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 />
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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 />
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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 />
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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.