Quarterly Circulation 23,000 to
Registered Nurses, LPNs, LNAs, and
Student Nurses in New Hampshire.
July 2014
Official Newsletter of New Hampshire Nurses Association
Attention New Grads!
Begin Your Nursing Career with a
Powerful Edge: New Hampshire Nurses
Association Membership
• Stay up-to-date on nursing news with a free
subscription to ANA’s peer-reviewed, award-winning
journal The American Nurse and many other
resources that are free to ANA members: American
Nurse Today, Online Journal of Issues in Nursing
and SmartBrief.
• Speak out for nurses by supporting NHNA’s
advocacy efforts in Concord and ANA’s work in
Washington. Help us improve nursing through our
work with safe staffing, safe patient mobility and
scope of practice.
• Advance your knowledge through ANA’s extensive
online Continuing Education library which includes
more than 150 modules free or discounted for ANA
members.
• Save on ANCC specialty certification exams
through exclusive member discounts —save $85 on
the initial exam and $95 on recertification.
• Keep your knowledge current by attending monthly
live Navigate Nursing webinars designed to help you
with all facets of your nursing practice – many free to
members
• Continue your higher education with members-only
tuition discounts on nursing programs leading to a
BSN, MSN or DNP degree.
• Improve your leadership skills through ANA’s
Leadership Institute that provides resources to nurses
at all stages of their career.
Perhaps one of the biggest mistakes newly-minted RNs
make is not joining their professional association, the New
Hampshire Nurses Association (NHNA) and American
Nurses Association (ANA), as soon as possible. And this
oversight is entirely understandable. After years of study
in nursing school followed by weeks of study for the
NCLEX, as a new RN you are focused on celebrating,
finding a job and starting life as a nurse.
However, there is no better resource for your career, your
clinical skills and learning “everything you need to know,
but they didn’t teach you in nursing school” than your
professional association. NHNA and ANA have resources
and support for the life of your nursing career!
Membership will help you to:
• Get ready to apply for the job of your dreams by
visiting the ANA Career Center for tips on writing
your resume and cover letter.
• Explore job openings and get advice on how to job
hunt also in the ANA Career Center.
• Find a mentor with NHNA’s mentor/coach
program. View an online directory of NH nurses
who are available to answer your questions on
education, career options, work-life balance, work
struggles, etc.
• Social network with NHNA and ANA nurses –
“like” NHNA and ANA on Facebook, follow ANA
on Twitter and LinkedIn.
• Grow your professional network by getting
involved locally with NHNA. To really get to know
your fellow nurses – volunteer. It’s a cliché, but true,
that when you volunteer you’ll always get more than
you give. See our “Call for Nominations” and other
NHNA Leadership Opportunities described in this
issue and on our website.
And be sure to get your Welcome to the Profession Kit
– it’s a gift for new grads from ANA. Full of valuable
resources and advice you can use now and throughout
your career. It’s available at www.nursingworld.org/
welcometotheprofessionkit
US Postage
PAID
Permit #14
Princeton, MN
55371
Inside...
Here’s to Your Health . . . . . . . . . . page 2
President’s Message . . . . . . . . . . page 3
Ask Flo . . . . . . . . . . . . . . . . . . . . . page 4
Clint Jones Award. . . . . . . . . . . . . page 5
In Memoriam. . . . . . . . . . . . . . . . . page 6
In My Opinion . . . . . . . . . . . . . . . . page 7
Marijuana Legalization. . . . . . . . . page 8
Call for Nominees. . . . . . . . . . . . page 10
Save the Date. . . . . . . . . . . . . . . page 11
On the Bookshelf . . . . . . . . . . . . page 12
Reflections of a Retiring CNO. . . page 13
NHNA Student of the Year . . . . . page 14
Kudos . . . . . . . . . . . . . . . . . . . . . page 15
Member Welcome. . . . . . . . . . . . page 16
ANA Election. . . . . . . . . . . . . . . . page 18
Membership Application . . . . . . page 19
You’ve done everything right to begin your career as a
nurse, now is the time to take the next step and join your
professional association. Joint membership in NHNA and
ANA is just $13/month, $150/year. At just $.43 cents a day,
it’s a smart investment in your career and your profession.
See the JOIN button at www.nhnurses.org.
Presort Standard
current resident or
Vol. 38 No. 3
Please be sure to notify us with address changes/corrections.
We have a very large list to keep updated.
If the nurse listed no longer lives at this address–
please notify us to discontinue delivery. Thank You!
Please call (603) 225-3783 or email to office@nhnurses.org
with Nursing News in the subject line.
Page 2 • New Hampshire Nursing News
July, August, September 2014
Guidelines for Submissions to NH Nursing News
NH Nursing News (NHNN) is the official publication of
the NH Nurses’ Association (NHNA), published quarterly
– and available in PDF format at our website: www.
nhnurses.org Views expressed are solely those of the guest
authors or persons quoted and do not necessarily reflect
NHNA views or those of the publisher, Arthur L. Davis
Publishing Agency, Inc. NHNA welcomes submission of
nursing and health related news items, original articles,
research abstracts, and other pertinent contributions. We
encourage short summaries and brief abstracts as well
as lengthier reports and original works. An “article for
reprint” may be considered if accompanied by written
permission from the author or publisher. Authors do not
need to be NHNA members.*
Manuscript Format and Submission:
Articles should be submitted as double spaced WORD
documents (.doc format vs. .docx, please) in 12 pt. font
without embedded photos. Photos should be attached
separately in JPG format and include captions.
Submissions should include the article’s title plus author’s
name, credentials, organization / employer represented,
and contact information. Authors should state any
potential conflict of interest and identify any applicable
commercial affiliation. Email as attachments to avery@
nhnurses.org with NN Submission in the subject line.
Publication Selection and
Rights:
Articles will be selected for
publication based on the topic
of interest, adherence to
publication deadlines, quality
of writing and peer review.
*When there is space for
one article and two of
equal interest are under
review, preference will be
given to NHNA members.
NHNA reserves the right
to edit articles to meet
style and space limitations. Publication
and reprint rights are also reserved by NHNA. Feel free
to call us any additional questions at 603-225-3783.
Vol. 38 No. 3
Official publication of the New Hampshire Nurses’
Association (NHNA), a constituent member of the
American Nurses Association. Published quarterly
every January, April, July and October. Library
subscription rate is $24. ISSN 0029-6538
Advertising:
Product, program, promotional or service announcements
are usually considered advertisements vs. news. To place
an ad, contact: Arthur L. Davis Publishing Agency, Inc.
Email sales@aldpub.com or call 800-626-4081. Ad sales
fund publication and mailing of NH Nursing News and
are not paid to NHNA.
NURSING NEWS is indexed in the Cumulative
Nursing Index to Nursing and Allied Health Literature
(CINAHL) and International Nursing Index.
Here’s to Your Health
Take 3
Ed Note: Here’s to Your Health is part of what NHNA
is doing to support the ANA national HealthyNurse™
Initiative and will feature three health supporting tips each
issue.
Tip 1: Chocolate
Chocolate begins life as raw cacao (pronounced kah-kow)
beans. Loaded with antioxidants, minerals, vitamins, and
plant phenols, cacao is a powerful superfood. The more
processed cacao becomes, however -think Snickers bar
- the fewer healthy components remain. For maximum
health benefit, look for dark chocolate that has 75% to 85%
cacao. Darker chocolate also contains less sugar. Go raw
– or as unprocessed as possible. Eat the wrong kind and
you’ll get loads of sugar, calories, and scary ingredients.
Chocolate also contains some caffeine so be careful not to
overdo it. (1.5 ounces of dark chocolate contains about the
same amount of caffeine as a green tea.)
NURSING NEWS
Reward yourself with the good stuff! Some pure chocolate!
Tip 2: Lemon
Add lemon to your water for the ultimate hydration and
cleansing. Lemons are one of the fruits that can be found
at the grocery story year round. Tart lemon juice is
actually alkalizing. Start your day with a glass of warm
water with the juice of fresh lemon to give your system a
kick start!
Stay lemony fresh!
Tip 3: Water
Water has many benefits; keeps your brain sharp, increases
your energy, flushes out the toxins from metabolism and
maintains bowel regularity. Make sure you stay hydrated,
aim to drink about half of your body weight in ounces
of water. For example if you weigh 150 pounds, drink 75
ounces of water per day. Fill up a pitcher of water in the
morning and set it on your counter top so you can always
see how much more you need to drink!
Water is free!
Editorial Offices
New Hampshire Nurses Association, 25 Hall St., Unit
1E, Concord, NH 03301. Ph (603) 225-3783, FAX (603)
228-6672, E-mail Avery@NHNurses.org
Editor: Susan Fetzer, RN, PhD
Associate Editor: Holly Clayton, RN, MSN
NHNA Staff
Avery Morgan, Executive Director
Faith Wilson, Admin. Assistant
For advertising rates and information, please contact
Arthur L. Davis Publishing Agency, Inc., 517
Washington Street, PO Box 216, Cedar Falls, Iowa
50613, (800) 626-4081, sales@aldpub.com. NHNA and
the Arthur L. Davis Publishing Agency, Inc. reserve
the right to reject any advertisement. Responsibility for
errors in advertising is limited to corrections in the next
issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement
or approval by the New Hampshire Nurses Association
of products advertised, the advertisers, or the claims
made. Rejection of an advertisement does not imply a
product offered for advertising is without merit, or that
the manufacturer lacks integrity, or that this association
disapproves of the product or its use. NHNA and the
Arthur L. Davis Publishing Agency, Inc. shall not
be held liable for any consequences resulting from
purchase or use of an advertiser’s product. Articles
appearing in this publication express the opinions of
the authors; they do not necessarily reflect views of the
staff, board, or membership of NHNA or those of the
national or local associations.
VISION STATEMENT
Cultivate the transformative power of nursing.
Adopted 10-20-2010.
MISSION STATEMENT
NHNA, as a constituent member of the American Nurses
Association, exists to promote the practice, development
and well being of NH nurses through education,
empowerment and healthcare advocacy.
Adopted 10-20-2010.
Tips courtesy of Tracey Miller, Health and Wellness
Counselor. http://traceymillerwellness.com
EASTER SEALS
New Hampshire
www.NHNurses.org
Nursing Opportunities– Farnum Center
Manchester, NH
The Farnum Center specializes in the treatment of chemical
dependency.
We are looking for a Nurse Practitioner and RN to join our team!
The Nurse Practitioner will provide evaluations, treatment and
medical oversight to clients. This is a Monday-Friday part-time
(20 hours a week) position. The actual work schedule is
flexible. This position requires a Master’s Degree in Nursing, two
(2) years related experience and current NH APRN license. Prior
psychiatric/medical detox experienced is preferred.
The RN will provide direction and oversight to staff for the medical
needs of the residents. The work schedule is Friday and
Saturday 11:00 pm – 9:00 am. This position requires a NH RN
license and experience working with individuals with complex
medical needs. Prior experience working with individuals with
chemical dependency issues is preferred.
To apply for these positions please go to the Careers at
Easter Seals page on our website www.eastersealsnh.org
Published by:
Arthur L. Davis
Publishing Agency, Inc.
July, August, September 2014
New Hampshire Nursing News • Page 3
Letter from the President
Thoughts on Mentors – and New Nurses
Barbarajo “BJ” Bockenhauer
MSN, ARNP, PMHCNS-BC
Terri Norelli, who acknowledged nurses as influential
factors in moving this legislation forward. Well done, us!
