Celebrating Wyoming Nurses All Around Wyoming!

The Official Publication of The Wyoming Nurses Association Vol. 22 • No. 2 June, July, August 2009 PRESIDENT’S MESSAGE Celebrating Wyoming Nurses ...
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The Official Publication of The Wyoming Nurses Association

Vol. 22 • No. 2

June, July, August 2009

PRESIDENT’S MESSAGE

Celebrating Wyoming Nurses All Around Wyoming! by Sue Howard, MSN, RN, BC WNA President Through my term as WNA President I plan to use these columns to discuss aspects of the image of the nursing profession. Nursing is the most trusted profession, but within the profession we are not always as proud as we should be. We should take every opportunity to recommend nursing as a profession. Through our schools of nursing a n d p r o f e s s i o n a l Sue Howard, MSN, RN, BC organizations we are WNA President developing and refining the roles and images of the nurse. There are many new graduate nurses in our state who

are having a difficult time finding jobs in nursing in their home communities. Nationally there is a nursing shortage, and Wyoming needs nurses. The current economic tends have made nurses and employers of nurses cautious about job changes and staffing increases. I want every new grad to know: you are a valuable member of a proud profession. I am sure it will not be long before many jobs open up for our new Wyoming Nurses. I urge you all to take this time to prepare for your NCLEX. Many of us ‘seasoned’ nurses have begged for time to prepare instead of suffering through orientation and then attempting to study at night. Exciting things are happening in American Healthcare. One of the most important national issues in the upcoming months will be health care reform. President Obama has called on Congress to have a proposed plan by July 1, 2009. I am proud to report to you that there are several nurses who are ‘at the planning table’ in Washington DC and throughout the United States. The changes in healthcare policy in our country, in the very near future, will impact healthcare and they will impact nursing care. At a recent conference in Washington DC I heard a gentleman from the National Institute of Health (NIH) state that only 30% of the current US healthcare funds go towards improved outcomes for patients. Consider this: if healthcare finance

demands improved patient outcomes (and perhaps as consumers that is appropriate) where will nursing services stand? Can we prove that nursing interventions lead to improved outcomes for our patients? Who will define what an ‘improved outcome” truly is? These are the questions that will be asked in the next months, nursing must be a presence in these discussions. Nursing must be represented by nurses; no one else understands how our work improves patient’s lives. I hope you all had the opportunity to participate in some type of Nurse’s Day Celebration. Some nursing groups in Wyoming work in healthcare facilities that promote the celebration of nurse’s day; others do not have that opportunity in their workplace. I have heard about several wonderfully creative ways that nurses around our state celebrated. Nurses need to stand together to show pride in the work we all do. I sincerely wish every Wyoming nurse a (belated) Happy Nurses Week and a wonderful summer! I hope everyone can join WNA in Cody September 17 through 19 for the Nurses Summit and the Wyoming Nurses Association Annual Convention.

MESSAGE FROM MARY by Mary L. Behrens, RN, FNP

impressive body of work and many ideas were Sometimes a good idea like the Health Care Commission presented to the group. Here are a few concerns does not survive especially if the group does not get the Smoking legislators attention. The Wyoming Health Care Commission outlined: in Wyoming, Better is no longer meeting even though health care reform is on the insurance for Pregnant top burner in federal circles. Many times Wyoming is slower Woman, Improved Child to take action. We have a part time citizen legislature so that Psychiatry, Tele Medicine it is important for our law-makers to get accurate information and Electronic Records, from knowledgeable nurses. At the recent Legislative Mental Health for the Meeting in Cheyenne Brand Students (accelerated BSN Elderly, The Obesity tract) from the University of Wyoming were invited to let Epidemic, and High the Health Commission know what was needed to improve Malpractice Premiums. It Healthcare in Wyoming. Over 20 students wrote essays to the is certainly not the issue Representative Hastart and Representative Landon. It was an that the Health Mary L. Behrens Commission Presort Standard had nothing to work on; but rather many ideas were US Postage forgotten in the shuffle of legislation. PAID Here are some problems the Health Commission Permit #14 Princeton, MN identified in their final report that can be located at the current resident or 55371 web address: www.wyominghealthcarecommission. org Obstacles to health reform As the WHCC worked for the past six years on topics related to health reform, we found many ideas that hold promise for increasing access and providing quality care while reducing costs overall. However, a number of obstacles present themselves when health

Mary Behrens with students.

Dr. Krueger Pharmacy with UW Brand Students. reform is attempted. These obstacles to health reform have included: • A lack of political will and leadership on the part of Wyoming’s elected officials to attempt substantive reform, • A system which does not place primary responsibility Message from Mary continued on page 2

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June, July, August 2009

Message from Mary continued from page 1

• • • • • • •

with the individual, but depends instead on a 3rd-party payer system, A system which rewards providers for volume, not value, A medical industrial complex that reacts slowly to change, Complacency on the part of those who are adequately insured, The ever-increasing cost of healthcare services and reform strategies, A lack of transparency and willingness to share information related to services, payment and care, The complexity and inter-relatedness in issues associated with healthcare, causing indirect consequences when change is attempted, and Difficulties associated in conveying complex ideas associated with healthcare in a manner that is easily understood and agreed upon by members of the public. (P.13)

The “WYOMING NURSE” is the official publication of the Wyoming Nurses’ Association. Articles appearing in the publication express the opinions of the authors; they do not necessarily reflect the views of the staff, board, or membership of WNA or those of the national/ district associates.

WNA BOARD OF DIRECTORS I do encourage the students to continue dialogue with their elected representatives because they had many thoughtful ideas. Hopefully healthcare reform will not be lost in our State. Sometimes local solutions work better in a state with low population and isolated geography. Don’t give up students—You are on the right tract. The American Nurses Association is launching the first American Nurses Advocacy Institute. The first meeting will be in October in Washington DC. States will be submitting names of Nurses who want to work on some health care policy issue. Experts will be presenting ideas, visits to the Hill will occur and mentoring to each nurse for one year as they work on a project. We hope Wyoming gets an invitation for Toni Decklever to attend. I am not biased, but know Toni has been working hard on her application. This will be a great opportunity to share with other national leaders what is happening in Wyoming. They are only accepting 25 applicants so we are all cheering for you Toni. Congratulations to all the nursing graduates. You have worked hard and now you have new challenges before you. Nurses who are working with new graduates keep in mind what it was like when you graduated. We can all work together for the betterment of our patients.

