Volume 15 | Number 3 | June 2022
Quarterly publication delivered electronically via email to 260,000+ RNs and LPNs in Ohio
Workplace Violence Bill FAQ –
What’s inside this issue?
Ohio Nurse March a Success
Nurses Still Lead Honesty and Ethics List
Very high/High Average Low/Very low Net high
% % % pct. pts.
Nurses 81 16 3 +78
Medical doctors 67 25 8 +59
Grade-school teachers 64 25 11 +53
Pharmacists 63 30 6 +57
Military officers 61 31 8 +53
Police officers 53 32 15 +38
Day care providers 50 42 6 +44
Judges 38 43 18 +20
Clergy 36 48 14 +22
Auto mechanics 35 51 14 +21
Bankers 27 52 20 +7
Nursing home operators 27 46 27 0
Local officeholders 22 54 24 -2
Lawyers 19 50 30 -11
Newspaper reporters 17 39 43 -26
Business executives 15 50 34 -19
TV reporters 14 38 48 -34
State officeholders 12 48 39 -27
Advertising practitioners 11 44 43 -32
Members of Congress 9 29 62 -53
Car salespeople 8 49 42 -34
Lobbyists 5 28 63 -58
% No opinion not shown; sorted by Very high/High
GALLUP, DEC. 1-16, 2021
2021 Honesty and Ethics of Professions Ranking
Please tell me how you would rate the honesty and ethical standards of people in these different fields –
very high, high, average, low or very low?
For the 20th straight year, nurses lead Gallup’s annual
ranking of professions for having high honesty and ethics,
eclipsing medical doctors in second place by 14 points –
81% vs. 67%. Grade-school teachers (64%), pharmacists
(63%) and military officers (61%) round out the top five
most revered professions in this year’s list, with more than
six in ten Americans viewing each as highly ethical.
Only two other professions rated in the new poll are
considered exemplary for their honesty and ethics by
at least half the public: police officers (53%) and day
care providers (50%). The ethics of the remaining 15
professions receive high ratings from no more than 38%
and as few as 5% of Americans.
The least revered professions are lobbyists, car
salespeople and members of Congress – with less
than 10% of Americans perceiving them as having high/
very high ethics. However, when one factors in those
who rate each profession’s ethics as low or very low,
members of Congress and lobbyists are clearly the worst
rated. More than six in ten Americans view the ethics of
these political actors negatively, whereas roughly four
in ten see car salespeople this way; a plurality view car
salespeople as average.
Nurses have topped the list all but once since
being added to Gallup’s annual rating of professions
in 1999. That was in 2001, when they were displaced
by firefighters – who earned an all-time-high honesty
score of 90% when they were included on a one-time
basis in the aftermath of the 9/11 attacks. Three hundred
forty-three New York City firefighters lost their lives on
9/11 trying to rescue people from the World Trade Center
This is a portion of a Gallup article originally
posted on January 12, 2022.
You may read the original article here.
Honesty and Ethics List continued on page 2
Inside this Issue
current resident or
U.S. Postage Paid
Permit No. 14
Thank you to our 2022 Ohio Nurses Foundation
Nurses Choice Sponsors ................ 3
News for the New Nurse................... 4
Public Policy Q&A........................ 6
Medical Mission Trips: Role of the Nurse....... 9
Bedside Happenings..................... 11
Workplace Violence Bill FAQ - HB 681........ 13
Nurse Honor Guard...................... 14
NPD Conference........................ 15
Ohio Nurse March a Success .............. 16
Criminal Charges Against Nurses: What You
Should Know and What You Can Do
A Free On-Demand Webinar............. 19
Page 2 Ohio Nurse June 2022
Honesty and Ethics List continued from page 1
Pandemic Image-Surge for Medical Professions Subsides
Three of the top four – nurses, medical doctors and pharmacists – are medical professions that enjoyed
boosted ratings in 2020, likely because of their service to the public during the pandemic. The 2020 rating for
nurses was the highest for any profession other than firefighters in 2001, while doctors’ rating was the highest
ever for that profession.
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are not intended as legal or medical advice
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For specific legal advice, readers should
contact their legal counsel.
2021-2023 Ohio Nurses Foundation
Board of Directors
PRESIDENT: Lisa Ochs
The ratings of the four highest-rated lines of work in 2021 are down by eight to 11 points from 2020, essentially
returning to their pre-pandemic normal levels after rallying in the first year of the COVID-19 pandemic.
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NEWS FOR THE NEW NURSE
Lataya De Jesus, MS, APRN, DNP Candidate
Amber Kurzen, MS, APRN, DNP Candidate
Strong work and congratulations on graduating from
nursing school and landing your first job! While this is
an exciting time, it can also be anxiety-provoking and
scary. You will be learning so much in your first year.
We are here to help guide you in navigating your first
year as a new nurse. We’ll touch on three areas that are
sure to set you up for a good start.
After completing your organization’s orientation, you
will typically go through a department orientation where
you are assigned one or more preceptors. Department
orientation can last from one to three months long
depending on your place of hire (RegisteredNurseRN.
com, n.d.; Samuel, 2021). However, it is important for
you to know that if you do not feel comfortable being
on your own just yet, it is appropriate to ask for more
time. Requesting additional time, if needed, allows you
to practice beneficence by ensuring you are providing
patients with the highest quality of care, so do not
hesitate to ask. That said, become familiar with and
know how to contact your chain of command as this
will help you know who to seek help from depending
on the situation. You may go to your charge nurse with
questions about your assignment, however, you should
go to your department manager if you need to ask for
additional orientation time.
