tennessee nurse - nursingald.com

Rebekah (Becky) Omoruyi BSN RN CCRN

I have not been a nurse for a very long time The journey to a nursing career has humbled me as much as it has rewarded me My name is Rebekah Omoruyi I am a first-generation Nigerian immigrant and one of five children Growing up I was drawn to the world of medicine and healthcare and had a fascination with reading Books became a gateway for me to the vast world that was beyond my reach I was raised in the projects Life was not easy in the 5th ward of Houston My single mom did what she had to do to put food on the table Watching her work ethic is what made me who I am today Once I graduated high school I had to decide what I wanted What did I want my future to look like I saw myself as an advocate speaking for those who couldnrsquot speak for themselves helping people heal and providing space for them to become their best selves Nursing was obvious

I did not have a strong financial support system and had to do this journey alone Chamberlain College of Nursing in Houston was the start of my nursing education Their program allowed me the flexibility to hold a part-time job at the hospital while enrolled Eventually I had to quit my job and focus on my coursework and clinical rotations There were days I had to choose between a tank of gas and dinner and I still powered through The day before I graduated I remember thinking ldquoWow you did it you are going to be a nurserdquo The realization of having a career and not just another job was overwhelming This degree allowed me to be a fully benefitted employee in a hospital with health insurance and paid time off The stress of lacking health insurance ceased to exist I had three job offers into Graduate Nurse Residency programs in some of

current resident or

Non-Profit OrgUS Postage Paid

Princeton MNPermit No 14

The voice for professional nursing in Tennessee since 1905

Volume 83 bull Number 4 bull Winter 2020

The Official Publication of the Tennessee Nurses FoundationQuarterly publication distributed to approximately 105000 Registered Nurses in Tennessee

Tennessee Nurse

I Am TNA

Rebekah (Becky) Omoruyi

the best hospitals in Houstonrsquos medical center when I graduated with my BSN At the time I was a first-generation college graduate and accomplished it with honors I dedicated two weeks to study for my NCLEX All nurses remember the stress of preparing for the NCLEX and the elation upon passing

I spent one year at Houston Methodist Hospital in the cardiovascular intermediate care unit (CVIMU) I learned so much especially how to efficiently multi-task and manage my time When I felt the need for change I went to the Texas Childrenrsquos Hospital Working in the pediatric CVICU was the best decision for me I have an infinite love for children and this reflected in my bedside care The intensivists were talented intelligent and patient They taught me so much and I readily absorbed the information like a sponge My experience in the CVICU prepared me for nurse anesthesia school I resigned after two years and took my critical care registered nurse (CCRN) exam After attaining my CCRN I immediately dove into travel nursing My first travel assignment was at Dallas Childrenrsquos Medical Center I found profound inspiration in interacting with my manager on their CVICU unit She embodied the

epitome of what I wanted to be in a leader and a nurse I eventually took my talents to California and had the pleasure of working in some of the highest ranked pediatric CVICU units in the state

After six years of critical care nursing I was accepted into a BSN-DNP program with a specialty in anesthesia I now am living and learning in the great state of Tennessee I also work per diem at Le Bonheur Childrenrsquos Hospital in their pediatric CVICU because I love the bedside and I love those kids Irsquove learned a lot from observing my managerrsquos strong leadership skills My learning comes from watching her tackle challenges on the unit with patient care and staff dynamics Becoming a member of Tennessee Nurses Association (TNA) was a priority when I moved here It is important for nurses and advanced practice nursing students to be members of organizations that support the profession TNA serves to be a guiding light for their members in more ways than one This organization advocates for the nursing profession patients and lobbies for or against legislation and policies that would affect healthcare in Tennessee I am interested in pursuing leadership and I know TNA will get me there

Page 2 Tennessee Nurse November December 2020 January 2021

The Tennessee Nurse is the official publication of the Tennessee Nurses Foundation 545 Mainstream Drive Suite 405

Nashville TN 37228-1296Phone 615254-0350 bull Fax 615254-0303

Email tnftnaonlineorgPublished exclusively by the

Tennessee Nurses Foundation and theArthur L Davis Publishing Agency Inc

TNF 2020-2021 Board of TrustRaven Wentworth PresidentDara Rogers Vice PresidentDebra Sullivan TreasurerAmy Hamlin Secretary

Cindy Borum Jeny Conrad-Rendon Brad Creekmore Patsy Crihfield Shannon Davis Ken Edmisson Kristin Fitchpatric Alicia Frasure Julie Hamm Karen Hande Kenda Harrison

Heather Jackson Bill Jolley Carla Kirkland Sharon Little Sue MacArthur Elaine Murray Jennifer Pearson Bonnie Pilon Nancy

Stevens Lisa Trogdon

TNA 2021 Board of DirectorsCarla Kirkland President

Julie Hamm President-ElectHeather Jackson Vice President

Nancy Stevens SecretaryChisa Huffman Director ndash MembershipKerry Copeland Director ndash EducationJ Ted Nelson Director ndash Operations

Marcia Barnes Director ndash Government AffairsLaura Reed Director ndash Practice

TNA 2021 District PresidentsLisa Beasley District 1 Co-Presidents Angela Heatherly amp Erin

Morgan District 2 Ginny Massey-Holt District 3 Nancy Stevens District 4 Christine Reed District 5

Raven Wentworth District 6 Shannon Johnson District 8 Chaundel Presley District 9 Christy Blount District 10

Brad Harrell District 12 Marcia Barnes District 15

Managing EditorKathryn A Denton

TNA StaffTina Gerardi MS RN CAE Executive Director

Diane Cunningham Office ManagerKathleen Murphy Director Government AffairsChief Lobbyist

Kathryn Denton Director ComputerNetwork Systems Managing Editor - Tennessee Nurse TNF Program Manager

The official publication of the Tennessee Nurses Foundation shall be the Tennessee Nurse The purpose of the publication shall be to support the mission of the Tennessee Nurses Foundation and Tennessee Nurses Association through the communication of nursing issues continuing education and significant events of interest The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the views of the association its staff its Board of Directors or editors of the Tennessee Nurse

Article Submissions The Tennessee Nurses Foundation encourages submissions of articles and photos for publication in the Tennessee Nurse Any topic related to nursing will be considered for publication Although authors are not required to be members of the Tennessee Nurses Association when space is limited preference will be given to TNA members Articles and photos should be submitted by email to KathrynDentontnaonlineorg or mailed to Managing Editor Tennessee Nurses Foundation 545 Mainstream Drive Suite 405 Nashville TN 37228-1296 All articles should be typed in Word Please include two to three sentences of information about the author at the end of the article and list all references Preferred article length is 750-1000 words Photos are welcomed as hard copies or digital files at a high resolution of 300 DPI The Tennessee Nurses Foundation assumes no responsibility for lost or damaged articles or photos TNF is not responsible for unsolicited freelance manuscripts or photographs Contact the Managing Editor for additional contribution information

Reprints Tennessee Nurse allows reprinting of material Permission requests should be directed to Tennessee Nurses Foundation at KathrynDentontnaonlineorg

For advertising rates and information please contact Arthur L Davis Publishing Agency Inc PO Box 216 Cedar Falls Iowa 50613 (800) 626-4081 salesaldpubcom TNF and the Arthur L Davis Publishing Agency Inc reserve the right to reject any advertisement Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement

Acceptance of advertising does not imply endorsement or approval by the Tennessee Nurses Foundation of products advertised the advertiser 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 use TNF and Arthur L Davis Publishing Agency Inc shall not be held liable for any consequences resulting from purchase or use of an advertiserrsquos product Articles appearing in this publication express the opinion of the authors they do not necessarily reflect views of the staff Board or membership of TNA and TNF or those of the national or local associations

Copyrightcopy2020 by the Tennessee Nurses Foundation The Tennessee Nurse is published quarterly in February May August and November Published free for TNA members and emailed to registered nurses licensed in Tennessee Others may request a subscription to the Tennessee Nurse for $30 per year by contacting KathrynDentontnaonlineorg

TNA Board Update

At their September 18 meeting the TNA Board of Directors took the following action

bull Approved the nomination of Elizabeth Bradshaw Scott to fill the vacant TNA seat on the Alzheimerrsquos Council

bull Approved the Year of the Nurse Resolution for presentation to the Membership Assembly for adoption

bull Reviewed and revised the TNA Policy and Procedure Manual with a new social media policy

TNF Board Actions

At their September meeting the TNF Board of Trustees took the following action

bull Approved the appointment of ten new board members

bull Approved a research grant application for $469751

bull Awarded an additional $2000 scholarship

bull Extended the deadline for the Edna Mason scholarship

November December 2020 January 2021 Tennessee Nurse Page 3

From the President

Tina Gerardi MS RN CAE

TNArsquos first virtual annual conference was a resounding success There were 175 nurses and nursing students in attendance With the addition of presenters and sponsors over 200 people participated in the conference In addition to the educational offerings the Membership Assembly passed the 2020-2022 Legislative Priorities and Health Policy Statement as well as a resolution on the Year of the Nurse during the COVID-19 pandemic and support for people of color More information on the conference appears in this issue of Tennessee Nurse The concurrent general and poster sessions were posted online for attendees to gain additional contact hours by taking sessions that they were not able to attend during the conference Information on our sponsors and supporters can also be found on the TNA website

Tina Gerardi

Carla Kirland

Carla KirklandMSN APRN ACNP-BC FNP-BC ENP-BC

Thank you to all of you who helped make the TNA Virtual Annual Conference a success Although we missed out on the fellowship networking and robust discussions we all enjoy we were able to pack a lot into the one-day conference Congratulations to your new TNA Board members President-Elect Julie Hamm Vice President Heather Jackson Treasurer Nancy Stevens Director of Membership Chisa Huffman Director of Education Kerry Copeland and Nominating Committee members Kimberly Kennel and Hillary Sexton Thank you to outgoing Board members Immediate Past President Haley Vance and Director of Membership Tracy Collins Your leadership and service are appreciated by all

Now that the election is over for the Tennessee legislature it is time to regroup and prepare for the upcoming legislative session We will again offer the ldquoEvery Legislator Needs a Registered

Nurserdquo program in an effort to pair TNA members with your local Tennessee legislators This was begun two years ago to help organize and guide our nurses in developing those very important relationships Each month there are easy activities to help you get started You may want to pair with the Representative or Senator for your district where you live Or you may personally know one or more legislators through church work your childrenrsquos sports activities etc and want to pair with them The list of nurseslegislators is also

From the Executive DirectorPlease join me in thanking all our sponsors for their generous support of the conference Finally thank you all for participating in the conference and engaging in the educational sessions

As we go to press the 2020 election is behind us and we are now focusing on the 2021 General Assembly session here in Tennessee As we look to the new year with the rising number of COVID-19 cases we are preparing for more virtual events and limited in-person lobbying at the Capitol Nurses Day on the Hill will be a virtual event scheduled for March 2 Look for more details in this issue and on the TNA website

TNA is partnering with the Tennessee Action Coalition and the Tennessee Hospital Association to sponsor the 40 Under 40 Recognition Program The program will acknowledge forty emerging nurse leaders The aim is to engage and empower young nurses to lead the nursing profession and improve the health of Tennesseans The nurses selected will engage in a monthly learning collaborative to help meet their needs for leadership development The application deadline is December 18 2020 More information can be found in the article in this issue of the Tennessee Nurse To nominate yourself or someone else complete the online application

located at httpsformsgle5hCP87a6cJNoUXBA7 Nominate a young nurse leader today

The COVID-19 surge the cold and flu season and the holidays are all converging on us This means nurses everywhere must continue to educate and urge the public to follow proven public health strategies get a flu shot wear a mask practice physical distancing wash hands often and avoid crowds especially in enclosed spaces TNA is participating in the ongoing ANA surveys related to the availability of personal prevention equipment (PPE) We encourage you to participate in these PPE surveys when they are distributed TNA receives state specific data that we are using to help educate the Tennessee Department of Health regarding shortage areas and to advocate for the provision of PPE where it is needed most TNA also encourages you to individually and collectively practice self-care to address the stress in your life Join the Healthy Nurse Healthy Nation initiative to receive tips on how to achieve your optimum health and well-being Learn more at httpswwwhealthynursehealthynationorg

Finally the TNA staff and I would like to wish you all a Happy Holiday season and a peaceful healthy 2021

helpful for our TNA Director of Government Affairs to go to when there is a call to action and urgent communication is needed Please email me at Presidenttnaonlineorg to let me know who you would like to pair with The goal is to have every state legislator paired with a nurse to be their resource for health care issues Learn to share your voice

Happy holidays to all and wishes for a blessed new year

Visit nursingALDcom today

Search job listingsin all 50 states and filter by location and credentials

Browse our online database of articles and content

Find events for nursing professionals in your area

Your always-on resource for nursing jobs research and events


TENNESSEE NURSES ASSOCIATION

VIRTUAL CONFERENCE HIGHLIGHTS

THE YEAR OF THE NURSE 2020Haley Vance DNP CPNP-ACImmediate Past-President

I am not sure that anyone could have predicted what this year would hold However it does seem fitting that 2020 was deemed ldquoThe Year of the Nurserdquo Thank you to each of you for your commitment to providing excellent care to your patients and for your dedication to this great profession

Our 2020 TNA Annual Conference was a huge success In true 2020 fashion conference was all virtual this year Conference was held on Friday October 30 2020 with 175 nurses and nursing students from across the state in attendance With the addition of sponsors and presenters we had over 200 people involved Thank you to each of you who made this conference a priority

