Correspondence For The MONTANA BOARD OF NURSING

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November 2018 Vol. 55 No. 4THE OFFICIAL PUBLICATION OF THE MONTANA NURSES ASSOCIATIONQuarterly publication direct mailed to approximately 18,000 RNs and LPNs in Montana.Correspondence for theMONTANA BOARD OF NURSINGLICENSE RENEWAL ALERT:Are you an ODD nurse or an EVEN nurse?2018The Montana Department of Labor & Industry andBoard of Nursing are excited to announce a new,streamlined process for nursing license renewals for2018 and 2019. With over 22,000 licensees associatedwith the Board of Nursing, the licensing renewalprocess requires significant effort in a short amount oftime. We recognize previous renewal experiences maynot have always met your expectations.After listening to feedback and suggestions fromlicensees and stakeholders, the Department andBoard feel this new process will provide licensees animproved renewal experience.Beginning this year, nurses with licenses in the stateof Montana will be split into two groups, designatedas “Even Year” and “Odd Year.” The Department willrandomly assign licensees their new renewal group tobetter streamline the renewal process evenly betweeneven years and odd years. Once assigned, a licenseewill remain in that group. During this reassignment,those RNs with APRN licenses will be placed into thesame renewal group.The “Even Year” group will renew as usual thisyear between Thursday, November 1, 2018 andMonday, December 31, 2018.During this renewal window, active RN andLPN licensees can renew for a reduced fee of 50 instead of 100. APRNs will receive a similarreduction in fees.Continuing education requirements remain thesame; 24 hours of credit obtained in 2017-2018. Thisgroup will continue to renew every two years on theeven year schedule with the next renewal fee returningto 100 in 2020.The “Odd Year” group will have their licenseexpiration date extended through December 31, 2019,with no renewal fee due in 2018 – so this group willalso receive a 50 value for 2018. LICENSEESPage 3ASSIGNED TO THIS GROUP WILL NOT BEREQUIRED TO RENEW THIS YEAR.Next year, this Odd Year group will applyfor renewal between November 1, 2019 andPresort StandardDecember 31, 2019 for the standard fee ofUS Postage 100. Their continuing education requirementPAIDPermit #14will be 24 hours of credit obtained in 2017-2019.This group will continue to renew every two years onthe odd years from that point forward.Licensees will receive further communicationfrom the Department of Labor & Industry and Boardof Nursing as we near the renewal period identifyingwhich group they are assigned to, as well as, areminder of how to proceed for their specific group.One way to help the Department of Labor & Industrymake this process smoother is by having updatedcontact information for licensees. Updating contactinformation is easy through https://ebiz.mt.gov/pol/Remember, renewals are open Thursday,November 1, 2018 for the “Even Year” group andcontact information can be updated at https://ebiz.mt.gov/pol.If you have questions or need more informationabout the new nursing licensing renewal process,there are three ways to contact the Board of Nursing: Visit the web site at Nurse.mt.gov; Call (406) 841-2300; or Email at Nurse@mt.gov.The Department of Labor and & Industry and Boardof Nursing are excited to streamline the nurse licensingrenewal process and providing an improved customerexperience for Montana’s nurses.Convention Highlightscurrent resident or(turn to pg 12)Princeton, MN55371Like us on FacebookFollow us on Twitterwww.mtnurses.org

