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The Official Publication of the Alabama State Nurses Association
                                                                       Circulation to 74,000 Registered Nurses, Licensed Practical Nurses and Student Nurses in Alabama
                                                                           Alabama State Nurses Association • 360 North Hull Street • Montgomery, AL 36104
                                                                                            Volume 37 • Issue 1                                                                               March, April, May 2010


                       Inside Alabama Nurse
                                                                                                          National Nurses Week History
                                                                                            National Nurses Week begins each year on May 6th and            Eisenhower to proclaim a
                                                                                         ends on May 12th, Florence Nightingale’s birthday. These           “Nurse Day” in October
                                                                                         permanent dates enhance planning and position National             of the following year.
                                                                                         Nurses Week as an established recognition event. As of 1998,       The proclamation was
                                                                                         May 8 was designated as National Student Nurses Day, to            never made.
                                                                                         be celebrated annually. And as of 2003, National School                1954 National Nurse
                                        Legislative Day                                  Nurse Day is celebrated on the Wednesday within National           Week was observed
                                            Photos                                       Nurses Week (May 6-12) each year.                                  from October 11–16. The
                                                                                            The nursing profession has been supported and promoted          year of the observance
                                                                                         by the American Nurses Association (ANA) since 1896. Each          marked       the     100th
                                                                                         of ANA’s state and territorial nurses associations promotes        anniversary of Florence
                                            Page 13                                      the nursing profession at the state and regional levels.           Nightingale’s mission to Crimea. Representative Frances
                                                                                         Each conducts celebrations on these dates to recognize the         P. Bolton sponsored the bill for a nurse week. Apparently, a
                                                                                         contributions that nurses and nursing make to the community.       bill for a National Nurse Week was introduced in the 1955
                                                                                            The ANA supports and encourages National Nurses                 Congress, but no action was taken. Congress discontinued
                                                                                         Week recognition programs through the state and district           its practice of joint resolutions for national weeks of various
                                                                                         nurses associations, other specialty nursing organizations,        kinds.
                                                        Save These                       educational facilities, and independent health care companies          1972 Again a resolution was presented by the House
                                                          Dates                          and institutions.                                                  of Representatives for the President to proclaim “National
                                                                                                                                                            Registered Nurse Day.” It did not occur.
                                                                                         A Brief History of National Nurses Week
                                                                                           1953 Dorothy Sutherland of the U.S. Department of
                                                        Page 16                          Health, Education, and Welfare sent a proposal to President                         National Nurses Week continued on page 2



                                                                                                             Best Practices for Retention
     Inside this Issue                                                                                             of Older Nurses
ASNA Board of Directors . . . . . . . . . . . . . . . . . . . . . . .2                      Improvements in         •   Provide mechanical patient lifts & devices to aid ambulation and transfers
Convention News . . . . . . . . . . . . . . . . . . . . . . . . . . . .15                   Patient Handling        •   Develop transport and lift teams
ED’s Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4                                     •   Develop patient handling policies
                                                                                                                    •   Education regarding improved Patient handling techniques
Elizabeth A. Morris Clinical Sessions–FACES ‘10 . . . . .9                                                          •   Acquire new and improved patient handling techniques & devices
Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Environmental Issues . . . . . . . . . . . . . . . . . . . . . . . . .14                    Adaptations in    • Decentralized nursing stations to allow for easy access to patient rooms
Legal Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4               Work Environments • Improved flooring for areas of prolonged standing
                                                                                            for the Nurse     • Enhanced lighting schemes over task areas
LPN Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5                                 • Provide accessible, adequate, and comfortable rest areas away from nursing station
Nurse Practitioner Alliance of Alabama . . . . . . . . . . . . .6                                             • Incorporate ergonomically correct seating at nursing stations
Membership News . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
                                                                                            Scheduling              •   Offer nontraditional lengths of daily shifts
President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . .3
                                                                                            Flexibility             •   Offer longer breaks for adequate rest
Research Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . .14                                           •   Offer more off days between work days
Scholarship Information . . . . . . . . . . . . . . . . . . . . . . .17                                             •   Offer self scheduling, shift sharing options, and flexibility around educational schedules
Save These Dates . . . . . . . . . . . . . . . . . . . . . . . . . . .16
                                                                                                                                                                                     Best Practices continued on page 6
The Face of Nursing 2011 Calendar Application . . . . .18



                                                                          Presort Standard
                                                                            US Postage
                                                                                                                              SAVE                                  Elizabeth A. Morris
                                                                                  PAID
                                                                              Permit #14                                      THIS                                  Clinical Education
                      current resident or
                                                                            Princeton, MN
                                                                                55371                                         DATE                                 Sessions–FACES ‘10
                                                                                                               ASNA/AANS/ALaONL                                           Registration Information in
                                                                                                             ANNUAL CONVENTION                                                 Pullout Section
                                                                                                        SEPTEMBER 30–October 2, 2010
                                                                                                  (at the Renaissance Riverview Plaza in Mobile,                           Eastmont Baptist Church
                                                                                                   AL. Full convention materials will be printed                               Montgomery, AL
                                                                                                           in the June/July/August issue of                                     April 20, 2010
                                                                                                                The Alabama Nurse).
Page 2 • The Alabama Nurse                                                                                                                                                       March, April, May 2010

