Ohio Napnap News
President’s Report
May 2003 Newsletter
Marilyn Boerio
The conferences from Ohio NAPNAP just keep getting better and better.
Congratulations to Cindy Allison and Laurie Freese for all of their hard work and
organization, which resulted in a wonderful conference. Topics on primary care
emergent issues were thoroughly presented by all of the speakers. The hotel
accommodations were excellent, the door prizes celebrated Cincinnati and we all
enjoyed networking at lunch. Now it is on to Toledo in the fall. The dates to
reserve are September 19th and 20th.
It has been a very busy time in Ohio for Advanced Practice Nurses. In
mid-March, I was fortunate to be able to attend “Day at the Statehouse” in
Columbus with other APNs. We were all given an opportunity to meet with our
local legislators and educate them regarding the role of the Advanced Practice
Nurse. Some of the legislators were very familiar with our practice, others
needed a bit more education.
The next event to look forward to is attending the National Conference in
Orlando. I look forward to meeting other PNPs from around the country and
expect to represent Ohio NAPNAP in a very positive light. Because this
conference will celebrate the 30th Anniversary of National NAPNAP, which began
as local meetings of Ohio PNPs, we were asked to provide our archival albums
for display. Thanks to Jan McCleery for keeping 30 years of memories. Also,
thanks to all members for encouraging your peers to join Ohio NAPNAP. We
have increased our membership from 232 this time last year to 369 members.
Speaking of conferences, you may be aware that we now have a
Conference Advisor. Past President, Linda Kerr had graciously accepted this
position, which will be a wonderful support to future conference planners, as well
as to the President-Elect who serves as the conference program chair.
As a result of the war in Iraq, President of National NAPNAP, Mary Margaret
Gottesman has dedicated the website for NAPNAP to our Armed Forces in the
spirit of support. The Kyss Campaign Chair, Bernadette Melnyk has revised her
former guide assisting children following the September 11 tragedy to a new
handout entitled “Helping Children, Teens and Their Families Cope with the War
and Terrorism”. This handout can be printed from the web page of NAPNAP.
During this time of war, despite our personal opinions, let us offer comfort
and support to the children and families who are touched by the world events.
As Americans, let us pray for peace, support our Armed Forces and God bless
America.
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President Elect
Mary Ann Rosecrans
Ohio NAPNAP believes that our members are our strength. It is unfortunate that
the Ohio Chapter of the Society of Pediatric Nurses was unable to sustain itself,
but it is reassuring to know that Ohio NAPNAP has invited all pediatric nurses to
join us. This means past members of SPN, School Nurses, and all other
pediatric nurses who want to belong to an organization that advocates for
children. Ohio NAPNAP provides opportunities for networking, education, and a
legislative list serve, an updated web site, information on clinical practice and
ethical issues. One example of the excellent educational opportunities was the
Spring Conference. The Cincinnati people did a great job. I say this without any
bias even if our President is from Cincinnati! I have no doubt that the Fall
conference planned for Toledo will meet the high standards we have become
accustomed to. Please mark your calendars for September 20 & 21.
As you will read Angela Enex’s report, one of the recipients of the our child
advocacy award is the Texan Migrant Council. In the New Carlisle area, migrant
workers are employed by numerous nurseries and work in other agricultural
industries such as Dole, picking and processing the lettuce we love to buy in
bags. In the mid 90’s the AAP, working in partnership with the Migrant Clinicians
Network, released the policy statement “Health Care for Children of Farmworker
Families,” to address the health issues particular the children of migrant and
seasonal farmworkers. JPHC has published articles regarding this topic. The
Head Start Programs operated by the Texas Migrant Council are making an
impact on reducing the needs of the young migrant child in a myriad of ways.
They value children and value the contribution PNPs can make to the health care
of these “earth angels”. The Ohio regional head quarters, located in Toledo is
looking for a PNP in the area to provide health care for the children enrolled in a
Migrant Head Start Program there. This is a very rewarding opportunity for any
PNP who is interested. The role can be what you want it to be. It is essential
that each child enrolled in the program receive a physical within 30 days of
enrollment. While working with the Head Start Program in New Carlisle I have
been able to expand my role to the limit of my capacity. It’s great to network with
other health care providers and community services. Fluent Spanish is not a
requirement. Please think about the possibilities and call Rachel Batista at the
Texas Migrant Council Regional Office in Toledo 1-800-422-2805 or contact me.
