Quarterly Circulation 23,000 to
Registered Nurses, LPNs, LNAs, and
Student Nurses in New Hampshire.
April 2014
Official Newsletter of New Hampshire Nurses Association
Why I’m a Member
I
am a member
of the New
Hampshire
N u r s e’s
Association
for several reasons.
First, this is the
best way to have
a voice in issues
that affect both my
practice and my
profession. Our
country is based on the idea that everyone
can have a voice in government, and the
larger the group, the louder the voice!
Healthcare is changing rapidly and not all
for the good. We can no longer afford to sit
on the sidelines and watch what’s happening,
we need to be right up front, speaking out
for both ourselves and our patients, or we’re
going to get left in the dust. Don’t think the
doctors are not participating and supporting
their professional organizations; they most
certainly are, and they are quite able to affect
change that benefits them. So are we! We just
have to do it.
Second,
being
a
member
allows
me to participate on one of the
Commissions,/‘working groups’ of NHNA.
I have found this to be an immensely
rewarding experience. I feel like I am
actually contributing something to the
welfare of my profession and it’s a good
feeling.
Third, this is a great way to meet new nurse
friends and network in the community.
We all know how hard it is to meet new
people sometimes, and often we don’t
really associate with our colleagues outside
of work. If you come to meetings, join a
Commission, attend a conference - you
will find there are a lot of really bright,
interesting, active nurses out there! I
sincerely hope you will consider joining and
being an active member of this wonderful
organization. I believe you will find that it is
well worth it.
~ Mary Ellen King, BSN, CPN
A
l t h o u g h I c a n’t
remember all of the
specific reasons
of why I wanted
to become a nurse
thirty years ago, I do know why
I stay in the profession and why
it is so critical for me to be an
active member of NH Nurses
Association. The first provision of
the American Nurses Association
(ANA) Code of Ethics for Nurses
(2010), sums it up better than I ever could: The nurse, in all
professional relationships, practices with compassion and
respect for the inherent dignity, worth and uniqueness of
every individual, unrestricted by considerations of social
or economic status, personal attributes, or the nature of
health problems. And that is only provision one! In this
age where pursuing our profession has the potential to be
diluted into purely an economic choice, it is imperative that
we not allow the philosophy, ideology and ethics of our
profession to be diminished as we experience exponential
growth and greater autonomy. New Hampshire Nurses
Association (NHNA), the NH constituent of ANA, acts as
our steward in maintaining the professional integrity of NH
nurses.
We are living in very challenging times, where the gap
between the haves and the have-nots has never been
greater. Nurses face moral dilemmas daily as we seek to
increase equitable access and decrease social and economic
disparities. NHNA has been on the forefront of promoting
legislation that expands access, decreases inequalities and
holds nurses accountable for providing compassionate,
patient centered care in whatever venue we may choose
to practice. NHNA is the compass that provides us with
the direction, leadership and professional development
needed to tackle these challenging times. NHHA and the
ANA provide us with something bigger than ourselves
-and articulates to the nation, the values are profession is
based on: the promotion of health, well being and social
justice; accountability for our practice; and maintaining
the integrity of our profession and practice. Please
support NHNA, as they support us, our patients, and our
communities.
Inside...
NHNA Board Changes. . . . . . . . . . page 2
President’s Message . . . . . . . . . . page 3
Legislative Update . . . . . . . . . . pages 4-5
Complimentary Therapies . . . . . . page 5
In My Opinion . . . . . . . . . . . . . . . . page 6
Board of Nursing News. . . . . . . . . page 7
Hand Hygiene . . . . . . . . . . . . . . . . page 8
Gift of Mentoring. . . . . . . . . . . . . . page 9
Nurses Week 2014 . . . . . . . . . . . page 10
Special Event, June 21. . . . . . . . page 11
Aiding Typhoon Victims. . . . . . . page 12
Students in Costa Rica. . . . . . . . page 14
Action Coalition Update. . . . . . . page 15
In Memoriam. . . . . . . . . . . . . . . . page 16
Member Welcome. . . . . . . . . . . . page 18
Membership Application . . . . . . page 19
~ Barbara McElroy, CRNI, OCN
American Nurses Association. (2010). Code of ethics for nurses
with interpretive statements. Retrieved from http://www.
nursingworld.org/MainMenuCategories/EthicsStandards/
CodeofEthicsforNurses/Code-of-Ethics.pdf
Presort Standard
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Page 2 • New Hampshire Nursing News
April, May, June 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.
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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.
Changes in the NHNA Board
As 2013 came to a close, so did the terms of three of our
Board of Directors: Jane Leonard, MBA, BSN, RN; F.
Joseph Desjardins, MEd, BSN, RN-BC. and Michelle
Pelletier, BSN, RN, BC. We thank each of them for their
dedicated service and commitment to NHNA.
The following members have assumed new roles with the
Association.
Peggy Lambert, RN, MS,
MBA, CCRN was voted in as
President Elect.
2013
President,
Judy Joy
presented
awards to Joe
Desjardins
& Michelle
Pelletier
Barbarajo (“BJ”)
Bockenhauer, MSN, ARNP,
PMHCNS-BC moved from
President Elect to the President’s
role and Judith Joy, PhD, RN
now holds the ‘Immediate Past
President’ position on the Board.
Carlene Ferrier, RN, MPH –
was elected as the organization’s
new Treasurer.
NURSING NEWS
Vol. 38 No. 2
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
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
NHNA Staff
Avery Morgan, Executive Director
Faith Wilson, Admin. Assistant
NURSING NEWS is indexed in the Cumulative
Nursing Index to Nursing and Allied Health Literature
(CINAHL) and International Nursing Index.
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Acceptance of advertising does not imply endorsement
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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.
www.NHNurses.org
Where Exceptional Challenges...
Meet Extraordinary Care.
Lakeview NeuroRehabilitation Center is a
Neuro-behavioral Residental Treatment Facility
serving youth and adults with cognitive, psychiatric,
and behavioral issues.
We are currently seeking:
RN & LPN - Full Time,
$1000 sign on bonus
RNs & LPNs - Per Diem
For more information or to apply
please visit our website at
http://www.lakeviewsystem.com/careers/jobs
An Equal Opportunity Employer
New Directors at Large are:
Carmen Petrin, MS, APRN,
FNP-BC
and
Suzanne Riley, BS, RN, ACLS,
PALS.
Published by:
Arthur L. Davis
Publishing Agency, Inc.
April, May, June 2014
New Hampshire Nursing News • Page 3
Letter
Barbarajo “BJ” Bockenhauer
MSN, ARNP, PMHCNS-BC
We’re not talking tomatoes here.
Just sayin’.
As I look outside to ice and snow
and feel the chill that seeps in
through
my
under-insulated
walls, it seems that this scene
will never change, much less
transform. Thankfully, inductive
reasoning directs me to consider
the possibility that my emotional
reaction may be inaccurate. The
relationship between the earth and the sun as well as NH’s
relationship to the equator provides evidence to support
the hypothesis that the transformative phenomenon of
“spring” will occur sometime within the next several
weeks. I also have many “lived experiences” of seasonal
changes, adding phenomenological data to the evidence
that these changes will occur more or less when they are
expected.
Other than being bombarded with messages regarding our
role in affecting the global climate, changes associated
with seasons place no particular burden on the individual.
This is not the case with regard to the challenges to the
promotion of the practice, development and well being
of NH nurses. Those changes are both dependent on and
responsive to NHNA actions. I am proud to note that
NHNA embraces the constant of these “changes” and is
deep into a transformation of its own.
The Serenity Prayer suggests that the challenge is to
wisely consider the use of acceptance or courage in the
face of the change. I’ll come back to that acceptance path,
but want to focus on the courage option.
Cultivating transformation in nursing, rather than in
tomatoes, requires that NHNA provide the resources
that will support nurses’ engagement in the changes that
transform. Prochaska* et al’s formulation of a model for
change provides, for me, a clear and easily recognizable
description of the process. Prochaska et al contend that
individuals require information in order to move from
precontemplation – not knowing or recognizing our intent
to change – to contemplation – seriously considering a
change and figuring out what keeps us from being able
to make a commitment to enact that change. The process
of change, rather than being a constantly forwardmoving activity is characterized as more of a spiral, with
a predictable circling back over issues already, but not
completely, addressed.
from the
President
At your direction, NHNA was a proud and active member
of a coalition of health-focused agencies and advocacy
groups who worked together to develop and enact
strategies in support. Past President Judy Joy and one of
NHNA’s Mentor volunteers Deb McCarter-Spaulding
wrote powerful Opinion Editorials that were picked up in
over twenty newspapers statewide. In response to NHNA’s
email “blasts,” you called your Senator, or had coffee with
him or her, or wrote a letter sharing your interest in this
issue and asking for support of SB 413.
Our legislators listened when members of the “most
trusted profession” told them that we cared about the
health of 50,000 underserved NH residents. In our
testimony, we contradicted those who suggested that
the state did not have enough providers to give these
individuals care. We said nurses and advanced practice
nurses were ready and willing to accept that challenge..
Even though it took longer than hoped for, you can share
in the achievement of SB 413 passing the Senate 18-5
and, by the time you read this, the bill will have passed
the House and may be law. We believe that the nurse’s well
being will be improved when the nurse can know that the
patient is actually going to be able to afford the medication
or follow-up that the nurse is teaching them about. It just
makes sense.
And here’s another thing to let members know that may be
meaningful – you have a friend in NHNA. Relationships
are a key factor in well being, of nurses and everybody.
In this past year, the Nursing Practice Committee made
sure we had a way to build value-laden relationships –
the Mentorship Program. By checking out our website
members can volunteer to be a supportive colleague OR
find a supportive colleague. Whether you need to work
through a decision about your career track or a complex
care issue, there is likely to be a mentor who would like to
help. And, your expertise would be likely to be helpful to
your colleagues.
And finally, I’d like to share an update on the continuing
transformation inherent in our shift from an ANA single
state nursing association entity to a member of the
Northeast Multistate Division, an MSD member. Together
with Maine, Vermont, Connecticut, and Rhode Island,
New Hampshire is engaged in a consolidation and streamlining of its processes. Many efficiencies of service are
subtle, such as our website and its soon to be updated
style. Some are in the pipeline and will be more obvious,
such as the changes to our continuing education process.
The CE Commission has made a firm commitment to
working out any bugs that may be encountered as we
transform to the Multistate Division way of managing
CE. Forms and processes will be changing soon and
shared staff coverage will increase our customer service
abilities. As the first of the states in our division to “go
live” with a specific collaborative activity, the Continuing
Education Commission is excited to begin. They are also
understandably concerned that we hold on to the elements
of our individual system that have meaning to NH Nurses.
Stay tuned for changes to our continuing education
process that should make the process of applying and
renewing CE matters substantially less complex and timeconsuming.
Transformative experiences are, by definition, life
changing in small or large ways. Many of us have had
the courage to devote thoughtful time and energy to
our personal and professional life changes. Some of
these changes were transformative; some were not. To
those lucky and skilled enough to incorporate change
and transformation without angst and chocolate, my
congratulations and awe are with you. To those who
stumbled and fumbled your way through change and
transformation, gaining grey hair and a wardrobe of
stretch waistband attire while losing friends through your
missteps, you are my sisters and brothers. We are also
transformed, and have learned so much along the way.
NHNA, while fully engaged in its own transformative
process, remains committed to the practice, development
and well being of NH nurses through education,
empowerment and healthcare advocacy. There will
always be more transformative and, I hope, meaningful
information to share. I hope these few words have given
you some sense of the meaning that membership in
NHNA can provide.
* James O. Prochaska is a Professor of Psychology and
director of the Cancer Prevention Research Center at
the University of Rhode Island and developer of the
Transtheoretical Model of Behavior Change beginning in
1977.
I review this model as a message of hope when we find
ourselves challenged by “the same old” concerns.
