president’s pen - nursingald.com

Spring is popping out with brilliant colors, fantastic fragrances and warm days. It provides a fresh palette after such a challenging winter. What a gift! Graduates from high schools and colleges along with faculty and dignitaries will don their robes to celebrate an educational milestone. The pride of parents, relatives and friends is palpable. Graduates will embark on future careers promising new models in both health care and higher education to meet needs as the landscape undergoes major changes. That’s why for nurses, mentoring is a key to success.

Mentoring is defined as a collaborative relationship of an ongoing nature between two people with one of these individuals more senior than the other. This usually occurs in a professional role. Mentors show mentees (the junior person) how to identify resources, work on scholarly activities such as grants and professional articles and share lessons in finding work life balance. These relationships often lead to the cultivation of future nurse leaders (1). A mentor is an individual who motivates individuals to achieve best performance. They have an embracing attitude, with some of the best being excellent listeners to promote those who are still discovering sometimes hidden talents. Mentoring promotes academic excellence, adding to the body of knowledge for a profession.

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HighlightsPresident’s Pen . . . . . . . . . . . . . . . . . . . . . . . . 1Accent On Research . . . . . . . . . . . . . . . . . . . . 3

Student Spotlight . . . . . . . . . . . . . . . . . . . . 4-5

E-cigarettes: What Nurses Need to Know . . . . 6

District/Chapter 2 News . . . . . . . . . . . . . . . . . 7

Kentucky Nurses Association Calendar

Of Events 2014 . . . . . . . . . . . . . . . . . . . . . . 7

Membership Application . . . . . . . . . . . . . . . . . 7

10 Ways to Celebrate National Nurses Week:

May 6-12 Nurses Leading the Way . . . . . . . 13

Welcome New Members . . . . . . . . . . . . . . . . . 14

E-cigarettes:What Nurses Need to

Know

Page 6

Professional Nursing in Kentucky

Yesterday • Today • TomorrowFor order form see

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An Award Winning Publication

THE OFFICIAL PUBLICATION OF THE KENTUCKY NURSES ASSOCIATION

Volume 62 • No. 2 Circulation 74,000 to All Registered Nurses, LPNs and Student Nurses in Kentucky April, May, June 2014

President’s Pen

Kathy Hall

Mentoring: Setting a Dynamic for SuccessAs the cost of education continues to rise in

Kentucky and nationally, organizations that set themselves apart with mentoring programs are making a difference. The tuition for a four year degree in KY has risen from 67% of cost borne by the state in 1999, to over 60% by the student/family today (2). At the end of that time, students and parents want assurance that the student will be gainfully employed. Those personal connections formed in mentoring relationships are often what set a candidate apart from other applicants in the job market competing for the same position electronically, screened by human resource directors, not necessarily nurses.

The Bureau for Labor Statistics shows that over 20% of new graduates leave their first nursing job at a time when orientation/training expenses for that new employee put a major dent in an organization’s budget (3). One business man stated, “Nurses need to be able to hit the ground running.” Preceptor and residency programs have been designed to meet needs of nursing graduates. However, the difference between the novice and the expert nurse is translating the knowledge/skill set from one setting to another, by also recognizing there may be more than one presentation of a clinical diagnosis which takes time. Expert nurses make patient care practice (regardless of setting) look simple: it’s not. With ever shorter lengths of stays, what nursing students had once seen in hospitals, are patients/clients who are now at home being cared for by home health, relatives, or seen in clinic settings.

Working with students in a number of settings has demonstrated to me that there is always

something to learn from them as well. These future leaders need nurturing and mentoring in whatever capacity they serve. Sharing success stories for those working on projects creates an atmosphere of collegiality and promotes a can do attitude, even when the bar seems out of reach. Organizations that invest in their nurses through continuing education opportunities, promoting advanced degrees and publication of professional findings serve the Commonwealth of Kentucky by assuring that tomorrow’s leaders will be there. Find an individual to mentor by offering yourself-as a professional organization, Kentucky Nurses Association needs the collective talent of those joining our ranks!

1. http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2013/01/mentoring--a-boon-to-nurses--the-nursing-profession--and-patient.html

2. http://www.kentucky.com/2014/01/19/3041815/higher-eds-starvation-diet-weakens.html

3. Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook. 2011. http://www.bls.gov/ooh/healthcare/registered-nurses.htm.

Happy National Nurses Week

May 6-12

Kentucky Nurse • April, May, June 2014

PRESIDENTS TREASURERS

CHAPTER 1 Carolyn Claxton, RN H: 502-749-7455 Paulette F. Adams, EdD, RN H: 502-267-4372 1421 Goddard Avenue 3047 Crystal Waters Way Louisville, KY 40204-1543 Louisville, KY 40299-4897 E-Mail: [email protected] E:Mail: [email protected]

CHAPTER 2 Laura D. Riddle, MSN, RN, C H: 859-846-4869 Nancy Garth, RN C: 859-312-0599 603 Fishers Mill Road 3292 Shoals Lake Drive H: 859-271-9529 Midway, KY 40347-9761 Lexington, KY 40515 W: 859-323-0733 E-Mail: [email protected] E-Mail: [email protected]

NORTHERN KENTUCKY CHAPTER (FORMERLY DISTRICT 3) Deborah J. Faust, MSN, RN H: 859-655-1961 Debbie Cummings, MSN, RN, BC H: 859-360-6814 2041 Strawflower Court 125 Kincaid Lane Independence, KY 41051 Erlanger, KY 41018 E-Mail: [email protected] E-Mail: [email protected] HEARTLAND CHAPTER (FORMERLY DISTRICT 4) Kathleen M. Ferriell, MSN, BSN, RN H: 502-348-8253 Susan E. Nesmith, APRN, RN H: 270-300-4062 125 Maywood Avenue W: 270-692-5146 1623 Hutcherson Lane W: 270-706-1683 Bardstown, KY 40004 Elizabethtown, KY 42701-8977 E-Mail: [email protected] E-Mail: [email protected]

WEST KENTUCKY CHAPTER (FORMERLY DISTRICT 5) Nancy Armstrong, MSN, RN H: 270-435-4466 Katy Garth, PhD, RN H: 270-435-4544 1881 Furches Trail W: 270-809-4576 358 Butterworth Road W: 270-762-6669 Murray, KY 42071 Murray, KY 42071 E-Mail: [email protected] E-Mail: [email protected]

KENTUCKY NURSES REACH – RESEARCH, EDUCATE, ADVOCARE, CARE, HELP (FORMERLY DISTRICT 7)Lorraine B. Borman, RN H: 270-745-2718 Liz Sturgeon, MSN, RN H: 270-781-5047242 Bowlie Avenue 2741 Avondale DriveBowling Green KY 42101 Bowling Green, KY 42104E-Mail: [email protected] E-Mail: [email protected]

GREEN RIVER CHAPTER (FORMERLY DISTRICT 8) Kim Bullock, RN, BSN Carol Murch, APRN, MSN H: 270-521-9980 693 Porter School House Road 18143 Upper Delaware Road W: 270-831-9787 Calhoun, KY 42327 Henderson, KY 42420 E-Mail: [email protected] [email protected] NIGHTINGALE CHAPTER (FORMERLY DISTRICT 9) JoAnn Wever, MSN, RN H: 859-336-5938 Charlene Maddox, BSN, RN H: 859-236-6936 300 Covington Avenue 4330 Lebanon Road Springfield, KY 40069 Danville, KY 40422 E-Mail: [email protected] E-Mail: [email protected] DISTRICT 11 DISSOLVED

Chapters Presidents and Treasurers - 2014 “The purpose of the Kentucky Nurse shall be to convey information relevant to KNA members and the profession of nursing and practice of nursing in Kentucky.”

Copyright #TX1-333-346For advertising rates and information, please contact Arthur L. Davis

Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. KNA 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 Kentucky Nurses Association 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. KNA 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 KNA or those of the national or local associations.

The Kentucky Nurse is published quarterly every January, April, July and October by Arthur L. Davis Publishing Agency, Inc. for Kentucky Nurses Association, P.O. Box 2616, Louisville, KY 40201, a constituent member of the American Nurses Association. Subscriptions available at $18.00 per year. The KNA organization subscription rate will be $6.00 per year except for one free issue to be received at the KNA Annual Convention. Members of KNA receive the newsletter as part of their membership services. Any material appearing herein may be reprinted with permission of KNA. (For advertising information call 1-800-626-4081, [email protected].) 16mm microfilm, 35mm microfilm, 105mm microfiche and article copies are available through University Microfilms International, 300 North Zeeb Road, Ann Arbor, Michigan 48106.