Set Yourself Up for Success
There are some key things you can do to help
your orientation be most successful. These may
also set you up for a rewarding nursing career. It
is a good idea to be familiar with your hospital by
exploring and getting to know your surroundings.
Traverse your hospital halls and search for different
departments, for example, radiology, pharmacy,
and various units so you can navigate easily
throughout the hospital. Identify the fastest route
to these locations so you can get your patients to
the department quickly and efficiently. Make a note
of where equipment is, especially in case of an
emergency, and where commonly used supplies
are stored. Also, it would benefit you to know how to
easily navigate the organization’s website and look
up policies. Familiarize yourself with major hospital
policies to ensure your patient care and actions align
with hospital procedures and standards. Another key
point is to anticipate. You want to be aware of what will
be expected of you by the end of a day, week, month,
Nursing is not only a science but also an art! Each
nurse is unique and has their own tips and tricks for
completing tasks. Consider requesting to shadow
different nurses to give you a different perspective.
This may increase your knowledge and skill level,
possibly helping you discover a more efficient way
to complete your nursing tasks. Another good idea
is to keep notes in a journal or notepad during your
orientation. Easy access to your notes will provide you
with reminders on how certain tasks are completed.
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June 2022 Ohio Nurse Page 5
Orientation provides an opportunity to build
character. Showing humility helps others know you
are sincere and willing to learn. One way to do this is
by being attentive and listening to other experienced
nurses as they show you skills and teach you
techniques. Having honesty in your work ethic shows
others that you care about them and want to provide
the best care for your patients. Letting your preceptor
know of your weak areas in which you want to improve
will lead them to trust you and show them that you care
about being a safe and competent nurse. This is a time
for you to show initiative by asking questions, offering
to lend a hand, or completing a task on your own that
you have recently learned. For example, once you’ve
learned how to start an IV, volunteer or ask to do the
next one on your own with your preceptor’s guidance.
Starting a new career can be exciting and scary at
times. Starting your first job as a new graduate nurse
is no exception. Orientation is a great opportunity
for you to expand your knowledge and skill set, build
character, and learn about your organization and unit.
Take advantage of this time which can help you in
becoming the best nurse you can be and provide your
patients with the highest quality of care. We hope that
the information you read here will aid in your process.
You’ve got this, new grad!
RegisteredNurseRN.com. (n.d.). Tips for new nurse
graduates: How to get the most out of nurse
Samuel. (2021, October 1). How long is orientation for a
new nurse? How I Got The Job: Inspiring Job Search
Page 6 Ohio Nurse June 2022
Public Policy Q&A
Jeri A. Milstead, PhD, RN, NEA-BC, FAAN
The public policy-making process involves getting a
problem to the attention of government and obtaining
a response. You may ask: Why do I, a nurse, care
about public policies? Well, you may not be interested
in all public policies, but there are many laws and
regulations that affect your practice.
We interviewed three people who live in the policy
arena: two ONA lobbyists (John Singleton and Julia
Wynn) and a member of the Ohio General Assembly
Questions for ONA Lobbyists
1. What do you see as your role as a registered
JS: We represent clients’ interests in the state
legislature. Most of our clients are busy running their
companies and do not have the time or know the
political landscape well enough to bring their concerns
to legislators so they trust lobbyists to represent them.
JW: We are the eyes and ears of clients at the
statehouse. We are experts about the legislative
process so we can manage clients’ interests.
Graff & McGovern, LPA
Attorneys & Counselors
2. What education or experience has prepared you
or guided you to doing what you do today?
JW: It is very important to know how the legislative
process works and who the people are who live in that
world ever day. We understand strategies to advance
the interests of our clients. We spend a lot of time at
the statehouse in order to develop relationships with
policy makers and their staff.
JS: My experience began many years ago when I
was hired as a young lobbyist by a company that had
seasoned people who worked with policy makers. I
was able to watch my colleagues and learn from how
they interacted with legislators and clients. However,
my early work as a statehouse aide gave me the
experience and confidence to pursue a career in the
JW: Communication is a big piece of what we
do. We navigate communications so that if we must
deliver bad news (e.g., the client does not support a
legislator’s position), we do so in as positive way as
possible. Sometimes, we are challenged to articulate
tough positions so tact and diplomacy are very helpful.
However, we also know when to stand firm for our
Scan this code and contact us to
learn more about what we can do
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604 E. Rich Street, Columbus, Ohio 43215
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3. Share with us a bit about what kinds of bills you
follow. That is, are they only related to nursing
JS: We work for a multi-client firm. That is, we
cover a wide range of issues, not just health care. For
ONA, we follow bills of interest to nurses. Since much
of our time is spent at the statehouse, we are aware
of what issues are commanding attention and what
topics are being discussed. However, we also listen to
our clients. For example, a member of the ONA Health
Policy Council asked us to look into a ‘brine bill’—a bill
that dealt with using salted water to melt snow on the
streets and highways. The HPC members questioned
the ecological impact such as run-off and the effect
on crops saturated with brine. We also are attuned to
voting rights and other bills that, on first glance, may
June 2022 Ohio Nurse Page 7
not seem related but on investigation have relevance
to nurses and healthcare.
