WIXLIB

February, March, April 2016Montana Nurses Association PulsePage 3Montana Nurses Association2016 Elected LeadersBoard ofDirectorsPresidentVice-PresidentSecretaryJanuary 2016 – December 2017January 2016 – December 2017January 2016 – December 2017NOPHOTOAVAILABLELorri Bennet, RNTerry Dutro, APRN, MSN, AG-PCNP-BCMary Ann Zeisler, MSN, RN, BAN, BACouncil on Practice &Government AffairsCouncil on Practice &Government AffairsCouncil on Practice & Government AffairsCouncil on Practice &Government AffairsRepresentative to the BoardCouncil on Practice &Government AffairsJanuary 2016 – December 2017January 2016 – December 2017January 2016 – December 2017Deanna Evens, BS RNEve Franklin, MSN BSNJoey Traywick, CMSRNTeresa “Tere” Lehmann, CMSRNCouncil onContinuing EducationCouncil onContinuing EducationJanuary 2016 – December 2016Council on Continuing EducationCouncil onContinuing EducationCouncil onContinuing EducationJanuary 2016 – December 2017January 2016 – December 2017January 2016 – December 2017January 2016 – December 2017Susan Porrovecho, RN, BSN, CARNJennifer Taylor, BSN, CCRNGwyn Palchak, BSN, RN-BC, ACMSara Leland, BAN, CMSRNCouncil onContinuing EducationCouncil onContinuing EducationCouncil onContinuing EducationCouncil onContinuing EducationJanuary 2016 – December 2017January 2016 – December 2017January 2016 – December 2017January 2016 – December 2017Emily Michalski, RN, CA-PABonnie Hash, BSN, RNC, PNSandy Sacry, MSN, RNPolly Troutman, MSN, RN-BC

Page 4Montana Nurses Association PulseFebruary, March, April 2016Montana Nurses Association2015 Elected ry 2016 – December 2016Nominations CommitteeNominations CommitteeJanuary 2016 – December 2016January 2016 – December 2016Paula Roman, RN-BCNanci Taylor, APRNNancy Maddock, RNElections CommitteeElections CommitteeNominations CommitteeElections CommitteeJanuary 2016 – December 2016January 2016 – December 2016January 2016 – December 2016NOPHOTOAVAILABLEANA MembershipAssembly DelegateChelsee Baker, RNLorie VanDonsal, RNAdrianne Harrison, RNNational Federation ofNurses Executive BoardCouncil on Economic &General WelfareCouncil on Economic &General WelfareJanuary 2016 – December 2017January 2016 – December 2019January 2016 – December 2017January 2016 – December 2017Paul Lee, CCRNJennifer Taylor, BSN, CCRNJack Preston, RNDelayne Gall, RNDelegate to theNational AFT ConventionDelegate to theNational AFT ConventionJanuary 2016 – December 2016January 2016 – December 2016Jennifer Taylor, BSN, CCRNJennifer Tanner, RN, CCRN, EMT

February, March, April 2016Montana Nurses Association PulsePage 5Montana Nurses Association2015 Elected LeadersCouncil on Advanced PracticeCouncil on Advanced PracticeChair-Elect/PresidentJanuary 2016 – December 2018Council on Advanced PracticeMember-at-LargeJanuary 2016 – December 2017Council on Advanced PracticeSecretaryJanuary 2016 – December 2017Council on Advanced PracticeRepresentative to the BoardDeborah Kern, MSN, FNPTerry Dutro, APRN, MSN, AG-PCNP-BCNancy Taylor, NPJohn Honsky, APRNLive your dream. Apply today.OUR EXPANSION IS COMPLETENow with 108 Psychiatric ResidentialTreatment beds, serving Montana children in need of treatmentfor behavioral, emotional, and psychiatric issues.January 2016 – December 2017Fort Belknap Indian CommunityLearn about our current statewide careeropportunities at workplace.alaska.govOpening for: RN/BSN (Pay dependent on experience)NOW HIRING FOR THE FOLLOWING POSITIONS: RN’s BSN, not required ( 2000 Sign-on Bonus) LPN’s ( 1000 Sign-on Bonus) Therapists, In-Training, LCPC, or LCSW ( 1000 Sign-on Bonus) TeachersContact Kathleen Adams at Kathleen.Adams@lhs.gov656 Agency Main St. Harlem, MT 59526Ph: 406-353-3250 Fax: 406-353-3283 www.ftbelknap.orgNURSING positions offer new Competitive wages, afternoonshifts offer a shift differential of 1.00 per hour and graveyardshifts offer a shift differential of 1.50 per hour.Acadia offers a generous Benefit Package that includes:Medical, Dental, Vision, 401k, Paid Time Off and Extended Sick Leave.Contact Tawnya L. Mock, Human Resource Department,Acadia Montana, 55 Basin Creek Road, Butte, MT 59701. EOE.Phone: (406)496-6311, Fax: (406)494-5869.Email: tawnya.mock@acadiahealthcare.comExperience public healthnursing in Alaska!EVIDENCE-BASEDFOR BEHAVIOR CHANGESince 2008, The Montana Diabetes Prevention Program(DPP) has focused on reducing the prevalence of type2 diabetes. The DPP is an evidence-based lifestyleintervention program, adapted from theNational Institutes of Health.Refer Patients at risk for Type 2 diabetes to the DPP.This program will educate and provide him/herwith skills to adopt a healthy lifestyle!For eligibility criteria and to find a DPP site usingour interactive map, visit the website below.The Montana Diabetes Prevention Programdphhs.mt.gov/publichealth/diabetes/DPP

