current resident or

Non-Profit Org.U.S. Postage Paid

Princeton, MNPermit No. 14

VOLUME 2 NUMBER 1 / JANUARY 2016

WNA Board of Directors Update . . . . . . . . . . . . . 1Wisconsin Nurses Association Updates: 2015 WNA Membership Assembly and Annual Meeting . . . . . . . . . . . . . . . . . . . . . 2-5 2016 WNA Nurses Day at the Capitol Save the Date! . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Save the Date 30th Annual WNA APRN Forum Pharmacology and Clinical Update! . . . . . . . . . 7

Legislative and Regulatory Update . . . . . . . . 10-12American Nurses Assocation: ANA Position Statement on Immunization . . 13Mutual Interest Groups (MIGs) Updates: WNA APRN Forum Update . . . . . . . . . . . . . . . . 15 Environmental Health . . . . . . . . . . . . . . . . . . . . . 16 Faith Community Nurse Coalition . . . . . . . . . . 17Membership Application . . . . . . . . . . . . . . . . . . . 19

Gina Dennik-Champion, MSN, RN, MSHAExecutive Director,

Wisconsin Nurses Association

Lea Acord submitted her resignation as WNA President due to significant personal time commitment issues . The WNA Board of Directors accepted Lea’s resignation along with their acknowledgement of Lea’s leadership and contributions to making WNA successful over her past two years .

According to the WNA Bylaws, the Vice President assumes the office of President for the completion of the term . Linda Gobis, RN, MN, JD has accepted the two year commitment . Linda has been a member of the WNA Board since 2013 and brings with her this WNA Board experience as well as having past experience serving for eight years on the ANA Board of Directors . Linda is currently a faculty member at UW-Oshkosh College of Nursing . The WNA Board is very pleased and appreciative of Linda’s willingness to serve in the role as President and leader of WNA .

WNA’s new bylaws change WNA Board structureThe proposed changes to the WNA Bylaws were

adopted at the October 23, 2015 WNA Annual Meeting and with that creates changes to the structure of the WNA Board of Directors . The structure is as follows:• TheoneyearpositionsofPresident-ElectandPast

President have been eliminated . This creates a four member Executive Committee that is comprised of the President, Vice President, Secretary and Treasurer .

• The Directors-at-large board position hasincreased by one and is comprised of one staff nurse representative, one advanced practice nurse representative, and three non-designated seats .

• TheboardandofficersassumeofficeonJanuary1.

Resignation of WNA President, Lea Acord

WNA Board of Directors Update

Highlights of WNA Board MeetingsThe WNA Board of Directors met on October 17

and October 22, 2015 . A summary of their meeting is as follows:

October 18, 2015The Board met via conference call to review the

offer to purchase proposal submitted by a potential buyer for the WNA building . A counter offer was submitted by the Board that was accepted by the potential buyer . The closing on the building is scheduled for December 1, 2015, although WNA will continue to occupy the building until August 31, 2016 .

October 22, 2015The Board met face-to-face and acted on the

following:1 . Approved the revisions to WNA’s Policy and

Procedure Manual .2 . Approved the minutes of the August 7 and October

18, 2015 Board meetings .3 . Accepted the report of the WNA Treasurer and

WNA Executive Director .4 . Approved the appointment of Elizabeth Markham

to serve as the WNA Representative to the Wisconsin Center for Nursing Board of Directors for 2016 .

5 . Delayed the adoption of the 2016 WNA operating budget until February 2016 .

6 . Welcomed the new WNA staff members: Janine Elliott, Office Coordinator and Brianna Neiderman, Communications & Membership Director .

NFW President

SueAnne TeStrake, MSN, RN President, Nurses Foundation of Wisconsin

On Saturday, November 14th members of the Nurses Foundation Board and WNA staff met to plan for year end 2015 and 2016 goals and activities .

The highlights of the NFW Board meeting are as follows:

1 . Board member orientation .

2 . Election of officers .3 . Discussion of goals:

A . Increase the number of fundraising events to support NFW efforts .

B . Improve upon the current fundraising activities and efforts for the purposes of increasing NFW’s visibility and identified as a source of supporting nursing education and research .

4 . Identification of activities for remainder of 2015 and throughout 2016:A . End of the year WNA member request for

donations .B . 2016 APRN Clinical Pharmacology and

Therapeutics Conference, including a silent auction and a 50/50 raffle .

C . May 14 Annual Nightingale 5K Run/Walk for scholarships and research .

D . October 2016 WNA Membership Assembly and Annual Meeting; Silent Auction and 50/50 raffle .

Page 2 The Wisconsin Nurse January 2016

THEWISCONSINNURSE

WISCONSIN NURSES ASSOCIATIONBOARD OF DIRECTORS

Linda Gobis, PresidentVice President – Vacant Cathy Berry, Treasurer Yvette Egan, Secretary

Alex Hetzer, Staff Nurse RepresentativeSuzanne Marnocha, Director-at-Large

Tiffany Barta, Director-at-LargeDeborah Schwallie, APRN Representative

Director-at-Large - Vacant

WISCONSIN NURSES ASSOCIATION STAFFGina Dennik-Champion, Executive Director

Megan Leadholm, Associate Director Brianna Neiderman, Director, Communications

and Membership Teresa Prattke, Education Program Coordinator

Janine Elliott, Office Coordinator

NURSES FOUNDATION OF WISCONSIN BOARD OF DIRECTORS

SueAnne TeStrake, PresidentPamela Macari Sanberg, Treasurer

Alex Hetzer, WNA Board RepresentativeKristin Haglund, Vice President

Anna Rosen, Secretary Isabelle Garibaldi, Director-at-LargeMalori Hinchen, Director-at-LargeRorey Pritchard, Director-at-LargeTracey Soyring, Director-at-Large

THE WISCONSIN NURSE EDITORIAL STAFFSueAnne TeStrake, Executive Editor

Gina Dennik-Champion, Deputy Executive Editor

Brianna Neiderman, Managing Editor

CONTACT INFORMATIONWisconsin Nurses Association /

Nurses Foundation of Wisconsin6117 Monona Drive, Suite 1

Madison, WI 53716 info@wisconsinnurses .org –

www .wisconsinnurses .org - @wisconsinnursesAmerican Nurses Association

8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492

memberinfo@ana .org - www .nursingworld .org

The Wisconsin Nurse is published quarterly every January, April, July and October by the Arthur L . Davis Publishing Agency, Inc . Subscriber rates are available, 804-282-1808 .

For advertising rates and information, please contact Arthur L . Davis Publishing Agency, Inc ., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613 . (800) 626-4081, sales@aldpub .com .

NFW and the Arthur L . Davis Publishing Agency, Inc . reserve the right to reject any advertisement . Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement .

Acceptance of advertising does not imply endorsement or approval by the Nurses Foundation of Wisconsin of the products advertised, the advertisers or the claims made . Rejection of an advertisement does not imply that 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 . NFW and the Arthur L . Davis Publishing Agency, Inc . shall not be held liable for any consequences resulting from purchase or use of advertisers’ products . Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of WNA, or those of the American Nurses Association .

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.wisconsinnurses.org

This year, WNA’s Membership Assembly and Annual Meeting were held in Madison at the Monona Terrace on October 23, 2015, and were much different from past years . The changes came about through the recommendations submitted by WNA’s Task Force on Annual Meeting and Convention . The recommendations addressed how to avoid a net loss and increase member participation . The most significant differences were that it was a one-day meeting, and allowed for members to join virtually .

The virtual option was a big success, allowing members from across the state to participate in the annual meeting by watching the presentations on a mobile device or computer . Members said that even though they enjoy being at the conference in person, it’s nice to know that the option is out there for them . We hope that this will boost our attendance ratings in years to come so we can maintain a quorum for voting purposes .

Summary of 2015 Membership AssemblyBreakfast and Bylaws The morning began with an overview of

the proposed changes to WNA’s Bylaws that was presented by Ellen Murphy, WNA’s Bylaw Committee Chair . One of the changes that had a lot of discussion was the elimination of the President-Elect and Past President positions . The different reasons for the change were provided along with each of the WNA’s Past Presidents in attendance sharing their support for the elimination of the two positions .

2015 WNA Membership Assembly scores high among participants

Dialogue ForumMembers participated in a dialogue forum that

consisted of an update and member discussion with recommendations on the three WNA References that were adopted at the 2014 WNA Annual Meeting . The chairpersons of each Task Force presented an overview of the reference and work year-to-date . Members were asked to provide written and verbal comments and suggestions on how to achieve the identified goals . The comments have been recorded and forwarded to each of the Task Force Chairs which will be shared with the Task Force members . For more information on the three Task Forces please refer to the article, Task Force Updates, found later in this edition .

Education offering on WNA’s work related to the Triple Aim for Healthcare™ [Institute for Health Improvement]

A panel presentation was provided that demonstrated WNA’s involvement in state and organization-sponsored initiatives that address the goals of the Triple Aim . Carolyn Krause, WNA Past President, provided an overview of the goals of the Triple Aim followed by a summary of the State of Wisconsin Department of Health Services, State Health Innovation Plan (SHIP) . SHIP is a federally funded grant awarded by the Center for Medicare and Medicaid Innovation (CMMI) that is committed to the following: Identify health care services with the greatest variation in quality and cost effectiveness; Identify major cost drivers; Identify clinical conditions with the most severe disparities in health outcomes; Establish and analyze a focused set of quality and cost measures; and Improve dissemination and implementation of best practice . Carolyn is a member of the workgroup on population health .

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January 2016 The Wisconsin Nurse Page 3

Tina Bettin is President of the APRN Forum Board, which is a WNA Mutual Interest Group (MIG) . Tina provided information on WNA’s membership in the Wisconsin Council on Medical Education and Workforce (WCMEW) . As a member of the council, WNA has contributed to helping the other members serve the nursing workforce in primary care, interprofessional practice, and team-based care . WCMEW is a not-for-profit organization with the board of directors comprised of the Wisconsin Hospital Association, Wisconsin Medical Society and the Rural Wisconsin Health Cooperative .