2014 EDITORIAL BOARD

EDITORSIda Slusher, PhD, RN, CNE (2013-2016)

Maureen Keenan, JD, MAT

MEMBERSTrish Birchfield, PhD, RN, ARNP (2012-2015)Donna S. Blackburn, PhD, RN (2011-2014)

Patricia Calico, PhD, RN (2012-2015)Sherill Cronin, PhD, RN, BC (2011-2014)

Joyce E. Vaughn, BSN, RN, CCM (2013-2016)

REVIEWERSDonna Corley, PhD, RN, CNE

Dawn Garrett-Wright, PhD, RNElizabeth “Beth” Johnson, PhD, RN

Connie Lamb, PhD, RN, CNEDeborah A. Williams, EdD, RN

KNA BOARD OF DIRECTORS

PRESIDENTKathy L. Hall, MSN, BSN, RN (2012-2014)

IMMEDIATE PAST-PRESIDENTMattie H. Burton, PhD, RN, NEA-BC (2012-2014)

PRESIDENT-ELECTTeresa H. Huber, MSN, RN (2013-2016)

VICE-PRESIDENTMichael Wayne Rager, DNP, PhD(c), FNP-BC, APRN, CNE

SECRETARYBeverly D. Rowland, MSN, RN, CNE (2013-2015)

TREASURERKathy Hager, DNP, ARNP, CFNP, CDE (2012-2014)

DIRECTORS-AT-LARGEOPEN (2012-2014)OPEN (2013-2015)

Peggy T. Tudor, MSN, RN, CDE, EdD (2013-2015)Jo Ann Wever, MSN, RN (2012-2014)

EDUCATION & RESEARCH CABINETLiz Sturgeon, PhD, RN, CNE (2012-2014)

GOVERNMENTAL AFFAIRS CABINETJoe B. Middleton, MSN, RN, CEN, CC/NRP (2013-2015)

PROFESSIONAL NURSING PRACTICE & ADVOCACY CABINETOPEN (2014)

KNF PRESIDENTMary Romelfanger

KANS CONSULTANTTracy S. Patil, EdS, MSN, RN

KNA STAFF

EXECUTIVE DIRECTORMaureen Keenan, JD, MAT

ADMINISTRATIVE COORDINATORCarlene Gottbrath

CORRECTION: TO THE ROAD TO LEGISLATIVE

MANDATE OF HPV VACCINATION IN KENTUCKY ARTICLE

An article published in the January / February / March 2014 issue written by Gina Purdue, DNP, RN, entitled “The Road to Legislative Mandate of HPV Vaccination in Kentucky” submitted a correction to the article as follows: HPV vaccination mandates were attached to Senate Bill 52 addressing the filing of electronic death certificates. Senate Bill 52 passed and was signed by the Governor. Prior to the passage, however, HPV vaccination amendments were withdrawn. Therefore, HPV vaccination is not currently mandated in Kentucky.

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Editor, Kentucky NurseKentucky Nurses AssociationP.O. Box 2616Louisville, KY 40201-2616(502) 637-2546Fax (502) 637-8236or email: [email protected]

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April, May, June 2014 Kentucky Nurse •

Accent On Research

Submitted by: Janet Bertoli, RN, BS, Karen Kuban RN, and Sheri Reeder RN, BSN students at Bellarmine

University, Louisville, KY

Surgical site infections (SSI) occur in approximately 500,000 patients in the United States each year. These healthcare associated infections are life threatening to the patient and costly to an organization. Chlorhexidine gluconate (CHG) has been found to decrease bacterial colonies and provide antisepsis to the skin. Used in the perioperative setting prior to incision, CHG decreases surgical site infections post- operatively.

A clinical outcomes study was recently performed by two nurse researchers at Inova Fairfax Hospital to determine the effectiveness of a 2% CHG no rinse cloth bath within 3 hours of surgery on reducing the incidence of SSI’s. Before the study began, only orthopedic and cardiac patients were using CHG at home prior to surgery, and their compliance with the treatment was uncertain. They also comprised only a small percent of the total surgical population. A better process was needed!

A practice change was implemented in perioperative services. All patients older than two months of age admitted to the main surgical preoperative area, received a bath with warmed 2% CHG cloths upon arrival to the preop area. From this population, a randomly selected group of 40 general and vascular surgery patients who met the following inclusion criteria: patients older than 18 years of age and scheduled for surgery in the main OR who were part of the hospital’s National Surgery Quality Improvement Program (NSQIP) database, were reviewed each week. These included inpatient, urgent, and same day admissions. Exclusion criteria were patients who were not included in NSQIP and those who did not receive a CHG bath.

Data were collected over a four month period. A 30 day follow up was performed to determine if the patients had developed an SSI upon discharge. SSIs in the identified cohort of surgical patients were compared to historical controls, as randomization was not feasible. Historical controls were matched to enrolled patients by type of surgical procedure, surgeon, and age of patient within 10 years.

Results indicated a statistically significant (p=0.01) overall reduction of infections in the group that received a 2% CHG bath before surgery. The cost of the product was $5 per package, plus the cost of the time for a nurse to educate the patient on the use of the CHG bath. Total financial burden was calculated at $7 per patient. As a result, clinical pathways that include bathing with 2% CHG cloths upon hospital arrival have been instituted for high risk surgical populations, including cardiac, total joint, spine, colorectal, or transplant surgery patients.

The findings of this study suggest that nurses have the ability to impact a reduction in SSIs with the uniform use of CHG in the perioperative setting. While more research is needed to confirm these findings, it is certainly something to think about!

DATA BITSTake a Swipe at Surgical Site Infections

Source: Graling, P.R., & Vasaly, F.W. (2013). Effectiveness of 2% CHG cloth bathing

for reducing surgical site infections. AORN Journal, 97,547-55.

Data Bits is a regular feature of Kentucky Nurse. Sherill Nones Cronin, PhD, RN-BC is the editor of the Accent on Research column and welcomes manuscripts for publication consideration. Manuscripts for this column may be submitted directly to her at: Bellarmine University, 2001 Newburg Rd., Louisville, KY 40205.

When disaster strikes,who will respond?

The Kentucky Department for Public Health is seeking nurses to register and train as Medical Reserve Corps (MRC) volunteers. When events such as ice storms, flooding or pandemics occur in Kentucky, our citizens need nurses to provide compassionate care. Register to volunteer and receive training from your local MRC unit today. By doing so, you can be prepared to serve your community, family and neighbors when they need it most.

To learn more, go online at

www.kentuckyhelps.com


Student Spotlight

Avalena Edelen RN, BSN, CCRNBSN to MSN Student

Indiana Wesleyan University

Originally founded in 1872 by Charles Taze Russell, the religious group now known as the Jehovah’s Witnesses can pose an ethical dilemma to healthcare workers. In 1884, Russell also founded Zion’s Watch Tower Tract Society. Today this organization is known as the Watch Tower Bible and Tract Society and serves as the governing body of the organization (Slick, 2013). The Watchtower develops church doctrine and sets expectations for the church members to follow. One of the doctrines set forth by the Watchtower is the church’s stance on the administration of blood products.

Understanding the History Behind the DecisionJehovah’s Witnesses believe that blood transfusion is forbidden by Biblical

passages and the teachings of the Watchtower. The church doctrine presently states Jehovah’s Witnesses cannot accept primary blood components such as red blood cells, white blood cells, platelets, and plasma. However, minor blood fractions such as Albumin, Immunoglobulins, clotting factors, and Interferons are allowed. The individual Witness may decide for himself whether or not to take minor fractions after prayerful meditation. This has not always been the stance of the Watchtower. Before 1945 Jehovah’s Witnesses were allowed to accept all blood products. Between 1945-1982 the church dictated members could not receive any blood products at all. The church changed its stance again in 1982 stating primary components went against the church doctrine and only a few specific minor fractions were allowed. Since 2000, primary components are not allowed, but minor blood fractions have been declared permissible by the Watchtower (Grundy, 2013). Jehovah’s Witnesses also are not allowed to donate blood or store their blood for an autologous transfusion. The church doctrine explains that blood cannot be stored outside of the body.

The Watchtower Society produced its own translation of the Bible in 1961. The Jehovah’s Witnesses’ Bible is called the New World Translation. This translation has been a point of debate and skepticism by professors of the New Testament, stating the church doctrine influenced the actual translation (Houdmann, 2013). The Watchtower Society and the Jehovah’s Witnesses believe the Old and New Testaments’ scriptures command them to refuse the acceptance of blood (Watch Tower Bible and Tract Society of Pennsylvania, 2013).

The Legal and Ethical ConcernsThe Watchtower’s changing stance on the acceptance of blood products

throughout history along with controversy surrounding the Biblical accuracy

Blood Products and the Jehovah’s Witness: An Ethical Concern

of the New World Translation Bible raises the question as to why Jehovah’s Witnesses are willing to die in order to follow the church doctrine. As healthcare workers, we have a responsibility to treat the whole person. This approach includes respecting the religious beliefs of our patients. Caring for a Jehovah’s Witness does bring up legal and ethical concerns for the caregiver as well as the hospital if a life saving blood transfusion may be needed during the hospitalization.