                                                                        Alabama Board of                                                                      PUBLICATION
                                                                        Nursing Vacancies                                                     The Alabama Nurse Publication Schedule for 2010
                                                                        There will be 2 RN positions open and 1 LPN position                  Issue                              Material Due to ASNA Office
                                                                     open as of January 1, 2011. The term of Pamela Autry,
                                                                     Nursing Practice; Sylvia Nobles, Advanced Education; and                 June/July/Aug                        May 3
                                                                     Greg Howard, AFLPN will expire December 31, 2010. RN                     Sept/Oct/Nov                         Aug 9
           ASNA Board of Directors                                   applications only are available from the ASNA office. Call               Dec/Jan/Feb2011                      Nov 1
                                                                     Betty at 334-262-8321 or Greg Howard, AFLPN 1-205-
President . . . . . . . . . . . . . Debbie Faulk, PhD, RN, CNE       554-2000 Ext.2270.                                                       Guidelines for Article Development
President-Elect . . Joyce Varner, DNP, GNP-BC, GNCS
Vice President . . . . . . . . . . . Jackie Williams, MSN, RN                                                                                 The ASNA welcomes articles for publication. There
Secretary . . . . . . . . . . . . . . . . . Mardell Davis, PhD, RN                                                                            is no payment for articles published in The Alabama
Treasurer . . . . . . . Arlene Morris, EdD, MSN, RN, CNE                                                                                      Nurse.
District 1 . . . . . . . . . Brian Buchmann, BSN, RN, MBA
District 2 . . . . . . . . . Pamela Moody, PhD, RN, FNP-BC
                                                                        Condolences to:                                                        1. Articles should be microsoft word using a 12 point
District 3 . . . . . . . Delores “Dee” Sherman, MSN, BSN,                         Long-time active members                                        font.
                                                        RN, HCPN                  Mattie Simms & Joy Morris.                                   2. Article length should not exceed five (5) pages 8 x 11
District 4 . . . . . . . . Henrietta “Henri” Brown, DNP, RN                                                                                    3. All reference should be cited at the end of the article.
District 5 . . . . . . . . . . . . . . Margaret Howard, ADN, RN                Long-time ASNA former member                                    4. Articles (if possible) should be submitted
Commission on                                                                         Frances Chisolm.                                            electronically.
Professional Issues . . . . Debra Litton, RN, MSN, MBS,
                                                              CNA               Anita McFaddin on the death of                                                     Submissions should be sent to:
VA Consultant . . . . . . . . . . . . . . Jeanell Foree, BSN, RN                      her husband John.                                                              edasna@alabamanurses.org
Special Interest Group:                                                                                                                                                           or
Advance Practice Council. . . . . .Karen Davidson, DSN,                    Edna Moore on the death of her sister.                                                    Editor, The Alabama Nurse
                                                             CRNP                                                                                                 Alabama State Nurses Association
                                                                          Paula Gasser on the death of her mother.                                                      360 North Hull Street
                        ASNA STAFF                                                                                                                                     Montgomery, AL 36104
    Executive Director, Joseph F. Decker, II, MA, BA
             Director Leadership Services,
           Charlene Roberson, MEd, RN-BC
            ASNA Attorney, Don Eddins, JD
     Administrative Coordinator, Betty Chambliss                     National Nurses Week continued from page 1                        acknowledged May 6, 1982 as “National Nurses Day.”
          Programs Coordinator, April Bishop                                                                                           The action affirmed a joint resolution of the United States
                  334-262-8321 Phone                                                                                                   Congress designating May 6 as “National Recognition Day
                                                                         1974 In January of that year, the International Council of    for Nurses.”
                   VISION STATEMENT                                  Nurses (ICN) proclaimed that May 12 would be “International          1982 President Ronald Reagan signed a proclamation
                        Our Vision                                   Nurse Day.” (May 12 is the birthday of Florence Nightingale.)     on March 25, proclaiming “National Recognition Day for
                                                                     Since 1965, the ICN has celebrated “International Nurse           Nurses” to be May 6, 1982.
           ASNA is the professional voice of all                     Day.”                                                                1990 The ANA Board of Directors expanded the
             registered nurses in Alabama.                               1974 In February of that year, a week was designated by       recognition of nurses to a week-long celebration, declaring
                                                                     the White House as National Nurse Week, and President             May 6–12, 1991, as National Nurses Week.
                        OUR VALUES                                   Nixon issued a proclamation.                                         1993 The ANA Board of Directors designated May 6–12
                                                                         1978 New Jersey Governor Brendon Byrne declared May           as permanent dates to observe National Nurses Week in 1994
•   Modeling professional nursing practices to other                 6 as “Nurses Day.” Edward Scanlan, of Red Bank, N.J., took        and in all subsequent years.
    nurses                                                           up the cause to perpetuate the recognition of nurses in his          1996 The ANA initiated “National RN Recognition Day”
•   Adhering to the Code of Ethics for Nurses                        state. Mr. Scanlan had this date listed in Chase’s Calendar of    on May 6, 1996, to honor the nation’s indispensable registered
•   Becoming more recognizably influential as an                     Annual Events. He promoted the celebration on is own.             nurses for their tireless commitment 365 days a year. The
    association                                                          1981 ANA, along with various nursing organizations,           ANA encourages its state and territorial nurses associations
•   Unifying nurses                                                  rallied to support a resolution initiated by nurses in New        and other organizations to acknowledge May 6, 1996 as
•   Advocating for nurses                                            Mexico, through their Congressman, Manuel Lujan, to have          “National RN Recognition Day.”
•   Promoting cultural diversity                                     May 6, 1982, established as “National Recognition Day for            1997 The ANA Board of Directors, at the request of the
•   Promoting health parity                                          Nurses.”                                                          National Student Nurses Association, designated May 8 as
•   Advancing professional competence                                    1982 In February, the ANA Board of Directors formally         National Student Nurses Day.
•   Promoting the ethical care and the human dignity of
    every person
•   Maintaining integrity in all nursing careers

                       OUR MISSION

ASNA is committed to promoting excellence in nursing.
                                                                                                                                                          www.ReadyToPass.com
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For advertising rates and information, please contact
Arthur L. Davis Publishing Agency, Inc., 517
Washington Street, PO Box 216, Cedar Falls, Iowa
                                                                                                                                            Classroom and LIVE Online
50613, (800) 626-4081, sales@aldpub.com. ASNA and                                                                                            review classes available.
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the right to reject any advertisement. Responsibility for                                                                                 Georgia (404) 824-0668
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errors in advertising is limited to corrections in the next
issue or refund of price of advertisement.

Acceptance of advertising does not imply endorsement
or approval by the Alabama State Nurses Association
                                                                                                                                        DEAN OF NURSING




of products advertised, the advertisers, or the claims
made. Rejection of an advertisement does not imply a
product offered for advertising is without merit, or that
the manufacturer lacks integrity, or that this association                                           CAREER OPPORTUNITIES:
                                                                      Enjoy all the advantages of                                                                   Dean of Nursing Position Reopened
disapproves of the product or its use. ASNA and the                                                 Call 877.629.3332
                                                                       “home-town” healthcare.                                                               Darton College, a two-year multi-purpose college of
Arthur L. Davis Publishing Agency, Inc. shall not be
                                                                     Central Alabama community      or email: Maxestaffing@maxe2.com
held liable for any consequences resulting from purchase                                                                                                        the University System of Georgia, announces
or use of an advertiser’s product. Articles appearing in               based rural hospitals are                                                                 its search for a Dean of Nursing and invites
                                                                                                    Full range of benefits including
this publication express the opinions of the authors; they            expanding and looking for        health, dental, vision and                             nominations and applications. Visit our website at
do not necessarily reflect views of the staff, board, or                                             401 (k). Convenient commute                               www.darton.edu for a complete job description
                                                                         Case Manager
membership of ASNA or those of the national or local                                                 from Auburn, Montgomery or
                                                                                                                                                                        and requirements, or contact:
associations.                                                                                       Troy. Alabama license required.
                                                                        Pediatric CRNP
                                                                                                                                                                       Personnel Office, Darton College
© Copyright by the Alabama State Nurses Association.                 Psychiatric RN/LPN                                                                                     2400 Gillionville Road
                                                                       Psychiatric CRNP                                                                                      Albany, GA, 31707
                                                                                                                                                              AA/EOI Women and Minorities are encouraged to apply.
March, April, May 2010                                                                                                                            The Alabama Nurse • Page 3