President: Sue Howard Home: 682-8491; Work: 688-6007 Email: [email protected] President Elect: Faith Jones Home: 272-2207; Work: 754-1153 Email: [email protected] Vice President: Dee Gilson Home: 672-0586; Work: 672-1127 Email: [email protected] Secretary: Ardyce Hill Home: 789-1804; Work: 789-2950 Email: [email protected] Treasurer: Cyndy Rankin Home: 751-9108; Work: 672-9789 Email: [email protected]

DISTRICT REPRESENTATIVES #1 Cheyenne: Christine Kercher Home: 632-1644; Work: 633-7195 Email: [email protected], [email protected] #2 Casper: Mary Behrens Home: 577-5023; Work: 235-1503 Email: [email protected] #3 Sheridan: Vacant #6 Rock Springs: Marlene Ether Home: 382-2019; Work: 382-1804 Email: [email protected] #10 Gillette: Rose Rennell Home: 686-2195; Work: 688-6008 Email: [email protected] #12 Laramie: Jeanine Niemoller Home: 742-5755; Work: 742-2141 Email: [email protected] #14 Lander/Riverton: Vacant #15 Torrington: Vacant #16 Powell/Cody: Lisa Horton Home: 762-3270; Work: 754-7780 Email: [email protected] #17 Evanston/Kemmerer: Lou Ann Carmichael Home: 279-3635, Work: 877-5717 Email: [email protected] #50 Non Districted: Barbara Jean James Home: 328-1812; Work: 328-9274 Email: [email protected]

EXECUTIVE DIRECTOR

Tobi Lyon PMB 101 2816 Dogwood Avenue Gillette, WY 82718 PHONE: 1-800-795-6381 E-Mail Address: [email protected]

For advertising rates and information, contact Arthur L. Davis Publishing Agency, Inc., 517 Washington St., P.O. Box 216, Cedar Falls, IA 50613, Ph. 800-626-4081, [email protected]. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. The Wyoming Nurses’ Association and the Arthur L. Davis Publishing Agency, Inc. reserves the right to reject advertising. The WNA and the Arthur L. Davis Publishing Agency, Inc. shall not be liable for any consequences resulting from purchase or use of advertisers’ products from the advertisers’ opinions, expressed or reported, or the claims made herein.

June, July, August 2009

Wyoming Nurse • Page 3

WNA NEWS WNA Practice Committee by Krista Blough, RN, MSN, Practice Committee Chair Committee Question: “Is mandatory overtime contributing to dissatisfaction in the workplace? Mandatory overtime has long been touted as a factor in dissatisfaction of nurses. However, the 2008 study by the Research and Planning division of the Wyoming Department of Employment (DOE) titled “Retention of Nurse in Wyoming” refutes this long held belief. A survey conducted in 2007 that was completed by over 70% of Wyoming nurses addressed multiple workplace issues that nurses face. Among those issues was the concern over mandatory overtime. In the survey, the question was posed “Which of the following best describes why you worked extra hours?” Respondents overwhelmingly replied “I wanted to help out when the unit was understaffed” (45%). Some responded with “I was required (mandated) to work” (19.6%). A smaller percentage worked extra hours for extra money (13.9%). So, although a fifth of our workforce is reporting a mandatory overtime requirement, is it contributing to turnover? Analysis of the comments provided by the respondents revealed that overtime was the focus of 38 (2.2%) comments by 6.1% of nurses. Of those that mentioned overtime in their comments, almost 80% of them did not plan to leave their primary employer. Nurses are working mandatory overtime but is seems that the requirement is not significant enough to correlate to the nurses intent to leave their current position. This revelation is significant for employers because they can focus on the significant factors that lead to turnover.

Department of Employment Research and Planning. (2008). Retention of Nurses in Wyoming. Accessed on April 3rd, 2008 at http://wydoe.state.wy.us/lmi/nursing_retention_08.pdf Jones, Sylvia. Email correspondence on May 5, 2009.

WNA Lobbyist Report Toni Decklever, RN, MS At the end of the legislative session, each committee meets to develop a list of activities to be studied or considered for the next session. The list of activities the Labor, Health and Social Services committee consists of: Priority #: 1 Response to Federal Initiatives The American Recovery and Reinvestment Act of 2009 and other pending federal legislation is expected to have greater than usual federal impact during this interim on the committee’s jurisdictional areas. The committee will analyze and respond as necessary and appropriate to federal program and funding changes and the ‘strings’ attached to those changes. Priority #: 2

Workplace Safety Wyoming has the highest per capita rate of workplace fatalities. The Committee’s main legislative task during the 2008 interim resulted in HB54, providing for increased benefit levels and various programmatic reforms. The Committee has been informed that the Governor’s Office plans a significant initiative among interested parties to address workplace safety. The Committee will receive and consider any recommended legislative changes within its jurisdiction coming from the Governor’s initiative.

Priority #: 3

Health Care Provider Uncompensated Care The Committee continues to hear that one of the main causes of health care provider recruitment and retention problems, necessarily related to access and affordability problems, is the inadequate level or total lack of compensation for a significant amount of health care. The Committee will review reimbursement of health care facilities and other providers, especially in the Medicaid, KidCare, state employee health insurance and workers’ compensation areas.

Priority #: 4

Review of Reports The Committee will receive approximately 20 statutorily-required reports from executive branch agencies. The Committee will analyze those reports and respond as needed and appropriate with proposed legislation.

On May 7th the Labor, Health and Social Services (LHSS) joint committee met in Casper for their first meeting of the interim. There was a lengthy discussion in each of these areas which also included the use of stimulus funds. The committee’s main focus will be to provide state legislation that supports federal legislation when it is implemented. The majority of this meeting was to get issues out on the table and start having discussions about future processes. Two items were requested to have draft legislation developed. One item was in reference to the Medical Review Panel and another draft was for the Childcare Program for low income families. The next meeting for LHSS will be held September 8-9 in Sheridan. This is an open meeting and anyone is welcome to attend. The agenda and other information will be posted on the website at http://legisweb.state.wy.us

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WNA NEWS Nominate a Wyoming Nurse TODAY Wyoming Nurses Association SEEKS OUTSTANDING WYOMING NURSES! Please take the opportunity to nominate a colleague or mentor. This year there is an additional NEW award that will be given to a nurse from each WNA district. That means we will be honor an additional 11 nurses from across the state during convention. In order for us to do this, we need all Wyoming nurses to take the time to nominate a colleague. There are WYOMING NURSES’ ASSOCIATION NOMINATION FORM

many deserving nursing in Wyoming and it is important to celebrate and recognize their accomplishments. We need YOUR HELP in order to accomplish this! Award nomination forms are due to the WNA office by August 1, 2009. To obtain an “Award Nomination Form” or to learn more about each award please visit the WNA website at www.wyonurse.org or email WNA Executive Director, Tobi Lyon at [email protected]. You may also contact the WNA Office by calling 1-800-795-6381 for a form to be mailed directly to you. A brief synopsis of the awards criteria and nomination process with deadline follows.

