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A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful...

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current resident or Presort Standard US Postage PAID Permit #14 Princeton, MN 55371 Vol. 79, No. 3 Fall 2017 Quarterly publication direct mailed to approximately 58,000 RNs and LPNs in Mississippi. A Message from the President JOIN US AT THE 106TH MISSISSIPPI NURSES’ ASSOCIATION CONVENTION October 17-21 at the Mississippi Coast Coliseum and Convention Center | Biloxi, MS ü DYNAMIC PRESENTERS Carolyn Buppert, MSN, JD Lisa Campbell, DNP, RN, PHNA-BC John Dowdy, Director, MS Bureau of Narcotics Phyllis Johnson, MSN, FNP-BC, Executive Director, MS Board of Nursing Paul Kuehnert, DNP, RN, FAAN Patricia Pearce, PhD, MPH, FNP-BC Curnis Upkins, SPHR, SHRM-SCP ü SKILLS WORKSHOPS Nexplanon Training; EKG Intepretation; Radiology; Heart: Normal & Abnormal Sounds; Kinesio Taping; Suturing ü “POWERFUL” EXHIBITORS EXPO Complete Exhibit Passport for chance to win Expo Grand Prize ü “EXCELLENCE IN RESEARCH” POSTER SESSION ü NUMEROUS NETWORKING OPPORTUNITIES ü BRINGING THE 70s BACK: PAC PARTY (hosted by MNA PAC) ü AND LOTS MORE! Debra Allen, MSN, RN Being part of a profession that is ranked by the American public as having the highest honesty and ethical standards is an honor; however, our profession is not without its challenges. Nurse bullying is one of those challenges and is an alarming issue that our profession must eradicate. While we are known for our compassion and respect for our patients, that same level of compassion and respect is not always evident in our interaction with our colleagues. The American Nurses Association (ANA) reports that between 18 and 31 percent of nurses have experienced bullying behavior at work. We would like to think that bullying is an issue that would never impact the nursing profession, but regrettably the complex issue of bullying exists in many forms. Whether it’s an experienced nurse demeaning a new nurse, one nurse threatening another, or a tech- savvy nurse intimidating a less tech-savvy nurse, these and other forms of bullying are all too common in the workplace. One of the most prevalent instances of bullying that I have witnessed is experienced nurses disparaging new nurses. Instead of providing assistance and serving as a positive influence, the experienced nurse’s belittling comments result in the new nurse feeling anxious and detached from other colleagues. The ANA defines bullying as “repeated, unwanted harmful actions intended to humiliate, offend, and cause distress in the recipient. Bullying actions include those that harm, undermine, and degrade. Actions may include, but are not limited to, hostile remarks, verbal attacks, threats, taunts, intimidation, and withholding of support.” Nurses who have experienced bullying may feel isolated, depressed, and have decreased job satisfaction. In addition, nurse bullying appears to be predictive of Post-Traumatic Stress Disorder symptomology, a serious mental health outcome. I can’t imagine working under such circumstances and find it no surprise that nurse bullying results in increased turnover as nurses determine that quitting their job is preferable to remaining in a work environment where bullying is allowed. Nurse bullying has no place in a profession that emphasizes personal accountability, leadership and mentoring. Each of us must assume responsibility for creating a work environment where nurses are treated with civility and dignity. We must be willing to address bullying when it occurs. If you experience or witness an incident of bullying, you should report the incident in accordance with your employer’s policies. Bullying also has a detrimental impact on patient safety. The Joint Commission’s Sentinel Alert cited an Institute for Safe Medication Practices survey that found that 40 percent of clinicians have “kept quiet or remained passive during patient care events rather than question a known intimidator.” We can’t afford to be hesitant or stay quiet if we want to eliminate nurse bullying and protect our patients. Each of us needs to be aware of bullying prevention strategies. We must become familiar with employer bullying prevention policies, establish an agreed upon code word to seek support when feeling threatened, and practice using responses to prepare to deflect bullying. Being prepared to respond appropriately when we witness an incident of bullying is also important. We need to consider letting the person who is doing the bullying know that his/her actions are not consistent with established policies and provide emotional support to the person being bullied or suggest other employer support. We must show respect to our colleagues and demand that same level of respect in return if we are to eliminate nurse bullying. Each of us needs to evaluate our actions and communications in the workplace on a day-to-day basis to ensure that our actions, attitude, and comments are a positive force in the workplace! Laschinger H.K.S. & Nosko A. (2015) Journal of Nursing Management 23, 252–262. Exposure to workplace bullying and post-traumatic stress disorder symptomology: the role of protective psychological resources ANA: “Zero Tolerance’ for Workplace Violence, Bullying” – Medscape – Sep 02, 2015. American Nurses Association Position Statement on Incivility, Bullying, and Workplace Violence, July 2015, http://www. nursingworld.org/Workplace-Violence-and- Incivility-Panel HANDS-ONLY CPR Attendees practice life-saving Hands-Only CPR at North Sunflower Medical Center. The event was hosted by North Sunflower Medical Center, Laerdal, and the Mississippi Nurses’ Association. Special thanks to Paul Thompson, RN with Laerdal, and Emily Newman, MSN with Delta State University for teaching this vital class!
Transcript
Page 1: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

Vol. 79, No. 3 Fall 2017Quarterly publication direct mailed to approximately 58,000 RNs and LPNs in Mississippi.

