volume 4 | number 2 | september 2016...the nursing voice september 2016 page 1 american nurses...
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The Nursing Voice September 2016 Page 1
American Nurses Association
Re-Elects PresidentSILVER SPRING, MD – The
American Nurses Association (ANA) announced today that Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN has been re-elected as President of the professional association that represents the interests of the nation’s 3.6 million registered nurses (RNs).
The voting representatives of ANA’s Membership Assembly also elected five members to the nine-member board of directors. Terms of service begin January 1, 2017.
“For the past two years, it has been with great pride that I have led ANA, a trusted voice that represents nurses in the halls of government, protects and promotes nursing practice, and influences healthcare policy,” said Cipriano, a member of the Virginia Nurses Association. “Registered nurses are on the frontlines of providing lifesaving health care to millions of people each day and it is an honor to advocate for nurses and to lead an association committed to improving health care for all.”
The following ANA board members were re-elected: Secretary Patricia Travis, PhD, RN, CCRP, Maryland Nurses Association; Faith Marie Jones, MSN, RN, NEA-BC, Wyoming Nurses Association (two year term); and Director-at-Large, Staff Nurse Gayle M. Peterson, RN-BC, ANA Massachusetts. The newly elected board members are: Director-at-Large (one year term) Elizabeth Fildes, EdD, RN, CNE, CARN-AP, APHN-BC, Nevada Nurses Association; and Director-at-Large (two year term) Tonisha J. Melvin, MS, CRRN, NP-C, Georgia Nurses Association.
Those continuing their terms on the ANA Board are: Vice President Ernest James Grant, PhD, MSN, RN, FAAN, of the North Carolina Nurses Association; Treasurer Gingy Harshey-Meade, MSN, RN, CAE, NEA-BC, of the Indiana State Nurses Association; and Director-At-Large, Recent Graduate Jesse M.L. Kennedy, BSN, RN, of the Oregon Nurses Association.
Elected to serve on the Nominations and Elections Committee are: Amanda Jean Foster (Chair), BSN, RN, Arizona Nurses Association; Sabianca Delva, RN, ANA Massachusetts; and Annie Lee Bowen, MSN, RN, CPN, of the Ohio Nurses Association.
Message from the INF President . . . . . . . 2President’s Message . . . . . . . . . . . . . . . . . .3Continuing Education Offering . . . . . . . .42016 ANA-Illinois Candidates Announced . . . . . . . . . . . . .6Emerging Nurse Leaders Award . . . . . . .8Leap into Leadership with the Illinois Healthcare Action Coalition . . . . . . . . . .9American Nurses Association . . . . . . . . . 102016 INF Scholarship Winners . . . . . . . . 10
Success in Springfield . . . . . . . . . . . . . . . .11SNAI Update . . . . . . . . . . . . . . . . . . . . . . . . 12The National Forum of State Nursing Workforce Centers . . . . . . . . . 13The Chicago Bilingual Nurse Consortium Acclaims International Nurses . . . . . . . . . 14IONL Continuum of Care . . . . . . . . . . . . . 15Meet the Illinois Center for Nursing Advisory Board of Directors . . . . . . . . 15
current resident or
Non-Profit Org.U.S. Postage Paid
Princeton, MNPermit No. 14
The Official Publication of the Illinois Nurses FoundationQuarterly publication direct mailed to approximately 177,000 RNs in Illinois.
VOLUME 4 | NUMBER 2 | SEPTEMBER 2016
Index
Pamela F. Cipriano, PhD, RN, NEA-BC,
FAAN
WASHINGTON, DC – In the wake of the Orlando, FL, massacre, the American Nurses Association (ANA) issued a declaration today calling for sensible gun control measures, including one that lifts a ban on the Centers for Disease Control and Prevention from studying gun violence. ANA held its annual Membership Assembly this week in Washington, DC. ANA is the premiere professional association representing the interests of the nation’s 3.6 million registered nurses (RNs).
"Now is the time to enact meaningful gun control legislation at the state and federal level to protect society," said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. "We all must join with other members of our community and at every level of civil society in
dialogue and action to address the underlying issues that result in hate and motivate unspeakable acts of violence."
The declaration follows ANA›s Lobby Day on June 23, when almost 300 nurses from across the country went to Capitol Hill to share their perspectives and concerns about key nursing and health care issues, including safe nurse staffing, access to home health care, and gun violence.
American Nurses Association Urges Nurses to Help Stop Gun Violence
Stop Gun Violence continued on page 3
ANA-Illinois is proud to announce that we are launching our “Healthy Nurse, Healthy Nation” campaign at our 3rd Annual Membership Assembly on October 15, 2016.
The 2016 ANA-Illinois Membership Assembly Meeting is a one-day event that brings the membership together with the association leadership to discuss issues of
importance to the profession. A Keynote session and issue forum with 3.25 CE credits will take place after lunch and the day closes with a dessert reception hosted by the Illinois Nurses Foundation.
CE IS BEING CO-PROVIDED BY THE ILLINOIS NURSES FOUNDATION and ANA-ILLINOIS.
Registration is $50.00 and will include a continental breakfast, plated lunch, 3.25 hours of CE and a dessert reception hosted by the Illinois Nurses Foundation.
*Students may attend the Keynote Session and Issues Forum on a complimentary basis.
Visit the ANA-Illinois website to register www.ana-illinois.org
AGENDA8:15 a.m. – 9:00 a.m. Registration open*9:00 a.m. – 11:00 a.m. Membership Assembly Meeting Report from the President Report from the Treasurer Legislative Platform Bylaws Proposals11:15 a.m. – 12:15 p.m. Lunch 12:30 p.m. – 2:00 p.m. Keynote Speaker 2:15 p.m. – 4:00p.m. Issue Forum/Discussion 2017 Sunset of the Nurse Practice Act4:00 p.m. – 5:00 p.m. Dessert Reception hosted by the Illinois Nurses Foundation
This activity has been submitted to the Ohio Nurses Association (OBN-001-91) for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Please call Susan Swart at 815-468-8804 for more information about contact hours.
LOCATION: Sheraton Lisle Hotel • 3000 Warrenville Rd, Lisle, IL 60532
Page 2 September 2016 The Nursing Voice
The NursingVoice
INF Board of DirectorsOfficersMaureen Shekleton, PhD, RN, DPNAP, FAAN . . . . . . . . PresidentAlma Labunski, PhD, MS, RN . . . . . . . . . . . . . . . . .Vice PresidentCathy Neuman, MSN, RN, CNAA . . . . . . . . . Secretary/Treasurer
DirectorsCheryl Anema, PhD, RNMaria Connolly, PhD, CNE, ANEF, FCCMP. Joan Larsen, RNKaren Egenes, EdD, MSN, MA, RNLinda Olson, PhD, RN, NEA-BCKathryn Serbin, MS, DNPc, RNBonnie Salvetti, BSN, RN
2015-2017 ANA-Illinois Board of DirectorsOfficersDan Fraczkowski, MSN, RN . . . . . . . . . . . . . . . . . . . . . . . PresidentAnn O’Sullivan, MSN, RN, CNE, NE-BC, ANEF . . . . . .Vice PresidentPam Brown, PhD, RN, ANEF . . . . . . . . . . . . . . . . . . . . . . TreasurerKathryn Serbin, MS, DNPc, RN . . . . . . . . . . . . . . . . . . . . Secretary
DirectorsAmanda Buechel, BSN, RNKaren Egenes, EdD, MSN, MA, RNElaine Hardy, PhD, RNAlyssa Hayward, BSN, RNBonnie Salvetti, BSN, RN
Editorial CommitteeEditor EmeritusAlma Labunski, PhD, MS, RN
Chief EditorsLisa Anderson-Shaw, DrPH, MA, MSNKaren Mayville, MSN, PhD, RN
MembersCheryl Anema, PhD, RNNancy Brent, RN, MS, JDKathy Long-Martin, BSN, MSN, RNLinda Olson, PhD, RN, NEA-BCLisa Woodward, DNP, RN, CENP
Executive DirectorSusan Y. Swart, MS, RN, CAEANA-Illinois/Illinois Nurses Foundation
Article Submission• Subject to editing by the INF Executive Director & Editorial
Committee• Electronic submissions ONLY as an attachment (word
document preferred)• Email: [email protected]• Subject Line: Nursing Voice Submission: Name of the article• Must include the name of the author and a title.• INF reserves the right to pull or edit any article / news
submission for space and availability and/or deadlines• If requested, notification will be given to authors once the
final draft of the Nursing Voice has been submitted.• INF does not accept monetary payment for articles.Article submissions, deadline information and all other inquiries regarding the Nursing Voice please email: [email protected]
Article Submission Dates (submissions by end of the business day)January 15th, April 15th, July 15th, October 15th
Advertising: for advertising rates and information please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, P.O. Box 216, Cedar Falls, Iowa 50613 (800-626-4081), [email protected]. ANA-Illinois 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 ANA-Illinois and Illinois Nurses Foundation of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of ANA-Illinois or those of the national or local associations.
Message froM the INf PresIdeNt
Published by:Arthur L. Davis
Publishing Agency, Inc.
www.ana-illinois.org
Dear Illinois Nurse Colleagues,
WE DID IT – NURSES RULE THE ROAD – Thanks to all of you who reserved the nurse license plate. At the time I am writing this column we are waiting for clarification as to “next steps” from the Illinois Secretary of State’s office. I know that turning money over to a state entity during the “budget crisis” was an act of faith for many, but we persevered and hit the mark for “Nurses to Rule the Road.”
There were moments during our campaign when I wasn’t sure we’d reach the required number of reservations for the Secretary of State’s office to begin providing the special plates. We knew the whole special license plate program was being phased out – the nurse
plate would be the last! If we didn’t achieve the goal now we would lose any opportunity to have a nurse plate in Illinois. Nurses came through in the end to make it happen! Again, thank you, thank you, thank you for your support for nurses and nursing!
This success will allow an income stream for the Foundation in addition to donations, fund raising, and grants. The INF Board will be able to budget with figures that are more definitive than the current situation with donations. Through careful stewardship of the donated funds, the Board has consistently grown the Foundation endowment, and will continue to do so at an accelerated rate with the new funds from license plates.
The license plate campaign showed what happens when nurses unite for a cause. Support came from our nurse leaders across the state and from our organizational affiliates and partners. Thanks to all who worked so hard to make this happen – from supporting the legislation creating this opportunity through our exceeding the required number of reservations. Now we work through the process of implementation with the state! I can’t wait to see the plates on cars – how about you? It will be another reminder of how proud I am to be a NURSE!