Gina Dennik-Champion provided a summary of the CDC Chronic Disease and Prevention Grant Awarded to WNA by the Department of Health Services through the Division of Public Health . The purpose of the grant is to identify the prevalence of patient-centered team-based care services in Wisconsin that focus on patients with hypertension and diabetes . Gina presented the most recent activity which was the development of a conceptual model on patient-centered team-based care . Please refer to the article on the model found in this edition .

WNA Annual MeetingWNA’s Annual Meeting was called to order at

2:30 PM by Linda Gobis, WNA Acting President . Roll call was conducted to determine if there were enough members present to constitute a quorum . There were not enough members present, even including those joining virtually, and therefore voting was conducted by the WNA Board .

The report of the President, Treasurer, and Executive Director took place . A period of time was spent discussing the decision of the WNA Board of Directors to sell WNA’s building, which included the current and future costs to maintain the building as the age of the building will require replacements related to the roof, driveway, and HVAC units to name a few . The members were

informed that WNA had accepted an offer to purchase the building with a closing date of December 1, 2015 . The members supported the Board of Directors decision .

The vote on the proposed changes to the WNA Bylaws was approved . The summary of the changes are found in the article submitted by Ellen Murphy, WNA Bylaws Committee Chairperson .

Marie Garwood, Chair of WNA’s Nominating Committee, reported on the results of the WNA Elections . This report can be found in a separate article .

Participants commented on the meeting as well as what they will take back with them and to their practice . Below is a summary of their comments:

• Greatopportunitytonetwork• Share this information with my nurse

colleagues to promote engagement• Usethis info to teachundergradsregarding

public policy• What I learnedwillhelpwithmy internship

presentation

• Try to focusmoreonenvironmentalhealthissues in the workplace

• Bemoreproactivepoliticallyfornurses• Reviewtheethicscodemoreoften• Vetateam-basedcaremodel• Overallunderstandingofnursingworkforce

issues• This put a light on nursing awareness

opposed to the usual system awareness• I will make a poster formy staff nurses to

encourage them to get involved .

Pediatric Dialysis Service,Notice of Vacancy for

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Treatment Center (SRSTC) in Mauston, is seeking candidates for the position of Nurse Clinician 2. There are currently several vacancies available.

To apply for this position, create an account and apply online. Please visit the State of Wisconsin website at http://wisc.jobs and refer to Job Announcement Code 1503387. The application deadline is January 31, 2016. Materials will be evaluated and qualified candidates will be invited to participate in the next step of the selection process. EOE

Page 4 The Wisconsin Nurse January 2016

Report of WNA Fiscal Year End 2014This is a summary of the 2014 fiscal year end

operating budget which runs from January 1, 2014 to December 31, 2014 .

Total Revenue for fiscal year end 2014 was $468,345 .57 and Total Expenses was $493,416 .28 . This resulted in a variance of expenses over revenue of $25,098 .31 . The fiscal year end budget was set at revenue over expenses of $27 .60 .

Income summaryWNA Dues

Membership dues were budgeted for $245,121 .00 whereas the actual was $245,929 .45 . This results in $808 .45 more income than in our budget .

Non-dues RevenueNon-dues revenue was budgeted for $278,147 .28, whereas the actual was $222,416 .12, which resulted in a less than budgeted amount of $55,730 .96 . The budgeted income items that did better than their budget were CEAP, STAT, Friends of WNA, and Honoraria . Non-dues revenue that did not meet their budget expectations were CNEP (educational conferences $11,000), Annual Meeting ($25,000), office rental, product sales, website advertising, and royalties .

Expense summaryTotal Expenses was budgeted for $523,240 .68, whereas the actual amount was $493,416 .28, which is under budget by $29,824 .40 .

Salaries, Benefits and Consultants This budget category was under budget by $52,974 .79, which reflects the reduced number of WNA staff .

Staff Expenses Were found to be over budget by $1,189 .57 . There was one extra travel time for WNA’s virtual employee .

Office expenses, Building, and PostageThe major expense item for this being over budget by $21,665 .03 was building costs; i .e . snow removal services, building repairs, and landscape costs .

WNA Board of Directors and CommitteesCame in under budget by $351 .72 .

Structural UnitsWere $536 .29 under budget

WNA Goals Were $1,449 .74 over budget which was related to member recruitment and retention activities .

Loan Interest Was $3,630 .82 over budget and reflects the interest paid on the bank loan to cover cash flow issues .

Please refer to the charts showing income and expenses .

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registered Nurse iNstructor • Teach 15 to 21 contact hours clinical and/or theory classes in one or more areas depending on transcript review:

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January 2016 The Wisconsin Nurse Page 5

2015 Election Results WNA’s new and continuing leadership will assume their roles and

responsibilities on January 1, 2016 . The Nominating Committee presented a full slate of candidates for members to vote on during August and September .

The results of the election are as follows:

Board OfficersVice President Linda Gobis, OshkoshTreasurer Cathy Berry, Eau Claire

Directors-at-LargeAPRN Representative Deborah Schwallie, Elm GroveDirector Tiffany Barta, Milwaukee

WNA CouncilsNursing Practice & Cathy Andrews, MadisonQuality, Research Stephanie Wanek, Blue Riverand Education Linda Wlodyga, Baldwin

Workforce Advocacy Jodi Arriola, Chippewa FallsCouncil Helen Martin, Madison Jessica Piencikowski, New Glarus

Public Policy Council Neal Cragg, Madison Pat Keller, Birchwood April Kobishop Knutson, Porterfield

WNA Representative to ANA Linda Gobis, OshkoshMembership Assembly

WNA Nominating Marie Garwood, DarienCommittee Gail Hanson Brenner, Eau Claire Donna Warzynski, Stevens Point

Congratulations to all and thank you for your leadership, time commitment, and boundless energy .

Report of WNA bylaw changes Adopted at the 2015 WNA Annual

MeetingSubmitted by Ellen Murphy,

WNA Bylaw Committee Chair

After hosting two telephone conference hearings and a breakfast hearing at the WNA convention, the Bylaws committee is proud to introduce several substantive and editorial changes to WNA’s bylaws .

Several of the changes were made to bring the WNA bylaws in line with the latest ANA bylaws, including one that clarifies that business meetings could be held at either annual meetings or special meetings attended by at least 5% of the membership or a majority of the Board of Directors .

Minor changes included adding the acronym “MIG” so that Mutual Interest Groups could more easily be discussed .

One substantive area involved changing language specifying that the Nominating committee is an autonomous committee elected by and reporting to the membership, not to the board . Even though this is a bylaws change, this actually has been the way that the Nominating committee has operated for decades .

The bylaws have also deleted the ‘finance and audit’ committee from the standing committees . The finance committee remains in place, but the audit committee was not reconstituted elsewhere in the bylaws . Rather than rely on a volunteer audit committee, the bylaws were further amended to require the Board to retain the services of a credentialed CPA firm to conduct at least a biennial audit .

The most involved change was the deletion of the past president and the president elect positions from the board and then replacing that position with an additional Director-at-large . This is so that a nine member board is retained . Prior to this change, the nine board members included five executive committee members and four Directors, two of whom were designated as a staff or advanced practice nurse . That left only two non-designated Director positions . No parliamentary authority recommends an executive committee larger in size than the non-executive members, and a minority of director-at-large positions is not conducive to member input . This change reduced the executive committee to four and increased the directors-at-large to five . Furthermore, the previous practice of having either a past president or a president elect on the board for purposes of continuity is not necessary in the age of virtual and instant communication . While this change was seemingly controversial in our telephone hearings, it was adopted without objection after several of the past presidents attending the breakfast hearing spoke in favor of this change .

Lastly, the bylaws now stipulate that the newly elected persons will assume office on January 1 after the annual meeting, instead of at the close of the annual meeting .

The 2015 approved Bylaws can be found on WNA’s website under “About WNA”

WNA Past Presidents

Join WNA today! Application on page 19

or join online at:

www.wisconsinnurses.org.

Page 6 The Wisconsin Nurse January 2016

WNA headed to Oshkosh on November 9, 2015 to provide a workshop for new RNs, or those about to graduate from nursing school . Throughout the day participants listened, learned, questioned, and interacted with one another on the workshop topics that addressed interviewing for employment, avoiding the bullying trap, using the ANA Code of Ethics to support and protect practice, lab values for everyday use, delegation, and a surviving your first year forum presented by newly graduated RNs .

The workshop was held at the UW-Oshkosh Welcome and Conference Center . Participants were greeted and welcomed by UW-O College of Nursing Dean, Leslie Neal-Boylan, who also donated four of her authored books, The Nurse’s Reality Gap and The Nurse’s Reality Shift which were given out at the workshop .

The students had some excellent takeaways from the workshop . They found the presentations very informative, many of them saying that they would be saving their handout from the labs presentation for reminders when they study for their boards,

WNA’s fall 2015 Surviving Your First Year Workshop receives high marks

or even once they start practicing . The tips for interviews were also helpful, many of them wishing they attended the workshop prior to starting their job search senior year . They especially enjoyed the interactive format of the panel with new RNs, as they eagerly asked questions and jotted down notes .

Stay tuned for information on the next Surviving Your First Year (SYFY) workshop in spring of 2016!

