President’s Message 2 2017 Board of Directors 3 From the ED’s Desk 4 Welcome New and Returning NHNA Members 5 NHNA Town Hall Forum Participants Weigh In 6 In My Opinion 7 Kudos 8 Nurses on the Move 9 2017: Spotlight on Nursing Today 10 Hate Meetings? 11 In Memory of Our Colleagues 12-13 School of Nursing News 14 Reflections on Ecuador 15 NHNA – The Beginning – Part III 16 Nurse Driven Initiatives 17 Nursing Salaries 18-19 Please be sure to notify us with address changes/corrections. We have a very large list to keep updated. If the nurse listed no longer lives at this address–please notify us to discontinue delivery. Thank You! Please call (603) 225-3783 or email to [email protected] with Nursing News in the subject line. current resident or Presort Standard US Postage PAID Permit #14 Princeton, MN 55371 April 2017 | Vol. 41 No. 2 Index Official Newsletter of New Hampshire Nurses Association Quarterly publication direct mailed to approximately 22,000 Registered Nurses, LPNs, and LNAs in New Hampshire. www.NHNurses.org The NHNA 2017 Legislative Town Hall Forum was held on January 26 after snow forced a delay from the original date. This year’s event used a webinar platform hosted at 13 sites across the state. Over 110 nurses gathered at one of the hosting sites, with other individuals able to participate from their home computers. This year’s event began with NHNA President, Bobbie Bagley presenting “Your Role in Health Policy and Advocacy” to the gathered audience. Bagley engaged the audience by encouraging them with the “What, Where, When and Why” of the RN’s role in the policy making process. She left the audience with the message that Nurses DO make a difference. Following Bagley, NHNA Lobbyist, Robert Dunn, of Devine Millimet, summarized the State of the State. Lobbyist Dunn discussed the make-up of the congress after the recent election cycle. Dunn stressed that this is a budget year. Pointing out that the proposal of legislation in a budget year is slower because much of the work at the State House is focused on crafting and passing the biennial budget. The Commission on Government Affairs selected 10 proposed bills of interest to NHNA members. A panel of commission members and current NH State Representative, NH District 12, Polly Campion, RN and former Representative Laurie Harding, RN summarized the bill selections for the webinar audience. Following presentation of the bills participants were able to offer comments and ask questions of the panel from their remote locations. This offered the opportunity for a lively, useful and informative discussion. Proposed Legislation Presented at the NHNA Town Hall Forum Bill Subject HB 208 Commission to Study Current Procedures for Involuntary Commitment AN ACT establishing a commission to study current mental health procedures for involuntary commitment. (NHNA is in favor) HB 242 Changing the Definition of E-Cigarettes AN ACT relative to the definition of e-cigarette and the sale of tobacco products. (NHNA is in favor) HB 264 Establishing a Commission to Study Oral Contraceptives OTC AN ACT establishing a commission to study allowing pharmacists to prescribe oral contraceptives and other drugs. (NHNA would like to be represented on the commission) HB 279 Eliminates Ban on Smoking Indoors on Private Property (NHNA opposed) HB 322 Completion of a Survey at License Renewal AN ACT adding rulemaking authority to require completion of a certain survey as part of the license renewal process for health care providers. (NHNA is in favor) HB 361 Deletes Authority of DHHS to Adopt Rules r/t Childhood Immunizations AN ACT relative to the authority of the commissioner of the department of health and human services relative to certain vaccine requirements. (NHNA is opposed) HB 362 Prohibiting Certain Immunization Requirements for Non-Communicable Diseases AN ACT prohibiting certain immunization requirements for non-communicable diseases. (NHNA is opposed) HB 250 Commission to Study a Health Care for All Program AN ACT establishing a commission to assess the benefits and costs of a “health care for all” program for New Hampshire. (NHNA would like to be represented on the commission) HB 321 Commission to Study Public Option for Health Insurance AN ACT establishing a commission to study a public option for health insurance. (NHNA would like to be represented on the commission) HB 152 Health Care Workers Criminal History Background Checks AN ACT that will allow for provisional employment of certain health care workers pending the results of a criminal conviction record check, provided that employee works under the direct supervision of a licensed staff person. (NHNA prefers that the state police engage enough staff so that the process is more expedient) Record Number Attend NHNA 2017 Legislative Town Hall Forum HB 112 Requiring Child-Resistant Packaging for Electronic Cigarette Cartridges AN ACT requiring child resistant packaging for electronic cigarette cartridges. (Determined to be Inexpedient to Legislate prior to the forum) At the conclusion of the event, each participant completed a ballot to identify which bill they would like NHNA to direct their limited resources. The voting indicated that HB 208, which if passed will establish a Legislative Town Hall Forum continued on page 6 Wentworth-Douglass Hospital was awarded Magnet® recognition by American Nurses Credentialing Center’s Magnet Recognition Program the in November, 2016. After a three day visit by members of the Commission on Magnet Recognition in September, 2016 the organization was recognized as meeting the rigorous standards for nursing excellence, professionalism, teamwork and superiority in patient care. WDH Achieves Magnet WDH is the fifth New Hampshire Hospital to be designated as a Magnet facility for nurses and one of four to hold current designation. St. Joseph’s Hospital, Southern New Hampshire Medical Center, and Exeter Hospital are Magnet recognized. Wentworth- Douglass joins just 447 U.S. health care organizations out of more than 6,300 U.S. hospitals to have achieved Magnet recognition.
Official Newsletter of New Hampshire Nurses Association Quarterly publication direct mailed to approximately 22,000 Registered Nurses, LPNs, and LNAs in New Hampshire.
www.NHNurses.org
The NHNA 2017 Legislative Town Hall Forum was held on January 26 after snow forced a delay from the original date. This year’s event used a webinar platform hosted at 13 sites across the state. Over 110 nurses gathered at one of the hosting sites, with other individuals able to participate from their home computers. This year’s event began with NHNA President, Bobbie Bagley presenting “Your Role in Health Policy and Advocacy” to the gathered audience. Bagley engaged the audience by encouraging them with the “What, Where, When and Why” of the RN’s role in the policy making process. She left the audience with the message that Nurses DO make a difference.
Following Bagley, NHNA Lobbyist, Robert Dunn, of Devine Millimet, summarized the State of the State. Lobbyist Dunn discussed the make-up of the congress after the recent election cycle. Dunn stressed that this is a budget year. Pointing out that the proposal of legislation in a budget year is slower because much of the work at the State House is focused on crafting and passing the biennial budget.
The Commission on Government Affairs selected 10 proposed bills of interest to NHNA members. A panel of commission members and current NH State Representative, NH District 12, Polly Campion, RN and former Representative Laurie Harding, RN summarized the bill selections for the webinar audience. Following presentation of the bills participants were able to offer comments and ask questions of the panel from their remote locations. This offered the opportunity for a lively, useful and informative discussion.
Proposed Legislation Presented at the NHNA Town Hall Forum
Bill Subject
HB 208 Commission to Study Current Procedures for Involuntary Commitment
AN ACT establishing a commission to study current mental health procedures for involuntary commitment. (NHNA is in favor)
HB 242 Changing the Definition of E-CigarettesAN ACT relative to the definition of e-cigarette and the sale of tobacco products. (NHNA is in favor)
HB 264 Establishing a Commission to Study Oral Contraceptives OTC
AN ACT establishing a commission to study allowing pharmacists to prescribe oral contraceptives and other drugs. (NHNA would like to be represented on the commission)
HB 279 Eliminates Ban on Smoking Indoors on Private Property (NHNA opposed)
HB 322 Completion of a Survey at License Renewal AN ACT adding rulemaking authority to require completion of a certain survey as part of the license renewal process for health care providers. (NHNA is in favor)
HB 361 Deletes Authority of DHHS to Adopt Rules r/t Childhood Immunizations
AN ACT relative to the authority of the commissioner of the department of health and human services relative to certain vaccine requirements. (NHNA is opposed)
HB 362 Prohibiting Certain Immunization Requirements for Non-Communicable Diseases
AN ACT prohibiting certain immunization requirements for non-communicable diseases. (NHNA is opposed)
HB 250 Commission to Study a Health Care for All Program
AN ACT establishing a commission to assess the benefits and costs of a “health care for all” program for New Hampshire. (NHNA would like to be represented on the commission)
HB 321 Commission to Study Public Option for Health Insurance
AN ACT establishing a commission to study a public option for health insurance. (NHNA would like to be represented on the commission)
HB 152 Health Care Workers Criminal History Background Checks
AN ACT that will allow for provisional employment of certain health care workers pending the results of a criminal conviction record check, provided that employee works under the direct supervision of a licensed staff person. (NHNA prefers that the state police engage enough staff so that the process is more expedient)
Record Number Attend NHNA 2017 Legislative Town Hall Forum
HB 112 Requiring Child-Resistant Packaging for Electronic Cigarette Cartridges
AN ACT requiring child resistant packaging for electronic cigarette cartridges. (Determined to be Inexpedient to Legislate prior to the forum)
At the conclusion of the event, each participant completed a ballot to identify which bill they would like NHNA to direct their limited resources. The voting indicated that HB 208, which if passed will establish a
Legislative Town Hall Forum continued on page 6
Wentworth-Douglass Hospital was awarded Magnet® recognition by American Nurses Credentialing Center’s Magnet Recognition Program the in November, 2016. After a three day visit by members of the Commission on Magnet Recognition in September, 2016 the organization was recognized as meeting the rigorous standards for nursing excellence, professionalism, teamwork and superiority in patient care.
WDH Achieves Magnet WDH is the fifth New Hampshire Hospital to be designated as a Magnet facility for nurses and one of four to hold current designation. St. Joseph’s Hospital, Southern New Hampshire Medical Center, and Exeter Hospital are Magnet recognized. Wentworth-Douglass joins just 447 U.S. health care organizations out of more than 6,300 U.S. hospitals to have achieved Magnet recognition.
Page 2 • New Hampshire Nursing News April, May, June 2017
NH Nursing News (NHNN) is the official publication of the NH Nurses’ Association (NHNA), published quarterly – and available in PDF format at our website: www.nhnurses.org. Views expressed are solely those of the guest authors or persons quoted and do not necessarily reflect NHNA views or those of the publisher, Arthur L. Davis Publishing Agency, Inc. NHNA welcomes submission of nursing and health related news items, original articles, research abstracts, and other pertinent contributions. We encourage short summaries and brief abstracts as well as lengthier reports and original works. An “article for reprint” may be considered if accompanied by written permission from the author or publisher. Authors do not need to be NHNA members.*
Manuscript Format and Submission:Articles should be submitted as double spaced WORD documents (.doc format vs. .docx, please) in 12 pt. font without embedded photos. Photos should be attached separately in JPG format and include captions.
Submissions should include the article’s title plus author’s name, credentials, organization / employer represented, and contact information. Authors should state any potential conflict of interest and identify any applicable commercial affiliation. Email as attachments
Publication Selection and Rights:Articles will be selected for publication based on the topic of interest, adherence to publication deadlines, quality of writing and peer review. *When there is space for one article and two of equal interest are under review, preference will be given to NHNA members. NHNA reserves the right to edit articles to meet style and space limitations. Publication and reprint rights are also reserved by NHNA. Feel free to call us any additional questions at 603-225-3783.
Advertising:Product, program, promotional or service announcements are usually considered advertisements vs. news. To place an ad, contact: Arthur L. Davis Publishing Agency, Inc. Email [email protected] or call 800-626-4081. Ad sales fund publication and mailing of NH Nursing News and are not paid to NHNA.
Guidelines for Submissions to NH Nursing News New HampshireNURSING NEWS
Vol. 41 No. 2Official publication of the New Hampshire Nurses’ Association (NHNA), a constituent member of the American Nurses Association. Published quarterly every January, April, July and October. Library subscription rate is $24. ISSN 0029-6538
NURSING NEWS is indexed in the Cumulative Nursing Index to Nursing and Allied Health Literature (CINAHL) and International Nursing Index.
For 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]. NHNA 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 New Hampshire 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. NHNA 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 NHNA or those of the national or local associations.
MISSION STATEMENTNHNA, as a constituent member of the American Nurses Association, exists to promote the practice, development and well being of NH nurses through education, empowerment and healthcare advocacy.
Adopted 10-20-2010.
VISION STATEMENT Empower New Hampshire nurses as leaders in advancing the profession of nursing and the health of New Hampshire.
