Colorado Nurse - August 2022

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10 • Colorado Nurse | August 2022 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association ANA 2022 Annual Membership Assembly June 10-11, 2022, Washington DC Synopsis of Dialogue Forum on Nurse Staffing Submitted Mary Satre, MSN, MBA, RN CNA Board Member Region 3, District 4, and Co-Chair of GAPP Committee I was privileged to attend the 2022 Membership Assembly of the ANA in June as an observer on behalf of CNA. The program included a discussion forum on three issues, the most robust of which was that focusing on nurse staffing, including ANA’s current policy and approach to nurse staffing along with several other state and specialty-level strategies. Introductory video statements were provided ahead of the Assembly by four panelists, who attended the session and provided additional comments following the general debate. Members called for ANA to take a strong stance on this issue and provide leadership and guidance to the state organizations. Concerns were raised about insufficient supply of nurses in certain areas and the ensuing difficulty of implementing and/or enforcing staffing recommendations. It was recognized that multiple approaches may be effective, but that action is necessary to mitigate the current state of burnout and moral distress WRAY COMMUNITY DISTRICT HOSPITAL HELP WANTED REGISTERED NURSE NIGHT SHIFT RN, FT, Hospital, Requires CO license, BLS certified. Night Shift, 36 hours/wk, 12-hour shifts. $5000 sign on bonus with 1-year commitment. Must be physically able to assist lifting patients, medical equipment etc. Frequent standing, lifting, stooping, reaching, stretching. Requires good verifiable work history with references and team player attitude. Competitive benefit package including healthcare and retirement benefits, paid time off, health and daycare flexible spending, and education/tuition reimbursement assistance. Hourly compensation wage is $42.00 - $50.00 (includes shift differential), base wage dependent on experience. You may pick up an application from the Hospital front desk or obtain one from our website at www.wrayhospital.org. Contact Dawn Valko, WCDH, 1017 W. 7th St., Wray, CO 80758, (970)332-2205. Applications accepted until position is filled. Equal opportunity provider and employer. 1017 W 7th Street, Wray, CO 80758 (970) 332-4811 www.wrayhospital.org experienced by many nurses. Above all, the membership recognized that emphasis must be on patient safety. An overview of the comments of individuals representing their home states, in the order of the discussion, yields the following highlights: Ohio – Eliminate mandatory overtime – leads to fatigue. Oregon – Staffing Law (2001) subject to misinterpretation or is ignored. Be careful of the word “Minimum.” Arizona (ASU) – clinical site shutdown has affected nursing education; can students partner with RNs as “extra hands?” California – “Staffing works!” Helps with mental health. But nurses have to fight every day to make sure ratios stay in place. Association of Men in Nursing – Pay disparity exists with travelers. Consider tenure versus new staff to address staffing shortage. Adopt VA public pay scales – they start with a reasonable rate and never top off. California – COVID overflow happened despite staffing ratios. An example included 102 patients in a facility, 99 of which tested positive for COVID and were cared by one RN with only three CNAs. Hospital acuity metrics are tied to EPIC (charting) system and care needs indicators. Tennessee – Interest in policy making with consideration of feasibility with regard to politics, implementation, and monitoring over time. Washington (NP in Urgent Care) – Staff nurses need to be the leading voice (with ANA). “Ratios” could be called “Standards.” Rural and urban deserve same standards of care. New Jersey – Continuum of care should be considered, not just acute care. Include School nursing and home care. Peak Gastroenterology is actively hiring RN’s, APP’s and CRNA’s to join our dynamic, growing outpatient ASC team! FT, PT and PRN positions are available. No call, no nights, and no weekends! Click here to apply: PE A KG ASTRO.COM/A BOUT/C A R EERS/ Pennsylvania – Dr. Linda Aiken (U of Penn) has provided a rich body of research and statistics that support staffing and outcomes. Use that research. Pediatric Oncology Nurses – Language matters. The acuity tool should be the nursing needs. Consider growth and development. Montana – ICU has maintained a 2:1 cap. Some places have got it right. Minnesota – School secretary with no training gives insulin to students at school because there is no school nurse. Virginia – Would like adequate auxiliary staff (unit clerks, et al.) to save nurses from doing all the jobs. Hospitals are focused on profit. Georgia– Emphasized the toll on new graduates and provided examples of shifting patients around helping to accommodate short staffing. Vermont – “Speak even if your voice shakes.” We need to help other nurses realize this. Dialogue Forum Panelist Comments: • Look to the literature and research to make these decisions. • One-sided collaboration doesn’t work. Language should be: “safe staffing standards.” “We need national guidance and a clear voice from ANA.” But every state will be in a different place. • Literature Review of more than 1000 articles has been done – reference made to executive summary. • Illinois has built a “line in the sand” with the hospital association. They will negotiate once more and then will head for ratios if the current committee approach doesn’t work. ANA’s Professional Policy Committee recognizes the ongoing controversy and complexity surrounding this issue but also recognizes that the current ANA position does not meet the needs of the current