JW: I cover a variety of areas such as
transportation, education, etc. There are hundreds of
bills introduced in any given General Assembly. All
are referred to committees for further consideration
and hearings. We keep our clients informed about
the progress and political climate around the bill.
That is, the probability of a bill being passed out
of committee and sent to the floor for final vote. We
also alert our clients about other bills such as budget
and appropriations (money allocated for programs).
We are especially alert to legislative activity during
‘lame duck’ sessions (time between an election and
the swearing in of new legislators) when bills begin
to look like Christmas trees—i.e., many amendments
are attached. These ‘ornaments’ (amendments) often
appear suddenly and there is little time for deep
consideration. It is important to understand the client’s
commitment and strength of position in order for us to
4. What do you need from ONA members in order
to make your job more successful?
JS: We need feedback and participation from ONA
members. We are not nurses but we can tell nurses
about how legislation may impact nurses and nurse
organizations. We also need to work with members on
the endorsing legislators who are running for office,
planning fund raisers, and attending ‘interested party’
and other meetings.
JW: When legislators tell us they have not heard from
nurses and other constituents about a nurse- or healthrelated
issue, we ask ONA to rally members to make
contacts. We spend much time developing relationships
with policy makers (not just members of the General
Assembly but other state officials and agencies.
5. What do you do when a bill supports or
opposes an ONA position?
JS: If there is support for a bill, we submit a
proponent letter and may testify or prepare ONA
members to testify at hearings. If ONA opposes a bill,
we develop a tailored approach. That is, we determine
whom we can work with to resolve differences. We
also may submit amendments and work hard to find
solutions. We call it a “heavy lift” when we are working
diligently to persuade an opponent to become a
proponent. Nurses can help in this instance by telling
our stories to make issues personal
JW: We first gather relevant information from key
players, bill sponsors, and legislative leadership (i.e.,
committee chairs). We must be accorded trust to carry
ONA’s interests forward and to deliver positive actions
for the organization. Policy making is a ‘messy’
business that can change quickly. We can be flexible
when we understand the history and position of ONA
6. What do you do when a bill essentially
supports an ONA position but a part of the bill
JS: We try to amend. For example, a current
bill deals with nurse staffing in hospitals. At ONA’s
direction, we were able to submit language that
addressed our concerns. When the bill is nearing
completion, we will submit a draft for the ONA board
of directors to sign off. If we cannot amend a bill, we
work with legislators and ONA to address sticking
points. In the end, ONA will determine whether to
support or oppose. Sometimes this process is intense;
other times there is little difficulty in shaping a bill that
is satisfactory to all.
7. Do you have questions for me or other thoughts
you’d like to share with our Ohio nurses?
JS: Nurses should know how ONA works for them.
Legislators learn about ONA often because they
have a family member who is a nurse or who works
in healthcare. Most nurses are not involved in the
process of making public policy decisions—they may
shy away from politics. However, nurses should not
be intimidated by politicians. Legislators represent
YOU—they want to hear what you think, how you see
a situation. They need to hear your stories. Think of
partnering with a legislator to solve an issue that can
improve patient care or healthcare. This is part of
Questions for Rep. David Leland –
Tuesday, May 10, 2022
1. What is the hardest part of being an Ohio
Casting vote on issue if there is not a clear yea or
nay. There is no ‘undecided’ vote, even if I can see
both sides. So, I have to make a judgment based on
the information I have.
2. Where do you get info to help decide?
I read a lot about each issue. I take testimony
that is presented in committee hearings. Not
every bill has lobbyists but often I do talk with paid
lobbyists. I do talk with ordinary citizens who feel
strongly about an issue. Now we often have zoom
meetings rather than F2F. Recently, I am having
about 50% F2F. Electronic meetings are very
useful—they save people travel time and helps the
process by making it easier to connect.
3. How did you keep track of so many different
kinds of issues, such as economic development,
agriculture, technology, health care, etc.?
That’s why they call this a job—it is a job. Staff
help tremendously. For example, there are so
Public Policy Q&A continued on page 8
Page 8 Ohio Nurse June 2022
Public Policy Q&A continued from page 7
many bills that are outside the purview of the
committees that I am on. Staff members provide
information and keep track of when committees
are meeting and what issues are discussed. Highprofile
issues are easier. I also listen to colleagues
but really the work is done in the committees. That
is, information is shared, pros and cons are argued,
various perspectives are heard. Currently, I spend
60-70% of my time on criminal justice issues. I am
the ranking member of the House Criminal Justice
Committee and that demands much of my time.
4. What education and experience would
prepare a person to be a successful policy
The legislature was designed for anyone 18
years old who lives in Ohio. The founders wanted
a citizen-legislature. However, a law degree has
a big advantage because I am familiar with legal
language and the Ohio Revised Code. A law
degree is not mandatory—there are physicians,
farmers, men/women and they all bring different
perspectives. I believe the legislature should reflect
the Ohio population.
5. What are your thoughts about term limits?
My position: As long as we have gerrymandering,
we should have term limits.
System is so skewed right now. I would
be opposed to term limits if we didn’t have
6. Share your thoughts about having a nurse as
a Legislative Aide
Great! Would give a different perspective.
7. How can nurses make their collective voice
stronger and more powerful?