President’s Message
Bobbie D. Bagley, RN MS MPH CPH
As I am writing this message, it is February, and in celebration of Black History Month it is with great honor that tribute is paid to the achievements of pioneering African American nurses who paved the way for many other women of color to pursue careers in nursing practice and education. These inspiring women contributed to the growth of the nursing profession and the advancement of nursing practice during a time when they were not always welcomed to participate in professional
nursing associations, yet prevailed in the profession by breaking down racial barriers. In this edition of the New Hampshire Nursing News here’s a tribute to a few of these trailblazing nurses.
Mabel Keaton Staupers (1890-1989) - has been recognized as a “leader of vision, determination and courage.” This ANA Hall of Fame Inductee, fought for racial equality in the acceptance of all ethnicities into the US Army and the American Nurses Association. Ms. Staupers was dedicated to promoting health care for African Americans and improving the status of African American nurses. She established the Booker T. Washington Sanitarium in Harlem to treat African Americans with tuberculosis. Ms. Staupers graduated with honors from Freedman’s Hospital School of Nursing in Washington, D.C. in 1917.
Mamie Odessa Hale Garland (1911-1979) - was appointed as a midwife consultant for the Arkansas Department of Health from 1945-1950. She trained elderly “granny midwives” in proper techniques in managing pregnancy, labor and delivery. Her contributions improved the maternal and infant mortality rates in Arkansas. She worked with the local public health nurses in educational programs for midwives. Ms. Hale attended the Tuskegee School of Nurse-Midwifery for Colored Nurses in Alabama.
Lillian Holland Harvey (1912-1994) – was a testament as a nursing leader of courage and foresight. She started the first baccalaureate of nursing program in 1948 in the State of Alabama, while serving as the Dean of Tuskegee University School of Nursing. Dr. Harvey impressed upon her students the importance of advancing their education and getting involved with their communities. Dr. Harvey graduated from Lincoln Hospital School of Nursing in NY in 1938. She received
Matters of the Heart
Bobbie D. Bagley
her BS in 1944, MA in 1948, and her Ed. D in 1966 all from Colombia University in New York, NY.
At a time when our country seems to be growing more divided and encouraging separation through bans and restrictions, we can reflect on the courage of these women to persevere and overcome those things, which may try to divide us. Nurses have a long history of being advocates for all human rights; women’s rights; children’s rights; and civil rights. We have stood for social justice issues and raised our voices for those who may be marginalized, poor and disenfranchised. Let’s come together and take a united position on opposing bills aimed at taking actions that may jeopardize human rights or target populations of people unjustly and unfairly.
Quality Care Close to HomeNorth Country Hospital is a 25 bed critical access private, nonprofit acute care community hospital with physician practices serving twenty communities in a two-county area in the rural Northeast Kingdom of Vermont.We are currently seeking applicants for the following positions:
• HouseSupervisor,RN-Limited Part Time
• MaternalChild,RN-Full & Part Time
• Med/Surg,RN-1 Full Time,1 Part Time, 2 Per Diems
• PACU,RN-Per Diem
• SurgicalServices,RN-2 Full Time & Per Diem
• NewGraduateNurseRN - 4 Positions
At North Country Hospital quality patient care is our greatest commitment, employees are our greatest asset, excellent patient experience is our greatest accomplishment, and the health of the community is our greatest responsibility.
For additional information contact: Tina Royer, Human Resources(802)334-3210,ext.407•E-Mail:[email protected]
North Country Hospital189 Prouty Drive, Newport, VT 05855
www.northcountryhospital.org
April, May, June 2017 New Hampshire Nursing News • Page 3
NHNA President Challenge UpdateAt the 2016 NHNA Annual Meeting a challenge to increase membership was put forth by President Bagley. At the start of the challenge NHNA roosters included 1,001 members. There are 22,000 nurses in NH, however only 5% belong to NHNA. We have been challenged to increase that number by 10% a goal of 3,000 members.
NHNA Member count February 2017: 1,081
Join now at nhnurses.orgDo your part to meet the challenge!
Every member get a member – help us meet the challenge!
NHNA Commissions serve the membership through their activities and recommendations to the Board of Directors. They have been described as the “engine” for the work of the Association. Members are elected and appointed. The membership, both new and returning for 2017 was recently announced as follows:
Commission on Government Affairs is a very visible work group, focusing on legislative and regulatory affairs related to healthcare and the practice of nursing.
Pamela P. DiNapoli, has been elected Chair. DiNapoli is an Associate Professor for the Department of Nursing at the University of New Hampshire and practices at Catholic Medical Center as the Coordinator of EBP and Research. Her nursing career spans 34 years including past leadership experience with NHNA as NHNA Secretary from 2007-2011, Co-chair of the Commission on Continuing Education (2003-2005).
New Members: Jeannie Gonyer, Vice Chair, has been a nurse for 15
years, most recently as the Director of Nursing for a large private practice. She has also worked in community health, travel nursing, critical and progressive care, detox & substance misuse, mental health, long term care and rehabilitation, specialty care including breast health and pediatrics. She has been a member of the Commission on Government Affairs for the past three years.
Cynthia Cohen, is the Director of Nursing Professional Development for Catholic Medical Center and has been a nurse for the past 8 years. This is her first position with NHNA.
Briana White, practices in the Nursing Education Center at Dartmouth Hitchcock Medical Center in Lebanon. She has been in nursing for three years. She recently served as the NHNA appointed member on the Commission to Study the Shortage of Nurses and other Skilled Healthcare Workers in Home Care and Post-Acute Settings - SB439.
Returning Members:Cynthia Arcieri Anne Marie DurantLea Ayer-Lafave Carlene FerrierMary Bidgood-Wilson Sherrie PalmeriBarbara Cormier Susan SmithMarilyn Daley Wendy Stanley JonesJanice Deziel
Commission on Nursing Practice is responsible for advancing the profession of nursing through activities that identify and evaluate trends, developments and issues that impact on nursing.
New Member: Eugene Bois, is a RN Surveyor for the NH Department of
Health and Human Services and has spent over 30 years in nursing practice. This is his first position with NHNA.
Returning Members:Holly Clayton, Chair Mary Ellen KingAmanda Carmichael Darby ThomasJennifer Johnson
Commission on Nursing Education performs much of their work behind the scenes. However, it is the single group whose work is most likely to touch the professional lives of every nurse. This Commission serves as the ANCC Accredited Approver Unit for Continuing Nursing Education. Most likely every nurse in New Hampshire has been to a continuing education program that has been reviewed for quality and accredited by this group.
If you would like to impact the policies and positions of NHNA, consider becoming involved with a Commission! Send your interest to the NHNA Executive Director at [email protected].
NHNA Announces New Commission Members
2017 Board of directors
Bobbie D. BagleyPresident
Barbarajo (BJ)Bockenhauer
Treasurer
Dana Mott Director at LargeRecent Graduate
Kristine Hering Director at Large
Pamela Kallmerten Secretary
Carmen Petrin Director at Large
Carlene Ferrier President Elect
NURSING OPPORTUNITIES AVAILABLE
We are dedicated to expanding opportunities that enrich the lives of people with developmental disabilities. Come help us fulfill our mission.
LPN/RN: Full time and Part time at our Total Care Residence in Lyme, NH. Associates Degree in Nursing (LPN), active NH license, 2 years licensed nursing experience within the last 5 years, and First Aid/ CPR. Ten hour shifts are available which may be flexible for full time.
Nurse Trainer: Full time. Based in Claremont, NH. Provides direct nursing care at our Lyme, NH residence one shift per week. Assesses and monitors client health care needs and makes appropriate referrals. Conducts nursing assessments and monthly home care quality assurance visits. Conducts in-service training and workshops regarding health and medical issues. Associate’s degree in Nursing required; Bachelor’s degree preferred. Active NH RN license required. 2+ years of recent licensed nursing experience with a minimum of 1 year as an RN required. 2+ years in Human Services highly desired. Completion of Nurse Trainer course or ability to complete it within 60 days of hire a must.
Nurse Supervisor: Full time. Based in Lyme, NH. Opportunity to innovate and develop quality supports in a leadership role. Oversees and supervises nursing staff providing care for up to 12 individuals in our Total Care Residence. Conducts nursing assessments and care plans, serves as liaison with health care practitioners, and ensures a safe medical environment for consumers and staff. Must be degreed and NH-licensed RN with supervisory and leadership experience and professional level communications skills essential. 2 years licensed nursing experience within the last five years, with at least one year as an RN. Excellent communication and organization skills needed.
$1,000 HIRING BONUS*previous employees are not eligible for bonus.
All positions require successful completion of criminal background and MVR check. Must have dependable transportation and proof of current auto insurance.
To apply visit our website at www.pathwaysnh.org for an application, email [email protected] with resume, or mail to
654 Main Street, Claremont, NH 03743.
St. Ann Rehabilitation & Nursing Center has select FT & PT RN & LPN opportunities on our Short & Long Term Units
Come join our excellent team of professionals to help meet the medical, social and spiritual needs of the people we serve. Generous benefits for FT positions. Potential for sign on bonus!
We are proud to be part of New Hampshire Catholic Charities continuum of care.
Please apply by the following: Online at www.nh-cc.org Email: [email protected] Fax: 603-743-3055 or in person
Page 4 • New Hampshire Nursing News April, May, June 2017
Without NHNA there would be …
NO influence on laws, rules and Scope of Practice
NO national collaboration
NO professional protection
NO accrediting body for continuing education
NO teleconferencing on nursing issues
NO role model for the next generation
NO Nursing News
NO voice for nursing
Say YES, it pays to join your professional Association!
www.nhnurses.org
from the ed’s deskJoan Widmer, MS, MSBA, RN, CEN
The past three months have been very busy, but very rewarding. In late November 2016 I attended ANA’s Leadership Summit with NHNA president, Bobbie Bagley. This was a wonderful opportunity to meet with other C/SNA presidents and executive directors from around the country and share stories of the challenges and issues faced by nurses in those states. The ANA provided useful and informative training on working in non-profit organizations that rely heavily on volunteers to accomplish their missions. One of the key concepts in this training was the idea of micro-volunteering. This concept involves the identification of volunteer opportunities that are finite in nature and generally of a short-term nature, such as working on a particular event; or that involve discrete, virtual meetings to accomplish goals. I am working with the membership of our commissions to develop this concept of micro-volunteering, so that we can encourage more of our members to share their knowledge and skills in a way that works with their busy personal lives.
One of my early goals on joining this organization was to reach out to nursing leaders across the state, to explore ways that NHNA can work with their organizations to better serve the nurses of New Hampshire. I had the opportunity to meet with Holly McCormack, CNO of Cottage Hospital in late December. Cottage is a dynamic and innovative critical access hospital located in Woodsville and it was really great to see the many interesting ways they are addressing the challenges of nursing in a rural environment. I also met with Sally Patton, CNO of New London Hospital, and two of her senior staff, Terry Moulton and Melanie Bleazard. I received a tour of the facility, including the newly renovated patient rooms and the opportunity to discuss the issues faced by the nursing team. I also met with Robert Duhaime, Sr. VP
of Operations and CNO of Catholic Medical Center. Bob shared some of this extensive knowledge of nursing leaders and nursing issues in New Hampshire and it was a valuable meeting.
On January 26, 2017 we held our annual Legislative Town Hall Forum. While this year’s weather provided a few challenges, the change to a Webinar format resolved the technical challenges we faced last year. The event was held at New Hampshire Hospital, and broadcasted from Dartmouth Hitchcock Medical Center to twelve locations around the state. Over one hundred and twelve nurses participated from around the state, asking questions of our panel and ultimately voting on the legislative issue of most importance to them. The companion article in this issue of Nursing News has more information about this very successful event.
As the Nursing News goes to print, I am busy with the planning of our graduating student conference: Creating Your Nursing Futures 2017. This event will be held at Southern New Hampshire University’s main campus on April 4th. Student nurses from around the state are planning to attend. Various speakers will discuss issues such as NCLEX preparedness, taking the fear out of pharmacology, finding your dream job, the role of nurses in health policy and advocacy and the benefits of professional nursing organizations. We will host two nursing panels, one comprised of recently graduated nurses and the other comprised of nurses from various specialty nursing fields. We are also sponsoring a career fair and have several employers planning to meet with our student attendees to discuss job opportunities. We will also have several schools with RN to BSN programs and/or MSN programs available to discuss advancing education with the students. In all, it should be an exciting event.