                                                                                                                      The President’s Message
                Debbie Faulk, PhD, RN                          Evaluation of 2008-2009 Strategic Plan                                 •    ASNA President and ED attended two Constituent
                  ASNA President                               •   Legislative Advocacy–members updated each month                         Member Assemblies at ANA headquarters
                                                                   during legislative session via email                               •    CE policies maintained by ASNA staff
   When this edition of the                                    •   Lobbying presence during legislative session–5 days a              •    Published continuing education announcements in
Alabama Nurse is published                                         week                                                                    Alabama Nurse and on ASNA Website
and arrives in the mail to the                                 •   Nursing representation on 7 community boards and/or                •    Leadership CD series available for purchase by nurses
homes of 62,000 plus Alabama                                       committees                                                              and/or health care facilities in Alabama
nurses, I will be a mere seven                                 •   CE Committee sponsored a number of programs                        •    Evidence based findings published in the Alabama
months away from the end of                                        related to pertinent practice issues at the following                   Nurse and on ASNA Website
my term as YOUR President                                          educational opportunities: Elizabeth Morris Clinical               •    Published and distributed ASNA calendars featuring
of ASNA. In early November                                         Education Sessions–FACES ‘09; ASNA 2009                                 Alabama nurses
of 2009, the ASNA Board                                            convention; AND in the following publications and/                 •    Developed a membership and recruitment CD
of Directors evaluated the                                         or Websites: Alabama Nurse; ASNA Website; and                           (available from ASNA at no cost)
2008-2009 strategic plan and                                       regional educational opportunities: ASNA 2009                      •    Restructured ASNA Website to provide ease of
developed a new plan for 2010.                                     convention                                                              navigation; a members only and district only link;
In this message, I would like to provide you with a list of    •   ASNA President and/or Executive Director (ED)                           sites for CE, etc.
accomplishments, as well as, a list of goals and objectives        attended all meetings of the Alabama Nursing                       •    Hosted 2009 Nurse’s Day at the Capitol event in
for 2010. Many, many times I have heard nurses say,                Coalition                                                               collaboration with Alabama Nurses Coalition on Feb.
“What has ASNA done for me?” I believe it is extremely                                                                                     12, 2009
important that you know what YOUR state nurses                                                                                        •    Conducted an annual ED evaluation
association has done for you in fulfilling the mission of                                                                             •    Held 2 virtual BOD meetings
                                                               Strategic Plan 2010
promoting excellence in nursing and in what ways it will
continue to work throughout 2010. In the next edition I will     GOAL                                                              OBJECTIVE
provide the performance indicators and an update related
to meeting the goals and objectives.                             Provide leadership for health policy and                          1. Collect and disseminate information related to proposed
   I am also very excited to include an inspiring message        legislative activities                                               and on-going legislation affecting nursing and health
that was presented by Mr. John Hankins, Director of                                                                                   care.
Nursing for the Alabama Public Health Department, at the                                                                           2. Maintain lobbying activities in the state legislature.
2010 Nurse’s Day at the Capitol. This year’s event was a                                                                           3. Assume nursing representation on key committees and
huge success with more than a 1,000 nurses and students                                                                               boards that affect health-related legislation.
advocating for nursing and access to health care for                                                                               4. Endorse and provide support for qualified nurses and
Alabama citizens.                                                                                                                     friends of nursing seeking elected office.
   As always, in order to make a difference in health care,                                                                        5. Monitor advance practice nursing issues.
nurses must be united. While we have many voices and                                                                               6. Monitor environmental issues.
diverse values, we can dialogue, agree to disagree, and yet
show others that we speak with one strong CIVIL voice            Advocate for Alabama nurses on professional                       1. Offer support and guidance for professional practice
when it comes to providing quality access to care for            practice issues                                                      issues
Alabama citizens and to promoting excellence in nursing.                                                                           2. Disseminate information on professional practice issues
We at ASNA strongly believe that this advocacy can be
best accomplished through membership in ASNA. Thank              Provide for the continuing professional                           1. Maintain continuing education provider and approval
you for your time and attention. I want ALL nurses in            development for Alabama nurses                                       status
Alabama to know that ASNA is working with you and for                                                                              2. Market continuing education services
you. If you are a member of ASNA, thank you! If you are                                                                            3. Market and disseminate leadership competency CD
not, JOIN us in promoting excellence in nursing.                                                                                      series to nurses
                                                                                                                                   4. Disseminate evidence-based practice (EBP) findings

                                                                 Improve the visibility and image of nursing                       1. Recruit and retain members
      Are you a Mary?                                                                                                              2. Improve public visibility and image of nursing.