People respect nurses and what they do,
especially since COVID. Society doesn’t move
forward without healthcare people. We need to
talk with people, individually or as a collective. I
want to hear from them: This is what we think; this
is who we are. Communication is key. I love to
bring in many voices from many districts. We need
to connect one-on-one, not necessarily with paid
lobbyists (I see lobbyists a lot). But hearing from my
own constituents is even more important. I want to
hear their personal stories. The more people the
8. Do you have questions for me or other
thoughts you’d like to share with our Ohio
I salute all OH nurses for all their work, especially
during the COVID crisis. I always participate with
nurses. ONA has two very good lobbyists. John
Singleton and Julia Wynn are credible and do a
good job. I am leaving the General Assembly and
am an unopposed candidate for judge for the 10th
District Court of Appeals. It has been a pleasure to
serve Ohioans as a legislator.
We hope that you have a better understanding of
the interaction between lobbyists and policy makers.
One way to become involved in policy decisions is
through ONA. Don’t delay—nursing needs your
June 2022 Ohio Nurse Page 9
Medical Mission Trips: Role of the Nurse
Marjorie Vogt, PhD, DNP, APRN, FAANP
Lataya De Jesus, MS, RN, DNP Candidate
Stephanie Justice, DNP, RN, CHSE
Have you ever thought about going on a medical mission trip as a nurse?
Maybe you already have. Maybe you are interested but do not know how to get
involved. Originally organized by religious institutions (Mission Discovery, 2021),
mission trips have expanded to include schools, universities, hospitals, and
various nonprofit (501[c]3) organizations. There are several organizations across
the United States that complete missions all over the world including in our own
Are you familiar with medical missions or the role of the nurse during these
trips? Nurses who go on medical mission trips have a specific goal to achieve
which varies from mission to mission. Most missions involve nurses using their
knowledge and skill to care for the people of a particular community. Medical
missions can also have a designated emphasis such as surgery, orthopedics,
or primary care. They may also be combined with other groups such as those
that focus on construction, water access, or other infrastructure needs. The goal
of the medical mission is set to be carried out within a certain time which differs
depending on the mission and organization. Mission trips can last from one week
or be as long as six months to a year.
Medical missions can occur domestically or internationally. Domestic medical
missions often occur in underserved areas where there is limited access to health
care, including Indian reservations. However, they can have some limitations
related to state licensure and regulations. Nurses may be limited in their scope
of practice if they are not licensed in the state where the mission will occur. As
more states join the compact license coalition, this may be less of a problem in the
future. Advanced practice registered nurses (APRN) may also be limited in their
scope of practice when considering a domestic medical mission. There are very
limited compact states currently for APRNs, which can limit their ability to practice.
Many of the faith-based missions occur domestically and may include
participants of all ages, from adolescents to older adults. In many instances,
on domestic missions, participants stay in a church or dorm setting, either
providing their own meals or having meals provided for them by the sponsoring
organization. Often the medical mission team will work with a healthcare or faithbased
organization that is located in the area where the mission trip is focused.
Follow-up care or referrals can be made in collaboration with the sponsoring
organization in order to provide appropriate ongoing care. Although safety can
be a concern on any medical missions, usually there are fewer concerns about
safety when in the United States. Typically, safe food, water, and appropriate
hygiene materials are available to domestic medical mission teams.
International medical missions may have less stringent requirements about
licensure or regulations for nurses but may still limit scope of practice for APRN. Many
countries do not yet recognize the advanced practice role and require a physician to
be a member of the healthcare team. On an international medical mission team, the
APRN may be working in the role of the registered nurse or within their APRN scope
of practice, possibly with physician supervision. Often, international medical mission
teams providing healthcare work closely with the country’s Ministry of Health or the
sponsoring international healthcare organization. Typically, the Ministry of Health or
the sponsoring international healthcare organization will require copies of the nurses’
license, but may also require copies of diplomas from their nursing education institution
and/or an unofficial transcript or resume. Nurses participating in medical missions
need to have an updated passport and immunizations. Passports may not expire
within six months of travel, and immunizations may be required by certain countries
for entry. In some countries, additional prophylactic medication may be recommended
or required, such as malaria prophylaxis. The Centers for Disease Control has an
interactive website listing travel precautions, required immunizations, and other
important travel information. Some countries require international travelers to be
registered with the nearest U.S. Embassy.
International medical missions have more safety concerns. Safety concerns related
to any type of international travel may include issues such as safe water, safe food
preparation, accommodations, and hygiene availability. Possibilities of potential
violence or kidnappings from community members, terrorists, or other conflicts should
be considered. Weather-related emergency situations such as hurricanes, tornadoes,
and floods should also be addressed in order to have an appropriate plan of action
should they occur.
Members of international medical missions should also be cognizant of the
cultural norms of the hosting country. Language and customs can be a challenge if
not explored and understood prior to immersion into the culture. There are several
excellent resources on various cultures related to health care including common foods
used, home healthcare remedies, the healthcare providers typically used in the area,
use of medications and procedures, and type of social norms. These should all be
considered by participants of international medical missions. In some instances, there
can be concerns from the host country about the transient, episodic care provided,
without appropriate collaboration with the host country’s medical system, so it is
important for nurses to consider their role and what they can provide on a short-term
medical mission (Rasori, 2019).
International medical missions can be highly rewarding in the provision of
healthcare without some of the restrictions required in the U.S such as billing and
coding. Many indigenous communities have limited access to healthcare and
Medical Mission Trips continued on page 10
Page 10 Ohio Nurse June 2022
Medical Mission Trips continued from page 9
have very limited access to such common Western medical adjunctive care such
as laboratory or radiology services. Other services such as physical therapy,
ophthalmology, dentistry, and dermatology can be limited in the communities.