Some healthcare transformations as a result of nursing
leadership are at the personal level. Thanks to outreach
provided by our Executive Director, NHNA was able to
be a presence at several area hospitals and extended care
facilities during their Nurses’ Week celebrations. These
events are opportunities for nurses to take a few minutes
– expanded minutes, of course – to celebrate their career
to this point and ponder the next steps. Transforming
healthcare through nursing leadership is not for the weak
of heart. For more than one visitor to our tables, the future
path options weren’t so very clear. Nurses actively solicited
advice from those who engender confidence and trust –
other nurses!
In the last issue I wrote about
Marcel Proust and his comment
on the elasticity of time. He said
“The time at our disposal is
elastic; the passions we feel dilate
it, those that inspire us shrink
it, and habit fills it.” I started by
wondering about this past quarter
- what activities had made time
expand because of the passions
involved? I didn’t have to look
far.
Nurses Week is celebrated in May each year. That May
date of Florence Nightingale’s birthday is somewhat
inconvenient in that it doesn’t coincide with the publication
dates of our newsletter. While it has seemed that January
is too early to focus on Nurses Week, by June, Nurses’
Week is hopelessly “old” news. However, this year’s theme
was “Nurses Leading the Way.” So timely, given the active
role NHNA played in the historical passage of a healthcare
act that will provide access to healthcare for those 50,000
NH residents who currently go without or use expensive
and crisis-based healthcare options, such as Emergency
Departments. NHNA’s footprint in transforming
healthcare in NH is undeniable.
NHNA was present at the State House to celebrate the
work that, through its partnership in a NH healthcare
coalition, supported passage of a bill that Governor Hassan
described as “…the most significant piece of health care
legislation that the state of N.H. has seen in decades.” As
Proust predicted, time expanded to give the Governor an
opportunity to use 18 pens with which to sign her name so
that mementos of this historic event were available to the
leaders in the House and Senate. NHNA didn’t get a pen,
but we did get our picture with Senator Peggy Gilmour,
friend of nursing and Senate powerhouse. We also got
a shout out from both the Governor and House President
Leading the way to optimizing this process is the Nursing
Practice Commission of NHNA. Reaching out beyond
their own committee members, they have embraced the
opportunity to guide and support our colleagues to taking
those next steps to expanding their leadership repertoire,
or just simply to get some advice.
The mentoring program lives on our snazzy new web-site
– conveniently located on the Advice Corner tab. Once
on the site, you are then just a click away from access to
the work our Nursing Practice Commission has invested
in over this past quarter. The Mentoring program has a
very engaged and energetic team of expert nurses whose
clinical, research, administrative and teaching skills
are available to “borrow.” These colleagues have made
a commitment to be available to those members who
need a sounding board, or an expert opinion, or simply a
compassionate shoulder to lean on during a challenging
work experience. Leading in healthcare might not mean
you have all the answers, but that you have access to many
experts who have some of them. While the process of
connecting with a mentor may take just a few seconds, it is
likely to be one of those “expanding” moments for all.
Then there is a moment that shifts one’s sense of
perspective so profoundly that time really stands still.
I’m inventing a new Apply Today:
model of health care.
At an educational program sponsored by Saint Anselm’s
College, I had the opportunity to present the NHNA
Student Nurse of the Year Award to this year’s recipient,
Caleigh MacDonald. As I began my introduction, I
realized that my stock phrase of “representing 20,000
registered nurses in NH” was soon to include this
remarkable young woman – and that her accomplishments
would be contributing to all of our shared legacy. It was a
moment of humility, for certain, as well as insight.
Caleigh and five other student nurses had faculty and
peer recommendations validating their exemplary
contributions. Differently, but not less exemplary, was
the commitment and caring of the faculty and peers who
submitted nominations.
Celebrating nursing as a once a year phenomenon is
dramatic and enjoyable. Posters and slogans frame a
message that is predictably positive, even thoughtful and
profound, albeit generic. However, it is the specific, direct
and personal acknowledgement of one’s accomplishments
that draws us all in to the experience. We all share in the
sense of accomplishment as part of our shared nursing
experience. Caleigh earned her award through her
accomplishments. Her earning an award exposed all of
us to an outpouring of pride – that someone of her caliber
had chosen nursing as her career. Those who nominated
her are also accomplished and we can share pride in their
ability to support and validate a peer. On the whole, it was
a long, lovely moment to share.
I hope that our Advice Corner mentors will have
opportunities to celebrate the accomplishments of those
who reach out for assistance. I also hope that those who
make contact for advice will realize what a gift they are
also giving – the opportunity to be a part of someone’s
professional development, or efforts to solve problems, or
managing distress. I hope that, when you have that chance,
you take it. Opportunities to contribute to each other’s
welfare, be made aware of and celebrate each other’s
accomplishments are precious and just the kind of moment
that we would all like to have expanded!
VAcareers.va.gov/ALD
Follow VA Careers
Department of Nursing
Doctor of Nursing
Practice (DNP) Program
• Are you a busy ARNP? CRNA? Midwife? CNL? Nurse Executive?
• Have you thought about a doctoral degree?
• Have you heard about the DNP?
The purpose of Doctor of Nursing Practice education is to prepare clinically
focused advanced practice nurses with the competencies needed for increasingly
complex practice and leadership roles.
DNP prepared nurses address challenges in the current health care system as
experts in clinical scholarship and practice improvement.
To learn more about excellence in nursing as a
Doctor of Nursing Practice through UNH contact
Dr Donna Pelletier at 603-862-2271 or visit
www.unh.edu Keyword “DNP”
at a
Care
higher level
Our online
program provides:
• A career-focused education
• Flexible courses designed for
working adults with busy schedules
• Tuition rates on average 15–20% less than
major for-profit online universities
• Supportive advisors who understand your needs
• Rolling admissions and monthly start dates
BEGIN
TODAY
BACHELOR’S AND MASTER’S IN NURSING
Visit online.sjcme.edu/NHnurses or call 800-752-4723 for more information.
Page 4 • New Hampshire Nursing News
July, August, September 2014
Ask Flo...
Dear Flo,
I recently graduated with my BSN and passed the
NCLEX! I have been busy looking for a job but I am not
having a lot of luck even getting an interview! I want to
stay in New Hampshire but a lot of my friends and family
say I may have to look out of the state. Do you have any
advice?
Jobless RN
Dear new RN,
Congratulations and welcome to the most noble of
professions! Yes, the job market in New Hampshire
continues to be tight; however, there are jobs out there to
be found. Reconsider your expectations. Many employers
are willing to take on per diem employees, even giving
them 40 hours of work until they have an open position.
Per Diem positions do not offer benefits, but maybe you
can live with your parents for a while. Many new grads
believe they have to work in acute care medical-surgical
units as their first job, but you should also consider
other options. For example, school nursing, summer
camp nursing, clinics, surgical centers, home health
are possibilities. Many applications are electronic, but
have you followed up with a personal note to the human
resources department or the nurse manager of the
facility you are applying to? What does your resume or
curriculum vitae look like? Does it need some sprucing up
to present you in the best possible light? Think positive!
Recent research shows that 89% of new baccalaureate
graduates had jobs within 6 months. Keeping looking!
Flo
Home Health & Hospice Care is your trusted local expert, offering
home health care, advanced illness management, private duty
services, and hospice care. Apply today to learn more about why
we are an employer of choice in Southern NH. We are growing
and need highly skilled nurses to join our teams! Current full
time opportunities: • Palliative Care APRN - part time
• AIM RN Team Leader
• (1) AIM RN
• (1) Hospice RN
• (2) Homecare RN’s
• Psychiatric RN w/ANA certification & BSN
• Homecare RN (eves 1pm-9:30pm)
• RNs per diem for Hospice program & Community Hospice House
We offer a generous benefits package, state of the art health care
services, autonomy, engaging culture, training and employees who
enjoy their work!
Apply online at www.hhhc.org or email hr@hhhc.org.
EOE
NEW HAMPSHIRE DEPARTMENT OF CORRECTIONS IS LOOKING FOR:
Dear Flo,
Lately our facility has been notified about drug shortages.
Nurses are required to notify physicians (we don’t have our
own pharmacy) to ask them to consider another drug. Why
all the shortages?
Signed,
Med Nurse
Dear Med Nurse,
Shortages of key medications continue to be a problem,
although it seems to be getting better. In 2012, there were
over 204 drugs that were hard to obtain. Quality control
problems in manufacturing plants are the main source
of the shortage. When glass fragments or particulate
matter is found in a vial, the entire lot is suspect. This
is especially a problem for generic drugs, those that do
not make the company as much money as drugs which
are manufacturer brand names. While the FDA has the
authority to regulate drugs, it does not have the authority
to tell manufacturers how to direct their resources. Some
medications are only produced by one manufacturer, and
in the event of quality problems at the plant, the drug may
not be produced for a considerable time. You can check
out which drugs are on “watch” through the FDA website.
Perhaps your pharmacy provider should be contacting the
ordering provider to suggest the best substitute available.
Flo
Dear Readers,
In the April issue of the News, Flo indicated that
Medication Nursing Assistants,( MNAs) should not be
giving prn narcotics to patients in pain, as these patients
are not considered “stable.” One of our readers questioned
this advice as nurses in long term care facilities are
delegating the administration of prn narcotics to MNAs.
However, the nurse must first do the pain assessment (this
cannot be delegated) and after the medication is given,
reassess to evaluate the effectiveness of the intervention.
One of the issues is the definition of stability, which
according to the Board of Nursing, must be determined
by the nurse doing the delegation. Many medications
affect vital signs. And it is up to the nurse to determine
which medication, working in which patient, in which
circumstances will cause a “sudden change.” The second
issue is the notion of “prn.” PRN is the abbreviation
for pro ne rata, Latin for ‘as the situation arises.’ Our
long term care colleagues are delegating prn narcotic
administration to MNAs in stable patients who have
likely received the medication repeatedly in the past and
who are stable. And the Board of Nursing supports their
practice. Key to this delegation is adhering to the rights of
delegation: right patient, right provider, right drug, right
situation and right communication. I am not sure that these
rights would be met by “stable” patients requiring “prn”
narcotics in other facilities.
Thanks for reading!
Flo
REGISTERED NURSE III, II AND I
NH STATE PRISON FOR MEN IN CONCORD, NH
NH STATE PRISON FOR WOMEN IN GOFFSTOWN, NH
NORTHERN NH CORRECTIONAL FACILITY IN BERLIN, NH
Various shifts, Rotating Days Off
RN III: $53,393.60 - $63,398.40
RN II: $49,192.00 – $57,886.40
RN I: $45,323.20 – $53,393.60
(Salary includes Hazard Duty Pay)
(Salary does not reflect any applicable Shift differential and/or Weekend pay)
This full-time position will provide general nursing care and treatment in a centralized
adult ambulatory setting and/or inpatient infirmary unit within a correctional facility,
working in close and immediate contact with prisoners on a daily basis while
maintaining security. Minimum Qualifications: Education: Graduation from a
recognized nursing program with either affiliate or postgraduate courses and clinical
experience as a registered nurse in a setting equivalent to the position assigned.
Experience for RN III: Two years’ experience as a registered nurse in a setting
similar or equivalent to the position assigned. RN II: One year’s experience as a
registered nurse in a setting equivalent to the position assigned. RN I: Experience is
limited to that required for registration. License/Certification: Current license as a
Registered Nurse in New Hampshire. Special Requirements: Successful completion
of the Corrections Academy and continuing Certification as correctional line personnel
as established by the certifying authority. Employees are required to pay an agency
or union fee.
~ True Care Professionals ~
The agency of choice in your neighborhood.