Given the tremendous energies and commitment of our
members, I believe we can embrace and address these
issues from the perspective of evolution. As NHNA
continues to evolve in its role as a member in the Northeast
Multistate Division, I welcome the opportunity to share a
transformative perspective on our activities to this point.
NHNA has been participating in a pilot project that
makes it more affordable to be a member – currently $13/
month for both NHNA and ANA membership. So many
of you have taken advantage of access to ANA resources,
including reduced programming and certification fees that
we have increased our membership by 28% in the last 6
months.
In addition to becoming more affordable, NHNA has
also worked to make itself more meaningful to the
membership. The secret? Give membership something to
do that has meaning– like, for one, letting them know their
vote counts!
At last year’s Legislative Town Hall, you voted make
“Medicaid Expansion” our primary legislative focus.
There is no perfect solution to the health care problems in
this state. However, you felt that it was important to give
50,000 uninsured NH residents an opportunity to develop
a relationship with a primary care provider so that their
asthma or diabetes or hypertension is managed in the
office, rather than the Emergency Department or ICU.
“ALDNH”
Page 4 • New Hampshire Nursing News
April, May, June 2014
NH Legislative Summary 2014
Respectively Submitted,
Bobbie D. Bagley, GAC Chair
The NHNA Government Affairs Commission (GAC) strives to represent the voices of
NH nurses on legislative and health issues in the political arena in the state of NH. As the
largest professional group serving in New Hampshire’s healthcare workforce, nurses have
the opportunity to make a huge impact on critical healthcare issues. Two major areas of
focus for the Commission have included:
• Identifying legislation that GAC would prioritize and support.
• Planning legislative events to inform and engage nurses in important health-related
policy matters.
GAC welcomed three new members to the Commission: Barbara Cormier, Sherrie
Palmeri, and Lawrence Spector. Returning members included: Bobbie D. Bagley,
serving as the new chair, Lea Ayers-LaFave, Mary Bidgood-Wilson, Ginny Blackmer,
Carlene Ferrier, Patricia Finn, Paul Mertzic, Susan Smith, and Linda von Reyn. Ad hoc
participant advisors include: Lisah K. Carpenter and Rep. Laurie Harding. Barbarajo
Bockenhauer, NHNA President, and Judith Joy immediate Past President, are Ex Officio
members. Robert Dunn continues to serve as the NHNA Lobbyist providing legislative
updates to the GAC.
Discussions on the Medicaid Expansion Study Commission and the bill on Medicaid
Expansion were monthly agenda items. GAC members were actively involved in the
support of Medicaid Expansion, attending meetings, calling legislators and mobilizing
NHNA members to get involved. The following written support was submitted on behalf
of the NHNA:
NHNA, representing over 20, 000 NH nurses and advanced practice nurses, applauds
the efforts of the Senate to negotiate a bipartisan plan that will assure access to
healthcare for the most needy of NH residents. As clinicians, we are at the bedside
teaching fast food workers and self-employed painters about medications and followup care that they cannot access. We are also in the Emergency Departments, seeing
individuals whose care is an emergency only because of the absence of the ability to
have preventative care and/or follow-up for their ongoing medical needs. And finally,
we are in our offices treating infants and children whose parents have no healthcare
options. Providing access to healthcare is the right thing to do. The opportunity to
provide access to healthcare is now. NHNA urges the House to support SB 413.
Sincerely,
Barbarajo (BJ) Bockenhauer, MSN, APRN, PMHCNS-BC
President, NH Nurses Association.
UPDATE: At this writing we are pleased to report that SB413 passed the Senate
– and we thank all NH nurses who made contacted their Senators. Passage by the
House is anticipated.
process included identifying legislation with support from R. Dunn and L. Harding that
would impact NH citizens and the nursing profession. During each meeting, a legislative
update was provided and Commission members weighed the intent and pros and cons
of each bill introduced on topics including mental health courts, surrogacy/guardianship,
facility licensing laws, palliative care, oral health and dental hygiene.
A total of 344 registrations were received with 255 actually attending (150 of whom were
nursing students – including many enrolled in an RN-BS program). The evening kicked
off with a review of how a bill becomes a law presented from the Laconia site by Ginny
Blackmer. From the Concord location, lobbyist Bob Dunn, President Bockenhauer and
Kitty Kidder (NH Board of Nursing), spoke on the different roles of NHNA, the BON
and the professional lobbyist. Participants were also able to spend interactive time with
legislators at each of the sites. During the second half of the forum, Lisah Carpenter
led attendees through an overview of the Forum and voting process. Five bills were
presented (see bill language below). Aside from receiving the list of bills to review prior
to the evening event, the effect, history, sponsors as well as pros and cons of the bill were
presented. Participants were then able to engage in an informed open debate on the bills
and voted on the priority bill for NHNA focus during this legislative session.
HB 1434 Relative to surrogate healthcare decision-making by family or friend
EFFECT: Establishes a process whereby a hospital representative can acknowledge
and act on healthcare decision-making authority of a family members or friend of an
individual who hasn’t established an advanced directive but AND does not currently have
the capacity to make health care decisions.
SPONSORS/Supporters: Laurie Harding D (Grantham) and two other Democrats
SB 213 Establishing a registry for life-sustaining treatment records
EFFECT: Establishes the NH POLST (Physician Orders for Life Sustaining
Treatment) Registry that gives the patient and physician/APRN /PA the opportunity to
establish an “actionable medical order” to assure that the patient’s preferences relative
to life-sustaining treatment are followed. Bill establishes: 1- HHS-managed registry
for collection and dissemination of POLST to authorized care-givers and researchers
2- POLST forms and their dissemination for use, 3- education of public and healthcare
professionals about POLST, 4- POLST advisory committee that will include two “health
professionals “who have knowledge of POLST” as well as public members, physician,
hospice rep, long term care rep and two public members (one of whom must be a
minority).
SPONSORS/Supporters: Sen. John Reagan R and bipartisan group of 9 Senators
HB 1622 An act permitting qualified patients and registered caregivers to cultivate
cannabis for therapeutic use
This year the GAC decided to take a new approach to education events but combining
Health Policy Day and the NHNA Town Hall to create a dynamic, Legislative Forum
which was held via video conference at six sites around the state on January 29th. This
NH Legislative Summary 2014 continued on page 5
Forum attendees at Nashua location
President Bockenhauer meets
with Senator Nancy Stiles
Lobbyist Bob Dunn, GAC member and NHNPA
Exec. Director Mary Bidgood-Wilson and Pres.
Bockenhauer attending hearings
Sen. D’Allesandro speaks to Forum attendees at
St. Anselm College
GAC Volunteer Barbara McElroy, Sen. Martha
Fuller-Clark, Past Pres. Judy Joy
Panelists speaking from Concord
video site
April, May, June 2014
New Hampshire Nursing News • Page 5
NH Legislative Summary 2014 continued from page 4
Each site engaged in very meaningful discussion on each of the bills presented. The
following table represents the results of the final vote of the participants:
EFFECT: Establishes the parameters whereby an individual aged 21 or older, with
no felony convictions can cultivate and distribute cannabis for up to five patients (or 9
patients) if a cannabis distribution center is not within 50 miles.
SPONSORS/Supporters: Representative Wright et al, Senator Reagan
SB 318 Establishing the crime of domestic violence
EFFECT: The “new crime” is simply the “old crime, with a designation that it occurred
within a domestic relationship.” As of 1/1/2015, law enforcement officers would have the
option , as an example, to charge “Simple assault/domestic violence” rather than “Simple
assault.” As a result, evidence of the incidence and pattern of domestic violence in this
state would be accessible and relevant to decisions made by courts and social agencies.
SPONSORS/Supporters: Bipartisan sponsorship in Senate and House, currently in
Senate Judiciary Committee, to full Senate vote on Feb. 6. Supported by Department
of Justice, NH Chiefs of Police Association, New Hampshire Legal Assistance, courts,
Department of Safety, and NHCADSV with their 14 member programs.
HB 1351 Prohibiting tanning facilities from tanning persons under 18 years of age
EFFECT: Within 60 days of passage, would require that tanning facility operators
require proof of age from each person using a tanning device. Does not include any
directive regarding consequences.
SPONSORS/Supporters: David Miller (Rochester), Barbara French RN (Henniker),
Tara Sad (Cheshire). Introduced 1/8; referred to Executive Departments and
Administration
HB1351
HB1434
HB1622
SB213
SB318
CONCORD
0
6
2
3
8
KEENE
0
0
9
0
0
LACONIA
0
5
2
1
0
LEBANON
0
4
2
2
8
MANCHESTER
0
19
22
15
14
NASHUA
0
5
0
10
75
TOTAL
0
39
37
31
105
The GAC was pleased with the outcome of the new format of the combined meeting.
Despite some technical difficulties with the live video conferencing, survey evaluations
showed overall agreement that the event was informative and worth their time attending
(97%); learned that importance of the nurse’s role in political advocacy (97%) and 68%
answered yes to attending a similar forum next year, with 27.5% responding maybe.
The GAC will continue to use this as a medium to keep nurses informed and engaged in
legislative issues.
Additionally, our GAC was invited to participate in a pilot program with ANA: the Nurse
Political Action Leader (N-PAL). This is an exciting opportunity for us to identify nurses
to represent NH working directly with members of Congress on issues that affect nurses.
These nurses would serve as liaisons to NH federal legislators.
A Nurses’ Journey Into Complimentary
Therapies
Rebecca Marden MSN, CNML, RN
Clinical Nurse Manager
Pediatric/Adolescent Care
New Hampshire’s Hospital for Children
Kids are kids, even when they are sick. As a pediatric
nurse, this is the philosophy that has always been
imbedded into my care. From singing softly to a fussy
infant, playing peek-a-boo with a toddler, taking an
imaginary carpet ride with a school-age child to engaging
the anxious teenager about the latest fashion faux pas;
these were all ways that I felt that I could contribute to
their well-being beyond just medicine.
I have experienced first-hand how music helped relax a
young child who suffered from a fractured femur and
had severe muscle spasms, music reduced his heart rate,
respiratory rate, and muscle tone. I have seen a reclusive,
non-engaged teenage boy with autism begin to smile
and make eye contact while playing with maracas. I will
never forget the smile on the newly trached 2-year-olds
face as she finger painted in her ICU bed and got paint
everywhere.
Last year I attended a local conference sponsored
by the NH State Council on the Arts and met some
amazing individuals and learned about some local grant
opportunities. With this newfound knowledge, I returned
to work and partnered with our Child Life team to write
a grant for a Music and Art Program (MAP) for our
inpatient Pediatric Units. The first goal of the grant was
to improve patient’s experience by providing interactive
modalities (art and music) to hospitalized patients and their
families. Our second goal was to expand the knowledge
among healthcare workers regarding arts and music and
its affect on the healing journey. After the grant was
accepted, we eagerly started building the program. We
connected with a very talented local musician whom also
had an array of experience in working in a healthcare
setting and we were also fortunate to connect with the
Currier Museum of Science, to help us find a local artist.
MAP ran over a eight week period of time, and received
the highest ranking of “strongly agree” on the evaluations
forms from both patients/families and staff alike. In the
categories of this session was ‘comforting’, ‘beneficial
to healing’ and ‘uplifting’ received the highest possible
scores. Qualitative feedback from patients/parents gave
us further insight on integrative modalities and the true
meaning of their presence. One mother stated “doing
art brought her out of her sickness shell,” while a patient
stated “the music sends my mind somewhere else besides
what is going on around me.”
The successful response to the MAP program has
allowed us to explore sustainability of these services. We
recently contracted with the Manchester Music School to
have a certified music therapist 12 hours a week and we
are currently exploring funding to extend the local artist.
As healthcare providers, we all know that hospitalization
can result not only in physical stress but emotional stress
as well that comes from unexpected news, unfamiliar
environments, inability to conduct normal activities
and lack of control. Music and art on our Pediatric units
has helped provide patients and families a familiar and
positive way to cope with their hospitalization.