Community members are often very grateful to the international medical team who
provides these services, and will frequently provide small tokens of appreciation, such
as meals, or other culturally appropriate crafts made by community members.
Experiences in the Field
Participants of medical mission teams often talk about the experience as a
“life-changing event,” “a growth opportunity,” or a “renewed commitment” to their
profession. Although medical missions can be challenging in terms of the change from
the normal daily routine, the rewards can be significantly positive and satisfying for the
participants. Several nurses part of faith-based teams see giving back to a community
that lacks resources as a “calling” and as part of their faith. As one (Lataya) who goes
on faith-based medical mission trips, the experience has been humbling and inspiring.
As a member (Dr. Vogt) of multiple short-term medical mission teams both
domestic and international, the opportunity to serve communities without ready access
to healthcare has been rewarding and motivating. Providing primary care to patients
with limited access helps to increase and strengthen one’s physical assessment
skills while learning about new areas such as tropical diseases. Collaborating with
members of the host country’s medical providers allows a rich opportunity for diverse
experiences that can be both professionally and personally rewarding.
As a volunteer for Ohio based Central American Medical Outreach (CAMO),
Dr. Justice has traveled to Santa Rosa de Copan, Honduras to provide education
for nurses, physicians, and paramedics. Classes have been taught for conducting
medical simulations and the Stop the Bleed program. On these mission trips,
the healthcare providers teach their Honduran counterparts new techniques for
surgical procedures, provide education to hospital staff, and education to a variety of
educators. An interpreter is provided, if needed, during these trips to allow the learners
the opportunity to ask questions without language barriers and allows the volunteer to
understand the challenges faced in the hospital setting in western Honduras.
Has this information piqued your interest in serving as a nurse on a medical
mission trip? Multiple faith-based organizations seek participants on medical missions
including the main Protestant and Catholic religions. More information can be obtained
by contacting the organization. Non-faith based organizations, such as, Doctors
Without Borders, Mercy Ships, and many others have websites with information about
volunteering. A national global mission conference is held annually in late fall where
multiple organizations are available to talk about their opportunities to serve. There
are countless opportunities for nurses to volunteer for medical missions. Consider if
volunteering is the right choice for you.
• A Systematic Review of Social, Economic, and Diplomatic Aspects of Short-
Term Medical Missions by P. H. Caldron, A. Impens, M. Pavlova, & W. Groot
• Nurses’ Contribution to Short-Term Humanitarian Care in Low- to Middle-Income
Countries: An Integrative Review of the Literature by S. Dawson, D. Elliott, & D.
• Short-Term Medical Service Trips: A Systematic Review of the Evidence by K. J.
Mission Discovery. (2021). A brief history of mission trips. https://www.missiondiscovery.org/
Rasori, A. (2019). The role of nurses in Humanitarian Medicine: Three educational strategies
for sustainable short term medical volunteer trips. International Journal of Nursing, 6(1).
June 2022 Ohio Nurse Page 11
Tracy Zeller, RN
Bedside nurses are still struggling with getting necessary supplies like blood
pressure cuffs, blood draw kits, and medications such as 50% dextrose. COVID
has yet again impacted the supply chain and has now led to medical staff not being
able to perform certain tests which could save lives. Due to the renewed lockdown in
Shanghai, China, GE Healthcare has been unable to meet the demand for iohexol and
iodixanol contrast products for computed tomography imaging since April 2022. While
GE Healthcare is not the only manufacturer of medical contrast dye, they do however
reach 50% of U.S. Hospitals. It was not until late May of 2022, that GE Healthcare
reached 50% production capacity per the American Hospital Association. (Schulman,
R., & Howell, M., 2022) While the production of contrast still continues in China, GE
Healthcare has also moved some production to other countries and does not expect
normal production until late June. Once production is back to full capacity, the next
task is meeting the demand.
Hospitals are encouraged to be nothing less than mindful and diligent when it
comes to using what contrast they do have in stock. This response means saving it
for critical situations like traumas and to assess for certain cancers. So, while we as
bedside nurses might be used to orders for tests such as CT PE scans or CT scans
with contrast, don’t expect to see those often in the immediate future. Providers are
now having to find alternative tests that can provide the answers they are looking for.
The shortage of contrast has led to an increase in once previously used exams such
as Ventilation Perfusion (V/Q) Scans. With a low supply of contrast, most CTs are
being done without, leading providers to ask, “Are we missing something?”
Missing the Big Picture
Not having contrast has some healthcare providers concerned over the potential
disservice that may be being done to the patient by not catching what they normally
would through the use of IV Contrast Dye. Dr. Matthew Davenport, the vice-chair
of the American College of Radiology Commission on Quality and Safety, told U.S.
News, “It’s very difficult to know what harms are going to occur from this, either
from a delayed diagnosis or a misdiagnosis.” (Chuck, E., 2022) We as healthcare
professionals took oaths to uphold patient safety and to do what is right for them.
Unfortunately, with the lack of supplies, we are having to find alternatives while still
abiding by those oaths.
The world is entering year three of COVID-19 and the medical supply chain, like
many supply chains, still continues to struggle. As stated by the American Hospital
Association, we must take steps to encourage and strengthen domestic manufacturing
and production not only within our borders but also in nearby countries. (Schulman,
R., & Howell, M., 2022) In the U.S., we must find ways to be self-sufficient and not
dependent on other countries to provide life-saving testing supplies and medications
yet again. Until then, we will continue missing the big picture.