             John Hankins, RN, MBA                               Evaluate organizational effectiveness, relevancy                  1. Review structural efficiency of ASNA
   Director of Nursing, Alabama Department of                    and efficiency as an on-going process                             2. Investigate more efficient and effective ways of
                  Public Health                                                                                                       communicating with nurses
                                                                                                                                   3. Explore a number of options for increasing the fiscal
   As a Registered Nurse we have all had those moments                                                                                viability of ASNA such as, affinity programs,
of great success when we felt like the work we had done                                                                               discounted membership options, etc.
truly made a difference in the world. I call those days
our Florence Nightingale days. Nightingale has long
been recognized all over the world as the official face of
nursing. The work she did was groundbreaking and the                                                                                                               Serving the Greater Mobile Area
accolades bestowed upon her are well deserved. We would
all like to think that like Nightingale, we will also be                         Online Adult & Geron Nurse Practitioner Program
remembered for our great works.
   However, I would like to introduce you to a nurse that
made an equally important difference in the world during        This online Adult/Geron Nurse Practitioner program in
the same period as Nightingale. Many of us have never           primary care offers a Masters of Science in Nursing (MSN)                          There is no health without mental health
been taught about her, or have even heard her name. But,        degree or a Post Masters Certificate. This innovative                                  (251) 450-5912 | AltaPointe.org
Carnegie (1995) captures the story of Mary Seacole who          program prepares graduates to provide primary care to
was by no means less important, nor did her work make
less of a difference. When Seacole offered to care for
                                                                patients from adolescence through elders and for the Adult
                                                                Nurse Practitioner (primary care) certification exam.
                                                                                                                                                         RNs & LPNs
dying soldiers in London, her services were not accepted.       Additionally, after successful completion of the program,
Not because she could not do the work of a nurse, but           and passing the Adult NP certification exam, students                      AltaPointe Health Systems is currently
because she was female and a person of color. But although      who meet the ANCC criteria will be eligible to sit for
                                                                certification as a Gerontological Nurse Practitioner using
                                                                                                                                                  seeking RNs & LPNs for
she faced prejudice, a lack of funds and minimal supplies
she would not be deterred. Seacole spent her own money          ANCC’s Alternate Criteria. The enhanced gerontological                           Full-Time, Part-Time, PRN
and was often found caring for soldiers on both sides of        content in the program will help prepare students for this
the battle. She along with many others whose names we           Alternate GNP certification exam as well as the ANP                           AltaPointe Health Systems offers excellent
will never know brought healing to the sick without any         certification exam.
                                                                                                                                            benefits which include employee participation
recognition or reward.
                                                                                                                                           in the Retirement Systems of Alabama, BC/BS
   Nightingale has deservedly been honored many times
for her work. Many of you may in fact be a Florence                                                                                          health insurance, Dental, Vision, 403b, PTO,
Nightingale and will help to change the course of nursing                                                                                   STD, 10 paid Holidays, company paid life and
history. The fact is most of us will not. But if you keep                                                                                            long term disability insurance.
working and making a difference one patient or student at
a time, while you may not be remembered as a Florence,                       For more information, contact:
you may be remembered as a Mary. Considering Mary                    Dr. Lynn Chilton, Coordinator of Program:
                                                                                                                                                   On Line Application
Seacole’s history, that wouldn’t be so bad.                             251-445-9433 or lchilton@usouthal.edu                                   www.AltaPointe.org/careers
                                                                                   Visit our website:
   Carnegie, M.E., The Path We Tread; Blacks in Nursing          http://www.southalabama.edu/nursing/geronp.html                                       Equal Opportunity Employer
Worldwide, 1854–1994, New York: National League of Nursing
Press, ©1995.                                                              Funded by HRSA Grant #1D09HP14815-01-00.
Page 4 • The Alabama Nurse                                                                                                                                    March, April, May 2010


  Legal Corner
               by Don Eddins, BS, MS, JD                           candidates ask various individuals and organizations for           candidates and some Senate candidates as well. No nurses
                                                                   money. The Alabama State Nurses Association has a political        have announced in any of the 35 Senate districts.
   Every four years, Alabama                                       action committee with very limited funds. When Joe Decker              If you are not inclined to offer for election, that is
nurses have the opportunity                                        and I go to the Legislature, we are opposed by groups that put     understandable. Public service takes considerable sacrifice and
to determine how the state                                         literally hundreds of thousands of dollars, even millions, into    campaigns are getting so partisan and dirty that some of the
government will function during                                    political campaigns. ASNA may spread a few thousand dollars        most qualified people often refrain from running. But there are
the next quadrinnium. Of course,                                   among its friends.                                                 many other things you can do.
as an election year, 2010 presents                                     The groups raise the funds because they know that                  Every candidate needs volunteers. Call a candidate’s office
that opportunity.                                                  campaign contributions will pay off later. No doubt, nurses        and offer to type letters, make phone calls, hand out literature
   It’s been noted that decisions                                  are going to be out-spent in 2010, like we have been since         and put out yard signs. It does not matter whether the candidate
are going to be made. The only                                     the inception of political action committees. But these other      is a Democrat, Republican or Independent as long as he/she
issue is who will be seated at                                     groups cannot match us in sheer numbers. After all, the state      supports nursing.
the table when the choices are                                     has 62,000 plus licensed nurses. That’s a lot of man- and              While the Legislature is where our proposed legislation
discussed. If nurses get involved in                               woman-power.                                                       is introduced, nurses need to be involved in other races as
the election process now, RNs will be involved in the decision-        What should you do? First, we are in desperate need of         well. Appellate court contests will be decided in 2010 and the
making process later.                                              nurse candidates. Registered nurses, who are ASNA members,         governor’s race will be hotly contested in both Republican and
   It also has been noted that politicians are interested in two   are running in two of the 105 House districts. They include        Democratic primaries.
things–money and votes.                                            April Weaver, a Republican, in District 49, Bibb and Shelby            The key is involvement. If we help candidates now, they
   Political advertising is expensive, so it’s no disgrace that    counties, and Terrence Johnson, a Democrat, in District 82,        will remember us in the future. So let’s get out there and make
                                                                   Macon, Lee and Bullock counties. We need more House                a difference for the next four years.