environment. To that end, the Committee recommends that ANA: • Engage with state organization (C/SNA) leaders to revise ANA’s current position on nurse-to-patient ratios/standards. • Consider the outcome of the engagement with these leaders at the Leadership Council in December 2022. Please refer to GAPP information in this issue of the Colorado Nurse regarding the steps underway in Colorado to address the issue of nurse staffing. Become a Quality and Safety Champion Nurse! EOE/M/F/D/V LIFE-CHANGING CAREERS Now Hiring Nurse Instructors in Denver! Full-time and part-time opportunities available! For over 60 years, Concorde Career Colleges has prepared thousands of people for rewarding careers in the healthcare industry. Nursing instructors will be responsible for delivering academic instruction for clinical and/or theory components of the Practical Nursing program. Qualifications: Current Colorado RN license (or willingness to obtain), BSN (required), MSN (preferred), 3 years of recent clinical experience, self-starter, excellent communication skills, sense of urgency and results oriented. Apply today! https://careers.concorde.edu Benefits for full-time and part-time associates: 401k +match, 10 paid holidays, community service and cultural celebration PTO, education reimbursement, tuition reduction, and more. Apply with Concorde today! Train our future skilled Nurses. Online RN-BSN 30 Nursing credit hours Highly Affordable Contact us at online@msudenver.edu www.msudenver.edu/online/rn-to-bs/
The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association August 2022 | Colorado Nurse • 11 News from American Association Nurse Practitioners® (AANP) Constance McMenamin. AANP State Representative The 2022 AANP National Conference was held in Orlando Florida, June 21-26. It was a great week filled with continuing education, exclusive keynote speakers, legislative and policy updates, and workshops and exhibitors. It was also a great time to connect with colleagues across the US and beyond. AANP celebrated the 2022 State Award for excellence winners with a reception honoring our Colorado award winners. Again, congratulations to Sarah Schaefer, NP-BC, CNRN, MSCN, who was selected as Colorado’s AANP NP State Award for Excellence recipient and Colleen Casper, RN, MS, DNP, who was selected as Colorado’s AANP Advocate State Award for Excellence recipient. This is a reminder for nominations for the 2023 AANP State Awards for Excellence, with two awards per state recognizing clinical excellence or advocacy, which will launched in late July. Nominations must be submitted online by early September. Please start thinking about worthy colleagues now; we should have a flood of worthy candidates. (Nominators need to be AANP members, but nominees do not). In addition, AANP Colorado State Representative selfnominations are due in October 2022 to be considered for the election slate and assume the role of state representative in July 2023. This is a great opportunity to participate in the largest professional membership organization for nurse practitioners (NPs), acting as a liaison between state and national leaders on behalf of NPs. For more information on AANP activities in Colorado or how you can get involved with the association, please reach out to constance.mcmenamin.np@gmail.com. ANA Membership Assembly Addresses Verbal Abuse and Workplace Violence Carol OMeara, ANA Membership Assembly Representative At the 20022 ANA Membership Assembly, a report on Advancing Solutions to Address Verbal Abuse and Workplace Violence Across the Continuum of Care was discussed. As pointed out in the report, healthcare stakeholders’ approach to workplace violence in health care often focuses on responses to, and prevention of, ANA Adopts Racial Reckoning Statement Carol OMeara, CNA Voting Representative to the ANA Membership Assembly On June 11, 2022 the voting representatives of the American Nurses Association’s (ANA) Membership Assembly voted by unanimous consent to adopt a Racial Reckoning statement which will be the starting point for the association to embark on a racial reckoning journey to acknowledge its past actions that have caused irreparable harm to nurses of color as well as ethnicminority nursing organizations, and that persist today, ANA intends to take full accountability for its actions. The statement as well as the plans for the journey will be released later this summer and will be reported in the November Issue of Colorado Nurse. physical assaults in hospitals. These approaches overlook verbal abuse, which can be a risk factor for physical violence. In addition, recommendations developed for inpatient settings may not be appropriate for or helpful in community settings, such as schools, community health centers, public health facilities, and similar places where workplace violence can occur. Assembly representatives called on ANA to engage key stakeholders to identify, develop and advance strategies resulting in a comprehensive culture of safety and zerotolerance approach to verbal abuse and violence in all care settings, advance workplace violence prevention priorities in nursing practice and public policy, and advocate for better data collection to inform policy development. OTERO COLLEGE IN LA JUNTA, CO IS NOW HIRING FULL-TIME NURSING FACULTY – 4 POSITIONS OPEN 210 Day Contract – 11-month academic year position. Salary $67,725- $75,248 with excellent benefit package including PERA retirement, health, vision, dental and life insurance. Paid sick and personal leave. For job duties, minimum and preferred qualifications and application instructions please to go: HTTPS://WWW.OTERO.EDU/ABOUT/EMPLOYMENT/ otero.edu Contact: Kelsey Barbee, Director of Human Resources, Kelsey.barbee@otero.edu or 719-384-6824
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