Lastly, May is Mental Health month. It is interesting to me that Nurse’s Week
falls in this month too! I hope all of you will remember Mental Health Matters and
KySS. For more information on children and mental health the April 2003 issue
of Patient Care for the Nurse Practitioner has a great article on identifying socialemotional problem in infants and toddlers.
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Ethics Advisor
Linda A. Strong
As a section affiliate to the Bioethics Committee of the AAP, I receive a quarterly
newsletter from the organization. Instead of the usual ethics
"information" section I thought I would share an interesting piece from
Joseph Zanga, MD, FAAP, and Chairman of the Section of Bioethics.
An ethical dilemma is defined as a common problem that involves two morally
right correct courses of action but you cannot do both. Dr. Zanga's article
entitled, "Would it Be Ethical to Allow Parents to Refuse PKU Testing for
Their Newborns?" poses an ethical dilemma. I found this to be a truly
thought provoking ethical dilemma and have provided an excerpt of it below.
Would it Be Ethical to Allow Parents to Refuse PKU Testing for Their
Newborns?
By: Joseph Zanga, MD, FAAP
"Along with immunizations, one of the great success stories in medicine in
our time has been the availability of newborn testing for a variety of
health and life threatening diseases. Most of us have never seen a child
with untreated PKU and because testing is a routine standard of newborn
care, mandatory in most states, we probably never will".
"Because testing is universal, however, not only do we identify the child
with the condition, but we also identify the parent(s) as carriers. We mark
them as different and perhaps raise issues in their mind as well as in the
mind of their spouses. We think nothing of testing, however, (except in a
positive way) because it is so beneficial to the child that we would
consider it unethical not to do it. Routine/mandatory testing also makes the
disease "mainstream", removing some of its mystery and the affected
individual's shame/guilt".
"Recently the CDC published information making it clear that the closer we
get to routine and even mandatory testing of all pregnant women, and /or
their newborns at the time of delivery for HIV, the closer we get to
eliminating perinatal transmission of this deadly disease (MMWR, November
15,2002/Vol 51/No 45). We now have rapid HIV tests available, which are
highly accurate (very few if any false positives or negatives) and provide
results in no more than an hour. Because more than 90% of pediatric AIDS
cases are the result of perinatal transmission, New York state in 1996
passed a law requiring testing for all newborns. New York's perinatal
transmission rate dropped from 25% to 3.5% with no decline in mothers
seeking prenatal care. More to the point, a similar law passed in
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May 2003 Newsletter
Connecticut in 1999. Before passage fewer than 40% of women were
tested for
HIV during their pregnancy. After the law more than 90% of women were
tested, with concomitant declining rates of HIV transmission. The experience
in Texas and in other states with requirements for perinatal testing has
been similar".
Dr. Zanga poses the question: Why then is the AAP not supportive of
mandatory HIV testing? He continues by saying that according to a member of
a committee of the AAP, that might be placed in charge of writing such a
policy, the AAP cannot be supportive of mandatory testing "without
infringing upon the mother's human rights". What rights are they speaking
of? Dr. Zanga comments that the only "rights" might be to continue to carry
and be ill with a treatable but otherwise deadly disease, or to deliver an
infant with a deadly disease that will likely not be treated at the time
when it is most amenable to treatment.
Dr. Zanga ends his commentary with the questions: Is it ethical for the AAP
to take the approach of non- support for mandatory HIV testing? Was it
ethical to support mandatory PKU/newborn metabolic screening? What are your
thoughts on this matter? What about the newborn baby's rights to be
diagnosed and properly treated? Something to think about...