Maureen ShekletonPhD, RN, DPNAP,
FAAN
PresIdeNt's Message
Chicago Students Provide Heart-Healthy Education
Last month, the Chamberlain Chicago campus’ National Student Nurses Association (NSNA) took part in a Hispanic women’s health expo. Led by assistant dean of academic operations Susana Gonzales, MHA, MSN, RN, CNML, who is also the president of the National Hispanic Nurses Association - Illinois, students provided hundreds of blood pressure screenings and spoke to women about healthy heart education. Chamberlain student volunteers provided hands-on CPR demonstrations to visitors as well.
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The Nursing Voice September 2016 Page 3
Greetings,
On behalf of the ANA-Illinois Board of Directors, we would like to thank each and every one of you who RSVP’d and helped us secure the nurse license specialty plate.
I hope you can join us on Saturday, October 15, 2016 for our 2016 ANA-Illinois Membership Meeting in Lisle, Illinois. The one day event brings together nurses from across the state for education and networking. Members and non-members alike are welcome. Watch our social media feeds and website for registration info. Also, the Student Nurses Association of Illinois Convention will be held on Saturday, October 1-Sunday, October 2 at Joliet Junior College in Joliet, IL. More info will be available at www.snaillinois.com or on their social media feeds.
We are beginning to host summits to share recommendations developed by the Illinois Coalition of Nursing Organizations for the 2017 Nurse Practice Act Sunset. The Illinois Coalition of Nursing Organizations is a collaborative of professional organizations across the state from a diverse range of practice settings. Our first event was held on August 11, 2016 at the University of Illinois College of Nursing in Chicago, IL, and there are more to come. I hope that you can join us to provide feedback and support as we advance these recommendations via a bill in the Illinois State Legislature in Spring 2017.
By this time of year, we are getting inundated with campaign ads for the November 2016 election. While the political ads can be frustrating, we live in a nation where we have the freedom to participate in the political process. Please connect with your elected officials, especially at the local and state level, where they make a huge impact on your community and
Stop Gun Violence continued from page 1
The declaration reads (in part):• WHEREAS, in recent years, our country has endured
unspeakable acts of violence with the common thread in each of these mass-casualty tragedies being easy access to guns.
• WHEREAS, the easy access to guns and inadequate access to mental health services contributes to an unsafe environment.
• WHEREAS, at an alarming rate, registered nurses and other health professionals, in emergency departments, hospitals and clinics across the country, are called upon to care for victims of mass shootings, homicides, suicides, and accidental shootings.
• WHEREAS, ANA commends the nurses and entire health care team at Orlando Regional Medical Center and the other receiving facilities for their dedication and professionalism during this tragic event.
• WHEREAS, of grave concern to ANA are all human rights violations, including hate crimes. The Code of Ethics for Nurses with Interpretive Statements calls on nurses to respect all cultures, value systems, sexual orientation or gender expression and act to change those aspects of social structures that detract from health and well-being.
• WHEREAS, since 1994, ANA has considered gun violence to be a public health issue with subsequent policy action calling on the need for limits on the availability of handguns, a ban on assault weapons, and a waiting period and background check of purchasers.
PresIdeNt's Message
Dan FraczkowskiMSN, RN
professional career. In the February 2016 primary, some of the elections were so close that candidates lost by mere hundreds of votes. We have a lot on our legislative agenda and we will need your help to influence state legislators for the 2017 Nurse Practice Act. Sign up online for our free advocacy portal, http://cqrcengage.com/ilnurses/home to stay connected and take action on legislation. You don’t need to be a member to participate, and we welcome students to sign up too.
Finally, as I’ve shared before, this year we have a nurse candidate, Martha Shugart, RN who is running for State Representative in the 75th legislative district. Her district encompasses parts of Channahon, Coal City, Morris, Minooka, etc. Please consider joining us as we knock on doors, make phone calls, march in parades and fundraise for Martha. Even the most skeptical voters Martha meets on the campaign trail are impressed and encouraged when she introduces herself as a Registered Nurse. We hope that you can take some time out of your busy schedules to support in whatever method you can, or at the least, Like Martha Shugart for State Representative on Facebook. To volunteer on Martha’s campaign, please email [email protected].
Thank you for your service to patients, and the profession,
Sincerely,Dan Fraczkowski MSN, RN@nursedanf
Don’t wait!Update your MyANA
profile today!Thank you for being a member of American
Nurses Association Illinois and the American Nurses Association! We value you and want to continue creating opportunities that meet your needs. In order to do so, we need to understand your nursing role, interests, and experience.
Please update your member profile today! Log into your MyANA profile and select ‘Update Professional Info’ to complete each section.
As a thank you for your time, we have a gift for you: Stepping into Your Spotlight: Building Your Professional Brand. This webinar shows you how to advance your nursing career by creating, developing, and promoting your professional brand.
We hope you will take advantage of this opportunity so we can continue to deliver relevant and tailored experiences.
Page 4 September 2016 The Nursing Voice
coNtINuINg educatIoN offerINg
Nicole Callsen BSN, RNLoyola University Chicago
Accidental drug overdose is a leading cause of death in the United States, which are preventable in most cases. The culprits of most overdose cases are opioid-based drugs (illicit and prescription), such as heroin, hydrocodone, or hydromorphone. Naloxone hydrochloride (“naloxone”), a short acting opioid-antagonist, is a prescription medication that blocks the effects of natural and synthetic opioids, thus reversing the symptoms of an overdose, i.e. severe respiratory depression. In 2010, the state of Illinois enacted the Drug Overdose Prevention Program, an amendment to the Alcoholism and Other Drug Abuse and Dependency Act, which provides immunity to health care providers who prescribe naloxone in good faith as well as authorizing the administration of naloxone by laypersons in the event of an emergency when a drug overdose is occurring (Illinois General Assembly 2010). This health policy is the state’s attempt at combat in the war on drugs, specifically the catastrophic—and preventable—impact it has on individuals and their loved ones; however, it is critical to evaluate the financial and ethical implications this act has on Illinois residents, law enforcement, and the health care community.
Prescription and Illicit Opioid AbuseThere are three types of prescription opioids:
naturally-occurring (i.e. morphine), semi-synthetic compounds (i.e. hydrocodone) and fully synthetic compounds (i.e. fentanyl). All of these types impact the brain’s pain receptors by disrupting the pathway of pain signals, thus decreasing an individual’s perception of pain. Inadvertently, opioids increase the levels of dopamine in the brain, producing a sense of euphoria (Arcangelo & Peterson, 2012). Individuals who take these narcotics experience pain relief in addition to increased sensations of well-being/pleasure, with the latter being a common theme behind the abuse of these medications. As a result of their increased risk for abuse and their addictive properties, all prescription opioid medications are Schedule II controlled substances (Drug Enforcement Agency, 2014). Presently, the codeine/acetaminophen combination is the only prescription combination opioid medication that is a Schedule III controlled substance.
Heroin has an extremely high potential for abuse/addiction, lacking an accepted safety of use despite medical supervision; thus being classified as a Schedule I controlled substance, a class of drugs that are not permissible for prescription in the United States (United States Food and Drug Administration, 1970). Heroin is a very potent form of opioid, and since it is sold illegally on the streets, its is at great risk for being mixed with other additives, such a fentanyl. Since heroin is not a drug regulated and dispensed through the Food and Drug Administration, the illicit use of heroin places individuals at an especially high risk of death from overdose compared with prescription opioids.
The Role of Naloxone in an Opioid OverdoseWhen taken in excess, opioids can induce the fatal
side effect of respiratory depression, suppressing an individual’s respiratory rate to the point where the brain and other vital organs are starved of oxygen, resulting in cell death. Naloxone hydrochloride (“naloxone”) is an
opioid antagonist that “rapidly displaces opioids from the brain receptors to which they bind, reversing their side effects and restoring normal respiration” (Davis & Carr, 2015, p. 112). Naloxone is used in standard practice by medical personnel at the scene of an overdose or when an overdose victim arrives at the emergency department of a hospital. Since naloxone simply reverses the side effects of an opioid without producing any analgesic or euphoric effects, the drug has no potential for abuse (Drug Policy Alliance, 2016).
The Impact of an Opioid-Induced Drug OverdoseDrug overdoses have increased by nearly 600% in
the United States in the past 30 years, with both the prevalence of heroin-related drug overdoses increasing by nearly 400% and overdoses related to opioid painkillers quadrupling in the past fifteen years alone (Davis & Carr, 2015). Respiratory depression may be induced so quickly after a person overdoses that it may take only minutes for irreversible cell death in vital organs to occur. Since there may be a time lapse between the individual overdosing and being found by another individual, it is critical to give these laypersons a way to help the overdosed individual besides calling 911. There is no federal law regarding emergency medical service response time, with the average response time being eight minutes (McCallion, 2012). The eight minutes it takes for emergency personnel to arrive to the scene of an overdose may mean the difference between life and death for that individual.
The Drug Overdose Prevention ProgramIn Illinois, the average drug overdose rate is 10.5 per
100,000 people each year. While Illinois ranks in the top 10 in the nation for the least number of prescription painkillers being dispensed, these statistics highlight the greater fatality rate of individuals who abuse opioids in the state (Metropolitan Chicago Healthcare Council, 2013). In order to aggressively address the growing opioid abuse epidemic in Illinois, the legislature implemented the Drug Overdose Prevention Program in 2010 as an amendment to the Alcoholism and Other Drug Abuse and Dependency Act. Within this public act, programs were implemented for prescribing, dispensing and distributing naloxone for the treatment of drug overdose. The policy grants immunity to “a health care professional who…in good faith, directly or by standing order, prescribes or dispenses an opioid antidote to a patient who, in the judgment of the health care professional, is capable of administering the drug in an emergency,” which applies to medical doctors, physician assistants, advanced practice nurses, as well as pharmacists (Illinois General Assembly, 2010, p. 3). This policy is unique in the fact that it enables laypersons to administer naloxone in an emergency if they have received education through the Drug Overdose Prevention program. The stipulations to Illinois’ health policy on naloxone use highlight the state’s intent on combatting the overdose fatality rate, as the state is one of 24 in the nation to (1) address access to naloxone, (2) provide criminal immunity to health care providers who prescribe, dispense, or distribute naloxone to laypersons, as well as (3) authorize prescriptions of standing order for people at risk of opiate overdose (Prescription Drug Abuse Policy System, 2016).
EfficacyThe Illinois legislature recognizes the critical time
period between when a victim of overdose is found by a layperson, to when emergency medical services (EMS) arrive, and how death can occur during that short window. Allowing trained laypersons to administer naloxone to individuals suffering from an overdose can reverse the fatal respiratory depression instilled by the opioids, protecting them against irreversible cell death to vital organs. After the naloxone has been administered to the individual who overdosed, he/she will still be able to receive the emergency medical care necessary once medical personnel arrive, but the extent of that care may be limited compared to if the layperson was unable to treat the overdosed individual with the opioid antidote while waiting for EMS to arrive.