Whether providing direct care at the bedside or as a
nursing leader, it is important to advocate for programs
that truly make a difference for patients/families and staff
alike. The MAP program is an example of an integrative
program that combines the arts and science of healing and
more importantly it continues to allow kids to be kids,
even when they are sick!
Page 6 • New Hampshire Nursing News
April, May, June 2014
A Crisis of Confidence
Brenda K. Burke, MS, APRN, PMHCNS-BC
I had a physical recently. The experience from the moment
I stepped into the office was memorable but for all the
wrong reasons.
As I sat in the waiting room, a young woman wearing
cartoon character scrubs and a hairpiece of hot pink and
purple feathers called my name. I am not talking about
a small barrette; a good-sized bird donated its plumage
for this fashion piece. She did not introduce herself
nor was she wearing a name badge. I wish that she had
remembered that a badge is part of her uniform and
that it helps identify her and her role in the office. I also
wondered if any of the professionals in the office felt her
hairpiece was inappropriate? If they did, why didn’t they
say something to her? It could have been an opportunity
to teach about the importance of dressing for the role. But
then, again, what role? Who was this unidentified person?
The woman asked for my date of birth and then told me to
get on the scale. In the short time since we’d met…all of
one minute…she knew how old I was, how tall I was and
how much I weighed. I, on the other hand, only knew that
she liked pink and purple feathers. I didn’t know her name
or what her role was and felt annoyed that if I wanted to
know this information, I would have to ask for it. (I did
ask her name and role and she said she was a medical
assistant.)
She took my blood pressure with the standard size
cuff placed over a long sleeved sweater. A larger cuff
should have been used for accuracy. Also, the cuff and
stethoscope should not have been placed over my clothing
nor should my arm have been allowed to dangle without
support. The mercury dropped like a severed elevator
cable, much too fast to provide an accurate assessment.
Since I take a medication for high blood pressure, an
incorrect reading could affect future medication dosing.
Why, if this is such an important assessment, is it the
responsibility of a non-professional who uses poor form? I
was losing confidence.
I have had a lot of annual physicals and this was the
first time I was not offered a gown to change into. The
physician performed the physical with me fully clothed. If
there is some new protocol about how physicals are being
done, I am not aware of it. My abdomen was not palpated
and my yearly visit to a dermatologist and gynecologist
must have been the reason my skin and breasts were not
assessed. I have had basal and squamous cell skin cancer,
and my deceased mother had a mastectomy for breast
cancer. Would the redundancy of checking these organs
have been a waste of time?
We are currently hiring for various positions:
• Registered Nurses (Medical/Surgical-full time and
per diem)
• Registered Nurse (Emergency Department)
• Registered Nurse - Patient Safety Manager
• Licensed Practical Nurses
• Nurse Practitioner (Nephrology)
• Nurse Practitioner (Home Based Primary Care Brattleboro/Bennington, VT)
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”
I was told that the “nurse” would come in to give me my
flu shot. However, it was another medical assistant. She
expressed a good portion of the vaccine from the syringe
into the air…not just a tiny drop…a full arc of fluid and
then some. How many patients would be inadequately
immunized or be at risk this winter if she used this
careless technique with them? I had good reason to
be concerned. I was also concerned that the physician
misrepresented a non-professional as a nurse. Clearly,
I know the difference but I wonder if the average person
realizes this professional role designation is being assigned
to those not registered or licensed in the profession of
nursing. No one attempted to clarify her role until I
questioned it.
A third medical assistant came in to do my cardiogram
(ECG). She opened my blouse and left my breasts and
abdomen fully exposed. She pressed a bit too hard on my
chest with one of the electrodes and I let out an “ouch.”
Mockingly she asked, “Did that hurt?” When I replied
“yes” she commented, “ You have a hostile tone.” I politely
took the opportunity to point out that she may not be privy
to patient problems that could contribute to an increased
pain response, and, by the way, using the word “hostile”
to describe a 10 second verbal exchange was, well,
confrontational. She never said she was sorry for hurting
me but mumbled that she could sometimes be sarcastic. I
left it at that.
I am enormously proud of the nurses with whom I have
worked and of those I’ve had the pleasure of teaching but,
regrettably, no registered nurses had any part in my care.
In fact, there are only a few professional nurses working
in this large practice of over a dozen physicians. This is no
accident. It is a move to cut costs but at whose expense?
Unfortunately, this under representation of professional
nurses is a growing trend, which I believe contributes to a
decreased standard of care. My recent personal experience
underscores this point.
It is the responsibility of those providing our care to
inform us of their appropriate title and to strive for
excellence in that capacity. It is our responsibility as
patients to offer truthful, relevant feedback about that
care. With that in mind, I made an appointment with my
physician expressly to discuss my office experience. He
listened attentively. I gave him a copy of this essay and
asked him to read it when he had the time to reflect on
it. I suggested he ask himself the question that has been
haunting me – am I in the right practice? It has been
months since our meeting and I haven’t heard from him. I
think I have my answer.
Brenda Burke is an advanced practice nurse with an
independent primary care practice in Salem, New
Hampshire.
In My Opinion
On Elevator
Speeches
Sue Fetzer, NH Nursing News Editor
Imagine you were in a hotel
and about to get on an elevator
to the 30th floor. Getting into
the elevator is a very important
person you know, but not a nurse.
You really want to convince
her of the value of nursing and
engage her support for your new
nursing project. What do you
say?
The elevator speech was used
in the early days of the internet when companies needed
venture capital and the competition was fierce. The best
salespeople were those that could explain the business
proposition to the occupants of an elevator in the time it
took them to ride to their floor. An elevator speech that
worked was able to describe and sell an idea in 30 seconds
or less.
I recently had the opportunity to listen to a guru in the
health policy arena, Dr. Lucian Leape. Dr. Leape has
had two careers, the first as an expert Boston general
and thoracic surgeon and then as an expert in quality
health care. Dr. Leape was a member of the Institute of
Medicine’s Quality of Care in America Committee, which
published To Err Is Human: Building a Safer Health
System (1999) and Crossing the Quality Chasm (2001).
Leape believes that health care quality is about a problem
of disrespectful behavior. Disrespect can take on three
appearances: overt, covert and institutionalized. Overt
disrespect includes behaviors aimed at humiliating, serve
to be dismissive and are degrading. Every hospital and
facility has a disruptive physician, according to Leape.
Covert disrespect typifies individuals who are chronically
late, won’t follow protocols, poor team players and often
the major reason why a quality improvement project
fails. The third appearance of disrespect is found in
institutionalized norms related to employees and patients.
Leape believes disrespect is present when employees are
not free to talk about mistakes. Employees do not respect
patients when there is no shared decision making, failure
to inform, waiting for care and lack of common courtesies.
The last time I went grocery shopping, the clerk asked me
at check-out if I had found everything I needed. How often
do we ask patients if they have all the information they
needed? As I was leaving, the clerk said “Thank you for
shopping at _XXX, have a nice day.” When was the last
time you heard a nurse or physician thanking a patient or
their family? Where are the common courtesies in health
care?
You are probably wondering if I happened to talk to Leape
in an elevator; no, I did not have that opportunity. But what
if I had or what if you had? What would your elevator
speech about nursing be? We can no longer say that nurses
provide caring, as a lot of other health care professions
emphasize that they care too. We can no longer say that
we do for the patient what they would do if they could; that
has also become the pervue of the family of an outpatient
too. It is really all about quality. And quality is really all
about not being disrespectful and providing a service
safely.
My elevator speech: I am a nurse and I provide quality
health services that seek to ensure your safety while in my
care. And I still have 29 floors to go....
April, May, June 2014
Wanted: Nurse
Volunteers in
the American
Red Cross
New Hampshire Nursing News • Page 7
Board of
Nursing News
The disaster health services response by the American
Red Cross in New Hampshire is provided within a nurseled model of care, using licensure/certification and scope
of practice in a community setting. Red Cross Nurses
provide services to individuals and families who lived at
home prior to large disaster events, as well as help chapters
respond to client needs for local disasters such as multifamily fires. Red Cross Nurses also work in collaboration
with external health partners such as the medical Reserve
Corps and local health departments. Since 9/11 occurred
on our soil, more than ever the need for nurse volunteers is
essential to help others in need.
Please consider, joining the thousands of other nurses who
are making a real difference. Individuals, families and
communities need YOU to assist them in being prepared
and to help keep and promote health and safety! Those
who depend on the American Red Cross in a crisis need
nurses now. In NH our goal is to Recruit, Receive, Retain,
and Recognize Nursing and other Health Professionals.
The NH Chapter of the American Red Cross needs you if
you are retired, semi-retired or even working full or part
time.
We will find a convenient time and place for you! Please
email Georgette Shapiro, RN, MS, at georgette.shapiro@
comcast.net
Georgette Shapiro, RN MS is the Regional Nurse Liaison
(RNL) for the NH Chapter of the American Red Cross. She
serves on the NH Board of the American Red Cross and is
a member of the New Hampshire Nurse’s Association.
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:
Denise M. Nies, MSN, RN, BC
Executive Director
The NH Board of Nursing has moved to the Philbrook
Building located at 121 S. Fruit Street. The building is
referred to as the Office of Professional Licensing and
houses many of the licensing entities in the state. The
nursing board office is located in the one story building
and has an entrance separate from the main entrance of
Philbrook.
Efforts by the Board of Nursing have been focused
recently on rule edits and on emergency suspension of
license hearings. Nursing Chapters 100, 400, 700, and 800
will be brought before the Joint Legislative Committee on
Administrative Rules this spring. Work on Chapter 300
and 600 is ongoing for this year.
What happens when a disaster strikes? What would
happen if it hit New Hampshire? Did you ever think about
helping out in a disaster?
~ True Care Professionals ~
To date, the BON has had over 30 hearings. The focus
statewide on drug diversion has led the Attorney General’s
office to require the health professions that license to
report all investigations that result in the complaints of
drug diversion or impairment.
We have added another board staff person to the office.
Anita Pavlidis, MS, RN has joined us as a Program
Specialist for oversight of educational programs approved
by the board. Anita’s experience serving in the faculty role
and the department chair role as well as work as an NLN
accreditor provides the board with expertise needed to
manage program approvals. We are fortunate to have this
resource!
The NH Board of Nursing Newsletter is available on
our website at www.nh.gov/nursing under forms and
publications. We publish a newsletter twice a year, once in
the spring and again the fall. Please check the website for
that and other resource information.
As we make our way through this very cold and snowy
winter, please stay warm and practice safely!
Board phone number: 603-271-2323
Equal Opportunity
Employer
(603) 537-9975 • (617) 276-9658
(800) 398-7708
Fax # (877) 249-9194
truecare@truecareprofessionals.com
www.truecareprofessionals.com
expanding opportunities for people with disabilities
Join our team and make a difference in someone’s life!
PathWays is a non-profit agency serving over 600 individuals and families in
Sullivan and Grafton Counties. We are dedicated to expanding opportunities
that enrich the lives of people with disabilities, and our services are provided
in a spirit of partnership and respect.
PathWays of the River Valley offers competitive compensation and a generous
benefit package.
Here are the top three reasons to check out employment with us according to our
most recent Staff Satisfaction Survey:
1. The impact we have on the lives of individuals with developmental
disabilities.
2. Enjoyable interactions with individuals.
3. Personal career growth.
RN Manager
RN Manager - Interesting opportunity to innovate and develop quality supports
in a leadership role. Oversees and supervises nursing staff providing care for up to
12 individuals who experience TBI or related conditions at our residence in Lyme,
NH. Conducts nursing assessments and care plans, serves as liaison with health
care practitioners, and ensures a safe medical environment for consumers and
staff. Degreed and NH-licensed RN with supervisory and leadership experience
and professional level communications skills essential. Must have 2 years licensed
nursing experience within the last five years, with at least one year as an RN.
An Application may be found on-line or at our Claremont location.