Name: _______________________________________________________________ Last First MI



Title/Credentials: ______________ Place of Employment:_____________________ Telephone: Home _______________________Work: _________________________

it e Webs rg s ’ A e.o . this person for: WNAward you Please circle the Nurse Recognition uraresnominating Visit ofyNursing n 1. Excellence in Clinical/Practice o .w d this form 2. Community Service/Health Promotion w w ww 3. Leadership in Nursing oa o nl 4. Outstanding Serviceoto d WNA t 5. District Nurse of the Year Award Licensed in WY: Yes No

Wyoming Nurses Association Membership: Yes No

Describe in a letter of nomination the attributes you feel the nominee exhibits that qualifies he/she for this Award. Please refer to specific criteria for the Award and cite examples. Please include a photo for use in publications of Awards. Current vitae/resume of nominee is attached? Yes

No

(Optional)

Nominator: Name: _______________________________________________________________ Last First MI Address: _____________________________________________________________ Street/P.O. Box City State ZIP Telephone: Home _______________________Work: _________________________ Title: ________________________ Place of Employment:_____________________

Nominations due by August 1, 2009 to Wyoming Nurses’ Association, PMB 101, 2816 Dogwood Ave., Gillette, WY 82718 Phone: 1-800-795-6381 or Email: [email protected]



Outstanding Service to WNA Award–Attributes should include: 1. Holds current WNA memberships. 2. Participates at district, state or national level by serving on committees or as an officer. 3. Demonstrates involvement in promotion/ recruitment efforts for WNA. 4. Enhances the image of WNA. 5. Exemplifies professionalism in nursing. 6. Demonstrates a commitment of time, energy and dedication to WNA’s Purpose. 7. Recognizes the rurality of Wyoming and addresses specific needs of the organization statewide. 8. Licensed as an RN in Wyoming.



Leadership in Nursing Award–Attributes should include: 1. Participates in professional nursing organizations. 2. Contributes to the advancement of nursing. 3. Demonstrates creativity/management skills. 4. Serves as an articulate spokesperson for promotion of nursing. 5. Performs as a change agent or develops innovative approaches to further nursing practice. 6. Encourages recruitment/retention of qualified nurses into the nursing profession. 7. Demonstrates ongoing commitment to the lifelong nature of nursing education through continuing education, publications, research, presentations, or advanced education. 8. Collaborates with the legislative/political processes related to nursing. 9. Commits time, effort, and energy toward the profession of nursing. 10. Licensed as a RN in Wyoming. 11. Holds current WNA Membership.



District Nurse of the Year Award–Attributes should include: Was developed to recognize a nurse in each WNA district who has contributed to the district and profession in a significant way. There are 11 WNA districts and WNA wants to recognize one member from each of the 11 Districts. 1. Participates in district activities and supports their district. 2. Licensed as a RN in Wyoming. 3. Holds a current WNA Membership.

CRITERIA FOR WYOMING NURSES ASSOCIATION RECOGNITION AWARDS:

I nominate: (Please print or type)

Address: _____________________________________________________________ Street/P.O. Box City State ZIP

organizations (March of Dimes, AHA, etc.) 6. Demonstrates innovative approaches toward community health programs. 7. Facilitates collaborative efforts with other health team members. 8. Contributes to the promotion of wellness within a community. 9. Licensed as an RN in Wyoming: (WNA Membership is NOT required.)



Excellence in Clinical Nursing Practice Award– Attributes should include: 1. Develops and delivers innovative and applicable approaches to enhance direct patient care in the clinical arena of nursing. 2. Practices at least 20% of work in a direct patient care setting. 3. Exemplifies behaviors reflecting the caring attitudes of nursing. 4. Demonstrates proficiency in the skills and techniques required by his/her clinical area. 5. Devotes time and energy towards delivering quality patient care within the clinical arena. 6. Serves as a role model for other nurses within the clinical arena. 7. Impacts the quality of patient care delivery and/ or the response of patients to care they receive. 8. Licensed as a RN in Wyoming: (WNA Membership is NOT required.) Community Service/Health Promotion Award– Attributes should include: 1. Active in development/delivery of community/ patient education. 2. Provides service to health care consumers. 3. Develops and/or delivers health promotion, health prevention or risk reduction program to the community. 4. Demonstrates an impact on community or target populations. 5. Active in recognized volunteer health

Join WNA Today!

June, July, August 2009

Wyoming Nurse • Page 5

WNA NEWS Around the Districts Cheyenne District 1 Phyllis O’Connor Wyoming Nurses Association District #1 celebrated National Nurses Week on Tuesday, May 12, 2009, Florence Nightingale’s birthday. The group started with a walk in the park, followed by a white balloon ceremony. Maria Kidner wrote a poem honoring the day and inspired the nurses to write a nursing memory, blessing, or mentor on their balloon. The balloons were launched over the lake. The group enjoyed a lovely reception which included door prizes, a greeting by Sue Howard, our state WNA president, and a blessing by Carol Peterson, RN, who is also an ordained minister. Carol also offered the nurses individual opportunities to have their hands blessed. New officers for 2009-10 were announced. Maria Kidner will be the new president for WNA District #1. Flossie Vance and Norma Randall will be the new board members. They will be joining Carol Wolfe, vice president, Jan Beeken, treasurer, Paula Belknap, secretary, and Phyllis O’Connor and Leona Bolin, board members. We are grateful to Chris Kercher, our outgoing president, for several years of service to our district. We also thank Tabitha Maris and Lee Curruthers for serving on the board.

Rock Springs District 6 Marlene Ethier District President District 6 held their annual Nurses’ Day Breakfast on May 12 where practicing nurses, nursing students, and retired nurses come together to celebrate. Four nurses were nominated for the Nurse Recognition Award. The nominees were Joan Fowler, Patty O’Lexey, Betty Ritter, and Beth Strom. Beth Strom was the recipient. Beth is a school nurse in Rock Springs. She was given the honor because she is able to treat each student as an individual and she provides an exceptional level of care in meeting their needs. She was nominated by Leanna Lovato, a fellow school nurse. Nurses’ Week was acknowledged by the mayor of Rocks Springs and Green River. Each mayor read the proclamation for Nurses’ Week and a photo of DNA#6 members with the mayors was in the local paper. District 6 will resume meeting in the fall. The September meeting will include election of new officers.

Gillette District 10 Rose Rennell District President District 10 held their annual Nurse’s Award Banquet on May 7th at Tower’s West Lodge. It was attended by approximately 40 local nurses. The banquet included a Buffet dinner, award presentations, an honoring of two very special nurses in Campbell County and a very moving powerpoint presentation from a local nurse titled “Iraq, through the eyes of a nurse”. Awards presented were: Clinical Excellence: Deb Bullock, RN Med/Surg Clinical Resource Nurse Leadership: Bette Smith, RN ICU Nurse Manager Community Health Promotion: Linda Duvall, RN, CC Public Health Nurse Rising Star Student Nurse: Christine Smith, new graduate from Gillette Community College Nursing Program Lifetime Achievement Awards were presented to: Nola Wallace,RN Director of CC Health Department for 30 years, established the CC Public Health in the 1970’s, back when Gillette was a small struggling boon town. Very rough territory for a small but strong willed, devoted nurse. Nancy Larmer,RN, Director of the Gillette Nursing Program since it’s inception in 1984. The Gillette nursing program has graduated over 25 nursing classes, providing the Gillette and surrounding communities with highly qualified nurses. Next District 10 meeting will be a potluck summer picnic held on June 11 at 5:30pm, at CC Public Health office on 4–J Road.

Nola Wallace - Lifetime Achievement Award, presented by Della Amend.