WNA wants to thank and express sincere appreciation to the presenters:

Paula Hafeman, DNP, RN, FACHE – Divisional Chief Nurse Executive, Hospital Sisters Health System- Eastern Wisconsin

Mark Marnocha, MS, PhD – Associate Professor (CHS) of Family and Community Medicine, Medical College of Milwaukee; Clinical Psychologist

Suzanne Marnocha, MSN, PhD, RN, CCRN retired – Clinical Associate Professor & Curler Endowed Professor, Assistant Dean and Pre-Licensure Director, UW-Oshkosh College of Nursing

Katy Schmitt, PhD, RN, CNOR – Assistant Professor, UW – Oshkosh College of Nursing

Linda Gobis, RN,MS,JD – Assistant Professor, UW-Oshkosh College of Nursing

Tina Bettin, MSN, DNP, RN, FNP-BC, APNP – Family Nurse Practitioner, Thedacare Physicians

Gina Dennik-Champion, RN, MSN, MSHA – Executive Director and Lobbyist, Wisconsin Nurses Association

Alex Hetzer, BSN, RN – Registered Nurse in Medical-Respiratory ICU, Aurora St . Luke’s Medical Center

Maggie Wolf, BSN, RN, CCRN – Registered Nurse, Inpatient Recovery Room – UW Health

barbara Nichols—the 2015 Littlefield

Leadership Lecture presenter

WNA is pleased to congratulate Barbara Nichols, MS, RN, FAAN as the UW-Madison School of Nursing 2015 Littlefield Leadership Lecturer . Her lecture, A Nurse’s Journey of Leadership Challenges in Diversity, Inclusion, and Practice provided insight and expertise to a filled auditorium at the UW-Madison School of Nursing . The Littlefield Leadership Lecture is an endowed annual lecture named in honor of Dean Emerita Vivian Littlefield . The Littlefield schedule included a tea, Nichols’ lecture, responses from Mary Cieslek-Duchek, RN, MSN, director of system nursing integration at Aurora Health Care in Milwaukee, and Patrick Simms, MFA, vice provost and chief diversity officer at UW–Madison, as well as a post-lecture reception .

Barbara Nichols served as President of the Wisconsin Nurses Association in 1970 and as President of the American Nurses Association in 1979 . Barbara is the leadership and diversity coordinator for the Wisconsin Center for Nursing as well as a national diversity consultant to the Robert Wood Johnson Foundation’s national implementation of the Institute of Medicine Report titled “The Future of Nursing: Leading Change, Advancing Health .”

Congratulations Barbara!

Barbara Nichols during her lecture on Sept. 30, 2015 in Signe Skott Cooper Hall

Wisconsin Nurses Association Updates

January 2016 The Wisconsin Nurse Page 7

REGISTER NOW!

30th AnnualWNA APRN Forum

Pharmacology & Clinical UpdateThursday, April 28 – Saturday, April 30, 2016

Madison Marriott West

Offering over 50 educational sessions and pre-conference workshops on a wide range of current pediatric, women’s health, adult-acute care, adult/gero-primary care, and psychiatric topics.

Nursing contact hours and pharmacology credits will be available. A terrific opportunity to network with over 500 of your colleagues.

For more conference information,go to www.wisconsinnurses.org

Wisconsin Nurses AssociationAdvanced Practice Registered Nurse Forum

2016 WNA Nurses Day at the capitolSave the Date!

2016 will be the second half of the legislative biennium, and with that, the Senate and Assembly leadership plan on ending the year as early as possible in April . This is due the fact that 2016 is an election year and legislators that are running for re-election will want to be visible in their district and be able to respond to their constituents’ concerns .

This will result in a flurry of activity in regards to the amount of legislative proposals that will be introduced and acted upon . Hopefully WNA’s two legislative initiatives, the APRN Uniformity Act, and Battery to a Nurse/Workplace Violence, will be addressed . 2016 Nurses Day at the Capitol will be the opportune time for legislators to hear our voices via legislator office visits, collective action, and other grass-roots activity .

Rebecca Patton to Keynote 2016 WNA Nurses Day at the Capitol WNA is pleased to announce that ANA Past President,

Becky Patton, MSN, RN, CNOR, FAAN, will be sharing her expertise on engaging nurses in the political process . She co-authored the practical, how-to style book called Nurses Making Policy: From Bedside to Boardroom, which was written to help advanced students and nurse leaders develop health policy skills to advocate for patients from the bedside to the larger political arena .

In addition, the morning portion of the day will include a reflection on political leadership . ANA Past President and WNA Past President, Barbara Nichols, MS, RN, FAAN, will join Becky Patton as they discuss their personal experiences during the time they served as ANA President related to meetings at the White House and Congress . This conversation will be led by WNA President Linda Gobis, RN, MN, JD .

In addition, Becky will be available for book signing throughout the day .

Please consider attending March 8, 2016 Nurses Day at the Capitol and register today!

Becky Patton

Barbara Nichols

Wisconsin Nurses Association Updates

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WNA awarded a grant for patient-centered team-based care

WNA was awarded a CDC Chronic Disease and Prevention Grant through the State of Wisconsin Department of Health Services by the Division of Public Health . The purpose of the grant is to identify the prevalence and types of patient-centered team-based care delivery models provided by Wisconsin health systems . The targeted population for the grant is those patients presenting hypertension and diabetes .

The activities related to the grant thus far included reviewing the various team-based care models that exist in Wisconsin . We wrote up a summary of the proceedings from the 2014 Wisconsin Council on Medical Education & Workforce (WCMEW) Summit on Patient-Centered Team-Based Care, which provided the context for a team-based care delivery model . We developed and distributed a survey to as many health care providers and practitioners as possible with the purpose of identifying the degree of team readiness, team composition, and team delivery included in care for patients with hypertension and diabetes . Unfortunately, the return rate was less than desired, and therefore difficult to extrapolate the data .

An advisory council consisting of an array of all types of practitioners, academics, and health systems was convened to provide feedback on WNA’s grant-related project work . The advisory council supported and participated in the development of a Wisconsin-centric conceptual model of patient-centered team-based care . The model also includes an accompanying narrative . One of our goals for our work with the grant over this next year is to vet this model with as many organizations, associations, and systems as possible . WNA is excited to share this model with you to obtain feedback, and hopefully support . The schematic of the model is depicted below . For more information contact Margaret Schmelzer, WNA Grant Project Coordinator . Her email is margaret@wisconsinnurses .org

Linda oakley appointed to ANA Minority Fellowship Program National Advisory committee

Congratulations to WNA member Linda D Oakley, PhD, PMHNP-BC who was appointed to the National Advisory Committee of the Minority Fellowship Program (MFP)! The National Advisory Committee’s major function is to advise the ANA MFP Program staff on strategies and activities to achieve the goals of the MFP-Traditional grant (given by the Substance Abuse and Mental Health Services Administration [SAMHSA]) at ANA .

The National Advisory Committee works on developing partnerships with professional, academic, and clinical institutions as well as soliciting support by individuals and groups for the initiative . The Committee’s efforts strengthen the MFP by building sustainable infrastructure and long term partnerships while expanding our presence into more communities across the nation . In addition, the Committee provides professional development for Fellows that is aligned with the biologic-environment interaction model, cultural competence, and the Culturally and Linguistically Appropriate Services (CLAS) Standards . On behalf of WNA we thank Dr . Oakley for giving her time, expertise, and leadership to this important national program .

Wisconsin Nurses Association Updates

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Wisconsin Nurses Association Updates

WNA Prescription Drug Epidemic task Force Supports Dose of Reality Awareness campaign

On September 17, 2015 WNA’s Executive Director participated in a press conference organized by Attorney General Brad Schimel regarding the launch of the public awareness campaign, Dose of Reality: Prevent Prescription Painkiller Abuse in Wisconsin. The press conference was held at the Milwaukee County morgue . The components of the awareness campaign include education, prescription drug take-back programs, and information using a variety of media sources . WNA has joined with the Wisconsin Hospital Association, Wisconsin Medical Society, Pharmacy Society of Wisconsin, and the Wisconsin Dental Association in supporting this effort .

This campaign is one of the many recommendations that were included in the 2013 WNA Task Force Report “The Prescription Drug Abuse Epidemic in Wisconsin .” Public awareness cannot be understated as we as a nursing workforce are seeing first-hand the number of our patients, neighbors, and family members presenting opioid addiction issues . We also need to be aware of the epidemic of heroin abuse and addiction that is a result of losing access to prescription opioids . It is for these reasons that WNA is working on identifying educational and informational resources for RNs that address best prescribing practices for pain management and mental health, along with AODA services and legislation that address these issues . Attorney General Schimel forwarded an open letter to the WNA membership and is included in this edition .

WNA Executive Director, Gina Dennik-Champion (third from right) joins DOJ Attorney General, Brad Schimel for his press conference at City of Milwaukee Morgue on “Dose of Reality,” along with representatives from the Pharmacy Society, Medical Society, Wisconsin Hospital Association, Rep. Nygren, Secretary Kitty Rhodes, and Milwaukee’s Chief Medical Examiner.

StAtE Of WISCONSIN DEPARtMENt Of JUStICE

BRAD D . SCHIMEL 114 East, State CapitolATTORNEY GENERAL P .O . Box 7857 Madison, WI 53707-7857Andrew C . Cook 608/266-1221Deputy Attorney General TTY 1-800-947-3529

Dear DOJ Partner:

Since my last letter on July 2 informing you of our plans for a statewide Prescription Opiate Abuse, Prevention, Education and Awareness Campaign, we’ve been hard at work conducting research, planning strategy and producing creative messaging for a compelling marketing campaign that will resonate with all target audiences . On September 17, 2015, we launched the result of these efforts - the DOSE Of REALItY: Prevent Prescription Painkiller Abuse in Wisconsin statewide campaign .