I am also working with the Commission of Nursing Practice to develop a Couch to 5K Run. We are planning this run as part of ANA’s Healthy Nurse-Healthy Nation initiative and will use the proceeds of the run to start a nursing scholarship program. We are hoping to entice the nursing schools and large nursing employers to encourage teams of runners to see who can obtain the lowest aggregate time; prizes to be awarded. Check our website often for details [nhnurses.org]. We hope you will all consider joining us for this fun and healthy event.
Joan Widmer
NewsThree hours of NH BON approved CME are required every two years relating to opioid prescribing, including medicated assisted treatment (MAT). ARNPs may take the eight-hour DATA-waiver course for treatment of opioid use disorder, designed by national experts. The course is offered for free by SAMHSA through the Providers’ Clinical Support System for Medication Assisted Treatment (PCSS-MAT). [http://pcssmat.org/calendar-of-events/list/?tribe_eventcategory=9] A list of other approved CME Competency for Opioid Prescribing courses can be found on the NH BON and NHNPA websites._ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
At the November, 2016 meeting the Board of Nursing agreed to allow RN’s to access, interrogate and refill an intrathecal Baclofen pump in an outpatient setting with a supervising provider on the premises. Baclofen is used for clients who suffer from muscle spasticity due to multiple sclerosis, stroke, cerebral palsy, spinal cord injury, or brain injury. While oral baclofen is used to control mild spasticity, intratheal baclofen has been approved since 1990 for severe cases. The baclofen pump system consists of a pump and a spinal catheter. The Board attached several conditions on the RN scope of practice, citing the guidelines used by the New York State Board of Nursing. Guidelines can be found on the BON website [https://www.nh.gov/nursing/statements-advisories/documents/rn-scope.pdf]_ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A position statement and clinical advisories on the use of medical marijuana was approved by the BON at the November 2016 meeting. The New Hampshire Board of Nursing “supports the right of all patients to access, including nurses, therapeutic marijuana to relieve symptoms of a disease when a medical provider determines that marijuana is appropriate. The NH BON recognizes that medical marijuana may impair judgement and performance and reminds all licensees that it is the nurse’s responsibility to report to their supervisor when he or she is impaired by any substance.” The full statement is available at https://www.nh.gov/nursing/statements-advisories/documents/medical-marijuana-position.pdf_ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
The BON confirmed at the November 2016 meeting several LNA practice guidelines. LNAs may apply oxygen devices, pick up medications from the pharmacy and apply creams and lotions to hospitalized patients with the proper delegation by the RN. An LNA may assist in holding the C-Spine for stabilization. The LNA may not insert an indwelling urinary catheter but may remove them with proper delegation._ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
New Hampshire NCLEX Results for 2016 Graduates
School Class Size NCLEX Pass Rate %
Colby Sawyer 33 100
Great Bay CC 48 95.9
Keene State 39 64.1
Lakes Region CC 16 93.8
Mass College Pharmacy 20 95
Manchester CC 50 92
Nashua CC 20 80
NHTI CC 42 95.2
Plymouth State 20 95
River Valley CC 26 92.3
Rivier 85 95.3
St. Anselm 67 100
St. Joseph 70 72.9
UNH 58 93.1
National Pass Rate 85.3
*Ed Note: These data vary slightly from 3rd quarter results printed in the previous issue of NHNN.
A school nurse that was hired after July 1, 2016 must have their Bachelors in Nursing and become certified by the NH Department of Education. Nurses hired before this date are already considered certified by the DOE and must maintain certification.
100 Saint Anselm DriveManchester, NH 03102
(603) 641-7086www.anselm.edu/cne
Committed to Promoting Excellencein the Practice of Nursing
April, May, June 2017 New Hampshire Nursing News • Page 5
WELCOME NEW and RETURNING NHNA MEMBERS!NHNA welcomes these new and returning members. Thank you!!!
What do these 81 nurses know that you don’t? If you are not a member ask someone on this list why they joined! Go to nhnurses.org where joining is easy and one of the best professional values for your money! We want to see your name here in the next issue of the NH Nursing NEWS!
Gayle Ridley AltonDiane Roberts HoldernessAlexandra Rourke RyeKathryn Santos LitchfieldMelissa Seccareccio HudsonNina Silberman AllenstownCheri Sinclair North HamptonMaria Smith MerrimackJoni Spring ContoocookKate Stamell PortsmouthMark Sughrue BrentwoodDeborah Tarnowski BrentwoodKeirston Taylor ManchesterNichole Tonnesen MilfordRachel Trombley MilfordCarol Turgeon NewfieldsPamela Urick BedfordJulianne Van Kalken WeareSusan Vonderheide NashuaStephanie Wakim SalemMichelle Waterstrat ManchesterSarah Wesley NashuaBrenda Wingate NashuaKristen Wise GoffstownLauren Wolf PortsmouthCarolyn Wright WalpoleCarol York Goffstown
Their StoriesAre Our Stories.
BETTER OUTCOMES AT WORKwww.healthsouthconcord.com
TM
Due to our continued growth, we are always on the lookout for exceptional individuals to join our nursing team. If you are just starting out, or are a current nurse interested in a career in rehab, we have opportunities for you.
At the HealthSouth Rehabilitation Hospital of Concord, we achieve better outcomes by providing our employees with what they need to grow and advance in their profession. Learn more about the difference you can make in your profession as a member of our collaborative team.
Achieve better outcomes for your patients and career by joining the HealthSouth Rehabilitation Hospital of Concord, where we combine superior resources and support to impact your career growth, and the lives of those we serve. We are a 50-bed facility specializing in comprehensive inpatient and outpatient rehabilitation.
Page 6 • New Hampshire Nursing News April, May, June 2017
Legislative Town Hall Forum continued from page 1
commission to study current procedures for involuntary commitment received the highest number of votes, at 50 (out of 112). The next two bills receiving significant support were HB 321/HB250 (they were presented together), receiving 17 votes and HB 264 receiving 12 votes. Members can follow the progress of these bills and any newly proposed legislation on the NHNA website ADVOCACY page, updated weekly.
As Nursing News goes to print the status of some of the bills as been updated including:
HB 208 (Commission to study current procedures for involuntary commitment) was amended by the Hours HHS Committee to add an RN to the commission, to be appointed by the NHNA.
HB 242 (Changing the definition of E-Cigarettes) was passed, as amended, in the House on 2/9/17, with 197 votes in favor and 98 opposed.
HB 264 (Establishing a commission to study oral contraceptives OTC) was amended to add an RN to the commission as appointed by NHNA.
HB 279 (Eliminates ban on smoking indoors on private property) will continue in Executive Session on 2/14/17 at 1:30 (LOB 302).
The Commission on Government Affairs encourages any member of NHNA to call or write to their representatives on these or any other proposed bills. Reiterating the words of President Bagley: NURSES CAN AND DO MAKE A DIFFERENCE!
NHNA Town Hall Forum Participation Sites
Catholic Medical CenterCheshire Medical Center
Cottage HospitalDartmouth Hitchcock Medical Center
Elliot HospitalNashua Community College
New Hampshire HospitalRivier University
Southern New Hampshire Medical CenterSpear Memorial Hospital
St. Joseph HospitalWentworth-Douglas HospitalUniversity of New Hampshire
There was a buzz at each of 13 sites during the 2017 Town Hall Forum. Here are a few of the comments from participants:
ü I found this program very informative. As a practicing RN and NP student I found the bills discussed to be applicable and important to NH citizens.
ü I was very interested in learning more about the process and what we are facing moving forward with issues in nursing and what challenges we are facing in the future with shortages and budget issues.
ü Great review of bills. Appreciated stories of inspiration and encouragement.
ü Excellent discussions, explanation of bills.
ü It was beneficial to hear a review of each piece of legislation. I felt more informed than ever.
ü This was very informative! I will definitely read more about these bills.
ü Great collaborative forum for regional dialog.
ü This program has helped me to learn how to become involve in the legislative process.
ü Thank you. It is good to hear about pressing issues. It would be good to have updates on these at least weekly. [Ed Note: Check the NHNA website for weekly updates!]
ü Great opportunity to learn more about the legislative process, what impacts health care and nursing. Appreciate information about each bill.
ü Very informative. Good opportunity to ask questions. Went very smoothly!
ü As a student nurse, I truly benefited from this program. Previous to this program I was unaware of the crisis involving mental health. It allowed me to see the roles nurses have in our community. It really shows that nursing goes beyond the bedside. Being involved in a state decision is so important and all students should be involved.
ü Informative about the legislative process. Great hearing from individuals supporting or explaining the bills. Provided enough time for responses by attendees.
NHNA Town Hall ForumParticipants Weigh In
ü Very convenient!
ü This forum has helped me understand the meaning of these bills more in depth. It showed the importance of change within the health care system.
ü This program was helpful in opening my awareness to bills that are relevant to the nursing profession at this time.
ü Excellent discuss of the nurses role in health policy and advocacy. Well organized. A great explanation of bills of interest.
ü I found it very interesting to hear the professional opinion of people from all different hospitals. It was also very helpful to listen to the group discussion at the end of the program.
ü This program was very educational and was a great way to be updated on current events and crises in NH. It was a great opportunity to hear other RNs opinions on current matters.
ü This program really opened my eyes about the depth of these bills and what measures need to be taken in order to make these bills effective.
ü As a novice RN, I find myself often pondering NH state policy/procedures of practice as well as how to make a difference in issues I see such as short staffing. After attending the NHNA forum I am very interested in learning more about how to fix issues in nursing through the use of legislature. I am interested in following bills about the nurse staffing shortage, state mandated patient staff ratio would greatly improve patient safety.
ü I really appreciate the information, which is instrumental in supporting my possible involvement in the legislative process. I intend to participate in some way. Great speakers! Really knowledgeable. I will share this information with my nurse colleagues.
ü Provided good overviews of how nurses can contribute to the legislation of bills and policies that affect both nurses/the profession and the general public. Good discussion of and orientation to current bills being legislated at this time.
ü Our NHNA has always done a great job with this activity! Thank you!!
The National Council of State Boards of Nursing released Guidelines for Nursing Delegation in 2016. The new guidelines seek to clarify the difference between “assignment” and “delegation.” The delegation process requires collaboration and communication among everyone involved, including nursing leadership of the organization. The Guidelines can be accessed at www.ncsbn.or/1625.htm.
Employer/Nurse LeaderResponsibilities
• Identify a nursing leader• Determine nursing responsibilities that can be delegated, to whom, and what circumstances• Develop delegation policies and procedures
• Maintain competence for delegated responsibility
• Maintain accountability for delegated activity
Licensed NurseResponsibilities• Determine patient needs and when
to delegate• Ensure availability to delegates• Evaluate outcomes of and maintain
accountability for delegated responsibility
PublicProtection
Training and Education
Two-way Communication
Communicate information about delegation process and delegate competence level
The Department of Veterans Affairs Medical Center, White River Jct., VT is recruiting for the following nursing positions:
All positions offer competitive salary rates and excellent benefit packages. Nurses employed full time are eligible for 5 weeks paid vacation, 13 sick days and 10 federal paid holidays annually. For more information and how to apply for any of the positions above, please go to www.vacareers.va.gov or submit
April, May, June 2017 New Hampshire Nursing News • Page 7
Humor meEd Note: Regularly exercising our sense of humor improves resiliency, positivity and balances anti-negatively. Laughter may not solve problems but can change your chemistry allowing you to
face them anew. “Humor Me” offers quips and stories to help you see things differently. Submissions are welcome.
With utmost respect for all of our new 2017 graduates-Welcome to the profession!
What is the difference between a new grad and an experienced nurse?
A Graduate Nurse throws up when the patient does.An experienced nurse calls housekeeping when a patient throws up.
A Graduate Nurse charts too much.An experienced nurse doesn t́ chart enough.
A Graduate Nurse loves to run to codes.An experienced nurse makes graduate nurses run to codes.
A Graduate Nurse keeps detailed notes on a clipboard.
An experienced nurse writes on the back of their hand, paper scraps, napkins, etc.
A Graduate Nurse can hear a beeping IV pump at 50 yards.
An experienced nurse can t́ hear any alarms at any distance.
A Graduate Nurse loves to hear abnormal heart and breath sounds.
An experienced nurse doesn t́ want to know about them unless the patient is symptomatic.
A Graduate Nurse spends 2 hours giving a patient a bath.
An experienced nurse lets the CNA give the patient a bath.
A Graduate Nurse looks for blood on a bandage hoping they will get to change it.
An experienced nurse knows a little blood never hurt anybody.
A Graduate Nurse expects meds and supplies to be delivered on time.