Bette Smith awarded the Leadership Award.

Monte Haddix, RN - National Guard deployment for 19 months, presented “Iraq, through the eyes of a nurse.”

Laramie District 12 Jeanine Niemoller District President District 12 Wyoming Nurses Association held their annual Nurses Day celebration on May 12 at the Hampton Inn. Guests numbered at around 45 persons as 5 local nurses were honored for the caring and compassionate care they provide to patients in the community. Kathy Klein, who is owner and operator of Summit Home Care in Laramie was chosen as Albany County District 12 Nurse of the Year 2009. She was nominated by her staff and co-workers and patients for her tireless giving and caring in her work. She was additionally honored by having her family including her grandchildren in attendance. Amber Thomas, Lesa O’Dell, Linda Pickel and Laura Gaddis were also honored to be nominated by patients, coworkers and friends. Each nominee was given a folder with the nominations included and a certificate noting the nomination. Each nominee was also given flowers and a gift by the selection committee of District 12. The ceremony also included a Remembrance Celebration for four nurses who lost their lives in the last year in Laramie. President Jeanine Niemoller noted that the loss of 4 gifted and talented nurses was a tremendous loss to the community. Nurses who were remembered were Marlys Capson, Cheri Hall, Carol MacNee and Susan McCabe. All of the nurses in attendance were honored and thanked for the exceptional work that they do every day as a nurse. The newly elected treasurer, Caitlin Vasquez was introduced and welcomed by the board. Candace Stidolph who is the outgoing treasurer was thanked for her careful management of the District funds. District 12 member Lorraine Saulino-Klein and Mary Forrester presented a program on Nursing in Kenya. They traveled to a remote area to provide medical care and supplies to a very challenged area where a family income might be approximately $1.00 per day. They told of a child needing a prescription for Amoxicillin for a severe ear infection and the family finding the drug too expensive to purchase at approximately $.75. Lorraine and Mary continue to try and raise funds to assist the families in the area where the donated funds are used exclusively to assist the poor and disadvantaged families.

Powell/Cody District 16 Lisa Horton, MSN, RN, District President Linda Duvall awarded the Community Health Promotion Award.

District 16 in the Big Horn Basin has been busy all year doing fundraisers for scholarships to award to high school Around the Districts continued on page 6

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June, July, August 2009

WNA NEWS Around the Districts continued from page 5 seniors going to nursing school next fall. Our district goal is to award a scholarship to a high school senior in every school in the Basin which includes Cody, Powell, Meeteetse, Burlington, Basin, Greybull, Rocky Mountain, Lovell, Worland and Thermopolis. Our district has had multiple items for sale at our state meetings to help raise money for our cause including T-shirts, vests and pajama sets. This year we awarded a scholarship to two outstanding candidates: Betsy Nuttall from Greybull High who will be attending the University of Wyoming in the fall and Rikki Vaughn from Cody High School. We also look forward to seeing all of the members from around the state at the next WNA Convention in Cody in September. Our district is very excited to be hosting this event. See you all soon!

2010-2012 WNA Leadership Opportunities

Become an Exhibitor at our Convention

The Wyoming Nurses Association (WNA) Nominations Committee is seeking interested WNA members who wish to serve in leadership roles on the WNA Board of Directors. Elected in 2009 by Statewide Ballot for a two year term is: Vice President Secretary 2-ANA Delegates

The Wyoming Nurses Association cordially invites you to exhibit at our annual convention and summit on Friday, September 18, 2009 at the Holiday Inn, Cody, WY. There will be attendees that will include nurses, nurse practitioners, educators, and students from all across Wyoming and various practice settings. I know you will agree that this is a conference you and your company will not want to miss. Your business will be recognized for their support in both the program materials, association publications and signage during the convention. Exhibits will be open Friday, September 18 starting at 8:00 a.m., with a continental breakfast and registration. There will be two breaks, one in the morning and one in the afternoon. These times as well as time during the lunch break will be open for attendees to attend your table. This will give every conference attendee ample amount of time in front of YOU and your booth! The display fee is $150 per table. Sponsorship of a specific speaker or educational grant as well as sponsorship of scheduled meals and breaks is also available. If you sponsor anyone of these things we will wave the display fee cost of $150, and you will be able to display with no additional cost. Please contact the WNA office by email at tobilyon@ wyonurse.org or by phone at 1-800-795-6381 for more information about becoming an exhibitor or if you are interested in learning more about the sponsorship opportunities and benefits.

Duties of each office: The Vice-President shall assume the duties of the President in the absence of the President and PresidentElect. The Vice-President shall serve as Chairperson of the Membership and Public Relations Committee. The VicePresident shall serve as the elected First Alternate ANA Delegate. The Secretary shall be responsible for ensuring that records are maintained of meetings of the WNA, the Board of Directors, and Executive Committee of the Board of Directors, and shall notify members of the meetings of WNA. The Secretary shall serve as the elected Third Alternate ANA Delegate. Two ANA Delegates will be elected to serve as a voting member to the ANA House of Delegates which will be held June 16-19, 2010 in Washington, DC. All candidates for office must submit a “Consent to Serve” form, a statement (200-220 words) on what you believe are the major issues before the Association, in particular the position for which you are a candidate, and a photo by August 1st to the WNA Office. To obtain a “Consent to Serve” form or to learn more about each of the leadership positions please visit the WNA Website at www.wyonurse.org or call the WNA Office at 1-800-7956381. The nominations chair Lisa Horton is also available to answer any questions you may have regarding running for office. Lisa can be reached at 307-754-7780. CONSENT TO SERVE Wyoming Nurses Association BIOGRAPHICAL DATA Nominee for the Office of _____________________________________________________________________ Name ______________________________________________________________________________________ Address ________________________________ City _______________________ Zip ___________________ Tel: home: _______________________ work:_______________________ work: fax: _________________________ e-mail: _____________________________________________________________________________________ School/College of Nursing:_____________________________________________________________________

e ebsit A’s W se.org N W V i s i t w yo n u r f o r m . . Present Position and Place of Employment: is w w________________________________________________________ w ad t h ___________________________________________________________________________________________ w nlo o d o t Additional Professional Education: ______________________________________________________________

Area of Practice: _____________________________________________________________________________

Professional Organization Activities at District (Region), Council, State, National Level(s) for the past five years, including Student Association office: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Current WNA Member District: ___________________________________ (Number or City) Signature __________________________________________ Date ___________________________________ Need to also write a statement (200-220 words) on what you believe are the major issues before the Association, in particular the position for which you are a candidate. Include your goals and interest in this position. Send (1) this form, (2) your statement, and (3) a photograph of yourself No later then August 1, 2009 to the WNA Office, PMB 101, 2816 Dogwood Ave., Gillette, WY 82718

Wyoming Nursing Leadership Institute A partnership project between Wyoming Nurses Association and the Wyoming Nurse Workforce. Purpose: Nursing leaders in Wyoming will participate in a leadership development program, sharing best practices, networking and enhancing recruitment and retention of nursing staff in Wyoming. Participants will have active learning through individual projects and presentations related to their workplace. Topics: Regulatory issues, educational issues, professional development and best practices, quality initiatives, accreditation and survey processes, leadership competencies, and workplace excellence. The program will include observation visits with Wyoming Hospital Association, Labor Health and Social Services Committee, and Wyoming State Board of Nursing. Dates and Places: September/Sheridan, December/ Casper, February/Thermopolis, and April/Cheyenne (specific dates to be assigned). An alternative date will be assigned in case of inclement weather. Facilitators: Veronica Taylor, RN, MS; Robin Roling, RN, MS; Faith Jones, RN, MS; Mary Burman, PhD; Sue Howard, RN, MSN; Mary Behrens, RN, FNP and Toni Decklever, RN, MS, along with many other nursing leaders in Wyoming. Applications are available by contacting: tobilyon@ wyonurse.org or 1-800-795-6381. Contact hours will be provided. Applicants will be reviewed in August 2009.