A Message from the President JOIN US AT THE 106TH MISSISSIPPI NURSES’ ASSOCIATION CONVENTION

October 17-21 at the Mississippi Coast

Coliseum and Convention Center | Biloxi, MS

ü DYNAMIC PRESENTERS Carolyn Buppert, MSN, JD Lisa Campbell, DNP, RN, PHNA-BC John Dowdy, Director, MS Bureau of Narcotics Phyllis Johnson, MSN, FNP-BC,

Executive Director, MS Board of Nursing Paul Kuehnert, DNP, RN, FAAN Patricia Pearce, PhD, MPH, FNP-BC Curnis Upkins, SPHR, SHRM-SCP

ü SKILLS WORKSHOPS Nexplanon Training; EKG Intepretation;

Radiology; Heart: Normal & Abnormal Sounds; Kinesio Taping; Suturing

ü “POWERFUL” EXHIBITORS EXPO Complete Exhibit Passport for chance to

win Expo Grand Prize

ü “EXCELLENCE IN RESEARCH” POSTER SESSION

ü NUMEROUS NETWORKING OPPORTUNITIES

ü BRINGING THE 70s BACK: PAC PARTY (hosted by MNA PAC)

ü AND LOTS MORE!

Debra Allen, MSN, RN

Being part of a profession that is ranked by the American public as having the highest honesty and ethical standards is an honor; however, our profession is not without its challenges. Nurse bullying is one of those challenges and is an alarming issue that our profession must eradicate. While we are known for our compassion and respect for our patients, that same level of compassion and respect is not always evident in our interaction with our colleagues. The American Nurses Association (ANA) reports that between 18 and 31 percent of nurses have experienced bullying behavior at work.

We would like to think that bullying is an issue that would never impact the nursing profession, but regrettably the complex issue of bullying exists in many forms. Whether it’s an experienced nurse demeaning

a new nurse, one nurse threatening another, or a tech-savvy nurse intimidating a less tech-savvy nurse, these and other forms of bullying are all too common in the workplace. One of the most prevalent instances of bullying that I have witnessed is experienced nurses disparaging new nurses. Instead of providing assistance and serving as a positive influence, the experienced nurse’s belittling comments result in the new nurse feeling anxious and detached from other colleagues. The ANA defines bullying as “repeated, unwanted harmful actions intended to humiliate, offend, and cause distress in the recipient. Bullying actions include those that harm, undermine, and degrade. Actions may include, but are not limited to, hostile remarks, verbal attacks, threats, taunts, intimidation, and withholding of support.”

Nurses who have experienced bullying may feel isolated, depressed, and have decreased job satisfaction. In addition, nurse bullying appears to be predictive of Post-Traumatic Stress Disorder symptomology, a serious mental health outcome. I can’t imagine working under such circumstances and find it no surprise that nurse bullying results in increased turnover as nurses determine that quitting their job is preferable to remaining in a work environment where bullying is allowed.

Nurse bullying has no place in a profession that emphasizes personal accountability, leadership and mentoring. Each of us must assume responsibility for creating a work environment where nurses are treated with civility and dignity. We must be willing to address bullying when it occurs. If you experience or witness an incident of bullying, you should report the incident in accordance with your employer’s policies. Bullying also has a detrimental impact on patient safety. The Joint Commission’s Sentinel Alert cited an Institute for Safe Medication Practices survey that found that 40 percent of clinicians have “kept quiet or remained passive during patient care events rather than question a known intimidator.” We can’t afford to be hesitant or stay quiet if we want to eliminate nurse bullying and protect our patients.

Each of us needs to be aware of bullying prevention strategies. We must become familiar with employer bullying prevention policies, establish an agreed upon code word to seek support when feeling threatened, and practice using responses to prepare to deflect bullying. Being prepared to respond appropriately when we witness an incident of bullying is also important. We need to consider letting the person who is doing the bullying know that his/her actions are not consistent with established policies and provide emotional support to the person being bullied or suggest other employer support.

We must show respect to our colleagues and demand that same level of respect in return if we are to eliminate nurse bullying. Each of us needs to evaluate our actions and communications in the

workplace on a day-to-day basis to ensure that our actions, attitude, and comments are a positive force in the workplace!

Laschinger H.K.S. & Nosko A. (2015) Journal of Nursing Management 23, 252–262. Exposure to workplace bullying and post-traumatic stress disorder symptomology: the role of protective psychological resources

ANA: “Zero Tolerance’ for Workplace Violence, Bullying” – Medscape – Sep 02, 2015.

American Nurses Association Position Statement on Incivility, Bullying, and Workplace Violence, July 2015, http://www.nursingworld.org/Workplace-Violence-and-Incivility-Panel

HANDS-ONLY CPR

Attendees practice life-saving Hands-Only CPR at North Sunflower Medical Center.