Morning Membership Assembly

Conference began with words from TNA President Carla Kirkland and TNA Executive Director Tina Gerardi How exciting to hear all that TNA has been involved in even amid a global pandemic

A few TNA highlights to celebrate- We have welcomed 700 new members to TNA

this year- All our TNA Districts are now in an active

status- Project Serve brought creative opportunities

for service through donations and virtual gifts

- Our own Tina Gerardi was named a Nashville Medical News Woman to Watch

- District 15 won the District Challenge for the most contributions to the Tennessee Nurses Foundation and TN Nurses PAC Of the donors from District 15 Debra Sullivan won the $50 Visa gift card Congratulations to District 15 and Debra

Raven Wentworth Chair of the Nominating Committee presented our slate of candidates for TNA board and committee positions Each candidate was given two minutes to address the membership

Opening General SessionThe COVID-19 pandemic has brought a vast

array of challenges that have and will continue to make a broad and lasting impact on the profession of nursing The opening session provided an opportunity for us to hear from nursing leaders serving in a variety of roles across our state

The panel discussion ndash moderated by Tina Gerardi - included

- Nancy Anness MSN APRN FNP-BC ndash Chief Advocacy Officer Ascension Saint Thomas

- Alisa Haushalter DNP RN PHNA-BC ndash Director Shelby County Health Department

- Tammy Howard MSN RNC ndash Assistant Professor Tennessee Tech

- Anna Nerren BSN RN ndash Registered Nurse Ballad Health

- Tamera Thoener FNP ndash Family NPOwner Nashville Health Pro

Concurrent SessionsThroughout the day there were opportunities to

attend concurrent sessions Topics included- Increasing Recommendation for Human

Papillomavirus Vaccination

- Leadership in Time of Crisis- Impact of Resiliency Education on Burnout and

Intent to Stay for Newly Graduated Registered Nurses

- Optimizing Oncology Nursesrsquo Transition to Practice Design Implementation and Outcomes of an Advanced Practice Fellowship

- Impact of COVID-19 Pandemic on APRN Practice Results from a National Survey

- The Presence of Bias Racism and Lack of Diversity in Healthcare Givers may Increase Health Disparities in the Neonatal Intensive Care Unit (NICU)

Thank you to the numerous presenters and moderators for sharing your time and expertise with us

Poster PresentationsThere were 23 poster presentations available

for viewing Each presenter provided a five-minute video overview of their poster and key highlights These presentations were available for viewing until November 30 2020 for all paid conference participants

Afternoon Membership AssemblyThe Membership Assembly passed the 2020-

2022 Legislative Priorities and Health Policy Statement This policy statement can be found on the website at TNAonlineorg

The Membership Assembly also passed two resolutions this year which may also be found at TNAonlineorg

Haley Vance

The Year of the Nurse during the COVID-19 pandemic resolution highlights the commitment of TNA to continue to advocate for and in support of nurses and adequate PPE during the pandemic

The Support for Persons of Color resolution highlights the commitment of TNA to support persons of color work for diversity and inclusion advocate for equitable health education and economic opportunities and advocate to eradicate institutionalized racism

Closing Plenary SessionOur closing session - NSO Nurses Claim Study-

was presented by Lynn Pierce BSN RN CPHRM As a risk control consultant she shared strategies and tips for preventing malpractice in our day-to-day practices

Congratulations to the Newly Elected Board Members

bull President-Elect Julie Hammbull Vice President Heather Jacksonbull Treasurer Nancy Stevensbull Director ndash Membership Chisa Huffmanbull Director ndash Education Kerry Copelandbull Nominating Committee Kimberly Kennel

Hillary Sexton

Thank you to the 2020 conference planning committee for your hard work in making conference successful this year

We look forward to seeing everyone next year for the TNA Annual Conference on October 15-17 2021 in Chattanooga TN




LtoR TNA Executive Director Tina Gerardi and TNA President Carla Kirkland address conference attendees during the membership assembly

Opening General Session ndash panel presentation on the COVID-19 pandemicLtoR top row Moderator -Tina Gerardi Panelists - Tammy Howard and Alisa

Haushalter Second row Panelists - Tamera Thoener Nancy Anness and Anna Nerren

Conference attendees attending one of six concurrent sessions Conference attendees attending one of six concurrent sessions

To access electronic copies of the Tennessee Nurse please visit

httpwwwnursingALDcompublications


Thank you Tennessee Nurses


40 Under 40 Initiative

While Tennessee is arguably the most beautiful state in the nation its residents are disproportionately unhealthy The total number of new COVID-19 cases in Tennessee is consistently in the top 10 nationwide and our overall COVID-19 case rate is the seventh highest in the United States Other health-related statistics paint a similarly dire picture In comparison with other states Tennessee has the sixth-highest smoking rate among adults the fifth highest adult obesity rate and the fourteenth highest drug overdose rate

As members of the United States most trusted profession nurses are in unique positions to influence health outcomes Because nurses work in diverse community settings - like schools workplaces homes prisons hospitals and assisted living facilities ndash we as a group have unparalleled power to influence and improve health in our state We are a vital part of the fabric of our communities we have the potential to inspire and enact meaningful change

The Tennessee Action Coalition (TAC) exists to equip and empower nurses to drive meaningful health-related change in their communities Founded as part of the Future of Nursing Campaign for Action (httpscampaignforactionorg) TAC exists thanks to a collaboration between The Robert Wood Johnson Foundation the AARP Foundation and AARP

In 2021 the TAC will launch its newest initiative Together with the Tennessee Nurses Association and the Tennessee Hospital Association the TAC will acknowledge 40 emerging nurse leaders this year Honorees will participate in a collaborative learning program designed to engage and empower young nurses to lead the nursing profession and improve Tennesseans health

In addition to receiving public recognition the inaugural group of nurses in this 40 under 40 program will participate in a virtual cohort designed to provide mentoring education and peer-to-peer support Participants in this exciting new initiative will have the opportunity to help shape the curriculum by suggesting and selecting educational topics and virtual group activities

Nurses may nominate themselves or be nominated by someone else the nomination process includes completing an online form and submitting the candidates CV resume or LinkedIn URL Up to two letters of support may be submitted Successful nominees will demonstrate a commitment to excellence and positive role modeling in leadership professional development and growth personal health and wellness and the promotion of a culture of health

Nominations will be accepted until December 18 To nominate yourself or someone else complete our online application located at httpsformsgle5hCP87a6cJNoUXBA7

Meet the New TNA Board of Directors

CSL Plasma is seeking FT RNs LPNs and Paramedics to join our medical staff associate team in Madison Memphis Murfreesboro Jackson Knoxville and 2 locations in Chattanooga TNWe offer competitive salary great benefit package which includes medical dental 401K career advancement opportunities tuition reimbursement and 3 weeks vacation the first year

RNs l LPNs l Paramedics

APPLY ONLINE AT CSLPLASMACOM


Spotlight on Practice

Corresponding authorCory Wilbanks DNP APRN

AGACNP-BC FNP-C CNL CNEAssistant Professor UTHSC College of Nursing

As a chronic migraine sufferer and healthcare provider it is my personal goal to improve both awareness of migraine as a public health burden and its management Chronic migraine is a disease and headache is only one feature of the disordermdasha fact that most people are unaware of Chronic migraine is a disabling headache disorder that inflicts a burden upon more than 2 of the worldrsquos population Migraine affects more than 39 million women men and children in the US and more than one billion people globally The World Health Organization (WHO) deemed migraine as the 3rd most prevalent and 6th most disabling disorder in the world It is estimated to be more prevalent than asthma diabetes and epilepsy combined

According to the Migraine Research Foundation migraine is a public health concern that presents with multiple social and economic costs Chronic migraine is well noted to be misdiagnosed and undertreatedmdasha statistic that has resulted in insufficient management of the disorder and undesirable patient experiences The purpose of this article is to provide a brief description of chronic migraine general diagnosis and management its impact on the quality of life and resulting public health burden and the role nurse practitioners (NPs) can play in mitigating this issue

The Picture of Migraine What is it The pathophysiology of migraine is not fully

understood and multiple complex theories exist however the current neurovascular theory describes a series of events that serve as the root cause of the pain Migraine headaches are three times more common in women and those who are white with a familial predisposition are at an increased risk Common modifiable risk factors include sleep deprivation stress fatigue changes in weather menstruation skipping or missing meals potent odors loud noises flickering lights oral contraceptives vasodilators alcohol consumption caffeine and assorted food triggers No matter the cause patients present with debilitating and oppressive pain

While there are several subtypes and classifications of migraine common complaints of migraine sufferers include a moderate to severe unilateral headache lasting four to 72 hours with or without a pulsating quality associated nausea andor vomiting and aversion to light andor sound Patients may also experience visual effects such as flashing or flickering lights and spots transient vision loss paresthesia paralysis speech symptoms including dysarthria and aphasia double vision tinnitus and vertigo General fatigue and neck pain only compound the disabling nature of this disorder When these patients report the presence of these headaches for at least 15 days per month for more than three months the patient is said to have chronic migraine

Diagnosis and ManagementProperly diagnosing chronic migraine greatly

relies on accurate and thorough client history and neurological examination Typically laboratory tests and neuroimaging are not required unless inexplicable exam findings call for investigation Patient recall of the number of headache days per month timing and duration headache characteristics alleviating and aggravating factors and associated symptoms provide vital information Because migraine is heavily under- and misdiagnosed it is particularly important to collect a detailed history and perform an attentively focused exam

Once diagnosed the goal of management is twofold lessen the severity and duration of migraine episodes while reducing the extent of disability The mainstay of managing chronic migraine is comprised of stepwise prophylactic therapymdashan approach regrettably required by most insurance companies before novel approaches can be covered and used lifestyle changes and active trigger avoidance and attempting to curb the use of acute or abortive medications which often cause rebound or medication-overuse headaches Common preventative medications include beta-blockers angiotensin receptor blockers tricyclic antidepressants and anticonvulsants Injectable medications including onabotulinumtoxinA (Botoxreg) calcitonin gene-related peptide (CGRP) antagonists like Emgalityreg Aimovigreg and AJOVYreg alone or in combination with oral medications are becoming increasingly popular Alternative therapies are also used and include acupuncture yoga biofeedback and herbal supplements Despite its underutilization the American Headache Society recommends at least a 2-3-month trial of prophylactic medications before it is considered a failed therapy this management approach is observed in only 12 of patients in which preventative therapy is indicated

For acute attacks therapies range from NSAIDs acetaminophen alone or in combination with aspirin and caffeine triptans ergotamine and various antiemetics Novel therapies like ubrogepant (Ubrelvytrade) and rimegepant (Nurtectrade ODT) are gaining popularity due to fewer side effects compared to their triptan predecessor Lasmiditan (REYVOWreg) the first serotonin receptor agonist approved for acute migraine treatment is also becoming popular however the fear of abuse may deter prescribing because it is a schedule V controlled substance Acute medications are ldquolifesaversrdquo but overuse only contributes to the recurrence and burden of chronic migraine

Public Health BurdenThe 2016 Global Burden of Disease Study revealed

that 451 million years of life lived with disability (YLDs) were attributed to migraine and during 2015 the cost of treating chronic migraine was greater than 54 billion dollars Additionally healthcare costs associated with migraine including lost productivity are estimated to total as much as 36 billion dollars annually Frequent migraine episodes harm family and social life as well as employment Annually in the US more than 157 million workdays are lost due to migraine further negatively impacting the quality of life According to the WHO the long-term coping associated with chronic migraine may also predispose patients to other ailments such as depression and anxiety with sufferers spending over 41 billion dollars treating all of their illnesses

Role of the Nurse Practitioner Nurse practitioners representatives of the most

trusted profession for the 18th year in a row according to the US Gallup poll have the knowledge skills and patient trust to positively impact the burden of chronic migraine While it is noted that one-third of all consultations for neurological complaints were for headache many patients do not receive efficient care and rely on over-the-counter medications Aligned with the previously discussed troubling statistics more than 50 of all patients with migraine are under- or misdiagnosed NPs must use their knowledge and skillset to perform pristine health histories and physical exams to properly diagnose It is important to maintain up-to-date knowledge of classic and novel therapies as well as alternative therapies for management using a tailored patient-specific approach Patient awareness of the importance of adherence to treatment and management expectations is invaluable and they must be informed that complete pain relief may not be attainable Counseling should be utilized at every visit and include lifestyle modifications that include trigger avoidance updates on needed medication changes instruction on abstaining from medication overuse and education on the importance of patient-self-recording of migraine events NPs must not work in silos and

should readily collaborate with neurologistsheadache specialists pain specialists psychiatricmental health providers and alternative medicine practitioners It is also important to detect socioeconomic factors that may impede treatment such as the cost of novel medications Many pharmaceutical companies offer patient-savings programs and NPs must be aware of these resources Without question NPs offer great expertise and are well suited to help alleviate the burden of chronic migraine

Dr Cory Wilbanks is an acute care and family nurse practitioner and Assistant Professor in the College of Nursing at the University of Tennessee Health Science Center in Memphis TN While he teaches future baccalaureate and doctoral nursing students full-time he maintains clinical practice with a focus on general wellness and headache management

emspReferencesAmerican Headache Society (2019) The American Headache

Society position statement on integrating new migraine treatments into clinical practice Headache 59(1) 1ndash18 httpsdoi-orgezproxyuthscedu101111head13456

