Volume 35, No. 2 August, September, October 2012 Inside .

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Official publication of the Idaho Nurses AssociationQuarterly circulation approximately 21,000 to all RNs, LPNs,and Student Nurses in Idaho.Volume 35, No. 2August, September, October 2012Inside This Issuefrom the President.MemberSpotlight:by Vanessa KlausAnnaLee M. HughesAs this summer ushers us into the second half of2012, it is my honor and privilege to be taking office asthe president of our Idaho Nurses Association. MichellePearson-Smith has led us well, and has been working veryhard, along with our Executive Director, Lynne Weil, toprepare me to serve you and our great state. There is muchto do in our state and in our profession in order to rise to thechallenges that face us.I look to the future with anticipation and excitement. Weare on the threshold of moving into a whole new paradigmof cooperation and collaboration with all of our colleaguesand peer professionals in medicine, physical therapy,respiratory therapy, pharmacy, social work, counseling, andnutrition therapy. The need for partnerships and solidarityhas never been greater, given the critical mass that we facewith health care reform and economic duress. Everywherewe turn, we encounter issues and dilemmas that spring fromthe need to provide and promote “health care” instead of“sick care.”In every arena on the nursing front, there are discussionsbeing held regarding road-mapping our success viaprofessional affiliations and partnerships, while advancingour professions and healthcare environments. How dowe “do more with less,” ”work smarter, not harder,” andPage 4Update on Activities of theIdaho Board of NursingPage 5The BedsideConnectionPage 9“maximize patient outcomeswhile minimizing costs?”When I am engaged inthese discussions, I am soencouraged to hear that thebottom line for providingand mobilizing resourcesVanessa Klausis ALWAYS the same: let’stake care of our nurses whoare caring for patients, in all of the variety of settings inwhich we find them. There is a stark realization that it’snot just the acute care setting in which we are stretched tothe brink of breaking. School nurses, public health nurses,nurse scientists and researchers, and nurse educators are allexperiencing the stress of doing the best they can with theleast amount of resource consumption.We are rising to the challenge, banding together,forming alliances, and finding our common ground. Thatcommon ground is each and every one of us, and ourshared foundation in the nursing profession. Thank you forthis opportunity to be a part of our future; I look forwardto working with you as we define our path. Your Boardof Directors will continue to keep all of our membersinformed, engaged, and empowered to make our greatestcontributions. We all want to be part of something greatand we are!2012 ANA House of Delegates ReportsCheck outourwebsite:by Robin E. Pattillo, PhD, RN, CNLThe most exciting thing, for me, about attending the2012 American Nurses Association House of Delegates(HOD) was that Idaho had a strong presence. MichellePearson-Smith (outgoing INA president) and VanessaKlaus (in-coming INA president) had worked todevelop contacts with delegates throughout the country.Vanessa established a strong voice representing Idahoby participating in meetings and discussions throughoutthe entire week. Michelle’s voice was familiar to nursingleaders from Massachusetts to Washington state. HollyDecker-Carlson established her presence as a strong voicefor the practicing nurse. I was there to suggest, advise, andmostly praise these young, energetic and hard-workingnursing leaders representing Idaho. The voices of theIdaho delegates were heard in the discussions of numerousissues including changes in membership methods, stateorganizations, and in support of retired nurses. My voicewas heard when we discussed my passions, environmentalissues related to health.I sincerely thank INA for the leadershipPresort StandardUS Postageopportunities I have had through my years of livingPAIDin Idaho. My husband and I are back in Auburn,Permit #14Alabama after having our Alabama home on thePrinceton, MN55371market for five years. We put our Idaho house onthe market last December and the house sold.Neither of us was ready to leave Idaho. However,economics often impact our choices. I treasurethe friends I have made through INA and theexperiences this organization has provided for me.I participated in the Healthy Nurse conferenceprior to the HOD. The conference was motivatingand exciting. We as nurses need to do a better jobRobin Pattillo, Holly Carlson,and Michelle Pearson-Smith.www.IdahoNurses.orgcurrent resident orRobin Pattillo, Holly Carlson, and Vanessa Klaus.Robin Pattillo Reports continued on page 6