PATHWAYS OF THE RIVER VALLEY
654 Main Street, Claremont, NH 03743
603-542-8706
www.pathwaysnh.org • email: hr@pathwaysnh.org
EOE
Page 8 • New Hampshire Nursing News
April, May, June 2014
Reminder Tools for Hand Hygiene:
At Your Fingertips
by Holly Clayton RN, MSN
Associate Editor
Hand Hygiene Reminders: 100 years ago
With an interest in history, I read a copy of a booklet
entitled “The Trained Nurse and Hospital Review,”
published in November, 1919. It provides a “snapshot” in
nursing affairs nearly 100 years ago. Many advertisements
are interspersed throughout, including burn dressings with
plastic wax, early Dakins antiseptic solutions and various
products claiming to treat multiple diagnoses. Upon
reviewing it further, an article in the “Gleanings” section,
entitled “Clean Hands – Dirty Hands are Dangerous”
caught my attention. The article stated that soap and
water should be used to clean hands, as human hands
could spread disease. Handshaking was discouraged, and
“medical men are pretty generally agreed that the infection
of influenza is often conveyed this way” (“The Trained
Nurse,” 1919, p. 341). The source was noted as “Bulletin
– Chicago School of Sanitary Instruction.” This bulletin
disseminated information from the Chicago Department of
Public Health.
This volume was printed in the year following the onset
of the pandemic influenza of 1918, infecting more
than one quarter of the U.S. population and unknown
numbers throughout the world. This Chicago bulletin
was an educational tool. By including it in this nursing
publication, the message was disseminated to a larger
nursing audience. Thus, in this nursing publication, we
see the attempts to prevent the spread of disease through
improved hand hygiene through the printed word. A
“reminder message” appears as the title: “Clean Hands –
Dirty Hands are Dangerous.” It notable that, in the same
journal, we learn of plans for preparatory staff education.
Patient care courses were to be provided that month in
Illinois State Hospitals “that had medical and nursing
organizations,” in preparation for the “feared recurrence of
influenza” (“The Trained Nurse,” 1919, p. 341).
Current Hospital National Patient Safety Goal:
Hand Hygiene
Nearly 100 years later, we note hand hygiene continues to
remain in focus – it presently remains a hospital patient
safety goal. A review of Boyce and Pittet’s (2002) hand
hygiene guidelines and recommendations at the start of
this millennium revealed reports of healthcare worker
compliance with hand hygiene as 15 – 80 %, with an
overall average of 40 per cent. The authors also reviewed
a study which showed wide variation in the number of
hand hygiene episodes per healthcare worker in a time
period (such as a “shift”). The range was 5 episodes/
shift to greater than 100 episodes per shift (Boyce and
Pittet, 2002). Noting that due to the varying definition of
a “shift,” it was difficult to draw conclusions, but 5 hand
hygiene episodes in an 8 hour shift was worrisome!
The January, 2014 volume of the official journal of
the American Nurses Association, “American Nurse
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Today,” includes an article entitled “Healthcare Reform:
Resolve to Increase Your Knowledge in 2014.” Author
Ewoldt encourages nurses to review the literature for best
practices and seek opportunities for quality improvement
with their colleagues and leaders. With this in mind, I
reviewed the Joint Commission’s Hospital National Patient
Safety goals (www.jointcommission.org), January 1, 2014.
The following is the goal for Hand Hygiene:
Goal 7: Reduce the risk of health care-associated
infections.
NSPG.07.01.01 Comply with either the current Centers
for Disease Control and Prevention (CDC) hand hygiene
guidelines or the current World Health Organization
(WHO) hand hygiene guidelines “(retrieved from www.
jointcommission.org).
The rationale for NSPG.07.01.01 is stated as: “according to
the Centers for Disease Control and Prevention, each year
millions of people acquire an infection while receiving
care, treatment, and services in a health care organization.
Consequently, health care-associated infections (HAIs)
are a patient safety issue affecting all types of health
care organizations. One of the most important ways to
address HAIs is by improving the hand hygiene of health
care staff” (retrieved from www.jointcommission.org).
This section then discusses compliance with the World
Health Organization (WHO) and Center for Disease
Control (CDC) hand hygiene guidelines. Further details
about comprehensive hand hygiene compliance program
strategies are provided on the website. I reviewed the
WHO and CDC websites as next steps.
Hand hygiene as a patient safety goal was discussed in
the most recent edition of NHNA’s Nursing News (Jan.
2014), in the “Ask Flo” section. As stated in the column,
hand hygiene compliance is a safety action to potentially
improve patient outcomes. The use of “undercover
observers” to audit compliance (with feedback to staff),
and measures to prevent the spread of microorganisms
adopted by some institutions were shared in “Flo”s
discussion. Flo discussed visual barrier reminders with red
tape and the “red line rule.” These, and other strategies,
such as visual reminder tools (including screensaver
reminders), inservices, bulletins, articles, travelling
educational carts, the use of “glo lamps” with “glitterbug
gel” for education, “scripting” (preparing staff to approach
colleagues regarding hand hygiene), journal clubs,
workshops, unit champion groups and mentoring can be
used to educate and reinforce hand hygiene strategies.
The cdc.gov website includes discussion on hand hygiene
promotion methods and best practices within the “CDC
MMWR: Guideline for Hand Hygiene in Health-Care
Settings” section.
Reminder Tools
According to the CDC.gov website, “reminders” in
the workplace play an important role in hand hygiene
compliance because they serve as “prompts.” They
remind us about practicing hand hygiene and help us
teach patients and visitors about hand hygiene standards
and expectations. “Reminder tools,” such as a posters
or brochures in patient care areas can reinforce the hand
hygiene messages. Patients can become partners in their
care with such tools. The CDC and WHO sites both
include information on printable hand hygiene reminder
tools. For example, www.cdc.gov/handhygiene?Resources.
html includes resources in English and Spanish for
patients and healthcare personnel. The website http://
www.who.int/gpsc/5may/tools/en/index.html
includes
posters that can be downloaded on topics including “Your
5 Moments for Hand Hygiene, How to Handrub and How
to Handwash,” as well as an educational video. These sites
contain further information on the process. Additional
tools, such as screensavers, a Patient Admission video and
a handwashing dance video are included on these sites.
We have a wealth of “reminder tools” available to us, and
note that such reminders can be created in different forms.
In one institution, children created reminder signs to
post and place within a hand hygiene workgroup website.
“Reminder tools” can also appear in many sizes – from
bulletins to posters to billboards. A while ago, I noted a
memorable “reminder tool:” a billboard along a roadside,
reminding mothers in that geographical area of proper
baby diaper disposal, followed by hand washing. It had a
printed message and large visual (picture). The message
was clearly provided.
This article provided a “snapshot” of a hand hygiene
message nearly 100 years ago, at the time of an influenza
epidemic, and how it continues to remain in in the
forefront today. The tools have expanded, yet the message
from nearly 100 years ago remains the same “Clean Hands
– Dirty Hands are Dangerous.” Many “reminder tools” are
available to New Hampshire nurses - I invite you to take a
look!
References
Boyce J. & Pittet, D. (2002, October). Guideline for Hand
Hygiene in Health-Care Settings: Recommendations of the
Healthcare Infection Control Practices Advisory Committee
and HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force.
Retrieved from December 2, 2009 from http://www.cdc.gov/
mmwr/PDF/rr/rr5116.pdf
Ewoldt, L. (2014). Healthcare reform: revolve to increase your
knowledge in 2014. American Nurse Today 9 (1), 8-11.
(2014) Ask Flo in Nursing News, 38 (1): 13.
Chicago School of Sanitary Health (1919). Clean hands –dirty
hands are dangerous (1919) The Trained Nurse and Hospital
Review., LXIII (5), 341.
Resources:
http://www.cdc.gov
http://www.jointcommission.org
http://www.who.int
April, May, June 2014
New Hampshire Nursing News • Page 9
The Gift of Mentoring
“Mentoring is a brain to pick, an ear to listen, and a push
in the right direction.” - John Crosby
Deborah McCarter-Spaulding,
PhD, RN, IBCLC, WHNP-BC
My professional life (and for that
matter, my personal life) has been
rich with mentors. Sometimes
they have been formal, such as
faculty advisors, preceptors or
colleagues whose designated role
was to guide me in a new job or
a new role. Others have been
less formal, and perhaps could
be more aptly defined as role
models. The precise definition of
a mentor is sometimes disputed, but it certainly includes a
relationship in which one is advised and supported in their
development.
I could tell you many stories of what I have been given by
these mentors (just buy me a cappuccino and I’ll tell you
stories) but I’ll share a more recent experience. As a newly
minted PhD, I was beginning my first tenure-track faculty
appointment. I was a very experienced nurse, and even had
some experience with teaching classroom and clinical, but
was completely new to the life of the academic faculty
role, which would include research as well as teaching
and service. I had the privilege of participating in a formal
mentoring relationship with a seasoned faculty member,
researcher and author through the National League for
Nursing’s Faculty Mentoring Program (supported by a
Johnson and Johnson grant). We had been matched based
on my goals and her expertise.
What a gift! We only met face to face about 3 times
during the year, but we had phone conversations, regular
emails and phone conferences with 4 other mentormentee pairs in the same program. She asked me to
define my goals, and then very clearly made suggestions
as to what should be my priorities…basically she pushed
me to get manuscripts submitted for publication from my
dissertation research before I did or got involved in another
things! Because I reported to her regularly as part of the
year-long program, I was helped to stay focused on my
goals. She even read my manuscripts and advised me to
what journal I should submit. She was very supportive of
me personally, but not in the role of a counselor dealing
with emotional issues. She and I knew where I wanted to
go, and our mutual goal was to get me there, and she knew
the steps to take.
The program lasted only a year, but I have continued to
have a relationship with her. I have sent her manuscripts,
called her to bounce off ideas for research studies and
even vented to her via email of my frustrations with
journal editors. It is no longer formal, but no less helpful.
I know she believes in my ability to meet my goals and
is committed to helping me get there. She has years of
experience from which to draw, and freely offers me
her help. As she is outside my workplace, and even
my geographic area, I can speak freely and she can be
completely objective. I feel it is my privilege to try to
provide such support to others when I am able.
I have had other mentors in clinical settings, who helped
me understand the challenges of developing expertise and
deal with fears of incompetence or failure. They have
shared with me what helped them. Some have helped
me to connect with other nurses who could help me, and
facilitated those relationships. They have recommended
roles I could consider (such a membership in a task force)
or goals I should pursue (such as advancing in the clinical
nurse ladder) or places I could look to for support (such
as applying for a grant or award). As I took steps toward
meeting my goals, they encouraged me and supported
me practically with resources and letters of reference.
One of my clinical mentors keeps a whole computer file
on me because I have asked for so many references over
the years! Many of these nurses have worked with me, and
with intimate knowledge of the environment have also
Don’t forget to check out
the NHNA Mentor program!
If you could use a mentor or would like to BE one
visit http://nhna.moodlehub.com
to review the profiles of our
current volunteer mentors and
find out more.
taught me how to navigate the system. Others have been
far away with the more dispassionate view of the situation.
What I know for certain is that I have been given great
gifts by the generous commitment of these women,
unselfishly contributing to my professional growth. They
gave their time and their talent without asking for reward.
As I have experience now with passing on what I have
learned, I can see now that the reward is watching another
grow and use their own gifts for the nursing profession.
I have had former students grow well beyond me in their
clinical skills or accomplishments, but there is much
satisfaction in that. There is more than enough room in
nursing for individuals who develop skills and expertise
to share with their patients and pass on to colleagues.
All of us have both knowledge to gain and knowledge to
share. I believe it is our responsibility as nurses, as well
as our great honor, to participate in mentoring and being
mentored.