An experienced nurse expects them to never be delivered at all.
A Graduate Nurse doesn t́ find this funny.An experienced nurse does.
An old man, Mr. Wallace, was living in a nursing home. One day he appeared to be very sad and depressed. Nurse Jane asked him if there was anything wrong, “Yes, Nurse Jane,” said Mr. Wallace. “My Private Part died today, and I am very sad.” Knowing her patients were a little forgetful and sometimes a little crazy, she replied, “Oh, I’m so sorry, Mr. Wallace. Please accept my condolences.” The following day, Mr. Wallace was walking down the hall with his Private Part hanging out of his pajamas. He met Nurse Jane. ‘Mr. Wallace,’ she said, “You shouldn’t be walking down the hall like that. Please put your Private Part back inside your pajamas.”“But, Nurse Jane I can’t,” replied Mr. Wallace. “I told you yesterday that my Private Part died.”“Yes,” said Nurse Jane, “you did tell me that, but why is it hanging out of your pajamas?”“Well,” he replied, “Today is the viewing.”_ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A nurse caring for a man from Kentucky asked, “So how’s your breakfast this morning?”
It’s very good, except for the Kentucky Jelly. I can’t seem to get used to the taste,” the patient replied. The nurse asked to see the jelly and the man produced a foil packet labeled “KY Jelly.”_ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A mechanic was removing a cylinder-head from the motor of a Harley motorcycle when he spotted a well-known cardiologist in his shop. The cardiologist was there waiting for the service manager to come take a look at his bike when the mechanic shouted across the garage “Hey Doc, want to take a look at this?”
The cardiologist, a bit surprised, walked over to where the mechanic was working on the motorcycle. The mechanic straightened up, wiped his hands on a rag and said, “So Doc, look at this engine. I open its heart, take the valves out, repair any damage, and then put them back in, and when I finish, it works just like new.
So how come I make $25,000 a year, a pretty small salary and you get $160,000 when you and I are doing basically the same work?”
The cardiologist paused, smiled and leaned over, then whispered to the mechanic...
“Try doing it with the engine running!”
In my OpInIOn
Susan Fetzer, PhD, RNEditor, NH Nursing News
According to the American Cancer Society, New Hampshire ranks second behind Massachusetts in the prevalence of colorectal cancer screening (74.7 % vs 75.6%) among those over 50. Yeah for the routine colonoscopy! It is estimated that 10 million people get one each year. The dreaded procedure has gotten less arduous for most because of the newer preps and the use of propofol for anesthesia. Anesthesia, colonoscopists and nurses work as a team to provide an uneventful procedure and a smooth, quick recovery. But enter the insurance industry who is very concerned about their bottom line and not your bottom!
A study published in the March 20, 2012, issue of the Journal of the American Medical Association (JAMA) reported that the use of full anesthesia for colonoscopy procedures is adding $1.1 billion annually to medical costs. Propofol is considered full anesthesia because an anesthesia provider must be present. The authors went on to note that full anesthesia for colonoscopy occurs in 59 percent of the procedures in the northeast versus only 13 percent in the west. As of the first of the year, many insurance companies have indicated they will no longer routinely cover the use of propofol for low-risk patients, American Society of Anesthesia (ASA) ratings 1 and 2. So for you healthy folks, you will be getting the cheap alternative, IV conscious sedation administered by an endoscopy nurse. (Propofol may still be covered for obese or ASA 3 and 4, high risk patients.)
But is there a cost savings? Propofol anesthesia requires the drug ($1.00-2.00 per ml) and a nurse anesthetist at $105.00/hr. Moderation sedation requires fentanyl ($.50 – 1.00/mg) and midazolam ($0.20/mg) and a dedicated endoscopy nurse that is ACLS qualified at $43.00/hr.
If that is all that is considered, moderation sedation is certainly advantageous. But what has not been considered is time and efficiency. Propofol anesthesia is quick onset, quick recovery (5-10 minutes) with fewer potential side effects. Propofol anesthesia is a more efficient use of the endoscopy suite and personnel. More patients can be scheduled and patients can be discharged sooner from the recovery area.
Moderate sedation requires a “guesstimate” on dosage, and the onset of action is not as fast. The procedure may need to be paused to “top off” the sedation. While the half-life of fentanyl is only 10-20 minutes, midazolam is longer at 1-3 hours. The endoscopy suite must be staffed by two nurses, one to administer and monitor the conscious sedation and one to assist the patient during the procedure. The conscious sedation nurse must be trained and certified, as well as the colonoscopist.
And let’s not forget patient satisfaction. Some folks get pretty nauseated with narcotics, and the amnesia with midazolam can be predicted. Will folks who have had propofol for their routine colonoscopy be satisfied if they are given conscious sedation?
I had a dentist once who decided that music therapy was akin to Novocain. I was 9 years old and had a cavity. The head set of classical music did nothing to attenuate the pain that I felt as he was drilling. I was traumatized, and to this day have sweaty palms whenever I have to go in for routine dental cleaning. Unfortunately, a bad experience with a colonoscopy would likely impact the prevalence of colorectal screening.
In my opinion, the insurance dictates have gone too far. It is time for nurses to stand up and be counted. In the least, we must educate patients as to what is in their best welfare.
From Top to Bottom
Susan Fetzerr
Registered NursesCome Live, Play and Work in Beautiful Picturesque Maine
We are looking for RNs to help us provide one-on-one care to patients recovering from various medical conditions. Current State of Maine RN license is required, clinical experience and/or Home Health care experience is a plus. CHCS is offering you the opportunity to obtain acute care experience as you begin your nursing career. Newly licensed RNs are welcome to apply.
Community Health and Counseling Services (CHCS) has been providing Home Health and Hospice services for the past 40 years. Our service excellence has earned us a Medicare 4-Star Rating; and for 3 consecutive years CHCS has been recognized as
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identity, national origin, disability, genetic information, protected veteran status, Or any other classification protected by federal, state, or local law.
Page 8 • New Hampshire Nursing News April, May, June 2017
Jessica Thonis, RN has set standards high as the first nurse at Elliot Hospital to attain her Trauma Certified RN (TCRN) certification! This is the second certification that Jessica has received in the last year - the first was her CCRN. Ada Rembisz, the Trauma Program Manager, noted “Nurses obtaining
certifications such as TCRN will continue to perpetuate our outstanding level of care. Being a trauma center requires the entire culture of the hospital to be focused on the care of injured patients. By becoming certified, Jessica has helped contribute to this culture.”
Susan Rolls, RN was honored as Portsmouth Regional Hospital 2016 Employee of the Year. Rolls has practiced at Portsmouth in the IMCU since 2000 and for HCA since 1989. Some of her colleagues said of Susan: “She exemplifies commitment to quality and service. Her integrity towards her patients is second to none.” Susan gives 100% every day.”
Pictured from left to right: Krystal Atkinson, Chief Nursing Officer; Kerry Merz, RN; Susan Rolls, RN; and Megan Gray, RN.
Three Cheshire Medical Center nurses have been recognized. Michelle Langhoff, RN, Risk Management was the recipient of the President’s Service Excellence. Individuals honored by this award are nominated by their co-workers as those who exemplify extraordinary service to others characterized by compassion, courtesy, responsiveness to the needs of others, and a positive team attitude. Terri Johnson, RN, Clinical Leader, Family Medicine and Laurie Tindell, RN, Clinical Leader were honored with the Leadership Award that recognizes employees who exhibit outstanding leadership qualities as demonstrated by excellence in caring, character, commitment, competence, and communication. Both practice as nursing supervisors.
NCLEX ReconsideredEd Note: Where it has been a year or years since you too the NCLEX (AKA “Boards”), how well would you do now?
1. A client diagnosed with viral hepatitis develops liver failure and hepatic encephalopathy. Which of these measures should the healthcare provider include in this patient’s plan of care? (Select all that apply)a. Monitor blood glucoseb. Monitor protime (PT)c. Institute droplet precautionsd. Assess deep tendon reflexese. Provide high-protein feedings
2. A patient with severe COPD presents to the emergency department and the following blood gases are obtained. Based on these findings, what is the priority action of the nurse?
pH = 7.34, PaO2 = 80 PCO2 = 47, HCO3 = 28
a. Administer oxygen a 4 L/min via maskb. Administer an IV corticosteroidc. Perform vigorous suctioningd. No action is required at this time
3. A 55-year-old male has a myocardial infarction requiring admission to the hospital. He is being treated with an anticoagulant. The healthcare provider would be most concerned about which of the following:a. Trouble sleepingb. Nauseac. An elevated creatinined. Purpura
4. A client who has tested positive for the human immunodeficiency virus (HIV) arrives at the clinic with a report of fever, nonproductive cough, and fatigue. The client’s CD4 count is 184 cells/mcL. How should the healthcare provider interpret these findings?a. The client is now in the latent stages of HIV
infection.b. Findings provide evidence that the client has
seroconverted.c. This is an expected finding because the client
has tested positive for HIV.d. The client is diagnosed with AIDS.
5. A patient diagnosed with schizophrenia is experiencing visual and auditory hallucinations. These symptoms are related to brain function alterations in which of these anatomical areas of the brain? (Select all that apply)
a. 1b. 2c. 3d. 4
Answers can be found on page 13
On February 1, 2017, Frisbie Memorial Hospital nurses launched a new state-of-the-art, fully integrated electronic health record (EHR) system (Meditech).
Hannah Sharp, RN a clinical nurse leader (CNL) presented at the CNL Summit: Building on Success - Leading Innovation and Achieving Results in February 2017 in Atlanta, Georgia. Her paper titled “A Focused Multidisciplinary Team Approach to Improving Communications about New Medications” was part of the Innovation series (Abstract below). Sharp practices at the Elliot Hospital.
A Focused Multidisciplinary Team Approach to Improving Communication
about New Medications
Hannah Sharp, RN, MSN, SNL
Patient knowledge of new medication contributes to optimal outcomes, decreased readmissions, improved satisfaction and potential to earn back CMS withholdings. A Clinical Nurse Leader (CNL) and Director of Pharmacy utilized LEAN methodology to lead an interdisciplinary team of inpatient and outpatient representatives, including members from the Patient Advisory Committee, to improve communication with patients about new medications.
Using A3 Methodology the team was able to identify gaps, determine the root causes and develop countermeasures. The root causes identified were: lack of consistent process to identify and flag medications as new, no structured education process, and bedside RNs lacked confidence in communicating with patients about potential medication side effects. Messages about medication indications and side effects were inconsistent across the continuum of care and most education occurred at the time of discharge.
A solutions workshop was held to develop interventions. Potential solutions were plotted based on effort/benefit and the team defined how each potential solution could be operationalized. Implemented solutions included leveraging technology within the electronic MAR (EPIC) to ensure consistency of messaging re: potential side effects throughout the hospital stay and across the care continuum, standardization in post-discharge phone calls and visual aids for patient care boards.
Results demonstrate a sustained increase in positive responses to survey questions about medication communication. For those considering similar work, we recommend utilizing methodology such as LEAN to organize work and prevent scope creep. Involvement of patients and disciplines from different points along the care continuum is essential.
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For a full listing of available positions and tocomplete the online application, visit the Employment
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NVRH offers competitive wages, shift differentials, per diem premiums and a generous benefits package for PT and FT
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April, May, June 2017 New Hampshire Nursing News • Page 9
The American public has again ranked nurses as the professionals with the highest honesty and ethical standards, according to a recently Gallup poll. The annual poll marks the 15th consecutive year that nurses have been ranked the most trusted out of a wide spectrum of professions, including physicians and police officers. According to the poll, 84 percent of Americans rated nurses’ honesty and ethical standards as “very high” or “high.” The next closest profession, pharmacists, was rated 17 percentage points behind nursing.
“Every day, millions of nurses are on the front lines in the fight to improve the health of all Americans,” said Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, president of the American Nurses Association. “Whether nurses are by the bedside or in the board room, we continue to be a trusted resource and a
vital part of our nation’s health care system. This poll reflects the trust the public has in us, and we’ll continue to work hard to keep that trust.”
“Trust plays an important role in the relationship between nurses and the patients we serve,” said Cipriano. “ANA encourages nurses to draw on that trust to engage with consumers to improve their health and to advocate for patients and for the quality of care in this country. Additionally, I challenge those charged with making health policy at the facility, local, state and national levels, to include the trusted voice of nurses at the decision-making table. Based on this survey, no other profession is held in as high regard by the public. And given nursing’s frontline perspective on health care delivery, we offer a point of view that is unmatched.”
