Resolutions
Alexis Broggi
Legislative Director
2014
Make a Difference!
• Are you passionate about an issue in health care?
• Would you like to make a difference in health
policy at the state and possibly the national level?
Write a Resolution!
• Advocate and voice matters of importance for
nursing students, CNSA, the nursing profession,
and the health needs of the community.
Replacement nurses had been hired at a hospital
in Oakland, CA under a 5 day contract as a result
of a one day nurse strike. On the 3rd day of this
contract a replacement nurse mistakenly
connected a bag of enteral feeding to a patients
Intravenous catheter, resulting in their death.
SPONSORED
TOPIC:
IN SUPPORT OF INCREASING AWARENESS TO PREVENT TUBING AND CATHETER
MISCONNECTION ERRORS IN THE HOSPITAL SETTING.
SUBMITTED BY:
San Diego State University
AUTHOR:
Jessica Hunter
WHEREAS,
“Reports to the Joint Commission, ECRI (formerly the Emergency Care Research Institute),
the Food and Drug Administration (FDA), the Institute for Safe Medication Practices and the U.S. Pharmacopeia
show that tubing and catheter misconnection errors occur frequently and lead to deadly consequences in many
instances” (Hellwig, 2006); and
WHEREAS,
According to The Joint Commission (2006), on April 3, 2006, a Sentinel Event Alert (Issue
36) was published reporting that, “To date, nine cases involving tubing misconnections have been reported to the
Joint Commission’s Sentinel Event Database. These resulted in eight deaths and one instance of permanent loss of
function, and affected seven adults and two infants”; and
WHERAS, “Further review of misconnections reported to the United States Pharmacopeia found 300 cases that
included connections of epidural lines to intravenous catheters, bladder irrigation solutions connected to primary
infusion sets, intravenous infusions connected to indwelling (Foley) catheters, and various other misconnections
between critically incompatible infusion and drainage sets” (Graves & Simmons, 2008); and
WHEREAS,
The ECRI (2010) identified Luer misconnections as hazard # 6 in their recent report of the
“Top 10 Technology Hazards for 2011” in which they stated that “Although misconnections have been recognized
as a serious problem for years, incidents are still common”; and
WHEREAS,
The World Health Organization (2007) named “avoiding catheter and tubing
misconnections” as one of its “Nine patient safety solutions” that will “help reduce the toll of health care-related
harm affecting millions of patients worldwide”; therefore be it
RESOLVED,
that the California Nursing Students’ Association (CNSA) encourage its constituents to
advocate for increased awareness of preventing tubing and catheter misconnection errors in the hospital setting by
nurses and nursing students; and be it further
RESOLVED,
that the CNSA publish an article about this topic in the Range of Motion magazine, if
feasible; and be it further
RESOLVED,
that the CNSA send a copy of this resolution to the Association of California Nurse Leaders,
American Nursing Association/California, the Nurse Alliance of California, the California Board of Registered
Nursing, the California Association of Medical Product Suppliers, Catholic Healthcare West, Kaiser Permanente,
Sutter Health, Community Regional Medical Center, Stanford Medical Center, Loma Linda University Medical
Center, California Department of Veterans Affairs, and all others deemed appropriate by the CNSA Board of
Directors.
Definition of a Resolution
A resolution is a document that, when adopted by
the CNSA House of Delegates, becomes the basis
of policies, priorities and actions of CNSA.
These position papers represent matters of
importance to CNSA constituents, members,
chapters, nursing and/or the health needs of the
public.
3 Types of Resolutions
• Resolutions of Substance
• Courtesy Resolutions
• Emergency Resolutions
An author can be…
• CNSA members
• CNSA chapters
• CNSA Board of
Directors
• CNSA Committees
• Faculty and Advisors
are available only to
help guide student
authors
Topic
• First: determine an issue that is relevant to
nursing students, nursing, healthcare policy and
CNSA
• Choose a topic that has not been adopted by the
CNSA or NSNA HOD within the past 5 years
• Must be able to be implemented within CNSA’s
resources
• Fall within the CNSA bylaws and mission
statement
Resolution Reaffirmation
• Resolution reaffirmation: duplication of an
adopted resolution <5 years old
• First whereas statement must reference the
original resolution
• Needs to have significant change in the status of
an issue, new research or information
A resolution is composed of:
1.
2.
3.
4.
Title
Submitting Chapter
Submitting Authors
“Whereas” clauses: summarize with
documentation the reasons and rationale for
the resolution (with supporting documentation
cited)
5. "Resolved" clauses: contain the position to be
taken on the issue and/or actions to be taken
by CSNA, its constituent associations, and its
members.