Page 2 RN IdahoAugust, September, October 2012Guidelines forSubmissions to RN IdahoRN Idaho (RNI), the official publication of the IdahoPhotographsNurses Association (INA), is a peer-reviewed journal thatPhotographs of high resolution (300 dpi preferred)is published quarterly. Views expressed are solely those ofmay be submitted digitally as a separate file in .jpg or .tiffthe authors or persons quoted and do not necessarily reflectformat. Submit a signed photo release form (availableINA’s views or those of the publisher, Arthur L. Davisonline at http://idahonurses.org/displaycommon.Publishing Agency, Inc. The RNI Editorialcfm?an 1&subarticlenbr 21) and supply a captionBoard oversees this publicationand photo credit for each photo. Photo releaseand welcomes nursing and healthforms should be submitted by FAX or scannedrelated news items, original articles,and emailed in the same manner as manuscripts.d arnleCa!yourventresearch abstracts and other pertinentPhotographs should be emailed in the sameMark he Big Efor tcontributions. We encourage shortmanner as manuscripts. All photos become thesummaries and brief abstracts as well asproperty of INA.lengthier reports and original works. An“article for reprint” may be considered ifPublication Selection and Rightsaccompanied by written permission fromArticles will be selected for publicationthe author or publisher. Authors are notbased upon the topic of interest, adherencerequired to be INA members.to publication deadlines and guidelines,daythe quality of writing, and peer reviewA ToINJoinManuscript Formatby members of the RNI EditorialArticles should be submitted in APABoard. When there is space for onestyle (6th edition) as a double-spaced WORDarticle and two of equal interest are underdocument using 12 point font. Acceptable filereview, preference will be given to INA members.formats for documents are:RNI reserves the right to edit articles to meet style and space WORD files in .doc format without embedded photoslimitations. One-time publication rights are reserved by RNI.(please save “down” to .doc instead of .docx if .docx isyour default file format)Advertising .jpg or .tiff for photographsProduct, program, promotional or service announcementsSubmissions should include the article’s title and theare usually considered advertisements. To place anauthor(s) name, credentials, organization/employer andadvertisement, please contact our publisher, Arthur L. Daviscontact information. Authors must address any potentialPublishing Agency, Inc., at sales@ALDpub.com or by phoneconflict of interest, whether financial or other, and also800-626-4081.identify any applicable commercial affiliation. Submissionsshould be emailed as attachments to INA at ed@idahonurses.For further questions about submission of content, pleasecontact the INA at ed@idahonurses.org or by phone 1-888org.721-8904. The FAX number for signed photo release forms is404-240-0998.JunMay,e, Jul0y 201s,ociationses Ass all RNs, LPNo Nurto.1the Idahately 19,000 Noion ofe 33,publicat n approximVolumOfficial y circulatio in Idaho.Quarterl ent Nursesand Studeis Issue ThInsidFromthe PrePaHOG IDA YRTIN HISTORCHASINGNUReferencg ConSprin2010 Idaho”ytionociaealths Ass ing a Hose10, Idaho Nur “Promot0, 20oiseIdah29-3ter– BAprilal Cenedicnal MnioatioociReglth Assal Heake’sho RurSt. Luted by: ation IdaociPresensidentge 2hoing Ida yChartng HistorNursiPage3IdahoKaiserVerlene HudspethlRandalNurseslth Asslic Heaho Pubt from: CenteronsupporWith lth EducatiHeaAreaIdaho29thThurIn theing ItKeep ily: IdahotsFam parenGrand isingRaen.childrGrandPage IdaationAssociINA4 tesDelega30th, AprilFriday Conferencelthartment lic Health Dep and PubSpringe:Includ District Hea ociationakersAssCentral Health Relationsed SpeFeatur ho North an Publicernalr, Idaerict of ExtDirecto lect, Am residenRN,Vice-Plsident-eehrle,ol Mo , MPH, Pre ector andtiona Caral DirMDr tck OChesite:WebOurorgses.oNurah.Idwww, April ReceptionsdaygMeetinofHouseseonur d to regi 5.teon Staan://idahpageshingthttp rmationle onthe Wa Commissionutsted toaboinfo see ar ticsubmit ing Center’ rmationbeeninfotialAlsoerevity hav rses Creden n for moNuon actiociatioeducati American rses AsssingNutheing nurnt.er byIdahocontinuited approv yd at the for this eversredn Flofor thishours n, an accMarily contact houContactAssociatio ase contactPleNurses itation.redon accdardort StanPres PostageUSPAIDit #14Perm n, MNPrinceto 15537current residentor://nhttpyou!e edation xWe npplicphip a ana.asinbersMem d.org/joorlwgursinPromoting a quality and accessiblehealthcare workforce in Idahowww.idahonurses.orgWe salute our Idaho Nurses!Idaho Area Health Education Center (AHEC)1607 W. Jefferson StreetBoise, ID 83702208-336-5533 x 253Visit our website at www.idahoahec.orgPost your event on our web AHEC Calendar.Published by:Arthur L. DavisPublishing Agency, Inc.EVIDENCE-BASEDLEARNINGBS Program OptionsJOBOPPORTUNITIESTraditionalAcceleratedBS CompletionPER DIEM SHIFTSSHORT TERMLOCAL CONTRACTSMS Program Options OnlineREGISTEREDNURSES –ER ICU OBPACUFamily Nurse PractitionerClinical Nurse SpecialistNurse EducationNurse LeadershipNew PhD programstarting in 2013School of Nursing(208) 282-2132 www.isu.edu/nursingTo apply call208-378-1338 or e-mailelitessinc@yahoo.comFind us onFacebookwww.elitespecialtystaffing.comRN Idaho is