American Migraine Foundation (2019) The facts about migraine Retrieved from httpsamericanmigrainefoundationorgresource-librarymigraine-facts

Becker W J (2017) The diagnosis and management of chronic migraine in primary care Headache The Journal of Head and Face Pain 57(9) 1471-1481 doi101111head13089

ClinicalKey (2020) Clinical Overview Migraine in adults Retrieved October 15 2020 from httpswww-clinicalkey-comezproxyuthscedu

Cutrer F M (2019) Pathophysiology clinical manifestations and diagnosis of migraine in adults In J W Swanson amp R P Goddeau Jr (Eds) UpToDate Retrieved from h t t p s w w w - u p t o d a t e - c o m e z p r o x y u t h s c e d u contentspathophysiology-clinical-manifestations-and-diagnosis-of-migraine-in-adultssearch=chronic20migraineampsource=search_resultampselectedTitle=3~69ampusage_type=defaultampdisplay_rank=3

Garza I amp Schwedt T J (2020) Chronic migraine In J W Swanson amp R P Goddeau Jr (Eds) UpToDate Retrieved from httpswww-uptodate-comezproxyuthsceducontentschronic-migrainesearch=chronic20migraineampsource=search_resultampselectedTitle=1~69ampusage_type=defaultampdisplay_rank=1

Ha H amp Gonzalez A (2019) Migraine Headache Prophylaxis Am Fam Physician 99(1) 17-24 Retrieved from httpswwwaafporgafp20190101afp20190101p17pdf

Migraine Research Foundation (2019) Migraine facts Retrieved from httpsmigraineresearchfoundationorgabout-migrainemigraine-facts

Millstine D Chen C Y amp Bauer B (2017) Complementary and integrative medicine in the management of headache BMJ 357 j1805 doi101136bmjj1805

Reinhart R J (2020) Nurses continue to rate highest in honesty ethics Retrieved from httpsnewsgallupcompoll274673nurses-continue-rate-highest-honesty-ethicsaspx

Reuter U (2018) GBD 2016 Still no improvement in the burden of migraine The Lancet Neurology 17(11) 929-930 doi101016S1474-4422(18)30360-0

Smith J H (2020) Preventative treatment of migraine in adults In J W Swanson amp R P Goddeau Jr (Eds) UpToDate Retrieved from httpswww-uptodate-comezproxyuthsceducontentspreventive-treatment-of-migraine-in-adultssearch=chronic20migraineampsource=search_resultampselectedTitle=6~69ampusage_type=defaultampdisplay_rank=5H158088962

Stovner L J Nichols E Steiner T J Abd-Allah F Abdelalim A Al-Raddadi R M Murray C J L (2018) Global regional and national burden of migraine and tension-type headache 1990ndash2016 A systematic analysis for the Global Burden of Disease Study 2016 The Lancet Neurology 17(11) 954-976 doihttpsdoiorg101016S1474-4422(18)30322-3

The Migraine Trust (nd) Facts and figures Key facts and figures about migraine Retrieved from httpswwwmigrainetrustorgabout-migrainemigraine-what-is-itfacts-figures

Wakerley B R amp Davies S (2018) Migraine management Beyond pills British Journal of General Practice 68(675) 464 doi103399bjgp18X698969

World Health Organization (2016) Headache disorders Retrieved from httpswwwwhointnews-roomfact-sheetsdetailheadache-disorders

Fighting the Pain The Burden of Chronic Migraine and the Role of Nurse Practitioners

Cory Wilbanks


Government Affairs

New Year New Nursing Advocacy GoalsAmong all the lessons

learned from this past presidential election is that every vote really does make a difference While we saw some states called almost as soon as their polls closed others went for days counting every ballot and envelope that came in It is part of the wonder that is our American Electoral System

Here in Tennessee we were one of the states where our Federal level races were called almost immediately With the retirement of Senator and former Governor Lamar Alexander both of our US Senate seats stayed Republican with Senator-elect Bill Hagerty to fill the position Tennessee has nine seats in Congress District 1 was the only seat where we have a new Congressperson Diana Harshberger

The balance of power in our State Legislature stayed the same with only one Democrat picking up a Senate seat in Nashville Senator-elect Heidi Campbell beat incumbent Senator Dr Steve Dickerson There will be several new faces at the legislature due to some incumbents not seeking re-election or losing in their primary races in August But overall there were not huge shifts in numbers The Republicans will retain their super majority in both the Tennessee State House and Senate

The past two elections have brought many new faces to the legislature and changes in party leadership Now more than ever we need Tennessee nurses to get more involved in our government affairs programs Too many decisions

are made about your profession your practice and the health and safety of Tennesseans by legislators at the state level If nurses are not involved other health care professions will gladly try to speak for you You must be a nurse advocate

We have stated many times that the key to our success at the Capitol is relationships that nurses help build at home and at the Capitol Legislators vote on so many different topics and issues that it is simply impossible for them to be an expert on them all That is why we need you to start building relationships or maintaining the relationships you have already started to foster with state and local elected officials

As we enter 2021 let us suggest a few Nursing New Yearrsquos Resolutions that you can take to make TNA and the Nursing Professionrsquos voice stronger and louder at the Capitol

1 Register for our ldquoNurses Day on the Hillrdquo It will be held Tuesday March 2 2021 Currently it is scheduled to be a virtual event but may be converting into a hybrid or in-person event depending on Legislative building policies and the mitigation of COVID-19 in the state We need many voices to reach out to the 99 Representatives and 33 Senators about our priority legislation Make sure you are one of those voices

2 Sign up to ldquoadoptrdquo or pair with a legislator in President Carla Kirklandrsquos ldquoEvery Legislator Needs a Registered Nurserdquo Program Your expertise is needed to help educate legislators regarding the health care issues facing your patients their constituents and the government impact on the nursing practice President Kirkland will pair you with a local legislator or one you already know and send you suggestions of monthly

activities to reach out to build your relationship The goal is that the legislator will see you as their health care expert and reach out to you and TNA when they need more information or have questions

3 Join the TNA Government Affairs Committee This committee decides what position TNA takes on legislation impacting the health of Tennesseans and the nursing profession They give important feedback on whether TNA should support oppose or stay neutral on legislation They are also the sounding board to help draft legislation and amendments for legislation

4 Join the $2020 monthly donor club for the TN Nurses PAC to help grow the political action committee Those funds go toward our lobbying and advocacy efforts and events as well as financially support candidates and elected officials that support the nursing profession

Those are just a few ways you can get more

involved in TNA and our political programs for 2021 We are always open to new ideas and suggestions if you have some Please reach out to our Government Affairs Director Kathleen Murphy if you have ideas to discuss If you have an existing relationship with a legislator please let us know that too It will be helpful as we keep moving forward to advance the practice of nursing in Tennessee

Kathleen MurphyDirector of

Government Affairs and Chief

Lobbyist

Student Forum

On Friday October 23 members of the Student Nurses Association at the University of Tennessee at Martin-Parsons Center presented the Kirkland Cancer Center with a check from the proceeds of their virtual

5K-De-Feet Cancer in honor of Dr Kelli Deere UTM Parsons Center Director The students raised $2032 to benefit the patient fund account at KCC

Pictured are SNA faculty advisor Anita Rogers Dr Kelli Deere Dr Frank McMeen President of the West Tennessee Healthcare Foundation and SNA members at UTMPC

0 Tennessee Nurse November December 2020 January 2021

Leadership in the Time of CrisisStephanie Abbu DNP RN CNML

Manager Neonatal ServicesMonroe Carell Jr Childrenrsquos Hospital at Vanderbilt

A crisis situation can present itself in many forms and unfortunately most often arise suddenly - without notice No one pencils in crisis as a block on their daily planner yet once a crisis hits ndash it may feel like managing the crisis is the only thing on the calendar Additionally crises last an unpredictable amount of time and could be as quick as a day or as long as years A crisis may be a mass casualty incident a labor strike an active shooter or terrorist event a natural disaster an infectious disease or a lsquoneverrsquo event with a patient resulting in an unanticipated death or disability

More than one of these crises could occur simultaneously Currently the world is battling the novel coronavirus pandemic but that did not stop tornadoes from causing death and destruction across the state of Tennessee and several other states Communities are currently trying to pick up the pieces and rebuild while implementing social distancing and battling an outbreak threatening to overwhelm the healthcare system

Crisis ResponseDuring a crisis someone needs to control the

chaos Emotions are running high with stress and fear potentially taking the lead Effective leaders maintain a calm demeanor When a crisis hits there is no time for a leader who is frantic and disorganized Leaders must retain self-control and not fall into the grip of panic Calm does not equal slow ndash it allows for clarity of focus and to work more effectively on problem-solving During a crisis leaders will not have unlimited time and resources and must make the best decision they can at the time Perfection is not the aim and can paralyze leaders into thinking they need all of the information and data to develop a solution

Successful leaders must be skilled critical thinkers and communicators Necessary skills include the ability to interpret analyze and explain

situations Nursing leaders should continually reevaluate and think critically as the event unfolds Keeping patient and employee safety at the forefront of decisions then clearly communicating those decisions to all involved

In times of crisis it is essential to be collaborative and manage relationships with staff leaders and interdisciplinary teams Effective leaders inspire others give clear directions and foster teamwork Now is not the time to bark orders and alienate teammates Instead coordinate with other leaders build bridges and maintain partnerships Reach out to mentors andor leader colleagues for guidance Maybe they have not battled this exact crisis but may have experiences they can lean on and share Even if they do not have new advice ndash stay connected Having the support of a peer to discuss concerns with who shares those concerns and responsibilities is crucial to navigate a crisis

Relationship Management Great leaders know that relationship

management is key in a crisis and they think of the people impacted They take the time to be visible to be rounding on their teams and to get in the trenches with staff Support is critical during a crisis and leaders need to remember that staff will bring all of their stressors to the workplace ndash not just those around the crisis ndash other personal and professional stressors do not take a pause during a crisis

Be an authentic leader by demonstratingbull Compassion ndash Be compassionate to others

and to self Have the courage to lead your team with your heart

bull Humility ndash Have the humility to admit when you are wrong or have made a mistake Ask for forgiveness and take the steps necessary to correct When successful give credit to your team and share in those achievements

bull Integrity ndash Be honest and deeply committed to do the right thing for the right reason regardless of the circumstances Keep your word and follow through

bull Self-awareness ndash Know yourself and perform self-reflection on strengths and growth opportunities Do not be afraid to

be yourself and to openly share your values with others

bull Transparency ndash Be open and transparent in interactions which is key to building trust Foster an environment of trust by sharing relevant information giving and receiving feedback communicating openly and aligning your words and actions

Develop a crisis readiness plan Look at crisis situations as challenges and

opportunities not just problems or stressors Innovative solutions developed during a crisis may be a permanent change to be adopted Often a crisis is just the motivation needed to eliminate barriers to ideas that were unable to be implemented previously When the crisis has passed take time to debrief with the team If an organization has resources for employee assistance then set those up Provide debrief sessions encourage rounding on staff by counselors and provide a safe space to share and process emotions Take advantage of staff being willing to share what went well and how that can assist with developing next steps for recovery and moving forward for the organization

Once the crisis has passed or in anticipation of a future crisis develop a crisis readiness plan and conduct drills to better prepare staff and to test the plan Use mock scenarios including table-top exercises to drill and walk though crisis responses A continual state of readiness and improvement are key to being prepared for not if but when a crisis will occur

ConclusionTennessee nurses lead every day in a variety of

challenging situations Nurses lead as advocates collaborators and educators They ensure quality apply critical thinking are adaptable and assist with ethical decision-making Nurses are passionate about their profession compassionate for the patients and communities they serve empathetic with their teams and courageous enough to make the tough calls when needed

A crisis is not where great leaders are made ndash it is where great leaders are revealed During this time of fear throughout our nation and the world step up to be the best leader you can be to successfully guide patients your team and the community through this public health emergency Know this crisis will pass and we will get through it together

References available upon request

Stephanie Abbu

bull Progressive 247-bed Regional Referral Centerbull 200 Physicians representing 40 specialtiesbull Ranked 1 in Patient Safety in TN

Contact Christy Kinnard bull 93178320101 Medical Center Boulevard bull Cookeville TN 38501

9315282541 bull crmchealthorgapply

COMPETITIVE SALARY bull EXCEPTIONAL BENEFITS bull SIGN-ON BONUS bull RELOCATION ALLOWANCE EOE

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APPLY NOW UKJOBSUKYEDU | careerseshukhcorg

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TN Nurses PACKathleen Murphy TNA Director of Government Affairs and Lobbyist

Nurses are consistently ranked as one of the most trusted professions in America Yet we are often overlooked when policy decisions are being discussed and made Do you ever wonder why that is Do you wonder why legislators and policy makers turn to doctors over nurses While we are essential workers and essential to keeping our communities healthy there are many other factors that come into play as to who legislators turn to when they need help and advice Legislative campaigns are expensive Candidates depend on campaign contributions volunteers and third party validators in order to have successful campaigns and be elected Since the Tennessee Nurses Political Action Committee (or PAC) reconstituted itself last year we have made great strides in growing our own donor base growing our bank account and raising our awareness among nurses in Tennessee One of the best ways to show support of the TNA legislative agenda is to contribute individually to the TN Nurses PAC The PAC serves as an essential way for nurses to unite and speak with one voice to candidates and elected officials