Keeley Harding
Health Policy Committee
House Bill 12 (Carrying of Concealed Weapons (CCW) Legislation)
PASSED the HOUSE
PENDING SENATE (has been assigned to the Criminal Justice Committee)
 Governor threatened to veto any bill that didn't have FULL support of Ohio law
enforcement. This bill would allow county sheriffs to issue licenses for carrying a
concealed handgun into public places where they shouldn't be: crowded public
events, places which have alcohol, places full of curious and rambunctious
children, the stressful workplace, nursing homes, and highly charged hospital
emergency rooms. Permits would be issued to anyone over 21 with no felony
criminal record or history of adjudicated mental illness. Licensees would undergo
12-16 hours of training, and must provide two digits for fingerprinting.
HB 46 (Nurse Income Exemption)
 Proposed legislation
 Exempts from the personal income tax the salaries of registered and licensed
practical nurses in the first five years of employment
National Legislation: Children’s Health Insurance Measure
 Proposed legislation
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May 2003 Newsletter
 Sen. Jay Rockefellar (D-W. Va) and Rep. Pete Stark (D-CA) on March
11th unveiled legislation (S 448 and HR 936) that would require parents
to ensure that their children have health insurance—if cannot provide
proof, then would have to enroll them in MediKids (proposed new federal
program similar to Medicaid but could require parents to pay premiums based on
income level)
 Budget implications have not been worked out yet
NIWI Conference
In March, I attended the Nurse in Washington Internship Program thanks to a
grant from National NAPNAP. It’s an annual conference that is very informative
(and motivating) regarding the nurse’s role as it relates to healthy policy. There
were nurses from various backgrounds (ranging in credentials from that of
student nurse to advanced practice nurse to nurses with doctorate degrees).
The program allows time to experience Capitol Hill and make appointments to
meet with your U.S. Senator and Representative to talk about health policy
issues. Here are a few tidbits that I brought back from the program:
 In our present environment of Terror and War, Health Care is taking on a
secondary role
( The Nurse Reinvestment Act (introduced by Lois Capps—a nurse and
supporter of nurses)—Congress has approved $20 million to fund the Nurse
Reinvestment Act (we had asked for $250 million). While significantly less
money than originally hoped for, the funds will provide monies for scholarships
and loan repayment provisions, for magnet hospital provisions, and career
ladders & geriatric nurse training and faculty development.
The entire appropriations bill contains the following items for nursing:
Advanced Nursing Education $50.5 million ($9.5 million decrease from 2002)
Nursing Workforce Diversity $10 million ($3.8 million increase from 2002)
Nurse Education & Practice $27 million ($10.7 million increase from 2002)
Nurse Corps $20 million ($9.7 million increase over 2002)
Geriatric Nurse Education $3 million new funding
Nurse facility loan repayment $3 million new funding
Total $113 million or $20 million more than 2002
( There are 2.7 Million nurses nationwide (we are a significantly larger group than
doctors)—we could do some major influencing in health policy if we would all
become ( Cash buys your visibility
COMMERCIAL INSURANCE
( UNITED HEALTH CARE IS ACCEPTING APNS as of March 1st
(Medical Mutual of Ohio is indicating that they will follow very soon
Medicaid/Under & Uninsured
(Final Resolutions still PENDING (as of this writing)
(Many groups/individuals have rallied together in opposition of proposed budget
cuts by Governor Taft.
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Rx authority
( Effective February 2, 2003 you MUST have your CtP# (or CtP-E#) on
prescriptions
( For more information on prescriptive authority (including required CEUs
specifically related to pharmacology) check out the Ohio Board of Nursing
Website at http://www5.state.oh.us/nur/pdfs/RenewalRX.pdf
Health Insurance Portability & Accountability Act
( Is it HIPPA or HIPAA?….it’s HIPAA (see above). For more information check
out Ohio’s HIPAA website at http://www.state.oh.us/hipaa/
( Must be in compliance by April 14, 2003
Email List
Would you like to be added to the OHIO NAPNAP HEALTHY POLICY EMAIL
ALERT LIST? I’m finding it hard to include all issues in the Ohio NAPNAP Newsletter
and keep updated on ALL issues relating to Health Policy. I’m asking for your help. If
you hear of an issue and would like to share it with other members please email me at
kahpnp@aol.com and I will share the information with Ohio NAPNAP members. The
title of the email will have OHIO NAPNAP in the subject line (so as not to confuse it
with junk mail). If you have not already sent me your email address and would like to be
included on the email alert list please send your current email address to
kahpnp@aol.com
Sandy Neville
Constitution & Bylaws
The Ohio NAPNAP membership approved an amendment to the bylaws under Health
Policy/Chairperson at the spring meeting in Cincinnati on March 22, 2003. The new
amendment provides for Ohio NAPNAP to pay OAAPN dues for the chairperson since
the chairperson is required to be a member of OAAPN and sits on the OAAPN board.