published by theIdaho Nurses Association3525 Piedmont RoadBuilding 5, Suite 300Atlanta, GA 30305Toll-free Phone: 888-721-8904Direct Dial: 404-760-2803 Extension: 2803Email: ed@idahonurses.orgFAX: 404-240-0998Website: www.idahonurses.orgEditorial Board:Tracy Flynn, PhD, RN, CNEAnna Hissong, MSN, RN-BC, CCCEBarbara McNeil, PhD, RN-BCDeanna Mitchell, RN, BSN, MAEd, MS (Nursing)Lynne WeilDorothy M. Witmer, EdD, RNRN Idaho welcomes comments, suggestionsand contributions. Articles, editorials and othersubmissions may be sent directly to the INA office viamail, fax or e-mail. Please call the INA office if youhave any questions.Join INA TodayWe need you!Membership applicationhttp://nursingworld.org/joinana.aspxFor advertising rates and information, pleasecontact Arthur L. Davis Publishing Agency, Inc., 517Washington Street, PO Box 216, Cedar Falls, Iowa50613, (800) 626-4081, sales@aldpub.com. INA andthe Arthur L. Davis Publishing Agency, Inc. reservethe right to reject any advertisement. Responsibilityfor errors in advertising is limited to corrections in thenext issue or refund of price of advertisement.Acceptance of advertising does not implyendorsement or approval by the Idaho NursesAssociation of products advertised, the advertisers, orthe claims made. Rejection of an advertisement doesnot imply a product offered for advertising is withoutmerit, or that the manufacturer lacks integrity, or thatthis association disapproves of the product or its use.INA and the Arthur L. Davis Publishing Agency, Inc.shall not be held liable for any consequences resultingfrom purchase or use of an advertiser’s product.Articles appearing in this publication express theopinions of the authors; they do not necessarily reflectviews of the staff, board, or membership of INA orthose of the national or local associations.RN Idaho is published quarterly every February,May, August and November for the Idaho NursesAssociation, a constituent member of the AmericanNurses Association.Find the perfect nursing job where you canwork smarter, not harder onnursingALD.comRegistration is free, fast, confidential and easy!You will receive an e-mail when a new job postingmatches your job search.

August, September, October 2012ANA/INA Member BenefitsOne low membership fee provides national (ANA) and state (INA) levelbenefits and international professional connection (ICN).Staying InformedBenefitsThe American NurseValue 20.00; current issues and trendsThe American Nurse TodayValue 18.95; news you can use in practiceOnline Journal of Issues in Nursing (OJIN)24/7 accessANA Smart Brief and INA Nursing News Flash(sign-up to receive)Electronic daily news feed–issues and research on healthcare, illness to wellness,nursingCapitol Update (sign-up to receive)Political/legislative news and advocacy optionsNursing InsiderCurrent news on nursing and health care directly to your e-mail inboxwww.nursingworld.orgResources, news, publications; members only contentRN IdahoQuarterly publication for all Idaho nurseshttp://idahonurses.orgResources, news, member directoryhttp://www.icn.chANA is the only official US member of International Council of Nurses (ICN)Promoting Professional Nursing Qualityand SafetyBenefitsCode of Ethics and Interpretative Statements*Longstanding code for nursing and model for other professionsNursing’s Social Policy Statement*; Nursing:Scope and Standards of Practice*(generic 28 specialties)Guiding documents for professional practice; members give inputinto revisionsNational Database on Nursing QualityIndicators (NDNQI)Data links nurse staffing levels to quality nursing careWorkplace safetyAdvocacy, information and legal briefs (e.g. bodily injury from lifting, latex allergies, safe needlepractices, workplace violence)*read only versions available to members at www.nursingworld.org/members/foundationAdvocating for Nurses and Patients/ClientsBenefitsLobbying at state and federal level to congressand regulatory bodiesAims to improve nursing and health care (e.g. safe staffing, workforce development, overtime pay,access to care, rights of nurses); assists with lobby strategiesLegislative committee (INA)Aims to safeguard the Nurse Practice Act (see also lobbying benefits above)Represents nurses and nursing practiceActs as a voice for you at high level agencies and places where it matters (e.g. White House); providesinformation and stories to the media to influence outcomes and shape realistic, positive views ofnursingCollective bargainingANA supports the rights of all nurses to decide if they want to be advocated for in their employmentsetting by a union. ANA has not engaged in any direct collective bargaining for nine years. CMAs**each decide if they wish to offer collective bargaining services to their members; Idaho members havenot requested collective bargaining.