recent<br />

breakthroughs in neuroscience reveal that our brain is in<br />

fact hardwired to respond to a story. 1 Patients’ perspectives<br />

on their illness and care are increasingly recognized as<br />

the focus for the organization of health care, yet patient<br />

stories are rarely examined on their own. Mostly, they are<br />

dissected for data, and so the impact is lost. How, when,<br />

and whether the patient shares his or her narrative or story<br />

will depend on whether he or she feels safe and engaged<br />

in the relationship with the nurse, and is wholly dependent<br />

on the story-hearer’s responses. By actively listening,<br />

nurses play a critical role in optimizing the power of the<br />

story in the patient’s journey towards empowerment and<br />

self-healing. 2 Patient stories and narratives are about<br />

individuals, about how they think and feel, rather than<br />

about what they do or have done to them. The choice of<br />

what to tell and what to omit lies entirely with the patient.<br />

They are memorable, grounded in personal experience,<br />

and force reflection on practice by the professionals<br />

caring for the story-teller. They provide us with new and<br />

important information, and encourage holism and a move<br />

to a more therapeutic approach to care. 3 It is common to<br />

feel a sense of relief in sharing personal experiences and<br />

thoughts with another. This is a very significant nursing<br />

role. <strong>Nurse</strong>s should encourage clients to discuss two sides<br />

of a story, if needed, to better conceptualize problems.<br />

<strong>Nurse</strong>s can help clients acknowledge their strengths, as<br />

well as weaknesses, through the power of story. Use of<br />

story may enhance relationship building by helping the<br />

client empathize or understand the life stories of others.<br />

If the nurse repeats the story back to the client, there is a<br />

potential for the client to see relationships in a new light. 4<br />

One of the sincerest forms of respect is actually listening<br />

to what another has to say.<br />

~ Bryant McGill<br />

Lillee Gelinas, MSN, RN, CPPS, wrote that, “Listening<br />

may not be a competency that appears in your job<br />

description, but it’s essential to caring. Our connected<br />

world has actually disconnected our communication<br />

skills, especially listening. Smartphones, video games,<br />

and computers can grab our attention more effectively<br />

than another human. Learning to listen and observe<br />

takes time and practice—and often a good mentor, too,<br />

who can give you feedback. <strong>Nurse</strong>s who listen are able to<br />

create trustworthy relationships. They’re able to have their<br />

patients’ and the family’s best interests at heart, and those<br />

of their team members, too. They do that by going beyond<br />

just being quiet or giving someone their full attention.<br />

They observe body language, facial expressions, mood,<br />

and behavior. 5 Through the sharing of stories we pass on<br />

accumulated wisdom, beliefs, and values. Through stories<br />

we explain how things are, why they are, and our role and<br />

purpose. Stories are the building blocks of knowledge,<br />

the foundation of memory and learning. Stories connect<br />

us with our humanness and link past, present, and future<br />

by teaching us to anticipate the possible consequences of<br />

our actions. 6 Margaret Wheatly suggests that “Listening<br />

is such a simple act. It requires us to be present, and that<br />

takes practice, but we don't have to do anything else. We<br />

don't have to advise, or coach, or sound wise. We just<br />

have to be willing to sit there and listen. If we can do that,<br />

we create moments in which real healing is available.<br />

Whatever life we have experienced, if we can tell our<br />

story to someone who listens, we find it easier to deal with<br />

our circumstance.” 7 The establishment of the therapeutic<br />

relationship between nurse and patient is well documented.<br />

The nurse is encouraged to develop a relationship with the<br />

patient characterized by respect and empathy, and once the<br />

patient is able to perceive and appreciate these qualities<br />

the relationship is established. Only then will the patient<br />

feel safe enough to begin to disclose aspects of themselves<br />

and how they experience their life. This is achieved by<br />

attempting to make sense of the way ideas interact with<br />

bodily feelings to constitute the raw experience of life. It<br />

is these life experiences that combine to form the patient’s<br />

narrative, and which a phenomenological approach should<br />

seek to capture. 8<br />

Do not listen with the intent to reply, but with the intent to<br />

understand.<br />

~ Gillian Anderson<br />

There is no doubt in my mind that giving patients space<br />

and time to tell their stories can be a healing experience.<br />

Patient stories offer nurses insight, understanding, and new<br />

perspectives. Patients can be frightened, isolated, and in<br />

pain. Creating space for them to share their story sounds<br />

simple, but it can be difficult in the moment to stay quiet<br />

and just listen. Having a tendency to want to talk people<br />

through their issues, adding our opinions and advice is<br />

really not what patients want when they’re sharing their<br />

stories. If the patient wants our advice, they will ask for<br />

it. Wait until they are done sharing their story before you<br />

ask any follow-up questions. After the patient finishes<br />

sharing their story with you, thank them for sharing their<br />

The ANA-<strong>Vermont</strong> website has been updated:<br />

ANA-<strong>Vermont</strong>.org. We will continue to update and<br />

expand the website.<br />

Do you want to stay updated on the latest ANA-<strong>Vermont</strong> has to offer?<br />

Learn of webinars offered by the ANA?<br />

How you can earn CEU hours?<br />

‘Like Us’ on Facebook. Find us at<br />

https://www.facebook.com/VT<strong>Nurse</strong>s<br />

Questions regarding our social media and website?<br />

E-Mail: vtnurse@ana-vermont.org<br />

When a nurse encounters another<br />

something happens.<br />

What occurs is never a neutral event.<br />

A pulse taken. Words exchanged.<br />

A touch. A healing moment.<br />

Two persons are never the same.<br />

2016 Holistic Nursing<br />

A Handbook for Practice<br />

To Our Colleagues in Nursing<br />

Barbara Montgomery Dossey<br />

Lynn Keegan<br />

story. Tell them how sharing their story made you feel and<br />

how it resonated with you. If you want to know more about<br />

a moment that they described in their story, ask them. It<br />

shows that you were paying close attention. James Miller<br />

wrote in his book, The Art of Listening in a Healing Way,<br />

that choosing to listen—to really listen—is one of the<br />

most caring. affirming gifts that you can offer another. By<br />

creating an open space in which the other person is free<br />

to express whatever matters most at the moment, you can<br />

facilitate healing and growth. By relating to the one who’s<br />

speaking as a whole person, and by bringing your whole<br />

self as a listener to this experience, you can be in touch<br />

with life at a very deep level. 9<br />

Wisdom comes with the ability to be still. Just look and<br />

just listen. No more is needed. Being still, looking, and<br />

listening activates the non-conceptual intelligence within<br />

you. Let stillness direct your words and actions.<br />

~ Eckhart Tolle<br />

Priscilla Smith-Trudeau MSM RN BSN CCM CRRN<br />

HNB-BC is board certified in holistic nursing and board<br />

certified in rehabilitation nursing. She has been a nurse for<br />

forty-five years and understands the interconnectedness of<br />

body, mind and spirit. She brings a comprehensive holistic<br />

and integrative approach to her practice for providing<br />

whole person care.<br />

1 Ennis-O’Conner, M. (2016). Why your patient’s story matters.<br />

Retrieved October 5, 2021 from: https://powerfulpatients.<br />

org/2016/05/26/why-your-patient-story-matters/<br />

2 Barker P, Buchanan-Barker P (2004) Beyond empowerment:<br />

revering the storyteller. Mental Health Practice 7(5): 18–20.<br />

Retrieved October 2, 2021 from: https://www.legclub.org/<br />

uploads/files/documents/BJCN%20Patient%20Stories.pdf<br />

3 Hawkins, J., Lindsay, E., (2006). We listen but do we hear?<br />

The importance of patient stories. Wound care. Retrieved<br />

October 2, 2021 from: www.legclub.org.<br />

4 Blaszko-Helming, M., & Jackson, C. (2009). Chapter 19<br />

relationships. In B. M. Dossey & L. Keegan (Authors),<br />

Holistic nursing: A handbook for practice (p.486). Sudbury,<br />

MA: Jones and Bartlett.<br />

5 Gelinas, L., (2018). Listening as a caring competency.<br />

Retrieved October 4, 2021 from: https://www.<br />

myamericannurse.com/listening-caring-competency/<br />

6 Smith-Trudeau, P., (2015), When happens when a nurse tells<br />

their story? <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> Vol 18 (3), 3<br />

7 Wheatley, M., (2001). Listening as Healing. Retrieved October<br />

7, 2021 from: Listening-as-Healing.pdf<br />

8 Foster T, Hawkins J. The therapeutic relationship: dead or<br />

merely impeded by technology? Br J Nurs. 2005 Jul 14-<br />

27;14(13):698-702. doi: 10.12968/bjon.2005.14.13.18449.<br />

PMID: 16116369.<br />

9 Miller, J. E. (2003). The Art of Listening in a Healing Way.<br />

Fort Wayne, IN: Willowgreen Publishing.<br />

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Page 4 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