  The E.D.’s Notes
                                  by Joseph F. Decker, II                                            Brown, CRNP, JD. At 10:00AM the Alabama State University
                                    Executive Director                                               Band, under the leadership of Dr. James Oliver, Band Director,
                                                                                                     entertained the crowd. If you haven’t heard the ASU band before,
   Our 2010 Nurses at the Capitol rally at the Alabama State House in Montgomery on                  then you missed a real treat. This is an outstanding group of young
Wednesday, 27 January was a hugely successful event. Well over 1,000 nurses and student              people, very talented musicians, and terrific entertainers. They
nurses from all over the state attended, with some crowd estimates put at 1,500-1,800. The           were a huge hit at our rally. Completing the concert, our own Dr.
focus of this year’s rally was threefold: to highlight the nursing/nursing faculty shortage and      Bobbie Holt-Ragler, favored us with wonderful renditions of The
push for nursing scholarship funding; to advocate for improved and less restrictive practice         Battle Hymn of the Republic and America the Beautiful.
environments for our nurse practitioners and nurse midwives; and to protest the seizure                  Our lineup of speakers was equally outstanding. ASNA
of $2.5 million (transferred to the state General Fund) from the Alabama Board of Nursing            President and AUM Professor Dr. Debbie Faulk opened the
funds in the 2010 budget by the Governor and Alabama Legislature. The day began with an              session and emceed the entire program. State Senator Kim
excellent presentation in the Capitol Auditorium on basics of the political process by Richard       Benefield (D) Woodland and Representative Greg Wren (R)
                                                                                                     Montgomery, both great friends of nursing and nurses in Alabama,           Joseph Decker
                                                                                                     made very supportive remarks much appreciated by the crowd. By
                                                                                                     the way, Sen. Benefield is sponsoring the ASNA Nursing Scholarship bill (SB234) in the
                                                                                                     Senate and Rep. Wren along with Reps. (Dr.) Bentley (R), Wood (R), Love (R), Salaam
                                                                                                     (D), Clouse (R), Mask (R), Williams (R), and Harper (D) are co-sponsoring the companion
                                                                                                     bill (HB398) in the House. Rep. Bentley has taken the lead as House sponsor but was out of
                                                                                                     town on the 27th and unable to appear with us at the State House. Additional speakers included
   Your Skills + A New Degree = SUCCESS!                                                             Ruth Harrell, RN, a former President of ASNA and a member of the Alabama Nursing Hall
                                                                                                     of Fame; John Hankins, the ADPH Director of Nursing; Heather Rankin, CRNA, President
                                                                                                     of the AANA; Lori Lioce, CRNP and President of the NPAA; and Dr. Ruby Morrison,
                                                                                                     Professor at the University of Alabama Capstone College of Nursing, past President of ASNA
                    Study online without leaving your job.                                           and current President of the Alabama Coalition of Nursing Organizations. We also had
                                                                                                     excellent media coverage, including the Montgomery Advertiser and other newspapers, and
                                                                                                     local WAKA-TV 8 (CBS) and WSFA-TV 12 (NBC). Check out the photos on our website at
                                                                                                     www.alabamanurses.org. and in this edition of the Alabama Nurse.
                                                                                                         While there is no need to remind everyone that this is indeed an election year, it is worth
                                                                                                     pointing out that the face of the Legislature and state government will change dramatically
                                                                                                     in the next year. Governor Riley is term limited and cannot run for re-election, and all other
                                                                                                     statewide offices are up for election in November. In the House, Speaker Seth Hammett (D),
                                                                                                     Reps. Ron Grantland (D) and Frank McDaniel (D) are not running for re-election. In addition,
                                                                                                     Reps. Gerald Allen (R), Locy Baker (D), Bill Beasley (D), Robert Bentley (R), Earl Hilliard
                                                                                                     (D), Tammy Irons (D), James Thomas (D), and Cam Ward (R) have declared for other offices
                                                                                                     and thus will vacate their current House seats. In the Senate, Sens. Bobby Denton (D), Charles
                                                                                                     Bishop (R), Larry Dixon (R), Myron Penn (D), and Sen. Kim Benefield (D) will retire/not
                                                                                                     run again, and Sen. Hank Erwin (R) will vacate his seat to run for another office. Sen. Hank
                        BS in Nursing (RN to BSN/MSN) (Online)
                            i N i                         (O li )                                    Sanders (D), who had previously announced his retirement after 7 terms, has reconsidered and
                            BS in Nursing (RN to BSN) (Online)                                       will in fact run for re-election. And don’t forget: we have two ASNA nurse members running
               MS in Nursing (Case Management for Rural Populations) (Online)                        for office–April Weaver (R) in District 49, and Terrence Johnson (D) in District 82. Let’s get
                      MS in Nursing (Clinical Nurse Leader) (Online)                                 out there and support them; it would be terrific to have two RNs in the state legislature! Bottom
                                                                                                     line: lots of changes coming. We urge all of our members to be informed about the issues and
                                                                                                     candidates, get involved and above all VOTE in November. You can make a difference.
                                                                                                         Our ASNA legislative agenda this year will look familiar. We will renew our push to revise
                                                                                                     the enabling legislation for nursing scholarships, and fight for funds in the Education Trust
                                                                                                     Fund Budget. We will also work hard to get the NPAA bill for nurse practitioners introduced,
                                                                                                     fairly heard and debated, and passed. Other bills we have an interest in include: HB 462 (Lay)
                                                                                                     Midwifery Board; HB 207, Medical Marijuana; HB 134, Domestic Violence; HB 173, Patient’s
                                                                                                     Ventilator Bill of Rights; HB 384, Alzheimer’s Disease Task Force; and HB 432, Human
                                                                                                     Trafficking. There are also numerous bills already introduced about gambling in Alabama,
                                                                                                     many ethics reform bills and various education related bills. It goes without saying that this
                                                                                                     year’s legislative session may be one of the most difficult in memory, given the forecast extreme
                                                                                                     shortfalls in both the General Fund and Education budgets. This will be further complicated
                                                                                                     by the gambling, ethics reform, charter schools, sales tax on food, and road stimulus package
                                                                                                     (using Alabama Trust Fund monies) bills proposed. The result will most likely be a very
                             Doctor of Nursing Practice (Online)
                                                                                                     contentious period, especially in an election year. We could be in for a rough ride.
                        EdD or MSN/EdD in Instructional Leadership
                          for Nurse Educators (Online & Weekend)
                                                                                                     Finally, here as some dates to remember for 2010:
                                                                                                     FACES 2010            Tuesday, 20 April     Montgomery
                                    Inquire Today!                                                   ANA HOD               16-19 June            Washington DC
                                                                                                     ASNA Convention 30 Sept–2 October            Mobile
                              BamaByDistance.ua.edu/nurse
                                   1-800-467-0227                                                       Hope to see you at every event.
March, April, May 2010                                                                                                                                               The Alabama Nurse • Page 5



