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2018 ANNUAL BOOK OF REPORTS Montana Nurses Association 106th Annual Convention October 3rd, 2018 - October 5th, 2018 Great Northern Best Western Premier Hotel Helena, MT

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2018ANNUAL BOOK OF REPORTS

Montana Nurses Association 106th Annual ConventionOctober 3rd, 2018 - October 5th, 2018

Great Northern Best Western Premier HotelHelena, MT

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2018 Montana Nurses Association

Published by:Arthur L. Davis Publishing Agency, Inc.

www.mtnurses.org

Printed and Published for the Montana Nurses Association by:Arthur L. Davis Publishing Agency

517 Washington, P.O. Box 216, Cedar Falls, IA 50613(319) 277-2414

Table of Contents

MNA Mission Statement 3MNA Staff & Contacts 52018 Board of Directors 72018 Councils 92018 Committees 112018 Leadership 13Executive Director Report 15Professional Development Report 19Labor Department Report 21Membership Report 22District 1 Report 23District 2 Report 24District 3 Report 25District 4 Report 26District 5 Report 27District 6 Report 28District 7 Report 29District 8 Report 30Membership Application 31Notes 32

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2018 Montana Nurses Association

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2018 Montana Nurses Association

Montana Nurses AssociationMission Statement

The Montana Nurses Association promotes professional nursing practice, standards and education; represents professional nurses; and provides

nursing leadership in promoting high quality health care.

Excellence is our Standard!!

“Voice of Nurses in Montana”

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2018 Montana Nurses Association

BILLINGS (406) 294-0785BOZEMAN (406) 556-0640

BUTTE (406) 494-6114HELENA (406) 442-2214

At the heart of who we are standscompassion

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2018 Montana Nurses Association

www.mtnurses.orgVisit our website for updates,

news & events!

Montana Nurses Association Staff & Contacts

Phone: 406-442-6710Fax: 406-442-1841www.mtnurses.org

“LIKE” us on Facebook! “FOLLOW” us on Twitter!

Executive Director Vicky Byrd BA, RN, OCN 406-442-6710 [email protected]

Director, Professional Development

Pam Dickerson PhD, RN-BC, FAAN

406-465-9126 [email protected]

Director, Labor Program Robin Haux BS 406-431-5934 [email protected]

Professional Development Associate

Caroline Baughman BS 406-442-6710 [email protected]

RN Professional Development Associate

Mary Thomas BA, RN 406-442-6710 [email protected]

Labor Representative Amy Hauschild BSN, RN 406-431-0508 [email protected]

Labor Representative Sandi Luckey 406-465-1827 [email protected]

Labor Representative Leslie Shepherd BSN, RN 406-431-2943 [email protected]

Chief Financial Officer Jill Hindoien BS 406-442-6710 [email protected]

Administrative Assistant Jennifer Hamilton 406-442-6710 [email protected]

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2018 Montana Nurses Association

“Choose Health”Hardin, MT • 406-665-2310

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Come Live & Work in Beautiful

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Grounded in our commitment to human dignity, the common good of all, and the care of people who are poor and vulnerable.

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Services for Those Experiencing Unplanned PregnanciesServices for Adoptive ParentsOther Important Services• Limited Financial Assistance to Birth Parents in Need • Adoptive Home Study Services• Search and Reunion through Confidential Intermediary • Post-Adoption Services• Wendy’s Wonderful Kids Program• Rachel’s Hope (post abortion counseling for men and women)

We welcome your call for more information.Check our website for more details!

We are a non-profit, licensed adoption agency Your support means everything to us!

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It’s easy for individual physicians, phy-sician assistants, nurse practitioners, nurses, students, and other clinicians to access the oral health curriculum and learn on their own, and at their own pace with the Smiles for Life National Oral Health Curriculum. Resources and courses are available online. Free Continuing Education credit is available.

For program information contact:Tonette Hollingsworth, RDH, MS(406) 444-2660 [email protected]

IMPROVING THE ORAL HEALTH OF MONTANANS THROUGH PREVENTION & EDUCATION

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2018 Montana Nurses Association

2018 Board of Directors

President Vice-President Lorri Bennet RN Terry Dutro MSN, APRN, AGPCNP-BC Deer Lodge Bozeman

Secretary Treasurer Chelsee Baker BSN, RN Linda Larsen RN-BC Anaconda Bozeman

Director at Large Jennifer Taylor BSN, RN, CCRN Helena

Council on Council on Professional Development Practice & Government Affairs Representative to the Board Representative to the Board Debby Lee BSN, RN-BC, CCRP Bobbie Cross, RN Denton Ennis

Council on Council on Economic & General Welfare Advanced Practice (CAP) Representative to the Board Representative to the Board Jennifer Tanner BS, RN, CCRN, NREMT John Honsky APRN Clancy Missoula

To contact the Board of Directors you may email them at ~ [email protected]

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2018 Montana Nurses Association

EOE

Questions? Call Alice at 406-532-8405.Web site www.wmmhc.org.

Full-time and Part-time Openings:LPN, RN, APRN & PMHNP Positions available at our non-profit Western Montana

Mental Health Centers in:

Bozeman • Butte • HamiltonHelena • Kalispell • Missoula • Polson

Provide psych treatment or nursing for clients diagnosed with severe and persistent mental illness. Must have current knowledge

of psychotropic meds and understanding of crisis intervention and use of hospital alternative services and MT licensure.