While it is difficult to evaluate whether naloxone use by laypersons prevents potential deaths related to overdose (i.e. would the individual have died without receiving naloxone in the time period it took for EMS to arrive?), it is feasible to evaluate whether the use of naloxone by laypersons actually works in overdose
emergency situations. In a systematic review of 22 studies, McDonald and Strang (2016) found a 99% success rate in overdose reversal when naloxone was administered by laypersons, with only twenty documented fatalities out of 2,336 opioid overdose cases. This study did not, however, discuss whether the laypersons administering the naloxone had training on naloxone use, a parameter described in the Drug Prevention Program amendment of Illinois. Such results highlight how effective naloxone can be even when it is not administered by emergency medical personnel.
ImplicationsLaw Enforcement. The Drug Overdose Prevention
amendment in Illinois mandates that law enforcement officers and firemen (who respond to emergency medical calls) must possess the opioid antagonist naloxone and undergo education and training on the administration of the drug (Illinois General Assembly, 2010). While a member of law enforcement may feel uncomfortable with administering a medication (especially when dealing with an overdose), proper training will help educate these officials on the ease of administration and its efficacy in the field. Law enforcement officials may respond to a 911 call faster (as they may be in the vicinity), so enabling these officers to legally administer an opioid antagonist to the overdose victim may help reduce the fatality rate of opioid overdoses in Illinois.
Law enforcement officers receive immunity under the Illinois’ health policy, as they would be—in good faith—administering the naloxone in a critical situation after receiving proper training on its use, so they would not have to be concerned about placing themselves or their jobs at risk. Although the policy mandates that law enforcement officers be trained on naloxone administration as well as carry the opioid antagonist, the Illinois legislature does not stipulate whether they would be held liable for failing to provide overdose rescue, as it is not within their legal duty (Davis, Carr, Southwell, & Beletsky, 2015). In fact, a survey conducted in Seattle found that 60% of law enforcement officers responded to an opioid-related overdose 911 call in the past year, but only 28% were in support of naloxone being administered by laypersons such as themselves. Over half of the officers argued that naloxone could be administered incorrectly; thus should be administered by medical personnel only (Banta-Green, Betetsky, Schoeppe, Coffin, & Kuszler, 2013). Since this study was conducted in Washington, one must question whether the law enforcement officials surveyed had received any education regarding naloxone administration, as is mandated by the state of Illinois. It is critical for the Illinois Drug Overdose Prevention program to provide law enforcement officers with routine education on naloxone use so that they feel more comfortable with its administration, recognizing that by acting in good faith, they are immune from any legal ramifications on their emergency treatment actions.
Finances. In addition to opioid-related overdose fatalities costing families the life of a loved one, the average overdose death costs roughly $30,000 in medical bills (Stop Overdose Illinois, 2016). Administering naloxone as soon as possible after an overdose protects individuals from further vital organ damage. Waiting for EMS to arrive may take precious minutes, at which point the overdose victim is deprived of oxygen due to the severe opioid-induced respiratory depression. When EMS finally arrives, the individual may suffer from significant damage to his/her vital organs related to hypoxia, requiring extensive emergent and critical medical care that may not have been necessary if naloxone were used by a layperson at the scene before EMS arrival. As highlighted in McDonald and Strang’s systematic review (2016), the 99% success rate in opioid overdose reversal when naloxone was administered by laypersons accents the likelihood in a reduction of medical fees related to opioid overdoses. Increasing the access and prevalence of education on naloxone use as well as making its distribution affordable for the layperson is an important task of the Illinois Drug Overdose Prevention Program. By growing the number of community programs, more individuals who are either affected by opioid addiction or know someone suffering from addiction can be reached, in turn increasing the number of laypersons properly trained for naloxone administration in the event of an opioid overdose.
Naloxone Use in Illinois
The Nursing Voice September 2016 Page 5
coNtINuINg educatIoN offerINg It is important that naloxone kits be affordable to the layperson, as cost may be a huge factor on whether he/she actually buys the opioid antidote. On average, full naloxone kits cost between $20-40—while this may seem relatively inexpensive to some, this price could mean the difference between putting food on the table for one’s family (Stop Overdose Illinois, 2016). Illinois legislature relies on laypersons’ willingness to purchase naloxone kits at this cost—if they do not purchase the kit there is a possibility that a preventable overdose fatality may ensue. By reducing the cost factor from obtaining naloxone kits, this will likely increase the number of laypersons who have a naloxone kit in their possession; thus increasing the number of those able to help prevent a fatal opioid overdose.
Health Care Providers. It is understandable for health care providers to be hesitant on prescribing naloxone, which may not necessarily be utilized on or by an individual it was prescribed to in the event of an emergent situation. In most situations with emergency drugs, such as glucagon (for hypoglycemia) or epinephrine (for anaphylaxis), the drug is prescribed to those with established patient-physician relationships, and will only be used on the individual it was prescribed to. Prescribing a medication that may not be used by the individual receiving the prescription plays into the risk for medical-legal concerns, particularly malpractice suits. In order to promote access to naloxone for laypersons, the legislature of Illinois provides health care providers with immunity when they prescribe naloxone for emergency use in the field. The 2010 amendment to the Alcoholism and Other Drug Abuse and Dependency Act protects health care providers from criminal action if naloxone is prescribed in good faith, allowing for third party prescribing for layperson use, as well as permitting its distribution through a standing prescription order by pharmacies. Thus, in the state of Illinois, medical doctors, physician assistants, advanced practice nurses and pharmacists do not have to fear disciplinary action under their respective professions’ practice acts, so long as their prescriptions of naloxone are made in good faith. However, the policy does stipulate that a prescriber is responsible for the patient education associated with a naloxone prescription (whether it be by the provider, at a community organization, or a substance abuse program), as the Illinois act only provides immunity to laypersons who are trained in its administration.
One factor that still makes Illinois health care providers hesitant on the prescription of naloxone is the risk for civil action against them. For example, if the prescription recipient administers the naloxone drug incorrectly and causes injury to another, a malpractice suit may ensue. Such situations call for thorough documentation by health care providers, specifically in regards to patient education on naloxone administration prior to its prescription, which is a mandate of the Illinois policy. While civil suits continue to be a matter of legal vulnerability for health care providers, as of 2015, there has yet to be “any lawsuits directly alleging malfeasance related to naloxone prescribing in the outpatient setting” documented in the nation (Brodrick, Brodrick, & Adinoff, 2016, p. 121). Considering the thousands of documented successful opioid-induced overdose reversals using naloxone, the lack of a single civil suit in the matter highlights the efficacy of naloxone administration by trained laypersons without complications.
Health care providers have an ethical motive to prescribing naloxone to those at risk for overdose, or to those who may be in the position to help another individual during an overdose. According to the American Nurses Association (2015), nurses have a responsibility to promote, advocate, and protect the rights, health, and safety of the patient. In addition, the American Nurses Association (2015) defines a patient as an “individual, family, group, community, or a population” (Provision 2). The prevalence of overdose fatalities has become an epidemic in the state of Illinois—addiction impacts individuals of all races, socioeconomic statuses, and education levels. Advanced practice nurses must recognize the need for naloxone prescriptions to not only those at risk for overdose, but also to those who may be in a situation involving an overdose, where naloxone administration could save a life. Prescribing naloxone to laypersons is a way for health care providers to combat the fatal effects of an opioid overdose—while it does not directly thwart the prevalence of addiction in Illinois, it does hinder the number of deaths resulting from an opioid overdose. Although there is a possibility for a civil action suit while practicing in Illinois, is that worth the countless lives that can be saved through the prescription of naloxone to laypersons? The prescription and education on naloxone administration is an ethical method for advanced practice nurses and other health care providers to take a stand in the war on drugs, demonstrating their commitment to not only their patients, but also their respective communities.
RecommendationsIllinois is among leading states to possess strong
stipulations on the prescription, education on administration, and disbursement of naloxone to the public. However, there is room for improvement in the health policy that can address various implications on individuals, law enforcement officials, as well as health care providers.
Drug Route. While the current policy addresses the need for education for layperson administration of naloxone, it should also address the route the drug should be administered—presently, naloxone is only approved by the Food and Drug Administration (FDA) for intramuscular, subcutaneous, or intravenous administration, but has been used in certain parts of the country via the intranasal route, an off-label use. In a study conducted on law enforcement officers following training on intranasal naloxone administration, over 82% of the officers surveyed stated that they would feel comfortable in their abilities to deal effectively with an opioid overdose (Ray, O’Donnell, & Kahre, 2014). This is a significant difference between the attitudes of officers polled in Seattle as described previously, where only 28% felt comfortable with administering naloxone (Banta-Green, Betetsky, Schoeppe, Coffin, & Kuszler, 2013).
If the FDA approves the intranasal route as a method of naloxone administration, it would be appropriate for Illinois legislature to amend the health policy to specify strictly which methods of naloxone administration by laypersons are deemed appropriate, i.e. the intranasal route, while other routes may be used only by emergency medical personnel. Both the intramuscular and subcutaneous routes involve the use of needles, which may make both law enforcement officers and citizens uncomfortable to use, as they are more invasive, utilizing a sharp object. In addition, the current naloxone kits in Illinois contain multi-dose vials of naloxone, requiring laypersons to draw up the medication accordingly prior to administration, which can leave room for error—especially in an emergency (Illinois Department of Human Services, 2011). After determining which routes are appropriate for layperson use, a mandate that naloxone kits in Illinois possess only the pre-filled equipment necessary for intranasal administration of naloxone may decrease the likelihood of misuse as well as improve the comfort level of laypersons administering the drug in a critical situation.
Access. While naloxone administration provides immunity to health care providers who prescribe in good faith, some providers still do not prescribe naloxone due to the risk of a civil action suit if misused. Since naloxone has no risk for abuse, it would be appropriate for Illinois legislature to mandate funds dedicated to research to help the FDA authorize the distribution of naloxone “over the counter,” so the drug does not require a prescription. By doing so, this removes the risks health care providers may feel are instilled upon them, leaving the responsibility of the naloxone administration solely on the layperson. The route for naloxone administration to be purchased over the counter must also be addressed, as described above; it would be most feasible for the intranasal method of administration to be distributed publically without a prescription, due to its safety and decreased likelihood of misuse. Other intranasal products are available over the counter, such as saline nasal spray, demonstrating the ease of administration even without direct training. The Drug Overdose Prevention Program would be able to continue their thorough training of laypersons, with the distribution of naloxone only occurring at community-based organizations or substance abuse centers. It is imperative that the Illinois legislature maintains immunity only for laypersons trained on the administration of naloxone; while likelihood of the misuse of an intranasal spray is low, its misuse may mean the difference between life and death in an opioid overdose victim.