Like many organizations the Tennessee Nurses PAC took a hard-fundraising hit when our TNA Annual Conference had to be a virtual event That meant our biggest fundraisers the silent auction the live auction and the PAC cocktail party were all cancelled Because the PAC reports to the members at the Annual Conference in the fall that financial set back wonrsquot truly show up until next yearrsquos report But just as we nurses have not let COVID-19 hold us back from celebrating 2020 as the year of the nurse we donrsquot have to let the cancellation of those three events hold us back from having a successful fundraising year for 2020-2021

I want to share some impressive numbers for our organization but I also want you to keep them in perspective of what we are truly up against in the political arena Our PAC numbers are still less than a third of the revolving PAC account the Tennessee Medical Associationrsquos IMPACT Political Action Committee keeps on hand

Their PAC began 2020 with $24399763 cash on hand when ours was $3662814 They gave out thousands of dollars in contributions to candidates this year They ended the 2020 campaign season with $16957353 compared to our $5239052

Please donrsquot misunderstand my message here I am extremely proud and impressed by the work we have done together to grow the TN Nurses PAC since the summer and fall of 2019 I share and compare these numbers to inspire you and give you hope that when we continue to work together as nurses we will succeed and make real change happen in Tennessee for the Nurse Practice Acts Here are the exciting numbers reflecting our TN Nurses PAC growth over the last year

bull From July 2019 to the end of this October the TN Nurses PAC received $3775082 in donations from individual nurses nursesrsquoorganizations and TNA districts across the state

bull From August 2019 to September 2020 we increased our individual number of donors from 25 to 70 and from three organizations to nine organizations that contributed to our PAC

bull Our PAC balance at the end of October 2020 was $5239052 So you are probably wondering what are we going to do to keep up this

momentum First one of our biggest increase in donations was our monthly donor

program of $2020 to honor the year of the nurse We will continue that in 2021 Of course if you would like to give more than that amount per month you can

We would also like to start hosting some virtual happy hour chats Our Government Affairs Committee and PAC Board of Trustees will be teaming up to host these virtual events where our members across the state will have special access to updates from our TNA Executive Director and our TNA Government Affairs Director and Lobbyist We also hope to have other special guest speakers as well Please watch the membership emails for your opportunities to participate in these events to help raise money for the PAC

The PAC also sent questionnaires out to the candidates running for office We did receive close to 40 responses returned that we posted on the TNA website and on our Facebook page

At the December TN Nurses PAC Board meeting we will be voting on giving donations to elected officials who have supported the nursing profession While a contribution does not guarantee that an elected official will vote a specific way it is a way for us to get a better seat at the negotiating table If you have not already joined the monthly donation club please consider doing that before the end of the month Together we will be able to speak louder and impact real change for all Tennesseans and healthcare

Kathleen Murphy


Nursing Ethics

Kate Payne JD RN NC-BC

At the time of this writing new cases of the corona virus that causes COVID-19 were reported at over 160000 a day after a week of over 100000 new cases each day Texas is the first state to have 1 million cases Deaths per day in the country are over 1400 and increasing with hospital admissions over 65000mdashmore than at any other time Many states are out of beds and nurses to care for patients I donrsquot know what the numbers will be by the time this is published Certainly we will all be dealing with how these large numbers affect patient care and our role as nurses

By the time the pandemic was in full swing in the spring of 2020 burnout was already running rampant among healthcare professionals in the United States (US) At least half or more of US physicians and a third to half of nurses experience symptoms Many if not most people experience burn out but not everyone has visible symptoms Burnout numbers are expected to increase post pandemic as well and we are likely to see double the number of nurses with PTSD symptoms Burnout has come to be the most common term used to describe the negative effects of the work environment in industries of all kinds It is often used interchangeably with other psycho-emotional responses to stress including compassion fatigue secondary traumatic stress and vicarious traumatization Burnout is really defined as an occupational hazard that causes people to disengage from their job and their lives feel depersonalized become cynical have decreased productivity and increased poor work quality It isnrsquot just

about a stressed-out nurse Itrsquos also about the environment where that nurse practices which is also affected by everything going on in the broader society Itrsquos important to keep in mind that the COVID pandemic and itrsquos fall out has been piled on these burned-out health care professionals and organizations

The CDC noted the rise in mental health challenges resulting from trying to mitigate the morbidity and mortality of COVID-19 in June of 2020 The pandemic is multidimensional in its effect on every aspect of our lives employment finances education health care food security transportation recreation cultural and religious practices And just like the increase in numbers of people infected and dying from COVID-19 the parallel pandemic in mental health and substance use disorders is rising as well This will add to the challenge for individuals families and communities including increased deaths from suicide and drug overdoses Like COVID-19 the mental health pandemic will disproportionately affect persons of color older adults lower socioeconomic groups of all races and ethnicities and health care workers The mental health system was already frayed and this will only make it worse The pandemic has shown that reform is needed in the public health system and it must include mental health care by necessity

We have to deal with the reality that the pandemic isnrsquot going anywhere soon Even with a vaccine there are no guarantees if it will result in immunity To care better for patients nurses must care better for themselves Provision 5 of the Code of Ethics for Nurses states in part that ldquoThe nurse owes the same duties to self as to others including the responsibility to promote health and safetyhelliprdquo It also highlights what we know of history History teaches us that communities recover from devastation when everyone is joined by a shared purpose acting in a unified way There is a shared understanding that its members must care for one another because the loss of one is a loss for all Above all this shared understanding must be restored This was never truer than in dealing with the pandemic

By Thanksgiving there will likely be more than 250000 dead from COVID-19 I donrsquot think the families that lost their loved ones think itrsquos a hoax We as nurses trained in science and health promotion must model and promote what we know works until and if a vaccine works The CDC in November updated their guidance on masks noting it protects the wearer as well as those around them Studies over the summer also connected the dots between the use of these measures and the number of COVID-19 cases and deaths In Tennessee counties where there was not a mask mandate infections were higher as were hospitalizations Other studies noted that people who social distance and wear masks spent 5 more when shopping These small measures are a step to move back to the life we know

Nurses must care for themselves to care better for others Millions of nurses experience extraordinary stress and other impacts to their mental health and well-being as the pandemic continues Selfcare is no longer an option and there are things that you can do Cut back on your news intake on television and on social media Try to eat well (most of the time but comfort food has a place here and there) and get exercise especially out in nature That is something you can do with others mask up and go for a walk Try to control what you can There may not always be toilet paper in the store but I know I can always wear my mask in public can always show others grace and can care for my family and friends The fall and winter holidays will have to be separate because of the massive increases in infections Itrsquos really hard but I have had a few social zoom calls with friends that have been quite fun Irsquove been to church online and it was ok For me God lives in his people not the building Its a small thing to do to lessen the spread and keep everyone well while we wait for change Nurses are recognized every year as the most trusted profession Others will trust your model of what is best to do to care well for self and each other

References Available Upon Request

The Parallel Pandemic Self Care is No Longer Optional

Kate Payne

Preparing Leaders Promoting HealthFor more than 50 years LCON has been committed to preparing nursingprofessionals who share a common goal of promoting health of the global community

Ranked 17 on US News amp World Report Best Online Masters in Nursing Programs

AssistantAssociate ProfessorThe Loewenberg College of Nursing invites applications for a 9-month tenure-track position as assistantassociate Professor in nursing with clinical expertise in the areas of Adult Health Mental Health Nursing Acute Care Gerontology Community Health Research andor APRN The following minimum qualifications

bull Earned PhD or Doctorate in nursing or related field from an accredited school eligible if near completion of a doctoral degree study

bull Experience in higher education and record of scholarship desiredbull Teaching expertise in Adult Health Mental Health Nursing Acute Care Gerontologybull Community Health Research andor APRNbull Licensure or eligibility for licensure in Tennessee

Review of applications will begin immediately and will remain open until the position is filled Rank tenure and salary are competitive and commensurate with professional background and experience The University of Memphis is an Equal OpportunityAffirmative Action Employer

Appointment will be based on qualifications as they relate to position requirements without regard to race color national origin sex age disability or veteran status

For more information and to apply visit our website at workforummemphisedupostings23601


Obesity ethics and healthcare A patient-centered approachAlison Colbert PhD PHCNS-BC and

Melissa Kalarchian PhD

Nurses and other healthcare professionals may feel frustrated when a patientrsquos choices seem contradictory to achieving the best outcomes despite believing that patients should be considered experts of their own bodies and supported in their decisions Often this stems from what we have learned from research about modifiable factors related to health and wellness We want to share this knowledge with our patients and assist them in meeting their goals

Provision 7 of the American Nurses Association Code of Ethics specifically requires that nurses incorporate evidence and research as a component of practice Although we have a great deal of research about obesity and its adverse effects on health that is only half of the story

The myth of individual choiceAlthough excess body weight results from consuming

more calories than expended through physical activity advances in science suggest the reality is much more complicated Some people have a genetic predisposition to obesity Others may live in neighborhoods where it is difficult to buy nutritious food or where there is a high concentration of junk food Chemicals in the environment and bacteria in the gut also may play a role Family environment and childhood experiences may be related to body weight in adulthood Certain illnesses and medications cause weight gain and metabolism slows with aging Clearly body weight is regulated by a complex interplay of behavioral environmental biological and genetic factors Yet evidence suggests that nurses and other healthcare providers may be holding on to the outdated notion that individual behavior causes obesity Nurses may embrace public health messages based on a model of ldquocalories in calories outrdquo This can inadvertently reinforce the notion that individuals are responsible for their weight gain and

can reverse it simply by choosing to eat less and exercise more

Hundreds of studies have tested diets and many have shown a clear and demonstrable effect on short-term weight loss However there is just as much compelling evidence showing that the people on those same diets frequently regain the weight Even when specific interventions are employed to maintain loss the long-term effect is minimal

Ignoring evidence has unintended consequencesObesity is not only associated with serious

comorbidities such as diabetes and heart disease but also equally serious outcomes such as stigma and discrimination

One common stereotype is that people who live in larger bodies are to blame for their weight problems This misconception can lead to bias in healthcare and interfere with effective multidisciplinary care Patients often report feeling disrespected blamed embarrassed and upset leaving some who are struggling with their weight to avoid seeking care Well-intentioned public health messages that simplify and contribute to the stigma are not only ineffective but counter-productive research shows that they interfere with interventions meant to encourage weight reduction

The effects of these destructive messages and internalized bias can range from chronic dieting to overeating Internalized bias can also contribute to decreased quality of life poor body image and depression Nurses must take deliberate actions to address weight bias if they are to work collaboratively with patients to help them with their health goals

Approaching conversations about weightNurses must work with patients in a way that creates

trust allows for well-informed decision-making and respects the dignity and worth of every patient To begin consider these steps

bull Reflect on your own stereotypes bull Do not presume that you have the right to initiate

a discussion about weight loss bull Pay attention to your language and choose your

words carefully Use terms such as weight rather than ideal weight

bull When talking with patients about their health and managing conditions that may have a connection to weight ask yourself ldquoWhat would I say to a patient who was living in a smaller bodyrdquo

bull Meet your patients where they are in terms of readiness to change behavior

Representing the complete picturePatients have the right to make their own decisions

about their health and nurses must respect those decisions Healthcare providers have an ethical obligation to use an approach that represents the complete picture including newer information that challenges conventional wisdom

This article has been adapted for space and originally appeared in the July 2019 issue of Nursing copy 2019 Wolters Kluwer Health Inc

This risk management information was provided by Nurses Service Organization (NSO) the nations largest provider of nursesrsquo professional liability insurance coverage for over 550000 nurses since 1976 Tennessee Nurses Association (TNA) endorses the individual professional liability insurance policy administered through NSO and underwritten by American Casualty Company of Reading Pennsylvania a CNA company Reproduction without permission of the publisher is prohibited For questions send an e-mail to servicensocom or call 1-800-247-1500 wwwnsocom



The Year of the Nurse and the Lone RangerPatsy E Crihfield

DNP APRN FNP-BC PMHNP-BC

This is the year of the nurse one of the best-known heroes of health care for centuries Growing up in the 1950s one of my heroes was the Lone Ranger with his faithful companion Tonto Created in the early 1900s by Fran Striker the legend is that the Lone Ranger was the sole survivor of an ambush that killed all the other Texas Rangers Tonto found him and nursed him back to health Together they committed to always seek justice and equality for all people

The Lone Ranger and Tonto appeared just when someone needed help Even if people were initially alarmed at the sight of a masked man he was immediately trusted When he showed the famous silver bullet people recognized the legendary figure based upon his reputation for helping people in need He and Tonto were interested in promoting peace and prosperity for everyone in the old west The Lone Ranger used his training and skills to avoid using violence when dealing with criminals He and Tonto never asked for reward and always rode away before people were able to praise them for their bravery He always put others first never wanting recognition

Fran Striker created a creed for the Lone Ranger I believe that to have a frienda man must be one

That all men are created equaland that everyone has within himselfthe power to make this a better world

That God put the firewood therebut that every manmust gather and light it himself

In being preparedphysically mentally and morallyto fight when necessaryfor that which is right

That a man should make the mostof what equipment he has

That This governmentof the people by the peopleand for the peopleshall live always

That men should live bythe rule of what is bestfor the greatest number

That sooner or latersomewheresomehowwe must settle with the worldand make payment for what we have taken

That all things change but truthand that truth alone lives on forever

In my Creator my country my fellow man (wwwNPRorg)