Page 2Montana Nurses Association PulseNovember, December 2018, January 2019Executive Director ReportMNA HighlightsAsyourexecutivedirector, now for over fouryears, I wanted to take thisopportunity and let youknow that the MontanaNursesAssociationhasthe most phenomenal staffand volunteers. The MNAstafffiercelyadvocatesfor quality education andnurses’ right to collectivelybargain, moreover, they areVicky Byrd,dedicated, loyal, and genuinelyBA, RN, OCNpassionate regarding yourprofessional nurses association. Your Board of Directorsand council members have been completely immersedand supportive of the professional nurses association. Icouldn’t be more proud of the staff and volunteers thathave made MNA so relevant, and now, the sought aftervoice of the professional nurse in Montana!Looking forward, MNA is planning for growth anda step toward that goal was realized this fall in hiring alead labor organizer. This organizing position is the firstof its kind as MNA has not had, to our knowledge, anyorganizing department positons within the labor program.We are excited to bring this much needed position to MNAand look forward to reporting on the progress.As we look toward the 2019 legislative session, learnwho your state senator and state representatives are.Talk to them, educate them, and let them know yourconcerns related to the nursing profession and how thatrelates to patient care. They are often making decisionsthat impact our profession and it is up to us to be surethey are making informed ones. Thank those lawmakerswho are supportive of our nursing issues and hold theothers accountable for their non-support. We are gratefulfor a contract lobbyist to assist our legislative needs.If you wish to no longer receiveThe Pulse please contact Monique:mheddens@aldpub.comIf your address has changed pleasecontact Montana Board of Nursing at:www.nurse.mt.govPULSE SUBMISSIONSWe are gathering articles that are relevant andappealing to YOU as a nurse. What is happeningin your world today? Is there information we canprovide that would be helpful to you? The Pulseis YOUR publication, and we want to present youwith content that pertains to your interests.Please submit your ideas andsuggestions to Jennifer.Jennifer@mtnurses.orgEnjoy a user friendly layout and access to moreinformation, including membership material,labor resources, Independent Study Library,a new Career Center for Job Seekers &Employers, and more downloadable information.Please visitMNA’s constantly updated website!www.mtnurses.orgMNA will again pursue felony legislation addressingviolence against nurses and healthcare workers and areunsure what that will exactly look like. MNA is well awarein order to address violence against healthcare workersthere needs to be a cultural, legislative, and educationalchange. MNA is working with some of our facilities inwhich we have collective bargaining units to bargain intotheir contracts safety plans and safety committees thathave mandatory nurse involvement. Ultimately, it shouldbe a priority for any employer of nurses and healthcareworkers to establish safety protocols. It has beenproven, with evidence based research printed by theepidemiologist through the DOL, that Montana nursesare assaulted at a higher rate than the national average.As directed by MNA membership, we shall continueto pursue protections for our nurses and healthcareworkers which ultimately affect our patients.MNA, in advocating for our advanced practice nurses,will explore bringing legislation forward in the 2019session to address global signature authority for APRNs.This in no way expands their scope of practice, but doesallow them to sign the appropriate documents and formswithin their scope and reinforce Montana’s longstandingsupport of APRNs practicing to the fullest extent of theireducation.MNA continues to monitor the Nurse LicensureCompact (formerly the eNLC-enhanced nurse licensurecompact) and the rules that will go into effect January2019. MNA has long been opposed to the NLC inits current form but the NLC (formerly eNLC) passedlegislation in 2017 in Montana and we are a party state inthe NLC. We continue to work and collaborate with ourBoard of Nursing (BON) regarding regulatory issues andconcerns.MNA will explore reporting and tracking for theprofessional nurses in Montana.With this all said, I would like to formally welcomeMissy Poortenga, RN who is the new Executive Officerof the BON. She is an RN and an MNA member. We areexcited to have Missy lead our regulatory board for thenursing profession.PUBLISHER INFORMATION & AD RATESCirculation 18,000. Provided to every registered nurse, licensedpractical nurse, nursing student and nurse-related employer inMontana. The Pulse is published quarterly each February, May,August and November by Arthur L. Davis Publishing Agency, Inc.for Montana Nurses Association, 20 Old Montana State Highway,Montana City, MT 59634, a constituent member of theAmerican Nurses Association.For advertising rates and information, please contact Arthur L.Davis Publishing Agency, Inc., 517 Washington Street, PO Box216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.com. MNA and the Arthur L. Davis Publishing Agency, Inc.reserve the right to reject any advertisement. Responsibility forerrors in advertising is limited to corrections in the nextissue or refund of price of advertisement.Acceptance of advertising does not imply endorsement orapproval by the Montana Nurses Association of productsadvertised, the advertisers, or the claims made. Rejection of anadvertisement does not imply a product offered for advertisingis without merit, or that the manufacturer lacks integrity, or thatthis association disapproves of the product or its use. MNA andthe Arthur L. Davis Publishing Agency, Inc. shall not be heldliable for any consequences resulting from purchase or use ofan advertiser’s product. Articles appearing in this publicationexpress the opinions of the authors; they do not necessarilyreflect views of the staff, board, or membership of MNA orthose of the national or local associations.WRITER’S GUIDELINES:MNA welcomes the submission of articles and editorials relatedto nursing or about Montana nurses for publication in The PULSE.Please limit word size between 500–1000 words and provideresources and references. MNA has the Right to accept, edit orreject proposed material. Please send articlesto: jennifer@mtnurses.orgCONTACT MNAMontana Nurses Association20 Old Montana State Highway, Clancy, MT 59634 Phone (406) 442-6710 Fax (406) 442-1841 Email: info@mtnurses.org Website: www.mtnurses.orgOffice Hours: 7:30 a.m.-4:00 p.m. Monday through FridayVOICE OF NURSES IN MONTANAMNA is a non-profit, membership organization that advocates fornurse competency, scope of practice, patient safety, continuingeducation, and improved healthcare delivery and access.MNA members serve on the following Councils andother committees to achieve our mission: Council on Practice & Government Affairs (CPGA) Council on Economic & General Welfare (E&GW) Council on Continuing Education (CCE) Council on Advanced Practice (CAP)MISSION STATEMENTThe Montana Nurses Association promotes professional nursing practice,standards and education; represents professional nurses; and providesnursing leadership in promoting high quality health care.PROFESSIONAL DEVELOPMENTMontana Nurses Association is accredited as an approver of continuingnursing education by the American Nurses Credentialing Center’sCommission on Accreditation.Montana Nurses Association is accredited as a provider of continuingnursing education by the American Nurses Credentialing Center’sCommission on Accreditation.MNA Staff:MNAVicky Byrd, BA, RN, OCN, Executive DirectorPam Dickerson, PhD, RN-BC, FAAN, Director of Professional DevelopmentMary Thomas, BA, RN, RN Professional Development AssociateCaroline Baughman, BS, Professional Development AssociateRobin Haux, BS, Labor Program DirectorAmy Hauschild, BSN, RN, Labor RepresentativeSandi Luckey, Labor RepresentativeLeslie Shepherd, BSN, RN, Labor RepresentativeJill Hindoien, BS, Chief Financial OfficerJennifer Hamilton, Administrative AssistantBoard of DirectorsExecutive Committee:Board of Directors PresidentBoard of Directors Vice PresidentBoard of Directors SecretaryBoard of Directors TreasurerBoard of Directors Member at LargeBoard of Directors CPGABoard of Directors PDBoard of Directors CAPBoard of Directors EGWLorri Bennett, RNTerry Dutro, MSN, APRN, AGPCNP-BCChelsee Baker, BSN, RNLinda Larsen, RN-BCJennifer Taylor, BSN, RN, CCRNBobbie Cross, RNDebby Lee, BSN, RN-BC, CCRPJohn Honsky, APRNJennifer Tanner, BSN, RN, CCRNCouncil on Practice & Government Affairs (CPGA)Jack Preston, BSN, RNAbbie Colussi, RNAnita Doherty, RNKaren Fairbrother, BSN, RN, DNC, CDEAnna Ammons, BSN, RN, PCCNCouncil on Professional Development (PD)Sandy Sacry, MSN, RNGwyn Palchak, BSN, RN-BC, ACMEmily Michalski-Weber, MSN, RN-BCMegan Hamilton, MSN, RN, CFRN, NR-PCheryl Richards, MS, BSN, RN-BCCheryl Miller, MSN, RN-BCSarah Leland, BSN, RN, CMSAbbie Colussi, RNJanet Smith, MN, MSHS, RNCouncil on Advanced Practice (CAP)Chairperson Elect-CAPSecretary-CAPMember at Large-CAPMember at Large-CAPDeborah Kern, MSN, FNPNanci Taylor, APRNBarbara Schaff, FNP-BCKeven Comer, MN, FNP-BCCouncil on Economic & General Welfare (EGW)Delayne Stahl, RN, OCNRachel Huleatt, BSN, RNKrystal Frydenlund, RN, CCRNLisa Ross, RN, CCRNQuestions about your nursing license?Contact Montana Board of Nursing at: www.nurse.mt.gov

