Mary Ciambelli, PhD, RN, PMHCNS-BC, RXN Happy Nurses Week to all nursing students, registered nurses, nurse clinicians, educators, researchers, managers, executives and retirees! The American Nurses Association (ANA) Nurses Week theme this year is “Ethical Practice. Quality Care.” In fact, ANA has declared 2015 the Year of Ethics to celebrate the publication of the revised Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is one of the cornerstone documents for the profession and was originally published in 1950. This revision is the outcome of current resident or Non-Profit Org. U.S. Postage Paid Princeton, MN Permit No. 14 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association Quarterly publication direct mailed to approximately 74,000 RNs and LPNs in Colorado Volume 115 • No. 2 May 2015 Mary Ciambelli Sara Jarrett Fifteenth Annual Nurse Legislator Connection Dinner Page 5 2015 Scholarship Recipients Pages 10-11 Honoring Clare Green Sandekian, RN, MS Page 14 Sara Jarrett, EdD, RN President CNF The Colorado Nurses Foundation continues to explore, implement and support ways to develop professional citizenship, stewardship and advocacy as professional attributes for all nurses. In this edition of the Colorado Nurse, I want to discuss the concepts of professional citizenship and stewardship. How often do you think about citizenship and stewardship and what they really mean in the context of the professional role? How are these characteristics integrated into day to day approaches to nursing practice and the community in which nursing and professional activities take place? In order to engage as professional citizen and steward, consider the following definitions that provide some context to this discussion. Citizenship as defined in Merriam Webster Dictionary (online) is the status of being a citizen as determined by certain requirements and expectations. It also means membership in a community as well as the quality of an individual’s involvement in a particular community. BusinessDictionary.com defines the term citizen as follows: “Person who is entitled to enjoy all the legal rights and privileges granted by a state to the people comprising its constituency, and is obligated to obey its laws and to fulfill his or her duties as called upon.” Stewardship is a term used by numerous organizations to describe the obligations of members of such groups. The common terms for these expectations are presented to members in the categories of “time, talent, and treasure.” Using these definitions as the backdrop, it seems that inherent in being a member of a professional group, defined publicly by the profession itself in three published documents: Nursing’s Social Policy Statement, Nursing: Scope and Standards of Practice, and Nursing Code of Ethics that the expectation to fulfill Professional Citizenship and Stewardship….. What? …. Why? Professional Citizenship continued on page 12 Ethical Practice continued on page 13 Ethical Practice. Quality Care. hard work by literally thousands of nurses that participated in the work of revising the code, including nurses in Colorado. Many thanks to all of the professional nurses who volunteered their time and intellectual talent to read, write, revise, edit and compile this brilliant treatise on the ethical standards for the nursing profession. The Code of Ethics is available on the ANA website www.nursingworld.org or if you prefer the hands on experience of a paperback, it can be purchased on line via the same website. ANA members receive a substantial member discount when purchasing any of the cornerstone documents or other books published by the association. Becoming and being a professional nurse requires intellectual, emotional, physical and spiritual gifts that empower us to embody the profession that is ranked by the public as the top
Transcript
Mary Ciambelli, PhD, RN, PMHCNS-BC, RXN
Happy Nurses Week to all nursing students, registered nurses, nurse clinicians, educators, resea rchers,
managers, executives and retirees! The A mer ica n Nu rses Association (ANA) Nurses Week theme this year is “Ethical P rac t ice. Qua l it y Care.” In fact, ANA has declared 2015 the Year of Ethics to celebrate the publication of the revised Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is one of the cornerstone documents for the profession and was originally published in 1950. This revision is the outcome of
current resident or
Non-Profit Org.U.S. Postage Paid
Princeton, MNPermit No. 14
The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses AssociationQuarterly publication direct mailed to approximately 74,000 RNs and LPNs in ColoradoVolume 115 • No. 2 May 2015
The Colorado Nurses Foundation continues to explore, implement and support ways to develop professional citizenship, stewardship and advocacy as professional attributes for all nurses. In this edition of the Colorado Nurse, I want to discuss the concepts of professional citizenship and stewardship.
How often do you think about citizenship and stewardship and what they really mean in the context of the professional role? How are these characteristics integrated into day to day approaches to nursing practice and the community in which nursing and professional activities take place? In order to engage as professional citizen and steward, consider the following definitions that provide some context to this discussion.
Citizenship as defined in Merriam Webster Dictionary (online) is the status of being a citizen as determined by certain requirements and expectations. It also means membership in a community as well as the quality of an individual’s involvement in a particular community. BusinessDictionary.com defines the term citizen as follows: “Person who is entitled to enjoy all the legal rights and privileges granted by a state to the people comprising its constituency, and is obligated to obey its laws and to fulfill his or her duties as called upon.” Stewardship is a term used by numerous organizations to describe the obligations of members of such groups. The common terms for these expectations are presented to members in the categories of “time, talent, and treasure.”
Using these definitions as the backdrop, it seems that inherent in being a member of a professional group, defined publicly by the profession itself in three published documents: Nursing’s Social Policy Statement, Nursing: Scope and Standards of Practice, and Nursing Code of Ethics that the expectation to fulfill
Professional Citizenship and Stewardship….. What? …. Why?
Professional Citizenship continued on page 12
Ethical Practice continued on page 13
Ethical Practice. Quality Care.hard work by literally thousands of nurses that participated in the work of revising the code, including nurses in Colorado. Many thanks to all of the professional nurses who volunteered their time and intellectual talent to read, write, revise, edit and compile this brilliant treatise on the ethical standards for the nursing profession. The Code of Ethics is available on the ANA website www.nursingworld.org or if you prefer the hands on experience of a paperback, it can be purchased on line via the same website. ANA members receive a substantial member discount when purchasing any of the cornerstone documents or other books published by the association.
Becoming and being a professional nurse requires intellectual, emotional, physical and spiritual gifts that empower us to embody the profession that is ranked by the public as the top
COLORADO NURSE (ISSN-8750-846X) is published 4 times annually, February, May, August, and November, by the Arthur L. Davis Publishing Agency, Inc. for the Colorado Nurses Foundation, 2851 South Parker Rd, Ste 250, Aurora, CO 80014; Mailing: P.O. Box 3406, Englewood, CO 80155-3406.
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Acceptance of advertising does not imply endorsement or approval by the Colorado Nurses Foundation of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. CNF 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 CNF or those of the national or local associations.
Colorado Nurses Foundation wants to hear from you and welcomes letter to the editors. Correspondence may be sent to Colorado Nurses Foundation, 2851 South Parker Rd, Ste 250, Aurora, CO 80014; Mailing: P.O. Box 3406, Englewood, CO 80155-3406; email, [email protected].
Material is copyrighted 2015 by the Colorado Nurses Foundation and may not be reprinted without written permission from CNF.
Co-Editors: Eve Hoygaard, MS, RN, WHNP (30) M. Colleen Casper, RN, MS, DNP (16)
In this issue of The Colorado Nurse we highlight the many achievements and scholarship funding by two prominent Nursing scholarships philanthropic funds in Colorado. A huge thank you goes to the leadership of both Friends of
Looking Back to Move ForwardNursing and The Colorado Nurses Foundation who steward these organizations for the primary purpose of recognizing excellence in nursing practice, education and research.
As individuals we make choices every day to take the path of inquiry or to accept the status quo. Dr. Bernadette Melynyk and others, in their 2009 American Journal of Nursing article “Igniting a Sprit of Inquiry: An Essential Foundation for Evidence Based Practice,” emphasizes that “step zero” in the process of adapting an EBP culture is cultivating a culture that demonstrates ongoing curiosity about the best evidence to guide clinical practice decisions.
Speaking recently about the importance of advocacy in nursing I was reminded of a teacher of mine who reinforced for me the importance of the noun and verb, respect.
Did you know the Latin origins of the word respect? The Latin origin of “re” means “back” and the Latin origin of “respicere or respectus” means to “look back again.”
I like to think of the Spirit of Inquiry as being able to put on a different lens or different pair of glasses and to look back again for the purpose of seeking ways to make a difference, to shift things in a positive way!
SAVE THE DATES
September 25 & 26, 2015
FeaturingJesse M Kennedy, RN
ANA Board of Director At Large – New Graduate
Jesse M. L. Kennedy, RN, currently practices in Eugene, Oregon as a clinical nurse at Peace Health River Bend in the critical care super
pool, the post-anesthesia care unit, emergency department and intensive care unit.
He is the founder of Nurse Connect, a group aimed at developing camaraderie among nurses and
establishing mentors for recent nurse graduates.
Details Forthcomingwww.coloradonurses.org
Mental Health Center of Denver is a nonprofit community mental health center, and is the nation’s leader in progressive community-
based mental health. Work as part of a multidisciplinary team to provide various mental health services to a diverse population.
We offer counseling, housing, education, and vocational services for adults, children and families. We build upon each consumer’s
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For more information about Mental Health Center of Denver and our
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The Nurse Licensure Compact Administrators (NLCA) Midyear meeting and the National Council of State Boards of Nursing (NCSBN) Midyear Conference were held March 15 through March 18 in Louisville, Kentucky.
The Licensing & Contracts Manager for the Colorado Board of Nursing was the state’s representative at the NLCA meeting held on Saturday, March 15. The NLCA conducted general business and adopted changes to a few policies reviewed by the NLCA policy committee. The other business discussed surrounded the new Nurse Licensure Compact (NLC-2), in particular how the proposed new Nurse Licensing Compact or “NLC-2” would affect the current compact and its existing members. The NLC-2 with a few minor changes was recommended to the NCSBN Executive Committee for consideration.
The NCSBN Midyear Conference was held March 16-18, with Colorado represented by Board President Dr. Vicki Erickson, and the Licensing & Contract Manager. The conference topics included Leadership Partnership, Succession Committee Reports, APRN Distance Learning Recommendations, Networking sessions, and Area membership meetings. Much of the conference was focused on discussion about policy, process and strategy concerning passage and implementation of a new Nurse Licensure Compact. A Special Delegate Assembly was called, to be held on May 4, 2015 in Chicago for the members to vote on the new Nurse Licensure Compact proposals. This will be only the second special delegate assembly called in NCSBN history.
The 2015 Colorado legislative session has been active and exciting in respect to the nursing profession. At the end of 2014, the Nurse-Physician Advisory Task Force for Colorado Healthcare (NPATCH) completed its nearly one year examination regarding the requirements for advanced practice registered nurses seeking prescriptive authority. The result of many hours of work and much stakeholder involvement resulted in recommendations now reflected in Senate Bill 15-197. This piece of legislation is currently making its way through the legislature. If the legislative proposal becomes law, it should address key barriers for both in-state and out-of-state advanced practice
nurses seeking prescriptive authority to practice in Colorado, as well as military prescribing APRNs seeking to transition into civilian practice.