There are an estimated seven million Jehovah’s Witnesses worldwide. Therefore, healthcare organizations need to be prepared to meet the challenge of caring for these patients. The best approach when caring for a Jehovah’s Witness is open communication between the patient and the caregiver. The caregiver needs to explain in detail the risks involved in refusing primary blood components. The benefits of accepting blood-based treatments also need to be fully explained so the patient can make an informed decision. “The early identification and documentation of transfusion preferences is the single most important step when providing medical care for a Jehovah’s Witness” (Lynn & McDaniel, 2013, p. 28). A plan of care must be established based on any blood fractions the patient may be willing to accept. Open communication must also be established to determine alternative treatment plans. Witnesses do not have any religious objections to crystalloids or colloid replacement fluids. Blood conservation techniques such as limited lab draws should also be part of the plan of care. Case studies have shown erythropoiesis-stimulating agents may be effective in treating severely anemic patients who refuse blood transfusions (Lynn & McDaniel, 2013). Hemopure is a bovine hemoglobin-based oxygen carrier that is currently under review by the FDA and is undergoing animal studies. Hemopure has been approved for compassionate use only in individually approved cases. Jehovah’s Witness patients have consented to and received doses of Hemopure in extreme cases of anemia (Jordan & Alexander, 2013). A case report involving a Jehovah’s Witness suffering from placental abruption with a hemoglobin level of 1.9 g/dl and refusing blood products documents the use of hyperbaric oxygen therapy as part of the treatment plan with successful results (Graffeo & Dishong, 2013).

The legal concerns also need to be addressed. As medical personnel we are trained to use our resources to give life saving care to our patients or fear legal retributions. Jehovah’s Witnesses are willing to sign medical waiver forms relieving physicians and hospitals of any liability. Most Witnesses also carry a Medical Alert card with them stating their refusal of blood products (Watch Tower Bible and Tract Society of Pennsylvania, 2013). One could argue the legal ramifications would be far greater if a blood transfusion was given to a patient who had expressed his refusal of any blood products.

Patient privacy is a primary concern when caring for any patient. However, when caring for a Jehovah’s Witness a breach in patient privacy may carry with it huge ramifications for the patient and his family. Although the Watchtower Society states each individual Jehovah’s Witness has the freedom to choose for himself whether or not to willingly accept blood transfusions, a Witness may be shunned by his congregation and family members for doing so. Although the Society’s position changed in 2000 from investigating Witnesses and them being subjected to the act of disfellowship from the church, the Society’s stance on willingly accepting blood transfusions has not changed. The Society states that if a Witness is transfused against his will this does not constitute a sin on the part of the Jehovah’s Witness. Also, a Witness who accepts a blood transfusion in a moment of weakness and then shows deep regret would not have any actions taken against him. If a Jehovah’s Witness “willfully and without regret accepts a blood transfusion, he indicates by his own actions that he no longer wishes to be one of Jehovah’s Witnesses. The individual revokes his own membership by his own action” (Barker, 2000, p. 2). So rather than the congregation initiating the step of disfellowship, the church considers it an act of disassociation. The end result is still the same. The Witness is excommunicated from the church and shunned. All caregivers must be sure of whom they are allowed to share the patient’s medical information with because even family members may report the patient if a transfusion is accepted. Visitors may also need to be restricted. Church elders may visit influencing the patient’s decision and compromising the patient’s autonomy to make his own healthcare decisions (Muramoto, 1999). Failure to uphold patient privacy regulations may have lasting psychological and emotional affects on a Jehovah’s Witness.

ConclusionThe practice of limiting the use of blood and blood products is not limited to

Jehovah’s Witnesses. However medical journals continue to document cases of Jehovah’s Witnesses with severe anemia or undergoing major surgeries refusing the administration of blood products (Henn & Esmailian, 2013). The need for physicians to utilize other methods to care for patients without ordering blood transfusions is of grave importance. Physicians and researchers are finding new approaches to treating severe anemia. However, there are times when a blood transfusion is warranted. The religious and personal beliefs of the Jehovah’s Witness must be maintained. The expressed wishes of the patient need to be followed. The privacy of our patient is of great concern and needs to be protected. Our personal beliefs should not be a factor in caring for a Jehovah’s Witness. We must try to understand and respect his belief that accepting blood may prolong his life on earth, but may jeopardize his eternal life.

Student Spotlight continued on page 5


Student SpotlightReferencesBarker, J. (2000). New Watchtower blood transfusion policy. Retrieved December

31, 2013, from http://www.watchman.org/articles/jehovahs-witnesses/new-watchtower-blood-transfusion-policy/

Graffeo, C., & Dishong, W. (2013). Severe blood loss anemia in a Jehovah’s Witness treated with adjunctive hyperbaric oxygen therapy. American Journal of Emergency Medicine, 31, 756.e3-4. doi.org/10.1016/j.ajem.2012.11.013

Grundy, P. (2013). Jehovah’s Witnesses & blood transfusions. Retrieved from www.jwfacts.com/watchtower/blood-transfusions.php

Henn, L. W., & Esmailian, F. (2013). Repair of a large main pulmonary artery aneurysm in a 71-year-old Jehovah’s Witness patient. Texas Heart Institute Journal, 40, 350-352.

Houdmann, S. M. (2013). What is the Watchtower Bible and Tract Society? Retrieved from http://www.gotquestions.org/Watchtower-Bible-Tract-Society.html

Jordan, S. D., & Alexander, E. (2013). Bovine hemoglobin: A nontraditional approach to the management of acute anemia in a Jehovah’s Witness patient with Autoimmune Hemolytic Anemia. Journal of Pharmacy Practice, 3, 257-260. doi:10.1177/0897190012451928

Lynn, S., & McDaniel, J. (2013). Managing severe anemia when the patient is a Jehovah’s Witness. Journal of the American Academy of Physician Assistants, 26(4), 24-29. Retrieved from www.jaapa.com

Muramoto, O. (1999). Bioethics of the refusal of blood by Jehovah’s Witnesses: Part 3. a proposal for a don’t-ask-don’t-tell policy. Journal of Medical Ethics, 25, 463-468. doi:10.1136/jme.25.6.463

Slick, M. (2013). Jehovah’s Witnesses’ history. Retrieved from http://carm.org/jehovahs-witnesses-history

Watch Tower Bible and Tract Society of Pennsylvania. (2013). Jehovah’s Witnesses the surgical/ethical challenge. Retrieved from http://www.jw.org/en/publications/books/blood/jehovahs-witnesses-the-surgical-ethical-challenge/

Watch Tower Bible and Tract Society of Pennsylvania. (2013). Why don’t you accept blood transfusions? Retrieved from http://www.jw.org/enjehovahs-witnesses/faq/jehovahs-witnesses-why-no-blood-transfusions/

Student Spotlight continued from page 4

StillnessKelly Rana, LPN

Student, Fortis College, Norwood, Ohio

Humbled at your bedsideI am anticipating your next breathWhile quietly holding mine.As you turn towards meYou began to speakA stillness follows your words.As our shadows crossI realize I have heard this stillness before.I don’t know where your next moments will greet you.I do know your breathinghas begun to erase these moments.

In a recycled momentI see you beyond these wallsFor a momentyou on your grandmother’s porchSurrounded by canning jarsfilled with fire fliesflown from a distant place.Like your breathingyour moments were interrupted.Stillness follows your words.

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Ellen J. Hahn, PhD, RN, FAANCarol A. Riker, MSN, RN

Holly Brown, BA, MSKentucky Center for Smoke-free Policy

University of Kentucky College of NursingLexington, Kentucky

What are they?An electronic, or e-cigarette, is typically a metal

device that holds a cartridge containing nicotine and other substances in liquid form, a battery, and a heating element which vaporizes the liquid.1 Some e-cigarette brands combine the cartridge and the heating element into a “cartomizer.” Devices may look like conventional cigarettes, pens/markers, or have intriguing designs. The contents of e-cigarettes vary greatly from brand to brand, and they even vary between individual cartridges marketed under the same brand.1

Most e-cigarettes contain nicotine in varying amounts, and can be up to 500 mg which is 10 times the lethal dose.2 In addition to nicotine, the cartridges and vapor from some e-cigarettes contain volatile organic compounds such as acetone, cresol, xylene, styrene, ethyl alcohol, and acetaldehyde; all of which are associated with negative health effects.3 Carcinogens such as formaldehyde and ß-nicotyrine have also been found in e-cigarette cartridges and vapor.3,4 Not only do e-cigarettes contain potentially dangerous chemicals, but they also emit fine and ultrafine particles into the air, polluting the environment.4,5

Why do e-cigarettes pose health concerns?Using electronic cigarettes for even a span of

five minutes has been found to cause lung effects similar to smoking.6 The high levels of nicotine in electronic cigarettes pose risks to e-cigarette users, as it is difficult to refill e-cigarette cartridges without coming into skin contact with the liquid in the cartridge.7 This may lead to accidental nicotine overdose and even death, particularly for children in places where e-cigarettes are used. Also, volatile organic compounds,3 carcinogens3,8 and particulate air pollutants5 have been found in the vapor of electronic cigarettes, potentially endangering others sharing the indoor air. Using electronic cigarettes (also called vaping) looks similar to smoking traditional cigarettes. Vaping may cause confusion about where cigarettes can be used, creating difficulty enforcing smoke-free policies and causing indoor air pollution putting workers and others at risk.9 Sweet, candy flavors and ads glamorizing e-cigarettes have captured the attention of the largely unregulated youth market. As of 2012, 1.78 million middle and high school students had tried e-cigarettes, 160,000 of them never-users of conventional cigarettes.10

Do e-cigarettes help patients quit smoking?There is not enough scientific evidence to support

the claim that e-cigarettes are an effective smoking cessation aid, nor to refute the possibility that e-cigarette use may derail quit attempts.9 Many smokers who attempt to quit by using e-cigarettes use both traditional cigarettes and e-cigarettes. This outcome is not beneficial to patients, as smoking

even 1-4 cigarettes per day poses significantly higher risk of dying from ischaemic heart disease and from all causes.11

Should e-cigarettes be included in smoke-free legislation?