The new change will be added to the bylaws.
Thanks, Sandy Neville
Practice Committee
Barbara Schaffner
Reminder about the "Calcium Counts" program available
free for presentation. Have all interested contact myself or Linda Kerr and
receive a fully developed power point presentation on computer disc or
overhead transparencies (lecture notes also provided).
Also Otterbein College,Department of Nursing offers:
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May 2003 Newsletter
A 6.1 contact hour totally on-line course related to the Legal, Fiscal, and
Ethical Implications of Prescribing for Advanced Practice Nursing. The
course can be totally completed at home without any trips to campus.
Cost
is $100.00. Course does meet the Board of Nursing requirement for
continuing education related to Ohio law and prescribing.
Also, we offer a 45 contact hour course on Advanced Pharmacology that is
totally on-line. Cost $500.00. Meets all pharmacology requirements of the
Ohio Board of Nursing to apply for prescriptive privileges (CTPe) in Ohio.
For more information about both courses or to register, please contact Linda
Brantch at 614.823.1614 or lbrantch@otterbein.edu.
Who We Are Brochure
Hope you read the DRAFT of Ohio NAPNAP’s “Who We Are Brochure” enclosed in
the summer edition of the newsletter. All that remains is importing Black and
White pictures of PNPs in practice. SO if you have a digital camera and can get a
picture in black and white of you doing what you do, please send it to
kerrli@hotmail.com. Remember if you take a picture with kids other than your own,
we need releases signed by the parent. A child with a helmet would be great too!
After this is completed, the form will be offered to all PNPs as a brite white copy
so that you can copy your own and choose your own paper OR you can request copies
for an small fee (includes coping, paper, and mailing) Please call either Linda Strong
or Kerr with questions or comments.
CALCIUM COUNTS
CALCIUM COUNTS
PNPs all know the importance of calcium for kids. Sharing those facts with kids and
parents has become another special interest topic (TLC) for Ohio NAPNAP. An
educational Program-in-a-Packet entitled CALCIUM COUNTS is now available to all
PNPs in Ohio. It was developed and created similar to the helmet safety packet. It
provides a Power Point presentation done in OVERHEAD TRANSPARENCIES (28)
with the PRESENTER’S FOLDER that has the information for each slide and
HANDOUTS that can be copied for your presentation.
You can select the overheads you wish to use depending on your audience. The only
equipment you need is an overhead projector which most schools etc. have available. It
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May 2003 Newsletter
could be used probably from third grade through high school and even PTA or
Preschool PTA meetings. This program is appropriate for many groups and
would be great for PNP recognition. If you are interested in the program call or
email Linda Kerr kerrli@hotmail.com . STAY TUNED – next PROGRAM PACKET
will be for Immunization presentations for varicella vaccinations.
HELP !!
HELP !!! HELP !!! HELP !!
HELP !!! HELP !!!
If you need help with putting together a POWER POINT presentation or
want someone to do it for you, just email me at kerrli@hotmail.com.
Joni Esser
Fund Raising
Bike Helmet Campaign
Thanks to all who participated in another successful Ohio Bike Helmet Campaign. The
safety and wellbeing of our children is always our #1 concern, and we showed it again
this year in another big way. Participants this year were:
Carol Williams
Debbie Terry
Marjorie Vogt
Chris Sadinski
Sandy Simpson
MaryAnn Rosencrans
Theresa Puckett
Jan McCleery
Jill Kilanowski
Keely Harding
Pam Dorst
Mary Calabro
Kathy Carroll
Christa Barlow
Cynthia Tuck
Linda Kerr
Mary Gagliano
Joni Esser
Again, thanks to all of you for your support. Nothing is so fulfilling as serving kids.