Cost. In addition to making naloxone available to laypersons without a prescription, it is imperative that the cost of a naloxone kit be either free, or greatly affordable. Despite making the drug more readily available to individuals, cost is a significant factor which may prevent a person suffering from addiction or their loved one from purchasing a kit “just in case.” If the cost of these kits is not reasonable, the use of naloxone in the community may not expand; countless more lives will be lost to opioid overdose, which may have been avoidable had naloxone been used in time. The Centers for Medicare and Medicaid Services should ensure naloxone kits are covered without barriers such as prior authorization, which may hinder individuals from actually obtaining a kit. In addition, the Illinois legislature should mandate that private insurances continue to cover naloxone on the same basis as when it were a prescription medication, as this will also promote the drug is financially accessible to the community.
ConclusionThe Drug Overdose Prevention Program amendment
to the Alcoholism and Other Drug Abuse and Dependency Act serves as a method for the state of Illinois to help reduce the fatalities resulting from opioid overdoses. The policy grants immunity to both health care providers and trained laypersons that act in good faith in regards to naloxone prescription and administration, respectively. The Centers for Disease Control and Prevention (2015) reported that in the past twenty years, over 25,000 opioid overdoses were reversed nationwide thanks to naloxone administered by laypersons. The training on naloxone administration implemented by both health care providers and community-based organizations help promote proper administration of the drug when prescribed to a layperson, with not a single civil suit against a health care provider documented.
Naloxone administration is currently a very safe and effective method of emergency treatment by trained laypersons while waiting for emergency services to arrive, saving numerous lives across Illinois. Although there is room for improvement in the health policy to better address the access and cost of naloxone kits to Illinois residents, the state legislature was able to effectively reduce the death rate related to opioid overdose through safe community programs that regulate the prescription, distribution, and administration of naloxone.
REFERENCES AVAILABLE UPON REQUEST
CE Offering1.0 Contact HoursThis offering expires in 2 years: September 5, 2018
Learner Outcome:The Registered Nurse/APN will be able to state the
core measures of the health policy, specifically the immunity with prescribing naloxone as well as the immunity of naloxone administration by laypersons in the field. Having gained crucial knowledge on naloxone use in Illinois, Registered Nurses and APN’s will be able to effectively educate their at-risk patients, providing them with valuable information on how to care for a loved one during an opioid overdose. In addition, APN’s will recognize when the immunity they can receive due to the Illinois Drug Overdose Prevention Program of 2010 thus making them more comfortable with prescribing naloxone in the outpatient setting.
HOW TO EARNCONTINUING EDUCATION CREDITThis course is 1.0 Contact Hours
1. Read the Continuing Education Article2. Go to https://ilnursesfoundation.wufoo.com/
forms/sept-2016self-study/ to complete the test and evaluation. This link is also available on the INF website www.illinoisnurses.foundation under programs.
3. Submit payment online.4. After the test is graded, the CE certificate will be
emailed to you.
HARD COPY TEST MAY BE DOWNLOADED via the INF website www.illinoisnurses.foundation under programs
DEADLINETEST AND EVALUATION MUST BE COMPLETED BY SEPTEMBER 1, 2018Complete online payment of processing fee as follows:
ANA-Illinois members- $7.50Non members- $15.00
ACHIEVEMENTTo earn 1.0 contact hours of continuing education,
you must achieve a score of 80%.If you do not pass the test, you may take it again at
no additional charge.Certificates indicating successful completion of this
offering will be emailed to you.The planners and faculty have declared no conflict
of interest.
ACCREDITATIONThis continuing nursing education activity was
approved by the Northeast Multi-State Division (NE-MSD), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
CE quiz, evaluation, and payment are available online at https://ilnursesfoundation.wufoo.com/forms/sept-2016self-study/ or via the INF website www.illinoisnurses.foundation under programs.
Page 6 September 2016 The Nursing Voice
The election for the 2016 ANA-Illinois Officers and Directors will be held online September 15, 2016 thru September 30, 2016.
The election will be conducted by Election America. Watch your email and the ANA-Illinois website www.ana-illinois.org for the additional details.
HERE ARE YOUR CANDIDATES:
Vice PresidentAnn O’Sullivan, MSN, RN, CNE, CE-BC, ANEF
I have had the privilege of serving as Vice-President of ANA-Illinois for the past three years. I am excited to continue to serve for the next 2 years in order to advance the mission of ANA-Illinois. I can provide proven leadership to accomplish our Strategic Plan and to create innovative solutions to health care issues and the professional growth and development of nurses. I believe we are strongest when we partner with all nurses, nursing associations and other constituencies in advocating for nurses and the public.
Over the past three years I have had the honor of serving as Chair of the ANA-Illinois Expert Panel on Scope of Practice, whose work was recently published in the June issue of The Voice. I am a representative of ANA-Illinois on the Illinois Coalition of Nursing Organizations Steering committee which is developing proposed changes in the Illinois.
Nurse Practice Act where I chaired the group on Scope of Practice and Delegation. At the ANA level, I served as a member of the Advisory Committee on the Professional Issues Panel on Workplace Violence and Incivility and on the Steering Committee on the Professional Issues Panel on Barriers to Scope of Practice. I co-authored articles on the findings and recommendations on Barriers to Scope of Practice in the September issue of The Online Journal of Issues in Nursing (OJIN). In addition, I served as an ANA representative on the national Tri-Council committee which developed a Scope of Nursing Practice Decision-Making Framework.
I am committed to increasing the number and engagement of nurses in ANA-Illinois; stimulating and disseminating nurse-focused innovations and best practices; positioning nurses as integral partners in consumers’ health; and advocating for nurses to practice to their full scope of practice.
NURSES MUST BECOME A POWERFUL UNIFIED FORCE IN ENGAGING AND TRANSFORMING HEALTH AND HEALTH CARE
TreasurerPam Brown, PhD, RN, ANEF
I am a long time member of our professional organization. I have served as President, as a director at large and as treasurer. I currently serve as the board appointed treasurer and as Chair of the Bylaws Committee. I am also a participant in expert panels. I bring experience as a leader, and dedication to the profession of nursing. If elected I would actively participate as an officer and be transparent in reporting the fiscal position of our organization. In the next two years, I believe the Finance Committee needs to develop key financial policies and a five year projected budget to align with ANA-IL’s strategic plan.
Director at Large - 3 to be electedKaren Egenes, PhD, RN
I have had the honor of serving as a member of the Board of Directors since the inception of ANA Illinois in 2013. Since that time, I have worked with fellow board members to increase Association's involvement in advocacy, political action, and increased professionalism. Presently, I serve as chair of the ANA-Illinois Political Action Committee. Because a registered nurse has never before been elected to the Illinois General Assembly, this has become our goal. We have also worked to ensure that the Illinois Nurse Practice Act will best represent the practice and interests of nurses in our state. If re-elected to the Board of Directors, I would continue to Association's focus on policy and work with members the Illinois legislature to promote the best interest of nursing in Illinois. Further, I would continue the Association's progress in becoming the true voice of nursing in Illinois.
Lisa J. Woodward, DNP, RNThe nursing profession is on the
cusp of change across the nation. The opportunity in front of our profession is profound and we must, as nursing leaders, embrace and impassion others to be in the forefront and lead change. During these challenging times, ANA-Illinois must be engaged at the local and state level, ensuring that the diverse voice of nurses across the state is both heard and represented. The membership efforts must continue and increase in a grassroots fashion to engage the diverse nursing
population across the state including the new graduate, both aspiring and seasoned nurse leaders, and those nurses who may not yet recognize the influence that ANA-Illinois has on the nursing profession. Promoting ideas that are creative and atypical are imperative to lead nursing into the 21st century.
Memberships and experiences include: Illinois-ANA, IONL, ANA, AONE - PAC committee member and past CENP review course committee member, TONE (Texas) Board of Directors, Texas Team Action Coalition South Texas Lead, TNA PAC committee member, TNA District 26 President and Texas Team Choosing Wisely Steering Committee Co-Chair.
Crystal Vasquez, DNP, MS, MBA, RN, NEA-BC, CPHIMS
My name is Crystal Vasquez, and I have been a registered nurse for thirty years. My areas of expertise include Critical Care and the Emergency Department, Nursing Administration, and Nursing Informatics. I have worked in academic medical centers, ambulatory care, the pharmaceutical industry and in education.
I am interested in helping the ANA-IL board continue the great work of standing up for nurses to make a difference in their work environments, to advocate for nurses to practice at the top of the scope of their license, supporting continued education, professional development and many other platforms. I have experienced advocating for nurses with our legislature and understand the importance of understanding the issues activating our nurses and Communicating our messages to influence policies that benefit nurses and our patients. I currently serve on the policy committee for ANAIL where I have the opportunity to collaborate with other nurses to provide feedback for policies and position statements based on evidence. I have experience with leading and participating on several committees in academic hospitals and professional associations. All of my committee experiences have provided me the opportunity to increase awareness of the agendas, advocate and improve outcomes.
I am confident that I can help the ANA-IL continue its mission advocating for nurses. I will do what is in the best interest of nurses to help them achieve at the highest possible level. I will partner with the administration, members, and legislators to push nurses’ agenda and bring awareness to social justice issues that impact nurses. I know there is a lot of work to do considering the future of nurses. However, I am inspired and willing to do my part to spread the good news about this profession,
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The Nursing Voice September 2016 Page 7encourage, and advocate for nurses to have a voice and make decisions about their practice. I understand that associations must manage budget challenges and support key initiatives that place pressure on budgets. I hope to help the ANA-IL be fiscally responsible in its decision-making and will be supportive of fundraising activities as needed.
Christine Gill MPA, BSN, RNMany years ago, I decided to
go into nursing for the money and then discovered a passion for it. I have been a nurse over 23 years and continue to grow on a personal and professional level each and every day. I started as an Associate degree nurse and then continued my education in management. Recently I returned back to school for my BSN, which gave me insight into the importance of evidence based practice and research based nursing.
I have a diverse background in my career to include emergency care, prison, clinic, tele-health, telemetry and cardiac catheterization lab. I have worked many different positions and shifts which allows me insight into the various emotions other nurses may be feeling. Because of my background, I am able to relate to others and motivate them into being the best nurse they can be. The ANA – IL is solid organization and being a representative will allow me to connect and shape the future of nursing in positive steps forward.
Pam Di Vito-Thomas PhD, RN, CNEWe in Nursing are like lamplighters
who are known by the trails of light we have left behind, and are forging upward and onward to light the way for an evidence-based practice. We can let others light their candles on our knowledge by being at and leading interdisciplinary teams for patient-centered care. And, I would hope to share my past, present, and future nursing education and experiences as a nurse, nurse educator, nurse administrator, nurse author, and nurse researcher for service to the ANA Illinois membership. With consistency and purpose I will do my best to be useful and devoted to our cause for success. Thank You.