We are recruiting
RNs, LPNs, LNAs
PCSP, HHA, HM & Companion
For Homecare, Nursing Home, Assisted Living
and Hospitals Facilities. We offer competitive
Salary, Flexible Hours. Contact us at:
Equal Opportunity
Employer
(603) 537-9975 • (617) 276-9658
(800) 398-7708
Fax # (877) 249-9194
truecare@truecareprofessionals.com
www.truecareprofessionals.com
For further information regarding this position, please contact Linda McDonald,
Program Specialist II at (603) 271-5645.
HOW TO APPLY: An official application for employment may be obtained from and
returned to New Hampshire Department of Corrections, Human Resource Office,
PO Box 1806, Concord, New Hampshire 03302-1806, nhdocemploy@nhdoc.state.
nh.us (603) 271-5650 and is available on the Internet at www.admin.state.nh.us/
hr. ***In order to receive credit for post-secondary education, a copy of
official transcripts with a seal and/or a signature MUST be included with the
application. If copies of transcripts have been requested please reference
this and have them forwarded to the Human Resources office at the recruiting
agency. ***
Resumes will not substitute for a fully completed State application.
Applications will be accepted until: Positions are filled
EOE
Providing legal direction – Getting results
Tarbell & Brodich Professional Association is a full-service
law firm representing our clients in diverse matters.
• Nursing License Revocation/Suspension Defense
• BON Disciplinary Matter
• Nurse Medical Malpractice Defense
45 Centre St., Concord NH • 603-226-3900
How well do
you know your
organizations?
Take this brief quizlet and
find out.
1. What constituents does the Board of Nursing serve?
a. RNs, LPNs and LNAs
b. RNs only
c. State of New Hampshire
d.New Hampshire residents
2.What is one characteristic of the New Hampshire
Nurses Association?
a. Meets regularly with the Board of Nursing
b. Chairperson is appointed by the Governor
c. Elects a Board from its membership
d.Will assist in renewing your license
3.Decisions by the Board of Nursing are made
considering which document(s)?
a. Nurse Practice Act and Rules
b. State Laws and legislative opinions
c. Bylaws and Practice Standards
d.Legal advice from the Attorney General
4.Which organization has the authority to discontinue
your ability to practice nursing?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Association
5.Lobbyists work to support and guide the development
of legislation. In which organization would you find a
nurse lobbyist?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Association
6. Which meeting is open to the nursing public?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Association
7.If staffing standards were to be recommend to
employers, from which organization would the
recommendation come from?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Association
8.Which organization has public members involved in
decision making about your license?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Association
9.The New Hampshire Nurses Association is affiliated
with which organization?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Practitioners Association
c. National Council of State Boards
d.American Nurses Association
10.Which is the oldest organization in the state of New
Hampshire advocating for nurses?
a. New Hampshire Board of Nursing
b. New Hampshire Nurses Association
c. New Hampshire Hospital Association
d.New Hampshire Nurses Practitioners Association
Answers on Page 7
July, August, September 2014
So You Think You Want to
Go Back to School
Holly Clayton RN, MSN - Associate Editor
Member, NHNA Commission on Nursing Practice
The NHNA Commission on Nursing Practice examines current trends and seeks to
advance the profession of nursing. The commission develops educational programs
and “fosters the expansion of the knowledge base in nursing practice.” Recently, the
commission sponsored an Education Fair in collaboration with St. Joseph Hospital,
which clearly demonstrated commitment to these goals.
New Hampshire Nursing News • Page 5
9th Annual Clint
Jones Nursing Award
Bestowed
The Education Fair was held on March 31, 2014, in the Carl Amelio Room at St. Joseph
Hospital in Nashua. St. Joseph Hospital is a 208-bed hospital with Magnet designation
for nursing excellence.
Registered nurses interested in learning more about BSN and MSN programs, as well
as those interested in pursuing a career in nursing were invited to “walk-in” during this
four-hour event to learn about online and campus degree programs, and much more.
Representatives from schools and universities were on-site to provide information as
follows: Granite State College, Massachusetts College of Pharmacy and Health Sciences,
Plymouth State University, Rivier University and Southern New Hampshire University.
Also, Saint Anselm College, St. Joseph College of Maine, and Walden University.
Participants visited booths to learn about undergraduate and graduate nursing programs.
Three breakout sessions were offered. The first session, entitled “So You Think You
Want To Go Back To School!” provided participants the chance to speak with colleague
resources about their journey in obtaining a BSN or a masters degree in nursing.
Another session focused on using online platforms. Finally, a program entitled “Tips for
Financing Your Education” offered information on financial aid and how to navigate the
system.
Members of the NHNA Commission on Nursing Practice provided leadership and
expertise at the event: Co-chair Amanda Carmichael, RN, MBA of St. Joseph Hospital,
Co-chair Bonita Kershaw, RN, MSN of St. Joseph School of Nursing, and Destiny Brady,
MSN, RN, CCRN of Saint Anselm College. Amanda and Destiny spoke on mentoring
and manned the NHNA information table, visited by many participants. Members of St.
Joseph Hospital’s Nursing Professional Development Council were present and available
for individual discussions with hospital staff about advancing their education.
The Education Fair offered valuable information, resources and potential mentors to
assist participants in developing a plan for “going back to school.”
A fun, family-friendly, fresh air event
June 21, 2014 8:00 a.m. – 2:00p.m.
St. Anselm College – Manchester, NH
Rain Date: June 22
This edition of Nursing News is going to press prior to our health event. Watch our Fall
issue – and website plus Facebook page for photos! But in the meantime – we want to
offer special thanks to our event sponsors:
L to R: Beth Gustafson Wheeler from the Foundation for Healthy
Communities; Leslie Glines Jones, widow of Clint Jones; recipient
Elizabeth Kearns, RN; Pam Duchene, PhD., ARPN, VP of Nursing Services
and Patient Care, and St. Joseph Hospital CEO, Dr. Richard Boehler.
(Photo by Sheila Caron)
The Clint Jones Nursing Award was created in 2006 by the Foundation for Healthy
Communities to honor the memory of the former director of the Foundation’s N.H.
Nursing Workforce Partnership. The award recognizes a registered nurse practicing in
New Hampshire for at least one year but not more than six years, who exemplifies quality
nursing care and demonstrates a commitment to a career in nursing.
The 2014 recipient was Elizabeth Kearns, a cardiac nurse at St. Joseph Hospital in
Nashua. Kearns, a graduate of the New Hampshire Technical Institute in Concord
(now Concord’s Community College), began practicing at St. Joseph in 2010. “Liz is
one of St. Joseph Hospital’s finest nurses, proving cardiovascular nursing care that
reflects the St. Joseph Hospital vision of ‘Commitment, Compassion and Caring,’”
said Pam Duchene, PhD., ARPN, who is vice president of patient care and services at
the hospital. In nominating Kearns for the award, Duchene cited her participation in
the hospital’s Wound Care Committee, the Patient-Centered Care Committee, her
completion of a Progressive Care Certified Nurse program, her on-going pursuit of
a master’s degree in nursing and her knack for drawing anatomically correct images
of hearts on her patients’ communication boards. “Two of the things I love most about
Liz are her enthusiasm and her passion for continual improvement” noted co-worker
Paula Descheneau, RN. “In all of her roles, she is a champion for communicating
with patients and families, providing excellent education, and meeting people at their
own level.”
As she has every year, Clint’s wife, Leslie, attended the ceremony to present the award.
The region’s leader in nursing education
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Page 6 • New Hampshire Nursing News
July, August, September 2014
In Memory of Our Colleagues
The New Hampshire Nursing News reprints obituaries of
nurses who have graduated from New Hampshire nursing
schools or who have actively practiced in New Hampshire
over their career. Brief submissions are welcome.
Cath Lab Nurse
Janice (Brison) Nawoj, 61, died suddenly following a
brief illness on February 26, 2014, while on vacation in
Maine. A graduate of the Sacred Heart Hospital School
of Nursing she practiced at Catholic Medical Center as a
recovery room nurse, and then advanced to become the
clinical leader of the Cardiac Catheterization Lab.
Public Health Nurse
Mary (Duffy) Klimek, 81, passed away March 1, 2014 in
Virginia. She was a graduate of the former Moore General
Hospital School of Nursing in Goffstown. She practiced in
public health in New Jersey.
LPN to RN
Ernestine “Ernie” A. (Bennett) Bruns, 74, passed away
on March 6, 2014. A Berlin native, she attended White
Mountain Community College to obtain her LPN nursing
license and obtained employment with Androscoggin
Valley Hospital. While she maintained her employment
with AVH she continued her education and obtained her
associate’s degree. She retired as a registered nurse from
AVH in 2003.
Notre Dame Grad
Pauline Malenfant Lussier, 71 died
March 15, 2014. A graduate of the
former Notre Dame Hospital School of
Nursing she practiced acute care and
home care nursing.
Berlin LPN
Jacqueline E. Gagnon, 82 passed away April 3, 2014.
A Berlin native she worked at the Coos County Nursing
Home in Berlin for many years as a Licensed Practical
Nurse.
Concord Grad
Marion Rae (Hautanen) Peat, 79,
died April 4, 2014. A diploma graduate
of the Concord Hospital School of
Nursing she practiced for many years at
the Monadanock Community Hospital
in Peterborough. After moving to
Florida she was an office nurse.
UK Educated
Brenda (Coyle) Dutton, 68, died, April 22, 2014. Born
and educated in Liverpool, she practiced nursing for
over 50 years. She retired from nursing in 2011 from
Hampstead Hospital
Marion Peat
School Nurse
Phyllis
Irene
(Hamm)
Ryan,
78, passed aware April 9, 2014 in
Massachusetts. She practiced as a nurse
in the infirmary of the Phillips Exeter
Academy.
St. Joe’s Nurse
Pauline L. (Bazin) Mercier, 84,
passed away on April 3, 2014 she
practiced as a registered nurse at St.
Joseph Hospital for 35 years. Prior to
her retirement, she was an office nurse
for the Nashua Medical Group for 10
years.
NHTI Grad
Bonnie Lou (Berry) Wiseman, 72,
passed away April 24, 2014. She
graduated from the NH Technical
Institute and practiced for over
20 years as a registered nurse at
the Speare Memorial Hospital in
Plymouth.
Bonnie
Wiseman
Phyllis Ryan
Gero-Psych Nurse
Barbre L McMurray, 84, passed away
April 26, 2014 in Georgia. Educated
in Massachusetts she practiced at the
Rockingham County Nursing facility,
Hampstead Hospital and retired from
nursing at Portsmouth Hospital.
Concord Grad
Jane Betty Stevens, 78, died April
10, 2014. A diploma graduate of the
Concord Hospital School of Nursing
in 1953 she practiced for 45 years as
a private duty nurse and in acute care
including Elliot Hospital and Catholic
Medical Center.
Pauline
Lussier
Sacred Heart Grad
Katherine B (MacDonald) DuBeau, 93, died April 20,
2014. A NH native she was a diploma graduate of the
Sacred Heart Hospital School of Nursing and an active
member of the Catholic Nurses Association. Early in her
career she practiced at the former Sacred Heart Hospital
(now CMC) and then private duty at the Women’s Aid
Home.
Jane Stevens
Pediatric Nurse
Madlyn
“Coke”
(Chickering)
Snyder, 82, died April 16, 2014. She
was a 1952 diploma graduate of the
Elliot Community Hospital School of
Nursing. She retired from nursing in
2000 after practicing at the Cedarcrest
Children’s Home in Keene.
Barbre
McMurray
School Nurse
Ada May (Heal) Merrill, 83, passed away May 2, 2014.
A Hampton, NH native she was educated in Massachusetts
and practice office nursing for 15 years. She then spent
30 years as the school nurse at Lincoln Akerman and the
Barnard Schools in Hampton until her retirement.