Chuck, E. (2022, May 18). Shortage of contrast dye forces hospitals to ration CT scans, other
procedures. NBCNews.com. Retrieved June 8, 2022, from https://www.nbcnews.com/
Schulman, R., & Howell, M. (2022, May 12). Shortage of contrast media for CT imaging
affecting hospitals and Health Systems: AHA. American Hospital Association. Retrieved
June 8, 2022, from https://www.aha.org/advisory/2022-05-12-shortage-contrast-mediact-imaging-affecting-hospitals-and-health-systems
The Ohio Department of Rehabilitation and Correction are
looking for medical professionals in the following areas:
LICENSED PRACTICAL NURSE, REGISTERED
NURSE, and NURSE PRACTITIONER
Who We Are…
Guided by a single mission “To reduce recidivism among those we touch,” the Ohio Department
of Rehabilitation and Correction believes that everyone is capable of positive change. Our staff
embrace these core values and serves as role models for pro-social behavior conveying an attitude
of dignity and respect in the treatment of others.
What We Do…
The Ohio Department of Rehabilitation and Correction has been tasked with front line crime
reduction through rehabilitative treatment and programming efforts provided in a safe, secure and
humane correctional environment and effective community supervision. Our goal is to protect the
public through helping individuals turn away from crime and become productive, contributing
members of our communities, ensuring a safer Ohio for all Ohioans now and in the future.
To learn more about our agency, please visit our website at www.drc.ohio.gov.
• Health Care Benefits include medical, behavioral, dental, vision, prescription drug
• Education Assistance
• Paid Holidays
• Paid Vacation, Sick and Personal Leave
• Retirement Benefits
• Life Insurance
• Wellness Incentives
• Worker’s Compensation
• Employee Assistance Program
• LPN’s starting hourly pay will be $23.68, plus 3% supplement and may be eligible for
• RN’s starting hourly pay will be $30.93, plus 3% supplement and may be eligible for
• Nurse Practitioner’s starting pay is determined by a number of factors and will be
advertised on individual posting announcements.
Applications are accepted online at: www.careers.ohio.gov. On this website you will find the Career
Center that will help you search for current job openings and tips on how to apply, how to contact
hiring agencies, interviewing skills, and much more in the Frequently Asked Questions (FAQs) section.
Contact us at:
June 2022 Ohio Nurse Page 13
The Ohio Nurses Association has worked closely
with Representative Casey Weinstein to create
comprehensive workplace violence legislation that
builds upon current law.
Who is included in this bill?
The bill language covers healthcare workers in all
healthcare settings, including ambulatory surgical
settings, maternity homes, hospice care programs,
pediatric respite care programs, nursing home or
residential care facilities, hospitals, plasmapheresis
centers, and home health agencies.
The bill also covers any employee who performs
a service for wages or other remuneration for a
healthcare setting listed above, including temporary
staff hired by a healthcare staffing agency.
What is considered “workplace violence”?
The bill defines workplace violence as any
physical assault or verbal threat of physical assault
against an employee.
What does the bill aim to do?
The bill aims to address the prevalence of
workplace violence against healthcare workers and
build upon current law by:
Workplace Violence Bill FAQ – HB 681
· This training shall occur no later than ninety
days after the individual’s start date.
• Requiring employers to make record of any
workplace violence against an employee or any
violent act against a patient or visitor. This record
must submitted to the Director of Health within
72 hours after the employer is made aware of the
incident. The employer shall keep a record of the
incident for at least five years, during which time it
will be available for inspection by the Director on
· Employees may report incidents of workplace
violence and any violations of this law to the
Director of Health.
· No employer shall discriminate against an
employee because the employee reported
workplace violence and/or testified, assisted, or
participated in any investigation, proceeding, or
• Giving the Director of Health the authority
for enforcement, investigation, and reporting
requirements over workplace violence in
• Reporting from the Director of Health to the
chairpersons of the state senate and house of
representatives standing committees responsible
for hearing healthcare-related legislation every
five years. The standing committees will review
the reports and consider potential legislative
solutions to reduce violence in health care
• Creating penalties and other consequences if an
employer violates the law. If, after an investigation,
the Director of Health determines that reasonable
evidence exists of an employer violating the law,
the Director may impose a reasonable fine against
the facility or, for the second and subsequent
violation, revoke, suspend or refuse renewal for a
facility’s license or certificate.
Who is sponsoring this legislation and how do I
find the bill’s language?
Representative Casey Weinstein is the bill’s
sponsor. There at 23 co-sponsors.
• Requiring every healthcare setting employer to
develop and implement a plan to prevent and
protect employees from workplace violence.
This plan must be reviewed and updated at least
every three years and be submitted to the Ohio
Department of Health.
· The plan must outline strategies aimed at
addressing security considerations including:
· Physical attributes like security systems,
alarms, emergency response and security
· Staffing patterns, patient classifications, and
procedures to mitigate time spent working in
high-risk violence areas;
· Job design, equipment and facilities;
· First aid and emergency procedures;
· Reporting of workplace violence;
· Employee education and training requirements;
· Security risks associated by specific unit, areas
with uncontrolled access, late night or early
morning shifts, and employee security in areas
surrounding the facility.
• Requiring healthcare setting employers complete
an annual review of the frequency of incidents
of workplace violence and adjust their plan as
• Requiring every healthcare setting employer
provide workplace violence prevention training
to employees, volunteers, contracted security
personnel, and healthcare staffing agency
Garden Healthcare strives to provide
excellent care for our residents.