Elizabeth Davis DNP, CNL, RN-C MNNOver the past year I have become
involved at the National level serving as the New RN On-Line Community Manager. Through this position, I have learned about the valuable resources which the ANA provides at both the state and national level for both seasoned and new graduate nurses. I firmly believe that as a “seasoned” nurse it is my responsibility to assist with the on boarding and
transition of new nurses both into their organization and the profession by serving as a role model.
Bonnie Salvetti BSN, RNI would like to continue the work
in ANA-Illinois towards advancing nursing’s involvement within nursing through out the state, and national nursing affairs.
Objectives: • Further nursing’s value and
understanding of how each other has a role to further the work towards completion of patients/family “cycle of care” needs.
• Promote advocacy and understanding of patients diverse “self-determination” needs.
• Advocate legislation towards multi-state licensure, and further understanding of nursing’s role as an essential healthcare partner, for any healthcare discussion, within any setting.
Nominations Committee - 3 to be electedMaria A. Connolly, PhD, CNE, ANEF, FCCM
Maria Connolly has been in nursing education for several decades teaching in the classroom and online graduate and undergraduate courses in a variety of subject areas including critical care nursing. She has written book chapters and over 30 articles in professional journals on various topics in nursing education, respiratory conditions, ventilator issues and chest x-ray interpretation techniques. Her research in respiratory critical care resulted in her Fellowship in the College of Critical Care Medicine (FCCM). She has been a career-long active, contributing member of a number of advisory boards, past national board member of American Association of Critical Care, founding member of the Respiratory Nursing Society, officer/president of chapters, and nursing professional organizations including the American Nurses Association-IL's Illinois Nurses Foundation, the American Association of Colleges of Nursing (AACN), (past Chair of the Illinois Association Colleges of Nursing), National League for Nursing, Society of Critical Care Medicine and Sigma Theta Tau International Honor Society. Presently, she is an adjunct professor of nursing at Loyola University Chicago's Marcella Niehoff School of Nursing and serves as a consultant/evaluator for the Commission on Collegiate Nursing Education (CCNE) and the Higher Learning Commission (HLC). Recently, she has served as a HRSA reviewer for Rural Health Care grants and in the past, FDA Center for Drug & Evaluation Research (CDER).
Currently, she is the Chairperson of ANA-IL's Nominating Committee and is prepared to serve for another term as a member of this committee to recruit new leaders to energize the relatively new ANA-IL organization.
Elizabeth Davis DNP, CNL, RN-C MNNOver the past year I have become
involved at the National level serving as the New RN On-Line Community Manager. Through this position, I have learned about the valuable resources which the ANA provides at both the state and national level for both seasoned and new graduate nurses. I firmly believe that as a “seasoned” nurse it is my responsibility to assist with the on boarding and transition of new nurses both into their organization and the profession by serving as a role model.
ANA Representative to the ANA Membership Assembly – 1 to be electedAnn O’Sullivan,MSN, RN, CNE, CE-BC, ANEF
I have had the privilege of serving as Vice-President of ANA-Illinois for the past three years. I am excited to continue to serve for the next 2 years in order to advance the mission of ANA-Illinois. I can provide proven leadership to accomplish our Strategic Plan and to create innovative solutions to health care issues and the professional growth and development of nurses. I believe we are strongest when we partner with all nurses, nursing associations and other constituencies in advocating for nurses and the public.
Over the past three years I have had the honor of serving as Chair of the ANA-Illinois Expert Panel on Scope of Practice, whose work was recently published in the June issue of The Voice. I am a representative of ANA-Illinois on the Illinois Coalition of Nursing Organizations Steering committee which is developing proposed changes in the Illinois.
Nurse Practice Act where I chaired the group on Scope of Practice and Delegation. At the ANA level, I served as a member of the Advisory Committee on the Professional Issues Panel on Workplace Violence and Incivility and on the Steering Committee on the Professional Issues Panel on Barriers to Scope of Practice. I co-authored articles on the findings and recommendations on Barriers to Scope of Practice in the September issue of The Online Journal of Issues in Nursing (OJIN). In addition, I served as an ANA representative on the national Tri-Council committee which developed a Scope of Nursing Practice Decision-Making Framework.
I am committed to increasing the number and engagement of nurses in ANA-Illinois; stimulating and disseminating nurse-focused innovations and best practices; positioning nurses as integral partners in consumers’ health; and advocating for nurses to practice to their full scope of practice.
NURSES MUST BECOME A POWERFUL UNIFIED FORCE IN ENGAGING AND TRANSFORMING HEALTH AND HEALTH CARE
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Page 8 September 2016 The Nursing Voice
The Illinois Nurses Foundation is pleased to announce the winners of the 2nd Annual 40 Under 40 Emerging Nurse Leaders Awards.
Winners were chosen by a panel of their peers based on their achievement in the profession, leadership and community & association involvement. Please plan to join us on September 22nd from 5pm to 8pm as we celebrate the achievements of these 40 amazing young nurses. The event will take place at Rush University Medical Center Searle Conference Center.
Tickets are $25 and can be purchased online at http://tinyurl.com/2016INF.
Abigail Kristine AultUnityPoint Health - Methodist|Proctor
Gloria BarreraOLCHS District 229DePaul UniversityChamberlain College of Nursing Illinois Virtual Schools
Rachael BeardSouthern Illinois University Edwardsville School of Nursing
Amanda BuechelAdvocate Christ Medical Center
Mary ByrnMarcella Niehoff School of Nursing, Loyola University
Emily ChinMarcella Niehoff School of Nursing
Ashley DennyNorthwestern Memorial Hospital
Ann EckhardtIllinois Wesleyan University
Fallon M. FlowersLoyola University Chicago
Jennifer Gambon LucasMarcella Niehoff School of Nursing, Loyola University
Jacqueline Eva GarciaFenix Family Health Center
Eli HeicherSarah Bush Lincoln Health Center
Emerging Nurse Leaders Award
Emily HerbertCancer Treatment Centers of America
Robin JohnsonUniversity of Illinois at Chicago
Kylea LieseUIC College of Nursing
Sarah LivesayRush University College of Nursing
Saria LoftonUniversity of Illinois Chicago College of Nursing
Hana MalikIllinois College of Nursing / IMMPACT
Nicole MarlowPerry County Health Department
Irene MendezNorthwestern Memorial Hospital
Stephanie MendozaNorwegian American Hospital
Anna G. MiddletonNorthwestern Memorial Hospital
Angela MossRush University College of Nursing
Stefani MotkarSage Psychiatry Morthland College Health Services
Anne Marie MullinsNiles Township High School District 219
Elizabeth Myers2x2 Health: Private Health Concierge
Kathryn O’BrienNorthwestern Memorial Hospital
Gina PanozzoAurora University University of St. FrancisRasmussen College
Rachel ReichlinCook County Hospital and Health System
Gabrielle SauderNorwegian American Hospital
Sallanshell SimpsonNorthwestern Memorial Hospital
Megan SmithAMITA Adventist Medical Center
Caitrin SobotaWilliam Rainey Harper College
Naomi TwiggUniversity of Illinois at Chicago
Reenu VargheseCommunity House Call Services
Brandi VenvertlohBlessing-Rieman College of Nursing & Health Sciences
Miriam VeraErie Family Health
Carmen VergaraEsperanza Health Centers
Paige WilsonNorthwestern Memorial Hospital
Ellen YauChamberlain College of Nursing
INF is transforming healthcare through the power of nursing. We are working to make healthcare affordable and nurses more accessible. We are problem solving, generating new ideas, and creating a framework to promote a more positive experience within the healthcare sector.
PO BOX 636 Manteno, Illinois 60950
The Illinois Healthcare Action Coalition (IHAC) is working to increase Illinois’ capacity to educate and retain nurses who are prepared and empowered to positively impact health care access, quality and costs throughout the continuum.
Co-Lead Organizations
Healthcare services and contributions by Black Healthcare Providers make a significant impact in the delivery of nursing services and education to all consumers and communities. This year’s planning committee consisted of: Alpha Eta Chapter of Chi Eta Phi Sorority, Inc, Beta Mu Chapter of Lambda Pi Alpha Sorority, the Provident Hospital Nurses Alumni Association and the Chicago Chapter National Black Nurses Association (CCNBNA). The planning committee requested each invited presenter to share information regarding his/her nursing program’s efforts to recruit, retain and graduate African-American nursing students enrolled in BSN, MSN and/or PhD programs.
The panel presenters for this year’s program were: Dr. Lisa Young – Chicago State University Department of Nursing, Dr. Lisa Rosenberg – Rush University College of Nursing, Dr. Nancy Mac Mullen –Governor’s State University College of Health and Human Services and Dr. Terri Weaver – University of Illinois College of Nursing. The presenters described unique aspects of each university and school of nursing. They discussed holistic recruitment strategies, along with various retention programs – mentoring, tutoring, and partnering with community colleges and employers.
Linda B. Roberts, MSN, RN, IDFPR/IL Center for Nursing presented a brief overview of the new paperless on-line license renewal system. The transition away from paper-based renewals and licenses means that regulated professionals will now be able to renew their license quickly and easily online, and be provided proof of licensure through email and IDFPR’s License Lookup application. The move to paperless technology is part of the Department’s ongoing efforts to modernize the state’s regulatory agency and save the state nearly $3 million in postage, paper and printing costs over the next
five years. Additional information is on the IDFPR website: http://www.idfpr.com/Renewals/defaultSSL.asp.
The ceremony was held on Friday, February 26, 2016. For the eleventh year the event was held at the Apostolic Faith Church, Bishop Horace Smith. Dr. Sandra Webb-Booker, NBND Planning Committee Chair was also the Mistress of Ceremonies. Attendees included family, friends, nursing students, and representatives of nurses’ associations.
The National Black Nurses Day was proclaimed February 3, 1989 to applaud black health care practitioners. February is the month that we have set aside to honor the contributions made by black Americans to this country, therefore it is fitting that black nurses be recognized and honored for their outstanding contribution to our community and country (Excerpt from the Congressional Record, Hon. Charles B. Rangel of New York, in the House of Representatives 2/5/88).
The 28th Annual National Black Nurses Day (NBND) Ceremony – Black Healthcare Providers Matter
Dr. Lisa Rosenberg, Rush University.
Dr. Terri Weaver, University of Illinois Chicago-College of Nursing answering questions;
Dr. Sandra Webb-Booker, NBND Chairperson at the podium.
National Black Nurses Day Libation, Toni Oates, RN and Louise H. Broadnax, RN presenters.
The Nursing Voice September 2016 Page 9
Evergreen Park, IL —May 19, 2016—On Thursday, May 5th, Little Company of Mary Hospital (LCMH) recognized outstanding and dedicated nurses at Little Company of Mary’s 2016 Nurses Week Awards and Recognition Tea. This was part of a national celebration week to honor the nearly 3.1 million registered nurses in the United States that comprise our nation’s largest healthcare profession. This year’s theme was “Culture of Safety: It Starts with You.”