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Wyoming Nurse • Page 7

WNA NEWS 6th Annual Wyoming Nursing Summit and Wyoming Nurses Association Convention Building a Workforce for the Future Cody, Wyoming Holiday Inn September 17–19, 2009

Wyoming Nurse Leaders Act to Support Health The Fay W. Whitney School of Nursing and the Wyoming Nurses Association invites visionary health care leaders to participate in the 6th Annual Wyoming Nursing Summit and the 2009 Wyoming Nurses Association Convention. Participants will workforce issued in Wyoming and how to recruit, retain, and best serve our nursing community. You will be asked to help guide the work-force and have your voice herd about the future of nursing in Wyoming. Along with discussion presentations will be centered around how to help build a working workforce project. Wyoming Nursing Summit Agenda Thursday, September 17 8:00 Registration 8:45 Welcome 9:00 Keynote Speaker—Susan R. Lacey, Topic One 10:30 Break 10:45 Panel of organization leaders—Updates Regarding Nursing Workforce Issues Noon Lunch 1:15 Pilot Projects Presentation 2:45 Break 3:00 RWJ Workforce Center Planning 5:00 Reception 6:00 WNA Board of Directors Meeting Friday September 18 7:30 Networking, Continental Breakfast 8:30 Keynote Speaker—Brad Westby 9:30 Posters & Roundtables, Break with Vendors 10:30 Legislative issues—Toni Decklever, Sue Howard Noon Lunch /Vendors—Combined WNA/Summit 1:30 2:30 2:45 4:15 4:30 7:30

Wyoming Nursing Convention Agenda Mike Kusiek—Care for the Caregiver Break Carole Genz Mould—Physical Well Being Break WNA Annual Meeting and Dinner Trolley

Saturday, September 19 7:30 Breakfast & WNA Awards Presentation 8:30 Douglas Sunderland—Spiritual Well Being 9:15 Zann Liljegren—Emotional Well Being 10:00 Mike Kusiek—Professional Well Being 12:00 Wrap up and Evaluations Description of Activities Cody Trolley Tours utilizes two live narrators, postersized historical photos, pass-around relics and entertaining audio clips, to share the story of world-famous William F. “Buffalo Bill” Cody while we spotlight historical sites, scenic vistas, geology, wildlife and old and new west attractions. The 60-minute, 22-mile tour is a LIVE PERFORMANCE that you enjoy from the cozy oak interior of our festive red & green trolley. A Cody Trolley tour is the best and fastest way to gain an overview of all that Cody, Wyoming has to offer. The trolley is scheduled for Friday September 18th at 7:30 pm and the registration cost for this event is $22. Please check this on your registration form. Wine Taste at Juniper Wine & Spirits, the Bighorn Basin’s largest selection of wines by the glass. During the convention check out Juniper Winery either Wednesday, Thursday, or Friday evening for $25 (includes wine tasting of 10 different wines and hors devours.) Limited to 25 individuals per evening. Please check this on your registration form along with which evening you would like to enjoy the tasting. Continuing Education Credits: Application for contact hours has been made to CNE-Net, the education division of

the North Dakota Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Speakers Michael D. Kusiek, M.Ed. Mr. Kusiek has over fifteen years experience working in health care and education. He has been an active consultant to health care organizations in Wyoming since 2002. He has worked with hospitals, physicians, and health care professionals throughout South Dakota, Wyoming, and Colorado in the effort of performance improvement and finding joy in work. Mr. Kusiek has a special interest in working with hospital leadership, staff, and physicians in achieving high quality working relationships which generates greater outcomes for patients. Mr. Kusiek just finished his seventh year as head coach of UW women’s rugby who just returned from a sweet 16 national playoffs appearance. Mr. Kusiek holds a B.A. in multi-cultural studies/ history and a Master’s in Education focused on total quality management. Susan R. Lacey, RN, PhD As the Director of Nursing Workforce and Systems Analysis at Children’s Mercy Hospitals and Clinics she oversees the organization’s systems research and is the lead on projects that investigates the impact of nursing resources on organizational and patient outcomes. She is also the new Director for the Bi-State Nursing Workforce Innovation Center, a partnership with the Health Foundation of Kansas City (HCF) and the REACH Foundation. The Center will lead and champion work environment change projects and process improvements at the point of care; both of which will be nurse-led, the later of which is now funded by a Partnership in Nursing (PIN) grant awarded in August of 2008 from the Robert Wood Johnson Foundation and the Northwest Foundation. She has served as a consultant for the Mississippi Office for Nursing Workforce to extend the RN Nurse Internship program for all nursing students working with both service and academic leaders state-wide. She was the lead investigator for the development and testing of the new pediatric center. Zann Liljegren, MSSW, LCSW Zann Liljegren is a psychotherapist and social worker at Powell Valley Healthcare in Powell, WY. She started there in July, 2008, with a particular interest and expertise in treating PTSD with combat veterans. Zann came from Dodgeville, Wisconsin, where she had a private practice for 14 years. Zann’s bachelor’s degree is in psychology from the University of Minnesota—Minneapolis. She worked for several years as a bachelor’s level social worker in child protective services where she specialized in child sexual abuse. She also worked as a teacher in a Montessori Daycare Center, and as an outdoor adventure educator. Frustration about not being able to really make a difference for people motivated her to return to school to obtain her Master’s of Science in Social Work from the University of WisconsinMadison. During her Master’s program, Zann and her husband adopted their foster son. With a history of severe abuse, he had significant problems attaching to other people. The combination of seeing the effects of trauma on her clients and on her son sent Zann searching for more resources to help people affected by violence and trauma. This led her to explore the mind and body approach of Eye Movement Desensitization and Reprocessing (EMDR). Zann is now a level II certified EMDR practitioner. She has found this specialized trauma therapy to be revolutionary in helping people over-come bad experiences. All of these experiences and educational opportunities have come together for Zann in helping her see and facilitate in others ways to integrate emotions, cognitions and behaviors in ways that really allow people to achieve their potential. Carole Genz Mould, RN, MN Carole has been a nurse for 32 years, primarily in the high risk neonatal and obstetrical setting. From acting as a Perinatal Clinical Specialist, to being a Neonatal Nurse Practitioner for 15 years, to Director of a couple of Childbirth Centers, Carole has worked with mothers and families and nurses her for most of her career. She has a Bachelor’s and Master’s Degree in Nursing from the “other U of W” the University of Washington in Seattle.