Legislation sent to the Governor includes House Bill 15-1182 which concerns the expansion of the scope of practice of certified nurse aides to include certain tasks. The tasks are: Digital stimulation, insertion of a suppository, or the use of an enema to stimulate a bowel movement; g-tube and j-tube feedings; and placement in a client’s mouth of presorted medication that has been boxed or packaged by a registered nurse, a licensed practical nurse, or a pharmacist.
As mentioned in a previous Colorado Nurse publication all Colorado licensed prescribing practitioners who possess an individual DEA registration and all Colorado licensed pharmacists are required to register an individual user account with Colorado’s Prescription Drug Monitoring Program (PDMP). For those 2,850 APRNS with prescriptive authority holding DEA registration, 93% as of March 2015 have active PDMP accounts. Kudos!! For those still needing to create an account, for more information about the PDMP, and to begin creating a PDMP account please go to http://www.hidinc.com/copdmp. While account creation normally takes less than 5 minutes,
should you have questions regarding how to register a PDMP account, please contact the PDMP Help Desk at 1-855-263-6403.
Board and Program StaffingThe Colorado Board of Nursing is looking
for qualified advanced practice nurses (with prescriptive authority) who practice either Pain Management or in Women’s Health, to perform reviews of Colorado nursing licensees who are under administrative investigation for allegations of substandard practice. An independent nursing “consultant” would be required to review all available case documentation and then provide a written professional “opinion” to the Board. In exchange for a qualified pain management or women’s health reviewer’s time and expertise, financial compensation is offered. For more detailed information, please contact Investigator Martha Mesch, Colorado Department of Regulatory Agencies/Division of Professions and Occupations at 303-894-7703 or via email: [email protected]
Board of Nursing WebsitePlease be sure to check the Board of Nursing
webpage at www.dora.state.co.us/nursing for the latest information relating to the Board of Nursing, and to your professional license.
Denver School of Nursing is seeking qualified full-time and part-time didactic nursing faculty. DSN is a private institution of higher learning dedicated to the preparation of excellent nurses. The college offers adult-focused nursing programs that exemplify the highest standards and educational outcomes, with a focus on students and academic excellence. Emphasis is placed on the values of caring and advocacy of patients, professional accountability, and standards of practice. Both faculty and students reflect these attributes when serving the needs of the community in their respective roles.
DSN is accredited by the Higher Learning Commission (HLC) and the Accreditation Commission for Education in Nursing (ACEN).
Qualified nursing faculty requirements include: • a graduate degree in nursing from an accredited institution; doctorate preferred• a minimum of one (1) year of recent teaching experience in area of specialty• a minimum of two (2) years of clinical experience as a registered nurse• a current unencumbered Colorado license as a registered nurse
Additional requirements and job information may be found at www.edaff.com. Interested candidates should click on the Careers tab and search by Keywords, State (Colorado), City (Denver). Select the position of interest to review the criteria. To apply, click “Apply Now.”
Representing Nurses& others since 1987
27 Blue Herron Dr., Greenwood Village, CO 80121 (303) [email protected]
• Mediation• Professional Licensing Cases• Civil & Criminal Matters• Divorce & Family Law• Employment Law• Malpractice & Personal Injury• Motor Vehicle Crashes• Business Matters• General Health Law Issues(Accepts Most Liability Insurances)
Member of Major Law & Nursing OrganizationsThe American Association of Nurse Attorneys
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Nurse & Attorney at LawMSN, MSEd, APN, JD
Health issues affect us all...
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As you read this 2015 Legislative Session will be past the midway point and President Mary Ciambelli has highlighted some of the work accomplished thus far.
We have been also busy at the CNA offices with the return of the Colorado Nurses Day at the Capitol 2015 held on February 24, 2015. Dr. Sara Jarrett, long time Government Affairs Public Policy leader in Colorado Nurses Association and Executive Director at Regis University Rueckert-Hartman College for Health Professions, provided an overview of the Capitol Calendar for the day. In partnership with Nolbert Chavez, CNA Professional Lobbyist of Capitol Success Group, Dr. Jarrett described the legislative bill making process with specific reference to HB15-1182. Concerning the Expansion of the Scope of Practice for Certified Nurses Aides to Include Certain Tasks. Interesting in that CNA partnered with long term services support agencies and Home Care associations in drafting this bill language. The language specifies that an RN determines
competency of the certified nurses assistant and is no liable for the independent actions of the certified nurse assistant’s performance of these tasks.
The CNA offices partnered with DNA 16 in the online ticket sales, promotion and onsite event support for the Annual Legislative Dinner. Please see the DNA 16 column for details. Both events received welcomes from many of Colorado legislatures including Representatives J. Paul Brown, Kathleen Conti, Daniel Kagan, Susan Lontine, as well as Senator Larry Crowder and many others.
Upcoming is CNA’s first collaborative effort with the Colorado Academy of Family Practice Medicine (CAFP) in a seminar addressing models of care and competencies associated with successful patient centered care homes. We look forward to an ongoing relationship with in this endeavor as well as to further promote the important role of the Professional RN and APRN’s in providing primary and chronic care, as well as care coordination. If you missed the March 25, 2015 event, watch for follow up events.
CNA has a representative on the Mobile Integrated Healthcare/Community Paramedicine Task Force to explore roles and implementation strategies for Colorado. This work is being coordinated through the Colorado Department of Public Health and Environment Health Facilities and Emergency Medical Services Division. Dr. John Welton, Professor and Senior Scientist Health Systems Research at the University of Colorado College of Nursing has agreed to represent CNA in this important process. Dr. Welton has a background as a fire fighter and flight RN to complement his current work advancing the value equation and conversation for and about nursing. Thank you, Dr. Welton!
Colorado Nurses Association UpdatesNursing Faculty
Durango/Cortez, Canon City, Pueblo campuses of Pueblo
Community College
Pueblo Community College and its division campuses are actively seeking full-time Nursing Faculty to join our Associate Degree in Nursing programs at campuses in Durango/Cortez, Canon City, and Pueblo. Candidates must have a Master’s in Nursing, and clinical experience in Medical/Surgical, Psychiatric, or Peds/OB. Must hold an unrestricted Colorado or Colorado eligible RN license. These are benefited, 9 month teaching positions, Colorado state benefits, and retirement package. Additional information is available at: puebloccjobs.silkroad.com or [email protected]
Our program is also seeking RNs in all locations for clinical instructor positions. We are looking for MSN or BSN prepared nurses for Medical/Surgical, Psychiatric, or Peds/OB clinical rotations. Minimum requirements are a BSN, an unrestricted Colorado or Colorado eligible RN license, and 2 years clinical experience. Instructor contracts are 4-to-16 weeks, one to two days per week. Excellent pay, flexible schedules. For more information regarding opportunities to join our Nursing program go to: puebloccjobs.silkroad.com or [email protected]
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Submitted by Christine Schmidt, RN, MS, and the Nurse Legislator Connection Dinner Planning
Committee of DNA #16
On March 4, 2015, District 16 Nurses Association held their fifteenth annual Legislative Connection Dinner, co-sponsored by DNA #16 and DNA #31. There were approximately 110 participants this year including 14 legislators and one legislative aide. The evening opened with welcoming remarks from Dr. Mary Ciambelli, President of CNA, Nannette Morgan, President of District 16, and Caiti Collins President of DNA #31. Those assembled also were introduced to Terry Buxton, the incoming CNA President-Elect.
The evening’s program included the following speakers on topics of interest to nursing. Dr. Mary Ciambelli, CNA President, represented Governmental Affairs and Public Policy (GAPP) and provided a summary of key health care and nursing related bills before the state legislature this year. Some highlights included bills of mental health interest as well as hours required for prescriptive authority for advanced practice nurses. She emphasized the crucial role of the registered nurse to engage in influencing policy and serve as advocate for their patients and their profession. She encouraged nurses to keep informed through Bill Tracker on the Internet as well as to support CNA’s Political Action Committee (PAC) which screens and supports legislators who support nursing agenda. Laura Mehringer, Chair of the CNA-PAC, also addressed the group on the important work that CNA-PAC conducts and thanked the group for contributions.
Dr. Karren Kowalski, Executive Director of the Center for Nursing Excellence, addressed the group regarding the importance and value of nursing leadership and collaboration to resolve current major issues that affect our practice. She noted that NPATCH is the Nurse/Physician Advisory Task Force for Colorado Health Care which is addressing advanced nursing practice. She encouraged nurses to get involved on relevant boards and committees to have a voice.
CNA’s lobbyist, Nolbert Chavez, welcomed and introduced all the legislators to the nurse attendees who highlighted the bills they are working on this session. Many of them honored the nursing profession and vowed to support nursing causes. CJ Cullinan of DNA #16 served again as the gracious mistress of ceremonies for the evening.
DNA #16 would like to extend deep appreciation to all the speakers, and Dr. Mary Ciambelli, Dr. Sara Jarrett who could not attend this year, and GAPP Committee members whose time, information and materials stimulated good discussion among the nurses and their legislators. Gratitude also goes out to the many District #20 Nurses Association members who arrived early to help set up and assure smooth flow of the evening, and to DNA #31 for their sponsorship and fiscal support. Final thanks to all the nurses and nursing students for their valuable presence that assures constructive dialog and relationship building for legislators around the state with their nurse constituents.
For those who would like to extend a thank you to their legislators, here is the full list of those who attended:
State RepresentativesJ. Paul Brown, House District 59Perry Buck, House District 49 Kathleen Conti, House District 38 Daneya Esgar, House District 46Rhonda Fields, House District 42 Joann Ginal, House District 52 Steve Lebsock, House District 34 Susan Lontine, House District 1 Dianne Primavera, House District 33 Paul Rosenthal, House District 9
Senator Larry Crowder, key sponsor of SB 15-157 and Mistress of Ceremonies
C.J. Cullinan (DNA 16).
Representative Joann Ginal , Co-Sponsor of SB 15-196 with nurse attendees.
CNA President Mary Ciambelli and Representative Dianne Primivera.
Representative J. Paul Brown with nurse attendees.
DNA 20 members with nursing student attendees.