If interested and one of these locations suits you,please apply online at www.wmmhc.org.

For more information call 406.531.4032

SPONSORED BY:

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2018 Montana Nurses Association

2018 Councils

Council on Professional Development Email ~ [email protected]

Debby Lee, BSN, RN-BC Representative to Board ~ Denton

Megan Hamilton MSN, RN, CFRN NR-P ....MissoulaCheryl Richards MS, BSN, RN-BC .............WhitefishJanet Smith MN, MSHS, RN .....................BozemanGwyn Palchak BSN, RN-BC, ACM ..............KalispellSarah Leland BSN, RN, CMS ....................Park City

Sandy Sacry MSN, RN.................................HelenaEmily Michalski MSN, RN-BC ...................... ClancyCheryl Miller MSN, RN-BC ..........................BillingsAbbie Colussi RN ........................................Helena

Council on Practice & Government AffairsEmail ~ [email protected]

Bobbie Cross, RN Representative to Board ~ EnnisAbbie Colussi RNHelena

Jack Preston BSN, RN………ButteAnna Ammons, BSN, RN, PCCN………Columbus

Karen Fairbrother BSN, RN, DNC, CDE………HelenaAnita Doherty, BSN, RN, PCCN………Great Falls

Council on Economic & General Welfare Email ~ [email protected]

Jennifer Tanner BSN, RN, CCRN, NREMT Representative to Board ~ ClancyRachel Huleatt BSN, RN………....................Billings

Lisa Ross, RN, CCRN………....................HelenaKrystal Frydenlund, RN, CCRN………....................Clancy

Delayne Stahl RN, OCN………....................Billings

Council on Advanced Practice Email ~ [email protected]

John Honsky APRN ~ Representative to Board ~ MissoulaCouncil on Advanced Practice Chair-Elect ~ Deborah Kern MSN, FNP.........Bozeman

Secretary ~ Nanci Taylor APRN………....................AnacondaMember at Large ~ Kevin Comer MN, FNP-BC………....................Bozeman

Member at Large ~ Barbara Schaff, FNP,-BC………....................Bozeman

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2018 Montana Nurses Association

Nursing Opportunities Available• Medical / Telemetry Unit Nurse

• Emergency Room Nurse

• Outpatient Clinic Nurse Supervisor

• Outpatient Clinic Nurse

Sage Memorial Hospital is located inNortheastern Arizona, Ganado, Arizona

For more information contact:Ernasha McIntosh, RN, BSN, DON,

928-755-4501, [email protected].

Applications available athttp://sagememorial.com/careers/

Submit applications to the Human Resources Department,Fax#: 928-755-4659, [email protected]

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2018 Montana Nurses Association

2018 Committees

By-Laws CommitteeBrenda Donaldson BA, RN………Bozeman

Editorial BoardVacant

Elections CommitteeLorie Van Donsel BSN, RN………Forsyth

Emily Michalski-Weber MSN, RN-BC………ClancyMelissa Anderson BSN, RN………Billings

Penny Haughian RN………Terry

Finance CommitteeVacant

History CommitteeVacant

Nominations CommitteeLorie Van Donsel BSN, RN……Forsyth

Emily Michalski-Weber MSN, RN-BC……ClancyCynthia Sparing BA, CCHP-RN……Helena

Brandi Breth BSN, RN……MissoulaMelissa Anderson BSN, RN……Billings

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2018 Montana Nurses Association

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Naturopathic Doctors - Experts in Natural Medicine

Yellowstone Naturopathic Clinic and Oasis Health Spa

720 N. 30th St., Billings, MT 59101

406.259.5096www.yncnaturally.com

1751 E Lyndale • Helena • 406-449-4567 • Contr. #146626Heather and Keven Patzer, Partners • www.intermountainheating.com

Public Health Nurse RN/BSN Inquire about open positions

Contact Kathleen Adams at [email protected] 656 Agency Main St. | Harlem, MT 59526

Ph: 406-353-3250 | Fax: 406-353-3283 | www.ftbelknap.org

Fort Belknap Indian Community

Sign On Bonus Available!Big Sandy Medical Center, Inc

Critical Access Hospital, Longterm Care Facility and Rural Health Clinic.

166 Montana Ave. East | Big Sandy, MT 59520(406) 378-2188 | www.bsmc.org

RNs & LPNs FT/PT – All shifts available

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2018 Montana Nurses Association

2018 Leadership

District Leadership• District 1 ~ Geri Unbehend/John Honsky .......................................................................Missoula• District 2 ~ Lorri Bennett ............................................................................................Deer Lodge• District 3 ~ Keven Comer .............................................................................................. Bozeman• District 4 ~ VACANT ....................................................................................................... Helena• District 5 ~ Lorie Van Donsel ........................................................................................... Forsyth• District 6 ~ Arlys Williams/Debby Lee ..............................................................................Denton• District 7 ~ Gwyn Palchak ..............................................................................................Kalispell• District 8 ~ Jennifer Miller ..............................................................................................Glendive