Upon “going rural” in 2004 she has stretched her skills to include holistic lifestyle wellness issues and embraced the adjuncts of complementary alternative modalities. She has spent her whole life with nurses in hospitals, and has a full understanding of women’s health issues in general and nursing personality traits in particular. Her current journey through menopause had rounded out her own experiences as a professional woman, wife and mother. Douglas Sunderland, MSW Douglas Sunderland is a Licensed Clinical Social Worker, and works at Powell Valley Healthcare in their hospice and home health department. She also provides counseling to veterans at the Community Based Outpatient Clinic in Powell. Ms. Sunderland has been ordained in the Episcopal Church since 2002 and served as the chaplain for Pow-ell Valley Hospice for 15 years. Brad Westby Brad Westby is the Industry Partnership Manager for the Wyoming Department of Workforce Services. In his current position he will be working with the Wyoming Workforce Develop Council and private industry, focusing on addressing the workforce shortages in the health care industry and the energy sector. His previous work includes eight years in the private sector, creating and implementing newly developed education training programs. His focus has been in recruiting and developing new ideas for education training to address the workforce needs of Wyoming. Previously, Brad served the State of Wyoming through his employment with Senator Alan Simpson and Senator Michael Enzi, working five years in Washington, D.C. as a Legislative Assistant.

Registration Form for 6th Wyoming Nursing Summit & WNA Convention Cody, Wyoming: September 17–19, 2009 Name: ________________________________________ Address: ______________________________________ City/State/Zip:___________________________________ Phone: (

) __________________________________

Email: ________________________________________ Organization: ___________________________________ UW employees, please list department: _________________ Registration options • Online: http://www.wyonurse.org • Mail: Wyoming Nurses Association, 2816 Dogwood Ave., Gillette, WY 82718 • Questions: WNA 1-800-795-6381 Summit 307-766-6715 • Make Checks payable to WNA • VISA/MasterCard Only • $50 administrative processing fee will be assessed for cancellation after 9/10/2009. Please send written confirmation. No refunds for no-shows. We are committed to making this conference accessible to all individuals. If you have a disability and require accommodations to participate in this activity, or have a special dietary needs please check here. _____We will contact you to discuss your specific needs. Registration Fee: (Includes materials, reception & meals.) Both Events (best value) $250 $ _______ WNA Only: Members $200 $ _______ WNA Only: Non-Members $225 $ _______ Summit Only $100 $ _______ Student WNA $50 $ _______ Student: Summit $50 $ _______ Guest Awards Breakfast Ticket $20 $ _______ Friday Night Trolley $22 $ _______ Juniper Wine Tasting $25 $ _______ Please Circle night you will attend Wednesday/Thursday/Friday Late Registration (After 9/4/2009) $20 $ _______ Card#: Expires: Accommodations: 800-527-5544, Holiday Inn, 1701 Sheridan Ave., Cody, WY 82414. Reserve by Sept. 3, 2009 for conference rate, $132.00. Mention Nursing Summit/WNA.

Page 8 • Wyoming Nurse

June, July, August 2009

June, July, August 2009

Wyoming Nurse • Page 9

OTHER NEWS Certified Nursing Assistant II (CNA II) with Medication Administration Certification by Mary Beth Stepans, PhD, RN Wyoming State Board of Nursing During the regularly scheduled meeting the Wyoming State Board of Nursing (WSBN), the Board of Nursing approved the release of draft proposed rules “CNA II with medication certification” to provide education and get feedback from nurses, facilities and the general public, in preparation for adoption by the board. Presentation Objectives: • To present the proposed new role of CNA II with medication administration certification; • Explain how expansion of CNA scope of practice can enhance patient safety and improve the working environment for nurses; • Present research related to patient safety and evidence that supports expanding CNA scope of practice; and • To solicit input and feedback from nurses and healthcare stakeholders throughout the state for the purpose of clarifying the proposed rules. Stakeholders who may have questions or concerns with these draft rules and what it means to nursing practice here in Wyoming are invited to attend. Schedule: Wednesday June 10 1:30-3pm: Laramie Ivinson Memorial Hospital, Grand Room Tuesday June 16th 8am-9am: Casper Wyoming Health Care Association Parkway Plaza, Champagne Room Wednesday, June 17th 3–4:30pm: State Video Conferencing System (see next page for locations) Safe administration of medications by competent and trained personnel is the goal that brought these members of the committee together. • Cheri Benander (Vice President, Resident Care Services, Powell Valley Health Care), • LouAnn Carmichael (Director of Operations, South Lincoln Medical Center), • JoAnn Farnsworth (Weston County Health Services), • Mary Kay Goetter (Executive Director, Wyoming State Board of Nursing) • Marguerite Herman (Consumer, Wyoming State Board of Nursing), • Faith Jones (Vice President, Patient Care Services, Powell Valley Health Care), • Tom Jones (Executive Director, Wyoming Health Care Association), • Dan Lex (Executive Director, Quality Health Care Foundation), • Chris Newman (Deputy Administrator, Division of Disabilities), • Cyndy Rankin (Executive Director, Westview Health Care Center, Sheridan) • Mary Beth Stepans (Practice & Education Consultant, Wyoming State Board of Nursing). Current Administrative Rules and Regulations, lack of funding, and scarce resources force some agencies to “go around” the rules and use untrained personnel to administer medications under the “friend of the family” exemption to the Nurse Practice Act (33-21-154). Other agencies cannot use their professional staff to the fullest extent because of the time-intensive task of medication administration. Hospital and Nursing Home Administrators are strained by the need to adhere to overwhelming guidelines related to quality of care, control cost and maintain patient and staff satisfaction. Governor Freudenthal directed the WSBN to collaborate with multiple stakeholders to explore options for meeting Wyoming’s multiple healthcare challenges and economic realities while still fulfilling our mission of public protection. In answer to these issues, the CNA II with medication administration certification role was drafted, based upon the National Council of State Boards of Nursing (NCSBN) Model Rules for the CNA II and Medication Assistant-Certified (MA-C). The following information was provided by members of the committee to provide answers to questions that might be posed about this new role.