The event was hosted by North Sunflower Medical Center, Laerdal, and the Mississippi Nurses’ Association. Special thanks to Paul Thompson, RN with Laerdal, and Emily Newman, MSN with Delta State University for teaching this vital class!

Page 2: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

Page 2 • Mississippi RN September, October, November 2017

Board of Directors

President Vice PresidentDebra Allen, MSN, RN Tonya Moore, PhD, [email protected] [email protected]

Secretary TreasurerSandra Arnold, MSN, RN Ann Barnes, BSN, [email protected] [email protected]

Directors

Council on Nursing Education Council on Nursing ResearchDeloris Slade, MSN, RN, FNP-BC Lorraine Gaddis, PhD, [email protected] RN, FNP-BC [email protected]

Council on Health Affairs Council on Nursing PracticeAlice Messer, DNP(c), Shonda Phelon, DNP, RN, RN, FNP-BC FNP-BC, PMHNP-BC, [email protected] [email protected]

Council on Council onOrganizational Affairs Advanced PracticeAmber Arnold, DNP, RN Rebecca Cagle, PhD, RN,[email protected] FNP-BC, PMHNP-BC [email protected]

MNA Staff

Executive Director Finance Administrator/Teresa Malone Membership [email protected] Deborah Norman [email protected]

Executive Assistant Director of EventsLaura Fraiser & [email protected] Dana Walker [email protected] Practice Coordinator/Publishing CoordinatorDionne Inman [email protected]

MNA District Presidents

AdvertisingFor advertising rates and information, please contact Arthur L. Davis Publish-ing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. MNA 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 Mississippi 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. MNA 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 necessar-ily reflect views of the staff, board, or membership of MNA or those of the national or local associations.

Mississippi RN is published quarterly every March, June, September and De-cember and is the official publication of the Mississippi Nurses’ Association, 31 Woodgreen Place, Madison, MS 39110, a constituent member of the Ameri-can Nurses Association.

District 1: Adams, Franklin, Jefferson, and Wilkinson countiesBrenda [email protected]

District 2: Amite, Copiah, Lawrence, Lincoln, Pike, and Walthall countiesTammy [email protected]

District 5: Hancock, Harrison, Pearl River, and Stone countiesDeborah [email protected]

District 6:Jackson, George, and Greene countiesTerrie [email protected]

District 7: Covington, Forrest, Lamar, Perry, Jefferson Davis & Marion countiesLinda [email protected]

District 8: Jasper, Jones, and Wayne counties

District 11: Simpson and Smith countiesTeresa [email protected]

District 12: Claiborne, Issaquena, Sharkey, and Warren countiesDebbie [email protected]

District 13: Hinds, Rankin, Madison and Yazoo countiesVanessa [email protected]

District 15: Leake, Neshoba, Newton, and Scott countiesJuanita [email protected]

District 16: Clarke, Kemper, and Lauderdale CountiesLinda [email protected]

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District 31: Lafayette, Panola, and Yalobusha countiesMorgan [email protected]

District 32: Attala, Carroll, Grenada, Holmes, Leflore, and Montgomery countiesShelby [email protected]

EVENT DATE & LOCATION

NRCME/FMCSA DOT Medical Examiner Course MS Center for Nursing – Madison, MSSeptember 29, 2017

2017 Annual Convention MS Coast Coliseum & Convention Center Biloxi, MS | October 17-21, 2017

2018 Lobby Day Mississippi State Capital – Jackson, MSJanuary 24, 2018

24th Annual Nursing Summit Jackson Convention Complex – Jackson, MSFebruary 6, 2018

APRN Spring Conference Natchez Convention Center – Natchez, MSApril 26-28, 2018

Published by:Arthur L. Davis

Publishing Agency, Inc.

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Page 3: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

September, October, November 2017 Mississippi RN • Page 3

Executive Director’s Column

Join us in Biloxi as the MNA 106th Annual Convention pays tribute to “The Power of Nursing” with an expanded schedule through Saturday, October 21st! Gather with your colleagues to “Explore” all the Convention has to offer, “Ignite” new ideas, and continue to “Excel” in the nursing profession!

The Provider Unit is to be commended for securing experts providing presentations on practical and clinically oriented evidence-based practice information on contemporary nursing topics. The continuing education sessions reflect MNA’s support for and dedication to registered nurses and advanced practice registered nurses across all roles and specialties. The Convention kicks off on Tuesday, October 17th, with a Pre-Convention workshop focusing on one of the most discussed topics in the nursing profession, improving population health. Dr. Paul Kuehnert and Dr. Lisa Campell will lead this interactive session sponsored by the Future of Nursing: Campaign for Action, Robert Wood Johnson Public Health Nurse Leader Program. We are honored that Dr. Paul Kuehnert will be our luncheon presenter on Wednesday. Back by popular request, Curnis Upkins will engage attendees as he presents “Nurses Leading the Changing Paradigms in Healthcare.” John Dowdy, Director of the Mississippi Bureau of Narcotics, will share information on the ever-growing opioid epidemic, an issue of importance to registered nurses, advanced practice registered nurses, and students, during our Joint Session on Friday morning. Esteemed nurse leader, Dr. Patricia Pearce will discuss “Nursing and Professionalism: The Spectrum of Impact” during the Friday APRN Conference luncheon. Carolyn Buppert, attorney,

Teresa Malone

Powerful and Power “fun” Conventionnurse, and author of The Nurse Practitioner’s Business Practice and Legal Guide and numerous other books on legal issues, will present “5 Things All APRNs Need to Know” during the Saturday luncheon.