Legislative Update<br />

The U.S. death toll from COVID-19 has now topped<br />

943,411 and in <strong>Vermont</strong> there have been 440 deaths<br />

(Hollingsworth, AP Press: VT Digger, 2021). Over 95%<br />

of <strong>Vermont</strong>ers aged 12+ are partially or fully vaccinated,<br />

and 49% of children aged 5-11 have received at least one<br />

vaccine dose.<br />

During the off session, ANA-<strong>Vermont</strong> met with<br />

legislators and discussed priorities, such as the workforce<br />

crisis. We are part of the telehealth workgroup that will<br />

help create a telehealth committee bill that needs to pass<br />

to address the waiver that will end this March enabling<br />

telehealth across borders. Representative Lippert and<br />

Senator Lyons are assisting these efforts. ANA-<strong>Vermont</strong><br />

has also met with Senate President Becca Balint, and<br />

Speaker of the House, Representative Jill Krowinski,<br />

discussing nurse concerns such as health care affordability,<br />

travel nurse and nurse staffing, faculty pay inequities,<br />

student loan repayment, climate change and more. Below<br />

are some bills we will be tracking this year:<br />

House Side<br />

Currently in the House Committee on Judiciary:<br />

• H.17 An act relating to physician expert witnesses<br />

in medical malpractice actions. This bill proposes<br />

to set standards for the qualification of physician<br />

expert witnesses in medical malpractice actions.<br />

• H.132 An act relating to possession of firearms by<br />

persons subject to final relief from abuse orders.<br />

• H.133 An act relating to emergency relief from<br />

abuse orders and relinquishment of firearms: A<br />

minor 16 years of age or older, or a minor of any age<br />

who is in a dating relationship may seek relief on his<br />

or her own behalf, limited as follows:<br />

1. Upon a finding that there is an immediate<br />

danger of further abuse, an order may be granted<br />

requiring the defendant:<br />

a. to refrain from abusing the plaintiff or his or<br />

her children, or both, or from cruelly or killing<br />

any animal owned, possessed, leased, kept, or<br />

held as a pet by either party<br />

b. to refrain from interfering with the plaintiff’s<br />

personal liberty or the personal liberty of the<br />

plaintiff’s children, or both;<br />

c. to refrain from coming within a fixed distance<br />

of the plaintiff, & children, residence, place of<br />

employment; and<br />

d. to refrain from contact, whether directly,<br />

indirectly, or through a third party, with the<br />

purpose of making contact with the plaintiff,<br />

including in writing or by telephone, e-mail, or<br />

other electronic communication; or<br />

e. to immediately relinquish, until the expiration<br />

of the order, all firearms.<br />

• H.148 An act relating to eliminating the religious<br />

exemption for required immunizations.<br />

• H.193 An act relating to permitting out-of-court<br />

statement by victims of human trafficking.<br />

• H.309 An act relating to decriminalizing certain<br />

chemical compounds found in plants and fungi<br />

that are commonly used for medicinal, spiritual,<br />

religious, or entheogenic purposes.<br />

• H.268 An act relating to human trafficking and<br />

prostitution.<br />

• H.319 An act relating to immunity from liability for<br />

licensed professionals providing essential services<br />

during emergencies.<br />

Currently in the Committee on Health Care:<br />

• H.21 An act relating to prohibiting licensed<br />

midwives from performing home births after<br />

cesarean delivery. This bill proposes to remove<br />

from the scope of practice of a licensed midwife the<br />

authority to perform a home vaginal birth with a<br />

patient who has previously had a cesarean delivery.<br />

The bill would deem performance of such a home<br />

birth to be unprofessional conduct.<br />

• H.22/S.23 An act relating to requiring that at least<br />

one member of the Green Mountain Care Board be a<br />

health care professional Committee on Health Care.<br />

• H.23/S.22 passed (Act 61) An act relating to<br />

administering stem cell products not approved by<br />

the U.S. Food and Drug Administration.<br />

• H.24 An act relating to coverage for complementary<br />

and alternative health care services. proposes to<br />

require health insurance plans, including Medicaid,<br />

to provide coverage for all health care services,<br />

including complementary and alternative treatments,<br />

if at least two studies published in peer-reviewed<br />

scientific journals find such services to be safe,<br />

and to be directly related to statistically significant<br />

improvements in individuals’ health.<br />

• H.43 An act relating to allowing individuals<br />

who have attained 16 years of age to consent to<br />

the administration of vaccinations: proposes to<br />

allow individuals who are 16 to consent to the<br />

administration of age-appropriate vaccinations<br />

recommended by the Centers for Disease Control<br />

and Prevention.<br />

• H.45 An act relating to the provision of grants for<br />

mental health providers working in collaboration<br />

with municipal police departments: proposes to<br />

establish a grant program to fund the provision of<br />

services by mental health providers in collaboration<br />

with municipal police departments.<br />

• H.51 An act relating to recommendations regarding<br />

ownership of medical data in electronic health<br />

records, proposes to direct the Agency of Human<br />

Services to develop recommendations regarding<br />

the ownership of medical data in electronic health<br />

records and to report those recommendations to the<br />

General Assembly.<br />

• H.102 An act relating to reducing prior authorization<br />

requirements in health insurance plans.<br />

• H.103 An act relating to an independent review of<br />

<strong>Vermont</strong>’s current health care reform efforts.<br />

• H.118 An act relating to enhanced mental health<br />

supports and services for professionals in the<br />

medical, legal, and accounting fields.<br />

• H.121 An act relating to licensure of freestanding<br />

birth centers – Proposes to license freestanding birth<br />

centers and require insurance coverage for them.<br />

• H.213 An act relating to preventing death by suicide:<br />

proposes to: (1) establish a Suicide Prevention<br />

Coordinator within the Department of Mental<br />

Health; (2) require the services of suicide prevention<br />

counselors by designated hospitals, designated<br />

agencies, crisis hotlines, and law enforcement<br />

agencies; and (3) require the Department of<br />

Financial Regulation to submit a report pertaining<br />

to required coverage by health insurers for services<br />

provided by suicide prevention counselors.<br />

• H. 266 Coverage for hearing aids.<br />

• H.279 An act relating to miscellaneous changes<br />

affecting the duties of the Department of <strong>Vermont</strong><br />

Health Access.<br />

• H.323 An act relating to reporting on adverse<br />

reactions related to immunizations: requires the<br />

Department of Health to submit an annual report to<br />

the General Assembly regarding adverse reactions<br />

reported to the Vaccine Adverse Event Reporting<br />

System.<br />

• H.368 An act relating to hospital and accountable<br />

care organization salary information.<br />

• H.452 An act relating to prohibiting the use of<br />

COVID-19 vaccine passports: prohibits the use of<br />

COVID-19 passports, which require individuals to<br />

disclose their vaccination status, by businesses and<br />

to attend public events.<br />

Currently in the House Committee on Human Services:<br />

• H.25 An act relating to evaluating the sale of Long-<br />

Term Care Partnership policies. This bill proposes<br />

to direct the Department of Financial Regulation,


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 5<br />

in collaboration with others, to evaluate and report<br />

to the General Assembly regarding the advantages<br />

and disadvantages of allowing <strong>Vermont</strong> residents to<br />

purchase Long-Term Care Partnership policies.<br />

• H.26 (parallel bill S.20 passed Act 36) An act<br />

relating to restrictions on perfluoroalkyl and<br />

polyfluoroalkyl substances and other chemicals of<br />

concern in consumer products is still on the books<br />

but S.20 passed.<br />

• H.30 An act relating to the study and design of<br />

a long-term care trust fund proposes to require<br />

the Secretary of Administration to: (1) study and<br />

design a trust fund that will provide for long-term<br />

care for certain <strong>Vermont</strong> residents, and (2) propose<br />

legislation to statutorily create this fund.<br />

• H.44 An act relating to universal home visiting and<br />

parenting classes: proposes to establish a universal<br />

home visiting program for families caring for<br />

a newborn infant and parenting classes within<br />

obstetric and midwifery practices.<br />

• H.50 An act relating to pharmacists providing<br />

information on the proper disposal of unused<br />

regulated drugs: proposes to require pharmacists<br />

dispensing regulated drugs to provide patients<br />

with information regarding the importance of and<br />

processes for proper disposal of unused medication.<br />

Rep. Lippert moved that the Committee on Health<br />

Care be relieved of the bill and that the same be<br />

committed to the Committee on Human Services<br />

which was agreed to.<br />

• H.114 An act relating to the Nutrition for Older<br />

<strong>Vermont</strong>ers Working Group.<br />

• H.116 An act relating to prohibiting the involuntary<br />

sterilization of individuals with an intellectual<br />

disability.<br />

• H.141/S.24 An act relating to banning flavored<br />

tobacco products and e-liquids.<br />

• H.212 An act relating to expanding the distribution<br />

and availability of opioid antagonists: expands<br />

distribution.<br />

• H.243 An act relating to the Working Group on<br />

Services for Adults with Autism.<br />

• H.248 An act relating to establishing fetal<br />

personhood.<br />

• H.251 An act relating to harassing marketing or<br />

solicitation of vulnerable adults.<br />

• H.283 An act relating to bodily autonomy and health<br />

care decision making – autonomy, right to refuse<br />

treatment.<br />

• H.322 An act relating to establishing an exemption<br />

to immunizations required for attendance at school<br />

and child care facilities on the basis of conscientious<br />

and personal beliefs.<br />

• H.310 An act relating to the regulation of kratom<br />

products.<br />

• H.324 An act relating to coverage by commercial<br />

health insurers for costs associated with medicationassisted<br />

treatment.<br />

• H.390 An act relating to the use of Special<br />

Supplemental Nutrition for Women, Infants, and<br />

Children benefits at farmers’ markets which is to<br />

explore the technology needed to redeem WIC<br />

benefits at farmers markets like 3Squares/SNAP<br />

benefits--health equity, multifactorial health<br />

influences, access to healthy food for families living<br />

in rural poverty, etc.<br />

• H.395 An act relating to addressing barriers to<br />

substance use disorder treatment.<br />

• H.422 An act relating to decriminalizing possession<br />

and dispensing of a personal use supply of regulated<br />

drugs.<br />

Currently in the House Committee on Education:<br />

• H.32 An act relating to universal school breakfast<br />

and lunch for all public school students: proposes<br />

to require all public schools in <strong>Vermont</strong> to make<br />

available school breakfast and lunch to all students<br />

at no charge. The cost of school meals that is not<br />

reimbursed through federal funds or other sources<br />

would be borne by school districts, and therefore<br />

ultimately borne by the Education Fund.<br />

• H.375 An act relating to screening students for<br />

dyslexia.<br />

• H.396 An act relating to addressing chemicals and<br />

other forms of contamination in public schools.<br />

Currently in the House Committee on Ways and Means:<br />

• H.37 An act relating to the imposition of an<br />

excise tax on sugar-sweetened beverages. This<br />

bill proposes to impose an excise tax on sugarsweetened<br />

beverages and to direct revenue from the<br />

tax to the Adverse Childhood Experiences Initiative<br />

Fund.<br />

• H.38 An act relating to the imposition of sales tax<br />

on candy: proposes to extend the <strong>Vermont</strong> Sales and<br />

Use Tax to the sale of candy.<br />

• H.53/S.53 An act relating to exempting feminine<br />

hygiene products from the <strong>Vermont</strong> Sales and Use<br />

Tax.<br />

• H.105 An act relating to increasing the tax on<br />

cigarettes, tobacco products, smokeless tobacco.<br />

Currently in the House Committee on Government Operations:<br />

• H.392 An act relating to prescribing by doctorallevel<br />

psychologists.<br />

• H.414 An act relating to cannabis social equity<br />

programs.<br />

Currently in the House Committee on General, Housing,<br />

and Military Affairs:<br />

• H.42 An act relating to including the amount<br />

expended by an employer for health insurance in the<br />

Legislative Update continued on page 6<br />

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Page 6 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