Long Term Care and Acute Care prospective (Faith Jones–Powell Valley Health Care--acute care; LouAnn Carmichael-South Lincoln Medical Center–long-term care) 1. How does adding the CNA II benefit the nursing profession in Wyoming? The CNA II is one forward-thinking solution to the long term problem of the nursing shortage. The CNA II provides a development path for the CNA as well as enhancing the leadership skills of the licensed nurse. The addition of these advanced skills will enable the CNA II to build confidence that can improve the likelihood of successful completion of an RN program in their future. 2. Can a CNA II be used in the acute care setting? Yes, the CNA II with advanced skills can be delegated to provide care to stable patients in any setting. The delegation of these tasks is patientcentered and at the discretion of the licensed nurse. 3. Who will have control over the tasks that are delegated to the CNA II? The licensed nurse will determine which tasks to delegate. By working in partnership with the CNA II, the licensed nurse will retain his/her autonomy of practice as manager of the patient’s plan of care. 4. How is this going to help the nurse in Long Term Care? A CNA II will be able to help with those residents who require supervision and assistance during medication administration process. 5. How does this help the workload of the CNAs who already have too much to do? Work flow for a CNA II should be enhanced. For example, a CNA II will be able to apply some topical medications, speeding up the process of resident care after a bath or during the rush of getting up for breakfast in the morning. CNA IIs will also be able to adjust oxygen flow rates that may have been inadvertently altered, thereby eliminating or reducing the need for interrupting the licensed nurse. Assisted Living Perspective (Cheri Benander–Powell Valley Health Care) 1. In an Assisted Living facility, licensed nurses are not always onsite. Will this prevent CNA II’s ability to administer medications? No. Detailed instructions developed by the licensed nurse will guide the CNA II in medication administration. In addition, directions for PRN medications must be in writing and include the parameters for provision of the PRN medication. Directions for observing, reporting, and monitoring medication must be in writing. 2. Can the CNA II administer all medications in all situations? No. The delegating nurse determines which medications can be administered by the CNA II. In delegating, the nurse uses professional nursing judgment as well as the Administrative Rules and Regulations to guide decisions. 3. Will there be any type of grandfathering system developed for CNAs with several years of experience? No. The CNA II requires additional education above and beyond a CNA. All CNAs desiring to advance to the higher level of practice will be required to complete the additional course and testing. Additionally, a person cannot become a CNA II unless currently certified as a nursing assistant. Home Health Perspective (JoAnn Farnsworth-WCHS) 1. What is the nurse’s liability if a CNA II does not follow instructions and harms a patient in their home when the nurse is NOT on site? The liability is the same as with any other duties delegated by a nurse to a CNA. 2. Would this phase out nurses? No. The CNA II is there to assist in the workload UNDER THE DIRECTION/ SUPERIVISION of a licensed nurse ONLY. CNA II scope of practice does not include

assessments, interpretations or decision making at the level of the professional nurse. Division of Disabilities Perspective (Chris Newman– Division of Disabilities) Background: The majority of community based services for people with developmental disabilities and acquired brain injuries are funded by home and community based waivers administered by the Wyoming Department of Health, Developmental Disabilities Division (the Division). Waivers Certified Nursing Assistant II continued on page 10

Hospital Improvement Activities in Wyoming Part 3 by Faith M. Jones, MSN, RN, NEA-BC As promised in the Winter Edition of the Wyoming Nurse (Vol 21 no. 4), I would like to take the opportunity to share with all of you the progress another hospital that has received funding through the Hospital Improvement Grant process. This article features Cheyenne Regional Medical Center and the progress they have made on their Magnet Journey. Remember, these grants were made possible by WNA membership’s efforts to get this legislation passed. Mary Calkins, Ph.D., RN is the NDNQI Coordinator for Cheyenne Regional Medical Center and has provided the following information regarding the many changes that have occurred in the past year as CRMC continues on their journey toward excellence. Some of these changes include: • Including employees in creating our vision and roadmap for the future • Allowing our frontline workers to lead process redesign • Reward and recognize employees for coming up with innovative ideas • Establish a mechanism for evaluating and implementing good ideas • Revision of Shared Governance structure and function • Revision of Career Ladder • Emphasizing Patient Safety • Ensuring financial responsibility • Emphasizing quality and patient care • Fostering a culture of respect, honesty and trust • Including physicians in strategic planning • Providing stable leadership Additionally, this legislation is assisting Wyoming Medical Center on their Magnet Journey as well as four hospitals with less than 100 beds to support improvements in nursing. These hospitals include: Powell Valley Healthcare, Memorial Hospital of Sheridan County, North Big Horn Hospital, and Campbell County Memorial Hospital. Powell Valley Healthcare’s project centers around professional nursing development through the use of a career ladder with a focus on education and participating in the NDNQI initiatives. Memorial Hospital of Sheridan County is using the funding to implement a Safe Patient Handling Program which is modeled after the ANA’s Handle with Care campaign. North Big Horn Hospital’s project focuses on the implementation of a nursing strategic improvement plan which will develop better nursing practices that will improve the quality of the working environment for the nursing staff to address staff retention. Campbell County Memorial Hospital is conducting a pilot project on their medical surgical unit to incorporate relationship based care using a Partners in Care delivery model in collaboration with the VHA’s Return to Care initiative. Keep watching the Wyoming nurse for further updates. In each issue I will provide you with updates for one or more of these hospitals in an effort to share improvement activities across the state.

Page 10 • Wyoming Nurse Certified Nursing Assistant II continued from page 9 provide federal funding for services to participants at risk of being placed in an institution so they can be supported in their homes and communities, living as independently as possible among family and friends at an average cost that is lower than that of institutional care. Services funded by the waivers include residential habilitation services, day habilitation services, respite care, personal care, case management and some therapy services not covered under the Medicaid State Plan. People receiving waiver services live in their own homes and communities across Wyoming; they may live in a family home, group home, or their own residence. The three waivers administered by the Division also fund skilled nursing services, defined as services listed in the individual plans of care that are within the scope of the Wyoming Nurse Practice Act. These services, including medication administration, must be authorized by a physician. The majority of participants receiving services on the waivers do not require medication administration, but most need some support and prompting to assure medications are taken. Providers: The Division certifies approximately 930 providers. Thirty of these providers are organizations who are required to meet national accreditation standards, including standards requiring comprehensive training and documentation of medication administration. These organizations employ direct support professionals (DSPs) to provide services around the clock, including habilitation services, personal care and respite. Approximately 900 providers are self-employed or independent providers, and over 400 of these providers provide respite and/or personal care services to participants on the Children’s DD Waiver. Eleven organizations and thirty-five independent registered nurses are certified to provide skilled nursing. Current issues: For participants who require medication administration, it has been very difficult for Home and Community Based Waiver provider organizations to hire and retain nurses to meet the need 24 hours a day, seven days a week. According to providers, this difficulty is due to the nursing shortage, nurses wanting positions that involve more than administering medications, and the unavailability of nurses in the evening, overnight and on weekends. In order to meet the needs of participants in home and day settings, organizations(including those with nurses on staff) have developed training programs for direct support staff on medication monitoring and administration so that staff can administer medications around the clock. Until recently it was understood that the majority of independent providers administering medications,