Attendees have come to expect the best in fun-filled networking events with exhibitors and colleagues. The Powerful Exhibitors Expo continues that tradition with plenty of time to spend with our numerous exhibitors. On Wednesday evening, the much anticipated University of Mississippi Nursing Alumni Chapter’s Nursing Alumni and Friends Reception will be hosted at The Redding House in Biloxi. Don’t forget to support the Mississippi Nurses Foundation’s Silent Auction! Place your bid on unique jewelry, pottery, home accessories and much more while enjoying the camaraderie of your colleagues – and a little friendly competition for that winning bid! By popular request, the Mississippi Nurses’ Association Political Action Committee will host a Bringing the 70s Back: PAC Party on Thursday evening featuring your favorite Motown and Disco grooves along with ‘Fab’ food and ‘Hip’ friends. Purchase your tickets early! Come in 70s attire or come as you are – either way you’ll definitely want to be part of this ‘Far Out’ event!

We look forward to seeing you at Convention!

to the Provider Unit Committee and the Convention Planning Committee members for their dedication in

planning a great 2017 Annual Convention!

Provider Unit Committee

Director, Council on Education:Deloris Slade, MSN, RN, FNP-BC

Provider Unit Chairperson:Marilyn Ellis, MSN, ANP-BC

Members:Sheila AdamsAmber Arnold

Lisa ByrdMary H. Connor

Anne EverettRobbie JonesWanda Jones

Bettye LoganLora Jenkins-Lonidier

Cynthia LutherDeborah Mauffrey

Mary McNairLaDonna Northington

Ka Russum

Convention Planning Committee

Director, Council on Organizational Affairs:Amber Arnold, DNP, RN

Chairperson:Teresa Stanford, DNP, FNP, RN

Members:Michelle Atkinson

Bess BlackwellSandra Coleman

Mary CrumpBecky Dorough

Anne EverettSarah Howell

Alicia IsheeRobbie JonesWanda Jones

Bobbie LovelessAlice MesserKa Russum

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Page 4: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

Page 4 • Mississippi RN September, October, November 2017

Why Bullies BullyPatricia Calabrese, PMHNP

Children bullying other children is a major problem. Over the last ten years, the news has been filled with children who have been involved in violent bullying and many who have killed themselves during the torture of bullying. We have studied many aspects of the victims. We know they are depressed, have low self worth, are often considered different and loners, and sometimes are just the target of a bully.

The responsibility to stop bullying is in the hands of parents, teachers, coaches, staff, school nurses, and bus drivers. Children who bully feel small, need power, and have high rates of delinquency, substance abuse, and psychological problems. The power differential is a crucial

Patricia Calabrese, PMHNP

component in bullying. Every bullying situation involves a bully, a victim, and bystanders. The bullying is done for the benefit of the audience, the bystanders. Bullying and the accompanying aggression can be physical, name-calling, gossiping, social exclusion, or related to social media. Parents or siblings are mistreating many bullies at home. Nurses should assess for sibling violence. Bullies often have witnessed domestic violence, child abuse, inconsistent parenting, or peer violence. Families of bullies are often described as having a lack of warmth and closeness, as well a focus on power. In these cases nurses are in a prime position to intervene. Nurses in primary care may note symptoms of depression or anger. Questioning children about not only sadness, but also asking about anger, temper tantrums, abuse, or school reports related to bullying behavior, may identify a child experiencing bullying. Nurses should immediately report their suspicions to parents and make a referral to a mental health provider. Any suspicions of abuse should be reported to Child Protective Services.

Bullies will usually bully a more vulnerable child in a place where there are other children and no adults. This is very often a school setting such as school bathrooms, stairwells, and when changing classes. The focus of intervention has to be on the bully, not only the victim. School nurses stand in a position to assess and witness bullying behaviors. Primarily nurses in any setting should assess for suicidal ideation and intervene immediately, even if the report comes from a peer. School nurses should assess victims and bullies for signs of depression, high anxiety, and school refusal. These conditions are often intolerable, demonstrating insomnia symptoms and requests to go home early. Nurses can coach bullying victims on being less vulnerable by teaching assertive communication, assessing self worth, referring to mental health resources, and again involving parents. Most victims will divulge

information about the bullying once they have developed a private, trusting relationship with a nurse.

The bully should be socially removed from their audience and their victims. The nurse should involve the school team to make a plan to confront the bully. The nurse’s observations of the bully in the student body are essential when intervening. Bullies should be supervised and stay with an adult or older student during the school day, and never be left alone in bathrooms, locker rooms, or lunchrooms.