Legislative Update continued from page 5<br />

determination of the minimum wage: will amend<br />

the minimum wage set forth in 21 V.S.A. § 384 to<br />

include a calculation for the amount expended by<br />

each employer to provide an employee with health<br />

insurance.<br />

• H.134 An act relating to paid family and medical<br />

leave insurance.<br />

• H.351 An act relating to making various<br />

amendments to the Parental and Family Leave Act.<br />

• H.401 An act relating to promoting racial and social<br />

equity in <strong>Vermont</strong>.<br />

• H.405 An act relating to promoting racial equity and<br />

protecting <strong>Vermont</strong>ers.<br />

Currently in the House Committee on Transportation:<br />

• H.68 An act relating to bicycle helmets.<br />

• H.94 An act relating to transportation initiatives to<br />

reduce carbon emissions.<br />

Currently in the House Committee on Natural Resources,<br />

Fish, and Wildlife:<br />

• H.115 An act relating to household products<br />

containing hazardous substances. <strong>Nurse</strong> Rep Mari<br />

Cordes is one of the sponsors.<br />

• H.311 An act relating to assessing long-term climate<br />

change challenges and opportunities in the State’s<br />

economic and revenue forecasts.<br />

• H.382 An act relating to establishing a working<br />

group on ecologically sustainable sanitation.<br />

• H.440 An act relating to creating “Green Justice<br />

Zones” in <strong>Vermont</strong>.<br />

Currently in the House Committee on Commerce and<br />

Economic Development:<br />

• H.117 An act relating to expanding workers’<br />

compensation coverage for firefighters with cancer.<br />

• H.139 An act relating to workers’ compensation<br />

benefits and protections against retaliation.<br />

Currently in the House Committee on Corrections and<br />

Institutions:<br />

• H.137 An act relating to a women’s transitional<br />

housing facility.<br />

Currently in the House Committee on Energy and<br />

Technology:<br />

• H.229 An act relating to performing green housing<br />

retrofits and installing rooftop solar panels,<br />

supporting an equitable transition to a zero-carbon<br />

building sector, creating high-quality union jobs and<br />

prioritizing the unionized workforce for conducting<br />

retrofits and workforce development, creating<br />

a progressive funding structure and prioritizing<br />

households with annual incomes of less than<br />

$50,000.00, and ensuring that energy is affordable<br />

for lower-income <strong>Vermont</strong> residents.<br />

• H.350 An act relating to penalties for Lifeline<br />

service interruptions: requires that a Lifeline service<br />

provider shall be assessed an administrative penalty<br />

by the Public Utility Commission of $25.00 per<br />

customer for each day there is a service interruption<br />

resulting in a loss of E-911 calling capacity.<br />

Penalties collected under this subdivision are<br />

deposited into the Enhanced 911 Fund.<br />

Bills that have passed:<br />

• H.46 (Act 30) passed An act relating to<br />

miscellaneous provisions of mental health law:<br />

proposes to: (1) limit the categories of individuals<br />

who can obtain information about a patient’s<br />

medical condition; (2) specify the membership<br />

requirements of designated agency and designated<br />

hospital programmatic committees and the<br />

Statewide Standing Committees for Adult Services<br />

and for Child and Family Services; (3) clarify<br />

patient rights related to voluntary admission; and (4)<br />

establish reporting requirements pertaining to the<br />

use of seclusion and restraint.<br />

Senate Side<br />

Currently in the Senate Committee on the Judiciary:<br />

• S.8 An act relating to sexual exploitation of children<br />

(House Bill H.18 passed: H.18 Act relating to sexual<br />

exploitation of children –is Act 29; Allows people<br />

being sex trafficked to come forward without fear of<br />

prosecution for prostitution.<br />

• S.35 An act relating to prohibiting discrimination:<br />

proposes to prohibit discrimination on the basis of<br />

hair types and styles associated with a particular<br />

race and on the basis of weight.<br />

• S.108 An act relating to establishing the Bureau of<br />

Racial Justice Statistics and the Bureau of Racial<br />

Justice Statistics Advisory Panel.<br />

• S.113 An act relating to establishing a cause of<br />

action for medical monitoring expenses: proposes<br />

to establish a cause of action for the remedy of<br />

medical monitoring for a person who is exposed to<br />

a proven toxic substance. In addition, the bill would<br />

SFC Theodore P. Provost<br />

AMEDD Specialty Branch Manager<br />

theodore.p.provost.mil@mail.mil<br />

802-338-3405


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 7<br />

provide that a person is liable for abating a release<br />

or threatened release of hazardous material and the<br />

costs of investigation, removal, and remedial actions<br />

incurred by the State if the person manufactured a<br />

hazardous material for commercial sale and knew<br />

or should have known that the material presented<br />

a threat of harm to human health or the natural<br />

environment.<br />

Currently in the Senate Committee on Health & Welfare:<br />

• S.19 An act relating to a climate change response<br />

plan and regional planning commission involvement<br />

in identifying health care-related needs.<br />

• S.23/H.22 An act relating to requiring that at least<br />

one member of the Green Mountain Care Board be a<br />

healthcare professional.<br />

• S.28/H.90 An act relating to banning baby bumper<br />

pads: proposes to prohibit the manufacture, sale, or<br />

transfer of baby bumper pads in this State.<br />

• S.49 An act relating to the Green Mountain Care<br />

Board reporting when the growth of certain health<br />

care costs exceeds the rate of inflation.<br />

• S.46 An act relating to limiting the co-payment<br />

amount for chiropractic services in certain health<br />

insurance plans: proposes to limit the co payment<br />

amount for chiropractic services in silver- and<br />

bronze-level qualified and reflective health benefit<br />

plans to not more than 125 percent of the amount<br />

of the co-payment applicable to care and services<br />

provided by a primary care provider under the same<br />

plan.<br />

• S.69 An act relating to suicide prevention initiatives<br />

proposes to appropriate funding for suicide<br />

prevention initiatives, including VT’s National<br />

Suicide Prevention Lifeline, Zero Suicide, the Elder<br />

Care Clinician Program,Vet to Vet Visitor Program.<br />

• S.70 An act relating to requiring health insurance<br />

plans to provide two primary care visits per year<br />

without cost sharing.<br />

• S.74 An act relating to modifications to <strong>Vermont</strong>’s<br />

patient choice at end of life laws: Eliminates a<br />

requirement in <strong>Vermont</strong>’s patient choice at end of<br />

life laws that both oral requests required of the<br />

patient with a terminal condition for medication to<br />

be self-administered to hasten the patient’s death<br />

must have been made in the physical presence of the<br />

physician to whom the patient made the request. It<br />

would eliminate a requirement that the prescribing<br />

physician have conducted a physical examination of<br />

the patient in order to determine that the patient was<br />

suffering a terminal condition and a requirement<br />

that the physician must have waited at least 48 hours<br />

after the occurrence of certain required events<br />

before writing the prescription. The bill would also<br />

provide immunity for any person who acts in good<br />

faith compliance.<br />

• S.90 An act relating to establishing an amyotrophic<br />

lateral sclerosis registry.<br />

• S.92 An act relating to beverages in children’s meals<br />

-offer option without added sugar.<br />

• S.132 An act relating to health care reform<br />

implementation –Sen Lyons sponsor, proposes to<br />

consolidate responsibility for health care innovation<br />

under the Director of Health Care Reform in the<br />

Agency of Human Services and to add new criteria<br />

to the certification requirements for accountable<br />

care organizations.<br />

Currently in the Senate Committee on Economic<br />

Development, Housing & General Affairs:<br />

• S.21 An act relating to prohibiting discrimination<br />

based on genetic information: prohibits<br />

discrimination based on an individual’s genetic<br />

information in relation to employment, labor<br />

relations, insurance coverage, and the provision of<br />

social and medical services.<br />

• S.24/H.141 An act relating to banning flavored<br />

tobacco products and e-liquids. Committed to<br />

Committee on Economic Development, Housing<br />

and General Affairs with the report of Committee<br />

on Health and Welfare intact, on motion of Senator<br />

Lyons. Proposes to ban the retail sale of flavored<br />

cigarettes, e-cigarettes, and e-liquids. It would<br />

• Inpatient Medical Surgical Unit<br />

• Charge RN- Emergency Room<br />

• Primary Care<br />

• Operating Room<br />

• PACU<br />

eliminate the existing ban on and penalty for<br />

possession of cigarettes, e-cigarettes, and tobacco<br />

paraphernalia by individuals under 21 years of<br />

age and expand the applicability of provisions for<br />

the seizure and destruction of contraband tobacco<br />

products to include contraband e-cigarettes,<br />