Yes. E-cigarettes are derived from tobacco and they are an inhaled product emitting fine and ultrafine particles into the air. ‘Vaping’ creates a dense mix of vapor and fine particles that looks like tobacco smoke. If exempt from smoke-free laws or tobacco-free policies, the ‘smoky look’ creates confusion with enforcement.

E-cigarettes may pollute the air less than conventional cigarettes but they still pollute the air. Even if we find that e-cigarettes are less harmful than conventional cigarettes, they may keep people addicted and using both products.

1. Flouris AD, Oikonomou DN. Electronic cigarettes: miracle or menace? BMJ. 2010;340:c311.

2. Eissenberg T. Electronic nicotine delivery devices: ineffective nicotine delivery and craving suppression after acute administration. Tob Control. Feb 2010;19(1):87-88.

3. Laugesen M. Safety Report on the Ruyan® e-cigarette Cartridge and Inhaled Aerosol. Christchurch: Health New Zealand Ltd.; October 30, 2008.

4. Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PloS one. 2013;8(3):e57987.

5. Schober W, Szendrei K, Matzen W, et al. Use of electronic cigarettes (e-cigarettes) impairs indoor air quality and increases FeNO levels of e-cigarette consumers. International Journal of Hygiene and Environmental Health. (0).

6. Vardavas CI, Anagnostopoulos N, Kougias M, Evangelopoulou V, Connolly GN, Behrakis PK. Acute pulmonary effects of using an e-cigarette: impact on respiratory flow resistance, impedance and exhaled nitric oxide. Chest. Dec 22 2011.

7. Trtchounian A, Talbot P. Electronic nicotine delivery systems: is there a need for regulation? Tob Control. 2011;20(1):47-52.

8. Westenberger BJ. Evaluation of e-cigarettes. St. Louis, MO: Food and Drug Administration, Center for Drug Evaluation and Research, Division of Pharmaceutical Analysis; May 4 2009, May 4.

9. World Health Organization. Regulatory scope. Tobacco product regulation. Electronic nicotine delivery systems. Drug Information. 2010;24(1):30-32.

10. Notes from the field: electronic cigarette use among middle and high school students - United States, 2011-2012. MMWR Morb Mortal Wkly Rep. Sep 6 2013;62(35):729-730.

11. Bjartveit K, Tverdal A. Health consequences of smoking 1-4 cigarettes per day. Tob Control. Oct 2005;14(5):315-320.

For more information, contact the Kentucky Center for Smoke-free Policy at www.kcsp.uky.edu or 859-323-4587.

E-cigarettes: What Nurses Need to Know

KNA Begins Its Transition To

ChaptersIn a bold and unanimous vote at the 2013

KNA Business Meeting, the membership voted to transition out of the district structure and into a new chapter based structure for the association. Unlike the district structure, Chapters will not be limited to geographic boundaries, but rather will be developed based on whatever unifying interest a group of KNA members has. Membership in a chapter is completely voluntary and there is no requirement that a KNA member participate in a chapter. There is also no limit to the number of chapters to which a member may belong.

KNA Districts had the option to vote to transition the district into a chapter, based on the same geographic boundaries as the district. A few districts have chosen to dissolve and encourage their members to pursue the formation of chapters based on areas of interest.

Currently, the district evolutions are as follows:

District 1 is voting to transition into a Chapter 1 with the same geographic boundaries as the district. A name for the chapter is pending.

District 2 has transition into a chapter based on the geographic boundaries of the district. A name for the chapter is pending.

District 3 has transition into a chapter based on the geographic boundaries of the district. The chapter is called the Northern Kentucky Chapter.

District 4 has transition into a chapter based on the geographic boundaries of the district. The chapter is called the Heartland Chapter.

District 5 has transition into a chapter based on the geographic boundaries of the district. The chapter is called the West Kentucky Chapter.

District 6 dissolved.

District 7 has transition into a chapter based on the geographic boundaries of the district. The name of the chapter is Kentucky Nurses REACH.

District 8 has transition into a chapter based on the geographic boundaries of the district. The name of the chapter is the Green River Chapter.

District 9 has transition into a chapter based on the geographic boundaries of the district. The name of the chapter is the Nightingale Chapter and they will be offering Nightingale tributes across the state.



For information about the planned activities and contact information for new chapters, visit www.kentucky-nurses.org. All KNA members are welcome to participate in any chapter, regardless of where you live or practice. There are no dues associated with joining a chapter.

KNA also encourages all members to consider forming a chapter based on any area of interest, such as area of practice, community service goals and interests, networking goals, or any other basis that brings nurses together. The process is very simple and requires that you have at least seven KNA members to start. Just contact [email protected] to learn more about the quick and easy process.

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DISTRICT / CHAPTER 2 NEWSMembership meetings are fun, informative

and provide a great opportunity for networking. Mark your calendar and join us at the Chop House on Richmond Road in

Lexington on May 20th at 5:30pm.

CHANGE THE DATE: District/Chapter 2 Nurse Advocacy

Conference is scheduled for October 17, 2014. For more information

contact [email protected]

April 201411 Surviving Your First Year: Clinical Issues Carroll Knicely Conference Center, 2355 Nashville Road, Bowling Green, KY 42104

May 20146 - 12 National Nurses Week

12 Deadline for the Kentucky Nurse (July/August/September 2014 Issue)

17 Deadline for Paperwork to Be Listed in the Kentucky Nurse for the Election

20 5:30 PM District / Chapter 2 Meeting Chop House on Richmond Road, Lexington

26 Memorial Day Holiday – KNA Office Closed

June 20141 Deadline for the Call to Convention 2014

July 20142 Last Day to Submit Paperwork to Be on the Ballot for 2014

4 Fourth of July Holiday – KNA Office Closed

August 20141 KNA Ballot 2014 Mailing

11 Deadline for the Kentucky Nurse (October/November/December 2014 Issue)

September 20141 Labor Day Holiday – KNA Office Closed

October 20148–10 Convention 2014, Holiday Inn Hurstbourne, 1325 South Hurstbourne, Louisville, KY

17 District / Chapter 2 Nurse Advocacy Conference in Lexington – contact [email protected] for more information

November 201410 Deadline for the Kentucky Nurse (January/February/March 2015 Issue)

11 Veterans Day - KNA Office Closed

27-28 Thanksgiving Holiday - KNA Office Closed

December 201422-31 Christmas Holiday – KNA Office Closed

January 20151 – 2 New Year’s Day Holiday - KNA Office Closed

*All members are invited to attend KNA Board of Directors meetings (please call KNA first to assure seating, meeting location, time and date)

Kentucky Nurses AssociationCalendar Of Events 2014

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Chapter Information

CHAPTERSIn 2014, the KNA begins its transition from a district structure based on geographic regions to a chapter

structure that is based on any interest that brings nurses together – area of practice, community service project, passion for program planning for nurses, geography or any other basis. Membership in a chapter is voluntary and KNA members can belong to as many chapters as they like, or to none at all. Any KNA member can start a

chapter.

Visit www.kentucky-nurses.org to learn more about starting a KNA Chapter.

CURRENT KNA CHAPTERS

District 1 Chapter PendingContact Person: Carolyn Claxton, RN H: 502-749-7455 1421 Goddard Avenue Louisville, KY 40204-1543 E-Mail: [email protected]

District 2 ChapterThe purpose of the Chapter will be to: work for the

improvement of health standards for all citizens of the Commonwealth; foster high standards of nursing; stimulate and promote the professional development of nurses and advance their economic and general welfare; and Advance the profession of nursing.

Contact Person: Laura D. Riddle, MSN, RN, C H: 859-846-4869 603 Fishers Mill Road Midway, KY 40347-9761 E-Mail: [email protected]

Northern Kentucky Chapter (Formerly District 3)The mission is to continue to promote the essential

role of the registered nurse in health care delivery, and support the KNA’s mission of serving as an advocate for quality patient care in all settings. The purpose of the Chapter is to provide professional networking and representation for the Northern Kentucky area ANA members.

Contact Person: Deborah J. Faust, MSN, RN H: 859-655-1961 2041 Strawflower Court Independence, KY 41051 [email protected]

Heartland Chapter (Formerly District 4)The purpose of the new chapter include: Continued

work for the improvement of health standards and availability of health services for all citizens of the Commonwealth; foster exemplary standards of nursing; stimulate and promote professional development of nurses including advancement of economic and general welfare; advance the profession of nursing; network with other nursing professionals; and mentor future nurses and novice nurses.