Three LCMH nurses and one nursing assistant were specifically recognized for consistently going above and beyond in their compassionate care and duties. These recognitions include: Nurse Educator of the Year, Nurse Leader of the Year, Care Partner of the Year, and Nurse of the year.
“We celebrate these individuals for their efforts in delivering compassionate care while encompassing the principles of ethical practice in the profession.” said Lisa DiMarco, M.B.A., R.N., NEA-BC, FACHE, CNO/Vice President of Patient Care Services at LCMH. “It is a celebration of the dedication and continuous improvement in the safety and quality of care for our patients.”
Nurse Educator of the Year was presented to Irene Copak, MSN, APN, CCNS, CCRN, Intensive Care Unit (ICU) at LCMH. Irene joined Little Company of Mary’s ICU in August of 2015 as the ICU Clinical Nurse Specialist. She brings evidence-based practice to all ICU teams, including Performance Improvement teams such as SEPSIS and CLABSI, as well as updating policies and procedures. In her short time at LCMH, she has created orientation guidelines for both new graduates and experienced nurses and meets with all of them to facilitate their growth. Furthermore, Irene was instrumental in chartering the first unit-based Practice Council.
Nurse Leader of the Year was presented to Cathy Sawyers, MS, MHA, RN, Nurse Manager for Pre-Admission Testing, One Day Surgery and Post-Anesthesia Care Unit (PAT, ODS, PACU) at LCMH. Cathy has made a significant impact since joining LCMH in 2010. In addition to ensuring schedules are in order and that her departments run smoothly on a day-to-day basis, Cathy reads empowering poems to encourage her staff during challenging times. She listens to all staff concerns and follows through with feedback and
resolutions. “Cathy is a beautiful person inside and out,” said members of Cathy’s staff. “She is always concerned with the staff and their emotional well-being.”
Care Partner of the Year award was presented to Sheila Adams from the Labor and Delivery Unit in the Family Birth Center at LCMH. Sheila has been with LCMH since 1994 and represents the hospital in a professional manner both inside and outside of work. She is a well-respected team player who always steps up to the task without being asked. She actively participated in educating new staff and provides sincere comfort to patients. Additionally, Sheila volunteers at many LCMH community events and is a member of the hospital choir. Sheila is an outstanding care partner and truly embodies the hospital’s core values of professionalism, compassion, quality, and responsibility.
Nurse of the Year was presented to Mary Pat Jennings, RN, LCMH Affiliated Services. Mary Pat joined LCMH in 2013 and is an example of an extraordinary nurse. Mary Pat is precise and comes to work ready to engage with both patients and providers. She is always willing to assist patients and sits down with them to provide medication management and explain labs in addition to following up with phone calls. Mary Pat provides dedicated support to medical assistants and physicians in addition to assisting with office transitions. Mary Pat truly is an asset to LCMH.
Venerable Mary Potter, founder of the Little Company of Mary Sisters, once said: “Where there is need, there is our mission.” These four individuals are exemplary of the mission of the Venerable Mary Potter and the Little Company of Mary Sisters to provide compassionate care to the sick and dying.
National Nurses Week begins each year on May 6th and ends on May 12th, the birthday of Florence Nightingale, founder of modern nursing. The American Nurses Association (ANA) set these as permanent dates to position Nurses Week as a nationwide event. Throughout National Nurses Week 2016, LCMH also hosted a Nursing Breakfast, which took place on Monday, May 2nd, and a Mass of Thanksgiving on Tuesday, May 3rd, in additional to other celebrations held to honor our nurses.
About Little Company of Mary Hospital:Little Company of Mary Hospital and Health Care
Centers (LCMH) is a Catholic, not-for-profit hospital based in Evergreen Park. For 86 years, LCMH has held a long tradition of serving the needs of women and their families. Our Women’s Center for Life and Health
provide women’s healthcare needs conveniently under one roof – from routine wellness exams and screenings to advanced diagnostic facilities for even the most critical health conditions. LCMH continues to achieve accolades for quality, provides new medical advances and offers a convenient range of services to our community. To learn more, visit www.LCMH.org.
Little Company of Mary Hospital Recognizes Outstanding Nurses in Celebration of National Nurses Week
Left to Right: Mary Pat Jennings, RN, Affiliated Services, LCMH Nurse of the Year; Irene Copak,
RN, ICU, LCMH Nurse Educator of the Year; Cathy Sawyers, RN, Nurse Manager for PAT/
ODS/PACU, LCMH Nurse Leader of the Year; and Sheila Adams, Labor and Delivery, LCMH Care
Partner of the Year
All boards benefit from the unique perspective of nurses to achieve the goals of improved health as well as efficient and effective health care systems at the local, state and national levels. Nurses bring a full set of skills not found in other professions and play a crucial role in developing high-quality systems of care that offer better outcomes and increased satisfaction for people, families and communities.
The Nurses on Boards Coalition (NOBC) represents nursing and other organizations working to build healthier communities in America by increasing
nurses’ presence on corporate, health-related, and other boards, panels and commissions. The coalition’s goal is to help ensure that at least 10,000 nurses are on boards by 2020, and encourages the over 3 million U.S. nurses to visit www.nursesonboardscoalition.org to sign up to be counted if you are on a board and to read more about the efforts being made to help build the future of our profession.
The Illinois Healthcare Action Coalition (IHAC) is leaping into leadership beginning Thursday, September 15, 2016 at noon. This one hour “lunch-and-learn”
webinar will focus on leadership. The webinar will include a NOBC representative, recipients of the 2015 40-under-40 emerging nurse leader recipients sharing their successes and IHAC leaders discussing resources available to Illinois nurses. Continuing education units will be offered upon completion of requirements. For further information, please visit the ANA-Illinois website: http://www.ana-illinois.org/.
The Illinois Nurses Foundation is sponsoring the 2016 40-under-40 emerging nurse leader recognition event, which is being held September 22 at Rush University Medical Center in the evening. Last year Dr. Marquis Foreman, Dean of Rush University
College of Nursing, echoed what many of us thought by wondering”…how did we manage to not consider doing this before?” The purpose of the award is to recognize and acknowledge 40 outstanding nurses in Illinois under the age of 40 who demonstrate exemplary professional practice along with community engagement and/or advocacy on behalf of the profession and those we serve. This year’s committee is chaired by Rhys Gibson, and includes: Dan Fraczkowski, Alyssa Hayward, Jennifer Grenier, Shannon Halloway, Stephanie Mendoza, Lauren
Martin, Toni Scott and Diana Salihar, with Susana Gonzalez, Linda B. Roberts and Susan Swart as advisors. For additional information, please visit the Illinois Nurses Foundation website http://www.illinoisnurses.foundation/.
In 2010 the Institute of Medicine released a landmark report, The Future of Nursing: Leading Change, Advancing Health, which recommended increasing the number of nurse leaders in pivotal decision-making roles on boards and commissions that work to improve the health of everyone in America. The Illinois Healthcare Action Coalition works in partnership with the nursing community to ensure that the nursing perspective is represented in all places decisions affecting healthcare are made.
Leap into Leadership with the Illinois Healthcare Action Coalition
Page 10 September 2016 The Nursing Voice
aMerIcaN Nurses assocIatIoN
SILVER SPRING, MD (July 14, 2016) — In what is being hailed as the most sweeping drug addiction legislation in years, Congress mustered a bipartisan effort Wednesday to pass a comprehensive bill to help tackle the nation’s opioid epidemic. The White House said President Obama would sign the bill.
The Comprehensive Addiction and Recovery Act of 2016 directs $181 million in new spending, with an expectation that lawmakers will approve nearly $500 million for opioid programs in the next budget year. It authorizes the U.S. Attorney General and Secretary of Health and Human Services to award state grants to address prescription opioid and heroin use in communities most impacted by the epidemic and an inter-agency task force to review best practices for pain management and prescribing pain medication.
Throughout the debate, the American Nurses Association (ANA) sought to advance nursing’s role in fighting the opioid crisis by addressing barriers and expanding access to treatment. In collaboration with the White House, ANA has also joined forces with 40 other organizations in a pledge to train more than 540,000 opioid prescribers over the next two years. A key provision in the legislation expands access to medication-assisted treatment by allowing Nurse Practitioners, for the first time, to prescribe buprenorphine, a medication used to reduce the risk of overdoses and treat opioid
addiction. Currently, by law, only doctors can prescribe buprenorphine.
“This legislation represents much needed progress in our national effort to combat the devastating impact of the opioid epidemic and nurses are committed to playing a leading role in treating patients battling addiction,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “While congress has taken a step forward, we remain resolute in our support to ensure future appropriations are dedicated to tackling this issue.”
According to the Centers for Disease Control and Prevention and the National Institutes of Health, since 1999, the amount of prescription opioids sold in the U.S. has nearly quadrupled. Deaths from opioids, like painkillers and heroin, have reached epidemic proportions in recent years, killing 47,000 Americans in 2014, surpassing car accidents as the No. 1 cause of injury death.
The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 3.6 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all.
American Nurses Association Applauds Bipartisan Effort to Pass Comprehensive Addiction Legislation
Includes provisions to help nurses treat patients suffering with substance use disorders
The Illinois Nurses Foundation gave a total of $12,000 in scholarship awards in June 2016. We are pleased to be able to support these nurses and/or student nurses.
APPLICANT SCHOOL/COLLEGE SCHOLARSHIPKate Karabinos Rush University, College of Nursing Arthur L. Davis Scholarship
Amy Wiley University of Illinois at Chicago, College of Nursing
Future Leader, supported by the American Nurses Foundation
Katie Young Ryan Stuckey
Joliet Junior College Joliet Junior College
District 2 Scholarship District 2 Scholarship
Nanci Reiland Katie Vogler
Lewis University Loyola University, Marcella Niehoff School of Nursing
Dr Wendy Burgess Memorial Scholarship
Rachel Shapland Justen Jones
Northern Illinois University Loyola University, Marcella Niehoff School of Nursing
North Suburban Nursing Scholarship
Kahkashan Khan Chamberlain College of Nursing South Suburban Nursing ScholarshipSarah Cordell Bradley University Sonne ScholarshipAlec Gee Southern Illinois University – Edwardsville Centennial Scholarship
2016 INF Scholarship Winners
Nurses want to provide quality carefor their patients.
The Nurses Political Action Committee (Nurses- PAC) makes sure Springfield gives them the resources to do that.
Help the Nurses-PAC, help YOU!
So. . . . . . . if you think nurses need more visibility. . . . . . . . . if you think nurses united can speak more
effectively in the political arena. . . . . . . . . if you think involvement in the political
process is every citizen’s responsibility.
Become a Nurses-PAC contributor TODAY!
❑ I wish to make my contribution via personal check (Make check payable to Nurses-PAC).