The goal of the DOSE OF REALITY effort is to address the prescription opiate abuse problem head-on in Wisconsin and stop its spread throughout the state . The campaign logo includes a skull and crossbones on a prescription painkiller bottle because it’s meant to shock people out of their complacency about the issue and into action . Using cutting-edge creative messaging that includes television, radio, online and outdoor advertising, the DOSE OF REALITY campaign will:

• Inform and educate Wisconsinites about the improper use ofprescription painkillers

• Warn about the dangers of inadequate storage and disposal ofprescription painkillers

• Inform each audience as to the role they play in education and abuseprevention, from medical providers and parents to high school students and young adults

• Encouragepositiveaction

In addition to the statewide media my office will be running to communicate the vital DOSE OF REALITY message, I am making campaign assets available to you free to access, customize and use in your own communities and audiences as you see fit . Many of these materials are available today, and more will be added to the portal in the next several weeks . Go to www .DoseOfRealityWI .gov and click on RESOURCES on the bottom of the home page . This will take you to the Wisconsin Department of Justice DOSE OF REALITY (DOR) Online Ordering Portal . Then, enter your E-Mail Address and the following PRIVATE Password - Reality2015.

Once inside the portal, you will be able to select the DOSE OF REALITY assets you want for your own use and indicate whether you want general or customized versions of them .

If you have any questions about the DOSE OF REALITY campaign and how to best take advantage of the materials being made available on the portal, please contact Anne Schwartz, Director of Communications and Public Affairs, Wisconsin Department of Justice at (608) 266-6686 or schwartzae@doj .state .wi .us .

On behalf of all of us at DOJ, I appreciate your partnership in helping us to share a DOSE OF REALITY and save lives all across Wisconsin .

Very truly yours,

BRAD D . SCHIMEL Attorney General

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Page 10 The Wisconsin Nurse January 2016

General updateThe last floor period sessions for 2015 ended

on November 16 for the Assembly and November 11 for the Senate . The next floor period sessions are scheduled for January 12, 2016 . Here is a breakdown on the legislative activity for both the Senate and Assembly as of November 2, 2015:

Senate Bills - 370 have been Introduced in the Senate, of which 221 are in Committee, 76 are available for scheduling for a floor vote, 30 are in the Assembly, 12 have been enrolled, and 31 have been Enacted into Law, of which 1 has been Partially Vetoed by the Governor .

Assembly Bills - 472 have been Introduced in the Assembly, of which 346 are in Committee, 21 are on the Calendar for a vote by the full assembly, 24 have been Laid on the Table, 40 are in the Senate, 1 has been Amended and Concurred In as Amended, 7 have been Enrolled, and 33 have been Enacted into Law .

Clarification of some terms used above:Laid on the Table: To postpone the consideration

of, by a vote—also called “to table .” It is a tactic

WNA Position on Legislation for the 2015-2017 biennium (11/16/15)

Companion Bills - Numbers

Bill Titles and Intent WNA Position Progress

AB 15 http://docs .legis .wisconsin .gov/2015/proposals/ab15 SB 15 http://docs .legis .wisconsin .gov/2015/proposals/sb15

Prohibiting the manufacture and acceptance for sale of products containing microbeads

Support There is sufficient research to show the negative effects of microbeads on fauna in water systems where they are ultimately deposited as waste products, specifically in the Great Lakes area .

Assembly 1/10/15 – Introduced and referred to Committee on Environment and Forestry . 2/3/15- Public Hearing . 2/10/15 – Passed out of Committee . 2/17/15 – Referred to Committee on Rules . Senate 1/29/15 – Introduced and referred to Committee on Natural Resources and Energy . 2/5/15 – Public Hearing . 2/19/15 – Passed out of committee . 2/19/15 – Waiting to be scheduled for a full vote of the Senate . Signed into Law 7/2/15 Wisconsin Act 43 http://docs .legis .wisconsin .gov/document/acts/2015/43

AB 16 - http://docs .legis .wisconsin .gov/2015/proposals/ab16 SB 14 - http://docs .legis .wisconsin .gov/2015/proposals/sb14

Posters regarding the national human trafficking resource center hotline .

SupportHuman trafficking has been shown to a serious problem both worldwide and in America . As nurses, we have an ethical duty to assist patients suffering from disparities in health care, and immigrants forcibly brought into this country against their will or knowledge present a vulnerable population worthy of our support . In addition, this bill promotes the placement of visible posters in hospitals, a potential point of contact between nurses and victims of human trafficking . These posters have the potential to increase awareness among health care providers, nurses included, to be on the lookout for these patients .

Assembly 1/29/15 – Introduced and referred to Committee on Criminal Justice and Public Safety . 2/3/15 – Fiscal Estimate Received . 2/3/15 – Public Hearing . 2/4/15 – Assembly Amendment 1 offered . 2/10/15 – Passed out of committee with AA1 adopted . 2/10/15 – Referred to Committee on Rules . 2/10/15 – Sent to Assembly for a full vote . 2/12/15 – Passed the full assembly . 2/12/15 – Sent to the Senate . Senate 1/29/15 – Introduced and referred to the Committee on Judiciary and Public Safety . 2/3/15 – Fiscal Estimate Received . 2/4/15 – Senate Amendment 1 offered . 2/11/15 – Public Hearing . 2/13/15 – Assembly version received by the Senate and referred to Committee on Judiciary and Public Safety . 2/18/15 – Passed out of the Committee . 2/18/15 – Report of concurrence by the committee . 2/18/15 – Available for a full vote by the Senate . 3/13/15 – Passed Senate . 4/8/15 – Approved by the Governor, Published 4/9/15 Wisconsin Act 5 http://docs .legis .wisconsin .gov/2015/related/acts/5 .pdf

AB 72 –http://docs .legis .wisconsin .gov/2015/proposals/ab72 &SB 10 - http://docs .legis .wisconsin .gov/2015/proposals/sb10

Prohibiting the sale of powdered alcohol .

SupportThe sale of powdered alcohol presents a high risk of abuse and misuse, especially in Wisconsin where overconsumption and abuse of liquid alcohol already poses a serious health risk . Powdered alcohol would be easily concealable and consumable, with large quantities of alcohol able to be consumed rapidly when constituted into a liquid, as well as abuse potential in its unconstituted powdered form . Although further research should be done in a controlled fashion as this bill specifies, opening this product up to public consumption at this point would do more harm than good .

Assembly – 3/5/15 – Introduced and referred to the Committee on State Affairs and Government Operations .

Senate 1/23/15 – Introduced and referred to Committee on Judiciary and Public Safety .

AB 94 http://docs .legis .wisconsin .gov/2015/proposals/ab94 & SB 46 – http://docs .legis .wisconsin .gov/2015/proposals/sb46

Causing harm to a child by co-sleeping while intoxicated, providing information about safe sleep, and providing a penalty . (FE)

Oppose WNA supports educational efforts to promote a greater understanding of the dangers of co-sleeping with a child as long as the patient-nurse relationship can remain positive and trusted . We oppose the criminalization of co-sleeping as a means of preventing child deaths .

Assembly: 3/12/2015 Introduced and referred to the Committee on Children and Families . 3/23/2015, .Fiscal estimate received, 3/24/2015, Fiscal estimate received, 3/26/2015, LRB correction, 3/30/2015, Fiscal estimate received, 3/31/2015, Fiscal estimate received, 3/31/2015,Fiscal estimate received, 4/23/2015 Fiscal estimate received . Senate: 2/24/2015 Introduced and referred to Committee on Health and Human Services 3/4/2015, Fiscal estimate received, 3/4/201, Fiscal estimate received, 3/18/2015, Fiscal estimate received, 3/24/2015,Fiscal estimate received, 3/25/2015, Fiscal estimate received, 3/25/2015, LRB correction, 3/31/2015, Senate Amendment 1 offered, 4/1/2015, Public hearing held, 4/23/2015, Fiscal estimate received

AB 170 http://docs .legis .wisconsin .gov/2015/proposals/ab170 & SB 132 http://docs .legis .wisconsin .gov/2015/proposals/sb132

Regulating the use of vapor products

Oppose WNA opposes the use of any vapor-related smoking product that does not meet the legal requirements established for tobacco products .

Assembly: 4/22/2015, Introduced and referred to the Committee on State Affairs and Government Operations . 4/30/2015, Assembly Amendment 1 offered, 5/7/2015 Assembly Substitute Amendment 1 offered . Senate: 4/20/2015, Introduced and referred to Committee on Health and Human Services .

Legislative and Regulatory Update

often used with the intention of postponing consideration of a motion indefinitely, that is, to kill the motion .

Concurred In: An action in the second house to approve of an action of the first house

Enrolled: To incorporate all amendments and corrections to a proposal that were passed, adopted, and concurred in by both houses

The bills that WNA took a position on can be found in the Summary of Legislative Proposals .

Update on APRN Uniformity ActWNA, along with the members of the APRN

Coalition, has decided to divide the current legislative draft into three sections . One section, in which we hope to advance this biennium, contains title protection for the terms advanced practice registered nurse, advanced practice registered nurse prescriber, certified nurse midwife, certified registered nurse anesthetist, clinical nurse specialist, and nurse practitioner . Title protection will include separate licensure . Furthermore, nurse midwifery will be listed as one of the APRNs .

A second section will be a separate piece of legislation that stipulates that the inclusion of APRN-Ps as a provider group cannot be discriminated against in regards to hospital privileges . A third section of legislation will be developed to address the inclusion of all APRN-Ps as an identified provider in the patient compensation fund . The last two sections will come in future legislation because they drew much concern and opposition from the hospital association and physician-related associations . At the time of this article WNA is working with a legislator to assist us in getting a new version of the legislative language drafted .

Workplace Violence This legislative draft, LRB 1495/1, termed the

Nurse Battery Bill will be introduced this spring 2016 . This will more than likely be a major activity for the March 8, 2016 Nurses Day at the Capitol, including the legislator visits on that day .

January 2016 The Wisconsin Nurse Page 11

Legislative and Regulatory Update

AB# 146 http://docs .legis .wisconsin .gov/2015/proposals/ab146 & SB 120 http://docs .legis .wisconsin .gov/2015/proposals/sb120

Restrictions on the use of electronic devices used for inhaling or exhaling vapor or a vaporized solution .

Support WNA supports this bill because it specifies that the term “smoking,” for purposes of the general prohibition against smoking in indoor locations, includes inhaling or exhaling vapor or a vaporized solution from an electronic device .