Contact Person: Kathleen M. Ferriell, MSN, BSN, RN H: 502-348-8253 125 Maywood Avenue W: 270-692-5146 Bardstown, KY 40004 E-Mail: [email protected]

West Kentucky Chapter (Formerly District 5)The purpose of the chapter is as follows: to promote

professional nursing endeavors in the region; including research, education and practice; to support the needs of the local nursing community, as well as those of nurses statewide, through political activity and other endeavors; and to serve the citizens in our community as an organization and in conjunction with other professional nursing organizations.

Contact Person: Nancy Armstrong, MSN, RN H: 270-435-4466 1881 Furches Trail W: 270-809-4576 Murray, KY 42071 E-Mail: [email protected]

Kentucky Nurses REACH (REACH: Research, Educate, Advocate, Care, Help) (Formerly District 7)

The purpose of the chapter is to stay abreast of current research and evidence-based practice, participate in and provide on-going education, advocacy, and to be a caring and helping organization in our community. We expect our main membership to be within the geographical local that was served by KNA District 7 boundaries but welcome any new members from other areas.

Contact Person: Lorraine B. Borman, BSN, RN H: 270-745-2718 242 Bowlie Avenue Bowling Green KY 42101 E-Mail: [email protected]

Green River Chapter (Formerly District 8)The KNA Green River Chapter is made up of a

diverse group of nurses who believe in the importance of improving patient care and supporting all nurses through continued education opportunities. We have a vested interest in fostering the development of each future nurse by our roles as nurse educators and/or community health nurses within the Green River area of Kentucky.

Contact Person: Kim Bullock, BSN, RN 693 Porter School House Road Calhoun, KY 42327 E-Mail: [email protected]

Nightingale Chapter (Formerly District 9)The purpose of the Chapter will be to: work for the

improvement of health standards for all citizens of the Commonwealth; foster high standards of nursing; stimulate and promote the professional development of nurses and advance their economic and general welfare; and advance the profession of nursing.

Contact Person: JoAnn Wever, MSN, RN H: 859-336-5938 300 Covington Avenue Springfield, KY 40069 E-Mail: [email protected]

Chapter 11 Dissolved


ANA News

SILVER SPRING, MD – The American Nurses Foundation (ANF) today announced that Wolters Kluwer Health, a leading provider of information and point-of-care solutions for health care, has agreed to help broaden exposure for Honor a Nurse through a major corporate donation and sponsorship agreement. “Honor a Nurse” publicly acknowledges registered nurses who have made a difference in the lives of others while raising money for the Foundation, the philanthropic arm of the American Nurses Association (ANA), and its initiatives.

“Wolters Kluwer Health will enable us to expand ‘Honor a Nurse’ to reach new audiences,” said ANF Chairperson Joyce Fitzpatrick, PhD, MBA, RN, FAAN, FNAP. “Their help will significantly raise the visibility of ‘Honor a Nurse’ and the public’s recognition of the invaluable contributions nurses make to individuals and our nation’s health.”

Wolters Kluwer Health will use the Lippincott Nursing Solutions’ health care software suite to focus attention on Honor a Nurse. Lippincott Nursing Solutions, which includes Lippincott’s Nursing Advisor, Lippincott Procedures, and Lippincott Professional Development Programs, enables more than 100,000 hospital-based clinicians, providers, and universities access to current evidence-based practice information through advanced point-of-care software applications and professional development products.

“A little bit of encouragement goes a long way, especially with nurses who put their hearts and souls on the line every day,” said Susan Driscoll, CEO and President, Wolters Kluwer Health, Professional & Education. “They give so much of themselves, and that’s why we are so excited to help expand the Honor a Nurse program so we can all recognize the amazing work they do.”

Driscoll indicated that Wolters Kluwer will be using a wide variety of methods to ensure publicity for Honor a Nurse, including using the Lippincott

Nursing Solutions brand, online placement on Lippincott and Wolters Kluwer Health websites, booth handouts at national nursing conferences, posts via Facebook, Twitter, and Pinterest social media sites, and by additional means.

Founded in 1993, ANF created Honor a Nurse as a public way to celebrate individual nurses. Anyone can nominate a nurse – whether a clinician, friend, colleague, mentor or teacher – who has made a difference in the practice of nursing. In addition to facilitating nominations, the program accepts cash donations that can be given on behalf of the honoree. Each honoree is recognized on the Honor a Nurse website and is sent a card recognizing his or her contribution.

About the American Nurses FoundationThe American Nurses Foundation is the

charitable and philanthropic arm of the American Nurses Association (ANA), the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The Foundation supports programs that transform the nation’s health through the power of nursing.

About Wolters Kluwer HealthWolters Kluwer Health is a leading global

provider of information, business intelligence and point-of-care solutions for the healthcare industry. Serving more than 150 countries and territories worldwide, Wolters Kluwer Health’s customers include professionals, institutions and students in medicine, nursing, allied health and pharmacy. Major brands include Lippincott Nursing Solutions, Health Language®, Lexicomp®, Lippincott Williams & Wilkins, Medicom®, Medknow, Ovid®, Pharmacy OneSource®, ProVation® Medical and UpToDate®.

Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company. Wolters Kluwer had 2012 annual revenues of €3.6 billion ($4.6 billion), employs approximately 19,000 people worldwide, and maintains operations in over 40 countries across Europe, North America, Asia Pacific, and Latin America.

American Nurses Foundation Announces Collaboration with Wolters Kluwer Health to Expand

“Honor a Nurse” Program Publicly Recognizes RNs Who Make a Difference

American Nurses Foundation to Award

Up to $225,000 in 2014 Research GrantsPriorities Include Nurse

Leadership, Empowering Nurse Change Agents

SILVER SPRING, MD – The American Nurses Foundation (ANF) is now accepting applications for its 2014 Nursing Research Grant (NRG) Program. The program will provide up to $225,000 in research awards to beginner and experienced nurse researchers.

ANF is the charitable and philanthropic arm of the American Nurses Association (ANA). The 2014 grant program will focus on nurse leadership and how to empower nurses to become change agents in the transformation of the health care system.

“Nursing research improves health using a holistic approach, which is vital to promoting wellness, limiting chronic illness and optimizing health outcomes for patients, families, and caregivers,” said Robin Knobel, PhD, RN, chair of the ANF Nursing Research Grant Program, and an assistant professor at Duke University School of Nursing.

Individual grants range from $5,000 to $25,000. The largest award, the Margretta Madden Styles Credentialing Research Award, is named for a past president of the American Nurses Credentialing Center, ANA and the International Council of Nurses. The award funds research on the impact of nurse credentialing programs for patients, nurses, and health care organizations.

Information and access to the online application are available on ANF’s website at www.givetonursing.org. The application process is open through May 1, 2014.

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ANA NewsPublic Rates Nurses

Most HonestNurses Retain Top Spot As

Most Ethical Profession

SILVER SPRING, MD — The public continues to rate nurses as the most trusted profession, according to this year’s Gallup survey that ranks professions based on their honesty and ethical standards.

“Nurses are on the front lines of health care. We advocate on patients’ behalf whether we are at the bedside or in the boardroom,” said American Nurses Association President Karen A. Daley, PhD, RN, FAAN. “Patients understand that nurses are committed to improving the quality of their care, and this poll reflects the high regard they have for the profession.”

Registered nurses are increasingly being recognized as leaders in transforming the health care system to meet the burgeoning demand for prevention, wellness and primary care services with a focus on improving quality and managing costs. In addition to their clinical expertise, they are being sought out to serve in a variety of new roles, such a care coordinators and wellness coaches, and in leadership roles.

As millions of Americans are able to access health care coverage through the Affordable Care Act, ANA and its constituent and state nurses associations will continue to advocate for measures that will allow the public to benefit fully from nurses’ skill and expertise.

For the past 12 years, the public has voted nurses as the most ethical and honest profession in America in Gallup’s annual survey. This year, 82 percent of Americans rated nurses’ honesty and ethical standards as “very high” or “high,” a full 12 percentage points above any other profession.

Nurses consistently capture patient and public trust by performing in accordance with the Code of Ethics for Nurses that supports the best interests of patients, families and communities.

Toward CivilityANA, Nurses Promote Strategies to Prevent Disruptive Behaviors

Code red. Code blue. Code pink?

While the first two codes are universally known to nurses, the less familiar, “code pink” can refer to a technique nurses employ to address unacceptable behavior in hospitals and other settings. It works like this: RNs go to the location where their nurse colleague is being verbally abused and stand in support of their peer – and against the bullying that is taking place.

It is one tactic, developed by OR nurses, that can help stem the tide of incivility, bullying and other forms of lateral violence. And more strategies are definitely needed within the work environment — be it an OR, an academic institution or a med-surg unit, say nurse experts.