State Senators Larry Crowder, Senate District 35Leroy Garcia, Senate District 3 John Kefalas, Senate District 14Nancy Todd, Senate District 28 Legislative Aide for Michael Merrifield, Senate District 11
Colorado Nurses Association Board of Directors2014-2015
The Colorado Nurses Association (CNA) is a membership organization with a governing board of directors (BOD). The BOD functions as the fiduciaries of the association and partner with the Executive Director to implement the mission and strategic plan of the association. The BOD are volunteer elected leaders who serve the association because they are committed to promoting the profession of nursing. The BOD is elected for alternating two year terms so that the entire BOD does not turn over on the same year. In September 2015, we will be electing the following officers and directors: Secretary; Region I Director; Region II Director; Region III Director; and one At Large Director. This year, the association has a President-Elect who will become President at the end of the 2015 Membership Assembly and serve from then until 2017. Please welcome the 2014-2015 Board of Directors of the Colorado Nurses Association.
President-Elect: Theresa “Terry” Buxton, Ph.D., RN, CCNE comes to Colorado from Washington state where she lived and worked for many years. She earned her BSN from Texas Woman’s University in Denton, TX in 1978, her MSN in 2001 from Gonzaga University in Spokane WA and her Ph.D. in leadership studies from Gonzaga in 2004. Dr. Buxton is currently an Associate Professor/Technology Course Support Coordinator at Regis University. Terry has worked in a variety of roles during her nursing career including direct care nursing, case management, occupational health, and worker’s compensation and in nursing education. She was active in the Washington State Nurses Association and served in a variety of elected positions including President of the Inland Empire Nurses Association from 2007-2009, Terry strongly believes in the purpose and power of professional organizations to advance
the professional practice standards of nurses and nursing. Her priorities for the association are communicating both with our membership and external stakeholders about issues that are important for the nursing profession. In her role as President-Elect Terry’s work has included working with DNA leadership, visiting DNAs, traveling to work with the Western States Multi-State Division (WSMSD) leadership and Western Executive Leadership (WEX), participating in the work of the Governmental Affairs and Public Policy (GAPP) committee. Terry is looking forward to her term as President and is working hard to get ready for her responsibilities in that role.
President: Mary Ciambelli, Ph.D., PMHCNS-BC, RXN. Dr. Ciambelli has lived and worked in Colorado for the last 40 years. She earned her BSN in 1972 at Nazareth College, Kalamazoo MI, her MS with a concentration in psychiatric mental health nursing in 1976 at the University of Colorado and her Ph.D. in nursing at Wayne State University, Detroit MI in 1996. Mary has worked for the last 21 plus years as a psychiatric liaison nurse at HealthOne Swedish Medical Center. She earned her RXN after completing her doctoral studies. Mary has been active in her DNA since the late 1970’s and has served on the Governmental Affairs and Public Policy (GAPP) committee as a member and a co-chair. She is serving her last year as President of the association. She has particularly enjoyed serving as a delegate and a representative to the ANA House of Delegates and later Membership Assembly as well as serving on the Nurse Physician Advisory Taskforce for Colorado Healthcare (NPATCH), Mary is grateful for all of the understanding, support and patience provided by her family and friends that has allowed her to enjoy her experience as the President of this great group of professional nurses.
Vice President: Susan Moyer, RN, MS, CNSPH is employed as an Assistant Project Director at the Colorado Center for Nursing Excellence. She is currently involved in several grant projects including: the Future of Nursing, Colorado State Implementation Program and Nurse Education Practice Quality and Retention Project. Susan teaches on a wide variety of topics including effective communication, adult learners, change management and building teams. She is currently focused on projects recognizing nurse leaders under the age of 40; developing deans and directors of Associate Degree nursing programs and the diversity mentor program. Susan has worked in a variety of clinical settings and in public health. She earned her BSN at Mesa State College (now Colorado Mesa University) in Grand Junction CO and her MS with a specialty in public health nursing at the University of Colorado.
Treasurer: Paula Stearns, MSN, RN. Paula is a former Executive Director of the Colorado Nurses Association and currently serves as treasurer. She is a very active volunteer in a variety of community organizations as a representative of health care professions. She was an engaged member and leader in DNA 20 in northwestern metropolitan Denver for many years. Paula has won a variety of awards for her contributions to CNA including sustained contributions to the association in 2013. Paula and her husband recently moved to northern Colorado and are enjoying their new lifestyle in Ft. Collins. Paula is an active participant in the Partnership for Age Friendly Communities, focusing on health and wellness, promoting healthy aging and increasing awareness about care management.
Secretary: Nan Morgan, MS, RN-BC, ONC, CNRN Nan earned her entry level degree from
the Community College of Denver in 1987. She has spent her career in a variety of roles in the medical/surgical acute care including direct care nurse, nursing supervisor and nursing educator. She is currently working as a Quality Coordinator at HealthOne Swedish Medical Center which is a Level I Trauma Center and Stroke Center of Excellence in Englewood CO. She is the current president of DNA 16 and has been active in various DNA leadership roles for many years. Nan has “dual citizenship” with the local Orthopedic Nurses and the Neuroscience Nurses. She was a 2011 Regional Nightingale honoree for her development of a No One Dies Alone program at Swedish Medical Center. Nan is an avid scuba diver and also enjoys spending time with her husband of over 40 years, two children and five grandchildren.
Region I Director: Carol O’Meara- Carol will celebrate her 50th year as a Registered Nurse in 2015. She works as an OB-GYN Nurse Practitioner at Kaiser Permanente where she has worked for 36 years. She has been active in the Colorado Nurses Association since the 1970’s. Carol has served in leadership positions at the DNA level, the state level and at the American Nurses Association. She has served and chaired the Bylaws Committee and Awards Committee for CNA for many years in addition to her other BOD responsibilities. She was the ANA Bylaws Committee Chairperson from 2009-2012. Carol has won many awards at the state and local level including sustained contributions to C.N.A. More recently, Carol was awarded the ANA President’s Award in June 2014 by Karen Daley Ph.D., MPH, RN FAAN for her contributions to the American Nurses Association when the Association underwent a major restructuring process in 2012. As the current longest serving board member, Carol holds the institutional memory for the board and the association. The association is lucky to have her living and working in Colorado.
Region I Director: Laura Rosenthal, DNP, ACNP has been a registered nurse since graduating from the University of Michigan in 2000. She earned her MSN in 2006 at Case Western Reserve University in Cleveland, Ohio. She finished her nursing education at the University of Colorado with a Doctorate of Nursing Practice in 2011. Her clinical background includes acute care and inpatient/hospitalist practice. She serves as an assistant professor at the University Of Colorado College Of Nursing where she is the specialty coordinator for the adult gerontology acute care nurse practitioner program. Dr. Rosenthal is active in governance activities at the University of Colorado and is an active member of Sigma Theta Tau. Congratulations to Laura for being a 2015 Nightingale luminary!
Region II Director: Kathy Carpenter RN, MSN serves as a Region II which encompasses the southern and eastern part of Colorado. She is employed as a nursing instructor at Trinidad
State Junior College in their Associate Degree nursing program. Kathy also works at Spanish Peaks Veterans Community Living Center in Walsenburg. She brings the rural nursing and rural nursing education perspective to the board. She has been an active member on task forces as established by the House of Delegates and as appointed by the board of directors. She brings a delightful sense of humor, unfailing common sense and the ability to stay focused on the best interests of the association.
Region II Director: Lori Rae Hamilton RN, MSN is our other Region II director and also serves as the President of DNA 4. Mrs. Hamilton is the nursing director for Trinidad State Junior College. In addition, she is also the Colorado Student Nurses Association advisor. She really enjoys living in a rural area and advocating/promoting healthcare in rural populations. Lori Rae has been a nurse since 1998, starting out working in Texas before moving to Colorado. In addition to her work as an educator and director of a nursing program, she has worked in emergency rooms, medical surgical nursing, intensive care, nursing administration and nursing education. Lori Rae and her family raise prize hogs and she travels extensively with her sons to show their hogs around the country.
Region III Director: Debra Bailey, Ph.D., FNP-BC, RN. Deb’s entry into nursing practice was as an ADN earned from Mesa State College in 1980. She has worked in wide variety of clinical settings including medical-surgical and neuro-trauma nursing, neonatal intensive care, pediatrics and school nursing. Deb worked for 14 years as a Neonatal Nurse Practitioner that she completed at South Dakota State University in 1985. She worked in a Neonatal Intensive Care Unit for 17 years and was a flight nurse for 8 years caring for neonates. She earned her BSN from Mesa State College in 1987 and her MS with a concentration in community health from the University of Colorado in 1993. She completed her FNP program in 1998 and has had the privilege of caring for adults that were once neonates in her care. She has taught at Colorado Mesa University for a total of 20 years and earned her Ph.D. in Nursing while serving on the BOD in 2013. Dr. Bailey is a fifth generation native of western Colorado and loves her rural community, diverse outdoor activities and just spending time in the western Colorado ecosystem. She also enjoys traveling with her husband who is a curator of history and spending time with their two daughters.
Region III Director: Terry Schumaker, RN, MSN, DNP, APN-BC began nursing in 1977 in Denver Colorado as a licensed practical nurse. She completed her ADN in 1984 at the Community College of Denver. Terry returned to school as a rural distance student to the University Of Colorado School Of Nursing in Denver in 2004. She then earned her BSN in 2007, her MS in nursing in 2010 and her Doctorate of Nursing Practice in 2014. Her nursing practice is focused in the rural southwestern part of Colorado and
Board of Directors continued from page 6 includes hospice care, public health and teaching undergraduate nursing. Terry is a member of the Advisory Board for the Colorado Center for Nursing Excellence. She has brought her blend of nursing experience and concern for the nursing profession to the board.
Director at Large: Nora Flucke, MSN, Doctoral Student. Nora was born in Germany and has lived in Colorado for the last 20 years. She earned her BSN from the University of New Mexico and her MSN from the University of Colorado She currently is a doctoral student at the University of Colorado and is researching the effects of interdisciplinary care coordination on population health, consumer experience of care and economic outcomes. She teaches Health Policy in the CU graduate School of Nursing. Nora and directs the Center of Excellence in Care Coordination in southwestern Colorado. Nora writes that the “best thing about the Colorado Nurses Association is the opportunity to collaborate on current nursing issues that we know have an impact on patient outcomes. What makes the work so gratifying is this fundamental understanding that nurses are working as advocates for others.” Nora lives the active live of Colorado and enjoys skiing, kayaking and mountain biking.
