Ana-maine Journal

Page 2ANA Maine JournalWHAT WOULD YOU LIKE TOSEE IN THE NEWSLETTER?Do you have an idea for an article or want tobecome an author? Is there something going on inyour workplace that you would like to share with othernurses? Do you have a suggestion to share about theANA-Maine newsletter? If so, please contact us atinfo@anamaine.org.August, September, October 2017WANT TO STAY CONNECTED?Connect with RNaction.org to be updated onthe latest national policy and legislative issues thataffect your work. Go to www.rnaction.org to signup for emails and to follow @RNAction Tweets.Follow nursing on Facebook on the ANA-Maineand American Nurses Association pages.ANA-Maine Heads to the Hill“Hill Day” precedes the official opening of theANA Membership Assembly. ANA coordinatesthis day and schedules visits with our membersof the US House of Representatives and Senateto discuss legislative issues of importance to thenursing profession. Maine’s representatives tothe Membership Assembly, Patricia Boston andCatherine Lorello-Snow, visited the offices ofRepresentatives Pingree and Poliquin and theoffices of Senators Collins and King.Specific legislation discussed included:1. the AHCA. We affirmed ANA’s Principlesfor Health System Transformation 2017which state that the system must:a. ensure universal access to a standardPatricia Boston, MSN, RN, RRT,package of health care services;Representative Chellie Pingree; Cath President;erine Lorello-Snob. optimizeprimary,communityPMHRN-BC, Presw,ident-Electbased and preventive services whilesupporting the cost-effective use of innovative,as revealed by the NEONI study, and discussedtechnology-driven, acute, hospital-based services;that this funding is an important element inc. encourage mechanisms to stimulate economicalresolving that shortage. This bill is cosponsoreduse of health care services while supporting thoseby Senator Collins and Representative Pingree.who do not have the means to share in costs; and4.the Home Health Care Planning Improvementd. ensure a sufficient supply of a skilled workforceAct (S. 445/H.R. 1825), which was sponsored bydedicated to providing high quality health careSenator Collins, would allow nurse practitioners,services.clinical nurse specialists and certified nurse2. the Registered Nurse Safe Staffing Act, which hasmidwives to sign the final care plan to orderyet to be introduced, would require “Medicarehome health services – which otherwise wouldparticipating hospitals to establish a committee,require physician certification. Particularly incomposed of at least 55% percent direct careunderserved and rural states, this would allownurses, to create nursing staffing plans that area more efficient and cost effective process andspecific to each unit.”enhance the use of APRN skills. Senator King and3. Title VIII Nursing Workforce Reauthorization ActRepresentative Pingree are cosponsors of this(S. 1109/H.R. 959) which is the largest sourcelegislation.of federal funding for nursing education andincludes the following grant programs: AdvancedThough Hill Day provides an opportunity to meetEducation Nursing; Workforce Diversity Grants;inthe DC offices of our legislators, they can also beNursing Education, Practice, and Retentioncontactedthrough their state offices - in person, or byGrants; the National Nurse Service Corps; thephoneoremail.If you have questions about how toNurse Faculty Loan Program; and Comprehensivecommunicatewithyour state or national legislators,Geriatric Education Grants. We reviewed thefeelfreetosendamessageto info@anamaine.org.projected nursing shortages that Maine will face,Volume 13 Number 3Published by theAMERICAN NURSES ASSOCIATION-MAINEa constituent member association of theAmerican Nurses AssociationE-mail: info@anamaine.orgWeb Site: www.anamaine.orgP.O. Box 647Kennebunk, ME 04043ANA-MAINE BOARD OF DIRECTORSPatricia Boston, MSN, RN, RRTPresident, Biddefordpatricia.boston@anamaine.orgCatherine Lorello-Snow, PMHRN-BCPresident-Elect, PortlandJean Dyer, PhD, MSN, BSN, CNETreasurer, YorkJuliana L’Heureux, BS, MHSA, RNSecretary, TopshamRobert Abel, BSN, RN, CHPN, CMC, CCMDirector, SacoJoanne Chapman, MED, MSN, RN, NE-BCDirector, FalmouthPaula Delahanty, RN, BSN, MHSADirector, WarrenCarla Randall, PhD, RN, CNEDirector, AuburnAmander Wotton, MSN, RNDirector, WindhamContents of this newsletter are the opinion of theauthor alone and do not reflect the official position ofANA-MAINE unless specifically indicated. We alwaysinvite leaders of specialty organizations to contribute.ANA-MAINE EDITORIAL COMMITTEEMichelle L. Schweitzer (Editor)Patricia Boston, MSN, RN, RRTJean Dyer, PhD, MSN, BSN, CNEJuliana L’Heureux, BS, RN, MHSAWe welcome submissions, but we reserve the right to rejectsubmission of any article. Send to publications@anamaine.org.CE calendar listings are without charge.Attribution: We do not knowingly plagiarize. We encourageour authors to fact check their material but we do not assumeresponsibility for factual content of ads or articles.For advertising rates