White Mountains
CC Nursing to
Restructure
The Board of Nursing, concerned about the falling
NCLEX pass rates reported by White Mountains
Community College, has placed the nursing program
on conditional approval. According to the Board web
site, 75% of the WMCC students passed in 2012 with a
drop to a 67.7% pass rate in 2013. The average NH pass
rate for these years was 90.1% and 91.1% respectively.
In November, 2013 the college announced the associate
nursing degree program would not accept a new class of
nursing students in the fall of 2014 as it restructures the
program to respond to concerns raised by the N.H. Board
of Nursing.
White Mountains became the second nursing program to
be placed on conditional approval by the Board of Nursing
in 2013. The Board of Nursing voiced concern over River
Valley CC earlier in the year. While 86% of the students
at River Valley CC continue to succeed at NCLEX
for 2012 and 2013, the loss of national accreditation
placed the nursing department on notice. After losing its
accreditation, River Valley voluntarily suspended classes
for first-year nursing students, so it does have a freshman
class this year. But current students are still eligible to take
the licensing exam and new students are scheduled to be
admitted for fall 2014.
Page 10 • New Hampshire Nursing News
April, May, June 2014
April, May, June 2014
New Hampshire Nursing News • Page 11
Page 12 • New Hampshire Nursing News
Leadership
Changes
April, May, June 2014
NH Nurse Aids Typhoon Victims
Photos courtesy of: Argel Erfe, RN
Karen Richards, DNP, RN,
NE-BC, joined the Elliot
Health System in November,
2013 as the Executive Director,
Professional Practice and Magnet
Program. Richards was formerly
at Exeter Hospital as their
Program Director for Magnet
and the Advancement of Nursing
Practice. Richards received her
DNP from Case Western Reserve
in 2009.
Walter Szuksta, RN, BSN,
CNOR, joined the Elliot Health
System in November, 2013 as the
Director of Surgical Services.
Walter was formerly at Lowell
General Hospital as their Clinical
Manager of the Operating Room
and Central Sterile Processing.
Szuksta received his BSN from
Chamberlin College in 2012.
Patricia Shinn, RN, PhD, has assumed the Chair of River
Valley Community College nursing department. Shinn was
an associate professor at SUNY-Canton from 2007-2013
and received her PhD from Walden University in 2013.
She also previously worked as the director of nursing at
Clinton Community College in Plattsburg, N.Y.
Theresa Woolbert, RN, BSN, has been appointed
director of Nursing at Maplewood Nursing Home. She has
been the assistant director of nursing at Maplewood since
2008. Woolbert began her nursing career in long-term
care in 1988, received her LPN in 1992 and her Associate
Degree in Nursing) in 1994. While working in long-term
care and home health, she studied and received a Bachelor
of Science in Nursing in 2006, from the University of
Phoenix.
Northwestern
Medical Center is the
place for you!
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Located in St. Albans, Vermont, Northwestern Medical Center offers the most
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To apply online, please visit careers.northwestern.org.
EOE
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OUR VALUES
RN SUPERVISOR
This position works directly
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RN license required.
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Ed Note: On November 8, 2013, super typhoon Haiyan
or “Yolanda” hit the Phillipines as the strongest
storm ever reported to make landfall and the deadliest
recorded in the Philippines. Initial estimated deaths
reached 10,000 only a few days after the storm. The
country suffered catastrophic damage that crippled the
entire government. Places severely affected were the
cities of Tacloban, Palo and Tanauan. Some described
the destruction as apocalyptic in scale; with roughly
90% of the cities mentioned flattened to the ground by
the winds and washed away by the 20 foot storm surge.
As of January, 2014, bodies are still being found. Lakes
Region General Hospital nurse, Don Valles recounts his
story as he flew to back to his native country.
The plan to go home to the Philippines started after
watching CNN and seeing the extent of the devastation of
the typhoon. Years ago when I was in the Philippines, I
worked as a health care provider assigned to a rural area.
There, I dealt with outpatient and emergency cases and I
was familiar with the local diseases. I spoke the dialect
so this gave me confidence that I would be effective in
helping my fellowmen during this time of need. I spoke
with my best friend in medical school, now a practicing
physician in Australia, who was also planning to go home.
In fact, he already made arrangements with a local group
that would be able to fly him to Tacloban, and he said
that he would be able to get me in with the group. The
next day, I made arrangements to make sure that I could
take some time off to help out with the devastation. Three
days later, I was on a plane to the Philippines, despite
the uncertainties regarding safety and security, food and
accommodations and even the physical possibility of
flying to the Tacloban airport, which was wiped out by the
storm surge.
After a long 21-hour flight, I arrived in Manila at midnight
on November 15, where I met up with my friend Earl. The
next day we had a briefing with the rest of the team – we
were composed of three physicians and three nurses. We
were advised to expect the worst and be self-sufficient. We
were then shuttled to the airport in Manila and, because of
the inability of the Tacloban airport to accommodate all
the incoming flights; we were redirected to Cebu to fly on
a military plane to Tacloban. Early morning on the next
day, we arrived in Tacloban, where we had to register with
the United Nations so they could keep track of the number
of medical personnel.
The devastation I saw on television was nothing compared
to the images that were before me. It looked like a war
zone. The survivors looked dazed and confused walking
on the streets, trying to salvage what was left of their
belongings. Some were still looking for their loved ones
and relatives. We saw military personnel with full gear
manning the streets, trying to keep a semblance of peace
and order. The stench of decomposing dead bodies was
very disturbing. The usual 10 minute drive to the hospital
became an hour and a half long due to the debris of
flattened houses, building, cars, and felled trees cluttering
the road.
Arriving at the Remedios Romualdez Hospital, we saw
that even a hospital built to withstand strong typhoons was
not spared. The hospital’s roof was blown away, and there
was no electricity so a small generator was running the
hospital. The operating room and the delivery room were
non functional, and there was no inpatient care. The whole
hospital was endorsed to our care after the first group of
physicians left, having manned it for 6 straight days. When
we opened the hospital the next day, patients came in by
the droves. We saw cases in the ER like severely infected
wounds needing debridement, tetanus with opisthotonus,
sepsis, and anuric patient for 4 days needing foley
catheterization, status asthmaticus, and premature labor.
All patients needing inpatient care were referred to another
hospital that was not as badly damaged.
We saw around 240 patients on our first day, with the help
of another Hungarian medical team. On our second day,
as other medical teams started arriving (from Harvard
University, Switzerland, Taipei and Lebanon), our team
was deployed to the city of Palo, just 15 miles away from
the hospital, because there were still some areas that
had not received medical care. We provided outpatient
care, with the bulk of patients needing wound care. Most
of these wounds were seen and treated a week prior and
the patients were only given antibiotic regimens for two
days due to lack of medicines. They had no follow-up
dressings due to the lack of supplies. Several cases of
diarrhea were also seen, due to poor sanitation and a lack
of water supply. Cough and colds, worse in young children,
were noted due to crowded evacuation centers and poor
living conditions. Chronic diseases such as hypertension,
diabetes were poorly managed due to the lack of or absent
resources. We saw patients on a makeshift portable clinic
from 9 AM to 5 PM, then we would go back to the hospital
where we were housed, and took turns seeing patients in
the ER all night. We would wake up early next morning
to prepare the supplies and medicine needed later that
day. The third and fourth days were also spent providing
outpatient care to other remote areas. By then, medical
volunteers from around the world had started arriving
along with the relief goods. By the fifth day, medical
volunteers already covered most of the places, so we
decided to fly back to Manila.
The whole experience was an eye opener for me. It was
very hard coming back to the US, seeing people cheerful,
busily shopping and preparing for their Christmas dinners.
My co-workers singing Christmas songs literally made
me cry just thinking about the people left behind in the
Philippines with no food to eat, no blanket to keep them
warm, no portable water and no roof to give them shelter.
But life goes on. I learned many things with this trip and
with the experience. One of those things is that this only
marks the beginning of my journey to help my native
countrymen and women.
Cirilo Roy ‘Don’ Valles, RN, received his nursing
education from Arriesgado College Foundation in Tagum,
Philippines and has practiced at Lakes Regional General
in the cardiac telemetry department for the past six years.
April, May, June 2014
NH Nurses on the
National Stage
Cynthia Cohen,
M SN, CN L ,
CCRN, RNC, and
Nicola
Levasseur,
RN, MSN, CNL,
presented “Dedicated
P u r p o s e f u l
Rounding” at the
Clinical Nurse Leader
Summit in Anaheim,
Ca l i for n ia. T he
presentation focused
on the creation and
implementation
of The additional
specialized LNA role of Designated Purposeful Rounder
recently added to the staffing matrix at Elliot Hospital.
The Dedicated Purposeful Rounder is responsible for
rounding hourly on the entire unit with a focus on patient
safety, exceptional customer service, and increasing patient
mobility and function.
New Hampshire nurses were well represented at the
recent 2014 ANA Quality Conference held in sunny
Phoenix, Arizona. Over 1,000 nurses from all over the
country and the world attended the three day conference
to learn of the newest trends in quality health care. Three
poster presentations were authored and presented by New
Hampshire nurses.
Tom Szopa, MS,
RN, CWON, CCCN,
Patient Care Manager
at the Elliot Hospital,
presented
“Weekly
Interdisciplina r y
Skin Rounds in a
Community Hospital:
Preventing Pressure
Ulcers,
Improving
Care.” Skin Rounds
occurs weekly at the
same day and time,
and proceeds through
two medical-surgical
units; the Pediatric and Adult Intensive Care Units and
the Gero-Psychiatric Unit. During rounds, a provider
assists caregivers to assess the patient’s skin, clarify
the skin condition, stage a pressure ulcer if necessary,
assess current interventions, offer recommendations for
additional care, and provide education for staff, the patient
and family. In addition to increasing staff knowledge of
skin care NDNQI pressure ulcer prevalence data found a
zero prevalence of skin ulcers for 3 quarters following the
implementation of Skin Rounds.
Nicole Young, RNBC, AD, presented
a poster titled “Iron
Infusion Protocol:
I mpact of Un it
Based P ractice.
Young is a staff
nurse at Southern
New Ha mpsh i re
Medical Center and
chairperson of the
Unit Based Practice
Committee. The iron
i n f usion protocol
was developed as a
result of staff lack of knowledge and need for consistency
in caring for patients requiring iron infusions. After a
literature review and benchmarking best practices, the
Committee, under Young’s leadership developed the
protocol, educated staff and audited patient records for
compliance. Staff knowledge increased and resulted 100%
compliance with patient care.
Sue Fetzer, RN, PhD, Director of Nursing Research at
Southern New Hampshire Medical Center, presented a
poster titled “Nurse Perceptions of Strategies to increase
NDNQI Survey Participation.” After noting a continual
positive increase in staff participation with NDNQI survey,
Fetzer surveyed the staff inquiring as to what was the most
convincing strategy encouraging survey completion. Key
messages that encouraged staff participation were related
to professional pride, autonomy and accountability.
New Hampshire Nursing News • Page 13
Ask Flo...
Ask Flo is designed to answer questions about practice,
education, administration or employment. Send your
questions to Ask Flo c/o NHNA Nursing News. All
questions will be printed anonymously.
Dear Flo,
I just took a job as the evening charge nurse on a long term
care unit. Recently one of the medication nurses directed
the medication nursing assistant (MNA) to medicate one
of the residents. The medication was for pain and was a
narcotic. I did not think MNA’s had this authority? What
should I do?
Signed, LTC Novice
Dear LTC Nurse,
You are right to be concerned about this practice.
According to the NH Nurse Practice Act, MNA’s are
only to administer medications to “stable” clients. The
definition of stable, according to the Board of Nursing is
““a client whose health status is under control and raises
no expectation that the client’s symptoms, vital signs,
or reactions to medications will suddenly change.” A
patient in pain is not included in this definition. As nearly
all narcotics will change symptoms or vital signs, the
delegation of this activity by the nurse was inappropriate.
I would suggest you review the role and responsibilities
of the MNA job title with all of your staff during the next
staff meeting. A review of the rights of delegation may be
also needed.