                           Suggestions on How to Celebrate                                                                                                                      LPN Corner
                               National Nurses Week
                                                                                                                                                       Newly Licensed Nurses
•   Hold a special celebration or reception to recognize a                     health care (nurses being replaced by unlicensed assistive               and Their Transition
    nurse or several nurses in your community. These nurses                    personnel, safety and quality of care issues, etc.)
    could be honored for heroic acts, years of service to the                                                                                              Into Practice
    community, exemplary courage, or their commitment to                  •    Invite a local celebrity (one who has spoken about health
    the nursing profession over the years.                                     care in the past; one who has personally been a patient
                                                                               of a nurse; or one whose family member has been a                                          Gregory Howard, LPN
•   Promote a positive, realistic image of registered nurses                   patient) and request his/her sponsorship of National
    by sponsoring health fairs, conducting preventive                          Nurse Recognition Day and/or National Nurses Week.                         Because of an ongoing
    screenings in underserved areas, organizing a walk-a-                      Hold an event and ask him/her to speak about a personal                need for nurses, and the high
    thon, etc.                                                                 experience in which he/she was cared for by a nurse.                   expectation         of    employers,
                                                                                                                                                      nurses are expected to perform
•   Place an article in your state or local newspaper(s) about            •    Host a fund-raiser (i.e., walk-a-thon) and donate money to             far beyond their experience. I
    National Nurses Week and the value of nurses.                              a local charity. Emphasize the importance of registered                believe it is often forgotten that
                                                                               nurses in our nation’s health care system; pay tribute to              nurses are tested for minimum
•   Invite a politician–local, state or federal–to accompany                   a local nurse; or recognize all registered nurses who are              competence when licensed. It is
    a nurse or several nurses at their place of employment                     indispensable and provide care selflessly 24-hours a day,              practice and continued education
    for a day or part of a day. Health care remains an issue                   seven days a week, 365 days a year.                                    that takes the nurse to a higher
    of tremendous importance to voters. Politicians should                                                                                            level of performance in their
    be visible and accountable for their positions on health              •    Request a proclamation from your mayor/governor                        area of practice.
    care. This is a win-win situation and it offers good media                 declaring May 6 as National Nurse Recognition Day                          The transition from student to licensed nurse is yet
    coverage potential.                                                        and/or May 6-12 as National Nurses Week. (Sample                       another challenge if the student has had no previous
                                                                               proclamation).                                                         nursing experience other than what was taught in school.
•   Sponsor a community-wide event, such as a coloring                                                                                                Because the application of what was taught verses what
    contest or poem-writing contest for school children.                  •    Host an editorial board meeting with leading state or                  you have had experience in doing on a regular basis. This
    The children could acknowledge their favorite nurse,                       local newspapers. Discuss the importance of registered                 is quite different, and besides that, the nurse is working
    a famous nurse, or family member who is a nurse–past                       nurses at the bedside and the nursing profession’s                     independently. This also means others will be looking
    or present–in a colorful drawing. The drawings could be                    concerns about current issues, specifically those related              to the nurse for direction. This is where experience is
    displayed in local schools, hospitals, nursing homes, etc.                 to safety and quality of care.                                         important or where continued support is crucial in the
                                                                                                                                                      transition from student to nurse. There is orientation, but
•   Work cooperatively with hospitals, schools, and libraries             •    Organize a candlelight vigil on National Nurse                         it’s felt that it’s not long enough. The National Council of
    to set up a special display for National Nurses Week.                      Recognition Day (May 6) in honor of the hard work and                  State Boards of Nursing (N.C.S.B.N.) has a committee that
                                                                               commitment of the nurses in America.                                   is researching this very issue. Dr. Nancy Spectra is the
•   Host a press conference. Discuss an important health                                                                                              staff person on this committee and she has on their web the
    care issue in your community; release the findings of a               •    Suggest that your state or local newspaper solicit stories             findings as well as a solution. I invite you to visit the site
    local survey; honor a nurse for a heroic act; or bestow an                 from readers who would like to pay tribute to a nurse                  read the findings and follow their work in the committee.
    “honorary” nurse title to a deserving politician or civic                  who provided exemplary care.                                           Like most solutions, there is an economic impact that will
    leader.                                                                                                                                           drive the success or failure of this solution; and this is
                                                                          •    Press release is available.)                                           where the real work began.
•   Organize a free cholesterol and/or blood pressure                                                                                                     The concept is that the employer will assume
    screening in your local community and promote via                     •    Obtain support from other nursing and health care                      responsibility by extending support from orientation
    radio announcements, flyers, posters, etc.                                 organizations in your area by asking them to sponsor                   through the first year of practice, visit the committee’s
                                                                               National Nurse Recognition Day and/or National Nurses                  report for details. The savings to the employer would
•   Host a hearing before city council or hold a town                          Week and to hold a joint event with your organization.                 be: retention of the nurse, job satisfaction of the nurse,
    meeting on nursing’s concerns about the recent trends in                                                                                          better patient outcomes and cost savings to the employer/
                                                                                                                                                      institution.




                                                                                                                        ANNOUNCING
                                                                                                   Doctor of Nursing Practice
                                                                                                                (DNP) — Post Master’s*

              Georgia Baptist                                                                  • Applications now being accepted for Fall 2010.
                                                                                               • Priority deadline is April 1, final deadline is May 1.

             College of Nursing                                                                • Join our contact list for the DNP degree. Call 678-547-6700.
                                                                                               The purpose of the Doctor of Nursing Practice (D.N.P.) program is to build
                              ATLANTA                                                          upon the foundation of advanced nursing skills to prepare nurses for
                                                                                               leadership roles in health care delivery and to propose solutions for the
                                                                                               improvement of health care outcomes for individuals and for society.

           PhD in Nursing: Develops Nurse                                                      The DNP will focus on the 3 major categories
          Scholars for Careers in Education,                                                   of practice:
               Practice and Research                                                           • Direct care for
                                                                                                 individual clients
                                                                                               • Health care for
    Offered in a hybrid format of online                                                         aggregates,
                                                                                                 communities, and
    and 2 visit onsite instruction,
                                                                                                 populations
    the PhD in Nursing program                                                                 • Management
    prepares nurses to educate the                                                               of health care
    next generation of nurses and                                                                through roles in
    assume leadership positions in                                                               administration,
    administrative, research, clinical                                                           policy development,
    and entrepreneurial settings.                                                                and quality
                                                                                                 assurance.

                                                                                                  *Pending approval by the Southern Association of Colleges and Schools.


      Additional programs offered: A Bachelor of Science in Nursing Program with two tracks: • The BSN Pre-Licensure Track • The RN-BSN Track (for licensed nurses)
                                   A Master of Science in Nursing Program with two areas of concentration • The Nursing Education Focus • The Clinical Nurse Specialist Focus

                                      For more information contact Office of Admissions: 678-547-6700
                                                    www.mercer.edu/nursing
Page 6 • The Alabama Nurse                                                                                                                             March, April, May 2010
Best Practices continued from page 1