and information, please contact ArthurL. Davis Publishing Agency, Inc., 517 Washington Street, POBox 216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.com. ANA-Maine and the Arthur L. Davis PublishingAgency, Inc. reserve the right to reject any advertisement.Responsibility for errors in advertising is limited to correctionsin the next issue or refund of price of advertisement. Publishedquarterly every February, May, August and November.Acceptance of advertising does not imply endorsementor approval by ANA-Maine of products advertised, theadvertisers, or the claims made. Rejection of an advertisementdoes not imply a product offered for advertising is withoutmerit, or that the manufacturer lacks integrity, or that thisassociation disapproves of the product or its use. ANA-Maineand the Arthur L. Davis Publishing Agency, Inc. shall not beheld liable for any consequences resulting from purchaseor use of an advertiser’s product. Articles appearing in thispublication express the opinions of the authors; they do notnecessarily reflect views of the staff, board, or membership ofANA-Maine or those of the national or local associations.Postal Address corrections: This list of addressees isobtained from the Maine State Board of Nursing (MSBON)each issue. To keep your address current for these mailings,simply notify the MSBON of any needed changes in yourpostal mailing address.Permission must be obtained from ANA-Maine to replicate orreproduce any content from ANA-Maine Journal.

August, September, October 2017ANA Maine JournalPage 3In Partnership withOMNE/ANA-MAINE Annual MeetingNurses: Leading the Redesign of Care Delivery in MaineSeptember 28 & 29, 2017Keynote Speaker:Dr. Dora Mills, MD, MPH, FAAPVice President for Clinical Affairs, Director Center for Excellence in Health Innovation,Interim Vice President for Research and Scholarship, University of New EnglandVendors Networking Presentation of the Agnes FlahertyLeadership Award and Sister Consuela White Spirit of Nursing AwardREGISTRATIONREGISTRATIONFEESNOTE: Conference feeincludes continentalbreakfast, lunch, breaksand dinner (optional).OMNE and ANA-MAINEMembers:o Day 1 Only – 100o Day 1 and Dinner – 135o Day 2 Only – 60o Full Program Only – 150MAIL:Register Early, Space is LimitedStephanie Budreau, OMNE Administrative AssistantThe Aroostook Medical CenterP.O. Box 151Presque Isle, ME 04769Please make check payable to: OMNEONLINE: www.anamaine.orgName:Home Address:City/Town: State: Zip:o Full Program & Dinner – 185Credentials: Phone:NON Members:E-mail (REQUIRED):o Day 1 Only – 115o Day 1 and Dinner – 150o Day 2 Only – 75o Full Program Only – 180o Full Program & Dinner – 215STUDENT:o One Day Rate – 40*Does not include dinnerEmploying Agency:OMNE/ANA-MAINE AnnualMeeting General InformationLOCATION: Hilton Garden Inn, Freeport, Maine.Tucked away in the heart of Freeport Village, theHilton Garden Inn Freeport Downtown is your idealdestination among hotels in Freeport, Maine. Onlytwo blocks down the hill from LL Bean and perfectlysituated within walking distance to over 100 upscaleretail outlets and boutique shops. Featuring wirelesshigh-speed internet access, 24-hour complimentarybusiness center, and an indoor pool and hot tub.HOTEL INFORMATION: A block of rooms at theHilton Garden Inn has been reserved at the specialconference rate of 179 per night plus tax goodthrough August 28th. For reservations, please call theInn directly at 1-207-865-1433. Register early, roomsare limited.CANCELLATION POLICY: Registrants who are notable to attend or send a substitute can obtain a refundof their registration fees. A written request must bereceived by September 15, 2017. REFUNDS WILL NOTBE ISSUED AFTER THIS DATE.FOR ADDITIONAL INFORMATION:OMNE: Stephanie Budreau at 207-768- 4301 orsbudreau@emhs.org. You may also visit -------------------------------------ANA-MAINE: Michelle Schweitzer at 207-310-1629 or viae-mail at michelle.schweitzer@anamaine.org. You mayalso visit City/Town: State: Zip:METHODOF PAYMENTCheck enclosed made payable to OMNE in the amount of ALLI authorize the use of my credit card: Visa Mastercardo OMNE/ANA Business Mtg –FreeAccount #: Exp:o Dinner Only– 35Amt. Authorized: Billing Zip Code:Signature:8th Annual Patient Safety AcademyFriday, September 29, 2017 9am – 4pmUniversity of Southern Maine –Portland campus, Abromson CenterRegistration: 50/ 25 students Includes lunch and parkingFMI and to register: visit usm.maine.edu/muskie/patient-safety-academyOpen to anyone interested or engaged in patient safety activities.Workshops include skill-building and best practices in the areas of patientengagement, infection prevention, opioid education, falls prevention,antibiotic stewardship, patient safety culture, health literacy and ethics.A smile is a part of our uniform! Come and work withmy team. We need RNs, LPNs, & CNAs.Per diem rates 29 for RNs, 24 for LPNs, and 15.25 for CNAs. Plus Shift Differentials. WEEKLY PAY.Apply online: www.BrentwoodCenterRehab.comKim Duest, Director of Nursing Services,KDuest@nathealthcare.com 207-846-9021 ext. 11This activity has been submitted to the NortheastMulti-State Division for approval to award contacthours. The Northeast Multi-State Division isaccredited as an approver of continuing nursingeducation by the American Nurses CredentialingCenter’s Commission on Accreditation. Maine, NewHampshire, New York, Rhode Island, Vermont NursesAssociations are members of the Northeast MultiState Division of the American Nurses Association.Visit us online:www.omne.org & www.anamaine.org