NURSESO N T H E M O V E
Gay Landstrom, former Chief Nursing Officer at Dartmouth Hitchcock Medical Center and Mt Ascutney Hospital in Vermont has returned to Michigan as the CNO of St. John Providence Health System, and its six hospitals. Landstrom was appointed DHMC CNO in July 2014 and the interim chief executive officer of Mr. Ascutney in 2016. Landstrom said she
had expected to remain at Mt. Ascutney for four to six months and then resume her full-time role as a D-H nursing executive, but the recent death of her father had prompted her to return to her home state to be closer to her family.
Karen F. Clements is serving as interim chief nursing officer at Dartmouth Hitchcock Medical Center upon the departure of Gay Landstrom and during a search for Landstrom’s replacement. Clements served as acting chief nursing officer for the D-H system while Landstrom was the interim CEO at Mt Ascutney Hospital. Clements obtained a BSN from the
University of Maine and took a direct commission to the Army Nurse Corps. She spent four years active duty and seven years in the reserve during Desert Storm. An emergency and trauma nurse, she returned to Maine and practiced at the Eastern Maine Healthsystem. She was appointed as CNO for the Acadia Hospital a 100 bed freestanding psychiatric hospital in 2011. She relocated to DHMC in January 2014 where she was appointed Director of Emergency Services and Patient Placement. Ms. Clements obtained her Master’s in Business from Husson College and has earned the Fellow status from the American College of Healthcare Executives.
Jean Francis was named Chief Nursing Officer of HealthSouth Rehabilitation Hospital in Concord. Francis obtained a diploma in nursing at Humber College of Applied Arts in Ontario, Canada and studied advanced patient care before completing a diploma in critical care at St. Lawrence College in Kingston, Ontario. She also holds a BSN from the University of New
Hampshire and a master’s degree in management and healthcare administration from New England College. Her previous positions include CNO at the 50 bed HealthSouth’s hospital in Parkersburg, West Virginia. She was most recently the Vice Preside of Clinical Operations at the Concord Regional VNA.
Effective January 18, 2017, the U.S. FDA has leveled a ban against powdered surgical and examination gloves,
as well as powder used to lubricate gloves. This ban is intended to reduce these risks, providing an estimated net public health benefit of up to $31.8 million annually.
Despite the many risks, the only benefit associated with powdered gloves was determined to be easier application and removal as well as slightly enhanced comfort. These benefits were found to be strongly outweighed by the numerous health risks to both patients and medical professionals. The ban, proposed on March 22, 2016, was confirmed on December 19, 2016, and will come into effect on January 18, 2017.
All powdered surgical and examination gloves (as well as powder for lubrication of medical gloves) currently stocked in manufacturing facilities, hospitals, clinics and any other location are required to be disposed of as dictated by local solid waste management protocols. The FDA has concluded that this will not significantly impact the environment.
This ban does not apply to powdered gloves for use in food preparation, or for those used for protection
during radiography. The ban does not apply to other medical devices, such as condoms, and does not apply to non-powdered gloves that use powder during the manufacturing process.
Non-powdered gloves must have no more than 2 milligrams of powder per glove in the final product, as per the FDA’s 2008 Medical Glove Guidance Manual. The FDA will reclassify the descriptions of surgical and examination gloves in regulatory documents to include only non-powdered gloves.
Powdered Gloves Banned“In aggregate, the risks of powdered gloves include
severe airway inflammation, hypersensitivity reactions
Page 10 • New Hampshire Nursing News April, May, June 2017
2017: Spotlight on Nursing TodayNew Hampshire Nurses’ Association, Commission on Nursing Practice invites you to join us for an evening educational event. Come explore current topics in nursing and enjoy light refreshments, while networking with colleagues.
Date: Thursday, June 15, 2017
Time: 6 pm – 8:30 pm
Where: Granite State College (Event Center) 25 Hall Street, Concord, NH
Cost: $15 (includes refreshments)
Registration: www.nhnurses.org Register soon as space limited!
Contact hours will be provided upon successful completion of the activity. The Northeast Multi-State Division is accredited as a Provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Nurses Giving Back: A collection box will be at the event. Please bring an item for The Friendly Kitchen in Concord, to help the hungry. Please see their website TheFriendlyKitchen.org for a list of needed items, such as coffee, sugar, liquid dish soap, etc.
“Challenging the Stigma of Substance Use Disorders”
Speaker: Aita Vonceil Romain, MPH, CPSSubstance Misuse Continuum of Care Facilitator,
Community Health DepartmentDartmouth-Hitchcock Medical Center
Why does stigma exist? How does the media portray individuals who are addicted
to alcohol and other drugs? What are the benefits of adopting person first language.
Medical MarijuanaWhat NH Nurses Need to Know
Speaker: Lisa C. Withrow APRN, NP-C, ACHPN Family Nurse Practitioner at Palliativity Medical
Group in Bedford
In April 2013, a bill concerning Therapeutic Cannabis was passed, and became a law
several months later. Do you know what the qualifying patient conditions and symptoms are? Did you know the locations of the four dispensaries? Learn about NH DHHS, the
registry, patient ID cards and the patient’s care steps. Learn more about your role in providing care, potential drug interactions, and uses of
medical marijuana in palliative care programs.
Please visit our websitewww.nhnurses.org
for updates and registration closer to the event.
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April, May, June 2017 New Hampshire Nursing News • Page 11
Recertifying? Renewing your License?ONLINE CEU’s for Nurses
The American Nurses Association has established the Nursing Knowledge Center providing workshops and online webinars among other services. The American Nurses Association Center for Continuing Education and professional Development is accredited as a provider of continuing education by the American Nurses Credentialing Center’s Commission on Accreditation, Provider Number 0023.
To enroll in new courses: 1. Go to https://learn.ana-nursingknowledge.org. 2. On the home page, search for courses by keyword, subject area, one of our six
product categories or other helpful filters. 3. Select the course you want to participate in, and click on the button on the course
description page. Each screen contains the information you’ll need to proceed from your shopping cart to the checkout page.
4. Before you check out, the system will ask you either to log in (with your current membership credentials) or to create a new account for the new ANA learning management system. NOTE: Creating this account does not make you a member of ANA, and no fees or dues are associated with this account. Remember your login credentials, as you’ll need them in the future to access your courses.
5. When you have completed your purchase, click on the link “Click here to access your New ANA Nursing Knowledge Center is Up and Running training now.” A page that lists everything you have purchased in the new system will appear under the heading “My Courses.” This is your new personal home page. You will receive an email with instructions on how to access your course, in case you are not ready to start right away.
6. When you are ready, click on the title of the course to begin. If you need assistance at any point in this process, do not hesitate to contact the support team at (866) 826-8746 or [email protected].
Hate Meetings?Estimates indicated that nearly 60% of professionals spend up to two hours in meetings each day. If you are a manager, it could be as much as half of your day is in meetings. Meetings can bring together different perspectives and experiences with the ability to solve complex problems. The effectiveness of bedside rounds is a prime example of the benefits of meetings. But what if the meetings grow in length, or number? It can be too much of good thing! Attention to the 3 P’s of meetings may help your next event be more efficient.
P = PurposeMeetings should have a clear aim and not be a quick reaction to a problem. Can you state the purpose in one sentence? Asking the following questions can help.
• What do I hope to accomplish as a result of this meeting?• Can reaching this goal be achieved in any other way?• Does this topic require a variety of perspectives and points of view?• Do I already know the answer or have a plan that I’m just trying to get others to
support?
Sharing information can be done in many ways, most are more productive and efficient than a meeting.
P= PreparationThe leader and participants should come to a meeting prepared to think, review and share information. Detailed agendas, distributed in advance, add to efficiency. Agendas should reflect the time to be spent on each issue and the decisions to be made.
P= Physical SpaceLocation-location-location! The location and how you arrange the location can influence the effectiveness of your meetings. Stand up meetings encourage shorter meetings. Classroom style creates a sage-on-the-stage meeting and less likely to encourage outside the box solutions.
The 3 P’s of meetings will lead to Participation and a Productive use of valuable time. Love them or hate them, meetings are here to stay.
Page 12 • New Hampshire Nursing News April, May, June 2017
In memory of our colleaguesThe New Hampshire Nurses Association honors the memory of and acknowledges the work of deceased nurses who have graduated from New Hampshire nursing schools or who have actively practiced in New Hampshire during their career. Sharing the names and information about these nurses is one way we honor their contribution to the profession. Brief submissions are welcome.
Nurse EducatorEvelyn Pearl (MacKenzie) Fitzpatrick, 88, passed away, November 4, 2016. She received Bachelor and Master’s degree in Nursing from Boston University and practiced in Portsmouth and Dover. Her passion for nursing led her to become an Associate Professor at the University of
New Hampshire and Professor at the New Hampshire Technical College, now Great Bay Community College. Evie loved her students and was proud of their career successes and commitment to their patients.
Exeter Nurse
Agnes Lee Palmer, 79, died November 9, 2016, after a long and courageous battle with Parkinson’s disease. Born Ontario, Canada, she graduated from the Toronto General School of Nursing in 1958. She practiced at Exeter Hospital.
Concord Nurse
Vicky Rosenberg, 62, passed away unexpectedly November 11, 2016. Obtaining her RN license in Iowa she practiced at Concord Hospital.
School NurseRachel (Lanzo) Higgins passed away November 13, 2016. She was a diploma graduate of the Elliot Hospital School of Nursing in Manchester and in 1975 she graduated from New England College in Henniker with a B.S. in Psychology/Sociology. She began her nursing career
at Concord Hospital. In 1967 she practiced as a school nurse in the Concord School District until her retirement.
State Nurse
Susan (Melendy) Pirnie, 64, passed away November 13, 2016. She practiced as a RN for many years for the State of NH Department of Health and Human Services until her retirement.
Navy VeteranKathleen “”Kathy”” Sherman, 60, died November 13, 2016. Born in New York she served her country for 20 years as a nurse in the U.S. Navy. She earned her master’s degree in nursing from Franklin Pierce University and
practiced at the VA Medical Center in Manchester, as the Health Promotion, Disease Prevention Program Manager.
OR NurseChristine L. Cricenti, 92, died November 17, 2016. At the age of 32 she gave up the family grocery business, went in training to be a nurse, graduating from Moore General Hospital
School of Nursing. After graduation, she practiced in the O.R. at Moore General and then New London Hospital. Prior to retirement she practiced in the New London Hospital Extended Care Unit.
OB NurseKatherine M. (LeConte) Holmes, 67, died November 23, 2016. Obtaining her BSN in Maine she practiced nursing in Labor and Delivery at Wentworth-Douglass Hospital in Dover, and later in the Birthing Unit at York Hospital for 20 years, until her retirement in 2012.
CMC LPN
Jean Marie Gagne, 79, passed away November 20, 2016. She worked at Catholic Medical Center as a LPN for over 25 years.
VA NurseBeverlee Ann (Cronin) Ross, 56, passed away December 2, 2016 with cancer. She earned her bachelor’s degree in nursing and practiced as a Registered Nurse at the Manchester VA for over 27 years and more recently Southern NH Regional Medical Center in Nashua.
Manchester Nurse
Phyllis Rose Abbott, 85, died unexpectedly December 5th, 2016. Prior to retirement, she had been employed as a registered nurse for many years, most recently at the Sisters of Holy Cross Health Care Center in Manchester, NH.
NHTI NurseJudith Ann Sullivan, 52, died unexpectedly Wednesday, December 7, 2016. Judy graduated from Keene State College with a degree in Psychology, and from NH Technical Institute with a degree in nursing. She practiced as a registered nurse for many years at NH State Hospital
and the Merrimack County Nursing Home.
Littleton NativeGlenn Moore McKinnon, 87, passed away December 12, 2016. A Littleton native she graduated from Elliot Hospital School of Nursing in Manchester and practiced for over 40 years.
Elliot GradElizabeth “Betty” (Driscoll) Lavigne, 95, died December 16, 2016. She was a 1943 graduate of the Elliott Hospital School of Nursing, and practiced there for 36 years. Later she was an office nurse for Dr. Foster at the Keene Clinic. She retired from nursing in 1979.
Public Health Nurse
Elizabeth “”Betty”” Allene Burtt, 90, passed away on December 18, 2016. She practiced public health nursing for the State of New Hampshire.
Pedi Nurse
Robin Gray, 60, passed away on December 18th, 2016. She was a 1988 nursing graduate of Saint Anselm College in Manchester. She worked in a wide variety of nursing venues, finishing her challenging career as a pediatric nurse.