Local Unit Leadership• District 1-Local Unit 15 ~ Community Medical Center ..........................................Geri Unbehend• District 1-Local Unit 17 ~ St. Patrick Hospital ............................................................ Mary Carroll• District 1-Local Unit 18 ~ Anticoagulation Clinic, St. Patrick Hospital .............................. VACANT• District 1-Local Unit 32 ~ Partners In Home Care ................................ George Bosse/Julie Lippert• District 1-Local Unit 33 ~ Fresenius Medical Center ....................................................Sarah Black• District 1-Local Unit 35 ~ Marcus Daly Memorial Hospital .......................................Hillary Webb• District 2-Local Unit 01 ~ Community Hospital of Anaconda ....................................Lorri Bennett• District 2-Local Unit 05 ~ St. James Healthcare .....................................................Stacey Sheehan• District 2-Local Unit 07 ~ Montana State Hospital ...................................................... Jack Preston• District 2-Local Unit 36 ~ Montana Chemical Dependency Center ....................Elisabeth Fandrich• District 2-Local Unit 37 ~ Butte/Silver Bow City-County ...................................Karen Maloughney• District 3-Local Unit 04 ~ Bozeman Health ............................................................... Matt Larson• District 3-Local Unit 06 ~ Fresenius Medical Center ............................................. Ruth Grindinger• District 3-Local Unit 26 ~ MSU Student Health .................................................... Quinn Taborsky• District 4-Local Unit 08 ~ Department of Public Health & Human Services .............. Susan Reeser• District 4-Local Unit 13 ~ St. Peter’s Community Hospital ............................................... Paul Lee• District 5-Local Unit 02 ~ Billings Clinic ................................................................. Delayne Stahl• District 5-Local Unit 38 ~ Rosebud Healthcare_ ...................................................... Marla Malley• District 5-Local Unit 44 ~ Holy Rosary Hospital ...................... Penny Haughian/Lorie Van Donsel• District 6-Local Unit 11 ~ Cascade City-County ................................................... Davida Hryszko• District 6-Local Unit 12 ~ Northern Montana Hospital ............................................Audrey Turner• District 6-Local Unit 14 ~ MT Mental Health Nursing Care Center ............................Bethany Eide• District 6-Local Unit 20 ~ Marias Medical Center .......................................................... VACANT• District 6-Local Unit 24 ~ Sweet Medical Center ............................................................ VACANT• District 6-Local Unit 25 ~ Northern Rockies Medical ................. Brianne Stanchfield/Crystal Soker• District 7-Local Unit 22 ~ Cabinet Peaks Medical Center ........................................Dave Edwards• District 7-Local Unit 27 ~ Veteran’s Home ..................................................................Ruth Oskey• District 7-Local Unit 34 ~ Clark Fork Valley Hospital ................................................... Julia Ulvick• District 8-Local Unit 21 ~ Glendive Medical Center ................................................. Andee Jolliffe• District 8-Local Unit 39 ~ Sidney Health Center ...............................Linda Reis/Karen Schledewitz

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2018 Montana Nurses Association

Thank You Montana Nurses!

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2018 Montana Nurses Association

2018 Highlights from the Executive DirectorVicky Byrd, BA, RN, OCN Executive Director

As your executive director, now for over four years, I wanted to take this opportunity and let you know that the Montana Nurses Association has the most phenomenal staff and volunteers. The MNA staff fiercely advocates for quality education and nurses’ right to collectively bargain, moreover, they are dedicated, loyal, and genuinely passionate regarding your professional nurses association. Your board of directors and council members have been completely immersed and supportive of the association. I couldn’t be more proud of the staff and volunteers that have made our professional nurses association so relevant, and now, the sought after voice of the professional nurse in Montana!

Looking forward, MNA is planning for growth and a step toward that goal was realized this fall in hiring a lead labor organizer. This organizing position is the first of its kind as MNA has not had, to our knowledge, any organizing department positions within the labor program. We are excited to bring this much needed position to MNA and look forward to reporting on the progress.

As we look toward the 2019 legislative session, learn who your state senator and state representatives are. Talk to them, educate them, and let them know your concerns related to the nursing profession and how that relates to patient care. They are often making decisions that impact our profession and it is up to us to be sure they are making informed ones. Thank those lawmakers who are supportive of our issues and hold others accountable for their non-support.

MNA will again pursue felony legislation and as of this printing, unsure what that will exactly look like. MNA is well aware, in order to address violence against healthcare workers there needs to be a cultural, legislative, and educational change. MNA is working with some of our facilities in which we have a collective bargaining unit to bargain into their contracts safety plans and safety committees that have mandatory nurse involvement. Ultimately, it should be a priority for any employer of nurses and healthcare workers to establish safety protocols. It has been proven, with evidence based research, that Montana nurses are assaulted at a higher rate than the national average. As directed by MNA membership, we shall continue to pursue protections for our nurses and healthcare workers.

MNA, in advocating for our advanced practice nurses, will explore bringing legislation forward in the 2019 session to address global signature authority for APRNs. This in no way expands their scope of practice, but does allow them to sign the appropriate documents and forms within their scope and reinforce Montana’s longstanding support of APRNs practicing to the fullest extent of their education.