Assembly: 4/1/2015, Introduced and referred to Committee on State Affairs and Government Operations . Senate: 4/15/2015, Introduced and referred to Committee on Health and Human Services

AB112 - http://docs .legis .wisconsin .gov/2015/proposals/ab112 &SB 88 - http://docs .legis .wisconsin .gov/2015/proposals/sb88

Grants the authority of physician assistants and advanced practice nurse prescribers regarding testing and information required for making disability determinations under certain hunting and fishing approvals issued by the Department of Natural Resources .

Actively Support This bill supports patient access to advanced practice nurse prescribers who can test and determine disability eligibility for hunting and fishing licenses .

Assembly: Introduced, assigned to Committee on Natural Resources and Sporting Heritage . Passed out of Committee after a public hearing . Was passed by the full Assembly on 4/14/15 . 4/15/2015, the bill was received by the Senate . 4/28/2015, AB 112 was introduced and referred to the Senate Committee on Sporting Heritage, Mining, and Forestry . Senate . 3/27/2015, Introduced and referred to Committee on Sporting Heritage, Mining, and Forestry Signed by the Governor 11/11/15. Wisconsin Act 97 http://docs .legis .wisconsin .gov/document/acts/2015/97

AB 203 http://docs .legis .wisconsin .gov/2015/proposals/ab203 &SB 139 http://docs .egis .wisconsin .gov/2015/proposals/sb139

Supply and use of epinephrine auto-injectors by certain authorized entities .

Support WNA supports initiatives that address effective emergency preparedness efforts . This bill allows for a business or organization to maintain a supply of epinephrine auto-injectors providing that training has been received . Advanced Practice Nurse Prescribers will have authority to prescribe and deliver a supply of the auto-injectors to businesses and organizations . View WNA Testimony: http://www .wisconsinnurses .org/home?CLK=19503456-7545-4ee4-80fa-1d812203d182

Assembly: 5/5/2015, Introduced and referred to Committee on Health . 5/14/2015, Fiscal estimate received , 5/19/2015, LRB correction, 5/20/2015, Public hearing held . 5/27/2015, Assembly Amendment 1 offered . 5/28/2015, Fiscal estimate received, 6/1/2015, Assembly Amendment 2 offered, 6/1/2015, Assembly Amendment 3 offered, 6/2/2015, Assembly Amendment 4 offered . 6/3/2015 Executive action taken (passed out of committee) . 6/3/2015, Report Assembly Amendment 1 adoption recommended by Committee on Health, Ayes 12, Noes 0 . 6/3/2015, 6/9/2015, Laid on the table . 6/9/2015, Received Senate 139 which was passed by the Senate on 6/9/2015 . 6/9/2015, Read SB 139, 6/9/2015, Rules suspended and taken up . 6/9/2015, Read a second time, 6/9/2015, Ordered to a third reading . 6/9/2015, Rules suspended . 6/9/2015, Read a third time and concurred in . 6/9/2015, Ordered immediately messaged . Senate: 6/10/2015, Received from Assembly concurred in . Senate: Passed by the full Senate SB 139 6/9/15 . 6/23/15 . Enrolled . Signed by the Governor. Wisconsin Act http://docs .legis .wisconsin .gov/document/acts/2015/35

AB 197 http://docs .legis .wisconsin .gov/2015/proposals/ab197 & SB 138 http://docs .legis .wisconsin .gov/2015/proposals/sb138

Information to be provided by insurers about health care plans offered on the American health benefit exchange .

Support WNA supports this legislation because it supports increasing consumer knowledge, greater ease in accessing and processing information . Greater transparency supports better decision-making which contributes to improved health and financial outcomes . To view WNA Testimony go to: http://www .wisconsinnurses .org/home?CLK=19503456-7545-4ee4-80fa-1d812203d182

Assembly: 5/5/2015, Introduced and referred to Committee on Insurance . Senate: 4/28/2015, Introduced and referred to Committee on Health and Human Services . 5/20/2015, Public hearing held . 6/4/2015 . Executive action taken (passed out of committee) . 6/5/2015, Report introduction of Senate Amendment 1 by Committee on Health and Human Services, Ayes 5, Noes 0 . 6/5/2015 Report rejection of Senate Amendment 1 recommended by Committee on Health and Human Services, Ayes 3, Noes 2 . 6/5/2015, Report passage recommended by Committee on Health and Human Services, Ayes 3, Noes 2 . 6/5/2015, Available for scheduling . 6/8/2015, Senate Amendment 2 offered 6/4/15 – Executive action . 6/5/15 . Waiting to be scheduled for full vote of the Senate .

AB 253 - http://docs .legis .wisconsin .gov/2015/proposals/ab253 &SB 196 - http://docs .legis .wisconsin .gov/2015/related/proposals/sb196

This bill ratifies and enters Wisconsin into the Interstate Medical Licensure Compact (compact), which provides for, as stated in the compact, “a streamlined process that allows physicians to become licensed in multiple states .” Provisions in the compact are to be administered by boards that regulate physicians in the states that are parties to the compact (member boards) .

Support This bill allows for patient access to physician care .

Assembly – 6/4/15 – Introduced and referred to Committee on Health . 9/18/15 – Public Hearing . 9/18/15 – Passed out of Committee . 9/24/15 – Passed the full Assembly . Senate – 9/25/15 received from the Assembly . 11/5/15 – Senate Health Committee concur with AB 253 . 11/6/15 – Passed the full Senate with one amendment . Assembly Back to the Assembly for concurrence related to Amendment . 11/16/15 – Passed the full Assembly .

WNA Position on Legislation continued on page 12

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Page 12 The Wisconsin Nurse January 2016

AB 307 - http://docs .legis .wisconsin .gov/2015/proposals/ab307 & SB 198 - http://docs .legis .wisconsin .gov/2015/proposals/sb198

Relating to: providing exemptions from practice protection laws for complementary and alternative health care practitioners; requirements and prohibitions for individuals who provide complementary and alternative health care services; and enforcement of practice and title protection laws by the Department of Safety and Professional Services .

Oppose This bill calls for no disciplinary action against alternative care providers .

Assembly – 8/10/15 – Introduced and referred to the Committee on Health . 8/21 and 9/1/15 Fiscal Estimate received . Senate – 6/17/15 – Introduced and referred to the Committee on Health and Human Services . 6/25/15 – Fiscal estimate received

AB 312 – http://docs .legis .wisconsin .gov/2015/proposals/ab312 & SB 218 - http://docs .legis .wisconsin .gov/2015/proposals/sb218

Limitations on requiring vaccination against influenza

Oppose As direct care providers, nurses serve as advocates for their patients . This includes minimizing the spread of communicable diseases . Being immunized against season influenza meets this advocacy role . It is part of our Code of Ethics to “do no harm” to our patients and ourselves .

Assembly – 8/20/15 – Introduced and referred to the Committee on Health . Senate: 7/28/15 – Introduced and referred to the Senate Committee on Health and Human Services .

AB 364 - http://docs .legis .wisconsin .gov/2015/proposals/ab364 & SB 268 – http://docs .legis .wisconsin .gov/2015/proposals/sb268

Relating to: reporting, disclosure, and practitioner review requirements under the prescription drug monitoring program; providing an exemption from emergency rule procedures; and granting rule-making authority .

Support This bill requires no more than 24 hours to report the dispensing of a monitored prescription drug to the Prescription Drug Monitoring Program .

Assembly – 9/25/15 – Introduced and referred to the Committee on Health . 10/11/15 – Public Hearing . 10/23/15 – passed out of the Committee on Health with one amendment . 10/23/15 – Referred to Committee on Rules . Senate – 9/29/15 – Introduced and referred to the Committee on Health and Human Services . 10/13/15 – Public Hearing . 10/16/15 – Passed out of the Committee on Health and Human Services 10/16/15 – Available for scheduling .

AB 365 – http://docs .legis .wisconsin .gov/2015/proposals/ab365 & SB 269 – http://docs .legis .wisconsin .gov/2015/proposals/sb269

Relating to: duty of law enforcement officers to report to the Prescription Drug Monitoring Program controlled-substance violations, opioid-related drug overdoses or deaths, and reports of stolen prescription drugs .

Support This bill supports patient safety as practitioners who prescribe are referred to the Prescription Drug Monitoring Program for review and trends .

Assembly – 9//25/15 – Introduced and referred to Committee on Health . 10/14/15 – Public Hearing . 10/22/15 – Passed out of the committee . 10/23/15 = referred to Committee on Rules . Senate – 9/29/15 – Introduced and referred to Committee Judiciary and Public Safety . 10/22/15 – Public Hearing . 10/28/15 – Passed out of committee . 10/29/15 – Ready to schedule for a full vote of the Senate .

AB 366 – http://docs .legis .wisconsin .gov/2015/proposals/ab366 & http://docs .legis .wisconsin .gov/2015/proposals/sb272

Relating to: pain clinic certification and requirements, granting rule-making authority, and providing a penalty .

Support This bill adds another layer of support for prescriptive drug usage related to opioids . This supports patient safety by having pain clinics state certified .

Assembly – 9/25/15 – introduced and referred to Committee on Health . 10/14/15 – Public Hearing . 10/22/15 – Passed out of committee . 1-/23/15 – Referred to Committee on Rules . Senate – 9/29/15 – Introduced and referred to Committee on Health and Human Services . 10/13/15 – Public Hearing . 10/16/15 – Passed out of Committee . 10/16/15 – Ready to be scheduled for a Senate vote . 10/21/15 – Fiscal estimate received .

AB 367 – http://docs .legis .wisconsin .gov/2015/proposals/ab367 & SB 271 – http://docs .legis .wisconsin .gov/2015/proposals/sb271

Relating to: reporting by treatment programs using methadone and requiring review of prescription drug monitoring database .