Bullying starts often very, very young. It is easier to identify and stop bullying in younger children and it is much more difficult with teenagers. Every teacher and parent must be the adult in the room. If bullying is suspected, it must be followed up. And we must all teach “the bystanders” to be brave, stand up for the victim, and report all suspicions of bullying to an adult.

ReferencesPeterson, J. S., & Ray, K. E. (2006). Bullying among the

gifted: The subjective experience. Gifted Child Quarterly, 50(3), 252-269.

Shetgiri, R., Lin, H., & Flores, G. (2013). Trends in risk and protective factors for child bullying perpetration in the United States. Child Psychiatry And Human Development, 44(1), 89-104.

Erginoz, E., Alikasifoglu, M., Ercan, O., Uysal, O., Alp, Z., Ocak, S., Tanyildiz, G. O., Ekici, B., Yucel, I. K., & Kaymak, D. A. (2015). The Role of Parental, School, and Peer Factors in Adolescent Bullying Involvement: Results From the Turkish HBSC 2005/2006 Study. Asia Pacific Journal of Public Health, 27(2), 1591-1603.

Jenkins, M. F., Zapf, D., Winefield, H., & Sarris, A. (2012). Bullying allegations from the accused bully’s perspective. British Journal Of Management, 23(4), 489-501.

Skinner, J. A., & Kowalski, R. M. (2013). Profiles of sibling bullying. Journal Of Interpersonal Violence, 28(8), 1726-1736.

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Page 5: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

September, October, November 2017 Mississippi RN • Page 5

Rebecca Cagle, PhD, RN, FNP-BC, PMHNP-BCDirector, Council on Advanced Practice

Given that our primary concern as nurse practitioners is always going to be what’s best for the patient, the concept of productivity in delivering healthcare can sometimes be quite challenging. While quality and value have always been considered an important part of virtually every aspect of the healthcare system, productivity and efficiency are becoming more instrumental in our day to day practice. Certainly, the full implementation of MACRA’s new Quality Payment Program (MIPS and APM) will impact the manner in which data is collected and reported, not to mention how providers are compensated, as CMS moves the industry to a more performance-based structure. It is critical that as providers we work to develop and/or fine tune logical workflow standards that address these new challenges for the services being offered. Recognizing that we are “not building widgets,” and always keeping in mind that we are dealing with people’s lives and livelihoods, we nonetheless must incorporate the concept of standardized work where applicable, and seek ways to reduce waste thus enhancing productivity.

Healthcare providers go into their careers with the desire to serve people, their communities, and humanity in general. For most of us, it is a calling. Unfortunately, much of the business part has often been viewed as a thorn in the side, or even a necessary evil, that served to get in between the caregiver and the patient. Recognizing that there are many players on the healthcare team, including those that are often far removed from the actual site of care, the livelihood of the provider, and indeed the patient, depends on everyone being able to work within the system in a thoughtful and systematic way. This isn’t a new concept. We have all learned how to get things done for the patient, be it a prior authorization for a particular medication not on the formulary, or an MRI over a CT for a diagnostic issue. We have adapted to the requirements, and become proficient at getting these done through various combinations of formal and on-the-job training. We also understand that there are cost benefit analyses that must be included in our processes to ensure that the “right” test or

Best Practices in Productivity as a Nurse Practitioner

Rebecca Cagle, PhD, RN, FNP-BC,

PMHNP-BC

Report from Council on Advanced Practice

drug is being used in the “right” circumstances. Providers cannot always have every test, image and study that they would like, and are challenged with finding alternatives that will provide the answers and results they need. Healthcare can be expensive, and there is not an unlimited amount of money available. For this reason, productivity and efficiency must be integrated into a provider’s practice to ensure viability, stability and longevity.

There was a time when a provider, using his or her best judgement from years of training and experience, could develop a treatment plan in collaboration with the patient to best serve the patient. Coordination with insurance carriers, governmental insurance programs, medical management professionals, etc., was not much of a factor. Nor was there much attention to productivity in the delivery of these services. Patients needing care, many scattered in rural settings across the country, were seen and treated, often by the same provider who was their neighbor. Those days are long gone. Although times have changed, patients are still treated every day in rural clinics, many of which the nurse practitioner is not only the sole provider in the clinic, but also the sole provider in town. In order to maintain this vital access, best practices built around productivity must be in place. We not only have to treat the patient effectively and efficiently, we have to consider the benefits, risks and costs of every test, every medicine, every aspect every time. We cannot prescribe the latest sample in the closet just because it is new when the old medicine would do just as well for pennies on the dollar. To be successful, we need to establish, measure, and comply with productivity standards, as well as remain aware of changes and adapt to improved processes as they are identified. In the vein of Florence Nightingale, we need to be action oriented and goal driven. By embracing productivity, we can better serve our profession and make a difference in the lives of others, adding value in living and dying.