Director at Large: Linda Stroup Ph.D., RN was appointed to the Board of Directors in 2014 to serve as one of our at large directors. She was very pleased to have this opportunity to serve the state-wide association. She has worked in nursing education in Colorado for over twenty years. She was the director of the nursing program at Arapahoe Community College and is now the Department Chair of Nursing at Metropolitan State University of Denver. She has been an engaged and active member of DNA 20 for many years and has served as their treasurer since 2008. In addition to her volunteer work with the Colorado Nurses Association she also is actively involved with several other state wide organizations, including being treasurer for the Colorado Council on Nursing Education and being the Co-Chair of the Alliance for Clinical Education. Linda is looking forward to serving all of Colorado’s registered nurses by advancing the work of the Colorado Nurses Association.
Nurse PractitionerPitkin County Public Health, (Community Health Services, Inc.)in Aspen is seeking a part-time (3 days per week) Nurse Practitioner who has a passion for women’s health providing primary health care in the area of reproductive health. Qualifying candidates will have 1 year of experience and be licensed in the state of Colorado. Title X/Family Planning experience helpful but not required. Spanish speaking also a plus. Partial benefits available. Send resume and cover letter to: [email protected]
DNA 6 members along with nursing students from ASU and TSJC prepared hygiene kits for La Puente, the San Luis Valley homeless shelter. The potluck dinner helped keep all of us well fueled, and was delicious. It was a great evening to connect students with nurses and work on a worthy cause.
Several DNA 6 members took Mabel Cotton out for lunch, to celebrate her commitment to nursing, and the publication of her story in the Colorado Nurse’s February edition.
DNA 6 salutes the 2015 Nightingale nominees for the San Luis Valley. Thank you for all you do for our community as well as your commitment to the nursing profession.
DNA 6 (San Luis Valley) assisted the Colorado Student Nurses Association, Adams State University and Trinidad State Junior College Nursing Departments in the statewide CSNA meeting held at Adams State University on Saturday, February 28, 2014 in Alamosa. It was an informative day, with presentations by Valley nurses and Senator Larry Crowder. New CSNA officers were also elected at the end of the day.
John Jaramillo TSJC Outgoing Vice President (He will be representing TSJC at this year’s national convention with a resolution), Iggy Gallegos Morgan Community College Treasurer, Amber Zamora TSJC Membership Director South, Adam Diesi Denver School of Nursing CSNA President, Jesse DeHerrera TSJC Program Director South, Bobbi Maul TSJC Communications Director, Christian Romansky TSJC incoming Vice President, Stephanie Posorske Adams State University Program Director North, Elizabeth Strang Adams State University Outgoing Membership Director South, Megan Owsley Adams State University outgoing program director South, and Lori Rae Hamilton, RN, MSN, CSNA Advisor
DNA 20 – West Metro Area
Submitted by Norma Tubman, RN, MScN, NE-BC
In May, members closed out 2013-14 activities with a potluck at Susan Moyer’s house. New Board and Committee members for 2014-15 were welcomed. Re-elected officers are President, Janet Ballantyne; Treasurer, Linda Stroup; and Board Member at Large, Kathy Crisler. Elected to
the Nominating Committee were Irene Drabek, Beth Moxley, Barbara Pedersen, Allison Windes, and Kathy Wood. Continuing in office are: Vice-President, Jean Rother; Secretary, Olivia Martinez; Board Members At Large, Kathy Butler, Norma Tubman, and Kiska May. A summer project for the Board was to revise the DNA’s By-Laws to make them compliant with ANA’s and CNA’s new organizational structure. The District kicked off its 2014-15 year with a Bar BQ and Board Meeting in August at Janet Ballantyne’s home. Kay Miller, CNO, St. Anthony Hospital, will be our speaker for our September District Meeting to be held at St. Anthony Hospital Lakewood.
Congratulations to Linda Stroup who was appointed to fill the vacant CNA Board of
DNA 20 continued on page 9
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May, June, July 2015 Colorado Nurse • Page 9
Directors At Large position and to DNA 20 member Douglas Warnecke who was a Nightingale Award recipient. Kiska May, Kathy Crisler and Irene Drabek attended the Women Warrior: A Vision of Valor event in May and had the opportunity to share the DNA 20 newsletter with Congressmen Ed Perlmutter’s staff to show them how DNA 20 area encompasses his district and to share that many CNA nurses are veterans. Staff very much appreciated the information and it was an opportunity to prompt CNA. Also representing DNA 20 on a more global scale was Susan Moyer who participated in a Project Cure trip in Ecuador.
For more information on DNA 20 meetings, locations and speakers, contact DNA 20 President Janet Ballantyne at 303-838-1240 or [email protected].
DNA 23
Fran Dowling, President
At our March meeting, the members present finalized their decision to donate funds to “American for Responsible Solutions,” which is a group setup by Congress Representative from TX, G. Gifford. DNA 23 continues to meet every other months and the May meeting will include elections for the coming year. We do not meet in summer and will resume in September. Hopefully we will meet the goal of increasing attendance to keep us viable, and to be helpful to Nurses in our area.
The end of this spring cannot end without my appreciation to the following:
• Charlotte Alexandre is honored for herloyalty and contributions for not missing a meeting for 2 years.
• JeanneKearnsandVPCathyO’GradyMelvinare also appreciated for their non ending assistance.
• Eve Hoygaard, MS, RN, for contacting mein order to write this report since I’ve had computer problems
• Laura Mehringer, MS, RN, RXN, CNS,valuable CNA member, for teaching the Northglenn Non-Practicing, Part-Time Nurses group. This is a group of Nurses who try to keep updated with Nursing and still contribute to the community.
Enjoy a great summer, everyone!
District & Committee Reports
DNA 30
Eve Hoygaard, MS,RN, WHNPDNA-30 Secretary
The 2015 Colorado Legislative session found many members of DNA-30/Colorado Society of Advanced Practice Nurses (CSAPN) to be very involved in the CNA Government Affairs& Public Policy (GAPP) committee. Members monitor topics being addressed by NPATCH and communicate updates to our members via email and on our websites (csapn.enpnetwork.com and on the CNA website coloradonurses.org). A number of our members testified in support of SB15-197. At the time of this writing, the bill was awaiting signature by Governor Hickenlooper. Look for photos in the next issue of the Colorado Nurse!
Kate Martinez, DNA-30 President has mentored our President Elect, Krista Estes during the past year. Krista will assume the position as President at our May 2015 meeting. Election results of other officers will be announced then and information will be included in the August issue.
A popular new feature of our monthly meetings involves a member who shares his/her history as an advanced practice nurse. Our diversity is amazing! We also provide opportunities for students and new graduates to network with experienced APN’s.
Congratulations to Courtney Duggan, a DNP student at the University of Colorado Denver College of Nursing, who was awarded the DNA-30 Colorado Nurses Foundation 2015 Scholarship!
DNA-30 membership is open to advanced practice nurses including Certified Nurse Midwives, Clinical Nurse Specialists, Certified Registered Nurse Anesthetists as well as Nurse Practitioners. APN students are welcome to attend our monthly dinner meetings.
DNA 31
DNA 31 has been busy with a new board of directors with lots of energy, ideas and plans for the upcoming year. We are primarily focused on providing educational forums and trainings for Denver-area practitioners utilizing the talent and clinical expertise of our members.
Most recently, DNA 31 was honored to co-sponsor Colorado Nursing Association’s 15th
Annual Legislative Dinner at the Scottish Rite Masonic Center. Present were several legislators supporting Senate Bill 197 addressing among other things, changes to requirements for prescriptive authority for Psych APNs. It was an “I heart nurses!” evening for sure as many of the politicians sang the praises of their sisters, daughters, mothers, and aunts who are nurses and saints, in equal measure! It was an amazing turn out of APNs and a very exciting evening all around!
We are also in the process of changing our name. We have had a number of Psychiatric Mental Health Nurse Practitioners (PMHNP) students attend our monthly meetings and become members of CSCSPN. Were it not for the suggestion of nursing faculty and preceptors that they investigate CSCSPN and all it has to offer, they might never have known about us. It appears that “CSCSPN” does not appear in any internet searches of professional or educational resources for Psychiatric APNs in the State of Colorado.
CSCSPN has not only been active but a formidable force in APN advocacy on the political/health care scene for more than 20 years. We not only want to maintain that status, we want to ensure that future generations of PMHNPs know who’s fighting the battles that have provided all of us with the professional and clinical independence that we currently enjoy. To that end, we want to at least be easy to find. Thus, we have posted on our website two possible names for consideration:
• Colorado Psychiatric Advanced PracticeNurses
• Colorado Advanced Practice PsychiatricNurses
We have invited all members, students, and visitors to our website, to weigh in with opinions and feedback on their choice. We hope to make a decision at our next monthly meeting on April 15, 2015 held at the CNA offices on Parker Road.
Our Educational Directors Deb Collins and Laurie Reeder are already planning our Spring Symposium to be held in the Denver area in early May. Topics of the day will include the Stigma of Mental Illness and Recovery-Centered Care for this lunch/brunch event. We look forward to seeing you there!
DNA 20 continued from page 8
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CaroleC.Schriefer,R.N.,J.D.Member: The American Association of Nurse Attorneys (TAANA)
Carole’s practice concentrates on the defense of nurses, nurse practitioners, and other health care providers in professional licensing matters, investigations, Board of Nursing hearings, Medicare and Medicaid matters, OIG exclusions, criminal defense, disputes with hospitals and employers, contracts, administrative hearings, corporate matters and transactional matters.
Kacee Child is the recipient of a Nightingale Scholarship. Kacee is a Junior BSN student at Colorado State University – Pueblo. Kacee plans to devote her nursing career to assisting those with mental illness.
Courtney Duggan was selected for the DNA #30 Scholarship. Courtney is a DNP student at theUniversity of Colorado College of Nursing. Courtney hopes to work in the area of community health with a special focus on promoting health and education in the obese population.
Samantha Duran received the Leslie Groy Public Health Nurses Scholarship. Samantha is in the Associate Degree program at Pueblo Community College. Samantha hopes to focus her nursing career in the area of public health.
Andrew Garcia is the recipient of a Nightingale Scholarship. He is a Junior in the BSN program at University of Northern Colorado. Andrew hopes to work in third world countries as a nurse when he graduates.
Laura Griebling received the Roy Anderson Memorial Scholarship. She is a graduate student at the University of Colorado College of Nursing. After graduation, Laura hopes to work as a Psychiatric Mental Health Nurse Practitioner.
Jose Guerrero-Baez was selected for the TJ Tremblay Memorial Scholarship. He is a Junior in the BSN program at the University of Colorado College of Nursing. Upon graduation, Jose wishes to work with the pediatric population in emergency situations.