Support Methadone clinics will begin to report to the Prescription Drug Monitoring Program . This will monitor for patient safety .

Assembly 9/25/15 – introduced and referred to Committee on Health . 10/14/15 – Public Hearing . 10/22/15 – Passed out of committee . 1-/23/15 – Referred to Committee on Rules . Senate -9 /29/15 – Introduced and referred to Committee on Health and Human Services . 10/13/15 – Public Hearing . 10/16/15 – Passed out of Committee . 10/16/15 – Ready to be scheduled for a Senate vote .

AB 427 – http://docs .legis .wisconsin .gov/2015/proposals/ab427 & SB 345 – http://docs .legis .wisconsin .gov/2015/proposals/sb345

Relating to: prescription, dispensing, and delivery of opioid antagonists .

Support This proposal requires prescribers who write an order for an opioid antagonist (Naxalon) must provide for education and instruction for use .

Assembly - 10/20/15 – Introduced and referred to Committee on Health . 10/22/15 Public Hearing and passed out of the committee . 11/3/15 – Passed the full Assembly and sent to the Senate . Senate – 11/5/15 – Received from the Assembly . Public Hearing waived . 11/6/15 – Passed the full Senate . 11/9/15 – Assembly concurrence .

Legislative and Regulatory Update

WNA Position on Legislation continued from page 11

January 2016 The Wisconsin Nurse Page 13

American Nurses Association

Effective Date: July 21, 2015Status: Revised Position StatementWritten By: Nursing Practice & Work Environment DepartmentAdopted By: ANA Board of Directors

This position statement supersedes the Position Statement on Mercury in Vaccines, June 21, 2006.

I. PURPOSEHistorically, ANA has strongly supported

immunizations to protect the public from highly communicable and deadly diseases such as measles, mumps, diphtheria, pertussis, and influenza (ANA, 2014; ANA, 2006), and has supported mandatory vaccination policies for registered nurses and health care workers under certain circumstances . However, in light of a recent and significant measles outbreak in the United States, ANA has reviewed current and past position statements for clarity and intent, and current best practices and recommendations from the broader health care community . Based on that review, it was determined that a revised position statement is needed to clarify ANA’s position and incorporate current best practices .

II. StAtEMENt Of ANA POSItIONTo protect the health of the public, all individuals

should be immunized against vaccine-preventable diseases according to the best and most current evidence outlined by the Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) . All health care personnel (HCP), including registered nurses (RNs), should be vaccinated according to current recommendations for immunization of HCP by the CDC and Association for Professionals in Infection Control and Epidemiology (APIC) .

ANA supports exemptions from immunization only for the following reasons:

1 . Medical contraindications2 . Religious beliefs

All requests for exemption from vaccination should be accompanied by documentation from the appropriate authority to support the request .

American Nurses Association Position Statement on IMMUNIZAtIoNS

Individuals who are exempted from vaccination may be required to adopt measures or practices in the workplace to reduce the chance of disease transmission . Employers should ensure that reasonable accommodations are made in all such circumstances .

III. BACKGROUNDThe controversy over mandatory vaccination,

which seems to pit the rights of the individual against the protection of the public, was highlighted with the 2014-2015 measles outbreak that affected both children and adults who were not vaccinated against the disease . Over a six-month period, five outbreaks and 173 confirmed cases of measles were reported to the CDC (2015) . Reasons for an individual’s decision to not vaccinate vary and include concerns about the safety of vaccination, objections to vaccination based on religious grounds, and lack of urgency or priority, explained in part by the supposition that herd immunity will protect the unvaccinated from infection (LaVail & Kennedy, 2012) .

the PublicCurrent evidence and research show that

immunizations are essential to the primary prevention of disease from infancy through adulthood . In fact, the reduction and elimination of vaccine-preventable diseases has been one of the great public health achievements in the United States (CDC, 2011) . Effective vaccination programs for both children and adults, according to current recommendations from the CDC and ACIP, are for promoting and maintaining the health of the public . Vaccine-preventable diseases include seasonal influenza, for which annual immunization is recommended . Between 1976 and 2007, the number of deaths annually from influenza ranged from 3,000 to 49,000, with many more people hospitalized due to severity of symptoms (CDC, 2013) .

Registered NursesAs stated in the Code of Ethics for Nurses (ANA,

2015, p . 19), RNs have an ethical responsibility to “model the same health maintenance and health promotion measures that they teach and research . . .,” which includes immunization against vaccine-preventable diseases .

Vaccine Prevention ProgramsMost states do not have a law requiring vaccination

of HCP . Therefore, the onus has been on hospitals and health care facilities to develop their own policies . While evidence of vaccination against highly communicable diseases such as mumps, measles, and rubella is often a prerequisite of employment in health care facilities, this isn’t true for influenza, which requires annual immunization .

Voluntary influenza vaccination programs for HCP have been in place since the CDC recommended in 1984 that all health care workers receive the vaccine, and influenza vaccination has been the most successful voluntary vaccination program . However, the overall vaccination rates have remained low, at around 50 percent (Galanakis, Jansen, & Lopalco, 2013) . In sharp contrast, facilities that have adopted mandatory influenza vaccination policies and programs have been highly successful . An early adopter of mandatory influenza vaccination of HCP, Virginia Mason Medical Center in Seattle, Washington, increased its annual immunization rate to 98% or better (Rakita, Hagar, & Crome, 2010) . After adoption of a mandatory influenza vaccination program, the Johns Hopkins Medicine System in Baltimore, Children’s Hospital of Philadelphia, and Loyola University Medical Center in Illinois all reported influenza vaccination rates of 99% (Galanakis, Jansen, & Lopalco, 2013; Yasmin, 2013) . Such adoption rates emphasize the need for mandatory immunization programs where voluntary programs fail, in order to promote and maintain the health of the public .

All individuals including HCP have the right to apply for an exemption to vaccination based on medical contraindications or religious beliefs . To ensure that appropriate standards are applied, such exemptions should be granted only when supported by formal documentation from an appropriate authority, such as a health care provider or religious leader, detailing the reason an exemption is needed .

If an RN or other health care worker is exempted from vaccination, the health care facility will have the discretion to determine what steps, if any,

ANA Position on Immunizations continued on page 14

Page 14 The Wisconsin Nurse January 2016

American Nurses Association

unvaccinated RNs or health care workers must take to reduce the risk of transmitting disease to patients . Refusal by RNs or other health care workers to participate in a mandatory vaccination program, or, if exempted from vaccination, to follow steps to reduce the risk of disease transmission, may result in disciplinary action by the employer .

IV. RESPONSIBILItIES Of REGIStERED NURSES AND EMPLOYERS

Successful immunization policies and programs require open communication and transparency between RNs and employers . RNs are responsible for providing patients with evidence-based information to support and promote optimal health and wellness, and for leading by example by participating in health-oriented activities such as immunizations to the greatest possible extent . “Public trust will be damaged if [nurses] appear to suggest vaccines for others but avoid them for themselves” (Galanakis, Jansen, & Lopalco, 2013) .

Employers of registered nurses are responsible for establishing a culture of safety and implementing policies that improve the health of their workers . The Infectious Diseases Society of America, the Society for Healthcare Epidemiology of America, and the Pediatric Infectious Diseases Society recommend that immunizations be provided in the work setting at no cost to HCP to ensure access to vaccinations, and that workplace immunization programs include appropriate education and training of staff (IDSA, SHEA, & PIDS, 2013) .

If registered nurses are represented by a union or collective bargaining unit, the employer should work with the designated representative to clarify or resolve any issues that may arise associated with implementation of a mandatory vaccination policy or program .

V. SUMMARY Of RELEVANt ANA PUBLICAtIONS AND INItIAtIVES

Code of Ethics for NursesThe Code of Ethics for Nurses (the Code) makes

explicit the primary goals, values, and obligations of the profession . ANA believes that the Code is nonnegotiable and that each nurse has an obligation to uphold and adhere to its ethical precepts .

Five provisions within the Code speak to the obligation of registered nurses to act in a manner that is consistent with maintaining patient and personal health:

• Provision 2: The nurse’s primary commitmentis to the patient, whether an individual, family, group, community, or population .

• Provision3:Thenursepromotes,advocatesfor,and protects the rights, health, and safety of the patient .

• Provision 4: The nurse has authority,accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care .

• Provision5:Thenurseowesthesamedutiestoself as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth .

• Provision 6: The nurse, through individual andcollective effort, establishes, maintains, and improves the ethical environment of the work

setting and conditions of employment that are conducive to safe, quality health care .

ANA Immunize Website and ImmuNews NewsletterThe ANA Immunize website provides nurses and

other health professionals with research, education, tools, advocacy information, and resources related to immunizations . The site also includes information by workplace setting and for special populations .

The ImmuNews E-Newsletter provides monthly articles, news, and resources from the CDC, immunization organizations, ANA state nurses associations, and ANA organization affiliates .

VI. REfERENCESAmerican Nurses Association . (2015) . Code of ethics for

nurses with interpretive statements . Silver Spring, MD: Nursesbooks .org .

American Nurses Association . (2014) . ANA Immunize: Bringing immunity to every community . Retrieved from http://www .anaimmunize .org .

American Nurses Association . (2006) . ANA Position statement on mercury in vaccines .

Centers for Disease Control and Prevention . (2015) . Measles cases and outbreaks . Retrieved from http://www .cdc .gov/measles/cases-outbreaks .html .

Centers for Disease Control and Prevention . (2013) . Mortality and morbidity weekly . Retrieved from http://www .cdc .gov/mmwr/preview/mmwrhtml/mm6249a2 .htm .

Centers for Disease Control and Prevention . (2011) . Ten great public health achievements . Retrieved from http://www .cdc .gov/mmwr/preview/mmwrhtml/mm6019a5 .htm .