❑ I wish to make a monthly contribution to Nurses-PAC via my checking account. By signing this form, I authorize the charge of the specified amount payable to Nurses-PAC be withdrawn from my account on or after the 15th of each month. (PLEASE INCLUDE A VOIDED CHECK WITH FORM)
❑ I wish to make my monthly Nurses-PAC contribution via credit card. By signing this form, I authorize the charge of the specified contribution to Nurses-PAC on or after the 15th of each month.
❑ I wish to make my annual lump sum Nurses-PAC contribution via a credit or debit card. By signing this form, I authorize ANA-Illinois to charge the specified contribution to Nurses-PAC via a ONE TIME credit/debit card charge.
❑ Mastercard ❑ VISA
________________________ ___________ ________ Credit card number Expires CVV Signature: _____________________________________
Date: _________________________________________
Printed Name: __________________________________
E-Mail: _______________________________________
Address: ______________________________________
City, State, Zip Code: ____________________________
Preferred Phone Number: _________________________
Please mail completed form & check to:ANA-IllinoisAtten: Nurses-PACPO Box 636Manteno, Illinois 60950
2016-05-14 CCNBNA Scholarship Event, Chairperson Ruby Reese
Presentation of a plaque to Dr. Ruby Reese, Chair CCNBNA Scholarship Committee, during Nurses Week, presented by
Dr. Barbara Conners and fellow Delta Sigma Theta Colleagues.Presentation of 4 scholastic awards ADN to PhD by Dr. Ruby Reese
during Nurses Week.
The Nursing Voice September 2016 Page 11
aMerIcaN Nurses assocIatIoN
This past June, nurse leaders gathered in Chicago for the Midwest Institute for Healthcare Leadership program, a 2 ½ day educational event aimed at teaching nurses business techniques that play an essential role within healthcare in Illinois. Hosted by the Illinois Organization of Nurse Leaders (IONL), the program was presented by Loyola’s Quinlan School of Business faculty, home to the nationally-ranked Healthcare MBA program. Known for their state-of-the-art facility and training in leading health systems, Quinlan guided attendees through topics relating to healthcare management as it continues to evolve.
Topics of discussion included: • The Art of Style and Leadership• Healthcare Accounting and Finance Principles• Corporate Strategy in Healthcare: Creating
Competitive Advantage• Change Management and Organizational Culture• Continuous Improvement in Healthcare• Building Better Communication and Negotiation Skills
”This was the best educational experience I have ever had! I enjoyed my learning from these three days more than my entire Masters!” said Alicia Allen, Director of Medical & Surgical Patient Care Services at Advocate BroMenn. Another attendee, Jessica Zimont, APN Manager of Transplant Services at Lurie Children’s Hospital, commented on the event, “Really a great, well organized program.”
Intent on helping nurse leaders navigate the growing healthcare systems in Illinois, IONL created the Institute with the leadership role in mind, bringing together business strategies, leadership practices, and industry knowledge into a comprehensive curriculum for nurses.
Founded in 1977, IONL has made continuous strides to promote and advance the practice of nurses in leadership roles throughout Illinois. By hosting opportunities for professional development, networking, education, and research, IONL has promoted the innovation of care delivery systems among nurses in Illinois.
Coming up in September, IONL will be hosting its premier educational event, the IONL Annual Meeting,
from September 29-30 in Lisle, Illinois. Join IONL for the two-day conference entitled, “Navigating the Seasons of Change,” where nurse leaders will meet, network, and explore leadership practices. Session topics include:
• “Time 2.0 Counterclockwise: How to Unwind Cognitive Time and Live Forever,” presented by John Coyle
• “Intent-based Leadership: Create Leaders at Every Level,” presented by Andy Worshek
One of the many IONL membership benefits include exclusive discounts on educational events and programming. Nursing professionals who register before August 31 save $75 on registration fees for the Annual Meeting.
To learn more about IONL membership and its many educational and networking opportunities for nurses in the Midwest, visit www.ionl.org.
The Illinois Organization of Nurse Leaders Gather for the Midwest Institute
for Healthcare Leadership in Chicago
Success in Springfield
Theresa E. Towle, DNP, FNP-BC, CNRN, APN/CNP
ISAPN Government Relations/PAC Chairperson
ISAPN, with the help of nursing organizations across the state, once again succeeded in persuading the General Assembly to pass APN friendly legislation this past spring. SB 460, now PA 99-0505, allowed APNs not currently holding a national certification for their APN specialty to renew their licenses before they expired on May 31, 2016. Throughout the years and the many changes for education and certification standards in the APN portion of the practice act, legislative intent was lost and over 300 APNs were in danger of losing their licenses with this past renewal cycle.
In order to protect those in danger of losing their licenses, PA 99-0505 affirms the continued license renewal for those initially grandfathered in 2001; including those that were not, and may not be now be able to qualify for an APN national certification due to previously accepted educational standards. For APNs that did not maintain certification after initial licensure, PA 99-0505 grants masters-prepared APNs until the year 2020 to obtain national certification, in order to qualify for continued Illinois APN licensure. Governor Rauner signed the bill into law on May 27th just a few days shy of the May 31st renewal deadline.
This licensing issue had been brought to ISAPN’s attention by an APN in danger of losing her license due to a certification issue. Fortunately, she is a member of our professional organization and keeps up to date with changes in the practice act. Subsequently, her one voice made a difference. In addition, her astuteness, willingness and tenacity for getting involved is a testament for the need to be active, not only with a clinical specialty organization but more importantly, with the policy-oriented organization of your profession in keeping your license safe.
Advancing Practice in 2017As the sunset of the nurse practice act in 2017
nears, ISAPN has been busy planning for our next push with the Illinois General Assembly to remove the written collaborative agreement for all APNs practicing in the state. Over the past twenty years, significant changes to the NPA have loosened the “reigns” on APN practice. Although APNs working in hospitals, hospital affiliates and ambulatory surgery centers do not need a WCA, it is still required for those APNs working outside of those practice settings. With this in mind, ISAPN will, once again, call on all Illinois nursing organizations to join us in speaking with one voice in Springfield to support of removal of the WCA.
Respect comes with the job when you’re a U.S. Air Force Nurse. The reason? You’ll be a commissioned officer with greater responsibilities. Of course, with greater responsibility comes greater opportunity to expand your areas of expertise or dig deeper into what you do now. Find out how the Air Force can make your career in nursing even more rewarding.
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Page 12 September 2016 The Nursing Voice
The Student Nurses Association of Illinois Board of Directors 2015-2016 has had quite an interesting term so far. Since the beginning of our term in October 2015, we have had monthly meetings to plan events for the year, to expand horizons and inspire fellow nursing students. In March 2016 we held our annual Leadership Conference at Illinois Wesleyan University in Bloomington, IL. We were grateful to have two guest speakers this year, Katie Duke MSN, RN, AGACNP-BC and Toufic S. Khairallah (T.K.) MSN, APN, FNP-BC, PCCN, CHSE. The event had a wonderful turnout and included giveaways and inspirational speeches concerning Leadership in Nursing. Many board members also attended Student Nurse Political Action Day on April 11th, 2016 in Springfield, representing the organization and networking with fellow nursing students. Several board members were also fortunate enough to attend the National Student Nurses Association Annual Convention in Orlando, Florida from March 29th-April 2nd, 2016. We will be using the information, skills learned and networking that was done at the convention to plan for our own SNAI Annual Convention on October 1st and 2nd of 2016 at Joliet Junior College in Joliet, Illinois. At the annual convention, we plan to host several breakout sessions so that nursing students and faculty from all across the state can learn about different specialties and areas in nursing, study tips, networking, being part
of a professional organization, and even themselves. Students will have the opportunity to attend our exhibition hall with vendors from nursing schools, nursing merchandise, NCLEX review companies, professional organizations, and potential employers. Another highlight of the convention will be holding the House of Delegates, with students representing nursing schools from all over the state, voting for and discussing policies and topics pertaining to the professional organization. On Sunday, October 1st, there will also be an election for the new board of directors, where any student will be given the chance to apply and run for an elected position on the SNAI Board of Directors. The new Board of Directors will be elected into office on this day. As a board, we highly encourage students and faculty to attend this convention, there are so many opportunities to jump start a nursing career at this convention, whether the students are freshmen or graduating seniors; we will have something for everyone. We are also excited to announce that we have lowered our cost of the convention, making it more affordable for all attending, as we do not want cost to be a deterrent to attend. The prices are as follows: NSNA Members: $45, Non-NSNA Members: $55, Faculty: $60. The price includes the entire two days of the convention, and also includes breakfast and lunch for both days. We hope to see you there!
sNaI uPdate
Linden Oaks Hospital, Naperville Illinois in conjunction with the Illinois Chapter of the American Psychiatric Nurses Association will be providing a seminar entitled “Integration of Safe Psychiatric Nursing Care: A Critical Need for Every Community” on Friday September 23, 2016. The seminar will be held from 7:30am – 1:00pm at the Linden Oaks at Edward Outpatient Center located at 1335 N. Mill Street Naperville, IL 60563.
The conference fee includes seminar attendance, continental breakfast, boxed lunch and 3.5 CEs (inclusive of a pharmacology CE). This seminar is limited to licensed direct care nurses, Advanced Practice Registered Nurses, Emergency Room Nurses, and other nursing professionals. Cost for the seminar is $25 for members of APNA and $35 for non-members. Due to space constraints registration is limited to 90 participants.
Sessions hosted by psychiatric nursing experts will explore diverse topics relating to the provision for mental health care and services which create a safety net across the continuum of care – including the hospital, in the primary care office, and the community setting. Additional discussion will include approaches to self-care for nurses and the impact on practice. An experiential guided self-care activity will
Registration begins at 7:30am with a continental breakfast followed by a welcome and conference commencing at 8:00am. The conference will conclude at 1:00pm.
Pre-Registration is required and can be done by going to the Illinois APNA website at www.apna.org/Illinois. (onsite registrations cannot be accepted)
Illinois APNA and Linden Oaks Hospital Partner to Provide a Psychiatric Nursing
Seminar in Naperville, Illinois
Gloria E. BarreraGloria E. Barrera, MSN, RN, PEL-CSN,
Treasurer of NAHN-IL and active ANA-IL member represented Illinois public health nursing in Washington DC on June 22, 2016. Gloria was there to speak to lawmakers about the direct impact climate change, specifically toxic air pollution from the oil and gas industry, has on public health through the Alliance of Nurses for Healthy Environments (ANHE). Gloria shares “methane from the oil and gas industry comes packaged with other pollutants known as volatile organic components, or VOC’s. VOC’s are associated with respiratory irritation, skin irritation, and some are carcinogens. We need our elected officials to support the efforts of EPA to regulate methane emissions, both from new and old sources, from the oil and gas industry.”