                                Best Practices for Retention of Older Nurses
                                                                                                                                  Hatcher, B.J., Bleich, M. R., Connolly, C., Davie, K., O’Neill
  Expanding               •   Development of career paths/ladders appropriate for the older nurse                             Hewlett, P., & Stokley Hill, K. (2006, June). Wisdom at Work:
  Roles                   •   Re-tooling skills sets to accommodate other job positions                                       The Importance of the Older and Experienced Nurse in the
                          •   Involve older nurses in succession planning                                                     Workplace. Robert Wood Johnson Foundation.
                          •   Mentor younger nurses for succession planning                                                       Lewin Group, Inc., (2009, January). Evaluation of The Robert
                          •   Offer leadership, mentoring and preceptor roles for older nurses                                Wood Johnson Wisdom at Work: Retaining Experienced Nurses
                          •   Create non-traditional roles for the older nurse                                                Research Initiative. Final Report.
                                                                                                                                  McHaney, D. F. (2009, April). Development and
                                                                                                                              implementation of a Workforce Plan for Aging Registered
  Technological           •   Offer training to older nurses in computer literacy                                             Nurses. Doctoral Project. DNP intensive. University of Alabama
  Support                 •   Adapt training to different learning modalities and tools                                       School of Nursing at UAB. Birmingham, AL.
                          •   Redesign & simply processes                                                                         McHaney, D. F. (2009, February). Aging Registered Nurses
                          •   Incorporate larger font for text & computer screens                                             Workforce Plan. 2009 Evidence-Based Practice Conference.
                          •   Use of integrated Management Information Systems, (MIS) that will reduce                        Phoenix, AZ.
                              redundancy in documentation                                                                         McHaney, D. F. & Varner, J. (2007, July). Assessment of
                          •   Provide Computer Work Stations on Wheels or at the bedside with consideration                   Policies and Procedures to Accommodate the Aging Nurses in
                              for larger computer screens                                                                     Alabama’s Workforce. STTI 18th International Nursing Research
                          •   Increase the number of work stations on nursing units                                           Congress Focusing on Evidence-Based Practice. Vienna, Austria.
                          •   Adapt systems that are more portable for use on nursing units                                       McHaney, D. F. (2007, May). Accommodating Aging Nurses
                                                                                                                              in the Work Environment. Annual Geriatric Workshop by
                          •   Develop dedicated tech support teams to assist nurses                                           Alabama Nurses Association. Selma, Alabama.
                          •   Adapt telephone systems that are more portable                                                      McHaney, D. F. (2006, April). Changing the Work
                                                                                                                              Environment to Accommodate Aging Nurses. Annual Geriatric
  Retirement Benefits     •   Portable pensions                                                                               Workshop by Alabama Nurses Association. University of South
                          •   Incentivized pensions                                                                           Alabama, Mobile, Alabama.
                          •   Avoid financial penalties for returning part time retires                                           McHaney, D. F. & Varner, J. (2006, April). A Study of the
                          •   Provide buy back options for nurses who return to the workplace                                 Aging RN Workforce in the State of Alabama. Natural Bridges:
                                                                                                                              Preparing for an Aging South: Southern Gerontological Society
  Health Benefits         •   Provide access to health benefits for part time employees                                       27th Annual Meeting, Lexington, Kentucky.
                          •   Group rates for Long Term Care insurance                                                            McHaney, D. F. (2004, November). Changing the Work
                                                                                                                              Environment to Accommodate the Physical Needs of Aging
                          •   Discounted medication cost plan                                                                 Nurses. Geriatric Workshop by Alabama Nurses Association.
                          •   Offer the option of a cafeteria style healthcare benefit plan                                   Montgomery, Alabama.
                          •   Offer a tax-free health account to save toward additional medical expenses.                         Varner, J. (2009, February). Development of a toolkit for
                                                                                                                              retention of personnel in long-term care. 2009 Evidence-Based
  Wellness Support        •   Provide access to preventive health and wellness programs                                       Practice Conference. Phoenix, AZ.
  Systems                 •   Provide preferred parking or valet parking for older nurses                                         Varner, J. (2009, April). Development and implementation
                          •   Provide appropriate ergonomic environments                                                      of a toolkit for retention of nursing personnel in long-term care
                          •   Educate older nurses on appropriate ergonomics measures and ergonomic accessories               settings. Southern Gerontological Society annual meeting, St.
                          •   Provide decreased membership cost in exercise facilities                                        Petersburg, Fl.
                                                                                                                                  Varner, J., Roussel, L. & McHaney, F. (2008, September).
                                                                                                                              Alabama workforce development: research update. Presentation
  Redefine                •   Include older workers in selection of new equipment, supplies or environmental changes          regarding how to design and implement a toolkit for retention
  the Culture             •   Include older nurses in unit & hospital committees                                              of nursing personnel at the Alabama State Nurses Association
                          •   Include older workers in writing policies, procedures, and processes                            Convention, Tuscaloosa, Al.
                          •   Include older workers in workplace redesign modifications                                           Varner, J., McHaney, F., & Roussel, L. (2008, September).
                          •   Knowledge transfer paired with phased retirements                                               Panel discussions: leading a healthy work environment. Panel
                          •   Offer mentoring and coaching programs designed especially for the older nurse                   discussion at the Alabama State Nurses Association Convention,
                                                                                                                              Tuscaloosa, Al.

                                                                                                                                 Developed by ASNA Commission on Professional Issues
                Support Nursing

                                                               Nurse Practitioner Alliance of Alabama 2010
                         NURSE                                         by Lori Lioce, MSN, FNP-BC, NP-C                       symptomatic care and recovery for our patients. Alabama
                  ALABAMA                                                                                                     remains one of two states in the entire country that have
                                                                   This     year    marks     the                             not been granted this authority. Advanced practice nurses
 Proposed Car Tags for Alabama Nurses: UPDATE–                 beginning of the fourth year                                   practice in many settings outside the hospital that add
      We are close to 700, only 300 more to go!                for the Nurse Practitioner                                     additional access to healthcare for patients who deserve the
                                                               Alliance of Alabama (NPAA).                                    best care available. Barriers that ration qualified care only
    The Alabama State Nurses Association has                   Our mission is to advocate for                                 perpetuate the broken healthcare system. We must put our
 contacted the Alabama Department of Revenue,                  professional privileges consistent                             patients first and supporting this bill is one positive step
 Motor Vehicle Division regarding a car tag for nurses.        with our educational preparation                               forward toward a solution.
 Two choices are available; a decal to be placed on a          and for issues of significance for                                During the 2009 legislative session, physician
 special tag, or a specially designed tag. The difference      the welfare of advanced practice                               assistants (PAs), who are in a supervisory relationship
 is of course numbers. If at least 250 people will sign        nurses and most importantly for                                with physicians, were granted the authority to prescribe
 a “Commitment to Purchase” at their local revenue             our patients. The work of NPAA                                 controlled substances, schedules III to V. This was a
 office, we get the decal. It takes at least 1000 to get       is completed through a steering                                monumental achievement for the patients of Alabama and
 the whole tag. A design similar to the photo above will       committee compromised of representatives from the              we support and commend the legislators and physicians for
 be submitted. Please do not sign a “Commitment to             regional groups of advanced practice nurses in Alabama.        supporting this improvement.
 Purchase Agreement” until you are notified that the               If you are interested in serving on this committee,           As nurses who represent a large and diverse group of
 tag has been created.                                         please contact Lori Lioce at blioce@samford.edu.               constituents and patients, please join me in contacting
                                                                   We are proud to announce that Joe Decker, the ASNA         legislators to support this bill and in voting for those
    ASNA will need to know what kind of interest we            Executive Director and the Attorney Don Eddins are             legislators who are willing to stand up for the patients and
 have in this tag prior to submitting the application.         the new lobbyists for the NPAA legislative bill this year.     nurses of Alabama. Remember this is an election year.
 Once the tag becomes available, if you have signed a          This marks a tremendous moment in nursing in Alabama           Whether you consider yourself a democrat, republican, or
 “Commitment to Purchase Agreement” with your                  as the organizations join forces to advocate for nursing. I    independent this is a bipartisan prescription to improve the
 local revenue office, you will be notified by that            would like to thank the ASNA and NPAA leadership for           quality of patient care by decreasing unnecessary pain and
 office. Please fill out the short form below and return it    completing this vision.                                        treatment delays.
 to ASNA at 360 N. Hull St., Montgomery, AL 36104 or               The 2010 NPAA Legislative bill has been completed.            A “Call to Action” has been issued for all nurses, not
 email at memberasna@alabamanurses.org                         Included with this article, you will find a synopsis of the    just advanced practice nurses. Please read and share the
                                                               bill with rationale for the requested changes. I would like    following information with your colleagues, friends,
 Name: ______________________________________                  to emphasize that the bill does not in any way attempt to      and families. Every call and letter makes a difference.
                                                               change collaborative practice.                                 Remember, only with a united mission and message will
 Phone: ______________________________________                     All advanced practice nurses have been educated,           change succeed. Our message and mission are simple:
                                                               nationally board certified, and charged with the               advocate for your patients. The quality of healthcare
 Email: ______________________________________                 responsibility of treating and diagnosing patients for         should drive policy decisions. I thank you for your
                                                               primary care of injuries, acute and chronic disease and        commitment and service to the nursing profession. For
 Address: ____________________________________                 illness, but have not been granted the state authority to do   more information on how to help pass this legislation, find
                                                               so appropriately. The NPAA bill advocates for prescriptive     your regional group, or information on our bill please visit
 ____________________________________________                  privileges for controlled substances schedule II to V for      www.npalliancealabama.org
   This form indicates interest to ASNA only, it is            advanced practice nurses in collaborative practice with           (The bill will be available at www.npalliancealabama.
 not a “Commitment to Purchase”                                physicians. This authority would improve the quality of        org after submission)
March, April, May 2010                                                                                                                      The Alabama Nurse • Page 7