MNA continues to monitor the Nurse Licensure Compact (formerly the eNLC-enhanced nurse licensure compact) and the rules that will go into effect January 2019. MNA has long been opposed to the NLC in its current form but, unfortunately, the NLC (formerly eNLC) passed legislation in 2017 in Montana and we are a party state in the NLC. Some unintended consequences that we continue to address are:

It appears that the Montana Board of Nursing (“Board”) is using the adoption of this compact to eliminate its rules in favor of allowing the Interstate Commission of Nurse Licensure Compact Administrators (“Commission”), a private, non-regulatory, non-governmental entity located in the

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2018 Montana Nurses Association

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2018 Montana Nurses Association

state of Illinois, to adopt all rules for the state of Montana with regard to nurse licensure. It also appears that from these rule changes the Board will expect the Commission to make and adopt all licensing related rules for Montana-based nurses without the state of Montana having to otherwise notice or adopt such rules through the Montana Board of Nursing or the Montana Secretary of State in the Montana Administrative Register. Because this constitutes a significant change under state requirements related to public notice and open meetings to the nurses represented by the MNA, the MNA suggests that the Board should look more closely at the power granted to the Commission by the legislative adoption of the compact. Specifically, the Board appears to believe that following general reference to the Commission in the New Rule is sufficient notice under Montana law to notify individuals of the rules and rulemaking related to licensing:

NEW RULE I ENHANCED NURSE LICENSURE COMPACT RULES

MAR Notice No. 24-159-85 6-3/30/18

(1) As a party state to the compact, the board is bound by the compact rules, adopted by the commission.

(2) The compact rules can be found at https://www.ncsbn.org/enlcrules.htm.

AUTH: 37-8-202, MCA IMP: 37-8-501, MCA

However, with this change, there is no guarantee that Montana nursing licensees will receive notice when the Commission changes rules or be able to access public rules and records in the manner required by Montana law. Simply put, this rulemaking does not seem to comply with Montana’s public notice laws related to licensing and Board activities. From the rule change, it appears that there is nothing in place at the Board level ensuring that interested parties and licensees will receive legal notice of proposed and actual rule changes implemented by the Commission. The rulemaking appears to relieve the Board of its role in ensuring that Montana laws governing Montana licensees are recorded in the Montana Administrative Register located at the following link with the Secretary of State: http://sos.mt.gov/arm/register/index. This is how Montanans get notice of rule changes related to Montanans, including licensing rules related to the licensures of professionals by the state of Montana. Are the Commission’s proposed rules going to be published by the Montana Administrative Register when rules are proposed that affect nurses licensed in Montana? How will the history of Montana law be maintained, cited, and indexed?

Most importantly, the Board has failed to address in the new rulemaking how it will track multi-state (compact) licensees that are practicing and residing in Montana in order to ensure that these compact licensees living and working in Montana are complying with the requirement that they apply for a Montana nursing license when they relocate here. See statute 37-8-501 Article IV (3). Under the rulemaking, this Board proposes to eliminate ARM 24.159.504 (f), which currently requires nurse licensees to apply for a Montana home state license within 90 days of coming to reside in Montana. The MNA is aware of multiple nurses who have not notified the Board or applied for a new home state license and/or renewed their licensure as the compact requires, even after they have resided in Montana for long periods of time while working for Montana health care providers. It appears to the MNA that, under the Board’s current rules, the Board has no way to find out whether party

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2018 Montana Nurses Association

state nurses licensed under the compact are living and working in Montana, independent of nurses applying for licensure, here, and it seems that the compact has allowed the Board to lose track of the nurses eligible to work in and/or are working in Montana with multi-state licenses under the compact. This is a major issue presented by the compact to the health and safety of Montana patients and to the oversight of this Board, and this issue was not addressed in this rulemaking.

UPDATE: The BON (July 2018) did in fact eliminate the 90 day requirement for nurses who come to reside in Montana to obtain a home state license.

*Montana Nurses Association Foundation-(MNAF)Donations to the MNAF foundation are 100% tax deductible.

MNAF mission statement: “The Montana Nurses Association Foundation (MNAF) is the charitable and philanthropic branch of the Montana Nurses Association (MNA), with a mission to preserve the history of nursing in Montana and contribute, support and empower the professional nurse in Montana.”

The purposes for which the Corporation is organized are as follows:“(a) charitable; (b) educational; (c) to accept healthcare/nursing research and educational grants; (d) to provide continuing educational grants to licensed registered nurses; and (e) to award scholarships to qualifying persons.”

We look forward to our annual MNAF silent auction at our MNA 2018 annual convention!

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2018 Montana Nurses Association

Council on Professional Development 2018

Annual Report

Pamela S. Dickerson, PhD, RN-BC, FAAN Director of Professional Development &

Megan Hamilton, MSN, RN, CFRN, NR-PChair, Council on Professional

Development

The overarching goals of the Council on Professional Development are congruent with the mission of MNA – to promote professional nursing practice, standards, and education and to provide nursing leadership in promoting high-quality health care. Specifically, these goals are:

1. Provide quality continuing nursing education that supports the mission of MNA, following guidelines as an accredited provider by the American Nurses Credentialing Center’s Commission on Accreditation.

2. Approve educational activities and provider units that support nursing professional development and improvement in patient care, following guidelines as an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by accreditation criteria, there are outcome measures associated with both provider and approver unit operations. Increasingly, there is emphasis on validating the importance of continuing nursing education in improving the professional practice of nursing. Evidence of the excellence of our work in this area includes receipt of the 2015 ANCC Premier Award for our accredited approver unit and designation of Accreditation with Distinction of our accredited provider and approver units.

Council on Professional Development:

The Council meets twice a year for face-to-face meetings in addition to conference calls for new member orientation and other issues as required. Some members of the council focus on provider unit operations and activities; other members serve as peer reviewers for the approver unit. Peer reviewers undergo initial education and testing, as well as periodic validation of competence to ensure their ability to assess applications congruently with peer reviewers across the United States and appraisers in the ANCC Primary Accreditation Program.