Page 4ANA Maine JournalAugust, September, October 2017Christina Tapley, RN Receives Daisy AwardANA Adopts BylawCongratulations to Christinato the assisted living facility. Her nurse handed meChanges at theTapley, RN, recipient of thean envelope, which I assumed had the antibioticAward in May, 2017.prescription and we left. Once we arrived at theMembership Assembly DaisyThe Daisy Award is given inassisted living facility, I handed the packet to the staff.At this year’s Membership Assembly, held June 9 – 10in Washington, DC, the following bylaw changes wereapproved:1. Reauthorization of the Membership Assemblymeeting format – which replaced the House ofDelegates for an interim period through 2017 – butwith an increase to 200 representatives. This bylawamendment, which required a 2/3 approval vote,was a compromise measure offered by the ANABoard. Several C/SNAs had proposed a return to theHouse of Delegates format with 400 delegates.2. Approval for ANA to pursue formally ending itsstatus as a labor organization and amendingrelated wording. The change in status will allowANA greater ability to pursue opportunities forgenerating non-dues revenue. ANA providedreassurance that it “remains steadfast andcommitted to the right of nurses to engage incollective bargaining to improve their workingconditions. While ANA does not engage withemployers in collective bargaining, either directlyor indirectly, it supports the rights of C/SNAs toengage in a wide range of activities includingcollective bargaining, workplace advocacy andpolitical advocacy, as tools for RNs to improvetheir working conditions. We have not altered ourbeliefs.” This change in status cannot be finalizeduntil there is significant legal input and review.3. Amended the name of the Reference Committee tothe Professional Policy Committee.4. Amended language to reflect that only RNmembers of a C/SNA are eligible for ANAmembership. This language was necessary assome C/SNAs may choose to allow non-RNs to bemembers of their individual organizations.5. Amended language related to the role andresponsibilities of the ANA president and board ofdirectors; the ability to conduct virtual meetings; thetiming of submission of proposed bylaw changes;and Membership Assembly meetings.memory of J. Patrick Barnes.Christina’s spotlight isshared below from www.daisyfoundation.org:Christina Tapley, RNMS4Southern Maine Health CareBiddeford, MaineMy mom was a patient and upon discharge, herdoctor explained that she would be on an antibioticfor several more days and would send the antibioticMy mom’s doctor called me that evening to tell methat SMHC had forgotten to include the prescription inthe packet and that one of the nurses offered to runover several doses of the antibiotic to the rehab facilityuntil they could have it filled the following Monday.My mom was admitted again recently and herphysician told me who the nurse was who did thisextraordinary thing for my mom. She did not knowmy mother nor was she her nurse at the time, but sheknew how important it was that my mom had herantibiotic. I have had several interactions with Christinaand her obvious compassion always stands out. She is aremarkable nurse.Christina Tapley, RN displays her Daisy award with her colleaguesat Southern Maine Health Care in Biddeford, Maine.Polls will be Open August 22 – September 21ATTENTION ANA-MAINE MEMBERS!VOTE! VOTE! VOTE! VOTE! VOTE! VOTE! VOTE!This is the third year that ANA-MAINE is utilizingthe secure online voting system to elect members to fillopen positions on the board. Nomination submissionswere accepted through July 18 and the electronic ballotwill be available August 21 – September 21.Positions to be filled orTerm2 Years2 Years2 Years2 YearsAs a member of ANA-MAINE, you have theopportunity to determine the leadership of ourorganization. Details about the electronic votingprocess will be emailed to members and may be foundon our website at www.anamaine.org.ANA-MAINE eagerly anticipates the activitiesplanned for the next work year. Your vote in thisprocess is a way to positively affect the continued workof your organization.To request a paper ballot, please call the ANAMAINE office at 207-310-1629.Deadline for online voting is September 21, 2017The newly elected board of directors will beannounced on September 28, 2017 at the ANA-MAINEannual business meeting. More details regarding thisevent may be found at www.anamaine.orgYou’ve always dreamed of being a nurse.Now find your dream job atnursingALD.comFREE to Nurses!