Page 6Montana Nurses Association PulseFebruary, March, April 2016Executive Director ReportNurse Licensure Compact (NLC) adopted October 1, 2015The National Council ofState Boards of Nursing(NCSBN),anonprofitorganization, is encouragingstate boards of nursingto propose two revisedcompacts for multistatenursing practice that mustbe passed with legislation: arevised Nursing LicensureCompact(NLC)forregisterednursesandVicky Byrd,licensed practical nursesBA,RN, OCNand a revised AdvancedPractice Registered Nurse (APRN) Compact.(Approved by the May 4, 2015 Special DelegateAssembly—NCSBN)NCSBN proposed a prior version of the NLC in1998 but found limited success in convincing statesto adopt it. By 2010, twenty-four states had joinedthe NLC. In the five years since, one additionalstate (MT 2015) joined the NLC of 1998. Twenty-fivestates and the District of Columbia, accounting foralmost two-thirds of the U.S. population, declinedto adopt it.Montana Nurses Association (MNA) is open toreasonable efforts to facilitate efficient and saferegulation of nursing practice across the state.Montana adopted the prior 1998 version of theNLC during 2015 legislation but is now being askedto adopt the revised Nurse Licensure Compactand APRN compact. The compacts pose severalconcerns and we are continuing to work with ourState Board of Nursing to address, understand andcommunicate these concerns. The Revised NLC and APRN compacts claim thatthe compacts will improve public protection andaccess to care but there are no facts to supportthis additional language. The language reads:“Uniformity of nurse licensure requirementsthroughout the states promotes public safetyand public health benefits.” This is the biggestconcern communicated by MNA members, thedisparity (lack of uniformity) between the statesin licensing and practice laws. This includes,but is not limited to, continuing educationrequirements, violations and disciplinary issues,criminal background checks (MT BON recentlypassed legislation 2015 for criminal backgroundchecks but not all states have same requirements)and not all states participate in the NURSYSsystem (provides online verification to a nurserequesting to practice in another state and nurselicense lookup reports to employers and thegeneral public). States vary in their disciplinary proceduresand standards. Violations and discipline inone of the few states that do not participate inNURSYS will not appear in that system. Whilecriminal background checks and participation inNURSYS are important steps toward protectingthe public, it depends on each state board toenter discipline data efficiently—if a state failsto do so, other states cannot be notified in atimely manner. Conduct that would result ininvestigation and discipline in one state maynot do so in another state, so depending on thestate in which that conduct occurs, it may not bereported at all. Until all states participating inthe compact have uniform requirements it addsto confusion. The existing and revised compacts create newcomplications in regulating nursing practiceby imposing a challenging approach such asdefining practice as occurring wherever thepatient is located, even when care is providedState of Wyoming, Department of Health, Aging Division,Healthcare Licensing and Surveys is recruiting forremotely through electronic communication.Defining practice as taking place in the patient’slocation is not currently what is in practice formany in Montana and significantly changesnursing practice. MNA and ANA (AmericanNurses Association) continues to advocatefor a long-standing ANA policy that supportslicensure jurisdiction at the location of theregistered nurse contrary to the position of theNCSBN. This is logical and practical. Telehealthand other forms of virtual practice is viewedas a separate issue and does not apply to ourestablished face to face patients. Telehealth is forthose who are practicing Telehealth and have nophysical contact with their patients. For example,insurance company case managers and specifictelehealth and virtual practitioners Because thecompacts say that practice takes place wherethe patient is located, these nurses