LaVail, K ., & Kennedy, A . (2012) . The role of attitudes about vaccine safety, efficacy, and value in explaining parents’ reported vaccination behavior . Health Education and Behavior, 40(5), 544-551 .

Galanakis, E ., Jansen, A ., Lopalco, P . L ., & Giesecke, J . (2013) . Ethics of mandatory vaccination for healthcare workers . Euro Surveill., 18(45), 20627 .

IDSA, SHEA, and PIDS . (2013) . IDSA, SHEA, and PIDS joint policy statement on mandatory immunization of health care personnel according to the ACIP-recommended vaccine schedule .

Rakita, R . M ., Hagar, B . A ., Crome, P ., & Lammert, J . K . (2010) . Mandatory influenza vaccination of healthcare workers: A 5-year study . Infection Control, 31(09), 881-888 .

Yasmin, S . (2013) . Mandatory shots: should hospitals force health care workers to get the flu vaccine? [Scientific American Blog] . Retrieved from http://blogs .scientificamerican .com/guest-blog/mandatory-shots- should-hospitals-force-health-care-workers-to-get-the-flu-vaccine .

ANA Position on Immunizations continued from page 13

We are seeking Registered Nurses in the following areas and locations:

• care coordination (Espanola) • emergency room (Espanola, Ruidoso, Socorro) • Home Health & Hospice (Clovis, Espanola, Socorro) • icu (Espanola, Ruidoso)• Women’s/Labor & delivery (Clovis, Espanola, Ruidoso, Socorro)• Med surg/er (Socorro, Tucumcari)• operating room (Espanola, Socorro)• outpatient clinic (Espanola, Socorro, Ruidoso, Tucumcari)• Pacu (Clovis)• Pediatrics (Clovis)

Management positions in the following areas:• director of operating room (Clovis)• Manager Nursing emergency room (Espanola, Socorro)• Manager Nursing Women’s care (Espanola)• Manager Quality assurance and Process improvement (Socorro)

We offer an excellent compensation and benefits package. sign on bonuses eligibility and details please contact recruiter directly.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, sexual orientation, gender

identity, disability status, protected veteran status, or any other characteristic protected by law.

For more information contact: tammy Duran-Porras

(tduran2@phs.org or 505-923-5567) or visit www.phs.org

PHs is committed to ensuring a drug-free workplace

January 2016 The Wisconsin Nurse Page 15

Mutual Interest Groups (MIGs) Updates

Mary Beck Metzger, MSN, APRN-BC, APNPWNA APRN Forum Board, WNA Public Policy Council

I believe that it is vital, urgent, and imperative that advanced practice registered nurses (APRNs) are involved in health care advocacy . APRNs must advocate for their own practice; if we don’t, others will decide how we will practice .

Advocacy can take the form of paying dues to state and national APRN groups who are constantly monitoring the legislative landscape and reporting back to members; advocacy can take the form of being active within one’s employment organization or regional APRN group . Larger healthcare organizations may have a group of APRNs that meet regularly and offer opportunities for networking, professional advancement, education, and advocacy .

Advocacy can also take the form of serving on one of the various boards within the Wisconsin Nurses Association (WNA) or the board of directors of the WNA APRN Forum . Older members of these organizations, who have rich institutional memory and have been part of many previous legislative efforts, can serve as mentors and role models for APRNs . The WNA Public Policy Council (PPC) reviews as a group every piece of health-related legislation that is proposed by the state assembly or the state senate . We take one of five positions: strongly support, support, take no position, oppose, or strongly oppose . If we strongly support or strongly oppose a piece of legislation, Gina Dennik-Champion, executive director of WNA, or one of the members of the PPC will testify at the bill’s hearing . Gina frequently testifies at bills’ hearings on behalf of Wisconsin’s nurses . Another option for WNA is to write a letter of support or opposition for a piece of legislation .

If there is an issue that is relevant to your practice, i .e ., inability to write home health orders, or inability to admit your patient to a skilled care facility or hospice, you can email or call your representative in congress in Washington . The American Nurses Association (ANA) and American Association of Nurse Practitioners (AANP) provide a way to send an email to legislators within their websites, often with several sample letters provided to help guide you . John Sides (2013) advises “while both mail and personal contact increase the chances of being seen by legislators, personal contact is especially effective on salient issues .  If there’s an issue you care about, go ahead and pick up the phone – you’ll make more of an impact than if you send an email .” You will most likely speak to a secretary or legislative aide, but your opinion will be counted and passed on to your congressman . You can find your representatives in the House of Representatives and the Senate and their contact information at http://whoismyrepresentative .com/ . You can find your state senator and member of the assembly at http://legis .wisconsin .gov/ . A good time to meet in person with legislators is when they are back in home districts during summer months when their legislative sessions are adjourned . The notices for legislator visits can be found in the local newspaper or on legislators’ websites . When you speak at these town hall meetings, you may be limited to a few minutes to speak, and your comments are sandwiched between someone complaining about milk prices and another talking about permits to hunt wolves . Remember that you are there representing not only your own views, but those of the patients you care for .

When you call or email your state or federal legislators you typically get a form email as a response, usually within a week or so of your contact . Their usual canned response is not the

the Importance of Health Policy Advocacy for APRNs point . The point is that they are hearing from APRNs, and the number of people either for or against an issue is what influences a legislator . APRN members provide feedback to their legislators, educating them and providing expert testimony about the issues that they face caring for patients in their districts . It is said that a legislator is influenced by as few as five contacts from constituents .

Of course they are also highly influenced by campaign donations, and that is another conversation . It is challenging in today’s money-soaked political environment not to get cynical and disenfranchised, thinking the average constituent’s voice is being drowned out by the money from special interests . It would be a sad day in the history of the U .S . when concerned constituents stop caring . We must remain engaged . If we don’t, we cannot be surprised or angry when we lose ground to groups which oppose us .

When you personally make a visit to your legislator’s office, either in Madison or in Washington D .C ., it helps to be prepared . Ideally you should make an appointment, or you may be disappointed that someone isn’t there to talk with you . You may not be able to talk to your legislator if they are not in on the day you are visiting, so be prepared to talk to a legislative aide who may be young and a novice as far as knowing health care issues . For that matter, your legislator may not know much about what you want to talk to them about . Most legislators, with a few exceptions, are not health care experts . Some of the best advice I ever received about talking to legislators/aides was that you should approach them like you approach a patient that needs teaching about some aspect of their care . Keep it simple, have a summary of the issue in bullet points that you leave with them (often available on the WNA or AANP websites), discuss personal stories from your practice that illustrate the need for the legislation, and why you are asking for their support . Always leave a business card or your contact information on the paper you leave with them . Respect the legislator/aide’s time, and keep the visit to 15-20 minutes .

It can be intimidating to make legislator visits alone for the first time . There is strength in numbers, and it helps to go with someone who has done this a few times, to learn the ropes . It’s a good reason to belong to state and national APRN groups . The Certified Registered Nurse Anesthetists (CRNAs) and Certified Nurse Midwives (CNMs) have been much more successful in persuading their colleagues to join the state/national groups, boasting much higher participation than nurse practitioner groups . This collegiality serves an important purpose . When APRNs belong to their state and national organizations, there is better information flow and ability to give feedback for the individual practitioner . It is imperative that we APRNs speak with a united voice when we speak with others outside our ranks . We need to do all the talking/arguing/persuading behind closed doors, so that when we are participating in forums with other health care professionals, employers, and legislators we speak with one, united voice . We have regrettably been defeated many times in the past by fractures within nursing ranks .

Belonging to one’s professional organization(s) is a professional obligation, and has far-reaching effects . Even so, some nurses object to the cost of dues . It’s important for new APRNs to know that most employers provide continuing education monies and may pay for one or more annual memberships in professional organizations .

Nursing is the largest group of healthcare providers in the U .S ., with 3,083,487 active RNs (Kaiser Family Foundation, 2015), and 267, 562

currently practicing APRNs (ACNM, NACNS, AANA, AANP, 2015) . Imagine if we could harness the power of this large group for reforming health care delivery to one that is team-based, with the most salient person on the team as team leader . Imagine if we could summon the grassroots support from nurses and APRNs to bombard their representatives repeatedly with emails, describing the logistical difficulty they are having getting services to their patients, in an effort to finally allow APRNs to admit their patients to home care, skilled care, and hospice . Imagine if we as nurses could support our professional organizations so that our voice would be louder and more influential in Madison and Washington DC . This is something we can envision; this is something we can accomplish! I invite all APRNs to take a step to advocate for patients and our professions . Today .