Approver Unit:

The MNA Accredited Approver Unit accepts applications from both individual activity applicants and organizations wishing to be approved, or to continue their approval, as providers. Individual activities are approved for up to two years once all accreditation program criteria have been met. Provider units are approved for up to three years, with authority to design, implement, and evaluate their own activities under the leadership, direction, and accountability of a Primary Nurse Planner during that period of time. The

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2018 Montana Nurses Association

Approver Unit monitors quality and outcomes from both individual activity and approved provider data in accordance with accreditation program criteria. Our approver unit is recognized as a leader by ANCC’s Primary Accreditation Program, resulting in receipt of referrals for applicants from around the country and around the world. The approver unit operates under the leadership of the Nurse Peer Review Leader, who also serves as the MNA Director of Professional Development.

Provider Unit:

The MNA Accredited Provider Unit is accountable for planning, implementing, and evaluating all continuing nursing education offered by MNA. This includes annual events such as the Transition from New Graduate to Professional Nurse Workshop, the APRN Pharmacology Conference, Labor Retreat, CE Provider Update Workshops, Convention, and the interprofessional Seamless Health Care for Our Veterans Conference. Additionally, the provider unit offers a number of in-person and web-based educational activities. While the main target audience of provider unit activities is MNA members, educational activities are open to all nurses interested in our events. The www.cnebymna.com web site is populated with independent study opportunities in the areas of professional development, clinical practice development, and continuing education provider education. The provider unit operates under the leadership of the Lead Nurse Planner, who also serves as the MNA Director of Professional Development.

Continuing education continues to be a major benefit to membership and provides numerous opportunities for nurses to enhance their professional development as learners, faculty, authors, peer reviewers, and activity planners. Additionally, as part of MNA’s commitment to improve the professional development of our members and volunteers, we support the participation of members of our Council on Professional Development in national professional development events. In 2018, two members were provided the opportunity to participate in the Association for Nursing Professional Development’s annual conference.

Evidence clearly supports the value and importance of nursing professional development to sustain lifelong learning and contribute to the nurse’s ability to be successful and effective as a clinician, educator, researcher, or administrator. We are proud to support professional development through our nationally recognized accredited provider and approver units.

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2018 Montana Nurses Association

2018 Labor Department Annual ReportRobin Haux, BS, Labor Program Director

Another year has come and gone and I am excited to share with you the MNA Labor Department updates. Your MNA Labor Department is excited to announce we hired our first Lead Labor Organizer, Myles Aion! We are so excited to have Myles join our team as he joins in our excitement for growing our membership. Both organizing and member engagement have been priorities for our department as the nurse collective voice, is the most powerful voice! We encourage each of our members to reach out to just ONE new nurse and share with them why they value their own professional nurses

union. Engaging our younger nurses will be key to maintaining the nursing collective voice and improving results at the bargaining table.

Your MNA Labor Representatives, Amy Hauschild, RN-BSN, Sandi Luckey, and Leslie Shepherd, RN-BSN continue to travel the state assisting our local bargaining units. The current labor climate is increasingly challenging, making our negotiations over the past year last longer and requiring RN collective actions at many levels. Every bargaining session included some level of attack on your collective voice and benefits. Our nurses are continuing to have to fight harder to maintain their voices in advocating for their patients. As a bargaining unit member, your engagement is of utmost importance to success at the bargaining table. Participate in meetings and surveys, support your bargaining teams, and stay engaged! This action can be as little as providing food for your bargaining team to helping distribute support stickers or badges. Every little bit helps build your voice! Advocacy through bargaining and collective action can, and does, make impacts at the bargaining table. As we continue to strengthen our contracts, we continue to improve the workplace for our members.

The goal for increasing member engagement will be a priority over the next year. We encourage your locals to add positions to your executive boards. Examples are add a co-president or co-secretaries to assist in sharing the commitment. Add a media officer to manage emails lists and create a local unit Facebook page. Focus on obtaining one or two nurses to be representatives to your local executive board and this will help increase effective communication. Have fun and plan events to benefit your community and bring awareness to the nurses in your communities! Our labor representatives can provide each of you with the tools to improve engagement and look forward to meeting with all of you to create plans to do so! Don’t forget how much MNA loves to provide nursing education!

Ask your representatives about holding virtual meetings to assist with improving member participation. Our members have busy lives and sometimes it is easier to participate from your homes and MNA can assist you to offer this option. We have a new wonderful texting system that has proven to be very beneficial for member notification! Call your Labor Rep to set up a time for a quick training!

With the 2019 Legislative session around the corner, please pay attention to the issues that affect your profession and ask specific questions of the candidates who are running for all offices. An email or phone call really makes a difference and as MNA continues to grow as the nursing voice in Montana, your vote, your calls truly help us to impact and protect nurses and patients in our state.

Remember to follow us on Twitter at @MTnurses and like us on Facebook. Thank you for all the work each of you do every day advocating for patients across Montana!

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2018 Montana Nurses Association

2018 Membership ReportJill Hindoien, BS Chief Financial Officer

The Montana Nurses Association (MNA) has taken a leadership role in shaping the future of nursing in Montana and all RN’s are taking notice. The Montana Nurses Association membership numbers remain strong with 2300 collective bargaining members, 230 non-collective bargaining members, and 35 retired members. Through MNA, all RN’s have a collective voice impacting the future of their profession and patients.