e-liquids, and tobacco paraphernalia. The bill would<br />

also direct the Office of the Attorney General<br />

to report on the extent to which <strong>Vermont</strong> may<br />

legally restrict advertising and regulate labels for<br />

e-cigarettes and other vaping-related products.<br />

• S.41 An act relating to eliminating prohibitions and<br />

penalties on the purchase, use, and possession of<br />

tobacco products.<br />

Legislative Update continued on page 8<br />

• Maternal/Child Health<br />

• Cardiology Office<br />

• Discharge Advocate<br />

• ER RN<br />

Happy<br />

<strong>Nurse</strong>s Week<br />

<strong>2022</strong>!


Page 8 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

Legislative Update continued from page 7<br />

• S.65 An act relating to paid family leave.<br />

• S.89 An act relating to the creation of the Workforce<br />

Development Educational Loan Benefit Program<br />

for doctors, nurses, and teachers, including<br />

childcare educators: Proposes creating a Workforce<br />

Development Educational Loan Benefit Program<br />

under which educational scholarships and student<br />

loan forgiveness shall be provided to individuals<br />

who work in a job as a doctor, nurse, or teacher,<br />

including childcare educators, in the State.<br />

Currently in the Senate Committee on Education:<br />

• S.29 An act relating to the creation of the VSC<br />

tuition-free scholarship program for <strong>Vermont</strong><br />

residents in programs leading to a certificate or an<br />

associate’s degree.<br />

• S.32 An act relating to school wellness and<br />

feminine hygiene products: proposes to update the<br />

definition of a school wellness program to include<br />

comprehensive health education; requires the<br />

Advisory Council on Wellness and Comprehensive<br />

Health to include at least three members with<br />

expertise in health services, health education,<br />

or health policy and to meet not less than twice<br />

per year; requires the Agency of Education<br />

to update and distribute to school districts a<br />

model wellness program policy; and ensure that<br />

female students attending a public school or an<br />

approved independent school have access to<br />

menstrual hygiene products at no cost and without<br />

embarrassment.<br />

• S.100 An act relating to universal school breakfast<br />

and the creation of the Task Force on Universal<br />

School Lunch.<br />

Currently in the Senate Committee on Natural Resources<br />

and Energy:<br />

• S.44 An act relating to a <strong>Vermont</strong> Green New Deal.<br />

• S.148 An act relating to environmental justice in<br />

<strong>Vermont</strong>.<br />

Currently in the Senate Committee on Finance:<br />

• S.53 (H.53 same, not moving) An act relating to<br />

exempting feminine hygiene products from the<br />

<strong>Vermont</strong> Sales and Use Tax: passed the Senate and<br />

almost passed the House. An amendment was made<br />

and the bill was Recommitted to the Committee on<br />

Finance on motion of Senator Pearson.<br />

• S. 94 An act relating to the Cannabis excise tax and<br />

local fees.<br />

Currently in the Senate Committee on Government<br />

Operations:<br />

• S.106 An act relating to the livestream of legislative<br />

proceedings of the General Assembly and lobbying<br />

regulations. proposes a pilot project to livestream<br />

committee proceedings and floor proceedings of the<br />

General Assembly, to encourage lobbyists to wear<br />

identification, and to require a report on lobbyist<br />

compliance.<br />

Currently in the Senate Committee on Appropriations:<br />

• S.120 An act relating to the Joint Legislative Health<br />

Care Affordability Study Committee creates<br />

the Joint Legislative Health Care Affordability<br />

Study Committee to explore opportunities to<br />

make healthcare more affordable for <strong>Vermont</strong><br />

residents and employers. It notes <strong>Vermont</strong> is<br />

facing a significant shortage of healthcare<br />

providers, especially primary care physicians<br />

and nursing professionals, and seeks findings and<br />

recommendations regarding the most cost-effective<br />

ways to expand access to affordable health care<br />

for <strong>Vermont</strong>ers without health insurance and those<br />

facing high healthcare costs and the various options<br />

available. It plans to solicit input from a wide range<br />

of stakeholders, including health care providers.<br />

Federal Items of Interest<br />

Representative Welch is running for the senate seat that<br />

Senator Leahy is vacating.<br />

November 19, the House of Representatives passed the<br />

Build Back Better legislation. The legislation is now in the<br />

Senate and negotiations are ongoing. Senator Sanders is<br />

strongly promoting the bill and spoke to Seniors at a Town<br />

Hall regarding benefits to them on Dec 15th.<br />

ANA is advocating to ensure language and funding for<br />

the FAAN Act, the <strong>Nurse</strong> Corps, and the Momnibus are<br />

kept in the Senate bill.<br />

Mental Health<br />

The House Energy and Commerce Committee passed<br />

the Dr. Lorna Breen Healthcare Provider Protection Act<br />

with a unanimous vote. ANA has been advocating for<br />

passage of the legislation.<br />

ANA responded to a request for information from the<br />

Senate Finance Committee on ways to combat mental<br />

health by improving access to mental health services<br />

and the mental health workforce. The document can be<br />

accessed here: https://nursingworld.sharefile.com/d-s2efeb<br />

3e2a48c44f4913ac46d6ed8bf90<br />

Staffing<br />

Senators Mark Kelly, Bill Cassidy and Reps. Doris Matsui<br />

and David McKinley sent a letter to Jeff Zients, the White<br />

House COVID-19 Coordinator. The letter asks Mr. Zients,<br />

as well as several agencies that are copied, to investigate the<br />

prices being reported out of nurse staffing agencies.<br />

U.S. Cadet <strong>Nurse</strong> Corps.<br />

Earlier this fall, the House passed its National Defense<br />

Authorization Act (NDAA) which included an amendment<br />

to honor U.S. Cadet <strong>Nurse</strong> Corps. ANA is working to keep<br />

the amendment included in the final NDAA proposal.<br />

Mandatory Overtime<br />

ANA is close to getting a House lead on the <strong>Nurse</strong><br />

Overtime and Patient Safety Act.<br />

VERMONT IS NOW A NURSE LICENSURE COMPACT STATE!<br />

<strong>Vermont</strong> is one of 39 US states that<br />

can issue a multistate license to<br />

eligible RNs and LPNs. A multistate<br />

license enables you to practice<br />

nursing in all 39 member states<br />

under one license.<br />

To find out if you are eligible for a<br />

<strong>Vermont</strong> Multistate License, Go to <strong>Nurse</strong><br />

Licensure Compact (vermont.gov)<br />

To learn more about the <strong>Nurse</strong><br />

Licensure Compact Visit<br />

Licensure Compacts | NCSBN


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 9<br />

Marilyn Rinker Leadership Scholarship Application<br />

Application – <strong>2022</strong> deadline: March 25, <strong>2022</strong><br />

Name: ______________________________________________________________<br />

Address: _____________________________________________________________<br />

Telephone #: _____________________ Email Address: _______________________<br />

Vt RN Lic #______________________ VONL member since __________________<br />

School of Nursing: _____________________________________________________<br />

Currently in which year? 1 2 3 4 year of graduation (if applicable) ________________<br />

Graduate school ________________________ 1st yr __________ 2nd year__________<br />

expected date of graduation_______________<br />

If employed in nursing, current employer ___________________________________<br />

Currently receiving Financial Aid, Grants, Scholarships? Yes ________ No ________<br />

If yes please list the sources_______________________________________________<br />

Please attach to this form:<br />

1. Résumé<br />

2. Most recent transcript of grades demonstrating a cumulative average of 3.0 (B)<br />

3. A brief essay (500 words or less) describing nursing leadership experience and<br />

aspirations, community service experience, commitment to serve in <strong>Vermont</strong>,<br />

and financial need<br />

4. At least two (2) letters of recommendation (at least one academic and one work<br />

related)<br />

5. Evidence of acceptance in an accredited program leading to an advanced degree<br />

in nursing if not yet matriculated.<br />

I understand that if I receive an Advanced Degree <strong>Nurse</strong> Leaders<br />

Scholarship, I commit to practice nursing in <strong>Vermont</strong> for a minimum period<br />

of two years following graduation.<br />

Student signature: _______________________________ Date: __________________<br />

Return application (with attached materials) before March 25, <strong>2022</strong> to:<br />

Martha Buck, VAHHS/VONL<br />

148 Main Street, Montpelier, VT 05602<br />

(802)223-3461/ext. 111 Martha@vahhs.org<br />

Marilyn Rinker Memorial<br />

Scholarship<br />

The Marilyn Rinker Memorial Scholarship Award was established by the <strong>Vermont</strong><br />

Organization of <strong>Nurse</strong> Leaders in 2009 to honor Marilyn’s lifelong commitment and<br />

dedication to professional nursing practice, nursing education and leadership. Marilyn<br />

held many leadership positions during the course of her career such as Nursing<br />