Madlyn
Snyder
Pauline
Mercier
RN to BSN Program at
Saint Anselm College
www.anselm.edu/bsn-today
Advance with Excellence
in New Hampshire’s
Top Nursing Program.
•Online hybrid program
•Rolling admission
•Accelerated
•Flexible
(603) 641-7334
nursing@anselm.edu
Vermont Technical College is currently seeking candidates for staff Nursing Clinical Associate and
faculty Assistant Professor of Nursing positions in our Nursing programs at our various sites and
campuses throughout Vermont.
The Clinical Associate positions are part time, up to 28 hours a week, and do not include a benefits package. The
Assistant Professor of Nursing positions are full-time, tenure track and include VSCFF benefits package.
For more information about these and other available positions please visit our website, www.vtc.edu.
Vermont Technical College offers a 1+1 Associate Degree in Nursing. The first year is three semesters and culminates
with a Certificate in Practical Nursing. Candidates who complete the first year are eligible to sit for the NCLEX PN
exam. The second year consists of two semesters. Candidates must be LPNs to be considered for the second year of the
program.
Vermont Technical College delivers instruction at four traditional campuses (Bennington, Brattleboro, Randolph Center
and Williston). There are also two distinct “hybrid” campuses that deliver instruction via interactive television to the
following communities: Lyndonville, Middlebury, Newport, St. Albans, Springfield and White River Junction.
Our students tend to be “non-traditional”, many coming to our program with degrees and experience in other fields.
While there is diversity among our students’ backgrounds, there is a common goal to obtain nursing knowledge. Our
graduates consistently score above the National Average on the NCLEX.
To apply, send a completed VTC employment application, resume and cover letter to jobs@vtc.edu. Employment
application is available at http//www.vtc.edu. Employment is subject to results of a fingerprint supported criminal
background check.
Vermont Tech strongly encourages applications from members of ethnic minority groups and other under-represented
backgrounds. Vermont Tech is an Equal Opportunity Employer and a member of the Vermont State Colleges system. In
compliance with ADA requirements, we will make reasonable accommodations for the known disability of an otherwise
qualified applicant.
July, August, September 2014
New Hampshire Nursing News • Page 7
Answers for quiz on page 4
In My Opinion
Time to Cut Bait
Answers to the Professional Organization Quizlet
D-C-A-A-B-A-B-A-D-B
If you scored 10/10 congratulations! You are a
knowledgeable NH nurse.
Susan Fetzer, Phd. RN
Editor, NH Nursing News
degree. The 2020 goal will not be met if we only increase
the ratio 3 % per year!
If you scored 8 - 9 out of 10, you may need some
refresher.
My dear departed father dropped
out of school after eighth
grade, but he had the wisdom
of a college professor gained
from life experiences. One of
his favorite expressions when
someone was debating a choice
or action needed to be taken was
“It is time to fish or cut bait.”
It was his way of cautioning
against
procrastination
or
indecisiveness, behavior that we
can all be accused of one time or another. In the mind
of a fisherman, both fishing and cutting bait are equally
important to meet the goal of catching fish. But since bait
is now prepackaged, the term cutting bait actually refers
to cutting your fishing line and going home. I believe this
was my father’s interpretation. What does fishing and
bait cutting have to do with New Hampshire nursing?
Everything.
The best estimate is that New Hampshire is about 48th
among the 50 states in meeting the 80% goal. In 2010,
according to HRSA, 438 AD graduates and 211 BSN
graduates applied for a New Hampshire license. These
graduates represent 68% AD and 32% BSN; backward
not forward movement for an educated New Hampshire
workforce. In the past 4 years, the state’s nursing
leadership has attempted to move this ratio by introducing
new baccalaureate programs, Plymouth State, Keene
State, Mass College of Pharmacy, as well as introducing
completion programs, St. Anselm, Granite State, Franklin
Pierce, Southern New Hampshire and most recently Colby
Sawyer. But is this all we can do?
If you score under 6, time to read the Nurse Practice
Act and become a member of NHNA!
The Institute of Medicine Future of Nursing report
clearly recommends an increase in the percentage of
nurses prepared at the baccalaureate degree to 80% by
the year 2020. Research by Aiken and others has made it
abundantly clear that more education translates into better
outcomes. New Hampshire has 5 ½ years to accomplish
this goal, it is time to fish or cut bait.
In order to figure out where you are when you decide to
travel somewhere, it is always helpful to know where you
are when you start. Even your GPS has to get a “where
am I” bearing before it shows you the map. So where is
New Hampshire in the race to 80%? Sadly, it is anyone’s
guess. However, the Board of nursing has begun, with
the assistance of the NH Action Coalition, to collect this
information. We may have access to at least half of the
sample of nurses in the state by next year.
According to October 2013 HRSA data, 55% of US
nurses hold a BSN or higher. In 2010 55.6 % of nurse
graduates were awarded an associate degree (AD) while
48.4% received a BSN. Based on 2004 data (the best
available) about 10% of AD graduates go on for a higher
New Hampshire Nurses: PLEASE JOIN US!
The Center for Continuing Education in the Health Sciences (CCEHS)
at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire,
invites you to join us for one or more of our accredited continuing
nursing education programs held in convenient locations throughout
the state.
Please visit our website at http://med.dartmouth-hitchcock.org/ccehs
for more information and to register online. For questions, please
e-mail ccehs@hitchcock.org.
Dartmouth-Hitchcock Medical Center’s Nursing Continuing Education
Council is accredited as a provider of continuing nursing education
by the American Nurses Credentialing Center’s Commission on
Accreditation.
In 2007, the BON introduced a rule (602.16), supported by
the Nursing Chairs and Directors of Programs in the state
at the time, to require regional or national accreditation
for any new programs. While the recommendation by
the educators was to provide a three year window, this
criterion did not make it into the rule. However, new
programs have received national accreditation. Yet,
programs existing prior to 2007 were exempt from ever
seeking national accreditation. While the pre-2007
programs have to meet the minimum requirements
set by the BON, these are far less rigorous than the two
accrediting bodies, CCNE and NLNAC. And now we
know that three of these pre-2007 programs have been
placed on watch by the BON for losing accreditation
or dismally low passing rates of first time test takers.
According to the BON website Lakes Region Community
College posted a 52% pass rate in 2013 while White
Mountain Community College achieved a 67% rate.
Neither of these programs is presently accredited. It seems
it is time to cut bait.
To be clear, I am not advocating the closure of all associate
degree programs in the state. What I am suggesting is the
Board of Nursing take a hard look at the IOM report and
the strategies they will use to promote New Hampshire’s
nursing workforce education from the bottom of the barrel.
Not every University or Community College needs a
nursing program. Not everyone who wants to be a nurse,
should be a nurse. It is time to fish or cut bait.
You’ve always dreamed of
being a nurse.
Now find your dream job at
nursingALD.com
FREE
to
Nurses!
Page 8 • New Hampshire Nursing News
July, August, September 2014
Marijuana Legalization – the Basics
Tricia H. Lucas, Esq., Advocacy Director,
New Futures, Inc. (www.new-futurers.org)
Despite the substantial amount
of time and energy devoted to
marijuana bills during the 2014
New Hampshire legislative session,
significant
confusion
remains
concerning a number of critical
policy issues including the nature
and impact of the marijuana of
today, and the distinction between public policies that
would “decriminalize” possession of marijuana and those
that would “legalize’ marijuana
Marijuana Today
Marijuana potency is measured by its THC content (the
chemical component largely responsible for creating the
high and increasing the risk of panic attacks). Since 1983
when THC concentrations averaged below 4%, marijuana
potency has increased significantly as growers cultivate
plants for increased potency and profit. Potency now
exceeds an average of 10% with many samples in the 15%
- 25% range.
Today’s marijuana is not only about smokable plant
material. Marijuana today includes myriad marijuana
infused edible products, including breakfast food (“Pot
Tarts”), candy and other sweets (chocolate truffles, tiny
mints), cookies, sodas, and other beverages. It has been
reported that more than 50% of current retail marijuana
sales in Colorado are “Edibles.” Because Edibles are
sweet, tasty, and resemble commonly available food
products, they present a significant risk to children who
may consume them by accident and to business and other
organizations because the products are easy to conceal
and consume without detection.
Although marijuana is not as addictive as tobacco or
heroin, the dependency rate is one in every 11 adults
who has tried it and one in six adolescents who has ever
used the substance. The data regarding youth/young
adult dependence is of particular concern because 75%
Pictured here are marijuana-infused chocolate
chip cookies. Known as “marijuana edibles,”
they are currently sold in medical marijuana
dispensaries in several states. Colorado is the
first to report that toddlers and very young
children, some requiring intensive care, are
being brought to emergency rooms after
accidentally eating marijuana edibles and
overdosing. http://www.ilovegrowingmarijuana.
com/marijuana-edibles
Pictured here are Dixie Elixirs, marijuanainfused soft drinks in flavors popular with
children, including Sparkling Grapefruit,
Sparkling Mandarin, Sparkling Peach, Sparkling
Pomegranate, Sparkling Red Current, Sparkling
Blueberry, and Old Fashioned Sarsaparilla.
of past-year marijuana users initiated before age 18 and
90% before age 21. The negative impact of both casual
and chronic marijuana use during adolescence and early
adulthood - a time of ongoing brain development - is well
documented and includes significant abnormalities in two
key brain regions important to emotion and motivation;
cognitive impairment of 6 – 8 IQ points, which continues
into adulthood; and increased risk of experiencing
psychotic symptoms. Treatment admissions for marijuana
dependence have increased five-fold since 1991 and the
majority of such admissions are for youth and young
adults.
Decriminalization vs. Legalization
Under a policy of “decriminalization”, the production,
sale, and distribution of marijuana remain illegal and
subject to criminal penalties, but the penalties for the
possession of small amounts are reduced and treated as a
civil rather than a criminal matter. Although a definition
of decriminalization may be clear, when examining
“decriminalization” legislation, the devil is in the details
and includes such questions as: what constitutes a small
amount (one ounce = 40 – 60 joints); what use is permitted
(personal use/transfer it to others); age restrictions; and
graduated sanctions for multiple offenses.
In stark contrast to decriminalization, “legalization”
means that all components of the marijuana business
process would be legal – it would be legal to cultivate/
grow marijuana; manufacture marijuana products
(including high potency oils, tinctures, and Edibles);
distribute and sell marijuana products; and possess and
use marijuana products. Legalization will give rise to
the development of a commercial marijuana industry – a
network of growers, manufacturers, distributors and retail
establishments, all operating with a profit motive and the
incentive to increase consumption by the development of
high potency products and marketing to create new users
and maintaining heavy users. Legalization will result
in lower prices and significant increase in use by both
recreational and heavy users.
Only three jurisdictions – Colorado, Washington, and
Uruguay – have legalized marijuana and only Colorado
has implemented legalization. Colorado has seen rapid
commercialization with large scale indoor growing
facilities, high potency products, increased advertising,
an explosion of edible products, and a dramatic increase
in the number of retail marijuana stores. Colorado is also
seeing a number of immediate public health and safety
impacts – product safety concerns, increased emergency
room visits for children and for adults with symptoms of
overdose, and increased incidents of impaired driving.
Proponents of legalization suggest that taxation and
regulation of the commercial marijuana industry will
protect public health and safety. We need only examine
our experience with another legal addictive substance
– alcohol - to know that regulation has been largely
ineffective in controlling access, marketing, and the
adverse public health and safety impacts of alcohol use
and misuse. From our experience with Big Alcohol we
also know that the revenue received from regulation and
taxation will never compensate/remediate the economic
and public health and safety costs of the use and
misuse of legal marijuana. A December 2012 study by
PolEcon Research (The High Cost of Excessive Alcohol
Consumption in New Hampshire) concluded that while
the state received $140 million/year from the sale and
taxation of alcohol, the cost to the state of excessive
alcohol consumption was more than $1.5 billion annually
in lost productivity and earnings, increased expenditures
for health care and public safety costs.