Gero LPNJanice M. (Viggiano) Beauchamp, 55, passed away December 20, 2016. She received her LPN Nursing license in 1983 and worked primarily caring for the geriatric population in Manchester. In 2001 Janice opened her own nursing agency, Overnight Staffing LLC and
operated that for close to 10 years. In her recent nursing career before her illness, she worked at Riverwoods in Exeter.
Nurse CenterianJohanna V. (Graffert) Pinkham, 102, died December 22, 2016. She received her diploma from the Wentworth Hospital School of Nursing and practiced at WDH. She also practiced at the University of New Hampshire in Health Services.
ER NurseJean Dineen, 73, died December 28, 2016 from injuries sustained in a motor vehicle accident. A 1976 graduate of the Concord Hospital School of Nursing Class she went on to earn her Bachelors of Science in Nursing. Jean retired from a career of almost 25 years at Concord
Hospital where she was well known for her work in the ICU, CCU and the Emergency Room. She was a founding member of the Bradford Rescue Squad and spearheaded fundraising for Bradford’s first ambulance. She was instrumental in helping save many lives with the rescue squad and received a citation from the Governor for her efforts during the Hopkinton State Fair disaster.
Concord Nurse
Catherine C. Dowd, 64, died December 30, 2016. After relocating to New Hampshire, she began a 29 year career at Littleton Hospital, before working at Concord Hospital for more than 12 years before her retirement.
Nurse ManagerArlene Theresa (Picard) O’Leary passed on her 88th birthday, December 31, 2016. After obtaining a diploma degree she then went on to receive her Bachelor of Science in Nursing from St. Anselm College. Her nursing career spanned over 45 years and it was her passion for
helping others that made her the best at what she did. Some of her positions included Director of Nursing at Fairfax Hospital in Fairfax, Va.; Nurse Manager at St. Joseph’s Hospital and Nurse Manager at the former Brookside Hospital in Nashua, where she worked until her retirement.
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April, May, June 2017 New Hampshire Nursing News • Page 13
In memory of our colleagues
Midwife-Legislator-AuthorCharlotte Agnes (Theriault) Houde Quimby, passed away unexpectedly at age 78 on January 7, 2017. A Nashua native she graduated from St. Anselm College cum laude in 1960 with a BS in Nursing, among the first generation of university educated
nurses. She married Robert Joseph Houde, St. Anselm 1960, and began her personal and professional life in the age of Kennedy’s Camelot. She became a maternity nurse at the Central Maine Medical Center. After having six children of her own, she committed herself to ensuring that pregnant women had the most satisfying experience possible when delivering their babies. She made this her life’s mission. She was accepted to the Yale School of Nursing and earned her Master of Science in nursing degree and Certified Nurse Midwife (CNM) designation in 1972. At the time, Yale did not offer clinical privileges to CNM’s. Undeterred, Charlotte packed up her six children, the youngest still in diapers, and they all spent the summer in a tent in Stone Mountain Park in Georgia so that she could complete her residency at Grace Hospital. Back in New Haven, the burgeoning women’s rights movement was reflected in Charlotte’s life and work, as women were demanding more input into the decisions around their own deliveries. Charlotte was eager to represent and advocate for women and families and chose midwifery as her path to do so. Charlotte improved care for underserved women throughout New Haven, developing a prenatal program within the Fair Haven Health Clinic as a volunteer. She delivered hundreds of babies at Yale-New Haven Hospital and helped to educate the next generation of nurse midwifes, serving as an Assistant Professor at the Yale School of Nursing from 1973-1978 and chairing the Maternal-Newborn Program for three years. In 1977 she was awarded the Yale University School of Nursing Distinguished Alumna Award for her pioneering work.
In 1983 Charlotte was hired by DHMC in Hanover, to build its new midwifery program from the ground up. She met Tony Quimby, a widower and self-described “gentleman farmer” from Meriden, on a blind date in 1988. After just six weeks, despite concerns from children on both sides that the two were rushing into things, he proposed marriage and she happily accepted. Together they built a home in Meriden that has served as the family hub ever since. She later described the union thusly: “I feel like I’ve walked into a miracle.”
In addition to building the DHMC midwifery program and delivering hundreds of Upper Valley children at DHMC, Charlotte was privileged to witness the births of many of her own grandchildren, a special gift for all involved. After her “retirement” from DHMC in 1990, she still had plenty to give. With intrepid Tony by her side, she spent the next 10 years building programs supporting prenatal care and safe midwifery practices to reduce infant mortality in Senegal, Uganda, Vietnam, and Indonesia. She was a Visiting Senior Associate in 1993/1994 at Emory University’s Lillian Carter Center for International Nursing.
She settled back down in Meriden and decided to pursue change through political means. She was elected to the Plainfield School Board and, later, to two terms as Plainfield’s Representative to the NH State House. She served in the New Hampshire Legislature and received the New Hampshire Nurses Association Legislator’s Award for Outstanding Contribution to Nursing Legislation. Charlotte worked tirelessly for women and families throughout her life. Poignantly, her final achievement in the field was published just last week: “The CenteringPregnancy® Model.” This book represents a fitting capstone to an incredible life story and groundbreaking career. Despite the fact that Charlotte spent an inordinate amount of time caring for women’s bodies, she never lost track of the fact that the key to everything was each person’s heart and soul.
ER NurseMary B. Frohock, 56, died unexpectedly January 14, 2017. A Laconia native she practiced as a RN for nearly 20 years, for the past 14 years at Concord Hospital, and the last 3 years in the Emergency Department. A colleague remembers Mary: “She was well known by all for her
optimism, love for life, and as a truly kind and gentle soul. There were many times when I told Mary that I truly believed she was the most genuinely kind and caring human being I ever met. Mary was such a really solid ER RN, always seemed to flow with the action, never rattled, always calm.” She was also an active CASA volunteer, Yoga teacher and Reiki healer.
Gero LPN
Pauline Yvette (Hubert) Blanchette, 86, died January 14, 2017. Before retiring, Pauline was employed as a LPN at the D’Youville Manor Nursing Home.
Laconia Nurse
Jean E. (Sproule) Bergeron, 65, died January 15, 2017. Her 40 year career included a various hospital environments, with elementary school students and with seniors at St. Francis Rehabilitation and Nursing Center in Laconia.
Pedi Nurse
Deborah Sue (Porcheron) Button, 65, passed away January 16, 2017. Her career as a pediatric nurse included St Joseph’s Hospital, Monadnock Community Hospital, and the longtime School Nurse at the Mont Vernon Village School.
Hospice NurseAnn S. (Kneeland) Hasbany, 77, died January 17, 2017. Ann spent 25 years as an ER nurse at Concord Hospital and then 17 years with the Concord Regional VNA as a hospice nurse.
Franklin NativeAnne Heath Taylor-Allen, 72, passed away January 17, 2017. A Franklin native she was a 1965 graduate of the Concord Hospital School of Nursing and received a BS from New England College in 1983. Anne enjoyed her diverse career working as a nurse at Concord Hospital;
as Head of Learning Skills Center at New England College, and as Intake Coordinator at Riverbend Counseling Center.
LPN
Olivette (Gagnon) Donovan, 71, passed away on January 23, 2017. She worked as an LPN at the Lung Specialists of Merrimack Valley, retiring a few years ago.
School NurseEllen (Fennelly) Williams, 85, died February 6, 2017. Ellen practiced at the New London Hospital and was a school nurse in the Newfound area which included 11 towns. She was the first visiting nurse for the Mascoma Area Health Council and for the Well Child
Clinics. She was the school nurse at Mascoma Valley Regional High School for 19 years retiring in 1992, and a substitute nurse at Cardigan Mountain School for many years.
Industrial NurseEthel F. (Crouch) Mundy, 97, died February 7, 2017. A 1941 graduate of the Elliott Hospital School of Nursing she practiced at the Elliott Hospital and later as an industrial nurse until 1945. She later practiced at Exeter Hospital and PEA infirmary. She continued her work in retirement as a volunteer at Red Cross blood drives.
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Moving Lives Forward
Page 14 • New Hampshire Nursing News April, May, June 2017
ED Note:News from nursing schools,
faculty, students or alumni are welcome. Please direct submissions to [email protected] with NHNN in the subject line.
Manchester Community College Faculty take a
break during the conference.
Chairs of New Hampshire Nursing Programs with Dr. Oermann.
Over 100 nurse educators and staff
development nurses gathered on January 11,
2017 for an Educational Day of Discussion
offered by the Board of Nursing and
cosponsored by Southern New Hampshire
University. The program featured Dr. Marilyn
Oermann a noted nurse educator. Oermann
spoke to the evidence and lack of evidence
for teaching in nursing. Her topics ranged
from student rating scales to writing
assignments, care plans, clinical
conferences, simulation, classroom
flipping and the traditional lecture.
Ann Thomas from the City of
Manchester Health Department
presented the results of the
Manchester Health Improvement
initiative and a Robert Wood Johnson
Foundation Culture of Health prize
winner. Her epidemiology maps
illustrated relationships between
poverty, lead limits, smoking and
routine health visits. Her message
focused on the findings that 40% of
health status is defined by socioeconomic factors
and by 10% of the physical environment.
Amanda Oberlies reviewed the benefits
of joining a professional organization and
presented the mission of the Organization of
Nurse Leaders. Lisa Sundean presented the
importance of nurses on governing boards and
the qualifications required.
Seventy-seven Saint Anselm College sophomore nursing students had their hands blessed on January 20, 2017 during the annual Blessing of the Hands Ceremony. Joined by family and friends, the students, wearing their new scrubs, filed into the Abbey Church buzzing with excitement for this ceremony, which symbolizes the beginning of their clinical practice. The event was sponsored by the Student Nurses Association, Department of Nursing, and Campus Ministry.
April, May, June 2017 New Hampshire Nursing News • Page 15
Jill Reid, MSN-Ed., RN
A few weeks ago, in the midst of a new semester starting and cold weather and snow on the horizon, I boarded an American Airlines flight for my fifth trip to Ecuador for a medical mission trip. In the seats around me sat 13 excited and somewhat anxious students from Manchester Community College as well as my friend and fellow nursing professor, beginning the first leg of our week long venture to help provide healthcare to men, women and children who lack the basic amenities and healthcare we take for granted every day.
Although it was the beginning of our actual journey from our little corner of the world in New Hampshire, over the Andes Mountains and into Ecuador, it was not the start of our journey. We had been planning and preparing for this trip for months; gathering medications, vitamins, reading glasses, toothbrushes and toothpaste as well as fundraising, creating educational materials, and trying to find practitioners to join our team.
We had MCC students of all ages commit to going on the trip, four men amongst the women. Some had travelled abroad before. Some had never left New England. Most were nursing students. One was a student in MCCs automotive program. One had gone on the trip last year. The rest were full of questions about what to expect. What they would see. How it would feel. If it was safe. How they would be able to help others. If they would like it.
What most of them didn’t expect was that they didn’t just like it. They loved it. We worked well as a team, from early morning until evening, loading our bus with medications and supplies each morning, and setting up a primary care clinic in a different location each day. Our clinics came together almost like magic. Our bus would pull down a bumpy road, passing dilapidated homes and buildings, and as soon as it stopped, our
team, including the 15 of us from MCC, five physicians, five young students from the University of Illinois and a handful and translators, would quickly unload our supplies and create a clinic in a church or a community center, or an old school. Locals would be lined up and waiting before our bus even arrived, happy to have the chance to see a doctor, receive medication for an ailment they may have been dealing with for weeks, and carry home a new toothbrush and tube of toothpaste.
Students played an integral part in each day’s clinic. Some days they would work in our makeshift triage and lab areas taking vital signs and performing simple lab exams such as a urinalysis, pregnancy test, or finger stick for capillary blood glucose or hemoglobin levels. Other days they may be providing kids with fluoride treatments, helping someone find an appropriate pair of reading glasses, scribing for one of the doctors, or counting pills and labeling each prescription in Spanish in our suitcase pharmacy. Some days they may have had the privilege to help provide some basic health education or the joy of playing with the children waiting their turn to see a doctor.
As I reflect back on our weeklong journey to help decrease healthcare inequities/disparities in a place where putting bread on the table takes priority over caring for festering wounds or painful back injuries, I realize that the hot shower I thought I so desperately needed and wanted wasn’t as refreshing as the ice cold shower I took when my body was hot and sticky from a day working in less than desirable conditions to provide services to men, women and children who may never take a hot shower. The ‘non-rice, no-bean’ meal I thought I’d avoid for weeks suddenly didn’t seem like food I had twice a day for 8 days, but sustenance to provide for my body; to keep it going so that I could do the work needed to help those who perhaps only get a small portion of rice and beans every day to mollify their hunger.