Fundraising
We sold many lab jackets and sweatshirts at Ohio and National NAPNAP. The items are
on order, and will be mailed out as soon as received. They were a big hit at National.
Thanks for your support.
Respectfully submitted,
Joni Esser
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Ohio Napnap News
Angela Enix
May 2003 Newsletter
Awards
The following rewards were presented at the Spring meeting in Cincinnati, Ohio.
PNP of the Year: Marguerite (Peg) DiMarco
Peg was nominated by Theresa Puckett, who is an ongoing student of Peg’s at
the University of Akron, both in the Master’s and Doctoral programs. She wrote
that Peg should be recognized not only for her extensive work as a PNP, faculty
member, researcher, and author but also for the role model, which she portrays
for her students as an encouraging and supportive instructor.
One area of focus for Peg is ongoing research to identify the health problems in
homeless children and to increase awareness and improve the health of this
vulnerable population.
Peg helped to develop and runs a nurse practitioner based health clinic in a
homeless shelter in Akron, Ohio. It is supported through grant money, which she
secures. In addition to providing health care for homeless children at the shelter,
Peg also donates needed supplies.
Thank you Peg for all of your dedication and hard work. Peg will receive her
state membership dues free for 2003-2004, and a plaque, which was presented
at the Spring meeting in Cincinnati.
PNP Student of the Year:
Terra RuthenbergTerra is experienced as an RN in both the PICU and the NICU.
She makes excellent grades as a PNP student at the University of Akron, while
working as a graduate assistant in the Nursing Resource Lab. In addition, Terra
has gone above and beyond her role as a student to assist with data collection in
research studies on NCLEX pass rates and gaining access to care for homeless
children. Terra presented a program on prevention of dental caries to homeless
children and their families. Terra was elected Student to the Ohio Board of
NAPNAP for 2003-2005. She was able to accomplish all of this while being
pregnant with twins. We offer our congratulations for her award and also for the
two new additions to her family. Terra will receive her state membership dues for
2003-2004 and a plaque. Terra was nominated by Peg DiMarco.
Child Advocate: New Carlisle Migrant/Seasonal Head Start Program
The Ohio Chapter of NAPNAP recognized the Texas Migrant Council (TMC) and
specifically the New Carlisle Migrant/Seasonal Head Start Program for the huge
impact they have had on improving the health care of migrant children in the
state of Ohio. Migrant farm workers have some of this Nation’s most severe
health and social problems and are at greater risk than the general population
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May 2003 Newsletter
because of poverty, malnutrition, infectious disease, exposure to
pesticides, and poor housing. The Head Start program under TMC
provides developmentally appropriate childcare, early intervention,
nutritional coordination, and family support. Their goals include advocating for
children legislatively, networking families with community resources, and
enabling families to care for themselves. In addition the Head Start program has
chosen pediatric nurse practitioners to provide health care for the children they
serve.
Please join with us to applaud the efforts of the Texas Migrant Council, Inc., Ohio
Chapter for their work at the New Carlisle Migrant/Seasonal Head Start Program.
Child Advocate: Prevent Blindness Ohio
The Ohio Chapter of NAPNAP recognized Prevent Blindness Ohio for improving
the vision of preschool children in the state of Ohio. Prevent Blindness America
was founded in 1908 and is the Nation’s leading volunteer eye health and safety
organization dedicated to fighting blindness and saving sight. During our spring
meeting a representative from Prevent Blindness Ohio presented a workshop for
pediatric nurse practitioners. This if the second such session which provides
professional education and certified vision screening training and equipment at
no cost to the practitioners. Please join with us in recognizing and applauding
Prevent Blindness Ohio’s commitment to fight blindness and save sight.
Peg DiMarco
Professional Education
I received some emails about members who wanted to be included in the
speaker’s bureau. If you are interested, please email me and I will include your
name on the list for the next newsletter.