2018November, December 2018, January 2019Montana Nurses Association PulsePage 3Convention HighlightsThank you.to all of our members, attendees, delegates,presenters, sponsors, exhibitors and staff formaking this year’s Convention Great!Jennifer Miller, RNDistrict 8 PresidentThe Montana Nurses Association106th annual convention in Helena wasamazing this year! The vendors were asdiverse as the speakers and the topics.One of the things that I enjoy the mostabout going to the convention is beingable to sit and network with nursesfrom all over the state. Due to the sizeof Montana I think too often we get inthe mindset of feeling detached andisolated in our concerns. By networkingat the convention I realize that I amtruly blessed. There are a variety ofnurses, from all walks of nursing thatare uplifting and encouraging. Greatfood, support, education, confidenceand conviction to continue to make adifference. That’s what I left with fromthe MNA convention this year!!Public health saved your lifetoday, you just didn’t know it.– Leana Wen106th Annual MNA ConventionOctober 3rd - 5th 2018Convention Highlights continued on page 4

Page 42018Silent AuctionMontana Nurses Association PulseNovember, December 2018, January 2019Convention HighlightsAnnualat MNA Convention!!We had a very successful silent auction this year thatraised over 2,500 for our MNAF. Special thank you toeveryone who donated baskets and made this eventa success. We had 29 baskets ranging from fly polesto the ever so popular liquor, spa, hotel and sportsbaskets! If anyone would like to donate to our MNAF,please contact the MNA office at 442-6710 or email Jill@mtnurses.org.MNAF-MISSIONThe Montana Nurses Association Foundation (MNAF)is the charitable and philanthropic branch of the MontanaNurses Association (MNA), with a mission to preservethe history of nursing in Montana and contribute, supportand empower the professional nurse in Montana.Purposes: from our articles of incorporation Charitable Educational Grants to licensed registered nurses Awards scholarships Provide continuing education grants Historical record preservation Stimulate and promote the professionaldevelopment of nursesAreas of Interest Elevating the image of nursing Improving health Strengthening leadership Generating new knowledge and policy Fostering philanthropy