On our medical mission trip to Ecuador we worked as a true team, and, however small it may be, we made a difference. Each person who chose to go on this trip put aside their busy life for a week; left their family to fend for themselves; spent hard earned money to travel on an unknown adventure, and worked side-by-side to serve those who were born into very different life circumstances. We may have been the ones providing a service to those in need, but the words of thanks, the smiles, and the gratitude in the eyes of those whose lives we touched in our short time in Ecuador will remain with us forever.
Jill Reid is a professor of nursing and a member of the nursing Faculty at Manchester Community College.
Reflections on Ecuador
Page 16 • New Hampshire Nursing News April, May, June 2017
Ed Note: NHNA celebrated 110 years on October 6, 2016. Marilyn E. Bushnell RN, a long term NHNA member constructed a history of the organization. The NH Nursing News is please to reprint her work in installments.
In the first installment the first members of the Graduate Nurses Association of New Hampshire worked to inform legislators and the public of the importance of a nurse’s registration bill before the NH 1907 state legislature. The second part recounted the work to register nurses through examination and establish schools of nursing.
The entrance of the United States into World War I meant that New Hampshire’s nurses along with nurses from all over the country were called upon to do heroic duty. Some served in the armed services at home or abroad. Those who did not enter the service also worked beyond the call of duty on the home front to fill the gaps left by those who had joined the service. Nurses who entered the service, however, served without benefit of official rank and the New Hampshire Graduate Nurses Association aided in the struggle to gain rank for nurses by supporting New York attorney and noted suffragette Helen Hay Greely to Washington to lend her support to other nurses working for this cause.
With the end of the war and the end of the 1918 influenza epidemic New Hampshire’s nurses turned their attention to other matters. This was a time of seeming prosperity – a time when the radio, the automobile, the airplane and movies were coming into their own. We may associate the roaring twenties with the Charleston but the convention programs for the New Hampshire Graduate Nurses Association reflect a serious interest in the responsibilities for citizenship. Papers and lectures were presented on such topics as “Citizenship,” “The Machinery of Political Parties” and “The Process of Enacting Legislation” by individuals knowledgeable on these subjects. Members of the Association were concerned about the health and social problems of the state, the country, and the world. The Association voted to give its support to the Child Labor Amendment and passed a resolution endorsing the World Court.
In 1920 Congress passed a law providing aid to states so that better maternal and child health services might be available. Here in New Hampshire a Division of Maternal and Child Health was organized within the State Department of Health and a Division of School Nursing within the Department of Education. Nurses were now available in all of the state’s schools either
through the local school system or through the state’s Department of Health.
Student nurses had little time for the joys of the short skirts and dangling sequins of this time of the flapper for the atmosphere in most training schools at this time was one of strict discipline and conformity to rules. Definite protocol had to be observed and students always held doors for upper classmen and stood in the
presence of graduates and doctors.
On June 9, 1926 the NH Graduate Nurses Association celebrated its twentieth birthday at its annual meeting in Portsmouth. Papers were presented on private duty nursing, public health nursing, and school nursing and a gala lunch was served. The fledgling organization had indeed come of age. As the Association began its third decade both private duty nurses and public health nurses felt the need of having a place to share their own specific concerns. So a Private Duty Section and a Public Health were organized within the Association.
“The Great Depression” of the thirties brought difficult times for nurses and non-nurses. As the Association celebrated its twenty-fifth anniversary in 1931 it was busy helping its members as well as other nurses who were unemployed. At this time schools of nursing were encouraged to curtail the number of students being admitted as a step toward relieving the oversupply of nurses. Several “Registries” were set up to assist private duty nurses find cases and to help the public find private duty nurses. There were probably several such registries during this time, some of which were approved by the professional association. We know of such registries in Concord, Manchester, and Hanover.
In 1931 there were twenty-two schools of nursing in the state, all of them hospital based. There was one each in Berlin, Claremont, Dover, Exeter, Franklin, Grasmere, Hanover,
Keene, Laconia, Littleton, Portsmouth, Whitefield and Woodsville. There were two hospital schools in Nashua, three in Concord, and three in Manchester. As the Association began its fourth decade of life there was a marked effort within the state to improve nursing education. There was discussion of establishing courses in nursing and allied subjects at the state university. There was also mention of the need for a graduate program of study within the state in order that nursing instructors might be better prepared. But World War II intervened before these and other ideas could be implemented.
Once more a world conflict made its demands upon nursing and nurses. A large number of nurses joined their country’s service and served throughout this country and the world. Once more the nurses who remained at home doubled and redoubled their efforts to provide the nursing services that were needed on the home front. In order to help provide those services nurses aides were recruited, trained, and supervised by professional nurses; home nursing courses were taught; and students were recruited for the Cadet Nurse Corps which came into existence to educate nurses to fill the depleted ranks.
In 1945 there were 753 such students enrolled in the state’s nursing schools. Once more New Hampshire’s nurses rallied to meet a crisis. During the war years the New Hampshire Graduate Nurses Association carried on its activities and did all it could to assist the state’s nurses even to the extent of paying he dues for those nurses in the service who had been members before Pearl Harbor.
A New Hampshire council of Catholic Nurses and the New Hampshire Industrial Nurses Association were formed during the war years and both these groups
affiliated with their national associations.
Next Issue: Legislature Appoints Nursing Education Commission
NHNA – The Beginning – Part III
In 1920 the NH Hospital School of Nursing honored 26 of their alumni who served in World War I with a wooden plaque which is now located at the NH Historical Society. A brass plate reads: “PRESENTED BY N.H.S.H. ALUMNAE AS A MEMORIAL TO OUR NURSES WHO SERVED IN THE WORLD WAR.” Names as follows: Amanda Anderson; Elsie C. Armstrong; Helen L. Blanchard; Ida A. Champagne; Olive G. Eaton; Mary E. Fish; Mary E. Flood; Emma M. Griep; Anna M. Healy; Gertrude I. Jennings; Kathlene W. Johnston; Nettie Kiber; Hilda O. Lawson; Clara B. Locklin; Anna Liberty; Julia M. MacDonell; Nora F. McCarthy; Theresa Murphy; Margaret O’Hara; Daphine W. Perkins; Margaret M. Pierce; Anna A. Skerry; Helen Sutherland; Antoinette Truchon; Catherine F. Wheeler; Ellen Whelton
1933 Private Duty Wages – Hanover, NH
24 Hour Duty $6.00/day12 Hour Duty (day or night) $5.00/dayMental and Communicable Cases $7.00/day
In 1931 New Hampshire had 22 schools of nursing, all of them hospital based.
Daughter of Edward F and Nettie M. (Hussey) Converse, oldest of 7 children, Harriet Converse was raised in New Hampshire and registered by the NH Board of Nursing in 1910. She practiced as a nurse in Concord, NH from 1910 until 1919, living at home in Concord with her parents. In 1920 she was a nurse at Camp Dix (now Fort Dix), New
Jersey and by 1930 at Walter Reed in Washington DC. She retired by 1939. She is buried in Arlington National Cemetery in the ‘nurses section.’
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April, May, June 2017 New Hampshire Nursing News • Page 17
5 Things Ineffective Leaders Love to Say:
Ineffective leaders find fault like it’s the only thing leaders do.
1. I disagree.2. That won’t work.3. We already tried that.4. You’re wrong.5. You should be better at…
The ability to see wrong, point out weakness, highlight mistakes, and declare deficiencies is important and necessary. But don’ts, won’ts, and can’ts stabilize the past.
Warning: It’s safe and powerful for leaders with authority to prevent change, end exploration, and tell people what they can’t do.
5 Things Effective Leaders Love to Ask:
The future belongs to the curious.1. Have you thought about…? Offer
alternatives when you disagree. What if…?2. How about…? Have the courage to make
something better, rather than simply pointing out inadequacy.
3. You’re great at… How can you bring your strengths to this challenge? The future depends on the strengths of the people around the table.
4. How might we make this better?5. What are we trying to achieve and why does
it matter? When you’re ready to point out a fault, ask yourself, “What are we trying to accomplish?”
Leadership 101What Kind of Leader Are You?
The ability to see wrong, point out weaknesses, focus on mistakes and note deficiencies of followers may be important and necessary. But won’t and can’ts keep us in the past. Ineffective leaders are powerful and can prevent change, end exploration and tell people what they can’t do. Effective leaders are curious and asks questions. They have the courage to make something better rather than pointing out the negatives.
Ineffective LeadersI disagree
That won’t workWe already tried that
You’re wrongYou should be better at…
Effective leadersHave you thought about….?
How about…?You are great at….How can we use your
strengths in this challenge?How might we make this better?
What are we trying to achieve and why does it matter?
This is the first in a series of articles by members of the NHNA Commission on Nursing Practice (CNP) highlighting nurse-driven initiatives that focus on improving the quality of patient care. Commission Chair Holly Layton interviewed Eileen Grunwald MS, NEA-BC at Catholic Medical Center (CMC), a 330-bed hospital. It is noted “CMC is one of the Top 50 Cardiovascular Hospitals in the Nation by Truven Health Analytics™ 2015, and The Joint Commission named CMC one of the Top Performers on Key Quality Measures” (www.catholicmedicalcenter.org).
Leading ChangeEileen Grunwald MS, NEA-BC is Director of the Cardiac Medical Unit at Catholic Medical Center (CMC) in Manchester, NH. She started her position 8 months ago on this specialty unit, with over 100 staff members. Grunwald has 30 years of experience in nursing administration. Her previous position was that of Magnet Project Director and nurse manager for an organization. In that role, she attended conferences around the country and participated in three site visits. Grunwald stated, “this position helped set up for best practices. Wearing my “magnet hat” allowed me to consider the innovations brought forth. I champion the bedside nurse.”
First steps of innovation Innovation has strategy behind it, and Grunwald shared the key components of her strategy. Her initial steps included planning and conducting retreats for her staff along with the department educator Heidi Paradis, MSN, CCRN, CCNS. Actually, there were 5 meetings with identical agendas, each 2 hours long, to enable all staff to attend. Staff signed up ahead of time. The meetings were mandatory and included team building exercises. At the retreats, Grunwald asked her team to describe the top three things that could improve patient care. She asked her staff “what is getting in the way of delivering excellent patient care?” and invited feedback. Using a sticker system, they voted on the top three. The opportunities identified by staff centered on teamwork and intra-team communication, and enhancing organizing work and workflow.
Next Steps“We have a shared governance model, and I took the ideas to the Nursing Practice Council for their support. The Nursing Practice Council had been instrumental in customizing the SBAR hand-off we use at change of shift. They have a membership of ten or so, and they got on board right away.” Grunwald outlined her plan for innovations across the unit with her front-line staff.
Changes were implemented on several fronts. The “H shaped floor” was restructured into geographical pods, a concept Grunwald had seen work well in the past. Nursing assignments within pods allowed nurses to work smarter, with more efficient workflow patterns. LNA
work assignments were also customized around the pod concept, and safety initiatives were enhanced.
Work was brought closer to the patients - for example, portable computers on wheels placed in hallways replaced a designated staff charting room. Change of shift hand-off using the customized SBAR was brought closer to the patient’s bedside, allowing for a more organized and efficient work pattern. Communication amongst team members was optimized. The regular updating of white boards in patient rooms, a tool in shift hand-off, encouraged enhanced intra-team communication about patient plan for the day and anticipated discharge date.
Outcomes Positive outcomes of these changes were noted almost immediately by Grunwald. Within two weeks, patient satisfaction scores had improved. The unit is quieter now, in terms of noise reduction. Providers have commented that RNs are more readily available now. RNs are reporting improved job satisfaction.