The creed was the essence of the Lone Ranger Now how does this have anything to do with nursing As nurses we are taught to uphold othersrsquo rights respect all persons do no harm and be faithful to our profession Our creed the Nightingale Pledge has been the oath of nurses for decades

For centuries nurses have worked in battle and in pandemics to care for those suffering When COVID-19 became a pandemic we as nurses were ready We continued to work long shifts in challenging situations not for great rewards but because we care about other human beings For the past 18 years the Gallup poll has identified that nursing is the most trusted occupation We nurses show up at the bedside (with or without the mask) and the patients and their families are comforted that someone is there for them We are skilled and knowledgeable but we also care about the person as a part of a family a community and a workforce During the COVID-19 pandemic nurses became family when families were not allowed to visit their loved ones We held the hands of those who survived and comforted those who died Tired and weary shedding tears of loss and frustration nurses marched forward knowing there was work to be done

The COVID-19 pandemic has stressed the healthcare system unlike anything we have witnessed in the past Healthcare providers including nurses at all levels have been on the front line from the beginning We have worked long hours and have been exposed to the unknown risks the pandemic has presented Rather than shrinking from the risks nurses have remained true to our oath to protect and care for our patients No one knows what tomorrow will bring We do know that there will always be people needing care and compassion best delivered by the hands of a nurse

This has been the year of COVID-19 but it is also the Year of the Nurse If next year brings a healthier brighter future for all people it will still be the year that nurses rally and fight for other people If the next year brings more difficulties for the health of our nation we will continue to bring hope and comfort to the people in our communities

Hiyo Silver Away

Patsy E Crihfield


Nurses are essential front-line members of the clinical team serving and educating patients and their families Explaining how to take prescribed medications avoid side effects and considering alternative approaches is part of their charge When it comes to addressing pain nurses are the intermediary between the doctor and patient with a critical role in pain management Nurses must share the risks of opioid dependence dangers of overdose and the reality that prescribed medications can potentially cause death

Two Tennessee Nurses Association leaders from Vanderbilt University Medical Center have collaborated with ONE Tennessee to offer opioid education for nurses Heather Jackson PhD APRN-BC NEA-BC is an Advanced Practice Provider Team Leader at Vanderbilt-Ingram Cancer Center April Kapu DNP RN serves as Vanderbilt University Medical Centers Associate Nurse Officer and serves on the board of directors for ONE Tennessee as the designated representative of the Tennessee Nurses Association The two have committed their time and expertise to develop nursing education about safe practices for managing pain and prescription opioids

Administered by Vanderbilt University Medical Centers Center for Advancing Mobile Health Learning the continuing education module comprises 20 questions background information and resources delivered daily to subscribers via a mobile application Since the launch of the pilot learning module in September 2020 41 nurses have obtained 164 hours of credit from the American Nurses Credentialing Center at no cost to them

Patients who come in already taking high doses of opioids challenge us to manage pain during and after operative procedures Jackson

said It is important to work as a team to develop and implement a plan that does not escalate dependency but rather helps patients get back to a pre-hospitalization regimen of medication or even lower doses

Jackson shared how prescribers rely on nurses to evaluate patient risk during check-in including indications that a family member may be diverting the patients prescribed medications We have an ethical responsibility to address potential concerns before prescribing any controlled medication she said It is easy to look up information in the states Controlled Substance Monitoring Database and the individuals medical record then relay information to the prescribing clinician Then we can discuss options with the patient to decrease any potential adverse effects from prescribed regimens

Kapu agreed with Jackson Providing information and education to both the patient and family upon discharge from an in-patient setting is essential toordquo she said Without awareness they might go home and resume what they were taking beforemdashin addition to the new medication This can have serious consequences

Outpatient settings are a little different There nurses screen patients and then talk with the provider before discussing medications side effects and potential misuse with a patient or family Nurses often explain about Naloxone including when to use it and how to administer it appropriately to avoid a fatal overdose

Jackson said Providers must understand first line non-opioid treatment and prescribe opioids appropriately and only when indicated All prescriptions should be coupled with an ongoing risk assessment and monitoring for side effects to help deter misuse and overdose

Liesa Jenkins Executive Director of ONE Tennessee emphasized the need for nurses to help lead the statewide effort She said I am not a health professional but I have been working at the grassroots level for 20 years after seeing the impact of opioids on individuals and families in my community While Im proud of the progress we have made in our state the epidemic has spread and morphed Everyone that interacts with the patient has a role to play in solving the problem Nurses are dedicated knowledgeable and trusted - their voices and leadership will contribute considerably to our efforts

Opioid overdose deaths in the US averaged 91 per day and increased to more than 120 per day this year From March 2019 to March 2020 the number of opioid-related overdoses in the US increased by 10 Despite progress made in recent years Tennessee continues to compare poorly to other states for the high amounts of opioid medications dispensed per capita contributing to 1307 opioid-related deaths in 2018

ONE Tennessee a statewide non-profit organization was established in 2017 to address the opioid epidemic through engagement and education of health professionals and communities in Tennessee Visit httpsonetnhealthorghow-we-do-it to register for mobile nursing education starting again in February 2021 In addition you will learn more about the Tennessee Academic Detailing Program initiated by ONE Tennessee in partnership with the Tennessee Department of Health to promote safer management of pain through sharing of information among primary care physicians nurses pharmacists dentists and pain specialists To schedule a virtual or face-to-face detailing session or request training to become an academic detailer email infoonetnhealthorg

Nurses Play a Pivotal Role in Curbing the Opioid Epidemic


Janet Tucker RN MSN PhDAssistant Professor UTHSC College of Nursing

My name is Janet Tucker and Irsquod like to share a bit about my career and how important TNA is to my practice Irsquove been a registered nurse for over 40 years now I was involved in TSNA in my initial diploma program at Methodist Hospital School of Nursing As a student nurse over 40 years ago I recall hearing that entry into nursing would soon require a bachelorrsquos degree I greatly valued the preparation I received in my diploma education but didnrsquot want to be limited in the future if a BSN was the expectation I was able to continue at Memphis State University part-time to earn my BSN while beginning my nursing career During the next 25 years I worked in a variety of settings inpatient and outpatient while also raising three children The majority of my career has been spent as a maternal child nurse and I have had the great privilege of working with expectant women in every setting inpatient outpatient the home childbirth classes high risk and low risk settings I have also worked a variety of shifts to meet the changing needs of my family part-time PRN weekender and all three shifts when eight-hour shifts were the norm The many opportunities and flexibility enabled me to also be room

Just Take One Course and See What You Thinkmother girl scout leader and attend many of my childrenrsquos school and athletic events

When my children were in high school and college I started thinking about what I wanted for my ldquonext phaserdquo in nursing As I thought back on my career education was a theme that was a part of every job that I really enjoyed whether it was patient education as a childbirth educator or as a preceptor to new nurses I decided to pursue an MSN in education with the goal of teaching in a college of nursing It was during my health care policy course at the University of Memphis Loewenberg College of Nursing that I really began to understand how much TNA and ANA does for my practice and the profession of nursing I happily became a member again and have continued that membership for the past 12 years I know that TNA will keep me informed on the issues related to my practice in the state and more importantly advocate for nursing While I had every intention of stopping after I earned my MSN to begin teaching it only took a few graduate courses for me to start thinking about a doctoral degree in nursing I was that student that hung around after class to discuss the differences in a DNP and PhD trying to understand more about both degrees I am forever grateful that my graduate faculty at the University of Memphis saw I was heading for a doctoral degree before I recognized it myself Their belief in me and encouragement made me believe it could be possible however it was still a terrifying thought At the time I was working with high risk expectant women who had received a fetal anomaly diagnosis The more I delved into the literature the more I realized the gaps that existed in our understanding of how best to deliver care for this unique population The desire to improve and impact care for expectant women is what motivated me to pursue a PhD I completed my MSN in two years and then entered UAB as a PhD student at the age of 53 I continued to work full time and completed my PhD in four and a half years

Since obtaining both graduate degrees in my 50rsquos I try to encourage other nurses that it is possible to continue your education while working and caring for families I often say ldquoJust take one course and see what you thinkrdquo I tell them I would have started earlier if I had understood the flexibility of graduate courses The vast majority of graduate nursing students are working full-time and caring for families There are so many options on campus on-line or a combination Experienced nurses bring so much to their education One of the great advantages of graduate education is the student is encouraged to apply assignments to their specialty area and research interests so that each course is building knowledge in their chosen specialty An experienced nurse has years of clinical examples to apply to assignments During my PhD coursework all three of my children married and that is the point life goes on whether we are in school or not

I think the one word that best describes me and my career is passion I still wake up excited about what the day will bring whether itrsquos a day in the classroom simulation lab or the hospital I realize how fortunate and blessed I am that after over 40 years in a career I still feel that way I firmly believe we all should have a purpose and it is through combining our passion interests and talents into service that we gain great fulfillment The beauty of our nursing profession is there are so many populations to serve in such a variety of settings During the COVID-19 pandemic I have never been more proud to be called a nurse I have been a full-time faculty member in a college of nursing for over three years now With the recent pandemic I look at communication on an almost daily basis for the most up to date information on COVID-19 I greatly appreciate that TNA sends out timely emails for its members The TNA and ANA websites are resources I use frequently as a nurse in practice and as an educator I encourage nursing students to join TNAANA and their specialty nursing organizations I explain the benefits of both to their career and practice and highlight the very affordable option on monthly membership dues An interesting side effect of graduate nursing education was an increased pride in our profession and part of professionalism is belonging to organizations that advocate for nurses I am very proud to be a member of TNA

Janet Tucker


Impact of COVID-19 Pandemic on APRN Practice Results of a State-Wide Survey

Ruth Kleinpell PhD RN FAANP FAAN1

Carole R Myers PhD RN FAAN2

Mavis N Schorn PhD APRN CNM CNE FACNM FNAP FAAN1

Wendy Likes PhD DNSc APRN-BC FAANP3

Vanderbilt University School of Nursing1

University of Tennessee Knoxville College of Nursing2

University of Tennessee Health Science Center College of Nursing3

When Governor Bill Lee issued an Executive Order on March 19 2020 which temporarily suspended selected restrictions on advanced practice registered nurse (APRN) practice our collaborative group of APRN researchers began to plan a state survey to assess the impact of APRN practice restrictions as well as the impact of the ongoing COVID-19 pandemic on Tennessee APRN practice As other states issued temporary suspension of all or part of state APRN practice restrictions to meet the needs of the pandemic (21 states did so) the focus of the project changed to a national survey

Using surveys from prior APRN studies including the National Sample Survey a 20-item web-based survey was developed and pilot tested with 10 APRNs from all four roles nurse practitioner nurse anesthetist nurse-midwife and clinical nurse specialist The survey assessed the pre-pandemic barriers to APRN practice impact of the Executive Order changes in care during the pandemic and included demographic information Invitations to participate in the survey were distributed via APRN listserves e-news state and national professional organizations and social media

The National APRN Practice and Pandemic Survey was conducted June 1ndashSeptember 23 2020 with 7467 APRNs from all 50 states submitting complete responses including 553 respondents from Tennessee In-depth follow-up interviews were conducted with APRNs in Tennessee as part of a more comprehensive study Analysis of the survey results and the qualitative interviews are ongoing but an overview of selected results was recently presented at the Tennessee Nurses Association virtual conference

Among the 553 APRN respondents from Tennessee the majority (n=503 90) were NPs The majority (n=418 76) reported being in practice more than five years A significant number of APRNs reported caring for patients with COVID-19 or with symptoms of COVID-19 (n=315 57) Employment sites varied including ambulatoryoutpatient care (n=289 527) hospital settings (n= 196 358) communitypublic health (n=48 88) long term care (n-17 31) and other settings The majority (n=282 52) worked in urban settings with 242 (n=131) in suburban and 238 (n=129) in rural settings

More than half (n=316 571) identified that their collaborating physician did not stop reviewing charts as a result of the Executive Order in Tennessee Reasons identified included that processes already in place continued that it was an automatic part of the workflow or that it was current hospital requirements or company policy

However the majority (n=398 72) reported that the Executive Order waiver of chart reviews and site visits by the collaborating physician did change APRN practice or patient care Examples included the ability to practice independently without having to waste time waiting for chart reviews the ability to expedite orders that would previously require the collaborating physician signature the ability to spend less time sending and following up on 20 of charts and scheduled drugs prescriptions that required physician review and the ability to follow patients through home health and direct care

Others identified that implementing the Executive Order allowed for more time to be spent with patients that care was easier to manage when someone who has not actually seen the patient and is not familiar with the patients situation does not make management decisions that patient time was saved when they were able to sign for patients home health and durable medical equipment and not have to wait for a physician signature or that they were able to order laboratory tests and medications easier

Additional respondents reported that it made every aspect of taking care of patients less burdensome that the collaboration being waived allowed them to better focus on patient care instead of having to contact their collaborating physician which often proved difficult due to COVID-19 and that the collaborating physician did not have to dedicate time to review charts

Ruth Kleinpell Carole R Myers Mavis N Schorn Wendy Likes

Several respondents (n=59 106) indicated that despite the state Executive Order waiving collaborating physician chart review and onsite visits the requirements for a collaborative supervisory agreement did hinder their ability to provide care during the pandemic Examples included that it hindered their ability to work in another practice area during the time of the pandemic (n=37) affected their ability to secure employment (n=16) or that home health orders and medical equipment still required the supervising physician signature (n=1) A number of respondents (n=88 16) reported they were still required to pay their collaborating physician during the pandemic even if the waiver was implemented