Jose Hernandez received a Nightingale Scholarship: University of Colorado.Jose is a Senior in the BSN program at University of Colorado College of Nursing. Jose has developed a love of obstetrical nursing and hopes to work in this area upon graduation.
Nichole Hockenberry was selected for the Roy Anderson Memorial Scholarship. She is a NNP student at Regis University. Upon graduation, Nichole will work with the NICU population and continue her international volunteer work with this population
Anna Hollander is the recipient of the Lizzie Schaeffer Teichler Memorial Scholarship. She is a FNP student at University of Colorado at Colorado Springs. Anna hopes to continue her work as an ER and OR nurse and continue her mission work abroad.
Denise Huff received the H.M. Muffly Memorial Scholarship. She is a BSN student at Colorado Christian University. Denise wishes to work in oncology nursing.
Julie Javernick was selected for a Nightingale Scholarship: University of Colorado. She is a DNP student at the University of Colorado College of Nursing. Upon graduation, Julie will continue work as a midwife.
Amanda Judd is the recipient of the DNA #3 Scholarship. Amanda is a graduate student in the FNP program at University of Colorado at Colorado Springs. She will continue her work with diabetes prevention, education and prevention as a nurse practitioner.
The Colorado Nurses Foundation is dedicated to improving health care and nursing practice in Colorado. The foundation’s mission is to advance nursing in Colorado through education, advocacy, and recognition.
Since it’s inception, the foundation has raised more than $329,000 for nursing scholarships. This year $48,000 in scholarships has been awarded to 26 deserving Colorado nursing students.
Elizabeth Barnett received a Nightingale Scholarship and is a Junior BSN student at Colorado Christian University. Elizabeth has a special interest in community and public health nursing.
Claire Braam is the recipient of the Leslie Groy Public Health Nurses Scholarship. Claire is a BSN student at Regis University. Claire wishes to pursue her nursing career in the rural areas of Colorado where she can live with and know her patient population.
Heather Brown was selected for a Nightingale Scholarship: Colorado Nurses Association/Civica Management. Heather is a 1st year graduate student in the MSN program at Colorado State University – Pueblo. Heather’s goal is to become a nurse educator. She hopes to inspire future nurses as her nursing faculty inspired her.
Abrie Brutsche received a Nightingale Scholarship. Abrie is a 2nd year graduate CNEP student in Frontier Nursing University. After graduation, Abrie will continue her nursing career as a Nurse Midwife.
Jordan Buchanan was selected for the DNA #16: Eleanor Bent Scholarship. Jordan is a Junior BSN student at University of Colorado College of Nursing. After graduation, Jordan plans start his nursing career as a Medical Surgical Nurse.
Anna Hollander
Jose Hernandez
Nichole Hockenberry
Courtney Duggan
Heather Brown
Abrie Brutsche
Kacee Child
Samantha Duran
Andrew Garcia
Elizabeth Barnett
Claire Braam
Jose Guerrero-Baez
Julie Javernick
Amanda Judd
Denise Huff
Laura Griebling
Jordan Buchanan
2015 Scholarship RecipientsCongratulations to the 2015 CNF Scholarship Recipients!
Recipients continued on page 11
May, June, July 2015 Colorado Nurse • Page 11
Sharon Krasovich was selected for the DNA #20 Scholarship. Sharon is a FNP student at Regis University. Upon graduation, Sharon will move from bedside nursing to an Internal Medical Clinic to provide her services.
Emilia Ludwig received a Nightingale Scholarship: St. Mary’s Hospital. She is a BSN student at Colorado Mesa University. Emilia hopes to specialize in the nursing care of the geriatric population.
Melanie Ostler is the recipient of a Nightingale Scholarship. She is a BSN student at Colorado Mesa University. Melanie wishes to work as a staff nurse before pursuing graduate education.
Lauryn Romaine received a Nightingale Scholarship. She is a BSN student at University of Northern Colorado. Upon graduation, Lauryn would like to work in pediatrics.
Robyn Salazar was selected for a Nightingale Scholarship. She is a BSN student at Colorado State University – Pueblo. Robyn wishes to return to rural Colorado when she graduates.
Elizabeth Weaver is the recipient of the H.M. Muffly Memorial Scholarship. She is a BSN student at Regis University. After graduation, Elizabeth will work as a staff nurse.
Liqin Zhang was chosen to receive the Patty Darbonne Walter Memorial Scholarship. Liqin is a DNP student at the University of Northern Colorado. She would like to work with the geriatric population after graduation.
Jenna Ziemer was selected for a Nightingale Scholarship: Donor Alliance. She is a BSN student at Regis University. She wishes to work with the pediatric population with a focus on sports medicine.
Jennifer Zirul received the Colorado Nurses Association: Virginia Paulson Memorial Scholarship. Jennifer is a FNP student at Regis University. Upon graduation, she wishes to work as an FNP in a community setting.
Emilia Ludwig
Jenny Zirul
Lauryn Romaine
Robyn Salazar Jenna Ziemer
Sharon Krasovich
Elizabeth Weaver
Liquin Zhang
2015 Scholarship RecipientsCongratulations to the 2015 CNF Scholarship Recipients!
Recipients continued from page 10
CONGRATULATIONS to all Nightingale Luminaries honored
at the Nightingale Luminary Awards on May 9, 2015 at the
Denver Renaissance Hotel. Your excellence in nursing professional
engagement and citizenship is recognized and honored.
Tri-County Health Department is Colorado’s largest health department, serving Adams, Arapahoe, and Douglas counties. Currently, we have the following positions available within our Division of Nursing:
We seek candidates who hold the minimum of a Bachelor’s Degree in nursing from a school accredited by the ACEN or the CCNE. A Master’s Degree in Nursing with major coursework in nursing, public health or a related field is required for Manager level jobs. Experience in the specialty area and/or public health nursing is encouraged.
Please submit resume to: [email protected] or fax to 303-741-2351.Visit www.tchd.org for more information.
Gove County Medical Center
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Page 12 • Colorado Nurse May, June, July 2015
In Memory
the requirements of a professional citizen and steward are unquestionably identified as to what it is expected of every member of the profession. If this is not sufficient evidence that a profession demands by its own definitions sufficient evidence for every member to act as professional citizens and stewards, the legal parameters of practice defining nursing competencies, roles and scope further cement the necessity for the existence and implementation of these roles of citizenship and stewardship.
I would now like to pose a few questions for professional nurses to use to determine their level of commitment to the implementation and integration of the roles of citizen and steward of the profession.
• Do you participate in professionalorganization that demands involvement and commitment to decision making about the profession? (Voting as a citizen of a country)
• Canyounamethreenationalnursingleadersthat speak nationally for nursing on issues of practice? Leaders at the state level?
• Do you know what current public policyissues that affect nursing are being debated and discussed at the state and/or national level?
• DoyouknowhowmanylegislatorsareintheColorado General Assembly?
• Canyounameyourownstaterepresentativeand state senator?
• Do you know the names of the ColoradoSenators and Representatives in Congress?
• Do you belong (treasure- supportingeconomically the voice of nursing) to at least two nursing organizations that are addressing the professions issues?
• Do you give time and talent (yourknowledge and expertise) to the profession of nursing through involvement in nursing organizations that are working for the betterment of the profession and its members?
• If you answered all of the previous questions in the affirmative, you are beginning to fulfill the basics to be a citizen of the profession.
Professional engagement in nursing through the roles of citizen and steward are a required expectation for all professional nurses. The future of nursing as a viable and visible leader in a changing health care delivery system is dependent upon a change in nurses’ perspectives regarding the issues of the profession beyond the direct care role. As recommended in the IOM study of October 2010 nurses need to be leaders in boardrooms, workplaces, community and public policy arenas to bring the unique and valuable perspective that nurses have regarding professional nursing practice and vital health care issues.
Professional Citizenship continued from page 1
Eve Hoygaard, MS, RN, WHNPVice President, Colorado Nurses Association
The Colorado Nurses Association honors the memory of and acknowledges the work of deceased nurses who lived in, worked in or were educated in Colorado. Sharing theses names of and information about these members of our profession is one way that we do this.
If you have information about a nurse who has passed away that you would like to acknowledge, please provide us with information (including, as available, their full name, city where they lived/worked, the school where they obtained their nursing education/date of graduation and/or area of practice) to Eve Hoygaard ([email protected]). We reserve the right to edit material submitted and endeavor to verify all information included in this column. If an error is noted, please advise us and a correction will be published. Your assistance will be greatly appreciated.
We honor the following nurses...
Berry, Carol Joyce Voeck, RN (78) passed away in Parker, CO in January 2015. A graduate of West Suburban Hospital School of Nursing in Oak Bridge IL, she worked at Rose Medical Center.
Casagrande, Lucille, RN Passed away in February 2015. She served in WWII as a Navy Nurse.
Crowe, Paula, RN (97) passed away in Grand Junction, CO in February 2015. She was employed as an RN in Greeley and Palisade before retiring.
Fitzgerald, Margaret, RN (90) a 1945 graduate of Creighton University in Nebraska who first worked at Fitzsimmons Army Hospital in
Aurora, CO passed away in January 2015. She worked as a nurse for 45 years. In 1999, she was a Channel Seven News (Denver) “Everyday Hero.”
Laird, Barbara Jean Mogr, RN passed away in Surprise, AZ in February 2015. She served as a nurse in Viet Nam, then later as a home health nurse and a school nurse.
Minderler, Judith Joyce, RN, MS (63). A Colorado native, was a 1973 graduate of the Walter Reed Army Institute of Nursing who later completed her MS in Nursing. When she retired in 2004, having achieved the rank of Colonel, she had served in the Army Nurse Corps for 30 years. Among her many assignments, she served at Fitzsimmons Army Medical Center in Aurora in the 1970’s and 80’s. Following her retirement she volunteered at Samaritan House and other organizations that assisted veterans. Known for her compassion and sense of humor, she is sadly missed by many. She passed away in February 2015.
Scheitler, Lucille, RN, (78) passed away in January 2015. She received a BSN from Loretta Heights College and a MSN from the University of Colorado. She worked at the Colorado State Hospital in Pueblo and at St. Anthony Hospital before beginning a long career as a school nurse with the Jefferson County School District where she worked until late fall 2014.
Shainline, Leslie Ann Misenheimer, RN Received her BSN and 1982 and MSN in 1987 from the University of Colorado.
Tallmadge, Doris Nylander, RN (95) completed her nursing education in Davenport, Iowa. She served as a flight nurse in North Africa as a member of the Army Nurse Corps. She passed away in Battlement Mesa, CO in February 2015.