MNA is listening and making changes as requested by our members. MNA has added a new collaborative membership category called Council on Advanced Practice collaborator. CAP–C members are a collaborative member of the Council on Advanced Practice only and NOT a full member of MNA. CAP-C membership dues are utilized for legislative and advance practice issues, CAP council designations, and MNA operations.

With the Supreme Court’s Janus decision, the MNA public sector RNs have remained loyal and supportive of their professional association and have shown great respect and support for the collective bargaining process. MNA represents nine public sector facilities with over 130 collective bargaining members. These public sector nurse members value their collective voice and are sticking with their professional association through their union.

MNA is continually working to improve our membership database to provide accurate and up-to-date information. If you have any changes to name, mailing address, personal e-mail address, phone number, or employment status, please contact MNA at 1-406-422-1052 or e-mail [email protected].

Thank you for your membership in your professional nurses association.

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2018 Montana Nurses Association

District 1 ReportJohn Honsky, APRN Treasurer

District 1: Mineral County, Missoula County and Ravalli CountyDistrict 1 Local Units:

Local #15-Community Medical CenterLocal #17-Providence St Patrick HospitalLocal #18-Providence St. Patrick Coagulation ClinicLocal #32-Partners in Home CareLocal #33-Fresenius Kidney Care-MissoulaLocal #35-Marcus Daly Memorial Hospital

2018 provided more opportunities to support nursing education. This year through the Montana State University – Bozeman Foundation and the University of Montana Foundation the district increased the amount of nursing education scholarships awarded to Missoula Nursing students to $1,500. The funds are from the Shirley Christianson Endowment which is managed by the District.

Missoula’s District can send up to 29 Delegates to the MNA Annual Convention this year and we have elected 29. District funds will be used to cover registrations, gas, and hotel rooms for Delegates, Board Members, and attendees as funds are available.

Within District 1 we have six local units of which Leslie Shepherd and Sandi Luckey are the labor representatives.

On a note of deep gratitude, we say good bye and thank you to Genie Weber who retired from Community Medical Center and who has served several years as District President.

District 1 Officers include: President: Geri UnbehendTreasurer: John Honsky APRN

If you have any questions regarding your district you can contact Jennifer at (406) 442-6710 or [email protected]

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2018 Montana Nurses Association

District 2 ReportLorri Bennet, RN President

District 2: Beaverhead County, Deer Lodge County, Granite County, Powell County and Silver Bow County

District 2 Local Units: Local #1-Community Hospital of AnacondaLocal #5-St. James HealthcareLocal #7-Montana State HospitalLocal #36-Montana Chemical Dependency CenterLocal #37-Butte Silver Bow Health Department

District 2 is planning more meetings for the upcoming year and has the goal of Local Unit Officers meeting with District Nurses to exchange ideas and offer each other support where needed.

District 2 funds support our elected Delegates, Board Members, and attendees to the Annual MNA Convention, covering registration, gas, and hotel rooms as funds are available. This year we have elected 11 Delegates and have 2 Board Members.

Within District 2 are five local units which are supported by Sandi Luckey as labor representative and our labor program director, Robin Haux.

District 2 Officers include: President: Lorri Bennett RNVice President: Corinne Pederson RNSecretary/Treasurer: Chelsee Baker RN

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2018 Montana Nurses Association

District 3 ReportKeven Comer, APRN President

District 3: Gallatin County, Madison County, Park County and Sweet Grass County

District 3 Local Units: Local #4-Bozeman HealthLocal #6-Fresenius Kidney Care-BozemanLocal #26-MSU Student Health

We held our annual Nurses’ Day Banquet at Johny Carino’s in Bozeman. This was the 19th consecutive year for the celebration. There were over 70 attendees which included nurses, student nurses and friends of nurses. There were door prizes and fabulous food and drinks.

This year our officers and board of directors voted to begin to donate to the MNA Foundation in memory of District 3 Nurses.

District 3 continues to have broad base support from nurses. We have members from MSU-College of Nursing, Livingston, Bozeman Health and Deaconess Hospital, Gallatin Country Rest Home, MSU-Student Health and nurses in various jobs throughout Gallatin and Park counties.

Within District 3 are three local units supported by Amy Hauschild, labor representative.

Officers include: President: Keven Comer APRNVice President: Pat Obrien-Townsend RNSecretary: Pat Armstrong RNTreasurer: Janet Smith RNBoard of Directors: Janice Hausauer APRN, Kelsey Comer RN, Terry Dutro APRN, Deb Kern APRN and Barb Prescott-Schaff APRN

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2018 Montana Nurses Association

District 4 Report

District 4 Broadwater County, Jefferson County, Lewis & Clark County and Meagher County

District 4 Local Units Local #8-Montana DPHHS Local #13-St Peters Health

District 4 is looking forward to hosting the 2018 MNA Annual Convention this year with help from the District Members and MNA staff. We have elected and will be sending 11 Delegates to the MNA Annual Convention to participate in the House of Delegates. Our District 4 funds will be used to cover the registration costs of our Delegates, Board Members, and any attendees from District 4 to the Annual Convention. District 4 has two local units within its membership noted above and Sandi Luckey is their labor representative.

District 4 Officers include: President: VACANTVice President: Emily Michalski-Weber BSN, RN-BCSecretary: Krystal Frydenlund RNTreasurer: Brittany Lee RNC

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2018 Montana Nurses Association

District 5 ReportLorie Van Donsel, BSN, RN President

District 5: Big Horn County, Carbon County, Carter County, Custer County, Fallon County, Golden Valley County, Musselshell County, Powder River County, Rosebud County, Stillwater County, Treasure County, Wheatland County and Yellowstone County

District 5 Local Units Local #2-Billings ClinicLocal #38-Rosebud Health Care CenterLocal #44-Holy Rosary Healthcare

Greetings from District 5! 2018 has been a productive year for District 5. Bylaws for the district are in the process of being updated and finalized.