We are currently hiring nurses at
$6,000 Sign on Bonus • Up to $35/hr
Food Trucks • Employee of the Month
Staff Lunch • Staff Birthday Parties
Send emails to corporate recruiter,
Hannah Butt – HButt@oxfordnh.com
We currently have full time, part time and
per diem nursing positions available.
We offer competitive pay and benefits
including medical, dental, vision, PTO,
401k, tuition reimbursement and more!
Contact Human Resources at
(330) 386-2022 or apply online at
Page 14 Ohio Nurse June 2022
Vanessa Ryks, RN
The Nurse Honor Guard pays tribute to nurses at
the time of their death by performing the Nightingale
Tribute at the funeral or memorial service. This service
is similar to a military tribute and officially releases the
nurse from their nursing duties. The NEOH (Northeast
Ohio) Nurse Honor Guard was founded Jan. 26, 2022
and is welcoming new members.
The ceremony is a moving tribute in which the
Honor Guard dresses in white scrubs, complete with
cap and cape. Male Nurse Honor Guards dress in
white scrubs only, no cape or cap. After recalling a
brief summary of the nurse’s career, an Honor Guard
member recites the Nightingale Tribute and lays
a white rose on the casket or urn, symbolizing the
nurse’s dedication to the profession. After the Tribute
is recited, a triangle is rung after a roll call for the
nurse – the nurse’s name is called three times and the
triangle is rung after each call of their name. After this
roll call, an Honor Guard member declares that the
nurse is officially released from their nursing duties.
A lit Nightingale lamp, carried up at the beginning of
the ceremony, is then extinguished and presented to
the family with condolences given. The family is also
Nurse Honor Guard
presented with a personalized program highlighting the
The first Northeast Ohio Nurse Honor Guard
ceremony took place March 14, 2022 for Patricia Kurta,
RN. Ms. Kurta began her 50-year nursing career when
she joined the U.S. Nurse Corps in 1943. After serving
in WWII, she fell in love with the profession, attended
nursing school and the rest was history! Her two
daughters followed in her footsteps and also became
RNs. Since the Military does not recognize the U.S.
Nurse Corps as official military service, her grandson
requested her dedicated nursing career be honored at
the time of her passing.
Anyone interested can find more
information at the public Facebook page, @
NortheastOhioNurseHonorGuard, which also serves
as the means for families to find the group and request
services. A private Facebook group, “Northeast Ohio
Nurse Honor Guard Members” is to provide local
volunteers with details about upcoming services
needing members to help with the ceremony. The
group’s email is firstname.lastname@example.org.
While this group currently serves a large
geographical area, the ideal plan is to have a total of
five groups of nurses to serve Cleveland East side,
Central/South side, West side, Akron/Canton/Alliance
and Boardman/Niles – this way, no one is driving hours
to attend a ceremony.
Please visit our FB page or email to find out more
about this amazing way to honor those who choose this
“I’ve worked at big hospitals, but it is nice to work at a smaller hospital where
your contributions are valued, and management knows your name and
something about your life. I enjoy Knox Community Hospital, and I’ve found a
team of hard-working nurses that have become my friends.”
“Our Medical/Surgical Unit is very diverse,
providing opportunities to utilize essential
nursing skills while providing the best possible
care for our patients. We serve Medical,
Surgical, Orthopaedic, Pediatric, Palliative Care,
Medical Stabilization, and Bariatric Surgery
patients. Our team of nurses, hospitalists,
surgeons, and ancillary staff are all
committed to providing excellent patient
care in a family atmosphere.”
Why Nursing at KCH?
From hospital to Provider office and home health, we have a place to fit you.
Unique opportunities to positively influence change in the department
through a shared governance committee.
Reward and Recognition program benefits are awarded to KCH staff
with Starbucks (aka - KCH Cash), the PCA Sunflower Award, and the Daisy
Award for Nursing Excellence.
KCH offers experience with state-of-the-art technology like the
da Vinci Robotic Surgery solution and critical care remote monitoring
resources to support nursing staff in the Intensive Care Unit.
Competitive salaries, night/weekend shift differentials, a career
ladder program, bonus shifts as desired
Great benefits, tuition reimbursement, and advancement opportunities
An advanced clinical education includes a residency, mentoring
programs, preceptor training, and simulation labs
Generous nursing to patient ratios with a free charge nurse
A variety of service lines provide an opportunity for professional growth,
advance clinical expertise, and hone your organizational skills
Fun, friendly atmosphere with highly skilled and tenured staff to learn
from and assist in your growth.
All private patient rooms
Are you interested in joining the team at KCH?
Contact us. We would love to talk with you!
EMAIL CAREERS@KCH.ORG | PHONE P 740.393.9021 OR P 740.393.9822
June 2022 Ohio Nurse Page 15
Beavercreek Health and Rehab is looking for
FT/PT STNA’s-Days and Nights
Weekend Warrior positions available
Sign on bonuses & Pick up bonuses
New Pay Scale!
Daily Pay Available!