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For additional information including contact person for these events, please visit the Colorado Nurses Association website at www.coloradonrses.org or call 303-597-0128.
for honesty and ethical standards for the past 13 straight years. What does it meant to be a nurse? “Nursing encompasses the protection, promotion and restoration of health and well-being, the prevention of illness and injury; and the alleviation of suffering in the care of individuals, families, groups, communities and populations” (Preface, Code of Ethics). Being a nurse is a much bigger responsibility than performing one’s duties with competence. We are accountable to our students, our peers, our professional healthcare colleagues and the people and communities we serve to live the values and ideals of our profession.
The ninth provision of the Code of Ethics states: “The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy” (Code of Ethics, 2015). The Colorado Nurses Association (CNA) is the professional organization for nurses in Colorado and actively works to accomplish all of the activities listed in this provision. I invite all new graduate nurses, all registered nurses and all advanced practice nurses in Colorado to join your professional association to accomplish the good work of our profession. Whether you are a new graduate or a seasoned professional, it is always the right time to join your association. Applications are available at www.coloradonurses.org; www.nursingworld.org; elsewhere in this publication; or you can call the office at 303 597 0128 to obtain an application. I recommend the monthly payment from your checking account option for an easy and cost effective way to enjoy the benefits of belonging to our professional association.
During the most recent legislative session our Governmental Affairs and Public Policy Committee (GAPP) leadership Dr. Sara Jarrett and nurse practitioner David Rodriguez, Executive Director Colleen Casper DNP and our professional lobbyist Nolbert Chavez have diligently worked together with other nursing and healthcare organizations to articulate nursing values to the Colorado legislature. We worked to maintain the integrity of the profession by advocating to reduce current barriers and increase nursing autonomy for advanced practice registered nurses (APRNs) earning prescriptive authority in Colorado.
While the final outcome of this legislative initiative is unknown at this time, we anticipate success by the time this paper is published. The Nurse Physician Advisory Taskforce for Colorado Healthcare (NPATCH) recommendations were amended in the Colorado Senate to add a requirement for three years of clinical work experience as a registered nurse or advanced practice nurse student prior to being eligible to apply for provisional prescriptive authority. The association will actively work with the Department of Regulatory Agencies (DORA) and the Board of Nursing (BON) to minimize the impact of this amendment on APRNs applying for provisional prescriptive authority in Colorado.
Ethical Practice continued from page 1 Speaking of the good work of the association, I want to invite all of you to attend the 2015 Membership Assembly on September 25-26 2015 in the Denver area. The Membership Assembly will include continuing education and the annual business meeting of the association. This year’s theme is Ethical Practice. Quality Care and I am very pleased to announce that we have partnered with the Colorado Student Nursing Association (CSNA). We will have joint meetings with the future nursing leaders for Colorado. Our keynote speaker is Jesse Kennedy, former president of the National Nursing Student Association and current ANA new graduate board member. I have had the pleasure of hearing Jesse speak at the ANA Membership Assembly and am looking forward to having him are our keynote speaker this year. All registered nurses and advanced practice nurses are welcome to attend the Membership Assembly, however only association members have voting privileges at the business meeting.
I hope that every professional nurse in Colorado had an enjoyable and satisfying Nurses Week and that we all had an opportunity to reflect on the joys, privileges, and responsibilities associated with being a member of America’s most trusted profession Please take good care of yourselves and remember the fifth provision of the Code of Ethics: “The nurse owes the same duties to self, as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continues personal and professional growth” (Code of Ethics, 2015).
Clare Sandekian is honored for her 50-year career in psychiatric and addiction nursing, including education and administration. Clare influenced patient care in many public, private and academic settings in Colorado and those of us who worked with her over the years.
Some highlights of Clare’s challenging, professional, and personal life are described her. Clare will be remembered for her abilities to connect personally and professionally with people in ways that last a lifetime. Clare has mentored many through her leadership work at University Hospital, Lutheran Medical Center, and Denver General Health & Hospitals Psychiatric and Behavioral Health Nursing.
While Clare lived in Denver many years, she was born in Vancouver, British Columbia, on May 22nd, 1930, to Morris L. Greene and Hannah Clare. Clare cherished her international interests throughout her life through travel and study.
Clare attended the Vancouver General School of Nursing from 1949 – 1952 where she served as class president, editor-in-chief of the school annual, and earned the Dr. George A. Davidson Award in Psychiatric Nursing.
Following a post graduate course in psychiatric nursing at the Provincial Mental Health Services in British Columbia, Clare moved to San Francisco to attend the San Francisco College for Women. There she earned her B.S. in Nursing. For three years Clare was a staff nurse at Langley Porter Neuropsychiatric Institute in San Francisco and worked part- time at Stanford University Hospital. From 1956 to1958 and served as a clinical instructor in psychiatric nursing at San Francisco County Hospital. In 1959 she joined the California National Guard’s Army Nursing Corps. She became the Chief Nurse for the 146th Evac Hospital and held that position until 1963. In 1969 Clare completed her MSN from the University of Colorado and was recruited to accept the position of Associate Director of Nursing Service at the University of Colorado Psychiatric Hospital.
Through out her professional working career and continuing education, Clare served as Special Assistant to the Unit Commander and became the Chief Credentialing Officer for the 5502 US Army Reserve unit stationed at Fitzsimmons Army Medical Hospital, now Building 500 on this Anschutz Medical Campus. In 1981 Clare was promoted to a full Colonel. She retired at the mandatory age of 60 after 28 years of service.
Clare Sandekian
Honoring Clare Green Sandekian, RN, MS
(1930-2015)
Nursing Opportunities Available• ER / Medical-Telemetry Unit Nurse Supervisor
• Emergency Room Nurse • Medical / Telemetry Unit Nurse• Outpatient Clinic Nurse • Case Manager
For more information contact: Ernasha McIntosh, RN, BSN, IDON, 928-755-4501,
Clare married Mathew Sandekian in October 1965 at the Temple Micah Synagogue. Clare and Matt are the proud parents of David (Patty), Gail (Tom), Robyn (Tara), and grandparents of Roby, Alexis, Sophia, Blake and Grant.
Retirement didn’t suit Clare. When her good friend founded Home Care Resources, now Care Management and Resources, Inc. Clare said, “yes,” she’d help, for three years. She stayed six. Clare returned recently as a client when she was diagnosed with liver cancer. The company’s employees took wonderful care of Clare on a 24/7 basis during her 17-month illness.
Clare shared her nursing expertise by serving as a board member for several nonprofit organizations. One example is Peer Assistance where Clare served as president, secretary and treasurer for ten of the twenty years that that she was associated with Peer Assistance. Clare also served as a proud and founding member of the Denver Nursing Project in Human Caring, a nurse managed center for people living with HIV/AIDS.
Nursing scholarships funded by Clare and Matt over the years, attest to her passion of contributing to the future of nursing. The CU College of Nursing Alumni Association benefited from Clare’s leadership and insight. She was on the Alumni Board for nearly twenty years, where she was served as president for a term and chaired multiple committees. The Alumni Scholarship was renamed the Clare Sandekian Scholarship three years ago. This past year the Alumni Association honored Clare with the Distinguished Service Award. Clare and Matt also supported the College of Nursing in the funding of the Clinical Education Center on the new Anschutz Campus.
Her involvement with the Friends of Nursing (FON) organization spanned more than 20 years. While Clare served on the Board of FON in a number of different positions, she was especially valued for her wise counsel in financial matters, serving as both FON Treasurer and Financial Advisor for investments. She and Matt, who is a lifetime member also, volunteered for numerous FON fund raising activities as well as giving generously themselves to support the organization’s nursing scholarships. On April 18, 2015, FON will be awarding two nursing students Clare Sandekian scholarships at the annual scholarship luncheon. Clare Sandekian, RN, exemplified being a citizen of the profession of nursing.
Thank you to Contributors: Robyn Sandekian, Elizabeth Pace, Juanita Tate, and Carol Brautigan, Eve Hoygaard, Colleen Casper
Nurses – Welcome to Wyoming!
www.wbihelp.com
Wyoming Behavioral Institute has been accredited by The Joint Commission (TJC) and is licensed by theStateofWyoming’sDepartmentofHealth.
Wyoming Behavioral Institute is owned, managed andoperatedbyasubsidiaryofUniversalHealthServices, Inc., one of the largest providers of high-quality healthcare in the nation.
Wyoming Behavioral Institute, an 85-bed acute care psychiatric hospital is now recruiting in Casper, Wyoming.
Wyoming Behavioral Institute is the premier leader in providing behavioral health services and treatment in
Wyoming and the Rocky Mountain West.
Ourphilosophyistoprovidearangeofspecializedand individualized treatment options with a focus
on service and excellence to support healing for our patients and families.
We pride ourselves in providing the highest quality of nursing care. If you are an experienced nurse, or a recent graduate, and have a commitment to service excellence we look forward to hearing from you and
having you join our team today.
We offer excellent compensation and full benefits package. Interested applicants please visit our website and apply online.
• RNs • LPNs • New Grads Welcome!
May, June, July 2015 Colorado Nurse • Page 15
Government Affairs & Public Policy Committee
Government Affairs and Public Policy Committee Colleen Casper, Executive Director
Co-Chairs Sara Jarrett, David Rodriguez, Pat Abbott, Angela Petkoff
Colorado Nurses Association Legislative Activities 2015
We have a comprehensive Bill Tracker available on our website (http://www.coloradonurses.org) for your review. It is currently open to all visitors and will soon be limited to members only.
Key Bill Activities
SB15-197-Concerning the Prescriptive Authority of Advanced Practice Nurses
Colorado Nurses Association, the professional association of licensed Registered Nurses and Advanced Practice Registered Nurses, supported this legislation because we support the rights
and abilities of all advanced practice nurses in Colorado to earn prescriptive authority in a manner consistent with our educational preparation and self-determination as a profession. SB15-197 passed out of both the House & Senate and proceeds to the Governor for signature. DORA anticipates Rule Making Process commencing in August 2015 with hopes for completion in late Fall 2015.
HB15 – 1182-Concerning Scope of Practice for Certified Nursing Assistants
Colorado Nurses Association worked with home care and long term services providers on this bill. The intent of the bill was to clean up a gap between Colorado Department of Public Health (CDPHE) and Colorado Department of Regulatory Affairs (DORA), in that CDPHE allows for unlicensed personal assistance to perform the tasks described in the bill, where as DORA holds the RN responsible for the actions of the CNA under the delegation clause. The new bill recognizes that if a CNA is deemed competent, the RN is no longer liable for their independent actions. Rule writing will follow.
Join Today! ANA/CNA Working for You!