June, July, August 2009 especially those serving children, are doing so under the “Friends and Family” exemption on the Nurse Practice Act, under 33-21-154, that permitted “the incidental health care by members of the family and friends.” This incidental health care includes medication administration and in a handful of cases, more complex nursing tasks, including tube feeding and respiratory care. The result is that Wyoming’s current system already has unlicensed “medication aides” (direct support staff and independent providers) and potentially some nurses working outside the rules, both within organizations and as independent providers. The Division has not been able to promulgate rules on medication administration that would cover minimum training requirements and documentation requirements, including medication errors, due to the restrictions in the Nurse Practice Act which do not allow nurses to delegate medication administration to CNAs or unlicensed personnel. Instead of working outside of the current system, the Division has instead been working with the Board of Nursing and other key stakeholders to develop a feasible solution to this issue. The CNA II would address these concerns for many organizations and would assure that the health and safety needs of waiver participants are being met. Frequently Asked Questions related to the Division of Disabilities 1. Have there been negative outcomes with the current system? If not, why do we need to add requirements to it that maynot be necessary? The Division is not aware of situations where there have been adverse outcomes for a participant. However, through our current monitoring and provider recertification processes, the Division has identified concerns with the level of training and understanding providers and provider staff have concerning medication administration, side effects, etc. After reviewing these concerns the Division agreed to work with the Wyoming State Board of Nursing on an approach that would provide comprehensive, consistent, and nationally recognized training and certification. The Division can then promulgate rules that can include grandfathering trained staff as CNAs (not CNA IIs), clarification on if and when a provider can work under the Friends and Family clause of the Nurse Practice Act, and establish clear standards for medication administration. 2. It will be very difficult for organizations and independent providers to meet the number of hours and training requirements for CNA IIs. How are providers expected to provide the appropriate levels of service and to fund this additional training? The Division acknowledges the constraints that providers are working under, including staff turnover, costs of training, and requirements to meet specific supervision levels. The Division continues to work with the WSBN to provide flexibility in this program, by allowing organizations to become an approved CNA training location, and by

building flexibility in the level of nursing direction needed by CNA IIs. The Division will continue to evaluate the impact on costs to providers, and work with providers on a solution. The goal is to establish a system that assures the health and safety of participants but that does not adversely impact providers’ ability to provide required services to participants. 3. Would all providers and provider staff have to become CNA IIs? No. This requirement would only be for staff administering medications. Many participants do not require medication administration, but do require some support and oversight when taking their medications. The Division plans to develop a Medication Administration Assessment Tool that would be used to determine the level of medication assistance needed by a participant. Those participants who do not require medication administration, but do need reminders or prompts to take their medications (what we consider medication monitoring) would not be required to receive care from staff trained as CNA. Summary Please plan to attend one of the information sessions as WSBN solicits input and feedback from nurses and healthcare stakeholders throughout the state for the purpose of clarifying the proposed rules. State Video Conferencing Sites Afton Law Enforcement/Sheriff’s Office Public Health Nurses Office 421 Jefferson Afton, WY 83110 Seating Capacity 10 Basin Retirement Center 890 Why 20 South Basin, WY Seating Capacity 14 Buffalo Veterans Home 700 Veterans Lane Buffalo, WY 82834 Seating Capacity 20 Casper Workforce Center 851 Werner Court, Suite 121 Casper, WY 82601 Seating Capacity 25 Cheyenne 1 City Center Building 1920 Thomes Avenue, Suite 410 Cheyenne, WY 82001 Seating Capacity 14 Cody Workforce Center 1026 Blackburn Cody, WY 82414 Seating Capacity 18 Evanston Employment Services 98 Independence Evanston, WY 82930 Seating Capacity 16 Gillette Workforce Center 1901 Energy Court, Suite 230 Gillette, WY 82718 Seating Capacity 25 Jackson Workforce Center 155 West Gill Jackson, WY 83001 Seating Capacity 12 Kemmerer Burgoon Building 136 Burgoon Drive (Also known as 20 Advil Drive) Diamondville, WY 83116 Seating Capacity 15

Lander State Training School Rothwell Building, Atlantic Room 100 Meadow View Drive Lander, WY 82520 Seating Capacity 20 Laramie Workforce Center 112 South 5th Street Laramie, WY 82073 Seating Capacity 12 Newcastle Workforce Center 2013 West Main St. Newcastle, WY 82701 Seating Capacity 12 Pinedale Pinedale High School Basement 101 East Hennick Pinedale, WY 82941 Seating Capacity 10 Rawlins Employment Services Office 1703 Edinburgh Rawlins, WY 82301 Seating Capacity 12 Riverton Workforce Center 422 E. Fremont Riverton, WY 82501 Seating Capacity 20 Rock Springs Workforce Center 2441 Foothill Blvd. Rock Springs, WY 82901 Seating Capacity 12 Sheridan Workforce Center 61 South Gould Sheridan, WY 82801 Seating Capacity 15 Torrington Workforce Center 161018 East M. Street Torrington, WY 82240 Seating Capacity 10 Wheatland Workforce Center 956 Maple Wheatland, WY 82201 Seating Capacity 8 Worland Community Complex/Ag Extension 1200 Culbertson, Suite G Worland, WY 82401 Seating Capacity 1

Mission: Serve and safeguard the people of Wyoming through regulation of nursing education and practice.

June, July, August 2009

Wyoming Nurse • Page 11

Wyoming Association Membership Application PMB 101, 2816 Dogwood Avenue • Gillette, WY 82718 • Phone: 1-800-795-6381

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❑ PAY BY ELECTRONIC DUES PAYMENT PLAN (EDPP) Read, sign the authorization, and enclose a check for the first month’s payment (amount shown in bold above); one-twelfth (1/12) of your annual dues will be withdrawn from that checking account monthly, in addition to an annual $6.00 (50¢ per month) service fee (total is amount above). AUTHORIZATION: This authorizes ANA to withdraw 1/12 of my annual dues and any additional service fees from the checking account designated by the enclosed check for the first month’s payment. ANA is authorized to change the amount by giving the undersigned 30 days written notice. The undersigned may cancel this authorization upon receipt by ANA of written confirmation of termination 20 days prior to the deduction date as designated above. ANA will charge a $5.00 fee for return drafts. SIGNATURE FOR EDPP AUTHORIZATION: _______________________________________________________ ❑ PAY BY CREDIT CARD ____ Full annual payment—automatic annual credit card payment (automatic renewal) ____ Monthly payment from credit card ____ Full annual payment—one year only ______________________________________________ Visa/MasterCard

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WY #01 Cheyenne: Member Full - $265.00 Reduced Full - $139.50 Special Full - $76.75

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* Includes a $0.50 service charge Electronic direct payment plan Make Check Payable to: American Nurses Association Send Check & Application to: Wyoming Nurses Association PMB 101 2816 Dogwood Avenue Gillette, WY 82718 Phone: 1-800-795-6381

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Welcome New WNA Members District 1

Susanne Marie Jensen, Cheyenne Kathryn Reid, Cheyenne Denise Sawicki, Burns Sue Tardif, Cheyenne Frankie Warner, Cheyenne

District 2

Kelly McKnight, Casper

District 10

Peggy Barnett, Gillette Peggy Jean Krizan, Gillette

District 12

Sidney Peters, Laramie

District 16

Eileen Frances-Dudek, Cody

District 17

Elizabeth Anguin, Evanston

District 50

Anne Marie Mann, Buffalo