Incivility is not just happening in health care. In a January-February 2013 Harvard Business Review article, researchers found that 98 percent of respondents, including lawyers, architects, coaches and physicians, reported experiencing uncivil behavior at work.

Yet incivility seems even more vexing a problem in health care, where “care” is supposed to reign. To help address bullying, the American Nurses Association (ANA) has created resources, including a publication, tip cards, fact sheet and webinars, that offer strategies for both individual nurses and organizations to use. ANA also has posed questions on workplace violence and bullying as part of its Health Risk Appraisal, an online survey available to all nurses. And nurse experts around the nation are promoting ways to ensure a better and safer environment for all.

Joy Longo, PhD, RNC-NIC, an associate professor of nursing at Florida Atlantic University, focuses her research on bullying and has written extensively on ways to promote a healthy work environment, including a Jan. 31, 2010 article in the Online Journal of Issues in Nursing. She also addressed this issue for an ANA Navigate Nursing webinar in 2011.

“It’s a factor in the work environment that can affect patient safety,” said Longo, a Florida Nurses Association member. “If even one [untoward] encounter a day causes a medication error, that is one too many.”

For more information go to www.nursingworld.org

American Association of Neuroscience Nurses Joins

ANA as Organizational Affiliate Premier MemberSILVER SPRING, MD – The American Nurses

Association (ANA) announced that the American Association of Neuroscience Nurses (AANN) has joined ANA as an Organizational Affiliate Premier member. For many years, ANA has offered a category of membership for nursing organizations called Organizational Affiliates (OAs). Working together, ANA and these more than 30 organizational affiliates seek to share information and collaborate in finding solutions to issues that face the nursing profession, regardless of specialty. Additionally, ANA also offers OAs the opportunity to create stronger synergy by purchasing discounted e-memberships for their individual members. ANA established Organizational Affiliate Premier member status for this enhanced relationship.

AANN is the third organization to join at the OA Premier level. It joins the Association of periOperative Registered Nurses (AORN) and the American Psychiatric Nurses Association (APNA) in providing this level of enhanced benefits to its individual members.

“We are extremely pleased that AANN has decided to provide added value to their members by becoming an Organizational Affiliate Premier member,” said ANA President Karen A. Daley, PhD, RN, FAAN. “Through this enhanced partnership, we can strengthen the influence of all nurses and foster innovative solutions to complex nursing problems.”

AANN President Mary Kay Bader, MSN, RN, CCNS, CCRN, CNRN, SCRN, said, “Offering ANA OA Premier benefits to AANN members drives our vision of being the leading authority in neuroscience nursing. AANN is proud to offer its members this new benefit that will help our nurses improve patient care and support their neuroscience nursing careers.”

Individual members of OA Premier organizations receive the option of digital access to ANA’s journals and e-newsletters, free and discounted access to a range of professional development programs, and through their membership, strengthen ANA’s advocacy on behalf of nurses.

About AANNFounded in 1968, the American Association of

Neuroscience Nurses (AANN), an organization of more than 4,500 members worldwide, is committed to working for the highest standard of care for neuroscience patients by advancing the science and practice of neuroscience nursing. AANN accomplishes this through continuing education, information dissemination, standard setting, and advocacy on behalf of neuroscience patients, families, and nurses. For more information, visit www.AANN.org.

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ANA News

Visit Nursingworld.org for more information

SILVER SPRING, MD – The American Nurses Association (ANA) announced that the National Organization for Associate Degree Nursing (N-OADN) has joined ANA as an organizational affiliate.

“Excellence in nursing education is crucial to the future of the nursing profession, so we are thrilled to partner with an organization that represents the voice of associate degree nursing, where a large number of nurses receive their initial preparation to practice,” said ANA President Karen A. Daley, PhD, RN, FAAN. “This affiliation strengthens the influence of all nurses as ANA works with a broad range of partners to achieve mutual goals on behalf of nurses and patients.”

N-OADN promotes associate degree nursing through collaboration, advocacy and education to ensure excellence in the future of health care and professional nursing practice. N- OADN President Donna Meyer, MSN, RN, said, “We’re confident that the affiliation will help unify the nursing profession in the midst of health care changes. It is only through nursing educators and practitioners working together that we will be able to advance the profession of nursing at this very critical time of

health care transformation.”Through affiliation with ANA, nursing-related

organizations such as N-OADN continue advocating independently on issues specific to their expertise while also benefiting from a larger, united presence that is committed to strengthening the nursing profession as a whole and improving patient outcomes, safety and satisfaction in all care settings. More than 30 specialty nursing organizations currently connect to ANA as affiliates, representing roughly 400,000 registered nurses.

Founded in 1984, the National Organization for Associate

Degree Nursing (N-OADN) is recognized nationally as the voice for Associate Degree (AD) nursing. N-OADN is dedicated to enhancing the quality of AD nursing education, strengthening the professional role of the AD nurse, and promoting the future of AD nursing in the midst of healthcare changes.

Associate Degree Nursing Organization Joins ANA as Affiliate

Addition Strengthens Advocacy for Entire Nursing Profession

ANA Supports Primary Care

Services by Nurse Practitioners in

Retail Based ClinicsANA supports the delivery of primary care and

other health care services by nurse practitioners (NPs) in retail-based health clinics. Retail-based clinics provide another way for patients to access affordable, high-quality health care, thus helping to address some of the health care system’s more pressing problems, such as overcrowded emergency rooms.

Peer-reviewed studies have consistently confirmed that NPs offer high quality care in these clinic settings. This latest policy statement from the American Academy of Pediatrics is just another attempt to preserve the status quo. The future of primary care calls on nurse practitioners and physicians to evolve in their relationship, toward a more integrated workforce where each profession is able to maximize its ability to improve patient care.

Nurses are both the largest group of health care professionals and the most trusted <http://www.nursingworld.org/FunctionalMenuCategor ies/MediaResources/PressReleases/Nurses-Most-Ethical-Profession.pdf> and with good reason. In addition to their education and expertise in diagnosis and treatment, NPs’ proficiency in providing health education and prevention services makes them skilled managers and service providers in retail-based clinics as well as more traditional primary care settings.

American Nurses Associationhttp://www.nursingworld.org/

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Mountain Comprehensive Health Corporation (MCHC) is seeking a Family Nurse Practitioner to provider professional medical care at its MCHC Owsley County Medical Clinic. This full-service community-oriented family medical clinic is located in the pleasant mountain community of Owsley, Kentucky, about 1.25 hours from Lexington, Kentucky.

The position includes a very competitive salary (Amount depending on qualifications and experience, plus incentive bonus), full benefits package, continuing education support and the benefits of professional liability protection under the Federal Tort Claims Act (FTCA), medical, dental, matching 403(b), short and long term disability. FQHC – NHSC.

Stephen C. KincerDirector of Professional Relations

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Full-Time FaculTy posiTionsWestern Kentucky University (WKU), School of Nursing, is seeking candidates for full- time (9-month) faculty appointments which will be available Fall 2014 in the undergraduate and graduate programs.

Requirements:Licensure as a RN in Kentucky or a compact state is required for nursing faculty members. A minimum of a MSN degree with expertise in maternal-child nursing or medical-surgical nursing is required for faculty teaching in clinical courses. A Doctorate or Doctoral candidacy is required for appointment in the graduate program. Tenure track placement for all positions requires a Doctorate or ABD status.

A letter of interest, resume/CV, and contact information for three professional references including email and phone numbers should be sent electronically to:

Dr. Dawn Garrett-Wright,[email protected]

Chairperson, School of Nursing Search Committee

Review of applications will begin immediately and continue until positions are filled.

Western Kentucky University does not discriminate on the basis of race, color, national origin, sex, sexual orientation, disability, age, religion, or marital status in admission to career and technical education programs and/or activities, or employment practices in accordance with Title VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, Revised 1992, and the Americans with Disabilities Act of 1990.

Persons with disabilities, who need reasonable accommodations to participate in the application and/or selection process, should notify The Office of Equal Opportunity/Affirmative Action/University ADA Services at (270) 745- 5121, a minimum of five working days in advance.


Credit Card: ___ Visa ___ MasterCard ___ Discover ___ American Express

Number: ______________________________ Exp. Date: __________ CIV: _______

“NURSING: LIGHT OF HOPE”by

Scott GilbertsonFolio Studio, Louisville, Kentucky

Photo submitted by the Kentucky Nurses Association, July 2005 to the Citizens Stamp Advisory Committee requesting that a first class stamp be issued honoring the nursing profession. (Request Pending)

Package of 5 Note Cards with Envelopes - 5 for $6.50

I would like to order “Nursing: Light of Hope” Note Cards

______ Package of Note Cards @ 5 For $6.50 ______ Shipping and Handling (See Chart) ______ Subtotal ______ Kentucky Residents Add 6% Kentucky Sales Tax ______ TOTAL

Make check payable to and send order to: Kentucky Nurses Association, P.O. Box 2616, Louisville, KY 40201-2616 or fax order with credit card payment information to (502) 637-8236 or email to [email protected]. For more information, please call (502) 637-2546.