Director for Medicine and Cardiology at Fletcher Allen Health Care (University of<br />

<strong>Vermont</strong> Medical Center); Oncology Clinical Coordinator at the <strong>Vermont</strong> Regional<br />

Cancer Center; Clinical Research <strong>Nurse</strong> and Educator in <strong>Vermont</strong> and Rhode Island;<br />

and, BSN Nursing Program Director at Norwich University. Marilyn also served as<br />

the Executive Director of the <strong>Vermont</strong> State <strong>Nurse</strong>s’ Association and President of the<br />

<strong>Vermont</strong> Organization of <strong>Nurse</strong> Leaders.<br />

This award provides scholarship support in the amount of $1000 for a qualified<br />

registered nurse to participate in an approved course of study leading to an advanced<br />

degree with an emphasis in nursing leadership.<br />

Application Criteria for the Marilyn Rinker Memorial Award<br />

1. Current member of ONL<br />

2. Registered nurse or advanced practice registered nurse currently licensed in the<br />

state of VT*<br />

3. Demonstrated commitment to nursing leadership as evidenced by participation<br />

in professional seminars, organizations, work accomplishments, project,<br />

recommendations of peers<br />

4. Currently enrolled or accepted in an accredited program that will lead to an<br />

advanced degree in nursing<br />

5. Willingness to commit to completing the program as indicated by realistic<br />

timeframe.<br />

6. GPA of 3.0 or the equivalent<br />

7. Two (2) supportive professional recommendations<br />

8. A double-spaced, short essay (500 words or less) of the reasons this nominee<br />

should receive the award according to the criteria listed above<br />

9. Nominee’s current Curriculum Vitae<br />

Nominations must be submitted by March 25, <strong>2022</strong>. Annual scholarship award<br />

announcement will be made at the member reception and awards gala at the ONL<br />

Annual Meeting.<br />

*<strong>Vermont</strong> RNs will receive first priority. Applicants from other states will be<br />

considered if there are no applicants from <strong>Vermont</strong> or the scholarship criteria are not<br />

met by applicants from <strong>Vermont</strong>.<br />

https://survey.zohopublic.com/zs/6AbihO<br />

The Arthur L. Davis<br />

Publishing Agency, Inc.<br />

<strong>2022</strong> Scholarship<br />

<strong>Vermont</strong> State <strong>Nurse</strong>s<br />

Foundation, Inc.<br />

4 Carmichael Street, Suite 111, #215<br />

Essex, VT 05452<br />

(802) 651-8886<br />

Applications for the $1,000 scholarship are<br />

open to ANA-<strong>Vermont</strong> members who are<br />

currently enrolled in an undergraduate<br />

or graduate nursing program and who<br />

are active in a professional nursing<br />

organization.<br />

Submit your application by<br />

August 1, <strong>2022</strong> by filling<br />

out the online form:<br />

https://form.jotform.com/62006060892147<br />

Application for the <strong>2022</strong><br />

Pat & Frank Allen<br />

Scholarship<br />

<strong>Vermont</strong> State <strong>Nurse</strong>s<br />

Foundation, Inc.<br />

4 Carmichael Street, Suite 111, #215<br />

Essex, VT 05452<br />

(802) 651-8886<br />

The Pat & Frank Allen Scholarship is a<br />

$1500.00 award given to a registered<br />

nurse who is in a baccalaureate or higher<br />

degree accredited nursing program.<br />

Applications must be submitted by<br />

August 1, <strong>2022</strong>. You do not have to be<br />

a member of ANA-<strong>Vermont</strong> but priority<br />

will be given to ANA-<strong>Vermont</strong> members,<br />

please go online to fill out the form:<br />

https://form.jotform.com/62006060892147<br />

Application for the <strong>2022</strong><br />

Judy Cohen Scholarship<br />

<strong>Vermont</strong> State <strong>Nurse</strong>s<br />

Foundation, Inc.<br />

4 Carmichael Street, Suite 111, #215<br />

Essex, VT 05452<br />

(802) 651-8886<br />

The Judy Cohen Scholarship is a $2,000<br />

award given to a registered nurse who<br />

is in a baccalaureate or higher degree<br />

accredited nursing program.<br />

Applications must be submitted by<br />

August 1, <strong>2022</strong>. You do not have to be a<br />

member of ANA-<strong>Vermont</strong> but priority will<br />

be given to ANA-<strong>Vermont</strong> members.<br />

To apply for the scholarship,<br />

please fill out this form:<br />

https://form.jotform.<br />

com/62006060892147


Page 10 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

President’s Letter continued from page 1<br />

Honestly, it takes making some noise to get a chance to testify, but you’re already a nurse.<br />

You know how to be persistent! When you ask to testify, remind them that you are a nurse<br />

representing the most trusted profession 19 years running. <strong>Nurse</strong>s have a unique position and<br />

opportunity to advocate on behalf of patients and consumers, especially vulnerable people,<br />

animals and plants.<br />

Prepare to Testify<br />

Make sure you know who asked you to testify, their stance on the bill, and what they are<br />

specifically asking you to do. For example, are they asking you to testify for or against the bill?<br />

Many bills have multiple parts. Are you speaking to one part, one entire bill, or an amendment<br />

to the bill? Show up early to testify, keep your summary notes on cards, and practice what you<br />

want to say before the testify date.<br />

Testifying<br />

It can be helpful to know who is on the committee, and who else will be speaking before<br />

and after you. For example, if I know I`m testifying before a medical patient testifies, I set the<br />

stage with my testimony by explaining the science and research. The patient follows me with<br />

their corroborating personal story. Keep to facts AND personal narrative as they pack the most<br />

power. Anecdotal information without statistics or dollars verified with them is weak. You may<br />

express how you feel and think, but your advocacy is in the numbers.<br />

• Remember that legislators are busy and have tight schedules, so be sure to stay on track,<br />

stick to your allotted time, and don’t bring in ideas and information that aren’t relevant.<br />

That will only annoy the legislators and damage your credibility.<br />

• Be aware of how long you get to speak, and practice in advance to make sure you’re well<br />

within your time limit. Getting cut off can be embarrassing, it looks unprofessional, and<br />

you might miss out on delivering the most important part of your testimony.<br />

• Find out if you need to present written testimony at the beginning of your testimony<br />

or afterwards. It’s fine to read directly from your written testimony. If you’re speaking<br />

without notes, at least have bullet points printed out to keep you on track.<br />

• As you’re preparing your statement, research your representatives, the bill’s sponsors and<br />

cosponsors, and the particular committee members you’ll be addressing.<br />

• Know what they stand for, and how you can potentially align with them on issues beyond<br />

one particular bill. That way, you can greet and thank them individually, and let them<br />

know you’re an educated citizen with a broad scope of concerns. Example: Thank you,<br />

Senator Johnson, for your work on the state liquor control board. Your advocacy to keep<br />

our schools safe is one that I admire and am grateful for.<br />

In politics, the old saying “You catch more flies with honey than vinegar” totally applies.<br />

Your Content<br />

Start with a little bit about yourself and why you support the bill you are discussing (like in<br />

the email template below). Once again, it’s good to have both an anecdotal story AND evidencebased<br />

research to back your testimony up whenever possible. If you have resources you can<br />

leave with the committee when you’re done, let them know it will be available for them. If they<br />

ask you questions for which you don’t have ready answers, be honest. Don’t make anything up.<br />

For example, use phrasing such as, “I don’t have that information right now, but will follow up<br />

and get that to you promptly.” Another good example would be, “I don’t recall, but I can find the<br />

information you need and will provide it as soon as I can.” If your schedule permits, let them<br />

know you’ll be available after you testify to answer more questions, and that you’re eager to help<br />

and come speak with them again.<br />

REMEMBER, LEGISLATORS OFTEN DON’T KNOW MUCH ABOUT SPECIFICS!<br />

Even though they’re writing the legislation, the bill you care about is a small piece of their huge<br />

workload. So, you are the expert, especially when it comes to health care. Every care team<br />

member has a different aspect surrounding the specifics. Use your nursing perspective to round<br />

out your position. How does your perspective differ from providers, therapies and community<br />

agencies? It’s absolutely worth having some basic information ready if they ask for evidencebased<br />

research that can also be helpful towards your stance. Sometimes, props can help to either<br />

drive home an idea or patient story. A picture of a patient or a sample medicine bottle to show or<br />

use as an example can work well.<br />

Handy Tips<br />

Whether it is your first time, or you have testified dozens of times, things can always go<br />

awry! Here are some common mistakes which, hopefully, you'll be able to avoid:<br />

• Always go to the bathroom beforehand (if they’ve put a mic on you, take it off or turn it<br />

off before you head to the bathroom).<br />

• You’ll be nervous. Wear deodorant (written by a true nurse farmer)!<br />

• Legislatures are formal places, so dress your best out of respect.<br />

• Be selective with your handouts so they are viewable.<br />

• If you can, turn off your phone.<br />

• No swearing - even for comedy or emphasis.<br />

• Have notes to keep your testimony on time and to the point<br />

• Bring water and a snack. You may be there for a while.<br />

• Plan where you’re parking and how you’ll pay for it.<br />

So many times, people ask me, “What’s the worst thing I can do?” I always say, “The worst<br />

thing you can do is NOT participate!” Probably the best advice I’ve ever been given was this:<br />