NOTE: While decriminalization or legalization in New
Hampshire has not been voted in by New Hampshire the
New Hampshire Legislature, the Legislature did entertain
proposed legislation in 2014 for both. The implications for
nurses across all specialty practices, from school nurses
to emergency nursing, from home care to acute care are
considerable. These legislative initiatives will continue to
be on the New Hampshire Nurses Association watch list.
MARIJUANA ‘EDIBLES’ / product lookalikes. Most
of the graphics here are courtesy of National Families in
Action, Project SAM (Smart Approaches to Marijuana),
Treatment Research Institute in Atlanta.
These sodas are even more blatantly packaged
to appeal to kids….
Cannabissearch.com boasts that “marijuanainfused Jolly Ranchers are also a way to
medicate discreetly or in a public area... These
delicious treats are extremely potent, with a
strong danky, hashy flavor. Took between an
hour and an hour-and-a-half to kick in, but once
it did, it lasted for around 4 or 5 hours.”
Marijuana Legalization continued on page 9
July, August, September 2014
Marijuana Legalization continued from page 8
Cannabis Candies and lookalikes:
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nursing career?
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with the new r.n. to B.S.n. program!
granite.edu/nursing
11 locations in nH
online 24/7
on-site locations at
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New Hampshire Nursing News • Page 9
Page 10 • New Hampshire Nursing News
July, August, September 2014
CALL FOR NOMINEES
ATTENTION NHNA MEMBERS (and ‘not yet’ members*)
Take an active role in shaping your Association!
Expand your leadership skills.
Run for a Board office or join one of our Commissions.
INTENT to SERVE www.nhnurses.org
Submit by October 1, 2014
~~~~~
BOARD of DIRECTORS - positions on the ballot this year:
President Elect - performs duties as designated by the President and Board of Directors, and
assumes the duties of the President as necessary. (One year plus commitment to serve as
President & Past President for one year each.)
Board Secretary – accountable for record keeping and reporting of minutes of NHNA and its
Board of Directors. [Two year term.]
Director at Large – along with Board officers, participates in establishment and implementation
of NHNA policies and position statements, and assumes responsibility for fiscal solvency of the
Association. Current opening for the designated “recent grad” position - within 5 years of licensure.
COMMISSION Opportunities:
(two year terms - may be elected or appointed)
CONTINUING EDUCATION:: Review and grant ANCC approval for CE activities submitted by providers.
Experience in nursing staff development and with ANCC procedures required.
GOVERNMENT AFFAIRS: Study health issues and recommend effective legislative action; evaluate other
proposed legislation and recommend appropriate action to the NHNA Board. Assist with legislative events
.
NURSING PRACTICE: Develop programs & activities related to: educational & delivery systems for practice;
economics of practice & health care; rights and responsibilities of nurses; ANA Standards & Code for nurses.
Develop ‘white papers’ and policy statements of the
Association.
NOTE: ELECTION WILL BE CONDUCTED ONLINE
MAKE SURE WE HAVE YOUR EMAIL ADDRESS!
If you are not getting regular email notices, we probably don’t.
Send an update to: Office@nhnurses.org
Paper ballots will be available for members who do not have email.
*NHNA membership is required for these leadership positions another good reason to JOIN NOW if you haven’t already.
Now just $13 / month to be part of both NHNA & ANA.
Visit the Membership page of our site: www.nhnurses.org
July, August, September 2014
New Hampshire Nursing News • Page 11


NH NURSES’ ASSOCIATION 2014 Awards Banquet:


Wednesday, October 22nd 6:00 pm Holiday Inn - Concord
(Following the NHNA Annual Member Meeting at 5:00 p.m.)
This event is meant to recognize and celebrate not just individual award winners,
but the nursing profession itself.
Watch our website for further details : www.nhnurses.org
Sponsorship / exhibit opportunities available.
For awards to be conveyed - see Call for Nominations below .


•
DIRECT CARE NURSE of the YEAR - awarded to a registered nurse who exemplifies strength and passion
as a professional nurse in clinical practice using best practice standards, patient advocacy and community
involvement. This nurse is highly regarded as a leader among peers.
•
PROFESSION ADVANCEMENT - given to a registered nurse who has made a significant contribution towards
developing or advancing the professional practice of individuals or groups, or the art and science of nursing. The
contribution may be in one or more of the following categories: Education ( academic setting, staff development or
other ) ; Nursing Research; Evidence-Based Practice; Leadership, or Mentoring.
•
NURSE LEADER of the YEAR - awarded to the New Hampshire Nurse Leader who positively impacts her / his
healthcare organization by converting the challenges encountered in the workplace into great opportunities using
leadership skills. Eligibility for this award includes those employed in leadership roles as well as those who volunteer
for leadership positions within organizations.
•
CHAMPION of NURSING - for an employer / institution or individual who has had a positive impact on the profession
of nursing. This employer / institution or individual will have contributed by demonstrating characteristics and/or practices
that support individual nurses or the nursing profession.
PLEASE DOWNLOAD THE FULL INSTRUCTIONS FOR SUBMISSION FROM www.NHNURSES.org
Nominations for these categories are due by September 1, 2014
Page 12 • New Hampshire Nursing News
July, August, September 2014
On the Bookshelf
Suggested Summer Reading List
Reviewed and recommended by Alex Armitage,
MS, CNL, APRN-BC, FNP
Alexandra Armitage is a Nurse Practitioner and a
certified Clinical Nurse Leader, specializing in neurology
and neurosurgery; bringing evidence-based practice to
the bedside to improve patient care, patient outcomes and
institutional viability.
The Nerdy Nurse’s Guide to Technology
Brittney Wilson
Sigma Theta Tau International (2014)
Paperback, 192 pages
The Nerdy Nurse’s Guide
to Technology is a cleverly
written guide aimed at
eliminating technological
barriers for nurses. It
covers topics such as
why nurses and hospitals
need
social
media,
how connecting with
the
online
nursing
community may benefit
your
career,
how
nurses can use their
tech savvy to improve patient
care, how tablets can aid in
patient education and follow-up care and why electronic
documentation is better than paper charting. This guide is
Health Care Professionals
Northeast Health Care Quality Foundation
is Hiring!
• Registered Nurses
• Cardiac Health Nurse
• Nursing Home Specialists
• Program Directors
• Certified Diabetic Educators
• Health Informatics Professional
• Social Workers
•Pharmacist
• Media Communications Professional
The Northeast Health Care Quality Foundation’s Mission is
to “Advance excellent and efficient health care.” As the regional
Medicare Quality Improvement Organization (QIO) for Maine, New
Hampshire and Vermont, NHCQF is a leader in health care quality
improvement and is the 2009 recipient of CMS’s “QIO Champion
Award.”
With continuing and new programs, NHCQF needs dedicated
professionals for ALL of the above positions!
NHCQF is looking for a number of healthcare professionals
with backgrounds in any of the following areas: quality
improvement, healthcare informatics, electronic health records,
patient and staff education, project management, communications
and website maintenance. Candidates should have experience
working in hospitals, nursing homes, physician offices or other
health care related settings.
If you have a passion for quality improvement, a positive
mindset and have experience in or relevant to any of these
positions listed above, we encourage you to apply for a position in
our organization and join our staff of about 25 employees.
Extensive travel in Maine, New Hampshire and Vermont is
involved. These positions are full time, Monday – Friday,
based in our Dover, NH office. All of these positions are
“administrative” and do not involve direct patient care. NHCQF
offers competitive salaries, a comprehensive benefits package
and a culture of performance excellence.
Please forward a letter of interest, your salary history and
requirement and your resume to:
Robert A. Aurilio, FACHE
President & Chief Executive Officer
15 Old Rollinsford Road, Suite 302
Dover New Hampshire 03820
Applications without explicit salary history and requirement
will not be considered.
No phone calls or solicitors/recruiters please!
NHCQF is an Equal Oportunity Employer
an excellent tool for both the novice and the experienced
user alike. The Nerdy Nurse’s Guide to Technology is
written in a lively and engaging manner. It will help nurses
become more comfortable with technology and solidify
them as assets to their employers.
Anatomy of Writing for Publication for Nurses,
2nd Edition
Cynthia Saver
Sigma Theta Tau International (2014)
Paperback, 456 pages
Anatomy of Writing for
Publication for Nurses is a
monumental work which
describes the essence of
writing for publication
in all forms. The book
begins with Section 1
which describes the
basics of publishing.
Starting at how to
select a topic it
helps
the
reader
through
sourcing,
organization, effective
writing,
submissions,
publishing, legalities and marketing. Section 2 covers
writing for different types of articles from writing a
nursing narrative to authoring a scholarly journal article or
even a book or book chapter. The second edition is fully
revised and updated with 4 new chapters. This book forms
an outstanding foundation for nurses in any capacity who
chose to or are required to write. Its strength lies in the
depth and clarity of writing coupled with real examples
and helpful tips. This is a foundational text which bridges
all nursing disciplines and educational levels.
Hanover Terrace Health & Rehabilitation Center is the only free standing,
not for profit Skilled Nursing Facility in the Upper Valley. We are
dedicated to providing the finest short term rehabilitation and dementia
care in the area.
We are currently seeking
Licensed Nurses- RNs and LPNs
Requirements: graduation from an accredited school of nursing
and current NH RN or LPN license.
As a not for profit facility that’s part of the Chestnut Health
Services family, we are committed to providing a superior work
environment so our staff can focus on providing the best care and
treatment for our residents every day.
If you share our philosophy of quality service,
please call us to learn more at 603-643-2854
Hanover Terrace Health and Rehabilitation Center
Night Shift Nursing: Savvy Solutions for a
Healthy Lifestyle
Katherine Pakieser-Reed
Sigma Theta Tau International (2014)
Paperback, 167 pages
Night
Shift
Nursing:
Savvy Solutions for a
Healthy Lifestyle is a
practical little book that
clearly consolidates the
best answers to some of
the biggest challenges
facing
night
sift
nursing. While working
the night shift has
advantages, we also
know that there are
health consequences
i n c l u d i n g
increased risk of
ca rdiovascula r
disease,
diabetes,
obesity,
cancer
and
sleep disorders. In addition, working the night shift can
cause social and professional isolation. Strategies are
provided to enhance health, well-being and to promote life
balance. This is a must read for both the novice and the
experienced nurse employed in shift work positions.
Clinical Research Manual: Practical Tools and
Templates for Managing Clinical Research
R. Jennifer Cavalieri and Mark E. Rupp
Sigma Theta Tau International (2013)
Paperback, 262 pages
In
Clinical
Research
Manual:
Practical
Tools
and
Templates
for Managing Clinical
Research
a
leading
clinical
research
coordinator and a top
clinical researcher have
collaborated to provide
a
comprehensive
reference
for
managing
clinical
trials. This volume
covers the essential
elements of conducting
clinical trials in the health care setting. It offers templates
and practical strategies to serve as a springboard for
solving the logistical challenges faced by research
professionals, such as study feasibility, budgeting and
managing risk. This is a must-have book for anyone
working in the day-to-day operations of clinical research.
Drug free/EOE
Join NHNA
Today!
Application on
page 19 or
join online at
www.NHNurses.org
July, August, September 2014
New Hampshire Nursing News • Page 13
Reflections of a Retiring CNO
Linda von Reyn, PhD, RN
from clinical to administrative positions, one can not help
but reflect back on what was most important in a career
when making a decision to retire. For me personally, four
themes rise to the top as what was most important on my
career path.