When we consider productivity, the next concern that comes to mind is how our practice can be impacted from a legal aspect. HIPAA, malpractice issues, requirements for prescribing – all of these impact our productivity; therefore, we must be knowledgeable and protect ourselves. One of the easiest ways you can stay abreast of information that can help you in your practice is to attend the MNA Annual Convention and hear from some of the most respected experts in the country, including Carolyn Buppert, MSN, JD who will be presenting “5 Things All APRNs Need to Know” on Saturday, October 21st. Carolyn, who practiced as a nurse practitioner for 16 years before focusing exclusively on legal matters, is the author of “The Nurse Practitioner’s Business Practice and Legal Guide” and 7 other books on legal issues.

As the Director of the Advanced Practice Council, I can assure you that MNA is dedicated to providing you opportunities to expand your knowledge on the issues most concerning to APRNs today. I encourage you to join with us and become a member of MNA, take advantage of the many continuing educations sessions offered, and help us protect you and your patients.

Page 6: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

Page 6 • Mississippi RN September, October, November 2017

2017 Annual Convention2017 Convention Sponsors

T-SHIRT SPONSOR

JOINT SESSION SPONSOR

WEDNESDAY EVENING RECEPTION SPONSOR

THURSDAY LUNCHEON SPONSOR

PRE-CONVENTION WORKSHOP SPONSOR

& WEDNESDAY LUNCHEON SPONSOR

Future of Nursing: Campaign for Action, Public Health Nurse Leader Program

More to Come

Our next issue will feature a complete list

of all sponsors and exhibitors.

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Page 7: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

September, October, November 2017 Mississippi RN • Page 7

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· Early admissions to our MSN/DNP programs

Page 8: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

Page 8 • Mississippi RN September, October, November 2017

Mississippi Nurses Foundation

Rosalyn Howard, Executive Director

The Mississippi Nurses Foundation recently awarded $110,000 in stipends. Stipend funds were raised through the State of Mississippi Nurses Car Tag Program-Nurses Touch Lives, and made available to registered nurses and nursing students enrolled in an accredited Associate, Baccalaureate, Masters or Doctoral Nursing Program in Mississippi.

After a thorough review of applications, 22 recipients were chosen. As full-time students, the recipients will be awarded a total of $5,000 to be received in increments of $500 each month for 10 months beginning in August, 2017 through May, 2018. Recipients are required to sign a contract with the Mississippi Nurses Foundation to work as a full time Nurse in Mississippi for two years following completion of the program.

The 2017-2018 Stipend Recipients are as follows:

Associate ProgramMason Caldwell Itawamba Community College Emma Dabbs Itawamba Community CollegeAustin Griffin Jones County Junior College Antonio McBeth Hinds Community CollegeAmanda McKenzie Jones County Junior College

Baccalaureate ProgramLaRissa Arbuckle University of Mississippi Medical CenterSkylar Brodie Mississippi University for WomenDarius Carter University of Southern MississippiMinnie Duke Mississippi University for WomenBrittany Earls Delta State University Courtney Lucas Mississippi University for WomenMallory Moore Mississippi College London Prather Mississippi CollegeLa’Tesha Smith Mississippi University for WomenAshley Williamson University of Mississippi Medical CenterMandy Wilson Mississippi University for Women

Masters ProgramJennifer Lynn Berryhill University of Mississippi Medical CenterAshley Fitzhugh University of Mississippi Medical CenterHayden Kilgore Mississippi University for WomenEbonique Martin University of Mississippi Medical CenterKathyrn Smith University of Southern Mississippi

Doctoral ProgramHolley Kaye Harris Mississippi University for Women

Congratulations to our 2017-2018 Car Tag stipend recipients!

The Mississippi Nurses Foundation’s mission is to raise, accept and disperse charitable donations to promote professional nursing and better health in Mississippi.

Mississippi Nurses Foundation Awards $110,000

Through NURSES TOUCH LIVES Car Tag Program

2017 Martha Douglas School Nurse Award

The Mississippi Nurses Foundation awarded Mary LeAnne Griffith of Prentiss the $1000 Martha Douglas School Nurse Award for 2017. This award is supported and funded by school nurses of Mississippi. Griffith is a student at Jones County Junior College.

The Mission of the Mississippi School Nurse Association is to promote quality school health programs, strengthen the professional growth of school nurses, and advance the practice of school nursing. You can visit their website at www.schoolnursems.org to learn more about the organization.

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September, October, November 2017 Mississippi RN • Page 9

Mississippi Nurses Foundation

The Mississippi Nurses Foundation Coffee Club was started in April 2009 with the support of Dr. Kim Hoover, Dean of the University of MS School of Nursing, with her donation for MNF daily operations. The coffee club recognizes individuals who donate between $300- $5,000 or more to the Foundation.You can join today with a monthly donation of $25.00 to the Nurses Foundation. Please select your level of support for membership into the Mississippi Nurses Foundation Coffee Club. Bank draft and credit card monthly donations will automatically renew every 12 months unless notified by the donor.