“Speak, even if your voice shakes.” Representatives know that you are nervous and are more<br />

impressed that you felt strongly enough about your perspective to present in front of them. Your<br />

passion, knowledge and voice is appreciated and needed.<br />

Thank you!<br />

LEGISLATIVE EMAIL TEMPLATE<br />

Date<br />

The Honorable [name of official]<br />

[Your state] [Senate or House Representatives]<br />

Address of Capitol<br />

RE: Pending Bill [number and title]<br />

Thank you for your efforts to [support bills, support kids, support cannabis etc.]<br />

[2-3 sentences about yourself and your affiliations]<br />

[2-3 sentences about what you're advocating for and why]<br />

[2-3 sentences about why you believe they should vote for/vote against/change/amend the bill..]<br />

Signed,<br />

[Name]<br />

[Affiliations]


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 11<br />

The Leadership Summit began December 7th, 2021 running for three days virtually.<br />

This meeting of the Leadership Council and the National ANA Board allows for state<br />

feedback. The Leadership Council is a representative advisory body that provides<br />

informed guidance, and recommendations on professional issues and organizational<br />

matters via collaboration with the ANA Board of Directors. The Leadership Council<br />

includes two representatives from each constituent state nurse association: the president<br />

and the chief staff officer/executive director. Hence, ANA VT President Jessilyn Dolan,<br />

and Executive Director Meredith Roberts represented <strong>Vermont</strong>. The president is entitled<br />

to one vote on all matters before the ANA Leadership Council.<br />

After a welcome from National ANA President Ernest Grant and Leadership Chair<br />

Elaine Scherer, we heard from sponsor Laurel Road, who provides a service to our<br />

members, offering not only student loan refinancing, but federal payment options.<br />

Interest rates are at historic lows and they have seen rates below 2%. Contact Monica<br />

Bruno for questions Mbruno@lauralroad.com<br />

This was followed by professional development by Marsha Hughs-Rease MSN,<br />

MSOD, PCC on inclusive leadership, noting MRIs show the feeling of exclusion triggers<br />

the same area of the brain as the feeling of pain. Organizational culture, leadership and<br />

relationships affect the ability to create belonging, and we need psychological safety.<br />

ANA Leadership Summit<br />

Participants were able to hear clips of multiple singers.<br />

Different stages were discussed such as challenger safety – being able to challenge<br />

the status quo. Many organizations miss the mark on this. She then discussed two failure<br />

patterns: paternalism and exploitation. An example of paternalism includes when the<br />

boss is like a helicopter parent, so people don’t say anything. It encourages more learned<br />

helplessness than exploitation. Exploitation either throws someone under the bus when<br />

they make a mistake, or takes credit for others’ achievements. There were break out<br />

discussion sessions. The need to listen, getting comfortable talking with someone who<br />

might judge, fear of rejection, being a convener, and how leaders don’t need to know all<br />

the answers were some of the threads of discussion. Also how we need curiosity, and<br />

how we often come in as the experts rather than the learners. When challenges come up,<br />

don’t immediately try to fix it but ask for other thoughts and listen. We must create an<br />

environment where nurses don’t just survive but thrive. The workforce problem did not<br />

start with the pandemic; it exacerbated it. How does our culture contribute to our nurses<br />

staying or leaving? More will be shared on this in our next paper.<br />

States were recognized for their service as some have been part of ANA for over<br />

100 years. Next the treasurer Jennifer Mensik-Kennedy PhD, MBA,NEA-BC, FAAN<br />

shared her reports noting steady growth and funded support for strategic plan initiatives.<br />

Performance will exceed budget expectations by year end. New treasurer Joan Widmer<br />

from NH begins her term January 1. Tina Jordan was appointed to a 2 year term on<br />

finance investment and audit committee to take her place. Dan Warco is the new CFO.<br />

Membership growth was then reviewed, presented by VP Steven Fox. He reported<br />

ANA as the fastest growing healthcare association, and is proud of this. Growth was<br />

10% last year due to Marketing, which is ahead of last year’s pace. Tina- McRae Phelps<br />

(Constituent Relations and Membership support) also reported on membership and the<br />

need for accessibility to make joining easy, and providing feedback regarding awareness<br />

of member benefits. Tools were share and member testimony was provided.<br />

There was legislative discussion with legislative concerns and priorities shared. The<br />

workforce concern is nationwide.<br />

The candidates up for election each had an opportunity to share. The positions to be<br />

filled were Chair Leadership Council Executive Committee (LCEC) (Elaine Scherer<br />

retiring), and Member-at-Large representative. The two winners were<br />

• Kelly Bouthillet, DNP, APRN, CCNS, ACNP-BC, FNP-C, who is current<br />

president of the South Carolina State Nursing Association, won Chair of<br />

Leadership Council<br />

• Christopher Otto MSN, RN, CHRN, PCCN, CCRN, Executive Director of<br />

Deleware <strong>Nurse</strong>s Association.<br />

Then came a presentation by Leadership Chair Elaine Scherer on digital marketing<br />

followed by Delanor Manson, ED from Kentucky honoring Elaine’s service as leadership<br />

chair of the executive committee (LCEC). Elaine Scherer received a plaque and flowers<br />

for her hard work on leadership council. She encouraged us to “Be brave intentional and<br />

courageous”.<br />

President Grant followed and encouraged us to view Webinar: Restoring a Burned-<br />

Out Healthcare Workforce https://www.usnews.com/news/live-events/webinarrestoring-a-burned-out-healthcare-workforce<br />

He wished us a happy holiday and the meeting was closed. More details to be shared<br />

in next issue of the <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong>.<br />

They were sworn in on the final day.<br />

Further reports were shared by executive leadership members including Debbie<br />

Hatmaker discussing ramping up staffing and funding, dealing with racism and Loressa<br />

Cole on diversity equity practices. Other nursing groups also shared. Kathy Chapel<br />

shared about the ANCC task forces and advanced practice nurse goals. Sean Degarmo is<br />

an available contact for APRNs. Rebecca Graystone, MS, MBA, VP Magnet Recognition<br />

Program and Pathway to Excellence, spoke about magnet recognition and provided<br />

insights from magnet hospitals.<br />

There was also an opera shared that was written for Health Care workers. This<br />

Bellisima opera premiered April 2021, and followed 6 Global healthcare workers who<br />

supported each other.


Page 12 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

<strong>Nurse</strong> Survey Results & Pre-Session Gathering 2021<br />

Top <strong>Nurse</strong> Priorities:<br />

In October/November, ANA-VT performed a nurse survey, which was shared<br />

November 9th when nurses, including President Jessilyn Dolan, Rising Star Juliette Carr,<br />

and Vice President Dionne Heyliger met with legislators Senate President pro tempore<br />

Becca Balint (the first woman Senate President in <strong>Vermont</strong>), and Speaker of the House,<br />

Representative Jill Krowinski to discuss nurse priorities for the next legislative session.<br />

The data revealed that <strong>Vermont</strong> nurses’ four top priorities are:<br />

1. The staffing crisis and staff retention (208, 86%)<br />

2. Multifactorial health influences (135, 56%)<br />

o Rural poverty and health: Food, transportation, access to health care<br />

o Climate Change and Health<br />

o Diversity, Equity, & Inclusion in Healthcare<br />

3. Mental health issues (130, 54%)<br />

4. Education, Workforce Entry, Tuition Reimbursement and Loan Repayment (129,<br />

53%)<br />

Additionally, some successes from last year were mentioned, such as:<br />

• The <strong>Nurse</strong> Compact (S.48, now Act 64) being passed after much testimony to<br />

committees. The compact begins <strong>February</strong> <strong>2022</strong>. This will assist the onboarding<br />

of new nurses from other states, reducing the burdens on the nurses as well as their<br />

employers. The compact potentially makes it easier for <strong>Vermont</strong> to recruit from<br />

other states, but the current staffing shortage is national. This also assists nurses<br />

who provide telehealth teaching across state borders. There are now 38 states and<br />

territories in the Compact.<br />

• H.104, now Act 21 considers the interstate practice of health care professionals<br />

using telehealth, and created the Facilitation of Interstate Practice Using Telehealth<br />

Working Group. ANA-<strong>Vermont</strong> is part of the Telehealth Working Group created<br />

by Act 21 of 2021 to compile and evaluate methods for facilitating the practice of<br />

health care professionals throughout the United States using telehealth modalities.<br />

The Working Group reported to the legislature on December 15.<br />

• S.42 (Act 37) established the Emergency Service Provider Wellness Commission.<br />

Testimony regarding the bill was received from nurses, nurse legislators and EMS<br />

providers. The Commission identifies where support agencies, or other community<br />

service systems, could improve the physical and mental health outcomes of<br />

providers & identifies how <strong>Vermont</strong> can increase capacity of qualified clinicians<br />

in the treatment of emergency service providers. It educates about best practices<br />

and strategies for the prevention of, and intervention for, the effects of trauma<br />

experienced by providers, and offers recommendations on how peer support<br />

services and qualified clinician services can be delivered. The commission of<br />

more than 20 includes the Commissioner of Health and Mental Health, a clinician<br />

associated with a peer support program who has experience in treating workplace<br />

trauma and a representative, appointed by the <strong>Vermont</strong> Association for Hospitals<br />

and Health Systems which we hope will include nurses.<br />

• H.183, (Act 68), an act relating to sexual violence, passed. It proposes to revise and<br />

clarify the laws concerning consent to sexual activity, require data collection and<br />

reporting of information concerning reports of domestic and sexual violence, and<br />

established the 10 member Intercollegiate Sexual Violence Prevention Council (which<br />

includes a SANE nurse), as well as funding the expansion of forensic medical care<br />

for sexual assault patients within primary care and reproductive health care settings.<br />