TRU Community Care, founded as Boulder County Hospice in 1976, is a Colorado-licensed, Medicare and Medicaid-
lRegistered Nurse - Hospice, Central Staffing, Care CenterlClinical Manager - HospicelClinical Manager - Care CenterlAdmissions Manager
For more information contact Carlene Crall at [email protected] or apply online at
www.trucare.org
PEDIATRIC NURSES NEEDED
We currently have all shifts (Day and Night) available. Full and Part-time nursing positions!
HOME HEALTHCARE | ABOVE AND BEYOND
Contact Tyler
COLORADO SPRINGS & DENVER
MGA is the premier provider of pediatric home care services for medically fragile children in the Denver & Colorado Springs regions. MGA Home Healthcare in collaboration with the most prestigious facilities in the country work to ensure a healthy hospital to home transition.
for more information
Co. Springs 719.476.0200 | Denver 303.749.0424
MGAHOMECARE.COM
MEGAssociates,The home care consulting experts!
We are an approved provider of continuing nursing education by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
www.megassociates.com | M. Elaine Graves, RN, BSN, MA 303.536.0614 or 303.857.0733
Expand your clinical teaching skill set! The Center’s next Clinical Scholar training classes will be July 20-27, 2015. This popular workshop will increase your clinical teaching skills and help educate the next generation of Colorado nurses.
Strengthen your preceptor skills and confidence! The Center will be offering a Preceptor Workshop on August 24-25, 2015. Specialty breakout sessions available depending on signups.
For more information, see www.ColoradoNursingCenter.org or contact us at [email protected].
VIVAGE Quality Health Partners is growing! We invite you to grow with us!
Our skilled nursing communities have a variety of employment opportunities for talented,
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We challenge you to become an innovative and effective member of our health care team. Make a difference every day and build a better
meetings we became novices in parliamentary procedures and began to understand the impact that our decisions could have on nursing students and nurses. Through careful consideration, debate, and voting, we looked at fifty resolutions for the NSNA to support. A few resolutions considered included adding intravenous catheter placement curriculum in undergraduate programs, adding the use of high-fidelity simulators in more school’s curriculum, and increasing patient participation in healthcare worker hand hygiene.
CSNA Vice-President, Christian Romansky, from Trinidad State Junior College in Alamosa, CO presented Resolution 38, “In Support of Involving Nurses on Organizational Boards,” co-authors included: CSNA President, Adam Diesi, CSNA Director of Legislation and Education, Ruth Bowen, and former CSNA Vice-President, John Jaramillo. This resolution asked for the recognition and encouragement of professional
Colorado Student Nurses Association Update
The National Student Nurses Association (NSNA) kicked off the 63rd Annual Convention in Phoenix, Arizona on April 8th, 2015. The Convention offered vast resources and opportunities to network, learn, and grow professionally. From the moment all 18 attendees from Colorado arrived at the convention center we were faced with a fun packed schedule and many difficult choices. What session should I attend first, when will I have enough time to visit all the exhibitors? Many of us were able to attend session on tips to running your own convention, nursing specialties like emergency flight nursing, an American Red Cross Disaster Certification, and NCLEX review sessions. Many associations were also present to encourage membership and ignite professionalism in student nurses.
With members from all over the state of Colorado we were able to represent Colorado in the House of Delegates. After attending a few
o r g a n i z a t i o n s t o i n c l u d e more nurses on o r g a n i z a t i o n a l boards and to be involved in decision making positions in order to increase patient sa fet y, pat ient s a t i s f a c t i o n , and drive down healthcare costs. Like convention speaker Dr. Sue Hassmiller said, “if we as nurses don’t make decisions, other people will make them for us.” The resolution passed the House of Delegates by a resounding 94% of the vote. Way to go Colorado!
The NSNA convention experience was nothing short of awesome. I’m excited to bring ideas and enthusiasm back to the Colorado student members and to our convention on September 26 in Denver, CO. The fall convention will be the perfect precursor before the NSNA Midyear Conference held in Atlanta, Georgia on November 5th through the 8th. We are counting on Colorado Nurses and Student Nurses to make the changes that we want to see in our great state.
Sincerely,Stephanie AtkinsAdams State University – Alamosa, COCSNA Projects Director (North)
Come Home to a DifferentKind of Nursing Career.
Sunrise Senior Living seeks Nurses in the Denverarea for the following properties:
SunriSe at Flat ironS SunriSe at Boulder
SunriSe at WeStminSter SunriSe at Cherry Creek
SunriSe at orChard SunriSe at PinehurSt
SunriSe oF univerSity Park
Weofferhighlycompetitivewages&excellentbenefits.Please send resume to:
Montrose Memorial Hospital800 South Third Street • Montrose, CO 81401
Ph: 970-240-7396 • Fax: 970-240-7146
Montrose Memorial Hospital, located on the Western Slope of the Rockies in beautiful southwestern Colorado, is a unique community-centered hospital that balances contemporary medical technologies with an extraordinary commitment to patient satisfaction. We continually bring superior outcomes and cutting-edge technology to the people in our community through progressive programs and medicine.
We are always looking for experienced nurses to join our devoted team. We are actively seeking nurses in the following departments: Labor & Delivery, Emergency, ICU, Med/Surg, Joint Replacement Center, Cancer Center and Case Management. At Montrose Memorial Hospital you will enjoy a supportive environment, flexibility and competitive compensation. Relocation assistance is available. Apply online today!
Classes That Fit Your Schedule — Competitive Tuition
Bartlett Regional Hospital
Quality Healthcare • Quality Lifestyle
We’re committed to being the best community hospital in ALASKA. A history of service. A supportive community. We provide quality health care and health promotion for the people of JUNEAU and communities of Southeast ALASKA.
We have openings available in many areas:
• Nursing Administration • Surgical Services• Behavioral Health • Obstetrics• Critical Care • Emergency• Medical and Surgical
For complete job descriptions, and to apply online go to: www.bartletthospital.orgor call Human Resources at: 907-796-8418 or 888-668-9962
May, June, July 2015 Colorado Nurse • Page 17
Peer Assistance Services
Authored by Jennifer Place, MA, LPC, CAC III, NC
One of the most common workplace complaints heard from professional nurses is they are “too busy” to eat while at work. What they fail to recognize is that skipping a meal (or two) can have more than just a detrimental impact on their energy, it can also negatively impact their mood and mental focus.
Today there is growing research on the relationship between what we eat and its impact on our physical and mental health. As a result, there is an overwhelming push to return to eating smaller servings of whole, unprocessed foods throughout the day to sustain energy and stabilize mood. This may be easier said than done for a busy professional. However, highlighting small changes which can create significant benefits will hopefully spark some motivation for change.
The blood sugar factorA significant diet-related issue that interferes
with brain and mood functioning is having too much or too little energy (sugar) available in the brain. When the brain gets a rapid or large dose of sugar hyperglycemia ensues, creating increased thirst, urination, and fatigue. When blood sugar levels are too low, hypoglycemia ensues, resulting in nervousness, trembling, increased heart rate, palpitations, increased sweating, hunger, irritability, decreased concentration, headache, fatigue, and mental confusion (National Institute of Health).
A textbook example of both of these conditions can be witnessed at most any nurses’ station. The nurse who fails to eat during a shift will begin to suffer from some of the effects of low blood sugar and will likely succumb to the available doughnuts or other carbohydrate-laden treats. The spike in blood sugar that ensues could cause hyperglycemia if the pancreas does not release enough insulin to manage it effectively. In extreme cases over time, this blood sugar rollercoaster can create insulin resistance and metabolic syndrome.
To effectively prevent the negative impacts of hyper- or hypoglycemia, small meals or snacks should be consumed every 2-3 hours throughout the day. Ideal snacks would have a mixture of complex carbohydrates, fiber, and fat. Trail mix,
snack bars (minimally processed with all-natural ingredients) or a nut and fruit combo are ideal choices, and are easy to eat “on the go.”
The mood chemicals found in foodMood is heavily influenced by
neurotransmitters acting in certain areas of the brain. These chemical messengers are derived from dietary protein and are responsible for feelings of happiness, sadness, excitement and serenity. Neurotransmitters can easily become out of balance when too much, or too little, of certain foods are ingested. Imbalance can also be created by high levels of stress, metal toxicity, hormone imbalances, drugs, alcohol, and genetics. These imbalances explain some of the cravings we experience for particular foods and/or other substances.
Important mood-influencing amino acids include the following:
Acetylcholine regulates voluntary movement, sleep, memory, and learning. Too much acetylcholine is present with depression and too little is present in patients with dementia.
Supplements that can support acetylcholine production may include: Manganese, Vitamin B-6
Serotonin helps to regulate appetite, sleep, impulsive behavior, aggression, and mood.
Food and Mood: Eating to Sustain Nursing PracticeToo little serotonin is present in cases of depression and anxiety disorders. Certain drugs and substances like caffeine, nicotine, and alcohol deplete serotonin as well as stress and lack of sunlight.
Supplements that can support serotonin production may include: Tryptophan (by prescription only), 5HTP, L-glutamine, Vitamin B6, Vitamin C, DHEA
Dopamine helps to regulate learning, focus, and movement. Excessive levels of dopamine are present in patients with schizophrenia; too little dopamine is associated with
Food and Mood continued on page 18
Carson Tahoe Health provides a complete
continuum of care with:
· Three Hospitals· Two Urgent Care facilities
· Comprehensive provider network· 22 locations covering Carson City
& surrounding areas
We offer:· Competitive Salaries · Medical Benefit Package
Family Nurse Practitioner/Physician Assistant· $90,000-$110,000 with Applicable Experience· Compensation Package is negotiable. Health
Insurance (FEHB) and Life Insurance. Housing available with no pets and clean background check
· $3,500 Annually + 5 days off if needed to complete CME· Up to $4,000 if needed for Moving Expense· Mostly Primary Care; ER Coverage while On-Call
· Yakutat is located in Northernmost Southeast, Alaska which includes the home of the Famous Situk River which has four of the five species of Salmon and Steelhead, Home of Hubbard Glacier.
· Something for Everyone: Hiking Trails, Hunting, Subsistence Lifestyle, Local lakes for Boating and Fishing, Local Arts, 4 Faith Based Churches, Cold Water Surfing, Kayaking, Biking, etc.