Flo
Dear Flo,
I am an over 50 RN and on a recent visit to my health
care provider it was suggested that I consider getting the
shingles vaccine. I remember getting a bad case of chicken
pox when I was a teenager, so what good will the shingles
vaccine do?
Signed, Chicken
Dear 50+,
The varicella zoster virus was the cause of your chicken
pox. The first exposure is usually a mild disease of
childhood, though adults are not immune. While your
body has developed antibodies against the infection,
the virus is still in your body. It is a sneaky virus, hiding
dormant and inactive in your peripheral nerves. If it
becomes active, shingles develop. While the painful rash
and blisters will heal in 2 – 4 weeks, 20% of individuals
with shingles will experience long term postherptic
neuralgia or PHN. PHN is a severe nerve pain that can
last for years after the blisters have resolved.
The vaccine is a weakened form of varicella that allows
your body to build up the antibodies. The vaccine reduces
the risk of getting shingles by 50% and reduces the
duration of PHN. You won’t get the chicken pox again.
The CDC recommends that all adults 60 and over receive
the shingles vaccine. Don’t be a chicken!
Flo
IF YOU HAVE A QUESTION FOR FLO – send an email
to office@nhnurses.org
For a more immediate response than this quarterly paper
provides – don’t forget to seek help from our volunteer
MENTORS via http://nhna.moodlehub.com
On the Bookshelf
Reviewed 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.
Whole Person Caring: An Interprofessional Model for
Healing and Wellness
Lucia Thornton
Sigma Theta Tau (2013)
Paperback, 263 pages
It was Florence Nightingale who said that “We are a
reflection of the divine, with physical metaphysical and
intellectual attributes.” In Whole Person Caring: An
Interprofessional Model for Healing and Wellness a
model of patient care is explored that embraces holistic
nursing practices in the care and wellbeing of patients
and of the nurses involved in their care. It challenges
nurses to bring their whole being to care for the patient.
In the model of whole-person caring, caring for people is
considered to be sacred work. “So beginning to perceive
ourselves [the care takers] as sacred is the first step in this
journey.”
The book opens with a chapter on shifting the focus
of patient care to healing and wellness. This results
in redefining who we are beyond just the biology of
humanity, and in doing so the author integrates both the
care giver and the patient into her model of healing and
wellness. Self-compassion, self-care and self-healing are
foundational to this outlook and self-care and self-healing
practices are explored with the goal of optimal health and
wellness. There is a chapter on therapeutic partnering and
transformational leadership. Partnering involves patient
self-empowerment as well as partnering with coworkers.
She states that “Leadership within the model of wholeperson caring is spiritually based and transformational in
nature …. Leaders must learn to access their own spiritual
… essence to be effective.”
Our Healthcare is moving towards integrated patient care,
In Whole Person Caring the author supplies the tools
healthcare professionals need to implement the
model. The focus is
on involving every
aspect of patient care,
physical, emotional,
social and spiritual.
I would recommend
this as a broad
general interest read
and especially for
those in academia
or
leadership
positions.
Page 14 • New Hampshire Nursing News
April, May, June 2014
Plymouth State University Nursing Clinical in Costa Rica
by: Sandra McBournie, BS, MEd, RN &
Anne-Marie Cote, MS, RN
In January 2014, the Plymouth State University (PSU)
Nursing Department hosted a clinical study abroad trip
for senior nursing students to areas around San Jose, Costa
Rica. Thirteen nursing students, accompanied by Professor
Annie Cote and Professor Sandra McBournie, performed
typical clinical duties while working with the non-profit
non-governmental organization International Service
Learning (ISL).
Alajuela is in the central northern valley region of Costa
Rica, housing over 100,000 people. Two areas of the
Alajuela region were visited by the PSU team. Sites visits
were conducted to the impoverished districts of the region,
including La Providencia (a city slum) and Fraijenes (a
coffee farming community). Students went home-tohome knocking on doors and collected census data, which
including the following assessments: access to potable
water, sanitation in the homes and the presence of chronic
illness of the residents. During these visits students were
often welcomed into homes, and families revealed chief
complaints needing medical attention during health
history assessments.
Potential patients were invited to visit the “clinica gratis”
or “free clinic” set up by our team within walking
distance to the visited area. Frequently entire families
representing all ages, from infancy to older adult, would
come to the free clinic collectively. Often students found
that each family member was afflicted with a different
common ailments of the region, such as upper respiratory
infections, skin diseases, parasites, and more. Students
gained experience working with patients across the life
span, in an unfamiliar culture, with various common
diseases of the geographic area.
This trip additionally provided students with the
opportunity to absorb the beauty of the people and the
landscape of Costa Rica. One afternoon, students set up a
recreation day, referred to by ISL as a “sharing with the
community event.” It was held at the local church, and
children could play games, have their hair braided, face
painted, or nails done. At the same time, one student
certified in massage did chair massage for the parents
while the children enjoyed recreational activities. Another
day, the group visited a local nursing home where
conditions resembled a time gone by in long-term care in
the United States. Restraints were used abundantly and
there was one nurse present for more than 100 patients.
The sadness of the venue was replaced by joy when
our PSU nursing students insisted that residents dance
to the music playing in the courtyard. The gratitude
by participants at both the clinics and the recreational
activities was palpable, despite language barriers.
ISL assured students were well prepared for this
experience by providing team members with a
comprehensive manual and ample orientation period.
Nursing students who participated in the trip received
three academic credits toward their community clinical
requirement for graduation. Students described the
experience as life changing and reaffirming to their
commitment to nursing. They additionally conveyed
that this experience was an opportunity to apply all the
psychomotor skills they had acquired thus far in nursing
school, while challenging their critical thinking abilities.
One student stated about the experience: “I fully believe
that it has made us stronger as students, human beings, and
medical professionals alike.”
While learning, personal fulfillment, and thought
provoking moments were abound, the stress of the heavy
workload and long hours was perpetually balanced by the
joy and laughter of the group. Moments of laughter were
often led by our gracious ISL team leaders, whose energy
and enthusiasm for this work was paramount in setting a
tone of collaboration and cohesiveness. Thank you to ISL
for hosting us, the people of Costa Rica for their gracious
attitude, PSU for supporting this academic endeavor, and
to our stellar students for their hard work and dedication to
this project.
For questions about the experience please contact Sandra
McBournie at sjmcbournie@plymouth.edu or Ann-Marie
Cote at acote3@plymouth.edu.
Read more about the student’s experience on their blog at
http://psucostaricanursing.blogspot.com
Face painting during our “sharing with the
community” time.
Students during house visits in La Providencia
accompanied by an ISL provided interpreter.
New Hampshire
Hospital
CONTINUING NURSING
EDUCATION
100 Saint Anselm Drive
Manchester, NH 03102
(603) 641-7086
www.anselm.edu/cne
Committed to Promoting Excellence
in the Practice of Nursing
NEW! Online programs now available.
Visit our website for an updated list of
programs or call for a brochure
Students and faculty from PSU in Costa Rica.
Discharge and pharmacy at a clinic.
Acute
Psychiatric
Services
Full time openings for
Psychiatric Registered Nurses
(RN I-III)
on evening and night shifts. All nurses
receive extensive paid orientation
for this specialty practice. View job
specifications, benefits package and
how to apply at:
www.admin.state.nh.us/hr
Dancing at the nursing home.
April, May, June 2014
New Hampshire Nursing News • Page 15
New Hampshire Action Coalition Update
care improvement. Part of this strategy is having each state
level action coalition work on these leadership strategies
within their own state.
The New Hampshire Action Coalition (NHAC) was
developed by and is supported by four organizations:
New Hampshire Nurses Association, New Hampshire
Organization of Nurse Leaders, Foundation for Healthy
Communities, and New Hampshire AARP. The Action
Coalition was formally established in February 2012
with a goal of implementing the recommendations of the
Institute of Medicine report on the Future of Nursing,
Advancing Health which are supported by the Robert
Wood Johnson Foundation and AARP through the Center
to Champion Nursing in America.
An important pillar in the national Campaign for Action
is the Leadership Pillar. The Institute of Medicine Report,
Future of Nursing, Advancing Health, identified:
“As leaders, nurses must act as full partners in
redesign efforts, be accountable for their own
contributions to delivering high-quality care, and
work collaboratively with leaders from other health
professions” (Institute of Medicine, 2010).
Nurses have a direct and critical impact on the quality and
safety of patient care provided. In addition, nurses provide
insight on the entire care delivery process, including
patient and family involvement and staff satisfaction.
Because of this, health care leaders, researchers, nurse
leaders, regulatory leaders, and consumers have identified
that more nurse leaders need to serve on boards to impact
transforming health care. One strategy being pursued to
achieve this is to develop collaborations between all health
care leaders to increase the number of nurses serving on
boards, including hospital, state, and federal decision
making boards.
The Campaign for Action believes that if nurses want to
guide health care system change, we must be prepared to
serve in leadership positions, including governing boards.
In order for this to be successful, we must all work to
prepare more nurses to manage health systems and lead
health care transformation. The Campaign for Action is
working to position nurses as valued partners in health
As a way to accelerate this component of the campaign,
the Center to Champion Nursing in American convened
more than 35 Action Coalitions in a series of three
meetings – in Seattle, St. Louis and New Orleans –to
develop a national strategy to increase the number of
nurse leaders serving on hospital system, state, and
national boards. Action Coalitions and other guests also
had the opportunity to share information on their current
leadership programs and initiatives to develop nurse
leaders for board appointments and other leadership
positions. The three meetings were very exciting,
productive and fun sessions that provided a venue for
advancing the important work centered on preparing
nurses to lead and transform health care. A key objective
of the meetings was to develop an understanding of the
need for a shared national strategy to increase the number
of nurse leaders serving on hospital/system, state, and
federal boards.
Four representatives from New Hampshire attended the
“Leadership in Action” meeting held in New Orleans
on January 13/14. Linda von Reyn, New Hampshire
Action Coalition co-lead representing the New
Hampshire Organization of Nurse Leaders [NHONL]
was accompanied by three colleagues who will work to
establish a Leadership Pillar within the New Hampshire
Action Coalition:
• Trish Sweezy, NHONL President and Director of
Clinical Operations Ambulatory Practices, and
Director of Care Coordination Elliot Health System
• Brian J. Pinelle, MSN, MBA, NEA-BC, NHONL
Secretary and Assistant Vice President, Inpatient
Services at Wentworth-Douglass Hospital
• Margaret Franckhauser, RN, MS, MPH, CEO of
Central New Hampshire VNA & Hospice in Laconia
New Hampshire
At the meeting in New Orleans, the NH work group
developed a Leadership Strategic Action Plan as a way to
launch this activity within New Hampshire. The Action
Plan is currently comprised of the following components:
• Establish Leadership Pillar workgroup within New
Hampshire in order to develop a critical mass of
interested stakeholders
• Gather data on nurses working on Boards or
interested in leadership roles on Boards and governing
bodies
CAMP NURSES NEEDED
•
•
Sweezey and Pinelle will serve as leaders for this pillar
within the Action Coalition. They have already convened
a small workgroup of interested nurses and held an initial
meeting. If you are interested in being involved in the
work of the Leadership Pillar, contact Trish Sweezey
(PSweezey@Elliot-HS.org) or Brian Pinelle (Brian.
Pinelle@wdhospital.com).
If you would like additional information about the
Campaign for Nursing and the New Hampshire Action
Coalition, visit the Future of Nursing Campaign for Action
at the Center to Champion Nursing in America http://
campaignforaction.org/.
PERDIEM STAFF WANTED
FOR SNF, LTC & ASSISTED LIVING All Shifts
Previous experience and flexible schedule a must!
Send resume and cover letter to:
Webster at Rye Human Resources
795 Washington Road
Rye, NH 03870
Or email to
info@websteratrye.com
Please no calls/walk-ins.