Name: _______________________________________ Phone: _____________________

Address: __________________________________________________________________

City: ________________________________ State: ______ Zip Code: _____________

Visa/Master Card/Discover/American Express: ___________________________

Expiration Date: __________________ CIV: _______________

Signature (Required for Credit Card Orders): __________________________________

Shipping and Handling$0.01 - $30.00…...$6.50 $60.01 - $200.00……$30.00$30.01 - $60.00…..$10.95 $200.01 and up…...…$45.00*Express Delivery will be charged at cost and will be charged to a credit card after the shipment is sent.

TheHumanTouch

Copyright 1980Limited Edition Prints

byMarjorie Glaser Bindner

RN Artist

Limited Edition Full Color PrintOverall size 14 x 18

Signed and numbered (750)—SOLD OUTSigned Only (1,250)—$20.00

Note Cards—5 per package for $6.50

THE PAINTING“The Human Touch” is an original oil painting 12” x 16” on canvas which was the titled painting of Marge’s first art exhibit honoring colleagues in nursing. Prompted by many requests from nurses and others, she published a limited edition of full color prints. These may be obtained from the Kentucky Nurses Association.

The Human Touch

Her step is heavyHer spirit is highHer gait is slowHer breath is quickHer stature is smallHer heart is big.She is an old womanAt the end of her lifeShe needs support and strengthFrom another.

The other woman offers her handShe supports her armShe walks at her paceShe listens intentlyShe looks at her face.She is a young woman at theBeginning of her life,But she is already an expert in caring.

RN PoetBeckie Stewart*

*I wrote this poem to describe the painting, The Human Touch

by Marge.” Edmonds, Washington 1994

FOR MAIL OR FAX ORDERSI would like to order an art print of “The Human Touch”©

_____ Signed Prints @ $20.00 ____________ Total Purchases _____ Package of Note Cards @ 5 for $6.50 ____________ Shipping & Handling (See Chart) _____ Framed Signed Print @ $180.00 ____________ Subtotal ____ Gold Frame Kentucky Residents Add 6% Kentucky Sales Tax ____ Cherry Wood Frame Tax Exempt Organizations Must List Exempt Number _____________TOTAL _______________________________________

Make check payable to and send order to: Kentucky Nurses Association, P.O. Box 2616, Louisville, KY 40201-2616 or fax order with credit card payment information to (502) 637-8236 or email to [email protected].

Name: ____________________________________________________ Phone: _____________________________

Address: _____________________________________________________________________________________

City: _______________________________________________State _______________Zip Code: _______________

Visa/MasterCard/American Express/Discover: __________________________________________________________

Expiration Date: _______________________________________________________________ CIV: ____________

Signature (Required): ____________________________________________________________________________

Shipping and Handling$ 0.01 to $ 30.00 . . . . . . . . . . . $6.50$ 30.01 to $ 60.00 . . . . . . . $10.95$ 60.01 to $200.00 . . . . . . . $30.00$200.01 and up . . . . . . . . . . $45.00

*Express delivery will be charged at cost and will be charged to a credit

card after the shipment is sent.

Home care is ever-changing...you won’t find a healthcare job offering more freedom or flexibility than with

Saint Joseph Home Care. Some of our benefits include:

NOW HIRINGRNs and LPNs

www.saintjosephhomecare.com | Join Our Team of Caring Professionals

� Paid time off � Cell phone reimbursement� Health/Dental/Vision � 401(k) retirement plan� Travel reimbursement � Continuing education

859-277-5111 phone

800-950-1418 toll free

Exciting career opportunites available for those who want to join a committed & exceptional home care team

CHILDBIRTH EDUCATOR COURSE AND/OR CERTIFICATION EXAMSeptember 17 & 18 at The Ohio State Wexner Medical Center in Columbus, OHOctober 21 & 22 at Norton Women’s & Kosair Children’s Hospital in Louisville, KY

INDEPENDENT STUDY COURSES*Childbirth Educator *Labor Doula *Lactation Counselor

*Infant Massage Instructor *Pre/postnatal Fitness InstructorAll certifications are on the ANCC magnet recognition list.

Courses designed for nurses offering 16 contact hrs.Call Prepared Childbirth Educators, Inc. at 888-344-9972 or visit

www.childbirtheducation.org


Dynamic Career Opportunity

Mildred Mitchell-Bateman Hospital is a 110-bed Acute Care Mental Health facility operated by the West Virginia Department of Health & Human Resources. Surrounded by beautiful mountains, the Hospital is located in the second largest city in West Virginia on the banks of the Ohio River, only minutes away from Ohio & Kentucky.

We are seeking qualified staff to fill permanent and temporary positions.• Staff RNs • LPNs • Health Service Workers • Interpreter

Temporary positions do not include benefits.Interested individuals should contact:

Patricia G. Hamilton, RN, BC Director of [email protected]

1530 Norway Avenue, Huntington, WV 25709Phone 304-525-7801 X 734

FAX 529-6399

www.batemanhospital.orgMildred Mitchell-Bateman Hospital is a Drug Free Workplace.

Minorities are encouraged to apply. Equal Employment Opportunity Employer

Full-Time Positions Come with Generous State of

West Virginia benefits!

Next Stop...Five Star Senior Living!Lexington Country Place is seeking a

Director of Nursing to lead our clinical team.Candidates must have an RN license for KY in good

standing and prior DON experience.Please apply at http://www.5sqc.com

For inquiries please call the Recruitment department at 617-796-8146

EOE

True health is more than having the skills, advanced training and the latest technology, although we certainly do.

It’s about giving - the heart, the time, a listening ear - to be fully here for those who need us. That’s who we are at Baptist Health Corbin. That’s why we’re here.

To find out more about Baptist Health Corbin or job opportunities, visit our website at BaptistHealthCorbin.com.

An Equal Opportunity Employer

Visit the website!

bit.ly/UKCHS_CHMCollege of Health Sciences

Are you interested in a management position? NEW and Online! Certificate in Clinical Healthcare Management

The College of Health Sciences is now offering the undergraduate certificate in Clinical Healthcare Management online. This certificate will give you the tools needed to succeed in your future healthcare profession as well as make you stand out from your peers. In this competitive world, it is important to set yourself apart and Clinical Healthcare Management can do just that.

RequiredYou must be a currently enrolled UK student working toward a bachelor’s degree or have earned a bachelor’s degree.

Courses• CLM 351– Health Services Administration (3)• CLM 355– Financial Management of Health Care Institutions (3) • HHS 395– Independent Study (3)

Plus one of our offered electives. (Contact us for details.)

Contact us today(859) 218-0473 or(859) [email protected] or [email protected]

Throughout Kentucky, in the halls of Congress and across the country—registered nurses are leaders in health care. Whether you are caring for a patient, implementing an innovative strategy to improve patient care or advancing your skills through professional development—today’s nurses are leaders taking charge and making a difference.

This year, National Nurses Week, May 6 to 12, will celebrate “Nurses Leading the Way.” Join the Kentucky Nurses Association (KNA) and the American Nurses Association (ANA) as we recognize the contributions of America’s 3.1 million nurses.

1. Register for ANA’s National Nurses Week webinar on leadership, Wednesday, May 7 at 1 p.m. ET. It’s free for ANA and KNA members. Visit NursingWorld.org to register for this and many other ANA webinars – all free or discounted for ANA members.

2. Order Poems from the Heart of Nursing: Selected Poems from the American Journal of Nursing for yourself or for a special nurse. These works, written for such celebrated nurses like Florence Nightingale, delve deep into the heart and soul of nursing. The book is just $19.95 for ANA members; list price is $24.95. Available from nursesbooks.org or by calling 800-637-0323.

3. Invite a colleague to take a walk, go for a swim or catch a yoga class. Be a HealthyNurseTM

for yourself and your fellow nurses. Visit the HealthyNurseTM area on nursingworld.org for tips and tools to help you be a healthy role model.

4. Speak out for nurses by writing a letter to Congress. You could write to one of the six members of Congress who are also RNs. Visit rnaction.org, the ANA Department of Government Affairs website, to learn more about the issues impacting nurses and how you can make a difference.

5. Check out the ANA Leadership Institute to increase your influence, impact and enhance your career. Read the Emerging Nurse Leadership blog. Visit www.ana-leadershipinstitute.org to learn more about Change Ahead: Seminar Series for Emerging and Developing Nurse Leaders.

6. Say it with flowers. Surprise your favorite professor, a mentor, a colleague, your

10 Ways to Celebrate National Nurses Week: May 6-12 Nurses Leading the Way

significant other, or your BFF using the language of flowers. To wish a nurse a good National Nurse’s Week, send bells-of-Ireland, which convey luck. For the nurse who has survived her own challenges, a flowering cactus represents endurance. White zinnias convey goodness, while the scarlet zinnia expresses constancy, a suitable sentiment for the nurse who is ever constant and reliable.

7. ANA wrote the book (actually many books) on leadership for nurses. Check out the leadership featured items in nursesbooks.org for a large selection of titles spotlighting leadership for nurses. Some titles are also available electronically.