August, September, October 2017Maine Enacts Enhanced NurseLicensure Compact (eNLC)Reprinted with permission from NCSBNMedia Contact: Dawn M. KappelDirector, Marketing & Communications312.525.3667 direct 312.279.1034 fax dkappel@ncsbn.orgCHICAGO – Maine has joined Arizona, Arkansas, Florida, Georgia, Idaho,Iowa, Kentucky, Maryland, Mississippi, Missouri, Montana, Nebraska, NewHampshire, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee,Texas, Utah, Virginia, West Virginia and Wyoming as a member of the eNLC.Allowing nurses to have mobility across state borders, the eNLC increasesaccess to care while maintaining public protection. The eNLC, which is anupdated version of the current NLC, allows for registered nurses (RNs) andlicensed practical/vocational nurses (LPN/VNs) to have one multistate license,with the ability to practice in both their home state and other NLC states. TheeNLC will come into effect the sooner of 26 states enacting the eNLC or Dec.31, 2018. All states, including those participating in the existing NLC, mustintroduce legislation in the coming years to enter into the enhanced NLC.“Maine has been a member of the compact for 17 years. Adoption of theeNLC ensures that our licensees have mobility across state borders using theirmultistate licenses as well as improving access to care and maintaining publicprotection,” comments Valerie Fuller, DNP, PhD, AGACNP-BC, FAANP, MaineState Board of Nursing president.Patient safety being of paramount importance led to the addition of newfeatures found in the provisions of the legislation of the eNLC. Licensingstandards are aligned in eNLC states so all nurses applying for a multistatelicense are required to meet the same standards, which include a federaland state criminal background check that will be conducted for all applicantsapplying for multistate licensure.The eNLC enables nurses to provide telehealth nursing services to patientslocated across the country without having to obtain additional licenses. In theevent of a disaster, nurses from multiple states can easily respond to supply vitalservices. Additionally, almost every nurse, including primary care nurses, casemanagers, transport nurses, school and hospice nurses, among many others,needs to routinely cross state boundaries to provide the public with access tonursing services, and a multistate license facilitates this process.Boards of nursing (BONs) were the first health care provider regulatory bodiesto develop a model for interstate practice with the original adoption of theNLC in 1997 and its implementation in 2000. While other health care providerregulatory bodies are just getting started in this process, the NLC has beenoperational and successful for more than 15 years.Additional information about the eNLC can be found at www.nursecompact.org.About NCSBNFounded March 15, 1978, as an independent not-for-profit organization,NCSBN was created to lessen the burdens of state governments and bringtogether boards of nursing (BONs) to act and counsel together on matters ofcommon interest. NCSBN’s membership is comprised of the BONs in the 50states, the District of Columbia, and four U.S. territories – American Samoa,Guam, Northern Mariana Islands and the Virgin Islands. There are also 27associate members that are either nursing regulatory bodies or empoweredregulatory authorities from other countries or territories.NCSBN Member Boards protect the public by ensuring that safe andcompetent nursing care is provided by licensed nurses. These BONs regulatemore than 4.5 million licensed nurses.Mission: NCSBN provides education, service and research throughcollaborative leadership to promote evidence-based regulatory excellence forpatient safety and public protection.The statements and opinions expressed are those of NCSBN and not theindividual member state or territorial boards of nursing.ANA Maine JournalPage 5