The survey revealed ways the pandemic changed APRN roles and practices including the ability to work in different capacities and roles Some increased the use of telehealth or were deployed to work in areas in which they were less familiar Somemdashespecially in acute care settingsmdashhad an increase in patients while others saw a decrease in patients and some were even furloughed APRNS reported playing significant roles meeting the needs of patients including caring for patients with COVID-19 coordinating hotlines and managing telehealth services as well as taking the lead in screening testing and wellness-based care

The results of the survey may help to support full practice authority for APRNs as state requirements for collaborative practice and supervision are restricting their ability to provide patient care and limiting patient access to care The pandemic has revealed persistent health disparities and major gaps in health care delivery and emergency preparedness Enabling APRNs to practice based on their education licensure and certification can advance equitable access to care As additional survey results are analyzed policy implications will be a focus especially for Tennessee APRNs

Tennessee APRN Respondent Demographics


District 1 hosted a member meeting via Zoom on Thursday September 24th We had two segments for our members with the first segment featuring the Chief Nursing Officer of St Francis Hospital Memphis Jennifer Chiusano MA BSN RN NE-BC Ms Chiusano discussed staffing issues and the continuation of safety and quality in patient care amid the pandemic She took us through a timeline that started from having no patients in their acute care setting to multiple patients needing immediate and continued treatment Ms Chiusano also discussed how many COVID-19 cases were discovered secondarily as a result of patients coming to the ED seeking treatment for other reasons such as an automobile accident Our second segment featured two APRNs who recognized a need for patients who perhaps had been diagnosed with COVID-19 but did not have a provider to ensure continuity of care during the time of diagnosis and after diagnosis Alison Berger FNP and Dr Cindy Katz FNP developed Midsouth TeleMed to ensure patients with symptoms of the coronavirus were tested timely and appropriately and followed during and after their diagnosis Both segments were well-received by the members who attended the meeting

District 1 plans to continue monthly meetings in 2021 via Zoom and in-person when deemed appropriate Member meetings are typically scheduled on the fourth Thursday of each month through September starting at 6 pm If you have suggestions or topics for member meetings please send your ideas to us at tnatnadistrict1gmailcom

District 1 welcomes our new officers and board members which include Tracy Collins Vice-President Diane Ruppel Secretary Tiffany Roberts Treasurer Jill Dapremont Janet Mulroy

Marilyn Dillard to the Board of Directors and Abigail Kurtz and Cory Wilbanks to the Nominating Committee These board members will join President-Elect Kristin Fitchpatric Immediate Past President Carla Kirkland Board of Director members Sharon Little and Emma Murray and Nominating Committee members Kimberly Kennel and Hailin Swan along with myself serving the district as President Thank you to our outgoing officers and board members Tracey Powers Vice-President Melinda Evans Secretary Jill Dapremont Treasurer Sheila Bouie and Cecilia Garrison Board of Directors Sam Maceri and Jehan Ellis Nominating Committee

Our heartfelt thanks and gratitude go out to the nurses who work tirelessly to take care of patients in these trying times We know many of our healthcare workers are being exposed to and are contracting the coronavirus Our district supports all healthcare workers and providers particularly our nurses District 1 looks forward to continuing to serve and represent you in 2021

District News

District 1President Lisa Beasley

Lisa Beasley

District 6President Raven Wentworth

District 6 would like to continue to recognize the numerous registered nurses and other healthcare providers that continue to work tirelessly as the COVID-19 pandemic continues Please let your District and professional organization know if we can support you in any way It is our wish that you are able to enjoy this holiday season

District 6 met virtually on Thursday September 24 2020 Dr Tracy Collins from the University of Memphis joined us to discuss opportunities in the graduate program at the Loewenberg College of Nursing A virtual meeting was also held November 10 2020 Dr Artangela Henry from the Methodist Comprehensive Sickle Cell Center discussed sickle cell disease and treatment with Oxybryta A virtual district meeting will be held in January 2021 with details to follow Discussion will include participating in Nurses Day on the Hill and the Legislative Reception scheduled for Tuesday March 2 2021 Save the date now Please like and follow us on our Facebook page at TN Nursersquos Association - District 6 to stay current on district news

The TNA Annual Conference was held virtually on October 30 2020 District 6 members enjoyed the dynamic speakers If you were unable to attend we would love for you to join us next year in Chattanooga Tennessee

Congratulations to our newly elected District 6 officers President-elect Kathy OrsquoConnor Wray Vice-President Christy White and Secretary Julie Cupples We appreciate your willingness to work to promote and advance the nursing profession Thank you to those who voted electronically

District 9 held a virtual meeting Oct 15th There was a guest speaker and annual elections were held during the meeting We are happy to report the board is now complete with the addition of three board members District 9 Board of Directors include AJ Donadio Vice President Tammy Howard Treasurer Pam Isom Secretary and Board Members Angel Brewer Delores Jackson Michelle Jackson and Anne Koci Board member Tammy Howard was a poster presenter at the TNA annual conference discussing teaching during the pandemic at TTU as well as one of five COVID-19 panelists during the Opening General Session

Greetings from District 15

We would like to extend a warm welcome to new TNA members for District 15 We also send appreciation for those renewing and longtime members It is hard to believe the summer is over and the Holiday season is just around the corner I know we all anxiously await to see what our Holidays will look like during the pandemic Much uncertainty for sure

District 15 held its last quarterly virtual meeting on September 14 2020 We had an informative presentation by Dr Charlene Donovan on Correctional Nursing The membership voted to donate monies that were to be used for baskets for the silent auction to TNF and PAC Several members expressed they would be attending the TNA virtual conference in October Our next meeting was scheduled for November 16th

Dr Debra Rose Wilson was awarded the 2020 Richard M Hawkins Award from Austin Peay State University This university award is given to one person who has made the most noteworthy contributions to scholarship or creative activity Dr Rose is also publishing two peer-reviewed chapters in the nationally known textbook Holistic Nursing A handbook to practice psychoneurrimmunology and quantum connections in health Congratulations Dr Rose

Kerry Copeland MSN RN CNRN CRRN NPD-BC was elected to the TNA Board at the TNA annual conference as the Director of Education Congratulations Kerry

Kathy McDearman MSN RN Assistant Professor Jeanette C Rudy School of Nursing and Health Professions has been successful in obtaining her Certified Nurse Educator certification Congratulations Kathy on this accomplishment

The Alpha Alpha Kappa chapter of Sigma Theta Tau at Cumberland University School of Nursing is officially launched as of November 1 2020

Letrsquos congratulate the Jeanette C Rudy School of Nursing for their 96 NECLEX pass rate All except two students were successful with their first try but both were on their second

Remember to share news and accomplishments so that we can include in the next issue for District 15 news and can celebrate with you

As we look to the future during these trying times let us not forget to empower each other advocate for our profession and champion quality care for the citizens of Tennessee

Happy Holidays

Raven Wentworth

District 9President Chaundel Presley

Chaundel Presley

District 15 President Marcia Barnes

Marcia Barnes

District 3President Ginny Massey-Holt

2020 in ReviewTNA District 3 membership

met via Zoom in May for a virtual get-together We enjoyed presentations from Elizabeth Card MSN APRN FNP-BC CPAN CCRP FASPAN and David Spak Grammy Award winning percussionistdrummer Elizabeth Card presented information about nurse burnout and resiliency measures David Spak shared the use of music for self-care especially with percussion instruments and provided a musical immersive experience called a sound bath

In June members had the option to participate in an outdoor social distance adventure of kayaking at Higher Pursuits in Columbia TN This opportunity provided sunshine fresh air and camaraderie with fellow nurses on the beautiful Duck River

Tammy Schindel MSN RN TNA District 3 President kayaking on the Duck River in Columbia

TN during an outdoor membership event

Officer leadership met for planning in April June and October via Zoom to set upcoming events

The October membership included a town hall style meeting for members to provide support to one another as we navigate our nursing world during COVID We also had some visioning conversations for upcoming meetings in 2021

New officers installed include Ginny Massey-Holt as District 3 President and Stephanie Abbu as Vice President Dr Stephanie Abbu is a Manager for Neonatal Services at the Monroe Carell Jr Childrenrsquos Hospital at Vanderbilt As a second career nurse she has over 15 years of healthcare experience as a registered nurse assistant manager business coordinator and manager Dr Ginny Massey-Holt is an Associate Professor of Nursing at Columbia State Community College

Ginny Massey-Holt


MembershipChisa Huffman DNP MSN MBA RN-BC

Director - Membership

Good day fellow Tennessee Nurses It is an absolute honor to serve as the newly appointed Director of Membership for TNA My primary focus in this role is to increase your awareness of the importance of being a TNA member and the benefits membership provides

As you are all aware nursing has been placed in a unique position this year with the arrival of COVID-19 Now more than ever nurses are needed at all levels from bedside to boardroom Why is this important It means opportunity Opportunities for involvement range from creating change at the organizational level to the national level How do you help create change Get involved TNA membership provides you with unlimited opportunities for action We have several committees and boards waiting for your ideas and innovation to move the profession of nursing forward in Tennessee TNA empowers nurses to find their voices There is something for everyone including policy service scholarship and professional development

I remember the first TNA Leadership Conference I attended I was hesitant to enter the room upon arrival because I didnrsquot know anyone but it turned out to be the most empowering day of my life I walked in timid and uncertain of my place in the large overwhelming arena of nursing and walked out a confident empowered nurse who had found her voice I knew from that moment how important nurses

are and how hard our predecessors worked to get us to where we are today and I wanted to be part of that story

TNA has a history spanning over 100 years Our members have advocated regulated and advanced nursing for the betterment of nurses and the patients we care for We must remember where we came from to appreciate where we are and understand where we are going Membership in TNA is much more than paying duesit is a commitment to the past present and future history of nursing in Tennessee For example have you ever stopped and taken a moment to look at your nursing license Look at your nursing license number What do those numbers represent Those numbers are representative of the hard work and dedication of nurses across the state Do you know who was the first Well after many attempts triumphs and defeats in 1911 Lena Angevine Warner became the first certified [licensed] nurse in the state of Tennessee with the license number 000001 She would proceed to establish laws ensuring accountability for nurses across the state through establishing the ldquoState Board of Examiners of Nursesrdquo Warner united nurses from Memphis to Nashville and Knoxville She survived the yellow fever epidemic and went on to promote disease prevention Her tireless dedication to the future of nursing is why organizational membership is so important

Belonging to a professional organization provides you a platform to find confidence in your voice Our united voice echoes throughout the state for nursing nurses our professional practice and our future Membership in TNA will empower you so that you can be part of the platform for making change and create a lasting path for those who follow in our footsteps

We are stronger together Join TNAANA today at httpstinyurlcomyxhrhvtn

Chisa Huffman

The Tennessee Nurses Foundation is sponsoring a scholarly writing contest for all Registered Nurses (within all specialties of nursing) in the State of Tennessee As part of the celebration of Nurses Week 2021 the winners will receive a $1000 award plus a free registration to TNArsquos Annual Conference at The Chattanoogan Hotel in Chattanooga TN on October 15 ndash October 17 2021 Conference details at TNAonlineorg as they become available

Criteria1 Registered Nurse (within all specialties of nursing)2 Paper is in a publishable format and may be published in the Tennessee

Nurse andor TNA website

Manuscript requirements1 Introduction will provide an adequate foundation for the body of the paper

and will include a purpose statement for the paper2 Body of the Paper will address one of the following

bull Nursing research ndash how to use research in daily practice supported by an example and explanation of how you have used research in your daily practice

bull The use of leadership in daily practice supported by an example and explanation of how you have either used or experienced a particular

You Could Win $1000 Plus a FREE Registration to TNArsquos Annual Conference

Nurses Leading to the Future 2021 TNF Scholarly Writing

leadership style in your daily practicebull How you have used or influenced the use of evidence-based practice in

your daily practicebull Identify mentoring strategies for use with new nurses andor strategies

to retain the experienced nurse3 Conclusion will summarize the main points of the body of the paper with

implications for nursing practice4 References will be adequately and appropriately referenced in the body of

the paper and will be from contemporary peer reviewed resources5 Must not have been previously published6 Maximum of 10 pages (inclusive of references)7 Double spaced 10 ndash 12 point font

A completed submission must include all applicant contact information including email address and phone

Deadline for submission March 31 2021 Submissions must be emailed by this date Faxed or mailed submissions are not accepted

Entries will be judged by blind review by selected nursing experts The winners will be notified by email

Members of the TNF Board of Trust and TNA Board of Directors are not eligible


Member News

Jeny Conrad-Rendon NP-CTNA District 1

Jeny Conrad-Rendon was recently awarded the 2021 AANP Advocate State Award for Excellence This prestigious award is given annually

to a dedicated advocate in each state who has made a significant contribution toward increasing the awareness and recognition of nurse practitioners Jeny will be honored for this achievement during the 2021 AANP National Conference on June 18 2021 Jeny was also listed as a nurse leader in ldquoEverywhere You Look UTHSC Nurses Lead ndash Fall 2020 ndash Nursing The University of Tennessee Health Science Centerrdquo Congratulations Jeny

Christian Ketel DNP RNTNA District 15

Christian Ketel has been named the new Interprofessional Education (IPE) and Inter-Institutional Collaborative Learning Co-Director for Meharry-