1)Interacting with a patient during their most intimate
experiences creates lasting impact and memories for
everyone.
Linda and her parents - 1972 graduation
Although this confession will certainly “date me,” I
remember quite well my capping ceremony when I received
my white cap with a thin grey ribbon across the top. The
year was 1972 and this ceremony signified that I had
become a first year nursing student at Mary Hitchcock
Memorial Hospital School of Nursing. I still have a photo
of me in my gray and white student nurse uniform, hair
cut super short so it would be off my collar (which was the
requirement) and smiling from ear to ear. I was excited
about the adventures ahead of me.
Over the next three years I learned to live away from my
parents, manage my money, met lifelong friends, and had
lots of fun (although some adventures earned me a scolding
from the housemother). I also learned to care for many
types of patients with a variety of issues, had my first
experience of my patient dying, realized that little kids got
sick too, and gradually developed into a competent student
nurse. I remember vividly, sitting in my dorm room at
midnight early in my first year, studying for an anatomy
exam and coming to the realization that nursing school
was hard and I was actually going to have to study if I
was going to get through it. Well, get through it I did and
three years after my capping ceremony I participated in my
graduation ceremony launching me into a nursing career
that would far exceed my wildest imagination.
In March 2014, I retired from formal nursing practice after
39 years of continuous service as a professional registered
nurse. I never regretted my decision to become a nurse,
although to be honest, it was not actually my idea. When
a junior in high school I asked my guidance councilor, Mr.
Plante, what were good careers that I might consider? Given
his advice was delivered in 1971, it is not surprising that his
answer was “the best careers for women are nursing and
teaching.” He also said it did not matter if I got a nursing
diploma or a BS in nursing – and of course we know now
that it does matter but at the time the evidence for this
position had not been established.
The opportunities and experiences of 39 years are ones
that were hard earned and often unexpected. My greatest
realization over this time was that nursing provides endless
opportunities if one is willing to take them. My favorite
bit of counsel for novice nurses is “if a door opens, walk
through it – you never know what might happen on the
other side.” This phrase perfectly fits my career as I took
advantage of many unexpected opportunities that ultimately
led to a final career position of Chief Nursing Officer
(CNO) at an academic medical center. On June 6, 1975 as
I walked across the stage to receive my nursing diploma,
I did not imagined that my career would proceed in this
way. Even more ironic is the fact that my medical center
is located in my hometown and the local paper could have
accurately used a phrase like “local girl makes it big” to
describe my advancement to a CNO position. Despite my
mother never completely understanding my role, she was
certainly proud of it and told everyone she met about it.
Although I could write almost endlessly about the various
stages of my nursing career: moving to, working in, and
returning home from Baltimore, completing baccalaureate,
master’s and doctoral programs in nursing, and moving
A nurse develops a relationship with a patient during
times that are often the most intimate and frightening
for the patient and their family. You, the nurse, can make
the experience tolerable or you can make it more difficult
by your demeanor, your words, and your actions. My
natural tendency and my choice were to teach, nurture, and
encourage my patients. This choice, combined with solid
nursing skills, never steered me in the wrong direction
and I have many cards, letters and notes from patients
expressing their appreciation for my practice. A habit I
started early in my career was keeping every card and note
a patient gave me. Occasionally I go back through these
notes and remember vividly the situation of each patient and
I am confident that many of them still remember the same
situations and my role of supporting them. Think of how
often you hear someone way “I could not have done this
without your help.” As a nurse, you are privileged to engage
with other people in this way – protect and preserve your
role as a member of the most trusted profession.
2) Continuous learning is essential
Every nurse can attest to the speed with which technologies,
medical treatments and nursing practices change. Rapid
technology changes did not seem so prevalent in the
early years of my career – although I remember new fetal
monitoring technologies that fundamentally changed how
we cared for women in childbirth, which was my clinical
specialty. Continually learning about how best to care for
patients is critical to the best outcomes. This learning can
be in the form of staff education and continuing education.
As importantly however, is the professional growth
and development that comes with increased academic
preparation.
Although no one encouraged me at the time, I decided to
continue my formal education for a BSN within a year of
graduating with my Diploma. I attended a community
college across the street from my apartment to get credit
for everything I had learned in my diploma program –
chemistry, anatomy, growth and development. I could
test out of some of the courses but many were repeated.
In hindsight, going to a BSN program out of high school
would have been quicker but that was not the path. Rather
I grew daily in my nursing skill through my formal practice
while completing my BSN “on the side.” I was not quite
done however; over the next 20 years I completed a master’s
degree and doctoral degree in nursing. My family began to
wonder if I would ever stop going to school. At the time I
did not necessarily need the degrees for my current role but
I wanted them and having them proved to be advantageous
in future opportunities. I have never regretted the effort
expended to achieve these degrees and now more than ever,
understand that continuous learning is essential for the best
outcomes for our patients and the best opportunities for
each of us.
participation in professional nursing organizations. If you
are interested in being involved, there is always something
you can do and it will enrich your career as a nurse.
4) Take every opportunity that comes your way – you never
know where it will take you
This phrase epitomizes my career. I established myself
firmly as a specialist in obstetrical nursing practice,
working as a Clinical Nurse Specialist and focusing
specifically on this area of nursing. After more than 20
years in my specialty and many fabulous adventures, I was
offered an opportunity to try something really different. I
was not unhappy in my role and actually loved what I was
doing but the offer came from someone I really respected
who felt I could make an impact in a different way for a
larger group of patients and nurses. I would have an
opportunity to work directly with a respected colleague
whom I admired. With some trepidation I accepted the
offer and veered dramatically from the career path on
which I was traveling. I was back to being a “novice” and
had many new things to learn.
Interestingly, my colleague accepted a job offer in
a different state just one year later. Our day-to-day
collaboration was cut short and I found myself in a new,
interim leadership role that presented different situations
almost daily. I learned from each one of them however
and many led to additional opportunities and growth,
although they were not always easy or comfortable. The
final opportunity afforded me was a chief nursing officer
position, one I never imaged I would hold, one that put me
initially back into a “novice” situation, and one which was
the most humbling and rewarding way to bring my formal
career to a close.
Making the decision to retire is an interesting one. Being
a nurse defined me more than any other descriptor; what
would I be if I were not doing that formally anymore? As
a Chief Nursing Officer I had many responsibilities and
nurses counted on me to provide what they needed to care
for patients. Although the position is a step away from the
activities of the patient care unit, the decisions made by
the CNO have a tremendous impact on the work life of the
nurse and the conditions for patient care. I observed and
learned daily of extraordinary efforts taken by nurses and
other allied health professionals to provide patients with
what was needed both physically and emotionally. These
situations gave rise to feelings of tremendous pride in the
professionalism and dedication of the members of the
nursing staff as well as other professionals doing their best
for patients and families. It provided daily determination to
make the best decisions possible.
After much consideration however, it became clear to me
that it was the right time to walk through yet another door
– and take the step into retirement. There was a great team
ahead of me able to take responsibility for the work and my
husband eagerly awaited the adventures made possible with
me having the time to explore. I am very lucky indeed, a
career beyond imagination and the promise of a retirement
with similar opportunity.
Dr. von Reyn has been a long time member of NHNA,
active on our Government Affairs Commission.
3)Participation in professional organizations leads to
learning, growth, and lifelong friends.
Early in my career I joined the Nurses Association of the
American College of Obstetricians and Gynecologists
– NAACOG, which is now known as AWHONN, the
Association of Women’s Health, Obstetrical, and Neonatal
Nurses. As much as my day-to-day work, my membership
in this organization assisted in my professional growth and
development. The educational events targeted my specialty
practice needs and introduced me to many dedicated and
interesting colleagues. I volunteered for the organization
and eventually held a formal state level position. I had
opportunities to travel and network nationally with other
nurses experiencing similar practice challenges. Even today
I meet colleagues from the early years of my practice at
professional meetings and we can visit and laugh as if we
had worked together yesterday.
This early involvement in a specialty organization led to
membership in national organizations such as the American
Nurses Association and Sigma Theta Tau International
Honor Society for Nursing as well as state level associations
such as New Hampshire Nurses Association. Almost all
of my professional growth opportunities occurred through
Dan Jantzen, Dartmouth Hitchcock COO, with
Linda von Reyn at her retirement celebration.
Page 14 • New Hampshire Nursing News
July, August, September 2014
NHNA Student of the Year - 2014
transfer classroom knowledge to the clinical setting”
where she cares for her patients in a “kind, competent
and compassionate manner”, unafraid to advocate for
their needs. She completed an “Honors thesis on research
pertaining to nocturnal enuresis in children and its
relationship to adverse childhood experiences” with
findings presented at the college and to Sigma Theta Tau.
In 2013 she was awarded a ten-week summer
Undergraduate Research Fellowship in Nursing from
Dartmouth Hitchcock Medical Center. Wrote her peer
nominator: “Instead of just getting a basic LNA job at
her local hospital, Caleigh reached out and applied for
this research position. She knew that this job would be
more challenging, pay less, and require more of her but
she took it anyway. Nursing research is much needed
in this day and age, and to have already as a nursing
student, taken part in a research study shows Caleigh’s
leadership in and dedication to nursing.”
As a leader involved with both her school and
community, Caleigh served on multiple nursing panels
for the Office of Admission and also on the Saint
Anselm Health Committee. She helped organize the
Great American Smoke Out on campus as well as a
Relay for Life event and acted as Community Service
Chair for the Daughters of Isabella Service Organization
on campus. Other volunteer activities include: Campus
Ministry Service; work at the New Horizons Soup
Kitchen; participation in the American Cross Blood
Drive and the American Breast Cancer Walk.
Caleigh MacDonald (L) receives the
NHNA Student of the Year Award from
President Bockenhauer
The NHNA Student of the Year award is given to a
student nurse in an entry program who embodies all
the finest qualities of nursing: caring, professionalism,
advocacy, leadership and involvement.
CONGRATULATIONS, CALEIGH!
Special recognition and best wishes also go to the
following students who were chosen as the top candidate
from their respective schools – with thanks to the faculty
and peers who took the time to nominate them.
Nominations were reviewed by NHNA’s Commission on
Nursing Practice who reviewed the candidates submitted
by New Hampshire nursing programs. Ultimately they
selected Caleigh MacDonald of St. Anselm College
who was presented with the award by NHNA President,
Barbarajo Bockenhauer, at the college on May 15th.
In addition to the award statue, the recipient receives
a complimentary registration for the NHNA awards
banquet to be held October 22nd, and a one year
membership in ANA and NHNA to be activated upon
licensure.
Just a few exemplars from Ms. MacDonald’s nomination:
As a scholar, Caleigh is described as an “excellent
student who consistently demonstrates an ability to
Amy Charissa
Jones – Great
Bay Community
College
Kate Morris –
Colby Sawyer
College
How Politically
Astute Are You?
Bobbie D. Bagley, RN, MS, MPH, CPH
Policy, Politics and the Nursing
Profession Instructor
Division of Nursing
Director of Public Health
Rivier University
On the first day of my policy
class, post licensure nursing
students take a politically
astuteness inventory to assess
their political knowledge. The
students are usually new nurses
and many have not had the
experience or opportunity to
get involved politically. After
completion of the survey, many
usually fall between the 0-9
points, which indicates being
totally politically unaware. By midterm, the students
have increased their political astuteness to slightly
aware of the implications of political activity for nursing
and by the end of the course, over 75% have progressed
20-29 points to showing a beginning of political
awareness.