_______ Espresso Level$4,000 to $5,000----Two packages of MNF signature coffee and two coffee mugs, four tickets to all upcoming events sponsored by the Foundation, recognition at MNF’s Philanthropy Day, Recognition on MNF’s website, newsletter, recognition at the Mississippi Nurses Association Annual Convention and a 4” X 8” engraved brick in the Mary E. Stainton Center for Nursing Garden.

_______ Cappuccino Level$2,000 to $3,999----Two packages of MNF signature coffee and two coffee mugs, two tickets to all upcoming events sponsored by the Foundation, recognition at MNF’s Philanthropy Day, Recognition on MNF’s website, newsletter and recognition at the Mississippi Nurses Association Annual Convention.

_______ Mocha Level$500 to $1,999-----One package of MNF signature coffee and coffee mug, two tickets to one of MNF’s sponsored events, recognition at MNF’s Philanthropy Day, Recognition on MNF’s website, newsletter and recognition at the Mississippi Nurses Association Annual Convention.

_______ Coffee Level$300 to $499 -----One package of MNF signature coffee and coffee mug, a ticket to one of MNF’s sponsored events, recognition at MNF’s Philanthropy Day, recognition on MNF’s website, newsletter, and recognition at the Mississippi Nurses Association Annual Convention.

_______ No, I cannot join the Coffee Club but I will give a donation to support the MS Nurses Foundation.

( ) $25 ( ) $50 ( ) $75 ( ) $100( ) $150 ( ) $200 ( ) $250

Name (Please print) _________________________________

Address _________________________________________

City ____________________________________________

State ________ Zip ________________

Phone: Home ______________ Cell __________________

Email address _____________________________________

Method of Payment

Credit Card # ______________________________________

Exp. Date _____________ 3 digit code/ back of card ______

Amount ________

( ) Amex ( ) MasterCard ( ) Visa

( ) Bank Draft 1st or 15th (circle one) Amount per month ____ Month to start _________________ Send a voided check to the MS Nurses Foundation

( ) One time payment for yearly membership _____________ Please include check or money order and mail it to the MS Nurses Foundation

( ) DONATE ONLINE at www.msnursesfoundation.com

Your tax deductible donation to the Coffee Club will help support the Nurses Foundation in its daily operations of carrying out its mission of raising, accepting and dispersing charitable donations to promote professional nursing and better health in Mississippi. Sponsored events exclude the Nightingale Awards Gala.

Mississippi Nurses Foundation 31 Woodgreen Place • Madison, MS 39110

Phone: (601) 898-0850 Fax: (601) 898-0190

Coffee Club Application

SCHOLARSHIPS ~ SCHOLARSHIPS ~ SCHOLARSHIPS

www.msnursesfoundation.com

The Mississippi Nurses Foundation offers scholarships, stipends and research grants to

Mississippi nurses. Visit our website for a listing of awards, applications and guidelines available

to help meet your educational goal.

Please contact MNF at 601-898-0850 for additional information.

MNF Nurse Sighting

We love spending time and laughing with great nurses! Pictured: Gaye Ragland & Rosalyn Howard

Please support the Mississippi Nurses Foundation’s Nurse in Need Program. The Nurse in Need Program supports Mississippi nurses during hardship, such as a loss of employment, physical injury, disaster, illness or accident.

Your tax deductible donation to the Nurse in Need program will help support the Mississippi Nurses Foundation in providing aid and assistance to nurses in Mississippi.

DONATIONS CAN BE MADE ONLINE AT:www.msnursesfoundation.com (include “Nurse in Need” under ways to donate.)

DONATIONS MAY ALSO BE MAILED TO: 31 Woodgreen Place, Madison, MS 39110

CONNEC

TIVE

SMART

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RELIA

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The Mississippi Center for Quality and Workforce is focused on solutions for the emerging healthcare workforce challenges due to changes in the nursing workforce.

Impacting Healthcare & Health Workforce daily.

MSCQW.ORG

QUALITY

– Hospital Improvement Innovation Network – HIIN

WORKFORCE

– Summer Student Nurse Externship Program

– Annual MS Report of Nursing Vacancy, Turnover & Anticipated Future Demand

Executive Director: LaNelle Weems, MSN, RNClinical Director: Debbie Logan, MHA, RNPrograms Manager: Robin Powell

Office: 601-368-3321 Fax: 601-368-3200

Visit us online to learn more:

At Hattiesburg Clinic, our goal is to provide quality health care with a focus on service and excellence to the patient. Hattiesburg Clinic has over 300 physicians and providers representing over 45 specialties and covering an 18 county region. As the largest multi-specialty clinic in the state, we offer care tailored specifically to the physical and emotional needs of every patient.

From family medicine to medical specialists, come explore some of the many reasons why Hattiesburg Clinic strives to be the health care provider of choice for South Mississippi for more than 50 years.

For employment opportunities, visit us online at

www.hattiesburgclinic.com.