Vanderbilt Alliance The IPE program leverages the strengths of the MVA and its IPE faculty to find ways students at Meharry Medical College Vanderbilt University Medical Center and others can apply their knowledge and leave a positive impact on the community Congratulations Christian

Susan Sanders DNP TNA District 8

Susan Sanders past president of the Tennessee Nurses Association has been elected as Alumni President for the University of Tennessee Health

Science Centerrsquos (UTHSC) College of Nursing alumni board Congratulations Susan

Congratulations to the following TNA members and Nurse Leaders

The University of Tennessee Health Science Centerrsquos College of Nursing quoted faculty alumni and students in Everywhere You Look UTHSC Nurses Lead ndash Fall 2020-Nursing The University of Tennessee Health Science Center TNA members include

Bobby Bellflower DNSc NNP-BC FAANP Chair National Association of Neonatal Nurses and Practitioners DNP Program Director UTHSC College of NursingTNA District 1

Kristin Fitchpatric BSN RN (DNP student)TNF Board of Trust TNA District 1 President-ElectTNA District 1

Carla Kirkland MSN APRN ACNP-BC FNP-BC ENP-BCTNA President TNA District 1

Sharon Little DNP FNP-BCTNF Board of Trust TNA District 1 Board of DirectorsTNA District 1

Laura Reed DNP APRN FNP-BCTNA Director - PracticeTNA District 1

Congratulations to the following TNA members who are recent honor graduates or award recipients from UTHSC College of Nursing

bull Chandler Mae Williams DNP Clinical Awardbull Andrea Ruth Kilgannon Alumni Award for BSN

graduates and the IMHOTEP Awardbull Maria Kathleen Tucci Alumni Award

Glynis Blackard PhD RN joined the faculty of the UTHSC College of Nursing in January as assistant dean for Student Affairs and an assistant professorTNA District 1

Ann Cashion PhD RN FAANTNA District 1

Ann Cashion scientific director Division of Intramural Research NINR and acting director of the NINR was recently appointed as professor

emeritus at the University of Tennessee Health Science Center College of Nursing Congratulations Ann

Christie Cavallo MSN RNTNA District 1

Christie Cavallo received the Student Government Association Executive Council (SGAEC) Excellence in Teaching Award These awards

presented to two faculty members each year are vetted by the SGAEC representative for each college as well as students from each college In addition Cavallo has been selected to receive the 2020 Outstanding Teacher Award sponsored by the University of Tennessee Alumni Association Congratulations Christie

Diana Dedmon DNP FNP-BC joined the UTHSC College of Nursing in November as an assistant professor director of Clinical Affairs and Michael Carter Endowed Professor for the collegeTNA District 1

Marion Donohoe DNP APRN CPNP-BCTNA District 1

Marion Donohoe retired in June after serving as an assistant professor at the University of Tennessee Health

Science Centerrsquos College of Nursing

Kate Fouquier CNM PhD FACNM TNA District 1

Professor Kate Fouquier was recently initiated by Dean Wendy Likes of UTHSC to serve as co-chair of a newly established Committee for Equity

and Inclusion in response to the movement for social justice in the US

Natasha Goins DNP APRN FNP-C AGACNP RNFA has joined the UTHSC College of Nursing as an assistant professor and coordinator of the Registered Nurse First Assistant Program (RNFA)TNA District 1

Alisa Haushalter DNP RN PHNA-BC ndash Director ndash Shelby County Health Department and CoN associate professor speaks to the media at a press conference about the coronavirus in late FebruaryTNA District 1

Sally Humphrey DNP APRN CPNP-PC has taken on the responsibility of Pediatric Primary Care Concentration Coordinator for UTHSC College of Nursing TNA District 1

Amy Koehn PhD MSN NNP-BC TNA District 1

The first test preparation text ever published for the national certification exam for neonatal nurse practitioners has entered the textbook market

thanks to the efforts of Dr Koehn coordinator of the Neonatal Nurse Practitioner (NNP) program Dr Koehn is editor of ldquoNeonatal Nurse Practitioner Certification Intensive Review Fast Facts and Practice Questionsrdquo published by Springer Publishing Company

Christie Manasco PhD RN has joined the UTHSC College of Nursing as an assistant professor in Health Promotion and Disease Prevention to support the collegersquos rural health expansionTNA District 6

Diane Pace PhD APRN FNP-BC NCMP FAANP FAANTNA District 1

Diane Pace has been awarded the 2020 Methodist School of Nursingrsquos Outstanding Alumna Award

Congratulations Diane

Patti Scott DNP RN PNP NCSNTNA District 1

Dr Patti Scott a two-time UTHSC College of Nursing alumna has created an endowment for the UTHSC College of Nursing The Dr Patti Scott

Scholarship will support students pursuing careers in public health and the training and continued mentoring of these students toward a successful long-term nursing career in public health

Anita Settles-Seymour MSN RNTNA District 1

Anita Settles-Seymour received the Student Government Association Executive Council (SGAEC) Excellence in Teaching Award These awards

presented to two faculty members each year are vetted by the SGAEC representative for each college as well as students from each college Congratulations Anita

FOR MORE INFORMATIONVisit wwwapsuedunursingbachelornursingrn-to-bsn

Email RNtoBSNapsuedu

100 OnlineAPSU Program Advantages

bull 100 online courseworkbull Five start dates each yearbull Complete in as few as 12 monthsbull Accelerated seven-week courses

Austin Peay State University does not discriminate on the basis of race color religion creed national origin sex sexual orientation gender identityexpression disability age status as a protected veteran genetic information or any other legally protected class with respect to all employment programs and activities sponsored by APSU httpswwwapsuedupolicy Policy 6003 Pub AP6911-201


Part Of Your ANATNA

Dues Are Tax Deductible

You are allowed to deduct as a professionalbusiness expense the percentage of dues that are NOT used by ANA or by TNA for political activities such as lobbying at the legislature In 2020 the non-deductible percentage for ANArsquos portion of the dues is 2157 The non-deductible percentage for TNArsquos portion of the dues is 223

Deductible Amountsbull Full ANATNA $290 5613--deduction

$16278 bull Reduced ANATNA $145 5613--deduction

$8139bull Standard Rate $174 5613--deduction $9767 bull State-Only $199 777--deduction $15462

Member News

Ansley Stanfill PhD RN associate dean of Research at UTHSC has been accepted as a Fellow of the American Academy of Nursing TNA District 1

Terri Stewart left and Dr Diane Pace sort supplies at the alternate-care facility TNA District 1

Terri Stewart MSN RN retired once as a chief nursing officer (CNO) but was called upon to take on the CNO

role again as Memphis prepared to open an alternate-care hospital to accommodate a possible surge in the

COVID-19 pandemic ldquoThis is my time to give back to nursing Nursing has been a wonderful professionrdquo Stewart said ldquoI believe that every opportunity you have in life prepares you for the next challenge that you face This is my opportunity to give back to nursing and give back to the communityrdquo Thank you Terri

Mona Wicks PhD RN FAANTNA District 1

Mona Wicks chair of the Department of Health Promotion and Disease Prevention was recently initiated by Dean Wendy Likes of UTHSC

to serve on a newly established Committee for Equity and Inclusion in response to the movement for social justice in the US Wicks will serve as a liaison from the new committee to UTHSCrsquos Executive Team

NursingALDcomcan point you right to that perfect

NURSING JOB

NursingALDcom

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Easy to Use

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Free to Nurses


District 1Kayla Adams Hannah Altomar Colette Badeaux Marla

Bernard Glynis Blackard Vicki Blake Tasha Bourgeois Aimee Branch Brenda Buckley Alisa Carr Hannah Carroll Lacretia Carroll Ann Cashion Emily Chalmers Jennifer Conrad-Rendon Sara Day Tammy Delaney Mordecia Dickenson Cathy Dunn Camielle Fishel Philip Frost Natasha Goins Lisa Graham Cassidy Gubin Ann Guest Kimberly Guy Teresa Hall Whitney Hampton Nicole Haney Kiesha Harris Jennifer Hester Paula Higdon Gina Hill Kayla Hodge Sally Humphrey Shelah Jackson Donita Jacobs Arta James Tina Jefferson Ellouise Knox Nicole Legault Vanessa Lesure-Ross Martina Little Hanan McNamee Calla Michalak Lori Minor Anthony Morrison Judith Morse Angela Overton Karen Pease Kena Phillips Constance Prudhomme Sherry Ray Clarrissa Richardson Daphne Richardson Marilynn Richardson Lauren Russell Chelsey Savage James Shead Traci Stewart-Saltwell Aurelia Taylor Tijuana Terrell April Thompson Claudia Twardzik Kimberly Vann Melanie Vlassis Shirley Walsh-Young Madison Warne Keona Washington Christopher Wilbanks Crystal Wilkerson Adrice Williams Santrica Williams Kathleen Zalesak Patricia Zaravar Lin Zhan

District 2Christopher Adcox Kayla Adkins James Alberding

Amber Atchley Amy Austin Julia Ball Heather Barker Deana Barton Patricia Bauer Katherine Bentley Paul Bilbrey Susan Blaine Tammy Brady Kimberly Brown Christina Buck Shannan Calhoon Caleigh Cline Tiffany Coffey Julie Daniels Audra Fegley Brianna Franklin Teresa Gomez Tanya Green Judy Hargis Elizabeth Hays Joy Hood Laticia Humphrey Lydia Hunter Asha Jarnigan Amelia Kempf Wendy Lattimore Elizabeth Lenoir Jimmy Loi Tara Lundy Tera Mahone Elizabeth Marlow Donna McGaha Sheena Miller Whitney Myers Casey Norris Mary Novotny 2Marjorie Pickel Aneitha Pratt Patricia

Prince Lara Reed Ronda Rowe Avonia Rubright Kelly Sanderson Lisa Saunders Rachel Savoy Kimberly Sexton Jessica Shamblin Kimberly Shelton Gloria Shields Lisa Simcox Brittany Smith Candice Smith Jennifer Steele Hannah Stevenson Trea Tipton Tamra Turberville Marisa Vertullo Susan Wall Amy Whitehead Kristina Wilson Nicole Yates

District 3Candance Alexander Alison Anderson Nicole Arnett

Jennifer Baeley Amy Bailey Angela Bakker Margarita Barlow Tiffany Barnett Carole Bartoo Connie Bauersachs Sonja Bell Christine Besand Gina Bianco Leslie Binford Chooi Ying Birdsong Amy Black Christine Blackwood Megan Blake Cynthia Blalock Catrina Bledsoe Latasha Bolden Angela Bourn Anand Brahmbhatt Crystal Braun Kristina Bridwell Sara Brooks Miriam Brumley Susan Card Ashley Carter Brittany Chambers Katie Ciarletta Terri Cohen Shanita Coleman-Dockery Bethany Cones Danielle Conway Wise Virginia Corey Tiffany Daniel John Decker Janna Dedman Terri Dixon Melissa Doyle Andrew Dunn Marisa Ebersole Shirley Edmondson Mary Edwards Sherri Edwards Reiley Eilermann Brian Evans Priti Evans Victoria Finamore Amanda Frank Wilbert Freeland May Galbreath Kate Gardiner Isabelle Garibaldi Lisa Germano Marla Grantham Haven Greer Kari Gregerson Irene Gregory Melinda Haddock-Diaz Jenny Hall Laura Haneline Mary Harper Sarah Hart Lisa Henson Elisha Hill Teresa Hobt-Bingham Jennifer Hutcherson Danielle Johnson Jennifer Johnson Teresa Johnson Catherine Jones Jason Jones Lauren Jones Sarah Kervin Jill Kilpatrick Joy Kimbrell Cierra Kimbrough Karen Kincaid Karen King-Parke Michelle Kixmiller Elizabeth Kornblum Susan Krauser Lupear Suklee Victoria Langley Orie Jessica Levine Kimberly Lippard Meg Long John Longenecker Cathy Lovelace Matthew Lyons Maria Martinez Marie Mattei Weiland Caitlin McGuirk Marie-Louise Miesel Rosa Mimms Elizabeth Morgan Rodney

Morton Haley Newberry Lavian Nguyen Tyler Norris Trina Ondrizek Sharon Patton Deanna Peavy Amanda Perry Courtney Pitts Kaitlyn Prince Rebecca Purcell Cinthya Ramirez Martinez Abigail Randall Juli Reynolds Julie Riedel Andrea Roberts Laurel Roberts Kelly Robertson Austin Rockenhaus Stephanie Romero Sandra Saunders Susan Saunders Megan Shifrin Bryan Sisk Abigail Smith Tiffany Smith Amanda Spangler Katelyn Stalter Abigail Stephens Charlotte Stephenson Jennifer Sternberg Loretta Sutton Phillip Tatum Lyndsay Taulbee Blaine Thomas Jennifer Travis Clare Tubre Sawyer Underwood Susan Vairin Julie Vanderpool Elizabeth Vazquez Charla Walston Gretchen Walter Wendy Wayland Madison White Matthew Wingate Barbara Wolff Haoxin Yin Kimberly York Jessica Zehring Claire Zetak