The students participate in a number of activities
over the course of the semester to improve their
understanding of the political process and the
importance of their role as nurses in policy and politics.
They have the opportunity to learn how bills become
laws, read and analyze legislation and speak to their
legislators. The students also participated in the NHNA
Legislative Forum Policy Day Event! This event was the
highlight of the class for many of the students.
This semester the students worked on an assignment to
create policy statements on health issues of importance
to them. A couple of the groups chose to focus on
legislative issues that were introduced to them during
the Legislative Forum Policy Day Event. The students
worked on the issues they identified throughout the
semester, analyzing the language of the bills and
researching bills in other states on the issue. As an
instructor it is great to see when students make the
connection and see how what they are learning is
applicable to their profession! A group of students
presented their policy statement of HB 1351 as a poster
presentation at the Rivier University 2nd Annual
Health Policy Summit! It was impressive to witness
their growth in knowledge and confidence in their
understanding of the issues as they presented them
during the event.
During an assessment at the end of the semester,
students commented that the NHNA Legislative Forum
Policy Day Event was their “AHA moment” in policy
and politics. They said did not realize how much nurses
could be involved and make such an impact in health
policy.
As a political advocate, I always look forward to
working with new nurses, putting them on the path and
engaging them in the political process!
We are currently hiring for various positions:
• Registered Nurses (Medical/Surgical, ED, ICU – per diem)
• Registered Nurses (Emergency Department – full-time)
• Nurse Practitioner (Home Based Primary Care – Brattleboro/
Bennington, VT)
• Certified Nursing Assistants
• Registered Nurse (Operating Room – part time and full-time)
• Nurse Manager (Inpatient Mental Health)
• Registered Nurse – Utilization Management
• Certified Registered Nurse Anesthetist
Employment at the VA Medical Center affords future members
very competitive salaries and a comprehensive federal benefits
package, with the key benefits of health care and life insurance
coverage which continues into one’s retirement.
For more information and how to apply for any of the
positions above, please go to www.usajobs.gov.
If you have any questions,
please call Human Resources
at (802) 295-9363 Ext. 5350.
The Department of Veterans
Affairs Medical Center,
White River Jct., VT is an
Equal Opportunity Employer
“Caring for Our Nation’s Veterans”
Rebecca Narkunas
– Rivier University
Francine Clement – Lakes Region Community College
Antoinette Lantiegne – Manchester Community
College
We have no doubt that each of these new graduates will
be a credit to the nursing profession!
23RD ANNUAL Professional Development Conference
with Karen Gould & Dianna Christmas
EARN CE CREDITS!
lunch included
Substance Use Treatment
and Recovery in Families
FRIDAY, OCTOBER 24, 2014 8:45am – 3:30pm
at Kurn Hattin Homes for Children in Westminster, VT
REGISTER TODAY:
conference.kurnhattin.org
RN-BS students in the photo are:
Kymm Dennis, Elizabeth McCarthy,
Elizabeth Ryan and Nicole Huvila.
July, August, September 2014
New Hampshire Nursing News • Page 15
Kudos
Congratulations to retired Navy nurse, Captain Ann Darby
Reynolds who was the recipient of the Margaret Sullivan
Chapter DAR Women in American History award. Reynolds
was deployed to Saigon, Station Hospital, South Vietnam
in December 1963 and at age 25 was the youngest nurse
stationed in that area. As a surgical and ICU nurse she was
wounded on Christmas Eve 1964 when a bomb exploded
nearby. Still suffering from her leg wound she continued
to treat victims at the scene. A recipient of a Purple Heart,
she served in Vietnam until March 1965. She retired from
the Navy in 1988, after 26 ½ years, serving as chief nurse
at several naval hospitals. Darby was a 1961 graduate of St.
Anselm’s School of Nursing and received the Alumni Award of Merit in 2013.
The VA Medical Center in Manchester awarded APRN of the Year to Mark Sughrue
– Cardiology, and RN of the Year to Susan Honeywell – Primary Care.
Susan Honeywell
Mark Sughrue
At New Hampshire Hospital: The 2014 Sandra M. Davis Excellence in Nursing Award
was given to Michelle Barnum, RN-BC, Nurse Specialist on J Unit.
Darby (right) accepting her award
Congratulations also to these award winners:
At Southern NH Medical Center, Beth Rothstein, RN was named Nurse leader of the
Year for her many positive accomplishments in in their NICU, and Rob Beaudry, RN,
was awarded 2014 Nurse of the Year for his exemplary work in ICU.
Rob Beaudry
Huggins Hospital
Seeking experienced
Nurse Practitioner to join
our Hospitalist Team.
No Call, No Weekends,
No Nights.
For more information or to
apply, visit
www.hugginshospital.org
click on “Careers.”
Only online applications
are accepted.
240 South Main Street,
Wolfeboro, NH 03894
www.hugginshospital.org
Beth Rothstein
Page 16 • New Hampshire Nursing News
July, August, September 2014
Welcome New & Reinstated Members
Stephanie Ballentine
Jennifer Boucher
Danielle Boudreau
Ann Bowman
Melissa Brodeur
Maria Brush
Joyce Butterworth
Cynthia Cahoon
Stacey Carroll
Susan Carty
Marie Carvalho
Jennifer Cassidy
Maryann Chiavelli
Lisa Cornette
Heather Coulter
Jamye Cutter
Melinda Daigle
Barbara Desjardins
Dawn Dionne
Rhiannon Doherty
Colleen Ergin
Julie Ferland
Lindsay Fuller
Nashua, NH
Amherst, NH
Hudson, NH
Concord, NH
Nashua, NH
Rochester, NH
Penacook, NH
Peterborough, NH
Derry, NH
Nashua, NH
Sandown, NH
Rindge, NH
Nashua, NH
Hollis, NH
Londonderry, NH
Bow, NH
Manchester, NH
Exeter, NH
Manchester, NH
Hudson, NH
Windham, NH
Glen, NH
Londonderry, NH
Maureen Gardella
Lauren Goodwin
Katie Hansen
Julia Hewes
Catherine Holub-Smith
Rachel Humphrey
Laurie Jorgenson
Millicent Kasten
Rebecca Kilcullen
Susan Kinney
Elise Kraus
Rebecca Lacasse
Lynn Lagasse
Lorna Landry
Pamela Leclair
Emily Lemire
Stacie Levesque
Carol Long
Alison Lovett
Tuftonboro, NH
Jill Macgregor
Tracy Mailhot
Betsy McCluskey
Grantham, NH
Windham, NH
Raymond, NH
Portsmouth, NH
Concord, NH
Bedford, NH
Campton, NH
Thetford, VT
Rochester, NH
Manchester, NH
Stoddard, NH
Alexandria, NH
Lempster, NH
Concord, NH
Gilford, NH
Weare, NH
Salem, NH
Concord, NH
Center
Amherst, NH
Manchester, NH
Hampstead, NH
Ann McColgan
Brooke McLain
Leif Moore
Marianne Morrison
Elizabeth Mundy
Kelly Murphy
Laurie Murray
Patricia Novello
Virginia O’Dell
John Ohara
Mary O’Neill
Jenna Parsons
Cathy Pelonzi
Judi Pestka
Brian Pinelle
Emily Poe
Bobbie Jo Rean
Ellen Reeves
Stephanie Riley
Emily Roy
Kate Schimmel
Caroline Schneeman
Stephanie Shirley
Manchester, NH
Concord, NH
Marlborough, NH
Windham, NH
Bristol, NH
Dover, NH
Newmarket, NH
Greenland, NH
Keene, NH
Gilford, NH
Hooksett, NH
Bradford, VT
Raymond, NH
Derry, NH
Londonderry, NH
Hebron, NH
Rochester, NH
Rochester, NH
Concord, NH
Rochester, NH
Exeter, NH
Wilton, NH
Chester, NH
Lisa Marie Sinotte
Jenny Smith
Lisa Smith Brunelle
Alicia Soucy
Nathalie Strickrott
Kasey Talon
Valerie Tate
Michele Tiano
Sarah Tomlin
DD Travers
Donna Trespas
Julie Waisanen
Sharon Wareing
Paula Wellde
Holly Wentworth
Donna Wheeler
Flor Whittaker
Richard Williams
Lisa Wunderlich
Lisa Young
Sharon Yunghans
Manchester, NH
New Boston, NH
Hooksett, NH
Raymond, NH
Gilford, NH
Nottingham, NH
Bath, NH
Merrimack, NH
Hanover, NH
Manchester, NH
Brookline, NH
Boscawen, NH
Concord, NH
Rye, NH
Tilton, NH
Belmont, NH
Concord, NH
Manchester, NH
Rochester, NH
Goffstown, NH
Plymouth, NH
Nurses Week 2014
Thank you to the facilities who invited NHNA to take part in their festivities and share ANA-NHNA membership information.
Catholic Medical Center invited us to take part
in their special Magnet Fair on May 8th. Poster
presentations from each unit were highlighted.
Southern NH Medical Center held a breakfast on May 6th – the official National Nurses Day, where the docs
make some very tasty omelets for staff…and several internal Magnet awards are conveyed. Each unit creates a
unique gift basket to be raffled. [Love the graduation caps!]
Carmen Petrin of the CMC Heart
Institute and NHNA Board.
The VA Medical Center in Manchester held their
annual luncheon and award ceremony on May 8th –
with management serving their nursing staff.
NOTE: Favorite posting viewed that week was at
SNHMC. Nursing has come a long way – thank goodness!
The following job description was given to floor
nurses by a hospital in 1887:
In addition to caring for your 50 patients,
each nurse will follow these regulations:
1. Daily sweep and mop the floors of your ward, dust
the patient’s furniture and window sills.
2.Maintain an even temperature in your ward by
bringing in a scuttle of coal for the day’s business.
3. Light is important to observe the patient’s condition.
Therefore, each day fill kerosene lamps, clean
chimneys and trim wicks. Wash the windows once a
week.
4.The nurse’s notes are important in aiding the
physician’s work. Make your pens carefully; you
may whittle nibs to your individual taste.
5. Each nurse on day duty will report every day at 7
a.m. and leave at 8 p.m. except on the Sabbath on
which day you will be off from 12 noon to 2 p.m.
6. Graduate nurses in good standing with the director
of nurses will be given an evening off each week for
courting purposes or two evenings a week if you go
regularly to church.
7. Each nurse should lay aside from each pay day a
goodly sum of her earnings for her benefits during
her declining years so that she will not become a
burden. For example, if you earn $30 a month you
should set aside $15.
8. Any nurse who smokes, uses liquor in any form,
gets her hair done at a beauty shop, or frequents
dance halls will give the director of nurses good
reason to suspect her worth, intentions and integrity.
9. The nurse who performs her labors and serves her
patients and doctors without fault for five years will
be given an increase of five cents a day, providing
there are no hospital debts outstanding.
July, August, September 2014
New Hampshire Nursing News • Page 17
ANA News
Appraisal Aims at
Broad View of RNs’
Health, Wellness,
Safety on Job
HealthyNurse™ Program Seeks to
Position RNs as Role Models
Registered nurses (RNs) constantly evaluate the health
and wellness of their patients and provide guidance and
educational resources. But how many RNs really know the
status of their health, and how to improve their wellness?
Now RNs can compare their health, safety and wellness
to the overall U.S. population and other nurses within
demographic categories, including nursing specialty,
by taking the American Nurses Association’s (ANA)
new HealthyNurseTM Health Risk Appraisal, which
was developed in collaboration with Pfizer, Inc. This
HIPAA-compliant online survey also allows nurses to
assess workplace risks such as patient-lifting injuries and
workplace violence.