Apply on indeed.com or call Toni at
(937)429-9655 to schedule an interview
can point you right to that perfect
Free to Nurses
Easy to Use
E-mailed Job Leads
Page 16 Ohio Nurse June 2022
Nurse Rally at the Statehouse
ONA was honored to be asked by Nurse March-Ohio to help organize the Nurse Rally at the Statehouse
Ohio Nurse March a Success
Barbara Brunt, MA, MN, RN, NPDA-BC, NE-BC
The Ohio Nurse March was held May 12, 2022 at
the Statehouse. There was an article about this event in
the March issue of Ohio Nurse, and this is a follow-up
article after the event based on an interview with Ashley
Lantto, RN, the Ohio organizer for this rally. Ashley
works as a rehabilitation nurse in Columbus.
Ashley suffered an on-the-job injury (concussion) in
October and that was part of the impetus for organizing
this event. It was her first time planning an event like
this and she really appreciated the support from ONA.
Approximately 250-300 nurses attended this event,
which focused on nurses taking a stand for: safe
nurse-to-patient ratios, stronger workplace violence
legislation, fair wages and benefits, no capping of nurse
wages, and equality in healthcare.
Ashley noted it was great having legislators come
out and hearing nurses speak about their experiences.
Often nurses get caught in a vacuum and think they are
alone. It is beneficial hearing other nurses share similar
experiences. Her hope is that the legislators listened to
the nurses and nurses need to make sure that they talk
with their legislators.
It is critical that all nurses become more informed,
vote, and reach out to their legislators. Ashley states
the only way to make meaningful change is through
legislators, so it is critical to vote for legislators who
support nursing. Ashley encouraged nurses to write
their legislators and set up group appointments to meet
When asked about lessons learned, Ashley stated
although she hopes we do not need another march
next year, and if they have this march next year, she will
make sure there is more team involvement. It takes a
village to plan an event like this. She got there at 8:00
am, well before the event started at 10:00am, and got
sick from the heat in the afternoon.
Feel free to find more resources about safe
staffing and nursing and healthcare legislation at
ohnursemarch.org and by following Nurse March Ohio
on Facebook, Instagram, and Twitter.
June 2022 Ohio Nurse Page 17
Nurse Rally at the Statehouse
Page 18 Ohio Nurse June 2022
Nurse Rally at the Statehouse
Hiring STNAs, LPNs and RNs
5ervivig those who served
The Ohio Veterans Homes, with locations in Georgetown
and Sandusky, is a State of Ohio employer that provides
long-term care for our state's veterans.
Working here is clearly more than "just a job" -
it is a privilege to serve our veteran families, friends and
neighbors who rely on us throughout our great state.
We take considerable pride in living up to our motto of
"Serving Those Who Have Served."
The Ohio Veterans Homes is a sub-division
of the Ohio Department of Veterans Services
Great Starting Wages*
State Tested Nursing Assistant: $17.84
Licensed Practical Nurse: $23.68
Registered Nurse (Nurse 1): $30.93
Registered Nurse (Nurse Supervisor): $38.13
*rates effective July 1 , 2022
• Quality, affordable and competitive medical benefits
• Prescription coverage and a wellness program offering
financial incentives are also offered with medical coverage
• Dental, vision and basic life insurance are offered at no
cost after one year of continuous service
• Paid time off - vacation leave, personal leave and
sick leave accruals
• 11 paid holidays per year
• Childbirth/adoption leave
• Free associate degree program for certain positions
• Ohio Public Employees Retirement System
June 2022 Ohio Nurse Page 19
Criminal Charges Against Nurses: What You Should Know and What You Can Do
A Free On-Demand Webinar
In February 2019, RaDonda Vaught, RN, was
arrested on a criminal indictment and charged with
reckless homicide and abuse of an impaired adult
after mistakenly administering the wrong medication
that killed an elderly patient in 2017. This spring,
Nurse Vaught was found guilty and sentenced to
three years supervised probation.
Nurses across the United States were
shaken by these shocking events. Many
are now worried that their mistakes
can result in prosecution and possible
Register now to view the on-demand webinar!
Attendance is FREE for both ANA members and
Registration closes on September 3, 2022 at 1 pm.
A viewing link will be emailed to all registrants
on or about July 18, 2022.
Register now to receive a gift, free access to
The American Association of Nurse Attorneys
Position Paper: Criminal Prosecution of Health
Care Providers for Unintentional Human Error.
Registration is required for individuals and
SPACE IS LIMITED!
This webinar, presented by Edie Brous, JD, RN, a
nationally acclaimed nurse attorney, nurse advocate
and speaker, will address those fears and evaluate
the Vaught case within the context of other cases in
which health care professionals have been criminally
Topics to be addressed include:
• How criminal charges for medical errors
undermine patient safety
• Just culture and support for the Second Victim
• How professional organizations have responded
to medical errors
• Examples of similar cases and the risk of cases
being brought against nurses for medical errors in
• Steps you can take to reduce your criminal liability
• How to become involved in addressing the issue
of criminalization of medical errors
Don’t miss this opportunity to have your fears
and questions addressed!
Who should attend: All nurses in all practice
Additional information: Registration closes on
September 3, 2022 at 1 pm ET. Register now to
receive 24/7 access to this webinar. The recording
will be available for viewing on or about July 18,
2022. A viewing link will be emailed to all registrants
on or about July 18, 2022, so you may view the on
demand webinar at your convenience.
REGISTER NOW at https://bit.ly/3zTwKU4
Please join us for this
This program is informational
only; no CNE is being awarded.
Registration is required for
individuals and groups.
*Questions or group
Real-time professional development.
Culture of celebration.
BE A UC HEALTH NURSE. APPLY TODAY!