American Association of Nurse Anesthetists (2015) . Qualifications and capabilities of the CRNA . Retrieved from http://www .aana .com/ceandeducation/becomeacrna/Pages/Qualifications-and-Capabilities-of-the-Certified-Registered-Nurse-Anesthetist- .aspx

American Association of Nurse Practitioners (2015) . NP fact sheet . Retrieved from www .aanp .org/all-about-nps/np-fact-sheet

American College of Nurse Midwives (2015) . Midwives and birth in the United States . Retrieved from http://www .midwife .org/Essential-Facts-about-Midwives

Kaiser Family Foundation (2015) . Total number of professionally active nurses . Retrieved from Kff .org/other/state-indicator/total-registered-nurses/

National Association of Clinical Nurse Specialists (2015) . CNS census . Retrieved from www .nacns .org/html/cns-census .php

Sides, J . (2013) . How constituent contact matters in the U .S . Congress . The Monkey Cage . Retrieved from http://themonkeycage .org/2013/04/29/how-constituent-contact-matters-in-the-u-s-congress/

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Page 16 The Wisconsin Nurse January 2016

Mutual Interest Groups (MIGs) Updates

Kathryn Lammers

The Wisconsin Environmental Health Nurses Coalition was formed about 2006 by Laura Anderko PhD, RN and Betty Koepsel MS, RN of UW Milwaukee School of Nursing by calling for a meeting in Madison . They presented a solid plan with officers, a mission, and a vision . We eagerly signed up .oMission: The WEHNC is committed to

advancing the nursing profession and protecting the public using environmental health nursing principles, through initiatives that impact practice, research, education, and policy in Wisconsin .

oVision: Inspiring Wisconsin Nurses to protect, conserve, and educate to improve our environment and our health

In the beginning years we would host panel discussions and presenters at the annual meetings . We held networking meetings with Minnesota and Iowa for conferences, position statements, and methods to reach out to nurses . The excitement of learning from other nurses was highly interesting . As a result, our confidence grew to write WNA references also called position statements:oGlobal Climate Change and Human Health

(2008)oPlastics in the Environmental (2011)oDisposal of Pharmaceuticals and Personal

Care Products (2011)oCoal Burning and Health Effects (2011)

Some of our successful methods include:oSpeaker sessions and panels at the annual

meetingsoLuncheons to share experience and goals at

annual meetingoEducational posters at annual meetings

oWebinars and recordingsoNurses Day at the Capital presentationsoAnnouncements in Stat and MonitoroNetworking oLillian Mood AwardoPublic Policy Council supportoDeveloping partnershipsoBeing a resource to students and faculty

Our partners include:oAlliance of Nurses for Healthy EnvironmentsoWisconsin Environmental Health NetworkoPhysician Social ResponsibilityoClean Wisconsin

When we held our luncheon in 2015, the members described a variety of projects in hospitals, the community, and nursing homes . The members supported efforts and valued being together to share our interests . Each year nurses and other health care professionals have made improvements with waste management, sustainability, food quality, local farmer cooperatives, and red bag waste .

We feel good about the growth of green practices .

Environmental Health the grapeVine Project continues to

Set the bar HighThe GrapeVine Project is

a health education outreach program of the Wisconsin Women’s Health Foundation (WWHF) . The GrapeVine Project sprouted out of the idea that faith communities would be a great point of contact for sharing health and well-being resources with women across the state . This idea took off and the seeds that were sown nearly 15 years ago continue to thrive . The GrapeVine Project has recently branched out to welcome all registered nurses who carry a Wisconsin license . The goal of the program is to train and equip Wisconsin nurses with the necessary tools to enhance their educational role in their community . The nurses conduct free, one-hour educational sessions in their communities at various venues such as libraries, churches, schools, and senior centers .

Currently WWHF partners with over 100 volunteer nurses through the program, and reaches over 1200 Wisconsin women annually .

The GrapeVine units include a PowerPoint presentation, talking points, audience handouts, nurse reference materials, and small gifts for the attendees . Unit topics include:

Breast Cancer – Dementia – Breastfeeding – Gynecological Cancers – Cardiovascular Disease – Osteoporosis Mental Health: Depression & Anxiety – Diabetes Prevention – Domestic Violence – Oral Health

This past June, GrapeVine offered a two-day conference open to all pre-registered nurses . Due to its great success, the conference will now be an annual event . The 2016 conference will be held in Madison on June 13 & 14 . Our focus areas will include heart health, mental health, promoting healthy relationships, and advanced care planning . A variety of break-out sessions and networking opportunities will also be on the agenda . Check the WWHF website (www .wwhf .org) for further details and registration in the new year .

Our commitment to Faith Community Nurses (FCNs) continues stronger than ever with the annual scholarships we offer . Two scholarships up to $750 each will be made available to nurses in Wisconsin who are interested in taking a Faith Community Course . The scholarship details and specifications are available on the WWHF website and at this link: http://www .wwhf .org/grants-scholarships/ faith-communityparish-nurse-scholarship/ .

Susan Richards

NURSINg INStRUctoRPart-time Adjunct Faculty

$250 sign-on boNUS$$$

Share your knowledge and expertise with our students and develop professionally! MSN

and current WI RN license required.

Apply at www.ntc.edu

NTC is an equal opportunity/equal access educator/employer.

January 2016 The Wisconsin Nurse Page 17

Faith community Nursing coalition

Kris Wisnefske, MSN, RN FCN

Greetings from the chair of WNA’s FCNCMIG . You may wonder what is FCNCMIG? This acronym stands for Faith Community Nursing Coalition Mutual Interest Group and was known in the past as the Wisconsin Parish Nurse Coalition . As you may have heard, our steering committee met as a group in person in September . One of our challenges has been to find and connect with  FCN’s throughout Wisconsin . As a potential means of increasing our connection to all FCN’s in WI, we have decided to meet on a monthly basis and the majority of those meetings will be conference calls . You as a Faith Community Nurse are invited to participate . Call in information and the dates are available through WNA . I .as well as the rest of the steering committee look forward to connecting with all of you . It you would like more information please contact me through WNA . Many Blessings .

Mutual Interest Groups (MIGs) Updates

Symposium DescriptionFrom pioneering health ministry in congregations

30 years ago, to walking with people through difficult times and overcoming doubt, faith community nurses (FCN’s) have flourished in resilience . The Westberg Symposium will focus on the ways FCN’s make their mission more resilient through continuing to explore relationships between faith and health in their lives and ministries . Rooted in the inner strength flowing from a personal relationship with God, resilience in faith community nursing sustains belief in a better way of caring for people .

Faith communities are present over time to support the wellbeing of individuals and communities through the changes life brings . Research sheds light on the role FCNs play in whole-person health and the faith community’s well-being . Strategies

SAVE tHE DAtEthe church Health center presents the

2016 Westberg Symposium“Faith community Nursing resilience: Yesterday,

today and tomorrow”

celebrating 30 YearsApril 7-10, 2016

Double tree chicago North Shore Hotel and conference center, Skokie, IL****Make reservations early****

that encourage inner strength and resilience are important to longevity, maturity, and positive outcomes of faith community nursing .

This conference will bring to light ways FCNs live out their resilience as they continually support and sustain the relationship between faith and health .

Symposium Objectives:1 . Examine resilience in spiritual development .2 . Identify how resilience is demonstrated

through faith community nursing practice within faith communities .

3 . Examine the emerging outcome-based research of faith community nursing practice .

4 . Discuss strategies for faith community nursing that support personal, professional, and organizational resilience .

Excellent opportunities for leadership, research, clinical and professional development. Priority areas of expertise: Nurse Practitioner: Gerontology, Adult-Gerontology, Adult, or Family Primary Care with certification and prescriptive authority; Clinical Nurse Specialist (CNS): Gerontology or Adult/Gerontology with certification. Requirements include faculty with teaching experience at the undergraduate and graduate levels, a doctoral degree in nursing or related field or substantial progress toward the doctorate. Master’s degree in

nursing and current RN licensure are required. For complete descriptions or to apply go to http://www.uwec.edu/Employment/NursingFacultyF-648.htm

Contact Cathy Wilson, Dean’s Assistant at wilsoncm@uwec.edu or 715-836-5837.The University of Wisconsin-Eau Claire is an EOE/AA employer.

Tenure-track Assistant, Associate and Full Professor positions

Page 18 The Wisconsin Nurse January 2016

2015 NFW Nightingale tribute

Honor. celebrate. Remember.

The Nightingale Tribute is a ceremony that can be used during a funeral service to honor a Registered Nurse for their commitment to their patients and their dedication to nursing . The Nurses Foundation of Wisconsin has materials on the WNA website that you can use to conduct the Nightingale Tribute . We also collect the names of nurses who have recently passed away so that they can be honored at WNA’s Membership Assembly and Annual Meeting and at the NFW Lamplight 5k Run/Walk . Below are those nurses that were honored at the 2015 WNA Membership Assembly in October .

More information is available at www .wisconsinnurses .org/nfw .

Helen AasenTracey AndersonSister ClairePatricia ConleyBarbara Thoman CurtisMarilyn DethlifsenBrenda DockeryLori FayesKim GenslerCarol GinderRuth HansonAgnes KlineAnne Marie MaxfieldMary NaberLois OlsenJudy PoulsenRuth RochonDonna SchultzBetty Waring

The WNA CEAP Committee is continually looking for qualified nurse peer reviewers to become part of our review team .  Nurse peer reviewers must have at least a bachelor’s degree in nursing, and some level of involvement in continuing nursing education is helpful .  Consider joining this dedicated group of nurses serving their professional association!

For more information, please contact Megan Leadholm at 608-221-0383, ext . 203 or megan@wisconsinnurses .org .

Wisconsin Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation .

WNA StoreWe have the following items available in

our offices . Please contact Brianna Neiderman at Brianna@wisconsinnurses .org or 800-362-3959 for more information .

• “Looking Back, Moving Forward” TheWNA’s 100th year books at only the cost of postage .

• WNA T-Shirts at $10 for short sleeveand $15 for long sleeve .

NURSING OPPORTUNITIESState of Wisconsin

Department of Health ServicesCentral Wisconsin Center for the

Developmentally Disabled

CNAs • LPNs • Staff Nurse (RNs) • Nursing Instructor

We have a beautiful campus in a friendly health care setting for the Developmentally Disabled.

Come join our Nursing Team! The Department of Health Services; Division of Long Term Care; Central Wisconsin Center (CWC); has full and part time openings for Certified Nursing Assistants (CNAs) with paid certification provided, Licensed Practical Nurses (LPN), Registered Nurses, and other nursing positions.

We are committed to our staff and have an outstanding onboarding training program to prepare you for the job. The State of Wisconsin provides an excellent benefits package and a competitive salary that includes shift differentials. Other benefits include free on-site parking and a 24 hour fitness center!

RN/LPN Special Requirement: Eligible for or possession of a Wisconsin LPN/RN license.

View our open positions at www.wisc.jobs or call Terri Jacobson, CWC Human Resources at (608) 301-1781 or email Terri.Jacobson@dhs.wi.govCWC is located on 317 Knutson Drive, Madison, Wisconsin 53704An Equal Opportunity Employer

January 2016 The Wisconsin Nurse Page 19

Page 20 The Wisconsin Nurse January 2016