Gloria E. Barrera, MSN, RN, PEL-CSN
Online DNP Program - Clinical & Leadership
Saint Francis Medical Center College of Nursing
sfmccon.edu/dnp | Peoria, IL
Maureen Mathews2014 Graduate
The Nursing Voice September 2016 Page 13
sNaI uPdate
The National Forum of State Nursing Workforce Centers is comprised of nurse workforce entities across the United States. Each entity works to address the nursing shortage in their state, while collaboratively striving to ensure an adequate supply of qualified nurses to meet the health needs of the nation. In addition to improving collaboration, cooperation, and communication among workforce centers, healthcare agencies, and policy makers, this conference also serves as the annual meeting of the National Forum of State Nursing Workforce Centers - http://www.nursingworkforcecenters.org/.
Illinois delegates at the national meeting included: Donna Meyer, MSN, RN, Illinois Center for Nursing (ICN) Board member, ICN Managing Director Linda B. Roberts, MSN, RN, and Sandra Webb-Booker, PhD, RN, Chicago Chapter National Black Nurses Association. Dr. Sandra Webb-Booker presented the results of a National Black Nurses Association study assessing the mentoring needs of African American nursing students. Linda B. Roberts presented on the Nurse Faculty Fellows recognition program - a collaboration between the ICN and Illinois Board of Higher Education. Roberts additionally served as a member of the planning committee, and coordinated the continuing education. Continuing education units were made possible by the Illinois Nurses Foundation.
The Illinois Center for Nursing advocates for appropriate nursing resources necessary to meet the healthcare needs of Illinois citizens http://nursing.illinois.gov/. Through these efforts, ICN promotes access to healthcare, improved quality, and decreased cost. The Nurse Faculty Fellow recognition program, which was funded through 2015, supported retention of Illinois nursing faculty, and was a model of collaboration
2016 Annual Conference: “Collaboration + Cooperation + Communication = Success”
Pictured above are the Executive Directors of State Nursing Workforce Centers. The picture was taken April 28, 2016 in Orlando, Florida during the National Forum’s annual conference. Illinois Center for Nursing Managing Director Linda B. Roberts, MSN, RN is pictured, far left.
(L-R) Sandra M. Webb-Booker, PhD, RN (Col (RET), AN, USAR, Linda B. Roberts, MSN,
RN/ICN Managing Director and Beulah Nash Teachey, PhD, RN, LTC (RET), AN, USAR. Dr. Webb-Booker and Dr. Nash Teachey, who are also members of the National Black Nurses Association Research Team, presented the
results of a national study assessing the mentoring needs of African-American nursing
students. There are recommendations for NBNA national and local chapters on mentoring and to enhance the diversity of the nursing profession.
(L-R) Donna Meyer, MSN, RN ICN Board member and Laurie Benson, Executive Director Nurses
on Boards Coalition (NOBC). NOBC was created by a coalition of national nursing organizations
to both capture in a database the number of nurses boards, and to support those interested in serving on board of organizations that impact the health of our communities. With 3.5 million
nurses in our country, nurses represent the largest segment of our healthcare workforce. It simply makes good business sense to have the nursing perspective represented in all places where decisions affecting health are made. http://www.nursesonboardscoalition.org/
between two state agencies, IBHE and ICN. The National Forum State Nursing Workforce Centers annual conference reflects the work of research experts, educators, workforce center colleagues and innovators from all across America. The next annual meeting is in Denver, Colorado, June 7-9, 2017, http://www.nursingworkforcecenters.org/.
Page 14 September 2016 The Nursing Voice
The Chicago Bilingual Nurse
Consortium Acclaims International Nurses
Fran LaMonica, MS RN Executive Director
The Chicago Bilingual Nurse Consortium (CBNC) celebrated International Nurses’ Day on May 12th with its annual event. That evening, five Internationally Educated Nurses (IENs) were recognized for their success in achieving licensure in Illinois over the previous year. The honorees included Valentina Figueroa (Chile), Mirjana Ivkov (Serbia), Tatyana Kovalevsky (Ukraine), Karen McShane (Chile), and Mengyuan “Summer” Wang (China). Heleine Kaha (Cameroon) was also honored for completion of her BSN. In addition, CBNC recognized The Illinois Department of Financial and Professional Regulation & The Chicago Community Trust for their support in “Making a Difference” in the lives of Internationally Educated Nurses.
International Nurses bring an element of safety as well as cultural sensitivity to the bedside as they care for patients with limited English proficiency. In addition to language barriers, cultural differences often place patients at a higher risk for adverse events. According to the Joint Commission study of adverse events in six accredited hospitals, 49% of patients with limited English Proficiency (LEP) were involved in an adverse event that resulted in physical harm compared with 29.5% of English proficient patients. The significantly different findings clearly demonstrate the serious need for culturally and linguistically competent services especially by care providers who are bilingual and bicultural. There is a need for not only language competency but also cultural competency in professional nursing.
To date, CBNC has served more than 700 IENs from over 60 countries. Over 90 of these nurses have passed the NCLEX exam and are currently practicing in Illinois or other states.
The CBNC is beginning to conduct continuing education classes with Licensed RNs and IENs. This effort is to assist the learners to become knowledgeable with both Nursing in the United States and care needs of immigrant patients, by means of engaging in a professional collegial dialogue. The goal is to improve cultural sensitivity and competency of all participants. Registered nurse participants of these classes will be awarded continuing education credits (CEUs).
The CBNC looks forward to continuing its work to increase the number of internationally educated nurses for practice in metropolitan Chicago and surrounding communities through advocacy, education and supportive services. International nurses looking for assistance in pursuing their professional license in Illinois may visit the website chicagobilingualnurse.org or contact CBNC at [email protected].
The Philippine Nurses Association of Illinois 59th Anniversary Induction of Officers,
2016-2018 and Awards Ceremony
Dr. Mildred Taylor, Gloria Simon, MeD, BSN, FN, NM, RN and Linda B. Roberts, MSN, RN at the
59th anniversary celebration.
Maureen Shekleton, PhD, RN, DPNAP, FAAN, Illinois Nurses
Foundation President and IDFPR/Illinois Center for Nursing Chairperson, presents greetings.
Alma Jaromahum, PhD, MSN/MAN, CCRN, RNC, Immediate Past President, Philippine Nurses Association of Illinois, as the recipient of the 2016 Community Service Award from Illinois Secretary of State
Jesse White during the Asian - Pacific American Heritage Month, May 11, 2016.
The Nursing Voice September 2016 Page 15
IONL Continuum of CareThe Illinois Organization of Nurse Leaders (IONL) believes in
transforming the care continuum through nursing leadership! IONL committed to this belief and launched a new committee in 2014 to address key strategies and functions to enhance quality patient outcomes. The IONL’s Continuum of Care Committee has identified the problem as poorly managed care transitions leads to increased readmissions, patient dissatisfaction, and inappropriate utilization of healthcare services. For nursing leaders to successfully address the recognized barriers identified as poor communication across inpatient and outpatient settings, the current state of separate/different EMRs (electronic medical record systems) creating difficulty in transmitting essential information, and increased use of hospitalists to manage inpatient acute care with little or no involvement of patient’s primary care providers, a united front must be created by registered nurses to promote quality care delivery.
Healthcare organizations are under pressure to produce high quality outcomes while in turn, decrease costs. Because leaders within healthcare, direct providers and policy makers are instrumental in transforming the way patient care is delivered, they must remodel care delivery to advocate on behalf of patients. Healthcare reform initiatives have created opportunities for organizations to transform the way care is delivered, making this the opportune time for nursing leaders to have a proactive voice to transform transitional care practices throughout the healthcare continuum.
Both formal and informal leaders are in a position to streamline care delivery across healthcare settings. Given the current and anticipated health care environment, the IONL believes the following are essential concerning the role of nursing leadership in optimizing patient outcomes and increasing efficiencies throughout the continuum of care.
• Design care coordination strategies that meet patient needs and organizational goals.
• Develop and sustain interdisciplinary partnerships that enhance communication, collaboration and innovation across care settings.
• Ensure that patient care staff achieve and maintain the knowledge and skill to coordinate care.
• Utilize transitional care models throughout the care continuum to promote quality outcomes.
Collaboration and partnerships across the care continuum will improve transitional care practices and meet the IHI triple aim: improved quality, enhanced efficiency and optimized healthcare spending.
If you are a nurse leader working across the care continuum and interested in joining the IONL continuum of care committee, please go to the website www.ionl.org.
Respectfully,Kathleen Ferket, Chairperson, IONL Continuum of Care CommitteeKatie Koerner, Vice Chair, IONL Continuum of Care Committee
The Illinois Center for Nursing (ICN) was created in 2006 as part of the Illinois Nurse Practice Act (Article 75) to address issues of supply and demand in the nursing profession, including issues of recruitment, retention, and utilization of nurse manpower resources. The eleven member ICN Board meets six times per year by videoconference in Chicago and Springfield. The pictures are from the June 8, 2016 meeting.
Please go to the ICN website for a schedule of board meetings, RN, LPN and APN workforce reports, post-licensure education programs, including specialty
focus, graduate nursing on-line programs, faculty vacancies, and other news and updates http://nursing.illinois.gov/.
(L-R) Carmen Hovanec, Vice-Chairperson, MSN, RN; Kathleen Delaney, PhD, PMH-NP; Maureen Shekleton, Chairperson, PhD, RN, FAAN; Deborah Terrell, PhD, FNP-BC, RN; Corinne Haviley, RN, MS, PhD;
Julie Bracken, MSN, RN; and Mary Lebold, EdD, RN.
(L-R) Donna Hartweg, PhD, RN and Marsha Prater, PhD, RN. Not pictured:
Janet Wessel Krejci, PhD, RN, NEA-BC, and Donna Meyer, MSN, RN.
Meet the Illinois Center for Nursing Advisory Board of Directors
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Page 16 September 2016 The Nursing Voice
The VA St Louis Health Care System is recruiting
for an OR Nurse Manager, OR Nurse, and OR Educator
VA Offers OUTSTANDING Federal Benefits:
8 hours of vacation pay per pay period (RN),Pay Differential (10% Evenings/Nights; 25% Weekends), 13 days Sick Leave (may be accumulated indefinitely),
Generous Selection of Health Insurance Plans, Retirement/Life Insurance, 10 Federal Holidays, Education Programs & more...
Please contact our nurse recruiter, Gwendolyn Holland at 314-289-6479
or email at [email protected]
Arlette, VA RN
I’m serving those who have unselfishlyserved our country.
I’m not just a nurse.
Become a VA nurse.
Arlette, VA RN
I’m serving those who have unselfishlyserved our country.
I’m not just a nurse.
Become a VA nurse.
Arlette, VA RN
I’m serving those who have unselfishlyserved our country.
I’m not just a nurse.
Become a VA nurse.