Page 6ANA Maine JournalAugust, September, October 2017Maine Nurses Speak About the Health Care BillJuliana L’Heureux, BS, MHSA, RNLEWISTON, ME – A press conference was heldat Lewiston’s Central Maine Medical Center, in theclassroom of the Family Residency program, on June23, where Jaime Johnson, R.N., spoke from personalexperience about the impact of potential healthcare cuts to children and those receiving Medicaidcoverage. She is a labor and delivery nurse who livesin Auburn, Maine.She spoke at the press conference led by theMaine Providers Standing Up for Healthcare, agrassroots advocacy group of physicians, nurses,social workers and healthcare consumers.Although the proposed health care legislation isa daunting Congressional debate, the circumstancesJohnson described in her testimony represented thedilemma faced by millions of people who have beenchallenged by critical situations and distressed by thepublic health policy debate.In her public testimony, she said her 9-year careeras a nurse included having worked in three differentpredominantly poor and underserved communitiesacross the eastern United States. “I have seenfirsthand the effects of perpetuating poverty andillness through poor access to health care andinadequate education, but I’m not only speaking asa nurse and healthcare provider. I’m also here as themother of a child with a chronic illness.”This is her testimony about her son who is beingtreated for Tetralogy of Fallot:I could stand here and talk about statistics andquote exact numbers, but that’s been done already.My day-to-day life is not about statistics. It’s aboutmy beautiful son, Fin.My son Finley has endured three open heartsurgeries in his 7 years of life. The most recent was thispast April. It put him in the hospital for the longestweek of his life, caused him to miss over a month ofschool, and has left him emotionally fractured. Buthis battle is far from over, as there is no cure for Fin’scongenital heart disease. This last procedure was justanother extension guaranteeing that he will needanother surgery within the next 10 years.From the moment he was born, Fin was a “preexisting condition” and he will be one for the rest ofhis life. He is one of 229,000 Mainers to bear suchan illness title. Yet, I am acutely aware that he is oneof the “privileged” because his parents are able toprovide him with access to healthcare that they canafford and are able to take him to the best doctorsin the world for his specific condition.We have representatives that contend thathealthcare is not a right. Some have even stated that“no one ever died because they didn’t have access tohealthcare.” I am here to put a face to the people forwhom affordable healthcare access is their only pathto their right to life.There are two specific things that concern memost about the potential new healthcare law. Thefirst is allowing insurance companies to chargehigher premiums for patients with pre-existingconditions. And the second is the enormousproposed cuts to Medicaid.Denying a child like Finley affordable coverage forhis congenital heart disease would be tantamountto denying him the right to life. Placing him in ahigh risk pool where the costs to insure him wouldincrease astronomically for his parents would forcechoices to be made in his care that could likely delayproper treatment or extend waiting periods betweennecessary procedures.No, this may not kill my son immediately, but itcould, in the end, cost him years of life.We know from Congressional Budget Office(CBO) analysis that currently proposed legislation willleave 23 million more Americans uninsured. I wantyou to know that 40,000 children are born with acongenital heart defect in this country each year.And, if 6 percent fewer Americans are going to havehealth insurance because of the proposed law andimposed cuts, then 2,300 children with congenitalheart disease will be born without insurance eachyear. This means parents of these children will haveto make impossible choices because of politicians’priorities.Now, one may ask, “But what about Medicaid?”Isn’t the core purpose of this program to protect themost vulnerable among us? This is certainly whatthe program is designed to do, but the proposedAmerican Health Care Act (AHCA) will cut billions ofdollars out of Medicaid over the next 10 years; andamending the bill, to postpone the cuts by severalmore years, does not change the outcome. So, if aJamie Johnson R.N., (pictured right) is a labor anddelivery nurse who spoke at a press conferenceheld on June 23 at CMMC in Lewiston’s FamilyResidency program. She joined Dr. Connie Adler,of Farmington ME, with Maine Providers StandingUp for Healthcare, a grass roots advocacy groupthat sponsored the event.program so blatantly fails to protect children like Fin,then it has failed, entirely.Therefore, I am speaking out to put a face tothe chronic illness and to speak about my

Page 2 ANA Maine Journal August, September, October 2017. Published by the. AMERICAN NURSES ASSOCIATION-MAINE a constituent member association of the. American Nurses Association. E-mail: info@anamaine.org Web Site: www.anamaine.org P.O. Box 647 Kennebunk, ME 04043. ANA-MAINE BOARD OF DIRECTORS. Patricia Boston, MSN, RN, RRT. President, Biddeford