Allison Tartaglia is Chair of the Intercollegiate Sexual Violence Prevention Council.<br />

• H.210 passed. Act 33 addresses disparities and promotes equity in the health care<br />

system; This bill will establish a 27 member Health Equity Advisory Commission<br />

“to promote health equity and eradicate health disparities among <strong>Vermont</strong>ers,”<br />

particularly people of color, LGBTQ individuals and people with disabilities,<br />

and will put the state on a path to creating an Office of Health Equity. The Health<br />

Commission will guide the formation of a state Office of Health Equity, shaping<br />

structure and duties, and setting standards for programs and grants.<br />

• Act 46 (H.225) An act relating to possession of a therapeutic dosage of<br />

buprenorphine was passed.<br />

• H. 315 (Act 9) was also passed and included LPN workforce funding, adding 40-45<br />

LPN seats.<br />

• H.439 Budget bill, included money for RN scholarships for students who<br />

commit to practice in VT and also included a commitment of $131 million<br />

for climate initiatives. That includes $31 million for weatherization and other<br />

climate programs, as well as $100 million for funding initiatives identified in<br />

the Climate Action Plan being developed due to Act 153 (H.688)--The <strong>Vermont</strong><br />

Global Warming Solutions Act (GWSA). More information on the Climate<br />

Action Plan can be found at: https://aoa.vermont.gov/sites/aoa/files/Boards/VCC/<br />

ACT153%20As%20Enacted.pdf. This year, after hearing recommendations, there<br />

can be more focus on S.19 An act relating to a climate change response plan and<br />

regional planning commission involvement in identifying health care-related<br />

needs (currently in Health and Welfare) and S. 44 <strong>Vermont</strong> Green New Deal.<br />

ANA will also be following S.120 which creates the Joint Legislative Health<br />

Care Affordability Study Committee to explore opportunities to make healthcare<br />

more affordable. S.120 received a favorable report from the Health and Welfare<br />

Committee and was referred to the Committee on Rules.<br />

• We will also support H. 332, An act relating to expanding loan repayment<br />

opportunities for physician assistants and advanced practice registered nurses.<br />

There was much discussion of the workforce crisis, retaining and increasing nurses<br />

in <strong>Vermont</strong>. <strong>Nurse</strong> faculty pay inequity, how nurses are exhausted and frustrated, and<br />

diversity and equity concerns were reviewed, and stories told. Traveling nurses pay is<br />

encouraging some nurses to leave their place of employment, even if they stay in-state,<br />

making staffing unstable. We need more than mental health support, what is needed<br />

is a cultural change. Another issue that drives nurses away is workplace violence.<br />

The Joint Commission has added new revised requirements addressing workplace<br />

violence prevention programs. These revised requirements have been released and will<br />

be effective in <strong>2022</strong>. Facilities need a workplace violence prevention plan designed to<br />

protect health care employees and other hospital personnel from aggressive and violent<br />

behavior, and some states, such as Missouri, are supporting this with legislation.<br />

The workforce crisis is nationwide and we regularly hear from other states such as<br />

Massachusetts, who have applied for American Rescue Plan Act (ARPA) funds to create<br />

a Center for Workplace Development.<br />

Advanced Practice <strong>Nurse</strong>s need to be considered equitably with physicians in decisions<br />

and funding concerning the practitioner workforce. Increasing the workforce is critical.<br />

<strong>Vermont</strong> recently provided feedback and information about nurse staffing shortages<br />

to ANA at a national level as it is becoming clear that we are facing the worst nursing<br />

shortage ever seen. On September 1, ANA sent an open letter to HHS Secretary Xavier<br />

Becerra urging the Administration to declare the nurse staffing shortage a national crisis.<br />

Some suggestions:<br />

• Convene stakeholders to identify short- and long-term solutions to staffing<br />

challenges;<br />

• Work with the Center for Medicare and Medicaid Services (CMS) on methods and<br />

approaches to promote payment equity;<br />

• Sustain a nursing workforce that meets current and future staffing demands; and<br />

• Provide additional resources including recruitment and retention incentives.<br />

Additionally, ANA worked with the Surgeon General Vivek Murthy to launch a<br />

campaign to combat health care misinformation, including misinformation about the<br />

COVID-19 vaccines.<br />

The Dr. Lorna Breen Act – focuses on the reduction of burnout as well as suicide, in<br />

part through serving to increase access to behavioral and mental health service providers.<br />

Passed by the Senate, it is currently before the House and we support this Federal bill.<br />

<strong>Nurse</strong>s are at higher risk for suicide than most professions but are less apt to talk about it.


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 13<br />

<strong>Nurse</strong> Leader Study<br />

My name is Jay Gottschalk and I am a PhD candidate<br />

at the Marquette University College of Nursing. To<br />

make sure that I have representation from every state,<br />

I am reaching out to the American <strong>Nurse</strong>s Association<br />

of <strong>Vermont</strong> to ask for your help distributing my survey<br />

to your members. I am studying how nurse leaders are<br />

affected by burnout (long-term emotional and physical<br />

fatigue from work-related stress), compassion satisfaction<br />

(the satisfaction that comes from helping others), positive<br />

thinking (the ability to not only be optimistic, but<br />

come up with positive solutions to problems), resilience<br />

(the ability to overcome stressful events and be more<br />

resistant to stressors as a result), and secondary traumatic<br />

stress (psychological trauma that occurs because of<br />

repeated exposure to the suffering of others). While<br />

nurse leaders are often tasked with helping staff with<br />

burnout, resilience, and these other elements, there is still<br />

a lot of research that needs to be done to understand the<br />

experience of nurse leaders and their mental welfare. My<br />

goal with this study is to better understand the mental state<br />

of nurses in leadership positions so that we can identify<br />

areas for future interventions to improve nurse leader<br />

mental wellness.<br />

Participation in this study involves completing an<br />

online survey that is approximately 60 questions in length<br />

and will take approximately 15 minutes to complete. To<br />

participate in this study, participants need to: (1) have<br />

a degree or diploma in nursing, (2) hold the position of<br />

assistant manager (or its equivalent) or higher, (3) have at<br />

least one person who directly reports to them, and (4) be<br />

able to read English fluently. By doing this survey, they are<br />

agreeing to participate in the study and that they meet the<br />

four requirements for participation. All responses to this<br />

survey are anonymous and participants may stop doing the<br />

survey at any time with no repercussions.<br />

Should a participant complete the survey, they will<br />

be provided with a $25 Amazon gift card to show<br />

appreciation for taking the time to participate in this study.<br />

To protect their anonymity, a link at the end of the first<br />

survey will take them to a second survey asking for the<br />

email address where they would like the gift card sent.<br />

These two surveys are not linked, so the email address<br />

provided in the second survey is not connected to the<br />

responses provided in the first survey. The link for the<br />

survey is: https://marquette.az1.qualtrics.com/jfe/form/<br />

SV_9st9aRXnMJEtOZg<br />

Registered<br />

<strong>Nurse</strong>s, LPNs<br />

and LNAs<br />

Grace Cottage is seeking dedicated<br />

healthcare professionals to join our<br />

team. No matter your experience,<br />

every employee has a voice and is<br />

a valued member of our team. We<br />

offer competitive benefits to meet<br />

your personal and professional<br />

needs. Here, we go beyond<br />

providing excellent patient care to<br />

preserve and prolong the well-being<br />

of our community – patients and<br />

employees alike.<br />

We are proud to be<br />

recognized for the<br />

exceptional, patientcentered<br />

care we deliver<br />

every day.<br />

2017-2021 Brattleboro<br />

Reformer’s Readers’<br />

Choice Awards: ‘Best<br />

Place to Work in<br />

Windham County’<br />

• Sign On Bonus<br />

• Loan Repayment Program<br />

• Tuition Reimbursment<br />

• Shift differentials ranging<br />

from $3 to $9 per hour.<br />

NOW HIRING<br />

CAMP NURSES<br />

Girl Scout resident camp seeks RN/LPNs for summer<br />

positions. Camp runs June 26-August 13; live on site or<br />

commute to Thetford, VT. Work in a team to supervise<br />

health needs of 200 campers/staff per week as they<br />

participate in outdoor adventure programs.<br />

To apply or for more information visit<br />

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About Grace Cottage:<br />

Grace Cottage is a 19-bed inpatient facility for<br />

acute and rehabilitative care equipped with onsite<br />

lab and radiology departments as well as a 24-hour<br />

emergency department for critical care treatment.<br />

We offer both inpatient and outpatient rehabilitation<br />

services in the areas of physical, occupational, and<br />

speech therapy.<br />

Interested candidates must complete<br />

an application and apply online at<br />

www.gracecottage.org/careers<br />

An equal opportunity employer.