Wediko NH Summer Program
Windsor, NH 7/5-8/18
Positions available:
day and evening shifts, overnight on-call.
Experience in school nursing or mental health nursing
preferred. Competitive Salary, Flexible Scheduling.
POSITIVE work environment.
Write to P.O. Box 188
Gt. Barrington, MA 01230
888-528-0940
www.camphalfmoon.com
email: info@camphalfmoon.com
Responsibilities: health care, meds, first aid for 60
campers, 25 staff. Minutes from MD/hospital. Supportive
environment. Private accommodations,
meals, children’s tuition, salary all included.
Partial Summer positions may be available.
Contact Amy Willey at 603-924-3542.
www.brantwood.org
•
Survey organizations to determine who has nurses
on boards or who are interested in having nurses on
board.
Develop curriculum or identify existing nursing
leadership programs that could be developed into
a “nursing leadership institute” with the goal of
identifying and increasing the number of nursing
leaders within the state
Initiate conversation with Key Stakeholders to educate
them on the national strategy and determine mutual
goals
Development of communication plan within the state
to disseminate the national campaign
Therapeutic Residential Summer Camp Program for Youth
with Emotional, Behavioral, and Learning Issues seeks:
Registered Nurses
Licensed Practical Nurses
Camp Half Moon in the Berkshires—Camp
Nurse positions available. RN, LPN. Beautiful
lakefront setting with heated pool. Salary, room,
board and travel—families welcome. Partial summer
available. Season dates: June 18th-Aug. 17th. Must
enjoy working with children in a camp setting. Day
Camp & Sleepover Camp, coed, ages 3 to 16.
Beautiful NH camp serving inner-city and
low-income boys and girls seeks LPN or RN
from 6/18-8/21.
•
Send resume to:
Wediko Children’s Services, c/o Noel O’Connor,
72 E. Dedham St., Boston, MA 02118;
(617) 292-9200; noconnor@wediko.org.
Nurses are vital to Camp Robin Hood!
Camp Robin Hood is seeking qualified RNs, NPs, and
advanced nursing students to join us in Freedom,
New Hampshire this summer, 2014!
Camp Robin Hood is an overnight summer camp for around
350 boys and girls aged 7-16 years old. Our mission is to
provide a nurturing environment in which lasting bonds are made.
We are looking for qualified individuals who are available to live at camp for the
summer and must be willing to do on-call over night shifts. Room and board
included.
Dates: June 24–August 14 (Dates are flexible)
Salary: Based on experience • Requirements: CPR/AED/First Aid
If interested please send a copy of your resume to molli@camprobinhood.com
CAMP NURSES—
MAINE!
Maine girls’ camp seeks RNs for the summer,
June 20-August 17. Salary, travel allowance,
room, board and laundry included.
Look us up: www.camptapawingo.com
Email us: jane@camptapawingo.com
Or call: 973-275-1139
Page 16 • New Hampshire Nursing News
In Memory
Elliot Grad
Joan M. Malloy, 80, died November
20, 2013. A 1953 graduate of the Elliot
Hospital School of Nursing, she was
employed at the Elliot and later in
Boston Hospitals. She was a member
of the Elliot Hospital Nurses Alumni
Association and the American Red
Cross, volunteering her services in
nearly all the blood drives in Dover
and Durham for many years.
Joan Malloy
Veterans’ Nurse
Charlotte C. (Hogan)
Gavin, 66, died November
21, 2013. She was employed
for 18 years as a licensed practical
nurse by the Manchester VA Medical
Center.
Charlotte
Gavin
Nursed in 3 Wars
Helen W. Collings, 93,
passed away November
20, 2013. A native of Twin
Mountain she graduated in 1941
the Massachusetts General School
of Nursing in Boston. She entered
the U.S. Army Nurse Corps as a 1st
Lieutenant and served for 26 years
retiring with the rank Major in 1967.
Helen Collings
Her awards included the American
Campaign Medal and the World War
II Victory Medal having served during WWII, the Korean
War and the Vietnam War. Following her retirement she
returned to her hometown of Littleton, N.H., and for nine
years continued her nursing career as school nurse at
Littleton High School.
Looking for the
perfect career?
Look no further than...
nursingALD.com
Find the perfect
nursing job for you!
April, May, June 2014
of
Our Colleagues
St. A’s Grad
Georgina E. “Georgie” Wuchter, 91,
died November 22, 2013. A graduate
of the Notre Dame Hospital School
of Nursing, in 1957, she earned a
bachelor of science degree in nursing
from Saint Anselm College. She
earned an MSA from Boston College
in 1964 and a C.A.G.S. from Boston
University in 1967. She practiced as a
Georgina
night nursing supervisor and operating
Wuchter
room supervisor at Notre Dame
Hospital and Catholic Medical Center. Until her retirement
in 1987, she was a professor of nursing at Saint Anselm
College. Upon retirement she served as a parish nurse at
various Manchester churches. She was a longtime member
of the NH Nurses Association, the American Nurses
Association, and the NH Council of Catholic Nurses.
Berlin Native
Beverly (Blair) Penney, 79, died
November 23, 2013. A lifelong resident
of the Berlin-Gorham area in 1980,
Beverly realized her lifelong ambition
of becoming a nurse and graduated
from the Berlin Vocational Technical
College as a licensed practical nurse.
She practiced at the Androscoggin
Valley Hospital and for the St. Vincent
de Paul Nursing Home in Berlin.
Beverly
Penney
MDS Coordinator
Gail L. Krzywicki, 62, died November 30, 2103. She
was a graduate of the St. Joseph Hospital School of
Nursing and NHTI in Concord. She practiced as an MDS
coordinator for Courville Community in Nashua. She also
had worked for Parkland Medical Center.
Native Canadian
Carolyn Bess Scott Thibodeau, 77, died November
24, 2013. She received her Canadian nursing diploma
in 1958 and spent the last 20 years of her career at the
Rockingham County Nursing Home in New Hampshire.
Private Duty Nurse
Elaine A. (Connolly) McCoy, 92,
passed away December 15, 2013. A
lifelong resident of Manchester she
was a graduate of the Sacred Heart
School of Nursing. In her early years,
she was a private duty nurse. She was
an active member of the Catholic
Nurses Association.
Elaine McCoy
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
Elliot Nurse
Nancy Marie (DeAnglis) McCusker,
59, died December 17, 2013. She had
practiced as a registered nurse at The
Elliot Hospital in Manchester, until the
time of her passing.
Nancy
McCusker
NHNA Nurse of Year
Janet Eadie Small, died December 17,
2013. She graduated in 1939 from N.H.
Hospital School of Nursing and went
on to receive a Bachelor in Nursing and
a Masters in Nursing Education from
Boston University. She was employed
at the NH Hospital for 47 years;
serving for 32 years as the Director of
the School of Nursing. She received
Janet Small
many nursing awards and citations of
merit. In 1979 she was the NHH Nurse
of the Year for her leadership and dedication to the field
of nursing. She was an active member of the American
Nurses Association, National League of Nursing, and was
a Council Member on the NH Board of Nursing.
Sacred Heart Grad
Claire T. Sanfason, 83, of Hooksett
passed away on December 18, 2013. A
Manchester native she was a graduate
of Sacred Heart School of Nursing
and remained to practice for 37 years
Catholic Medical Center until her
retirement.
LPN
Virginia “Ginny” Barrett, 97, passed
away December 23, 2013. She was
an LPN for many years, working
New London Hospital, Laconia
State School, Lakes Region General
Hospital, Tilton Veterans Home and the
Tilton School. She served as a director
of the Licensed Practical Nurses
Association of N.H.
Claire
Sanfason
Virginia
Barrett
In Memory continued on page 17
UNIVERSITY of NEW HAMPSHIRE
DEPARTMENT of NURSING
“Preparing skilled, knowledgeable, reflective leaders in health care.”
Are you an RN?
Do you have a bachelor degree that is not in Nursing?
Would you like to have your Master’s Degree
in Nursing?
• Applications are now being accepted for the 31 credit Evidence
Based Nursing Track in the Graduate Program of the
Department of Nursing at UNH!
• Admission requirements can be found at www.unh.edu
keyword “non-BSN”
• Graduates of this program may apply to the Post-Master’s
Family Nurse Practitioner Certificate Program at UNH
Courses now enrolling to start Fall 2014
To learn more about advancing your career with a
master’s degree in nursing, go to
www.chhs.unh.edu/nursing/graduate-programs
April, May, June 2014
New Hampshire Nursing News • Page 17
In Memory
In Memory continued from page 16
MHMH Grad
Patricia E. Smith, 92, passed away
December 25, 2013. She was a graduate
of the Mary Hitchcock Hospital School
of Nursing and while her children were
young, she served as a school nurse in
Vermont.. Later, she served as a private
duty nurse, a hospital floor nurse, and
eventually a nursing supervisor at the
Mary Hitchcock Memorial Hospital, Patricia Smith
until her retirement in the mid-1970s.
Active NHNA Member
Maureen Sullivan Bissonnette, 82,
died on January 9, 2014. She graduated
from Mount Saint Mary Sacred Heart
Hospital School of Nursing and
continued her education by attending
St. Anselm College, receiving her
Bachelor of Science degree in nursing.
For many years, she was Vice President
and Treasurer of District 5, NH State
Maureen
Nurses Association. She also served on
Bissonnette
the state level of the Nurses Financial
Board. She was also the Treasurer of the Manchester
Chapter of the Catholic Nurses Association.
Home Care Director
Mary Elizabeth (“Bess”) Hastings
died on January 15th, 2014. She
graduated from Columbia University in
1959 with a BS in Nursing. She began
her career working as a registered nurse
at Mary Hitchcock Memorial Hospital
in Hanover, NH. Later, she worked as
the Director of Home & Community
Health Care of the Upper Valley in
Mary Hastings
White River Jct., VT. Following a long
career there, she worked to complete
a merger of her agency with the consolidated VNA/VNH
before retiring in 1996.
of
Our Colleagues
Psych Nurse
Mary-Louise Comins Crozier, 77, died on January
17, 2014. A 1959 BSN graduate she began her career
as a psychiatric nurse at McLean Hospital in Boston.
She was a nursing instructor Burbank Hospital School
of Nursing and director of a day treatment program for
the mentally ill. She served as the nurse manager on an
adult psychiatric unit at the former Brookside Hospital in
Nashua and ended her 46 year career on the Access Team
at SNHMC in 2006.
Rivier Grad
Carol (Roy) Tischner, passed on
January 24, 2014. She received her
bachelor’s degree in nursing and a
master’s degree in theology from
Rivier University. Her practice for
many years in various hospitals and
skilled nursing facilities, provided
faith-filled care of the sick and
disabled.
Office LPN
Sylvia (Panzieri) Nordle, 90, died
January 27, 2014. She attended the
Sacred Heart Hospital School of
Nursing and later became a Licensed
Practical Nurse. She worked as an
LPN at Sacred Heart Hospital and
several Manchester area doctor’s
offices including Doctor’s Pilpil and
Arambulo.
Carol
Tischner
Silvia Nordle
The Medical Reserve Corps keeps our communities a safe place to live, by supporting
existing Fire, Emergency and Health professions. We assist neighbors in times of need, and
during public health emergencies. Members build their resumes with free trainings and
CEUs while having fun and helping neighbors to stay safe and well.
You do not need a medical background to volunteer, however
we welcome anyone with nursing experience!
If you would like to become a part of our amazing Medical
Reserve Corps in both Sullivan and Merrimack Counties, give
our Unit Director Jessica Rosman a call at 603-398-2222 or
email: mrc@sullivancountynh.gov.
REGISTER NOW!
We are also on Twitter: @GSCMRC,
and on Facebook! @GSCPHN.
Find us on the web:
www.sullivancountynh.gov/mrc.
Hospice Nurse
Susan M. Herrmann, 63, died
February 9, 2014. She received
a degree in nursing in Vermont
and attended Keene State College
and Antioch University in Keene,
where she received a certification in
community health and management.