Title
• Max of 15 words
• Includes the topic along with the goal
• Check the CNSA and NSNA Resolution Index for
more examples
▫
▫
▫
▫
▫
“In support of___”
“Increase awareness of___”
“Seek to add___ to nursing curriculum”
“Support policy that___”
“Advocate for___”
Whereas
• 5-10 whereas clauses, LIMIT 300 WORDS
▫ Essentially pieces pulled from reliable
articles/organizations which support the topic of
the resolution
▫ Evidence based information < 5 years old
▫ Use direct quotes or paraphrasing from evidence
▫ Non-amendable by the House of Delegates
▫ Less is more, be concise
Resolved
• 3-5 Resolved clauses, which define
▫ the purpose of the resolution and the stance the
author believes CNSA should take on this issue
▫ Define the ways in which the resolution may
realistically be feasibly implemented by CNSA
• First statement: should be the position/initial action
• Following statements: subsequent actions
• Final statement: “send a copy of this resolution to…”
and include a list of organizations
• Amendable by majority vote in HOD
Before Submitting!
• Proof read/ review your resolution
• Pre-Formatted Template provided on the NSNA
website:
http://www.nsna.org/Resolutions/NSNAResoluti
ons.aspx
• APA 6th ed
• All components of the Resolutions Submission
Packet completed
Other Components: Resolutions Packet
• Abstract
• Cost estimate
• Articles used to
develop the whereas
statements
• Reference list
• Names and Addresses
of those identified in
the resolved clauses
• Resolution checklist
Abstract
For Example
TOPIC: INCREASING NURSING STUDENT RESEARCH
EXPOSURE TO ADDRESS NEED FOR
MORE RESEARCH-FOCUSED NURSES
SUBMITTED BY: Florida Nursing Students' Association Board
Abstract: Nursing research is an essential component of improving
national health outcomes. All nurses provide evidence-based care,
and are, therefore, called to be both responsible research
consumers and contributors to the nursing knowledge base. The
number of qualified U.S. nurse researchers must double in the next
decade. By participating in research projects, journal clubs, and
exploring research studies with nurse researchers, nursing
students can be exposed to career opportunities in nursing
research.
Cost Estimate
Sample Cost Estimate
Sample of Cost Estimate to be prepared based on
projected cost of implementing the resolution, if
adopted.
Document Size 3 pages Photocopy costs $.10/page
x 3 pages = $.30/copy x 65 mailings = $19.50
Postage costs $.45/mailing x 65 mailings = $29.25
Envelopes $.10/envelope x 65 envelopes $ 6.50
Total Cost $55.25
Articles Used
▫ Professional journals and appropriate sources
must be evidence based!
▫ Ex:
journal articles
web site articles
text and reference books
materials from other organizations
speeches
research reports
▫ Documentation must be fact, rather than
opinion.
▫ CINAHL, PUBMED, and other databases such
as these are great places to search for reliable
articles
Reference List
Partial Sample List of References
Fact Sheet Safe Needles Save Lives. (2010). Risks and Laws regarding safe needles
procedures and precautions. [Brochure]. American Nurses Association educational
project.
Safe Needles Save Lives. (n.d.). American Nurses Association. Retrieved from:
http://www.nursingworld.org/MainMenuCategories/OccupationalandEnvironmenta
l/occupationalhealth/SafeNeedles.aspx
Safety and Health Topics: Bloodborne Pathogens and Needlestick Prevention. (2009,
January 22). Occupational Safety and Health Administration - Home. Retrieved
from: http://www.osha.gov/SLTC/bloodbornepathogens/index.htm
Submitting
• Resolutions must be
submitted to the
Legislative Director
• Resolutions are checked
for completeness utilizing
the CNSA Resolutions
Checklist found on the
CNSA website
• Only complete resolution,
accompanied with a
completed checklist, will
be considered for
submission to the House
of Delegates.
First Draft is due via
email to the
Legislative Director
on August 29th, 2014
Final Draft must be
received by the
Legislative Director
AND the CNSA
Office by September
19th, 2014
After Submission
• After the first submission, the resolution will be
reviewed by the Resolutions Committee
• All resolutions submitted have the chance to be
adopted at the CNSA convention, as well as
presented at NSNA.
• However, one resolution may be sponsored to be
presented at the NSNA convention
• The sponsored resolution is then submitted as a
“CNSA resolution”
Convention
• Resolutions Hearing
▫ Resolution Introduction:
authors present a timed
statement
• House of Delegates Formal
Debate
▫ Authors have the courtesy to
speak first and give the first
timed pro statement
▫ Adopted by a majority vote
50%+ of the HOD
Be Concise
Be Realistic
Be Positive
Be Knowledgeable
Gather support and Assistance
Use Microphone Time Wisely
Be available
Have Documentation Handy
Ask Questions
What is the issue or problem that you
want to address?
Why is it important to nursing students
and the nursing community?
What do you want CSNA to do about it?
If you can answer these questions,
you can write a successful
resolution!
Alexis Broggi
a.broggi@comcast.net
(559)283-0538
Legislative Director
cnsalegislativedir@gmail.com
CNSA
patricia@acnl.org
Do NOT use the
legdirector@cnsa.org
• http://www.nsna.org/Portals/0/Skins/NSNA/p
df/Guidelines%20for%20Planning%20Resolutio
ns%20for%202015%20HOD.pdf