HIRING RNs & LPNsfor South and Central Mississippi

HMP Nursing Services, Inc.124 Walnut Street #5 • Hattiesburg, MS 39401

(601) 271-6004 • (800) 796-1197

WWW.HMPNURSING.NET

Page 10: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

Page 10 • Mississippi RN September, October, November 2017

Mississippi Nurses Foundation

A minimum of 1 yr med surg, long term care, nursing home, or emergency room experience. Must posses a valid MS license,

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Correctional Facilities.

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Page 11: A Message from the President JOIN US AT THE …...Carolyn Buppert, attorney, Teresa Malone Powerful and Power “fun” Convention nurse, and author of The Nurse Practitioner’s Business

September, October, November 2017 Mississippi RN • Page 11

The Mississippi Nurses’ Association Congratulates Nurse Practitioners and Advocates who were

Honored at the AANP 2017 National Conference

Every year, the American Association of Nurse Practitioners (AANP) recognizes outstanding achievements by nurse practitioners (NPs) and NP advocates. The State Award for Nurse Practitioner Excellence recognizes a nurse practitioner in a state who demonstrates excellence in practice. The State Award for Nurse Practitioner Advocate recognizes the efforts of individuals who have made a significant contribution toward increasing the awareness and acceptance of Nurse Practitioners.

Congratulations to Dr. Shonda Ricks Phelon and Dr. Kristi Henderson!

Shonda Ricks Phelon, DNP, APRN, GNP, FNP, PMHNP was presented the AANP 2017 State Award for Nurse Practitioner Excellence. Dr. Phelon has served passionately in the field of nursing for the past 29 years. Her nursing experience includes veteran’s affairs, nursing home, rural health, corrections, public health, and community mental health. Dr. Phelon is currently an Assistant Professor of Nursing at Mississippi University for Women, and practices as a FNP/Psychiatric NP. Dr. Phelon is widely respected by students, nurse practitioners, and medical

colleagues as one who values the strong underpinnings of nursing assessment, research, and theory; combining those with advanced nursing practice knowledge and skill to deliver holistic care to patients. She has presented extensively on geriatric and psychiatric issues at the local, state, and national levels. Dr. Phelon has served as MNA District 32 President, and currently serves on the MNA Board of Directors as the Director of the Council on Nursing Practice.

Kristi Henderson, DNP, NP-C, FAEN, FAAN received the AANP 2017 State Award for Nurse Practitioner Advocate. Dr. Henderson envisioned providing care in various rural emergency departments via a telemedicine system, and this vision became a reality when she established a program using the Diffusion of Innovation Theory. Dr. Henderson served as the chief telehealth and innovation officer at the University of Mississippi Medical Center. Dr. Henderson changed many lives in Mississippi and now has moved on to a system of 129 hospitals and 30 senior care

facilities in 24 states and the District of Columbia. Although she has moved to Austin, Texas, Dr. Henderson continues to serve as a consultant to the University of Mississippi Medical Center.

Pictured above: Deloris Slade (MNA Director of Council on Education); Dr. Shonda Phelon (recipient of AANP 2017 State Award for Nurse Practitioner

Excellence and MNA Director of Council on Nursing Practice); Teresa Malone (MNA Executive Director); and Dr. Linda Watkins (AANP State Representative)

32.95

75.90

32.95

75.90

Membership

EXPLORE, IGNITE, EXCEL: the Power of Nursing

Amber Arnold, DNP, RNDirector, Council on Organizational Affairs

It would be hard to imagine a Convention theme that resonates with the heart of nursing more than this year’s! “Explore” our many continuing education sessions, networking events and Expo. As nurses, we are always curious and seek to enhance our knowledge and skill sets to better serve our patients. The Convention is a great place to do so! “Ignite” your excitement about the continued progress of the nursing profession and how you make a difference in Mississippi and your patients’ lives. With certainty, we know that nurses “Excel” in leadership, patient care, innovation, research, and so many other areas. Take a look at the Convention sessions and you will see that no matter your area of interest, we have numerous sessions to meet your needs and help you continue to excel in your nursing role.

Be a part of The Power of Nursing by joining your colleagues from Mississippi and our surrounding states at the MNA Annual Convention! A distinguished slate of presenters, unique networking events providing you time to become acquainted with your colleagues, and a Powerful Exhibitors Expo, all hosted on the beautiful Mississippi Coast! Adding to the fun is your chance to show off your 70s style at the “far out” Bringing the 70s Back: PAC Party on Thursday evening. Bell bottom jeans, pantsuits, fringe, plaid, leisure suits – we expect to see the best in 70s attire while you enjoy the best of Motown and Disco!

Explore the many contributions of our profession’s researchers by spending time at the poster presentation! Thank you to Dr. Lorraine Gaddis, Director of the Council on Nursing Research, for the unique poster session highlighting the work of the many nurses across the state.

I sincerely appreciate the support of the Convention Planning Committee, chaired by Dr. Teresa Stanford. I would also like to thank Deloris Slade, Director of the Council on Education; Marilyn Ellis, Chair of the Provider Unit; and all of the members of the Committee for ensuring we have dynamic presenters addressing the trending topics in the nursing profession!

Join us in Biloxi, and be a part of “The Power of Nursing!”

Amber Arnold, DNP, RN

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