8. Be social. If you haven’t already done so, visit Facebook and “like” the Kentucky Nurses Association and the American Nurses Association Facebook pages. And visit LinkedIn to create a professional profile and start “following” the American Nurses Association.

9. Honor a Nurse – who has touched your life or has made a difference in the lives of others and the practice of nursing. The American Nurses Foundation created Honor a Nurse to celebrate nurses, a program sponsored by Lippincott Nursing Solutions. Visit the American Nurses Foundation website, www.anfonline.org to make a donation and honor your favorite nurses.

10. Invite a nurse to join KNA and ANA. Share the incredible career advantages and valuable professional benefits with a colleague. Membership in ANA and KNA are now just $11/month—a smart investment in the future of a nurse and the nursing profession.

While just one week a year, May 6 to 12, is officially National Nurses Week, at KNA and ANA, every week is Nurses Week!


Chapter #1Jana F. BaileyDominique BakerJessica Michael Irene BallChelsea BellLeslie BindnerDolores BlantonTracy BookElizabeth Erin ChaneyWilliam EllisCassie FooteMichelle A. FulksCynthia GarrettAnne Lewis GuionLeslie E. HallMichelle L. HallDebi HattonBridget HelingerSylvia Henry-DewKristin HopkinsYvetta M. JohnsonMichelle KruschwitzRodolfo Loreno, Jr.Meredith MaderEric MarcumSherri MarstonTonia MyersTammy OakleyLinda ReederJennie RicoJanie Carol RichieValery Semones

Kimberly SheaAngela SiekmanAngela SmithGcobisa SomersallMistie R. Brown TeerPamala ThompsonDena Dashannon WagonerR. Elaine WatsonTonya WebbAmanda WileyDebra J. WilliamsonNecholyia Lee Wright

Chapter #2Stacey AndersonTina BakerJennifer BallardJessica Layne BodenhamerKelly Jean ChambersMisook L. ChungKyla ClarkChristine CorkinsKimberly DecosteDonna DennisJulia DevergesLeslie Robin DuffMarsha DugginsKeith A. EverittRachel GareyKymberly Gowin

Billie HettingerMegan HowardJessica KnightWilla LindonJodie MabryChristopher McClellanSuzanne McGillKelly McIntyreBonita MooreJoan MorrinHolly NievesLatesha OsbornePeggy RiceJamie ShoupKimberly L. SilveyManeewan TamsomCatherann TerryDianne TollVictoria TomlinsonKaren K. TuftsCarolyn A. WilliamsPaula Works

Northern KY Chapter (#3)Carol AnsariShannon BloomerCatherine Brug-ReevesMary S. BurchJill ChinSara D. FergusonCindy L. FosterAmanda Gastright

Melinda GreenIsabel JonesMalvia KnuevenMelissa KramerMichele MoralesMichael RyanStephanie SiegristNina TurnerJamie WeberKathryn Ann WestStacy WhaleySarah Willoughby

Heartland Chapter (#4)Mishanda GriffinVivian GrinderEric JohnsonLindsey KendallGari KingAmanda LogsdonPeter MottJessica ShewmakerAmanda Lee SouthKatosha Thornsberry-RussellStephanie Lynn Wright

West KY Chapter (#5)Mary CouillardMillicent KadnerDeborah Von WeilandKelly WatkinsPaul L. West

District #6Geneva BurkhartLeslie MiracleMarilyn RitchieTara SteadmanAshley Turner

KY Nurses REACH Chapter (#7)Tammy BilyeauLeslie A. BradshawCourtney CarrollAllison CoghillLori FoxAngela L. GipsonDeanna HansonAngela K. HarlanBetsy KitchensSherry R. LovanJeanne LovingDonna MannJacqueline K. PardueJennifer J. ShoemakeLynette SmithKathryn Villarreal

Green River Chapter (#8)Sharon AthertonSusan Yvonne FangmanMisty HartmireJulie MeltonFrances M. MeserveMary M. RobertsJamie Ann SimpsonKimberly Stumpf

Nightingale Chapter (#9)Brooke L.AlcornAshley W. BaeslerCynthia D. ChadwellRuth LuttrellSherri NolandTina Woolsey

District #10Lyumma ArchevalDanay BlairGretchen BlevinsAnn EvansRebecca GreenhillJessica GriffithMarsha LeightonNancy MaggardBrandi McGuireMaria TerrellMelissa D. Wagner

District #11Randa BrumfieldGloria CappsKandi GoodDebra HardisonAmy HaynieMartha HoffmannSharon LeAnn LangstonStephanie NasonRhonda Kay OldhamCortney ParylakConnie S. PhelpsTamara Stack

Welcome New MembersThe Kentucky Nurses Association welcomes the following new and/or reinstated members since the

January / February / March 2014 issue of the Kentucky Nurse.


Professional Nursing in Kentucky * Yesterday *Today TomorrowKNA’s limited edition was published in 2006. Graphics by Folio Studio, Louisville and printing by Merrick Printing Company, Louisville.

Gratitude is expressed to Donors whose names will appear in the book’s list of Contributors. Their gifts have enabled us to offer this limited edition hard-back coffee-table-type book at Below Publication Cost for Advance Purchase Orders.

The Editors have collected pictures, documents, articles, and stories of nurses, nursing schools, hospitals, and health agencies to tell the story of Professional Nursing in Kentucky from 1906 to the present.

Special Price - $18.87 Per Book

____$18.87 per book

____$1.13 sales tax per book

____Add $6.50 shipping and handling per book

____(for 1-5 books - $10 or 6-19 books $20)

____Total Purchase

____Grand Total

Name _______________________________________

Address _____________________________________

City _________________ State _______Zip ________

Credit Card Payment (Circle One):MasterCard – Visa – Discover - American Express

Number _____________________________________

Exp. Date ______________________ CIV ________

Signature ___________________________________

Fax, Mail or E-mail Order to:

Kentucky Nurses AssociationP.O. Box 2616, Louisville, KY 40201-2616FAX: 502-637-8236E-mail: [email protected]

KNA Centennial VideoLest We Forget Kentucky’s

POW NursesThis 45-minute video documentary is a KNA Centennial Program Planning Committee project and was premiered and applauded at the KNA 2005 Convention. “During the celebration of 100 years of nursing in Kentucky—Not To Remember The Four Army Nurses From Kentucky Who Were Japanese prisoners for 33 months in World War II, would be a tragedy. Their story is inspirational and it is hoped that it will be shown widespread in all districts and in schools throughout Kentucky.

POW NURSESEarleen Allen Frances, Bardwell

Mary Jo Oberst, OwensboroSallie Phillips Durrett, Louisville

Edith Shacklette, Cedarflat

___ Video Price: $25.00 Each

___ DVD Price: $25.00 Each

___ Total Payment

Name _________________________________________

Address _______________________________________

City ___________________________________________

State, Zip Code _______________________________

Phone ________________________________________

Visa * MasterCard * Discover * American Express

Credit Card # _________________________________

Expiration _________________ CIV: ____________

Signature _____________________________________(Required)

Kentucky Nurses AssociationP.O. Box 2616

Louisville, KY 40201-2616Phone: (502) 637-2546 Fax: (502) 637-8236

Email: [email protected]

A 48-year-old woman with sleep apnea had surgery at a hospital for a detached retina. The surgery went well, and the patient was admitted overnight for observation.

That evening, the nurse gave the patient Demerol for pain as prescribed. When the patient vomited shortly thereafter, the nurse assumed the medication had been expelled and gave the patient another dose. Later, the patient complained of inadequate pain control. The nurse alerted the physician, who ordered another pain medication. By 1:15 a.m., the patient coded. The team could not resuscitate her.

The patient’s daughter filed a lawsuit. The case was settled for more than $1 million, split evenly among the nurse and two physicians.1

COULD YOU MAKE THIS MISTAKE— AND BE SUED?

OFFERED BY THE AMERICAN NURSES ASSOCIATION

We all make mistakes. But as a nurse, one mistake can lead to disaster. Consider this real-life example.

1 Source: Forum, May 20082 Please contact the program administrator for more information, or visit proliability.com for a free quote.

It’s because of cases like this that the American Nurses Association (ANA) offers the Nurses Professional Liability Program. It protects nurses from the potentially devastating impact of malpractice lawsuits.

Get the protection you need—without paying more than you need. To take advantage of special rates for ANA members, visit proliability.com for an instant quote and to fill out an application.

65671 (4/14) Copyright 2014 Mercer LLC. All rights reserved.

Underwritten by Liberty Insurance Underwriters Inc., a member company of Liberty Mutual Insurance. 55 Water Street • New York, New York 10041

Administered by: Mercer Consumer, a service of Mercer Health & Benefits Administration LLCIn CA d/b/a Mercer Health & Benefits Insurance Services LLCAR Ins. Lic. #303439 | CA Ins. Lic. #0G39709

MALPRACTICE INSURANCE OFFERED BY THE ANA ANNUAL PREMIUM AS LOW AS $982

Protect yourself now! • Visit proliability.com or call 800-503-9230.

president’s pen - nursingald.com

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