Formal metrics will be applied to further evaluate outcomes. “We will actually measure the steps staff take during their shift, and see if the POD restructuring has decreased their steps. We are already noting that staff is ending their shift - at the end of the shift, rather than staying later. In fact, they are staying 20 – 30 minutes less on evening shifts. This is important for staff work-life balance and Healthy Nurse™ initiatives,” Grunwald reported. “We’re following Press-Ganey scores, and we are seeing a very positive trend in terms of staff trust and readiness to make a change. Also, we see positive scores in “staff relationship with their manager” items, stated Grunwald, who noted she will continue to track these important outcomes. She plans to monitor HCAHPS patient satisfaction survey results to determine patient perceptions of these transformative innovations.
nurse driven initiativesHighlighting Innovation at Catholic
Medical Center: Cardiac Medical Unit
Members of the Cardiac Medical Unit at CMC pose with Dr. Pepe, Administrator
Page 18 • New Hampshire Nursing News April, May, June 2017
NURSING SALARIESSallie Jimenez
In nursing, salaries increased on average about 1.3% per year from 2008 to the middle of 2014, and since then the rate has gone up 2.6% per year, according to data from the Bureau of Labor Statistics.
The increase in the last two years coincides with a rise in the demand for hospital services, said Peter McMenamin, PhD, a senior policy adviser for the American Nurses Association. As baby boomers are aging and more people have access to healthcare due to federal insurance reform, the need for healthcare services will continue to increase through 2024, according to the BLS. These are some of the reasons the BLS is projecting the nursing employment rate will grow 16% from 2014 to 2024 — much faster than the average for all occupations.
“There are more opportunities than ever for nurses right now,” said Mary Jane Randazzo, MSN, RN, a nurse recruiter at Thomas Jefferson University Hospitals in Philadelphia. “Hospitals are creating roles for nurses in areas such as transplant coordination, urgent care, ambulatory care, clinical documentation and care coordination.”
The BLS also predicts the financial pressures on hospitals to discharge patients quickly will result in more admissions to long-term care facilities, outpatient care centers and home healthcare. “I’m seeing significant growth in home health, case management, hospice, palliative care and health plan assessment nursing positions,” said Mary S. McCarthy, RN, assistant vice president of human resources at MJHS in New York.
By the numbersAccording to a recent report from Medscape, the average gross salary of an RN in 2015 was $79,000, compared with $95,000 for a clinical nurse specialist and $102,000 for a nurse practitioner. The specific averages vary depending on geographic region, and the report showed that RNs in California earned the highest annual salary with an average of $105,000, followed by the Northeast at $87,000. RNs who live in the Southeast and North Central region earn the lowest annual salaries at $74,000 and $69,000 respectively. Although the salaries are higher in California and the Northeast, the cost of living in these regions is the highest in the country, according to 2016 data from the Missouri Economic Research and Information Center. The two states with higher paying nursing jobs combined with a lower cost of living are Michigan and Idaho, according to data from Drexel University in Philadelphia.
According to the BLS, nursing jobs within outpatient care centers command the highest median annual wages, followed by general medical and surgical hospitals, then home healthcare services, offices of
physicians and skilled nursing facilities. Certified registered nurse anesthetists, nurse researchers, mental health nurse practitioners and certified nurse midwives are the four specialties with the highest salaries, according to NurseJournal.org.
In the academic arena, faculty salaries increased about 8% between 2011 and 2015, according to data from the American Association of Colleges of Nursing. In 2015 the mean full-time salary of an assistant professor in the U.S. was $70,000; an associate professor was $83,000 and a professor was $108,000, according to the AACN.
The Medscape report also showed how pay increases were correlated to educational levels. Nurses who completed an RN diploma or associate’s degree program earned an average of $73,000 per year, while BSN nurses earned $79,000. Nurses who had earned a master’s degree averaged $87,000 per year, and those with a doctoral degree earned about $96,000 per year.
“Jobs are not lifetime jobs anymore. There is a lot of movement and you do not need to leave
the company to do this.”
How to be a savvy applicantAlthough salary is important when applying for a new job, Randazzo encourages nurses to find the right time to ask about the numbers. “Don’t ask before the interview,” she said. “Ask during an interview, or when you are offered the position.”
At her hospital, recruiters facilitate open communication about this topic by meeting with applicants to discuss salary and benefits before the interview with the hiring manager. “While applicants want to know about salary, I find that they are often even more interested in opportunities for growth and development, such as tuition reimbursement, mentorship opportunities, nurse residency programs and the culture of the work environment,” she said.
According to the Medscape report, 69% of advanced practice nurses and 49% of RNs received an education allowance or tuition reimbursement in 2015. Nearly 40% of APRNs and 55% of RNs received certification
fee reimbursement that year. Mary Bylone, MSM, RN, CNML, past board member of the American Association of Critical-Care Nurses, believes learning about the work environment is just as important as gathering salary information. She suggests nurses ask to shadow someone on the unit to get a sense of the work atmosphere. “Money is a piece of it, but it does not keep us in a position,” she said.
For nurses who are moving to a new state, McCarthy suggests calling recruiters to gather information. “If a new graduate called from out of state and we didn’t have any positions available, I would share which organizations in the area are hiring new graduates,” she said.
Workforce of the futureAs analysts like McMenamin look ahead, one of the salient demands in the future will most likely be for highly experienced nurses, he said. According to the BLS, nearly 700,000 nurses are expected to retire between 2014 and 2024. While there has been a surge of new graduates entering the workforce, there will not be enough highly experienced nurses in their 40s and 50s to step into the roles of retiring nurses, he said.
“There may be bidding wars for these nurses, and the wages for more senior nurses could increase while very experienced nurses remain in short supply,” McMenamin said.
One specialty that is projected to significantly increase is advanced practice nursing, according to the BLS. Employment in this specialty will increase 30% from 2014 to 2024 as these nurses provide primary and preventive care to meet the demands of caring for newly insured and aging baby boomers.
Randazzo and McCarthy also see many nurses transition to new jobs within nursing, and they expect that trend to continue. Randazzo, for example, started as a staff nurse at Jefferson Health 34 years ago, then later moved into roles as a nurse manager, pool coordinator and now a recruiter. “Jobs are not lifetime jobs anymore,” McCarthy said. “There is a lot of movement, and you do not have to leave the company to do this. I see a significant amount of internal movement. There are many different fields within nursing, and you can spend an entire career in nursing and barely touch a fraction of what is available.”
Heather Stringer, a freelance writer, contributed to the writing and research of this article.
New Hampshire has 32 acute and specialty hospitals and health systems with 3,565 beds. Thirteen hospitals are designated as critical access.
Acute Care Hospitals
Specialty HospitalsUpper Connecticut Valley Hospital
AndroscogginValley Hospital
Crotched MountainRehabilitation Center
MonadnockCommunity Hospital
The CheshireMedical Center
Alice Peck DayMemorial Hospital
Mary HitchcockMemorial Hospital
New HampshireHospital
Valley Regional Hospital
New London Hospital
Speare Memorial Hospital
Cottage Hospital
Littleton Regional Hospital
Weeks Medical Center Hospital
Healthsourth Rehabilitation Hospital
The Memorial Hospital
Lakes Region General Hospital
Huggins Hospital
Franklin Regional Hospital
Frisbie Memorial HospitalWentworth-Douglass Hospital
April, May, June 2017 New Hampshire Nursing News • Page 19
NURSING SALARIES
State Corrections Nurses Given Raise
Nurses in New Hampshire’s state prisons received a 15 percent pay raise in an effort to recruit more workers and remain competitive amid a growing national demand for nurses. Almost one-fifth of the state’s 48 prison nursing positions were vacant in fiscal year 2016, prompting nurses to work longer hours in an already high-stress environment. Prison nurses care for more than 2,000 inmates each day with nursing positions having one of the highest turnover rates in state government.
The New Hampshire Executive Council approved $239,000 to cover the raise for the next five months. For non-supervisors, that will boost hourly pay from $28 to $32 on the low end and from $38 to $43 on the high end. The raise applies to nurses at the men’s prisons in Berlin and Concord, the women’s prison in Goffstown and the secure psychiatric unit in Concord. “I do think it’s important that correctional nursing is recognized for really the diverse nature of what they have to respond to and the aggressiveness of the day,” Hanks said.
Prison nurses provide emergency response, administer medication, provide hospice and infirmary care, monitor patients requiring drug detox and perform duties similar to nurses elsewhere. But prison patients can be tough to deal with due to limited coping skills or other challenges that may have landed them in prison, said Ryan Landry, nursing coordinator at the Concord prison. Physical violence is rare, but verbal threats toward nurses do occur.
The last National Sample Survey of Registered Nurses (NSSRN) conducted by the U.S. Department of Health and Human Services was discontinued after the 2008 survey year. There has been no statistically valid national survey of RNs since. The ANA recently undertook an analysis of various data sources and released Nurses by the Numbers to update the economic and demographic data about nurses. [ANA, Nurses by the Numbers available at http://www.nursingworld.org/ANA-NursesbytheNumbers]
As of January 2016 the ANA estimates 3.6 RNs are licensed in the Unites States, a 5.2% increase from 3.4 million estimated in 2015. The Bureau of Labor Statistics (BLS) estimated in 2015 data that 2,745,910 RNs were employed in 137 different industries. General medical and surgical hospitals employ the largest percent of RNs (57.8%) with physician offices, home health care agencies, skilled nursing facilities, and outpatient care centers employing 22.8% of the practicing RNs. Hospital employment across all occupations continue to increase. A trend analysis indicated that since April 2014 the country had experienced 21 consecutive months of increases in total hospital employment. Hospitals will remain as the primary employer of RNs/APRNs into the future, even as the ambulatory health care sectors increase at a slightly faster rate. By the end of 2024 it is projected that there will be more RNs and APRNs working for hospitals rather than fewer. Most RNs will continue to be employed in hospitals while most APRNs will be employed in ambulatory care settings. 57.1% of RNs are projected to be employed by hospitals while 62.9% to 69.2% of the selected APRNs will be employed in ambulatory health care settings.
Between 2014 and 2024 the BLS projects 689,200 RNs and APRNs will retire or otherwise leave the labor force. In addition, 492,700 new jobs for RNs and APRNs will be created. This means that 1.18 million vacancies will emerge over that time frame. This expected growth will create many opportunities for RNs and APRNs. The challenge for hospitals and the entire health system will be navigating the loss of hundreds of thousands of nurses with
35 or more years of experience. Since the country is producing 150,000 new RNs per year (NCLEX passers), the prospects for nursing students and soon-to-be new grads are good. Outpatient care centers and home health services will maintain their place as the fastest growing of the health sectors.
The most recent data suggest that since 2014 staff nurses’ wages have rebounded to exceed inflation. Across the country the average annual RN wage in 2015 was $71,000, with the estimated average annual wage for a hospital staff RN was $75,650. When added to fringe benefits, valued at $39,686, the total annual compensation adds up to $115,357. The average wage is affected by the salaries provided by the VA systems (higher wage), number of school nurses (Lower wage), average age, and cost of living.
The average New Hampshire salaries for 2015 were compared to those of the 5 other New England States considering current cost of living adjustments (COLA). The COLA for each states capital metropolitan area was used (Manchester-Nashua, Portland, Providence, Burlington, Hartford and Boston). A comparison of the 2015 salary to the COLA adjusted salary indicates the strength of salary as a recruitment tool. Maine has a lower cost of living than New Hampshire, but offered a lower salary than meets the COLA adjustment. Vermont has a higher cost of living, but the salary was $5,000. less than the COLA. Rhode Island and Connecticut had higher costs of living, and offered $6,000.-7,000. over the COLA. Massachusetts, while having a considerably higher cost of living, offered less than Rhode Island and Connecticut over the COLA.
Nurses Salaries Beating Inflation
Comparison of 2015 Average New Hampshire Nursing Salaries to other New England States Considering Cost of Living Adjustments
State 2015 Salary* Cost of Living Adjustment**
Salary Based on Cost of Living Adjustment
New Hampshire $67,190. — —
Maine $64,310. -2.96% $65,200.
Rhode Island $76,410. +4.31% $70,089.
Vermont $65,840. +4.74% $70,373.
Connecticut $77,330. +5.25% $70,714.
Massachusetts $88,650 +22.08 $82,026.
*Salary from ANA, Nurses by the Numbers
**Cost of Living Adjustment using New Hampshire as the comparison at www.bankrate.com
Nurses are vital to Camp Robin Hood! Camp Robin Hood is seeking qualified Nurse Practitioners to join us in Freedom, New Hampshire this summer, 2017!
Camp Robin Hood is an overnight summer camp for around 350 boys and girls aged 7-16 years old . Our mission is to provide a nurturing environment in which lasting bonds are made .
We are looking for qualified individuals who are available to live at camp for the summer and must be willing to do on-call over night shifts . Room and board included .
Dates: June 23–August 10 (Dates are flexible)Salary: Based on experience • Requirements: CPR/AED/First Aid
If interested please send a copy of your resume to [email protected]