Peg DiMarco
E-mail: dimarco@uakron.edu
Mary Gagliano
Editor
It's May 6th, 2003 and I am writing this from the labor room of MedCentral
Hospital in Mansfield, Ohio where with my daughter and son-in-law I have spent
the last eight hours. After much intense effort, the OB has just informed us that
Caleb Joseph will be exiting via c-section. He joined us at 4:11 p.m. weighing in
at 9#14oz and 22" in length. "the miracle of life"...how important is our job!!!
Mary Gagliano - editor-proud grandmother
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May 2003 Newsletter
PRESIDENT
Marilyn Boerio)
11393 Terwilliger’s
Valley Ln
Cincinnati, Oh 45249
H 513- 530-9605
W 513- 874-9460
mboerio@one.net
PRESIDENT-ELECT
Mary Ann Rosencrans
6124 National Rd, St
RT 40E
Lewisburg, Ohio
45338
H 937- 962-4455
MARAPRN@aol.com
PAST PRESIDENT
Linda Kerr)
307 Medina Street
Lodi, Oh 44254
H330-948-1923
kerrli@hotmail.com
HISTORIAN
Jan McCleery)
1188 Howell Court
Newark, Ohio 43055
H 740-366-1658
W 740-344-3627
jmccleery@lmhealt
h.org
MEMBERSHIP
Jeannie Reitz)
13790 Shawnee Trail
Middleburg Hts, Oh
44130
H 440- 845-6146
W 216- 778-1496
JMReitz@adelphia.net
SECRETARY
Sharon Yazvec Juszuli)
2264 Lynnwood
Stow, Ohio 44224
H330-686-9062
fnsjuszli@ameritech.co
m
TREASURER
Cynthia Tuck 5110
Wilshire Dr.
Zanesville, Ohio 43701
H 740- 453-1506
rtuck@columbus.rr.co
m
HEALTH POLICY
Keeley Harding
1309 Shorthill Drive
Beavercreek, Ohio
45385
H 937 426-9977
kahpnp@aol.com
FUND RAISING
Joni Esser
12091 Riley Ct.
Twinsburg, Ohio
44087
H 330-963-6531
W 440-439-2222
E2837
jesser40@yahoo.com
AWARDS
Angela Enix
2531 Trebein Rd
Beavercreek Ohio
45385
H 9374319822
W9376413000
enix@childrensdayton.
org
NOMINATIONS
Leslie Dieterich (
36 Carryback Dr.
Pataskala, Ohio
43062
H 740 964-3505.
medlad@msn.com
CLINICAL PRACTICE
Barbara Schaffner ()
5828 Mist Flower Lane
Westerville, Ohio
43082
H 614-891-6710
W 614-823-1614
bschaffner@otterbe
in.edu
PROFESSIONAL
ETHICS
Linda Strong (
8830 Cranberry Ridge
Broadview Heights, Oh
44147
H 440 526-0728
lastrong@cox.net
Education
Peg Dimarco
196 West River Road
Valley City, Ohio
44280
H 330-483-4060
W330-972-7683
dimarco@uakron.edu
CONSTITUTION &
Bylaws
Sandra Neville (
402 N. Beechgrove
Rd.
Wilmington Ohio
45177
H 937-382-4101
W 937-382=7168
swneville@aol.com
NEWSLETTER
Mary Gagliano)
PO BOX 634
Zoar, Ohio 44967
H 330-874-0811
W 330- 494-5600
Gagliame@aol.com
BOOKKEEPER
Ginny Turczyk)
3611 Dentzler Road
Parma, Ohio 44134
H 440- 842-0773
FLD 941-722-1177
BATVAT@aol.com
STUDENT
REPRESENTATIVES
Christa Barlow )
Wright State
University
921 Springlake Circle
West Carrollton, Oh
45449
H 937- 847-1817
cbarlow@woh.rr.com
Terra Ruthenburg
University of Akron
2892 Kent Rd
Silverlake Ohio 44224
H 330-923-2408
Tr10@uakron.edu
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