** Constituent Member AssociationsDeveloping Professionally ThroughoutCareerBenefitsANA is only organization for all registerednursesANA is first and foremost in providing guiding documents for professional practiceNurse’s Career Centers (ANA and INA)Sign up to find career oriented positionsANANurseSpaceOnline social networkCertificationDocuments your expertiseConferences, educational eventsContributes to lifelong developmentOpportunities for state and national committeesDevelops you and contributes to profession; influence association’s agenda. You decide on level andtime commitment; benefits available to both active and less active members.Networking at organization events &electronicallyConnects one professionally; Facebook; TwitterStaying informed (see first section)Issues that matter are your key concernFlorence Whipple scholarships - INAGives support to students in AD or BSN programs in IdahoSaving Dollars and TimeBenefitsMember discounts Alamo and Budget auto rental Walt Disney World Swan and Dolphin Hotel ANA Cash Rewards Mall Crocs, Dell Computers .and more Nursesbooks.orgRN Idaho Page 3MembershipCornerMember BenefitHighlight: ANAOnline NursingDegree CenterThe American Nurses Association has partnered withseveral universities and programs that are exclusivelyoffering ANA/INA members discounts on online nursingdegree programs for enrollment. More universities andcolleges will continue to be added over time and ANAwelcomes all feedback for the types of courses you need toenhance your career.The ANA Online Nursing Degree Center portallinks members to a variety of higher education, fromRN to BSN and BSN to MSN and DNP programs, toenhance your professional and personal development andto help meet your continuing nursing education needs.Additional online degree programs are available for youand your families. For additional information, please visitthe ANA website at http://nursingworld.org.This is just one of many benefits available to ANA/INA members. For a more complete list, please see theANA/INA Member Benefits chart located to the left, andJoin Today!Intermountain Hospital is recruiting for ourPsychiatric Nursing TeamCome be a part of the RN, LPN team at Intermountain, abehavioral healthcare facility in beautiful Boise, ID.Bachelors/Associates degreePlease fax resume to HR at 208-377-5415or send to Intermountain Hospital303 N. Allumbaugh, Boise, ID 83704An EEO Employer, M/F/V/DMembership saves dollars when you travelBrands you know and love cost lessBooks for professional developmentANCC certificationValue up to 140 savingsOnline continuing education (CE)Discounts or freeNew full members to INA receive a 25%discount on year one duesValue 70 savingsOne stop shop for insuranceProfessional liability, life, major medical, dental, disability, long-term care, Medicare Part D, Medicaresupplemental, cancerJoin today at http://nursingworld.org/joinana.aspxAll new INA full members receive a 25% discount on your first year of dues!(offer subject to change–please visit http://idahonurses.org for details)For more information, please visitwww.tetonhospital.orgClick on the “careers” tabDrug Free Employer/EOE

Page 4 RN IdahoAugust, September, October 2012Member SpotlightAnnaLee M. Hughes, BSN, RNLewis-Clark State CollegeINA Member Since 2009I grew up in Clarkston, WA., and by my sophomoreyear at Clarkston High School, I knew that I wanted acareer in healthcare. I pursued my Bachelor’s of Sciencein Nursing Degree at Lewis-Clark State College andgraduated in 2007. After graduation I was lucky enoughto obtain an ICU preceptorship position at St. Joseph’sRegional Medical Center in Lewiston, ID and continuedmy education in critical care as I gained invaluableexperience working the night shift over the next couple ofyears.In the fall of 2008 I decided to pursue another interestin nursing, public health, and accepted a position asCommunity Programs Nurse/Case Manager for SEWashington’s Aging and Long Term Care (SE WAALTC) based out of Clarkston, WA. In this position Icase managed 30-40 clients, performed in-home nursingassessments for our entire office and the Division ofDevelopmental Disabilities, and taught basic healthcare classes for our in-home providers and communitymembers. During my time with SE WA ALTC I had theprivilege to be a part of the Washington State Departmentof Social and Health Services pilot study called IntensiveChronic Case Management (ICCM). According to theDept. of Social and Health Services Aging and DisabilityService Administration (ADSA), ICCM’s goal is tointegrate medical and long term care services throughcare management, coordinate care among medical home,family and LTC providers, improve self managementand use of evidence based practices that improve healthoutcomes and reduce hospitalization and the needfor higher levels of medical care (Health & RecoveryServices Administration, 2012). The ICCM program wastruly amazing, as a result we saw the cost of care for ourchronically ill long term care clients drop, ER visits forchronic illness related conditions decline

Page 2 RN Idaho August, September, October 2012 Published by: Arthur L. Davis Publishing Agency, Inc. www.idahonurses.org RN Idaho (RNI), the official publication of the Idaho Nurses Association (INA), is a peer-reviewed journal that