Nursing<br />

National<br />

Career Fair<br />

Virtual<br />

Thursday, April 28 | 5–8pm ET<br />

Page 14 • <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> <strong>February</strong>, March April <strong>2022</strong><br />

ANA Hails US Supreme Court<br />

Decision to Uphold CMS<br />

COVID-19 Vaccine Mandate for<br />

Health Care Workers<br />

SILVER SPRING, MD -The American <strong>Nurse</strong>s Association (ANA) hails the U.S.<br />

Supreme Court's decision to uphold the U.S. Department of Health and Human Services'<br />

Centers for Medicare and Medicaid's (CMS) requirement for health care workers to be<br />

vaccinated against COVID-19. Through this decision, 76,000 hospitals, nursing homes<br />

and other health care facilities across the country that participate in Medicare and<br />

Medicaid programs are required to implement COVID-19 vaccine requirements for<br />

an estimated 10 million health care workers. ANA is pleased that the Supreme Court<br />

allowed this requirement to be implemented.<br />

While the decision to uphold the CMS COVID-19 vaccine requirement is a win, ANA<br />

is disappointed that the Supreme Court blocked the Occupational Safety and Health<br />

Administration's (OSHA) emergency temporary standard for COVID-19 vaccination<br />

and testing for large businesses from taking effect. This action is inconsistent and<br />

misaligned with concerted national campaigns and efforts to get enough individuals<br />

and communities, including nurses, vaccinated against COVID-19 to reduce further<br />

infections, hospitalizations, and deaths. As the nation grapples with highly transmissible<br />

COVID-19 variants, mass vaccination is our strongest defense in relieving overwhelmed<br />

health care systems and exhausted nurses.<br />

We continue to encourage all employers to take responsible actions to increase the<br />

number of employees who are vaccinated and to protect their workforce and customers.<br />

ANA urges health care employers to do everything in their power to provide ready and<br />

ongoing access to personal protective equipment (PPE) as well as COVID-19 testing and<br />

vaccines at the worksite. These prevention measures are critical to ensure that nurses<br />

and all members of the health care team have the highest level of protection against<br />

workplace transmission. Additionally, we call on state and federal policymakers and the<br />

private sector to aggressively pursue other strategies to bolster the health care system.<br />

ANA continues to support mandated COVID-19 vaccinations for nurses and all health<br />

care professionals. To protect the health of the public, all individuals, nurses, and health<br />

care professionals, it is imperative that every eligible adult and child be immunized<br />

against vaccine-preventable diseases, such as COVID-19 and influenza.<br />

The American <strong>Nurse</strong>s Association (ANA) is the premier organization representing<br />

the interests of the nation’s 4.3 million registered nurses. ANA advances the profession<br />

by fostering high standards of nursing practice, promoting a safe and ethical work<br />

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

care issues that affect nurses and the public. ANA is at the forefront of improving the<br />

quality of health care for all. For more information, visit www.nursingworld.org.<br />

For high-resolution images of the ANA logo or photos of ANA leadership, please click<br />

here.<br />

IS YOUR NURSING ORGANIZATION<br />

PLANNING AN EDUCATION<br />

PROGRAM?<br />

CONSIDER APPLYING FOR CONTACT HOUR APPROVAL<br />

<strong>Vermont</strong> Lawmakers Discuss<br />

Dwindling Healthcare<br />

Workforce<br />

Devin Bates<br />

Reprinted with permission<br />

MONTPELIER – On Thursday, <strong>Vermont</strong> lawmakers brainstormed strategies to<br />

address a declining amount of healthcare workers in the state.<br />

The House Committee on Health Care and the House Committee on Commerce and<br />

Economic Development held a joint meeting to go over a long list of recommendations<br />

made by a legislative advisory panel.<br />

The Healthcare Workforce Development Strategic Plan gathered input from a panel of<br />

doctors, nurses, mental health professionals and representatives from hospitals and long-term<br />

care facilities. It includes strategies like investing more money in scholarships, doing more to<br />

promote careers in healthcare, and offering more opportunities for financial assistance.<br />

This particular endeavor to boost <strong>Vermont</strong>’s healthcare work force dates back to<br />

January 2020, two months before the pandemic arrived.<br />

The impact of COVID has only made the shortage accelerate, and lawmakers with a<br />

strong grasp of the situation inside hospitals say they know exactly why.<br />

“It’s happening because healthcare providers, healthcare workers, people in the system<br />

are burnt out,” said Rep. Mari Cordes (D-Addison).<br />

Rep. Cordes, who sits on the House Healthcare Committee, was a founding organizer<br />

and former president of the <strong>Vermont</strong> Federation of <strong>Nurse</strong>s and Health Professionals. She<br />

said it’s going to be an uphill battle to build staffing levels.<br />

“The kind of work that we’re doing and the intensity of the work that we’re doing<br />

– we’re not going to be able to recruit more people and retain people by offering tax<br />

incentives,” Rep. Cordes said.<br />

Across the country, the healthcare workforce is one of many industries facing what’s<br />

been dubbed ‘The Great Resignation’.<br />

Prompted by the pandemic, people are quitting their jobs in record numbers. In past<br />

recessions, the health sector was able to weather through, even seeing job growth.<br />

Now, that’s not the case.<br />

In order to maintain <strong>Vermont</strong>ers’ access to health services, providers have also relied<br />

increasingly on traveling nurses. From FY 2020 to FY 2021, hires increased 26 percent.<br />

The cost for hospitals also rose by 50 percent, from $50 million to $75 million.<br />

The panel’s recommendations fall into six broad categories: financial incentives,<br />

education and training, recruitment and retention, regulation, practice, and federal policy.<br />

Ena Backus, Director of Healthcare Reform at the <strong>Vermont</strong> Agency of Human<br />

Services, chaired the advisory panel.<br />

“As we think about strategies and how <strong>Vermont</strong> can be competitive in a fiercely<br />

competitive environment, one of the things that stands out is <strong>Vermont</strong>’s vaccination rate,”<br />

Backus said.<br />

Rep. Emma Mulvaney-Stanak noted there is a lot of focus on recruiting, but retaining<br />

current healthcare workers is just as vital.<br />

“A lot of what we heard both in the State of the State yesterday and even in this plan,<br />

the focus is a lot about bringing new people in,” Rep. Mulvaney-Stanak said. “We have a<br />

lot of <strong>Vermont</strong>ers here, and I’m curious if we can learn more about how to retain people<br />

in these fields…. When I see people working in the healthcare world here in the state, I’m<br />

wondering about the livability of these jobs.”<br />

FOR MORE INFORMATION CALL THE ANA-<strong>Vermont</strong> OFFICE<br />

@ (802) 651-8886<br />

REGISTER NOW!<br />

The Northeast Multi-State Division, (NE-MSD) is accredited as an approver of<br />

continuing education in nursing by the American <strong>Nurse</strong>s’ Credentialing Center’s<br />

Commission on Accreditation.<br />

Scan QR Code to Register<br />

ANA-<strong>Vermont</strong> New Members<br />

Jandra Oliver<br />

Jessica Lynne Alwine<br />

Nichole Martin<br />

Jill A. Merrill<br />

Ann Kobylenski-<br />

Sanderson<br />

Andrea Carrie Van<br />

Woert<br />

Connie Lotspeich<br />

Thomas Allyn Harvey<br />

Molly Nawrath<br />

Tammie Bruso<br />

Caraline Sprague<br />

Marybeth Wells<br />

Catherine Whitaker<br />

Vicki Garza<br />

Madelyn Edgar<br />

Debra R Schuelke


<strong>February</strong>, March April <strong>2022</strong> <strong>Vermont</strong> <strong>Nurse</strong> <strong>Connection</strong> • Page 15<br />

ANA-VT<br />

Membership Application<br />

Nursing continues to be the most trusted<br />

profession as indicated in annual surveys. This<br />

attests to the collective contributions nurses make<br />

as they care for patients, families and communities.<br />

Efforts of individual nurses however deserve special<br />

recognition by colleagues, employers, patients,<br />

families and friends. There are many reasons<br />

to Honor a <strong>Nurse</strong> such as: to thank a mentor, to<br />

acknowledge excellent care given by a nurse to a<br />

patient, to celebrate a milestone such as a birthday<br />

or retirement, or to recognize a promotion. Just<br />

think for a moment, you will know a nurse to honor.<br />

Celebration: The honored nurses and the persons<br />

nominating them will be recognized at the ANA-<br />

<strong>Vermont</strong> Convention in <strong>2022</strong>. The honored nurses<br />

each will receive a certificate identifying the person<br />

recognizing her/him as well as the reason for the<br />

honor. Submit nominations by: September 1, <strong>2022</strong>.<br />

All contributions are tax deductible to the full<br />

extent allowed by law. ANA-<strong>Vermont</strong> Foundation<br />

is a 501(c)3 organization. Nominations this year are<br />

online.<br />

Please go here to nominate someone:<br />

https://www.nursingworld.org/foundation/<br />

donate/honor-a-nurse/<br />

Your next opportunity is at the<br />

<strong>Vermont</strong> Veterans’ Home!<br />

We invite you to become part of our health-care team<br />

where we focus on resident-centered care fulfilling<br />

America’s promise to care for our country’s Veterans,<br />

their Spouses, and Gold Star Parents. Together we strive<br />

to create an environment that provides our residents with<br />

the dignity and respect that they so rightfully deserve.<br />

Nursing positions are now eligible for a recruitment<br />

and retention bonus of up to $2500!<br />

We are seeking to hire LNAs, LPNs, RNs (level I &<br />

II), and <strong>Nurse</strong> Supervisors – competitive salaries and<br />

excellent benefits for all positions.<br />

Check us out to see what we have to offer!<br />

For more information, contact:<br />

Patricia.Crossman@vermont.gov or peruse the<br />

following websites: <strong>Vermont</strong> Veterans’ Home website:<br />

https://vvh.vermont.gov/ State of <strong>Vermont</strong> careers<br />

website: https://humanresources.vermont.gov/careers<br />

The State of <strong>Vermont</strong> offers an excellent total compensation package. To apply, you must use the online job application at<br />

https://careers.vermont.gov. For questions related to your application, please contact the Department of Human Resources Recruitment<br />

Services at (800) 640-1657 (voice) or (800) 253-0191 (TTY/Relay Service. The State of <strong>Vermont</strong> is an Equal Opportunity Employer.

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