We have elected 14 Delegates to attend the MNA Convention House of Delegates. District 5 will use their district funds to cover registration, gas, and hotel rooms as funds are available.

Within District 5 are three local units that are active and engaged and their labor representative is Amy Hauschild.

We continue to explore ways to grow our membership with all nurses and through our collective bargaining units.

District 5 Officers include: President: Lorie Van DonselTreasurer: Kim Flotkoetter

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2018 Montana Nurses Association

District 6 ReportDebby Lee, BSN, RN-BC President

District 6: Blaine County, Cascade County, Chouteau County, Fergus County, Glacier County, Hill County, Judith Basin County, Liberty County, Pondera County, Teton County and Toole County District 6 Local Units

Local #11-Cascade City-County Health DepartmentLocal #12 Northern Montana Health CareLocal #14 Montana Mental Health Nursing Care CenterLocal #20 Marias Medical CenterLocal #24 Sweet Medical CenterLocal #25 Northern Rockies Medical Center

District 6 met twice this year working on updating our bylaws and discussing current nursing issues.

We held elections electronically in June for District Officers and Delegates for the House of Delegates meeting at the MNA Annual Convention. Aryls Williams was elected president and Ellen Osborne will continue in her role as Secretary. House Delegates: Jerry Carpenter, Sue Swan, Ellen Osborne, Aryls Williams, Mary Papas, Lisa Ash, Anita Doherty, Candace Ivers and Alternate Sedate Philemon. We look forward to another year at convention and invite all District 6 members to our next meeting which will be held at the Convention. Please come and ask one of the House Delegates about location and time.

District 6 elected their allotted eight Delegates to the MNA convention to sit in the House of Delegates. District funds will be utilized to help support their attendance.

Within District 6 are six local units and they are supported by our MNA labor representatives Sandi Luckey and Amy Hauschild.

District 6 Officers include: President: Debby Lee BSN, RN-BCVice President: Jerry Carpenter RNSecretary: Ellen Osborne BSN, RN, CENTreasurer: Sue Swan BS, RN

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2018 Montana Nurses Association

District 7 ReportGwyn S Palchak, BSN, RN-BC, ACM President

District 7: Flathead County, Lake County, Lincoln County and Sanders CountyDistrict 7 Local Units

Local #22-Cabinet Peaks Medical CenterLocal #27-Montana Veterans HomeLocal #34-Clark Fork Valley Hospital

District 7 has been stable this past year. We have elected three delegates, out of our four that are eligible, to attend the Annual MNA Convention House

of Delegates. District 7 will be using district funds to support the convention attendees, Delegates, and Board Members when applicable. Within our district are three bargaining units, cared for by Labor Representative Leslie Shepherd and all is well with them. Several of our District 7 members continue to contribute to the association’s work volunteering at the state level.

District 7 Officers include: President/Treasurer: Gwyn Palchak BSN, RN-BC, ACM

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2018 Montana Nurses Association

District 8 ReportJennifer Miller, RN President

District 8: Daniels County, Dawson County, Garfield County, McCone County, Petroleum County, Phillips County, Prairie County, Richland County, Roosevelt County, Sheridan County, Valley County, and Wibaux CountyDistrict 8 Local Units

Local #21-Glendive Medical CenterLocal #39-Sidney Health Center

District 8 is a small district with a big circumference, covering the eastern portion of the state. We elected two Delegates out of the four that are eligible, and will use district funds to support these Delegates in attending the Annual Convention House of Delegates. Our goal is to cover registration, gas, and hotel rooms for our Delegates as our district funds allow. Within District 8 are two bargaining units, cared for by Labor Representative Amy Hauschild.

District 8 Officers include: President: Jennifer Miller RNTreasurer: Andee Jolliffe RN

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2018 Montana Nurses Association

Montana Nurses Association ~ MEMBERSHIP APPLICATION 20 Old Montana State Highway Clancy, MT 59634

Phone 406-442-6710 Fax (406) 442-1841 www.mtnurses.org ***Please mail or fax application to MNA Office***

Date:

Personal E-mail Address FOR MNA USE ONLY

(Please print clearly) Process Date: Full Name Facility Name District: Local Unit: Date of Hire Dues Amount:$ Pymt Type: Mailing Address Employment Status Check # if Applicable (full-time, part-time, per diem) Collective Bargaining Member Graduation Date Non-Collective Bargaining Member

Cell Phone ( ) Credentials(RN/APRN) RN License #

MEMBERSHIP CATEGORIES Choose ONE Below

PAYMENT OPTIONS Choose ONE Below

*COLLECTIVE BARGAINING MEMBERS ONLY*

If you choose to join and are a staff nurse employed at a facility that has a collective bargaining agreement with MNA you must select one of TWO options in this GREEN section: Collective Bargaining/Union Member ~ $753.50 Annually