District 4Lisa Ales Elizabeth Althauser Tonya Ameredes

Amanda Bailey Amy Blake Charity Brown Angela Buendia Lakisha Byers Brittany Carmon Ginger Carpenter Kelcey Casteel Betsy Chase Evelyn Conner William Crowe Jacqueline Davis Kimberly Delaney Thomas Diller Riley Elrod Hayley Filippone Michael Fuller Kathryn Gilbert Cherry Guinn Julie Hamilton Brooke Hazen Alisha Hicks Christina Lassila Dana Lawson Joseph Leipold Hilary Lusk Benjamin McClellan Leslie McClung Jessica Miller Christine Moniyung Terry Postma Patricia Poteet Sherrie Rouse Jennifer Shearer Miller Rebecca Snyder Shederyl Stewart Elizabeth Thompson Deborah Wells Joscelyn White Alicia Whitley Joelle Wolf

District 5Cori Baker Sara Ball Azahlia Benjamin Sally Blackburn

Jenna Brooks Riann Burroughs Zulma Calmo Brenda Carney Jenna Carson Emily Charles Andra Cureton-Hutchins Crystal Curtis Amanda Davis Jeffrey Edwards Donna Glass Susan Grover Jodi Hafen Teresa Heaton Michele Henley April Hoare Sadie Hutson Anna Johnson Kellie Korbe Mary Jane Lehto Minnick Chelsea Lyninger Meghan Malcolm Rachel McNeese Samuel Mitchell Brittany Muncey Nina Ramey Connie Reed Sarah Rogers Johnny Shupe Rebecca Singleton Delilah Sizemore Glenda Smith Taylor Spurling Krissa Trombetta Liza Waldroupe Anna Wheelock Joelle Whitaker Kimberly White Savannah Whitehead Helen Zakewicz

District 6Rebecca Bush Mallory Clenney Anna Cook Sherry

Dunavant Amanda Garcia Chinue Greenhill Zada Hopkins Verda Jackson Erica Johnson Lockett Brittany Jones Savannah Leedy Tracy Little Laura Melaro Onyinyechi Mgbah Haley Nelson Sarah Pierce Adam Reinhard Mary Rhoads Tasma Robertson Summer Sanders Dee Ann Scott Samantha Simpson Johanna Sisco Themisha Williams

District 8Kathy Beckett Lori Fisher-Bradshaw Elizabeth

Gammada Sue Richardson

District 9Bryttni Asberry Jacqueline Cox April Dearmon

Samantha Fagan Paula Howard Scott Lamb Donna Ogle Bethany Pack Janie Reed Melanie Roberts Nissa Sissom Johnna Sprague Tonya Taylor Marianne Trueman

District 10Cassondra Burks James Foley Tracey Kizer Michael

Odle Emily Pace Amy Paschall Susan Winters Sheryl Wright

District 12Tammy Danford Latoy Hall Traketha Jacox-Reed

Brittang Lynch Carla Slayden Kathryn Wiggs

District 15Tramecya Beale Lisa Boni Alyssa Buckner Hailey

Burton Diane Businda Julie Cantrell Susan Dauwalder Brandon Edwards Mika Franceshi Mary Hall John Hatcher Madison Kane Christian Ketel Evelyn Kingsley Linda Morrow Jesus Nieves Jacqueline Odom Rachael Owen Kimberly Palmer Victoria Paty Jennifer Ramsey Mary Rawn Kendall Roberts Kimberly Rogers Sarah Strickland Darren Tarnate Diana Thomas Loretta Wilkins

Welcome New amp Reinstated Members

NOW HIRING Outpatient RNsAcute Dialysis RNsHome Therapy RNsCharge RNsPatient Care Technicians

Call or text our TN recruiters today to learn more about our nursing roles

Central TN (including Nashville) Stephanie CruzStephaniecruzfmc-nacom917-528-1042

Western TN (including Memphis) Anthony HankersonAnthonyHankersonfmc-nacom904-608-9090

Eastern TN Lesley Thephasdinlesleythephasdinfmc-nacom847-308-3086

BECOME A CAREGIVING PARTNERMAKE A DIFFERENCE FOR PATIENTS FOR YOURSELF

Join the Fresenius Medical Care team and help people with kidney disease live longer healthier better lives Plus as a global healthcare leader we will help you build the career you want


If there is one thing TNF scholarship recipients say most it is how much their stress and the financial burden of tuition payments are lessened because of the scholarship they received At a time when so many have been financially impacted by COVID-19 that statement is never more true than now

The primary goals of the Foundation are to foster and promote professional excellence through education and leadership opportunities for licensed Tennessee Registered Nurses and student nurses just beginning their RN career But we need your help As a non-profit 501c3 organization TNF is dependent upon your donations

Please consider donating today It wonrsquot take much of your time and it will go a long way to further our mission TNF relies heavily on the Silent Auction proceeds from the Annual Conference to provide these scholarships and advance the mission of the Foundation Unfortunately with the pandemic and having a virtual conference this year we were not able to generate the revenue we have come to rely on from this event

Here are the ways you can make a donationbull Donate online at httpstnanursingnetworkcompage94390-donate-to-tnfbull Call us at 615-254-0350 ext 3 or ext 4bull Send a check made out to TNF and send to TNF 545 Mainstream Dr Ste

405 Nashville TN 37228bull Drive with Pride Purchase a Nurses Change Lives license plate at your local

County Clerkrsquos office

Thank you in advance for your contribution

Take just a moment and go to httpstnanursingnetworkcompage94125-scholarship-grant-awardees-contest-winners to see a small portion of the opportunities the Tennessee Nurses Foundation has provided this past fiscal year While you are there click on TNF at the top of the page to learn more about the foundation

If you have questions please contact TNFtnaonlineorg

TNF FundraisingHow to Submit an Article for the Tennessee Nurse Article Submission Guidelines

The Tennessee Nurse is a quarterly publication sponsored by the Tennessee Nurses Foundation (TNF) Each issue is mailed to members of the Tennessee Nurses Association (TNA) and is also emailed to ALL Tennessee licensed Registered Nurses Additional mailing lists include all state nursing organizations affiliated with the American Nurses Association nursing schools in Tennessee Tennessee hospitals and Tennessee Legislators

Any topic related to nursing will be considered for publication However articles that speak to the broad scope of nursing are preferred rather than a narrow audience Articles and photos should be submitted by email to KathrynDentontnaonlineorg

All articles should be submitted in Microsoft Word titled and with no headings or footers Please include two to three sentences of information about the author at the end of the article and list all references References are sometimes not printed but are available upon request Preferred article length is 750-1000 words and subheadings are encouraged for ease of reading

TNF is not responsible for unsolicited freelance manuscripts or photographs

Although authors are not required to be members of the Tennessee Nurses Association when space is limited preference will be given to TNA members

The Tennessee NursemdashOfficial Publication of the Tennessee Nurses Foundation

545 Mainstream Drive Suite 405 Nashville TN 37228-1296615-254-0350 ext 3

Tennessee Nurse November December 2020 January 2021

The Tennessee Nurse is the official publication of the Tennessee Nurses Foundation 545 Mainstream Drive Suite 405

Nashville TN 37228-1296Phone 615254-0350 bull Fax 615254-0303

Email tnftnaonlineorgPublished exclusively by the

Tennessee Nurses Foundation and theArthur L Davis Publishing Agency Inc

TNF 2020-2021 Board of TrustRaven Wentworth PresidentDara Rogers Vice PresidentDebra Sullivan TreasurerAmy Hamlin Secretary

Cindy Borum Jeny Conrad-Rendon Brad Creekmore Patsy Crihfield Shannon Davis Ken Edmisson Kristin Fitchpatric Alicia Frasure Julie Hamm Karen Hande Kenda Harrison

Heather Jackson Bill Jolley Carla Kirkland Sharon Little Sue MacArthur Elaine Murray Jennifer Pearson Bonnie Pilon Nancy

Stevens Lisa Trogdon

TNA 2021 Board of DirectorsCarla Kirkland President

Julie Hamm President-ElectHeather Jackson Vice President

Nancy Stevens SecretaryChisa Huffman Director ndash MembershipKerry Copeland Director ndash EducationJ Ted Nelson Director ndash Operations

Marcia Barnes Director ndash Government AffairsLaura Reed Director ndash Practice

TNA 2021 District PresidentsLisa Beasley District 1 Co-Presidents Angela Heatherly amp Erin

Morgan District 2 Ginny Massey-Holt District 3 Nancy Stevens District 4 Christine Reed District 5

Raven Wentworth District 6 Shannon Johnson District 8 Chaundel Presley District 9 Christy Blount District 10

Brad Harrell District 12 Marcia Barnes District 15

Managing EditorKathryn A Denton

TNA StaffTina Gerardi MS RN CAE Executive Director

Diane Cunningham Office ManagerKathleen Murphy Director Government AffairsChief Lobbyist

Kathryn Denton Director ComputerNetwork Systems Managing Editor - Tennessee Nurse TNF Program Manager

The official publication of the Tennessee Nurses Foundation shall be the Tennessee Nurse The purpose of the publication shall be to support the mission of the Tennessee Nurses Foundation and Tennessee Nurses Association through the communication of nursing issues continuing education and significant events of interest The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the views of the association its staff its Board of Directors or editors of the Tennessee Nurse

Article Submissions The Tennessee Nurses Foundation encourages submissions of articles and photos for publication in the Tennessee Nurse Any topic related to nursing will be considered for publication Although authors are not required to be members of the Tennessee Nurses Association when space is limited preference will be given to TNA members Articles and photos should be submitted by email to KathrynDentontnaonlineorg or mailed to Managing Editor Tennessee Nurses Foundation 545 Mainstream Drive Suite 405 Nashville TN 37228-1296 All articles should be typed in Word Please include two to three sentences of information about the author at the end of the article and list all references Preferred article length is 750-1000 words Photos are welcomed as hard copies or digital files at a high resolution of 300 DPI The Tennessee Nurses Foundation assumes no responsibility for lost or damaged articles or photos TNF is not responsible for unsolicited freelance manuscripts or photographs Contact the Managing Editor for additional contribution information

Reprints Tennessee Nurse allows reprinting of material Permission requests should be directed to Tennessee Nurses Foundation at KathrynDentontnaonlineorg

For advertising rates and information please contact Arthur L Davis Publishing Agency Inc PO Box 216 Cedar Falls Iowa 50613 (800) 626-4081 salesaldpubcom TNF and the Arthur L Davis Publishing Agency Inc reserve the right to reject any advertisement Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement

Acceptance of advertising does not imply endorsement or approval by the Tennessee Nurses Foundation of products advertised the advertiser 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 use TNF and Arthur L Davis Publishing Agency Inc shall not be held liable for any consequences resulting from purchase or use of an advertiserrsquos product Articles appearing in this publication express the opinion of the authors they do not necessarily reflect views of the staff Board or membership of TNA and TNF or those of the national or local associations

Copyrightcopy2020 by the Tennessee Nurses Foundation The Tennessee Nurse is published quarterly in February May August and November Published free for TNA members and emailed to registered nurses licensed in Tennessee Others may request a subscription to the Tennessee Nurse for $30 per year by contacting KathrynDentontnaonlineorg

TNA Board Update

At their September 18 meeting the TNA Board of Directors took the following action

bull Approved the nomination of Elizabeth Bradshaw Scott to fill the vacant TNA seat on the Alzheimerrsquos Council

bull Approved the Year of the Nurse Resolution for presentation to the Membership Assembly for adoption

bull Reviewed and revised the TNA Policy and Procedure Manual with a new social media policy

TNF Board Actions

At their September meeting the TNF Board of Trustees took the following action

bull Approved the appointment of ten new board members

bull Approved a research grant application for $469751

bull Awarded an additional $2000 scholarship

bull Extended the deadline for the Edna Mason scholarship


From the President



Tina Gerardi

Carla Kirland























































Haley Vance







Hillary Sexton
































































Cory Wilbanks


Government Affairs


















Lobbyist

Student Forum






























Stephanie Abbu





NOWSEEKING

experiencedRNs






NOW HIRING
















Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses




















































November December 2020 January 2021 Tennessee Nurse

From the President



Tina Gerardi

Carla Kirland























































Haley Vance







Hillary Sexton
































































Cory Wilbanks


Government Affairs


















Lobbyist

Student Forum






























Stephanie Abbu





NOWSEEKING

experiencedRNs






NOW HIRING
















Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses

























































































Haley Vance







Hillary Sexton
































































Cory Wilbanks


Government Affairs


















Lobbyist

Student Forum






























Stephanie Abbu





NOWSEEKING

experiencedRNs






NOW HIRING
















Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses

















































































































Cory Wilbanks


Government Affairs


















Lobbyist

Student Forum






























Stephanie Abbu





NOWSEEKING

experiencedRNs






NOW HIRING
















Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses





















































Government Affairs


















Lobbyist

Student Forum






























Stephanie Abbu





NOWSEEKING

experiencedRNs






NOW HIRING
















Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses














































































Stephanie Abbu





NOWSEEKING

experiencedRNs






NOW HIRING
















Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses



































































Kathleen Murphy


Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses





















































Nursing Ethics











Kate Payne





















































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses
































































































Hiyo Silver Away

Patsy E Crihfield






















Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses









































































Janet Tucker





























District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses
















































































District News


Lisa Beasley

















Happy Holidays

Raven Wentworth


Chaundel Presley


Marcia Barnes










Ginny Massey-Holt











Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses






























































Chisa Huffman




















Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses





















































Member News
























































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses





















































Part Of Your ANATNA






Member News










NURSING JOB

NursingALDcom

E-mailed Job Leads

Easy to Use

Privacy Assured

Free to Nurses




















































tennessee nurse - nursingald.com

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