providingservices to patients from multiple states, oftenin the course of a few hours, and would beexpected to be familiar with the practice acts,rules and policies of each of those states. Again,until all states participating in compact haveuniform requirements, it adds to confusion.Three examples of compact complications inrelation to its understanding are:1. An out-of-state patient seeking treatment inMontana: A patient from Eastern Idaho choosesto seek oncology care at a MT hospital. Shortlyafter discharge, the patient calls the oncologyclinic to ask questions about follow-up care, andspeaks to an oncology nurse. Later, the patientalleges that the nurse gave incorrect adviceand that the patient suffered complications asa result. Although the patient chose to receivecare from Montana providers, the nurse will nowneed to answer to the Idaho Board of Nursing,and possibly to the Idaho court system as well—in addition to Montana State.Health Facility SurveyorRecruitment ID: HSHPO9-03898Conduct surveys and investigate complaints in accordance withWyoming State Statutes and agreement with the Federal Centers forMedicare and Medicaid Services (CMS). Enjoy small town atmosphereonly 100 miles from Denver, NO STATE INCOME TAX, an average of 300days of sunshine and unlimited outdoor activities.For more information or to apply online go cheyenneOpen until filled. EEO/ADA Employer.OpeningsSeveral opportunities for positions of Registered Nurse, AdvancedPractice Registered Nurse or Psychiatric Mental Health NursePractitioner in Western Montana. Both part-time and full-timeopenings available for those with specialty in psych. Work withadults and/or children depending on the location. Sites availableat our non-profit Western Montana Mental Health Center arein Hamilton, Missoula, Helena, Bozeman and Butte. Providepsych treatment or nursing for clients diagnosed with severeand persistent mental illness. Must have current knowledge ofpsychotropic meds and understanding of crisis intervention anduse of hospital alternative services. Competitive salary/benefit/time off/moving exp. package. Strong dedication to providingcontinued education and opportunities for advancement. Musthave appropriate licensure in MT.If interested and one of these locations suits you, sendresume, 3 professional references, and cover letter ofinterest to kharrison@wmmhc.org. Questions?Call Karen at 406-532-8405. Web site www.wmmhc.org.EOE.is seeking Full or Part TimeFamily Nurse Practitioners andRegistered Nurses for our farmworkerhealth clinics in Montana and Wyoming!New grads encouraged to apply.NEW! Competitive Wage ScaleCall 406-248-3149 or Email:Vicki Thuesen v.thuesen@mtmigrantcouncil.orgMontana Migrant & Seasonal Farmworker Council Inc.3318 3rd Ave. North, Suite 100 Billings, MT l-time and Part-timeMMCOpportunity to provide primary health careservices for agricultural families in clinics, mobileclinics, homes, fields, schools and orchards.SimpleWreath specializes in handmade, naturallooking wreaths that enhance the beauty of yourhome, both inside and out.RN, APRN & PMHNPExecutive Director’s Report continued on page l Time PositionE-mail:simplewreath@gmail.comHome CareNursesI would love to have you visit my shop! If youhave questions or would like to request a customorder, please do not hesitate to contact me.New! Now offering monograms!SimpleWreathPleaseenjoy10% offwithcouponcode:NURSE10Partners in Home Care isa nationally accredited,not-for-profit, fullservice home care agencylocated in spectacularMissoula, Montana.We recruit registerednurses for our Hospiceand Home Healthprograms to serve clientsin their homes.Additional informationand applicationscan be found at:www.PartnersInHomeCare.orgEXTENDED CARELPN/RNROUNDUP MEMORIALHEALTHCARE is a 25-bedcritical access hospital withan integrated provider clinic.We are seeking a dedicatedand compassionate LPN/RNwith excellent communicationskills.Minimum requirements:Graduate of accreditedschool of nursing with currentMT LPN/RN license and 2years experience preferred.RMH offers a competitivesalary and benefits package.Contact mclement@rmhmt.org406-323-2301, ext. 4902www.rmhmt.org E.O.E.