November, December 2018, January 2019Montana Nurses Association PulsePage 5REPORT ON MNALEGISLATIVE PANELWe have seen and experienced how centrallawmaking can affect nurses and patients. Lawsimpacting our practice and profession range fromthe nurse practice act, to staffing legislation, accessto affordable healthcare, felony assault of a nurse orhealthcare worker, licensing regulation, funding forhospitals and nurses, the nurse licensure compact,and so much more. Nurses vote and our votematters. We are each tasked with the civic duty tocast our ballot and it’s important for our professionthat we do so with an educated decision.Political party isn’t relevant.Purpose is.On October 5, 2018 at the MNA Convention, weasked the questions nurses want to ask. Our goalis to help you become more informed when goingto the ballot box. We all took notes during the panelpresentation and will be prepared for our upcomingLegislative Day on January 31st, 2019. MNA willhost this event at the capitol rotunda with our newlyelected officials who will be hard at work and readyto hear from the nurses.We invited EVERY candidate, regardless ofParty, in EVERY legislative race for the U.S. Houseand Senate and the Montana Legislature. If youdon’t see the candidates listed here, then we didnot receive a response to our invitation. This isimportant. We want our lawmakers engaged withMNA, as the collective voice for nurses across thestate.To the candidates that joined us in person, wethank you for your participation. Nurses are publicservants too. We know it can be a tireless andthankless job. Thank you for joining us to talk tothe nurses from across the state of Montana aboutnursing and healthcare issues important to them.U.S. Legislative Panel for Lawmakersworking at the National LevelU.S. House of RepresentativesGreg Gianforte (incumbent)no response to MNA invitation,did not participate in panel questionsKathleen Williams (candidate)attended in person and was providedthe opportunity to personally addressthe nurses in attendanceU.S. SenateJon Tester (incumbent)sent a prepared statement to address thenurses (read by MNA Local #5-member,Bobbie Cross, RN, CPGA Representativeto the MNA Board of Directors)Matt eRosndale (candidate)no response to MNA invitation,did not participate in panel questionsMNA Legislative PanelSteve Daines (incumbent not up for re-election this cycle)sent a staff representative to readhis prepared statement to the nursesThe comments made by these candidates do notnecessarily reflect the values or opinions of the MNA.We are simply providing the comments made byeach candidate to our members in the words thosecandidates used. We have attempted to providefootnotes when applicable for factual informationrelated to some comments that relate to issuesimportant to nurses.KathleenWilliamsSummary of the Questions &Answers with Kathleen WilliamsQ1. Access to affordable healthcare for all, whilemaintaining essential health benefits andcoverage for preexisting condition, remainsa priority for MT nurses. The nurses supportthe ACA and understand it is not perfect; butwe want to keep what is working and fix whatdoesn’t. What do you envision your role to be asyou advocate at the national level for healthcareaccess and affordability?Answer: During campaign became awarehealthcare is number 1 concern of MT citizens,need to stabilize market, fund CHIP, allowMedicare to bargain for drug prices, allow those55 years of age to buy into Medicare I ampersonally, professionally, and policy-minded insupport of healthcare.Q2. As gun violence is a growing public healthissue affecting the safety of our families andcommunities, what is your perspective onimproving ways to promote public health throughreducing gun violence?Answer: During the primary many stated thoughtsand prayers and to me that doesn’t show respectneeded for the victims and their families, soI said more. I am a gun owner and not afraid totalk about how to keep our kids safe in school. Isupport the 2nd amendment but we should notbe afraid to discuss more deeply how to keep ourkids safe. Need to talk about mental health andbehavioral health services. Need to have the hardconversations surrounding this issue.Q3. Recent federal decisions have stripped awaycollective bargaining rights to weaken thecollective voice of workers, professional nursesincluded. How will you ensure the collectivebargaining rights for registered nurses to form andjoin a professional nurses union, which allow themto advocate for their nursing practice and safepatient care, are not further weakened?Answer: I support collective bargaining. Unionshave a

Questions about your nursing license? Contact Montana Board of Nursing at: www.nurse.mt.gov Executive Director Report Vicky Byrd, BA, RN, OCN As your executive director, now for over four years, I wanted to take this opportunity and let you know that the Montana Nurses Association has the most phenomenal staff and volunteers. The MNA

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