Professional Reduced Rate - Collective Bargaining/Union ~ $463.75 Annually

_____ * New Grad - (1st year of membership only) Must apply within 6 months of obtaining initial RN licensure _____ * RN in full time study towards a degree (up to 3 years)

additional documentation required _____ * RN 65+ years of age who is licensed

*SIGNATURE REQUIRED BELOW*

Revocation Window: This voluntary authorization and assignment shall be irrevocable regardless of whether I am or remain a member of the Union, for a period of one year from the date of authorization, or until the expiration date of the collective bargaining agreement between the Union and the Employer, whichever occurs sooner, and shall automatically renew from year to year unless I revoke this authorization by sending written notice by the United State Postal Service to the MNA postmarked between August 1 and August 31 or by sending written notice by the United States Postal Service to the MNA upon expiration of the collective bargaining agreement

Name (Printed):_________________________________ Signature:_______________________________

1. Payroll Deduction Authorization: *NOT APPLICABLE FOR NON-FTE RN’S*

Montana Nurses Association ~ AUTHORIZATION FOR PAYROLL

DEDUCTION OF MEMBERSHIP DUES

I, the undersigned, do hereby authorize ___________________________ Hospital/Clinic ~ Local Unit # ________, to deduct sums equal to my membership dues, as certified by the Treasurer of the Montana Nurses Association Board of Directors, for the American Nurses Association and the Montana Nurses Association for the period of my employment and whether I am or remain a Union member. Deductions shall be in twelve equal installments from my earned or accrued wages. Money deducted is to be forwarded to the Montana Nurses Association for distribution to the three levels of the Association.

Signature:___________________________________________________________

2. ANNUAL PAYMENT IN FULL (Enclose check payable to MNA) 3. CREDIT CARD PAYMENT – Monthly or Annually A $6 Annual ($0.50 monthly)Service Fee will apply to all Electronic Payments

Monthly Annually Card #:

Expiration Date:

Month Year

Signature:______________________________________________________ Credit Card Payment Authorization Signature

By signing on the line above, I authorize CMA/ANA to charge the credit card listed in the credit card information for the monthly or annual dues plus any additional service fees on the 1st day of the month per month or when annual renewal is due.

4. E-PAY {MONTHLY ELECTRONIC CHECKING ACCOUNT FUNDS TRANSFER (EFT) } A $6 Annual ($0.50 monthly)Service Fee will apply to all Electronic Payments Signature:______________________________________________________

Monthly EFT Authorization Signature By signing on the line above, I authorize my Constituent Member Association (CMA/ANA) to withdraw monthly electronic payments of 1/12 of my annual dues and any additional service fees from my account. Please enclose a void check. The

account designated by the enclosed check will be drawn on or after the 15th of each month

*NON-COLLECTIVE BARGAINING MEMBERS ONLY*

Non-Collective Bargaining/Non-Union Member ~ $591.50 Annually Professional Reduced Rate - Non-Collective Bargaining/Non-Union ~ $301.75 Annually

____* New Grad - (1st year of membership only) Must apply within 6 months of obtaining initial RN licensure _____ * RN in full time study towards a degree (up to 3 years)

additional documentation required _____ * RN 65+ years of age who is licensed

Retired Member ~ $156.88 Annually Date of Retirement ________

(62+ years of age and has ceased employment as a registered nurse)

*By signing the Electronic Deduction Authorization, or the Automatic Credit Card Payment Authorization, you are authorizing ANA to change the amount by giving the above-signed thirty (30) days written notice. Above-signed may cancel this authorization upon receipt by ANA of written notification of termination twenty (20) days prior to deduction date designated above. Membership will continue unless

this notification is received. ANA will charge a $5 fee for returned draft or chargeback. *State nurses association dues are not deductible as charitable contributions for tax purposes, but may be deductible as a business expense. However, that percentage of dues used for lobbying by MNA is not deductible as a business expense. Please check with MNA for the correct amount.

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2018 Montana Nurses Association

~ NOTES ~

Central Montana Medical Center

Nurses wanted!

www.cmmc.health • 406-535-7711 • 408 Wendell Ave. • Lewistown, MT 59457

• 25-bed Acute Care Hospital• State-of-the-art ED & Lab• Surgical Services• Obstetrics• Rehab Services• Home Health & Hospice Care• CMMC Physician Clinic

Including: Family Practice, OB & Internal Medicine• Traveling specialty physicians• EMS Services covering 7,864 square miles• DME/Home Oxygen

Love where you work.

Love where you live!

www.montana.edu/nursing406-994-3783

BUILD A CAREER – MAKE A DIFFERENCEUndergraduate Degree Options

• Bachelor of Science in Nursing (BSN) degree• Accelerated BSN degree for post-baccalaureate students

Graduate Degree Options• Master’s Degree (Focused on Clinical Leadership) - ADRN to MN option - BSN to MN option• Doctor of Nursing Practice (DNP)

- Family Nurse Practitioner (FNP)- Psych Mental Health Nurse Practitioner (PMHNP)

Everyone Deserves A Job They Love!!Let Us Help Today, Call 406.228.9541

Prairie Travelers is Recruiting Traveling Healthcare Staff in Prairie Traveler’s Commitment Montana, North & South Dakota to Our Staff

• Registered Nurses • Excellent Wages • Health Care Benefits Hospital, ER, ICU, OB and LTC • Travel Reimbursement • Annual Bonus• Licensed Practical Nurses • Paid Lodging • Zero Assignment• Certified Medication Aides • Flexible Work Schedules Cancellations• Certified Nurse Aides • 24/7 Staff Support • Varied Work Settings• Full-Time and Part-Time

APPLY TODAY 406.228.9541Prairie Travelers Recruitment Department

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