NPATCHAt the end of 2014, the Nurse-Physician Advisory Task Force for Colorado
Healthcare (NPATCH) wrapped up its work regarding the requirements for advanced practice registered nurses seeking prescription authority. The NPATCH Final Report and Recommendations on the Requirements for Advanced Practice Registered Nurses Seeking Prescriptive Authority was presented to the Department of Regulatory Agencies Executive Director in November. Proposed legislation, Senate Bill 15-197, is based on the NPATCH recommendations and is currently moving through the legislative process. If the legislative proposal becomes law, it will remove the key barriers to prescriptive authority that were identified during NPATCH’s year-long analysis of this issue.
In its first quarter of 2015, the NPATCH explored a variety of topics as it develops its focus for this year. Recent presentations provided information on The Center for Personalized Education for Physicians (CPEP), Medicaid Opioid Policy, and Project ECHO. Other topics discussed include telehealth, complementary and alternative healthcare, and license portability.
At its March 13, 2015, meeting, NPATCH reached consensus on a recommendation to the Colorado State Board of Nursing regarding drug therapy management and APRNs. NPATCH is recommending the State Board of Nursing amend its rules to allow APRNs with prescriptive authority to engage in drug therapy management with pharmacists.
depression, as well as the tremors exhibited by patients with Parkinson’s disease.
Supplements that can support dopamine production may include: L-glutamine, Vitamins B6, B3 and C
Epinephrine (adrenaline) regulates glucose metabolism and energy levels; low levels are linked to depression, poor memory, focus, and concentration issues.
Supplements that can support epinephrine production may include: L-tyrosine
Norepinephrine (noradrenalin) helps regulate appetite and alertness; low levels are found in patients with depression, while excessive norepinephrine has been found in patients with schizophrenia. Low levels of norepinephrine decrease motivation while high levels can cause intense anxiety, stress, and insomnia.
Supplements that can support norepinephrine production may include: L-tyrosine
GABA (gamma-amino butyric acid) is known to inhibit anxiety and excitation. Too little GABA is associated with anxiety disorders and sleep problems.
Recommendations*Anyone wanting to improve their mood should consume a diet providing
a variety of food sources including whole grains, vegetables, soy, lean meats and dairy (if tolerated). Additionally, small, balanced meals should be consumed frequently throughout the day to maintain blood sugar levels. Drinking at least eight 8-ounce glasses of water daily may also help balance mood and improve brain function. Supplementation with Omega-3 fatty acids, Vitamin D, and probiotics to promote gut-health are among the top recommendations made by integrative health specialists.
With regard to protein consumption, the Centers for Disease Control and Prevention recommends women between the ages of 19 and 70 consume at least 46 grams of protein daily. The recommendation for men in the same age range is 56 grams per day.
*Before making significant changes to your diet, consult your healthcare practitioner to assess your individual needs. Never stop taking prescribed medications unless directed by the prescriber.
The Multi-State Division is an accredited provider of continuing nursing education
by the American Nurses Credentialing Center’s Commission on Accreditation.
What is an MSDThe American Nurses Association (ANA)
offered the opportunity to conduct a two-year pilot project on a Multistate Divisions (MSD). Currently there are three multistate pilots formed: the Northeast, Midwest and Western States. Colorado Nurses Association chose to participate and is included in the Western Multi-State Division (WMSD) along with state nurses associations (SNAs) in Arizona, Idaho, and Utah.
Friends of Nursing (FON) officers for 2015-16 were elected at the March 27 Annual Meeting held at Lakewood Country Club. They are President Cris Finn, President-Elect Amy Barton, First Vice President Stacy Wall, Second Vice President Ruth O’Brien, Recording Secretary MaryJo Coast and Treasurer Lola Fehr. They will assume office in June 2015.
The annual Scholarship Luncheon was held on April 18 at the Lakewood Country Club. Twenty-two students from nine baccalaureate and higher degree nursing programs in Colorado were awarded a total of $56,894 in scholarships. Those receiving scholarships were: Stephanie Atkins, Adams State University; Carolyn Bottone-Post, Regis University, Claire Braam, Regis University; Dennis Bronstein, University of Northern Colorado; Heather Brown, Colorado State University Pueblo; Casey Clark, University of Northern Colorado; Jennifer DeGrott, University of Colorado, Colorado Springs; Melinda Denison, Colorado Christian University; Katie Edwards, Colorado State University, Pueblo; Laura Griebling, University of Colorado Denver; Jose Hernandez, University of Colorado Denver; Trina Houge, University of Colorado Denver; Julie Javernick, University of Colorado Denver; Amanda Judd, University of Colorado, Colorado Springs; Jamie King, Adams State University; Casey Mead-Gruidl, Colorado Mesa University; Katherine Moore, Colorado Christian University; Lauryn Romaine, University of Northern Colorado; Anne Schudy, Colorado Mesa University; Megan Wait, Metropolitan State University of Denver; Michelle Weigel, Metropolitan State University of Denver; and Jenna Ziemer, Regis University. Since it began awarding scholarships in 1985, FON has awarded more than $1,250,000.
VisitJoin CNA Today!
www.coloradonurses.org
The WMSD will operate as a cooperative yet retain the unique state identities. There is a great opportunity to leverage best practices and expenses associated with several state CNE operations. The WMSD has completed the transition to a shared continuing education provider and approval unit. We have standardizing processes, forms, costs, and resources, while assuring each continuing education provider the connection with your unique state-specific staff, board member and experiences with the implementation of a WMSD Continuing Education Accredited Approved and Provider Unit.
Risky use of alcohol and other drugs contributes to more than 70 medical conditions and leads to expensive, long-term health problems. Having a conversation about substance use only takes a few minutes, but can make a difference in a patient’s life. Call 303.369.0039 x245 or visit www.improvinghealthcolorado.org to learn more about substance use screening, brief intervention, and referral to treatment (SBIRT) education and training opportunities.
Improving health. Changing lives.Fund
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Consider a Career at Saint Alphonsus Health System
Saint Alphonsus Health System is a four-hospital regional, faith-based Catholic ministry serving southwest Idaho and eastern Oregon.
Opportunitiesavailablein:• Intensive Care • Med-Surg• Coronary Care • Rehab• Emergency • OB/NICU Department • MainOR• Clinical Support Team • Nursing (Float Pool) Professionals
GREAT CARE CAN BE TAUGHT. LEAD THE WAY.Join a leader in Nursing Education! For more than 30 years, Concorde Career Colleges, Inc. has prepared thousands of people for rewarding careers in healthcare. Our goal is to concentrate instruction on developing high-demand job capabilities.
Concorde Nursing Programs in Denver are growing and changing!
We are seeking Nursing Instructors to be responsible for delivering academic instruction for clinical and/or theory components of Practical Nursing or Associate’s Degree in Nursing programs. Reporting to the Director of Nursing this position works collaboratively with other faculty to develop instructional materials, modules and testing materials at an appropriate level for the program. We seek candidates with a Master’s Degree in Nursing and a minimum of 4 years varied experience in a clinical setting. Candidates must have a valid Colorado nursing license or be willing to obtain. Previous teaching experience preferred but not necessary. The ideal candidate will be a self-starter with excellent communication skills, demonstrate a sense of urgency and are results oriented.
We offer a variety of solutions to your availability; full-time, part-time, adjunct and seasonal contract!
For more information about these opportunities and to apply, visit www.concordenursingjobs.com EOE/M/F/D/V
Become part of our team!See our new Oncology Pavilion,
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Jackson Hole, Wyoming
offers career opportunities with competitive salary and benefits.
For more information please visit
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New Continuing Education Opportunities Available at:
While in Nursing School, you were probably never exposed to the career options that exist in the Occupational Health field and Insurance industry. One of these options are the case management and care of individuals who have been injured on the job. You might be curious about how these nurse roles are different from the role you are currently in. Working in the occupational health field and insurance industry offer some attractive advantages including: regular daytime business schedules, no necessity to bid for shifts, and no need to work nights, weekends, and holidays. Another appeal is the less demanding physicality of these jobs with less standing and less wear and tear on the body. Caseloads also tend to be more manageable as Insurance companies generally have state of the art systems that make it easier to document patient care and manage caseloads.
Pinnacol Assurance, celebrating it’s 100 year anniversary as Colorado’s leading provider of workers’ compensation insurance, is a good example of the types of careers available to nurses in the insurance industry. The company’s Nurse Case Managers consult with claims representatives regarding the medical aspects of claims while interacting telephonically with injured workers and providers to ensure recovery, successful return to work, and returning the injured worker to their pre-injury condition. Some of these Nurse positions work on more complicated long-term cases requiring critical and strategic thinking skills and involves the comprehensive, in-depth, medical review of records within a legal framework. All Nurse Case Manager positions participate in consultation with physicians, occupational and physical therapists, external case managers, specialists, and legal staff. While these positions generally do not provide direct patient care, nurses involved in this type of work are critical in helping move cases along and ensuring positive outcomes. Pinnacol also has Nurse Specialists who do not manage individual caseloads but instead monitor best practices, provide on-going training and mentoring, and are available as a constant resource to other nursing staff.
It is interesting to note that most nurses in these positions come directly from the clinical environment and represent all types of specialties. The work environment is team-based and nurses interact on a daily basis with other team members including claims representatives, underwriters, auditors, legal counsel and administrative support personnel. Nurses drawn to these types of positions tend to bring a strong desire to learn, adaptability to change, the ability to educate those around them, while creating a balance of empathy and the promotion of well-being for the injured worker.
Training is done by the Nurse Specialists and appeals to every type of learner in that there are visual, hands-on, one-on-one, classroom and self-study components. The work is varied and challenging so learning continues well after the formal training is over.
While most nurses have never been directly exposed to the availability of these types of career options, many find them to be well worth exploring at some point in their careers.
Great Companies Keep Company With Great People
Nurse Case Manager
Pinnacol Assurance, Colorado’s leading provider of worker’s compensation insurance, is looking for Registered Nurses to provide telephonic case management handling the medical aspects of workers’ compensation claims. Our Nurses play an integral role in the effective and compassionate management of injured workers claims. They perform self-directed, professional level work in a fast paced team environment as they interact with injured workers, policyholders, and providers. Most of our nurses come from a clinical environment and bring a broad clinical background so if you are an RN who has perhaps thought about making a change from the traditional clinical nursing world, this opportunity might be worth exploring! Experience with rehabilitation, occupational health, managed care, or emergency nursing is preferred and direct insurance exposure, though not required, is a plus. As you might expect, a current Colorado RN license is also required.
We offer an excellent benefit package and competitive salaries in a family friendly environment. For consideration apply online at http://www.pinnacol.com/careers/current-opportunities/ and to explore what it is like to work with our company visit our Careers Blog at http://pinnacolcareers.blogspot.com/.
www.pinnacol.com
Career Options Abound in Occupational Health and Insurance Nursing