Her passion was educating the medical
profession and the public about hospice
Susan
and of allowing people to have a
Herrmann
peaceful death at home. She was the
director of hospice at Home Healthcare, Hospice and
Community Services in Keene for 18 years. She received
certifications from National Hospice and Palliative Care as
a certified hospice and palliative care registered nurse and
also in National Hospice and Palliative Care Leadership
and Management. She was a member of the executive
board of directors with State Hospice and Palliative Care.
St. Joes’ Grad
Rena A. Couturier, 83, died on February 11, 2014. Born
in Montreal, Canada she fulfilled a lifelong dream by
pursuing a career in nursing, graduating as a licensed
practical nurse at age 58 and working for several years at
St. Joseph Hospital.
Elizabeth
Lupien
April 6 – 12th is National Volunteer Week! The Medical Reserve Corps would like to
recognize and THANK all of our Volunteers who have helped the Greater Sullivan County
region to stay healthy and safe. The Medical Reserve Corps is a Federally-based volunteer
organization, under the Office of the U.S. Surgeon General; our mission is to engage
volunteers to strengthen public health, emergency response and stimulate community
resiliency.
Sonja Wilson
Centenarian
Annie L. (Miles) Kucharski, 100, passed February 6,
2014, Annie graduated from the Exeter Hospital School of
Nursing in 1935. She was a staff nurse in the hospital, and
for many years was a nurse at the Exeter Clinic in Exeter.
Sacred Heart Grad
Elizabeth J. “Betty” (Rose) Lupien,
88, died January 28, 2014, She
graduated from the Sacred Heart
School of Nursing as a registered nurse
and practiced there early in her career.
Until her retirement, she did private
duty nursing.
APRIL 6 – 12 is NATIONAL VOLUNTEER WEEK:
JOIN MEDICAL RESERVE CORPS!
Industrial Nurse
Sonja (Davidson) Wilson, 75, died
February 1, 2014. She was a diploma
graduate of Concord Hospital School
of Nursing and practiced as an
industrial nursing until leaving to raise
her family. She re-entered nursing after
her children were grown, working until
retirement at Greenbriar Nursing Home
in Nashua.
Page 18 • New Hampshire Nursing News
April, May, June 2014
Welcome New & Reinstated Members
Paula Agrodnia
Megan Alexander
Lirio Ampongan
Sandra Auvil
Thomas Bathrick
Henry Beaudry
Brianna Beecher
Laurie Bennett
Kathryn Bolduc
Joan Boutwell
Brenda Burke
Karen Carpenter
Kelly Collins
Tracey Cookson
Amanda Cormier
Katelyn Crosby
Carol Dahl-Devries
Stephen Davis
Dawn Decosta-Gallo
Grace Desrosiers
Jennifer Dickie
Ludovic Duffroy
Amy Eilertsen
Michelle Flattes
Christopher Frazee
Greenland, NH
Exeter, NH
Manchester, NH
Richmond, NH
Claremont, NH
Nashua, NH
Nottingham, NH
New Boston, NH
Hampstead, NH
Merrimack, NH
Salem, NH
East Hampstead, NH
Manchester, NH
Merrimack, NH
Jefferson, NH
Dunbarton, NH
Thetford CTR, VT
Lebanon, NH
Greenfield, NH
Rochester, NH
Windham, NH
Manchester, NH
Hanover, NH
Derry, NH
Portsmouth, NH
Jaclyn Gagne
Rose Gagnon
Robyn Galvin
Erin Gatsas
Ariel Gaudet
Marjorie Godfrey
Sharon Greenhalgh
Devere Groleau
Jonathan Harvey
Sharon Herdlein
Tasha Humphreys
Elaina Johnson
Wendy Jones
Rebecca Kelly
Pamela King
Cindy Kolenda
Melissa Kubicki
Amanda Kuzmick
Donald Lafave
Samantha Laferriere
Ann Lak
Clifford Laplante
Kathryn Lawrence
Priscilla Leblanc
Ellen Lock
Merrimack, NH
Manchester, NH
Nashua, NH
Londonderry, NH
Wakefield, MA
Lebanon, NH
Litchfield, NH
Laconia, NH
Methuen, MA
Manchester, NH
Barrington, NH
Colebrook, NH
Greenland, NH
Merrimack, NH
Belmont, NH
Manchester, NH
Bedford, NH
Newmarket, NH
Warner, NH
Quechee, VT
Dover, NH
Keene, NH
Bedford, NH
Rochester, NH
Barrington, NH
Frances Lufkin
Benton, NH
Melinda Luther
Hollis, NH
Lisa Marshall
Chester, NH
JoElla McCarragher
Meriden, NH
Jane McGrath
Nashua, NH
Vanessa Mendez Zapata Nashua, NH
Annalisa Miller
Lee, NH
Jennifer Mills
Litchfield, NH
Brittany Moccio
Rindge, NH
Heather Moreau
Bow, NH
Ann Moser
Mason, NH
Mary Nagel
Gilmanton, NH
Joyce Neilsen
Wilmot, NH
Jillian Nemcovich
Franklin, NH
Oluwadamilola Ogunbayo Manchester, NH
Sharon Oiekmlus
Bedford, NH
Tina Pageau
Gorham, NH
Ellen Parker
Randolph Center, VT
Cassandra Pavone
Hudson, NH
Jaime Payson
Wilder, VT
Jennifer Pedley
Windham, NH
Sherri Perry
Ashland, NH
Courtney Peterson
Grantham, NH
Nikki Pimental
Pembroke, NH
Deborah Rice
Nashua, NH
Samantha Richardson
Suzanne Riley
Sue Rogers
Jamie Rounsaville
Michelle Rudis
Michelle Rudis
Joanne Samuels
Laine Schofield
Stacy Shalno
Stacy Shalno
Georgette Shapiro
Cheryl Shirley
Phyllis Shoemaker
Joanne Shomphe
Lynda Skowronski
Maria Smith
Carla Smith
Judith Spencer
Sheryl Stevens
Sandra Tanis
Sue Theriault
Brenda Windgate
Margaret Wink
Nicole Young
Gaithersburg, MD
Plymouth, NH
Dover, NH
Grantham, NH
Rehoboth, MA
Rehoboth, MA
Durham, NH
Littleton, NH
Exeter, NH
Exeter, NH
Greenwood, NH
Concord, NH
Laconia, NH
Farmington, NH
Charlestown, NH
Nashua, NH
Fremont, NH
Campton, NH
Pembroke, NH
Exeter, NH
Fairbanks, AK
Nashua, NH
Brookline, NH
Milford, NH
New Hampshire Nursing News • Page 19
10 Paid H
rual.
olid
Acc
ays
e
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Ti
Sullivan County
k
Health Care
“All day, every day, we make life better.”
Positions available
RNs & LPNs
Full Time 3-11 or Per Diem
l & Life Insu
enta
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a
,D
nc
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ackage. Earne
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April, May, June 2014
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
wH
ha
ta
Ne
Inspire - Transform - Care
Join Spiritual Care’s
2014 Skills Training Programs
Online Courses
April and September 2014
~
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Cultivating Compassionate Presence
7-week course for healthcare professionals
Caring for Others, Caring for Ourselves
8-week course for family caregivers
Contemplative End-of-Life Care
An innovative certificate program
for healthcare professionals
September-December, 2014
Online learning with 8-day residential session,
near Ithaca, New York.
Strengthen knowledge, authentic
communication and resilience through
meditation and contemplative practices.
CE’s
CE’s in
in nursing,
nursing, social
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and chaplaincy
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1-866-511-CARE
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Cedarcrest Center
for Children with Disabilities
The region’s leader in nursing education
Keene, New Hampshire
… enriching the lives of children with complex medical and developmental needs and
supporting their families through exceptional medical care, special education and therapy
services in a warm, home-like setting for 65 years …
Director of Nursing Services
As Cedarcrest Center’s clinical leader, our Director of Nursing Services is responsible
for maintaining exemplary standards of care and a culture of caring and commitment
throughout the organization.
Requirements include:
■ RN, BSN Licensure (or eligibility) in New Hampshire
■ Minimum 3 years in pediatrics and 3 years in a leadership role
■ Experience with children with multiple disabilities and/or chronic health
needs preferred
Send cover letter, résumé, and three letters of reference to:
Christine Hadley, HR Coordinator,
Cedarcrest Center, 91 Maple Avenue, Keene, NH 03431
EOE
For more information and a complete position
description, see our website:
www.cedarcrest4kids.org
Undergraduate and Graduate Programs to Advance Your Career
Complete your bachelor’s degree with our Online RN-BSN program. Advance your career with
one of our four master’s degree programs including our new online M.S. in Nursing Leadership
Reasons to advance your nursing career at Rivier University:
• Strong educational partnerships with many of the region’s top hospitals in New Hampshire and Massachusetts
• Clinical and practicum courses capped at eight students per section
• Online nursing classes and nearly all classroom sections capped at 22
• All programs are accredited by the Accreditation Commission for Education in Nursing (ACEN-formerly NLNAC)
• Programs are designed to accommodate your busy nursing schedule
420 S. Main Street, Nashua, N.H. • www.rivier.edu/nursing • 1-800-447-4843 • gadmissions@rivier.edu
Page 20 • New Hampshire Nursing News
O F F E R E D B Y T H E A M E R I C A N N U R S E S A S S O C I AT I O N
COULD YOU MAKE THIS MISTAKE—
AND BE SUED?
We all make mistakes. But as a nurse, one mistake
can lead to disaster. Consider this real-life example.
A 48-year-old woman with sleep apnea had surgery
at a hospital for a detached retina. The surgery went well,
and the patient was admitted overnight for observation.
That evening, the nurse gave the patient Demerol for pain as
prescribed. When the patient vomited shortly thereafter, the
nurse assumed the medication had been expelled and gave
the patient another dose. Later, the patient complained of
inadequate pain control. The nurse alerted the physician, who
ordered another pain medication. By 1:15 a.m., the patient
coded. The team could not resuscitate her.
The patient’s daughter filed a lawsuit. The case was
settled for more than $1 million, split evenly among
the nurse and two physicians.1
It’s because of cases like this that the American Nurses Association (ANA) offers the Nurses
Professional Liability Program. It protects nurses from the potentially devastating impact
of malpractice lawsuits.
Get the protection you need—without paying more than you need. To take advantage of special
rates for ANA members, visit proliability.com for an instant quote and to fill out an application.
MALPRACTICE INSURANCE OFFERED BY THE ANA
ANNUAL PREMIUM AS LOW AS $982
Protect yourself now! • Visit proliability.com or call 800-503-9230.
Source: Forum, May 2008
Please contact the program administrator for more information, or visit proliability.com
for a free quote.
1
2
April, May, June 2014
Their
Stories
Are Our
Stories.
Achieve better outcomes for your patients
and career by joining the HealthSouth
Rehabilitation Hospital of Concord, where
we combine superior resources and
support to impact your career growth, and
the lives of those we serve. We are a 50bed facility specializing in comprehensive
inpatient and outpatient rehabilitation.
Due to our continued growth, we are
always on the lookout for exceptional
individuals to join our nursing team. If you
are just starting out, or are a current nurse
interested in a career in rehab, we have
opportunities for you.
At the HealthSouth Rehabilitation Hospital
of Concord, we achieve better outcomes
by providing our employees with what
they need to grow and advance in
their profession. Learn more about the
difference you can make in your profession
as a member of our collaborative team.
65671 (4/14) Copyright 2014 Mercer LLC. All rights reserved.
Underwritten by Liberty Insurance Underwriters Inc.,
a member company of Liberty Mutual Insurance. 55 Water Street • New York, New York 10041
Administered by: Mercer Consumer, a service of Mercer Health & Benefits Administration LLC
In CA d/b/a Mercer Health & Benefits Insurance Services LLC
AR Ins. Lic. #303439 | CA Ins. Lic. #0G39709
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