The appraisal is a component of ANA’s HealthyNurseTM
program, which encourages nurses to focus on self-care
so they can be at their healthiest – physically, mentally,
emotionally and spiritually – to provide the highest quality
of care and serve as role models, advocates, and educators
for their patients.
“When we model the healthiest behaviors ourselves, it
becomes easier to help our patients to do the best things
for their health,” said ANA President Karen A. Daley,
PhD, RN, FAAN. “This appraisal will help nurses to
optimize their health and serve as an online check-up on
the health risks they face in their personal and work lives.”
Could you use a MENTOR?
A COACH? An objective ADVISOR?
Or do you have expertise to share?
Visit the new ADVICE CORNER
at www.nhnurses.org
to review the profiles of our current
volunteer advisors and find out more.
ANA defines a healthy nurse as one who “actively focuses
on creating and maintaining a balance and synergy of
physical, intellectual, emotional, social, spiritual, personal
and professional well-being,” and who “lives life to the
fullest capacity, across the wellness/illness continuum,
as they become stronger role models, advocates and
educators, personally, for their families, their communities
and work environments, and ultimately for their patients.”
ANA’s concept of a healthy nurse includes five aspects
that enable nurses to function at their highest potential: 1)
Calling to care; 2) Priority to self-care; 3) Opportunity to
serve as a role model; 4) Responsibility to educate; and 5)
Authority to advocate.
All RNs and RN nursing students are encouraged to take
the appraisal for free and access the Web Wellness Portal
at: www.ANAhra.org.
Health Care
“All day, every day, we make life better.”
Positions available
RNs & LPNs
Full Time 3-11 or Per Diem
IV certification and experience is preferred for nurses, but we
will train. This is an opportunity you do not want to pass up.
For more information, or to set up an interview, please
contact Human Resources (603) 542-9511 ext. 286 or
humanresources@sullivancountynh.gov
5 Nursing Home Drive
Unity, NH 03743
shire Retirement
amp
W
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wH
a
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Ne
The appraisal, which takes 20 to 30 minutes to complete,
will become a continually accumulating database that will
enhance the nursing profession’s ability to track trends and
set policy and advocacy priorities and strategies. ANA
has recognized a lack of current data on nurses’ health
and work environment, or demographic comparisons to
national health benchmarks. The most applicable data, the
Nurses’ Health Study from the Harvard School of Public
Health, is more limited in topics and focuses on women’s
health issues.
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“As within the nursing profession, at Pfizer health and
wellness is a priority. We are delighted to be partnering
with ANA to enable nurses, our largest health care
professional group who are closest to patients, to take a
proactive approach to their own health. A healthy nurse
promotes a healthy nation,” said Paula R. DeCola, MSc,
RN, Pfizer senior director, external medical affairs.
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The data-gathering tool is combined with an interactive
“Web Wellness Portal,” a website for respondents to obtain
information and educational resources based on their
interests, workplace conditions and results in areas such
as fitness, nutrition, stress management, health screenings,
sleep and tobacco and alcohol use.
Page 18 • New Hampshire Nursing News
July, August, September 2014
ANA News
American Nurses
Association Elects Pamela
Cipriano as President
Representatives elect officers, board and
committee members
Fatigued Nurses More
Likely to Regret Their
Clinical Decisions
A study in American Journal of Critical Care links
nurse fatigue to increased decision regret
New ANA President, Pamela Cipriano flanked by NHNA Assembly Reps
BJ Bockenhauer and Amanda Carmichael
Representatives at the American Nurses Association’s (ANA) Membership Assembly
today elected Pamela Cipriano, PhD, RN, NEA-BC, FAAN, of Charlottesville,Va.,
to serve as president of the professional association that represents the interests of the
nation’s 3.1 million registered nurses (RNs).
The voting representatives of ANA’s Membership Assembly also elected three other
members to serve as officers of the 10-member board of directors.
Cipriano, senior director at Galloway Consulting, which helps hospital groups, health
care payers and providers improve their operations, outcomes and profits, succeeds
Karen A. Daley, PhD, RN, FAAN. Cipriano, who is also a research associate professor
at the University of Virginia School of Nursing, served as the inaugural editor-in-chief of
ANA’s official journal, American Nurse Today, and is a member of the Virginia Nurses
Association.
Cipriano oversaw more than 3,000 University of Virginia Health Systems employees as
the chief clinical officer and chief nursing officer. She earned her doctorate in executive
nursing administration from the University of Utah in 1992 and a master’s of science
in physiological nursing from the University of Washington in 1981. She previously
served two terms on the ANA Board of Directors, including one term as treasurer, and
has served for more than 30 years on state and national committees for ANA and the
American Academy of Nursing. From 2010 to 2011, Cipriano served as the Distinguished
Nurse Scholar in Residence at the Institute of Medicine, where she helped study the
safety of health information technology assisted care.

She currently chairs the Task Force on Care Coordination at the American Academy of
Nursing.
“This is indeed the most impressive honor in my entire career. I look forward to working
with you to serve nurses, improve the safety and quality of care for our patients, and
continue to transform our nation’s health,” Cipriano told 350 nurses attending ANA’s
annual Membership Assembly, the association’s governing body.
Elected as officers were Vice President Cindy R. Balkstra, MS, RN, ACNS-BC, Georgia
Nurses Association; Secretary Patricia Travis, PhD, RN, CCRP, Maryland Nurses
Association; and Treasurer Gingy Harshey-Meade, MSN, RN, CAE, NEA-BC, Ohio
Nurses Association and Indiana State Nurses Association.
Jesse M. L. Kennedy, RN, Oregon Nurses Association, was elected to serve as a directorat-large, recent nursing school graduate.
Remaining on the board to complete their terms are: Devyn K. Denton, RN, Oklahoma
Nurses Association; Andrea Gregg, DSN, RN, Florida Nurses Association; Faith Jones,
MSN, RN, NEA-BC, Wyoming Nurses Association; and director-at-large staff nurse
members, Linda Gural, RN, CCRN, New Jersey State Nurses Association and Gayle M.
Peterson, RN-BC, ANA Massachusetts.
Elected to serve on the Nominations and Elections Committee are Edward Briggs, DNP,
ARNP, Florida Nurses Association; Linda Beechinor, DNP, RN, APRN-BC, Individual
Member Division; and Elissa E. Brown, MSN, RN, PMHCNS-BC, ANA\California.
Fatigued nurses are more likely to express concern that they made a wrong decision
about a patient’s care, according to a study in the January issue of American Journal
of Critical Care (AJCC). “Association of Sleep and Fatigue With Decision Regret
Among Critical Care Nurses” found that nurses impaired by fatigue, loss of sleep,
daytime sleepiness, and an inability to recover between shifts are more likely than
well-rested nurses to report decision regret. Decision regret is a negative cognitive
emotion that occurs when an actual outcome differs from the desired or expected
outcome. For nurses, it reflects concerns that the wrong decision may have been
made regarding patient care. Although decision regret reflects previous decisions
and adverse outcomes, it may also contribute to work-related stress and compromise
patient safety in the future. This link between nurse fatigue and decision regret adds
to the body of evidence that supports the need for appropriate staffing to ensure the
use of fatigue management strategies to promote both patient safety and a healthy
work environment.
Lead author Linda D. Scott, RN, PhD, NEA-BC, FAAN, is associate dean for
academic affairs and an associate professor at the University of Illinois at Chicago
College of Nursing. Cynthia Arslanian-Engoren, RN, PhD, ACNS-BC, FAHA,
FAAN, and Milo C. Engoren, MD, FCCM, from the University of Michigan, Ann
Arbor, served as co-authors. “Registered nurses play a pivotal role as members of the
healthcare team, but fatigued and sleep-deprived critical care nurses put their patients
and themselves at serious risk,” Scott said. “Proactive intervention is required to
ensure that critical care nurses are fit for duty and can make decisions that are critical
for patients’ safety.”
Critical care nurses and their employers must acknowledge the effect of fatigue, sleep
deprivation and excessive daytime sleepiness on clinical performance and patient
outcomes and must engage in strategies to mitigate these impairments. Healthcare
employers should implement scheduling models that maximize management of
fatigue, ensure that support resources for clinical decisions are available, and
encourage the use of relief staff to provide completely relieved work breaks and
strategically planned nap times. “By working together to manage fatigue, critical care
nurses and employers can ensure patients receive care from alert, vigilant, and safe
employees,” Scott said.
For the study, more than 600 nurses working full-time in critical care units completed
a questionnaire on personal and work-related data, sleep quality, daytime sleepiness,
sleep quantity, clinical-decision self-efficacy, and decision regret. Most respondents
reported moderately high fatigue, significant sleep deprivation, and daytime
sleepiness, all of which affect their ability to be alert, vigilant, and safe. Furthermore,
the nurses were not likely to sufficiently recover from their fatigue-related states
during non-work periods. Decision regret was most common among nurses who are
male, work 12-hour shifts, and have lower levels of satisfaction with their clinical
decisions.
The research was supported in part by the Kirkhof College of Nursing at Grand
Valley State University, Grand Rapids, Mich., and the American Association of
Critical-Care Nurses (AACN). To access the study abstract and its full-text PDF, visit
the AJCC website at http://www.ajcconline.org.
July, August, September 2014
New Hampshire Nursing News • Page 19
DHMC Welcomes
New Chief Nursing
Officer
Gay Landstrom, PhD (c), RN,
NEA-BC, has been appointed
Chief Nursing Officer (CNO)
for the Dartmouth-Hitchcock
health system succeeding Linda
J. von Reyn PhD, RN, who
retired in April. Landstrom is
currently Senior Vice President
and Chief Nursing Officer of the
Trinity Health Group in Livonia,
Michigan. Her responsibilities
at Trinity include patient care
services throughout CHE Trinity Health’s nationwide
network of 46 hospitals and numerous long term care,
home care and outpatient facilities. With 30 CNO’s
reporting to her she worked to reduce turnover, co-led a
Sepsis Collaborative within the system, created a Nursing
Professional Practice Conference and co-led the design and
implementation of Trinity Health’s “Just Culture” initiative.
Landstrom received her bachelor’s degree in nursing from
Rush University in Chicago. While serving as a staff nurse
and assistant head nurse at Rush, she completed her master’s
degree in nursing administration at the University of Illinois
at Chicago, going on to serve in nurse manager and director
of nursing roles in the Chicago area. She currently is
attending the University of Michigan for a PhD in nursing.
AT DHMC Landstrom will have will have responsibility for
inpatient and outpatient nursing across the system, which
represents almost 30 percent of Dartmouth-Hitchcock’s
workforce.
SAVE THE DATE!
Annual Wound Healing Symposium
by Wentworth-Douglass Hospital Wound Healing Institute
At Wentworth-Douglass Hospital Garrison Conference Center
789 Central Avenue, Dover, NH 03820
November 13, 2014
$125.00 - Pending contact hours (6)
*Register before 10/7/14 - fee discounted to $100.00
Speakers included will be:
•Sharon Baronowski, MSN, RN, CWCN
•Vicki Driver, MD
•Kent Bottles, MD
•Jeff Niezgoda, MD
•Janice Colwell, MS, RN, CWOCN, FAAN •Thomas Serena, MD
For more information or questions please email
Lynda Murray, RN, BSN, CWS at lynda.murray@wdhospital.com
or Dawn Gosselin, RN, BSN, CWS at Dawn.Gosselin@wdhospital.com
That research paper isn’t
going to write itself.
offers ABA approved
Legal Nurse Consultant
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The Legal Nurse Consultant (LNC) Certificate is
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For more program schedule and program details:
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Page 20 • New Hampshire Nursing News
July, August, September 2014
Their
Stories
Are Our
Stories.
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