February, March, April 2016Montana Nurses Association PulsePage 7Labor Reports and NewsThe Old Adage:Communicating is KeyCaroline Baughman,BS, Labor RepresentativeI have had the sincereprivilege of watching someMNALocalBargainingUnits transform in thepastyear.Membershipengagement and interesthas increased significantly,and it is the result of avery simply said (althoughdifficultyexecuted)principle: communication.Some of that engagement Caroline Baughmanis a direct result of theLaborcontracts being negotiated.RepresentativeEach year, for each of ourcontracts open to negotiations, the interest of themembership increases by the nature of the time.That’s a time when issues come forward a lot more,discussions are happening about what options theRNs want to see in writing, and questions are beingasked. However, true membership engagementtranscends a bargaining year; it becomes thenorm. People become genuinely interested intheir workplace and how they can be part of theconversation and change. Initially, this is oftencaused by an issue arising—a major overtime payissue, an unprofessional supervisor, a fellow nursebeing wrongfully discharged, etc. But the issueeventually tends to work itself out, and somethinghas to keep those conversations going so that weknow about issues throughout the life of a contract,not just when we’re headed to a bargaining table.How does that happen? Communication.Each bargaining unit functions differently,and each bargaining unit has a “better” way ofhearing from its members. Some of our units havemonthly meetings to facilitate discussions. Someof our nurses use texting, emailing, or Facebookgroups to get the word out about different topicsand the goings on of their unit. Some units activelyuse the union bulletin board in their facility tocommunicate. And some units use old-fashionedword of mouth to talk to members. Many unitsuse a combination of these to reach out. Whateverthe case may be for your Local Bargaining Unit, Iencourage you to assess your communication styleand evaluate whether it’s working for the membersin your facility. At MNA, we are here to help youplan and execute communication to keep yourmembers talking, even outside of negotiations.New Year’s Resolution #1:Find Time to Pamper Yourself!by Robin HauxThe 2016 Labor Retreat isjust around the corner! OurMNA planning committeehas already solidified anagenda for this wonderfulretreatthatprovidescontinuing education in apeaceful setting, allowingour members to learn fromeach other while taking afew minutes for themselves.Held from April 17 – 19,Robin Haux2016 at Chico Hot Springs,Labor Programour nurses gain knowledgeDirectoraround their MNA laborprogram, with this year’s theme being “LeadershipTools to Build Communication, Support andLaurelHealth & Rehabilitation CenterSeeking RNs & LPNsContact us for current openings820 3rd Ave.Laurel, MT 59044e-mail:Phone: 406-628-8251apowell1@empres.comFax: 406-628-8253Qualified CaringStaffRNs LPNs CNAsWe are currently taking applications for traveling careers for licensed/ certified nursing staff, for long term care, hospital, correctional,mental health, clinics and treatment facilities, throughout Montana.Excellent wages, flexible work assignments, and other opportunitiesFor an application or more information contact us:406-360-5199 406-360-5149 Fax 406-363-5726Email l opportunity employerGreatOpportunities! NursePractitioners NursingLeadershipJoin MNASafety within the Workplace.” Each year this retreatprovides our nurses the opportunity to connectwith each other, share stories, and network to buildadvocacy within their local bargaining units.We encourage our collective bargaining membersto take a few days for themselves for education andrelaxation! Let’s recharge our batteries together!Our Labor Retreat will focus on our “Your NurseWears Combat Boots” campaign to build awarenessof workplace violence with a goal towardssuccessful felony legislation, leadership tools forcommunication and advocacy, community building,social media, and negotiations. In addition, AFT isproviding MNA with a Participation Grant to allowour local bargaining units to send TWO nursesto the Labor Retreat! Information on the AFTParticipation Grant will be available on the MNAwebsite at www.mtnurses.org soon! You can findthe 2016 Labor Retreat agenda and informationabout registration on our website as well! Experienced RNsToday!www.mtnurses.orgFor more informationand to apply, visitwww.billingsclinic.com/careersor call (406) 238-2638Jefferson County Health Department is looking for you!Nestled in the mountains of scenicSouthwestern Montana near Butte,Helena and Bozeman.Come work in an exciting and up-to-daterural Public Health Department.For complete job description, visit us online today!

Page 8Montana Nurses Association PulseFebruary, March, April 2016Continuing EducationEducation Remains Key in Updated IOM ReportPam Dickerson, PhD, RN-BC, FAANDirector of Continuing EducationMontana Nurses AssociationThe National Academy of Medicine (formerly theInstitute of Medicine) has recently published the 2015Approved Providersupdate on its seminal work, The Future of Nursing:Leading Change, Advancing Health, published in2010. This new report looks at progress that hasbeen made nationwide on achieving the report’s 8recommendations in the past five years.Nurses are the largest group of professionals inthe U.S. healthcare system. Therefore, nursing hasa key role to play and an exciting opportunity toinfluence advancements in issues related to access,cost, and quality of care. As members of t

Board of Directors CPGA Teresa Lehman, CMSRN Board of Directors CE Debby Lee, RN Board of Directors CAP John Honsky, APRN . BSN, RN, CCRN Daylyn Porter, RN, OCN Lucy Ednie, RN-BC MNA Staff: . Circulation 17, 000. Provided to every registered nurse, licensed practical nurse, nursing student and nurse-related employer in Montana. The Pulse is .