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Volume 15 | Number 3 | June 2022

Quarterly publication delivered electronically via email to 260,000+ RNs and LPNs in Ohio

Workplace Violence Bill FAQ –

HB 681

Page 13

What’s inside this issue?

Ohio Nurse March a Success

Page 16

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

towers.

Lydia Saad

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

Non-Profit Org.

U.S. Postage Paid

Princeton, MN

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

CE4Nurses............................ 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.

OHIO NURSE

The official publication of the

Ohio Nurses Foundation

3760 Ridge Mill Drive

Hilliard, OH 43026

(614) 969-3800

www.ohionursesfoundation.org

Articles appearing in the Ohio Nurse are

presented for informational purposes only and

are not intended as legal or medical advice

and should not be used in lieu of such advice.

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.

VICE PRESIDENT: Rick Lucas

TREASURER: Janet Corbin

SECRETARY: Benitha Garrett

DIRECTORS: Michelle Croker,

Lukas Killian, Rob Weitzel

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March, June, September, and December.

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contact Arthur L. Davis Publishing Agency, Inc.,

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errors in advertising is limited to corrections in

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Acceptance of advertising does not imply

endorsement or approval by the Ohio Nurses

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advertisers, or the claims made. Rejection of

an advertisement does not imply a product

offered for advertising is without merit, or that

the manufacturer lacks integrity, or that this

Foundation disapproves of the product or its

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Agency, Inc. shall not be held liable for any

consequences resulting from purchase or use

of an advertiser’s product. Articles appearing

in this publication express the opinions of the

authors; they do not necessarily reflect views

of the staff, board, or membership of ONF.

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Medical Disclaimer: This publication’s

content is provided for informational

purposes only and is not intended as

medical advice, or as a substitute for the

medical advice of a physician, advanced

practice registered nurse or other

qualified healthcare professional.


June 2022 Ohio Nurse Page 3

Thank You to Our 2022 Ohio Nurses Foundation Nurses Choice Sponsors

PLATINUM PLUS

Mid-Ohio District Nurses Association

(MODNA)

PLATINUM

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Arthur L. Davis Publishing/Health eCareers

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Case Western Reserve

I LOVE NURSES

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(SONA) DOUBLE SPONSOR

District Three Nurses Association

(In honor of Mary Ellen Patton and

nurses everywhere)

Ohio State University Nurses Organization

(OSUNO)

Cloppert, Latanick, Sauter & Washburn

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Quantum Health

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Kent State University College of Nursing

Human Trafficking and

Social Justice Institute

Join us for the 19th Annual International Human Trafficking & Social

Justice Conference hosted virtually on September 21-23, 2022.

Learn, connect, and collaborate with scholars, professionals, and

advocates from all over the world on the latest research, programming,

laws, and more! You can also earn up to 12 Nursing CEs.

Learn more and register on our website:

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Page 4 Ohio Nurse June 2022

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.

Expectations

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

Orientation

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,

and/or year.

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

Character

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!

References

RegisteredNurseRN.com. (n.d.). Tips for new nurse

graduates: How to get the most out of nurse

orientation. https://www.registerednursern.com/tipsfor-new-nurse-graduates-how-to-get-the-most-outof-nursing-orientation/#:~:text=Most%20new%20

nurses%20are%20in,by%2Dside%20with%20this%20

nurse.

Samuel. (2021, October 1). How long is orientation for a

new nurse? How I Got The Job: Inspiring Job Search

Stories. https://howigotjob.com/career-advice/how-longis-orientation-for-a-new-nurse/


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

(David Leland).

Questions for ONA Lobbyists

1. What do you see as your role as a registered

lobbyist?

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.

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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

lobbying industry.

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

clients.

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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

issues?

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

act quickly.

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

on issues.

6. What do you do when a bill essentially

supports an ONA position but a part of the bill

opposes?

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

ONA’s mission.

Questions for Rep. David Leland –

Tuesday, May 10, 2022

1. What is the hardest part of being an Ohio

Representative?

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

maker?

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

gerrymandering.

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

merrier.

8. Do you have questions for me or other

thoughts you’d like to share with our Ohio

nurses?

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

voice!


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

country.

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.

Suggested Readings

• 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.

Jackson

• Short-Term Medical Service Trips: A Systematic Review of the Evidence by K. J.

Sykes

References

Mission Discovery. (2021). A brief history of mission trips. https://www.missiondiscovery.org/

news/brief-history-mission-trips/

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).

https://doi.org/10.15640/ijn.v6n1a15


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?”

BEDSIDE HAPPENINGS

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/

news/us-news/shortage-contrast-dye-hospitals-ration-ct-scans-procedures-rcna29379

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

shift differential

• RN’s starting hourly pay will be $30.93, plus 3% supplement and may be eligible for

shift differential

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:

DRC.OfficeOfCorrectionalHealthcare@odrc.state.oh.us.


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

request.

· 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

hearing.

• Giving the Director of Health the authority

for enforcement, investigation, and reporting

requirements over workplace violence in

healthcare settings.

• 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

settings.

• 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

personnel;

· 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

necessary.

• Requiring every healthcare setting employer

provide workplace violence prevention training

to employees, volunteers, contracted security

personnel, and healthcare staffing agency

employees.

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

Available positions:

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

www.elch.org/careers


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

nurse’s career.

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 neohnursehonorguard@gmail.com.

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

noble profession.

“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.”

-Hadleigh, RN

“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.”

-Shari,RN

Why Nursing at KCH?

From hospital to Provider office and home health, we have a place to fit you.

KCH offers:

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 Nurses-Days/Nights

FT/PT STNA’s-Days and Nights

Weekend Warrior positions available

Great incentives!

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

NursingALD.com

can point you right to that perfect

NURSING JOB!

NursingALD.com

Free to Nurses

Privacy Assured

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

with them.

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

Ohio

Department of

Veterans Services


OHIO

VETERANS HOMES

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

www.dvs.ohio.gov

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

We Offer:

• 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

imprisonment.

Register now to view the on-demand webinar!

Attendance is FREE for both ANA members and

non-members.

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

groups.*

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

charged.

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

the future

• 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

settings

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

valuable webinar!

This program is informational

only; no CNE is being awarded.

Registration is required for

individuals and groups.

*Questions or group

attendance requests:

Please email

anamembershipwebinars@

ana.org


Holistic support.

Real-time professional development.

Culture of celebration.

BE SUPPORTED

BE A UC HEALTH NURSE. APPLY TODAY!

go.uchealth.com/careers

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