                                                                                                                                                  Membership

                       I Stand for Nursing                                                                                      Online
             by Rebecca Huie, BSN, RN                          to the patient during this critical time. I serve as a mentor

   My nursing career began 14 years ago. I graduated
                                                               for new nurses at both the VA and UAB. I have received
                                                               enormous support and encouragement from Greg Eagerton,
                                                                                                                                Membership
from Wallace State Community College with an Associate
Degree in Nursing. A very special person, Helen James,
                                                               DNP, Associate Director of Patient Care Services and
                                                               Cynthia Cleveland, MSN, Chief Nurse of Patient Care
                                                                                                                                Applications
RN helped me to develop the excellent nursing skills,
knowledge, and courage that I
                                                               Services since my employment at the VA. They both
                                                               have encouraged me and given me many wonderful                   Available at
needed to embark in my career.                                 opportunities to enhance my career.
Her patience, encouragement,                                      I have been a member of ASNA/ANA for almost three
and faith in me helped to give                                 years. I was unaware of the importance of being an active
me the confidence that I needed.
I spent the next 8 years in long-
                                                               member of a professional organization. When I decided
                                                               to further my education in nursing Debra Litton, SICU/
                                                                                                                                 www.alabamanurses.org
term care as a staff nurse and RN                              CVICU Nurse Manger became my mentor. She was
Supervisor under her mentorship.                               the President of District 3 at the time, and she helped to
This initial experience in                                     open doors of opportunities for me. She has been a vital
nursing taught me how to be                                    part of my professional development and my endeavor
a loving, compassionate, and                                   as a member of ASNA/ANA. Since my membership in
a caring nurse. Working with
the geriatric population requires the “Art of Nursing” to
                                                               ASNA/ANA I have assisted with a scholarship fundraiser
                                                               and I have attended the 2008 and 2009 Annual ASNA
                                                                                                                                    DID YOU KNOW?
be incorporated into the core values of a person’s nursing     Convention and served as a delegate. I am on the                   In 2009 more than 500 nurses faced disciplinary action
career. As a young new nurse, working with this population     Nominations Committee, Awards Committee, and I                  by The Alabama Board of Nursing (abn.state.al.gov, 2010).
was difficult at times, due to the substantial amount of       currently hold the position as Secretary for District 3.        As a member of the Alabama State Nurses Association,
end of life situations that I had to face. However, these      Being a part of such a huge organization that supports my       you are entitled to FREE legal representation before the
experiences enhanced my understanding of the compassion        profession is a huge reward.                                    Board should you be notified of a disciplinary action. This
that is required to be a true nurse.                              I hope to encourage and educate fellow nurses of the         is a Savings of $1500–$3500+ depending on whether a
   For the past 6 years I have worked for the Birmingham       importance of getting involved in making changes and            hearing becomes necessary. This is a free service offered
Veterans Administration Hospital. My career there began        fighting for the nursing profession. Every nurse should         to existing ASNA members.
on a busy surgical-neurology unit, where I had a couple of     realize the impact that they can have on other nurses,             Not sure if you’re a member? Contact April Bishop at
great mentors that help to encourage me and I currently        just as I realize the positive impact that so many valuable     334-262-8321 or memberasna@alabamanurses.org.
work in the Surgical/Cardiovascular Intensive Care Unit        nurses have had on my career and life. The support,
in the role of Charge Nurse. Surgery is my passion and         encouragement, compassion, and confidence that were             Reference:
my interests reside primarily in Cardiac Surgery. I enjoy      shown to me during my development as a nurse, means                www.abn.state.al.us (2010). Disciplinary Actions. Retrieved
the exhilaration of receiving an open heart patient straight   more to me than words can express. My experience as a           from, http://www.abn.state.al.us/main/downloads/disciplinary/
from the O.R. and providing the appropriate nursing care       nurse has shown me that nursing is more than just caring        main-disciplinary.html.
                                                               for the patient, but caring for each other.




                 BSN– Bachelor of Science in Nursing                                                               Available exclusively at the following
                                                                                                                        Schmidt Wallace facilities:
                    RN to BSN for Registered Nurses
                                  (Online Program)

                 RN to MSN – Early Decision Option
                               (for Registered Nurses)

                     Certificate Programs Available:
                                                                                                             881 3rd Street NE                          616 Chaffee Street
                  Post-Master’s Family Nurse Practitioner
                                                                                                         Alabaster, Alabama 35007                   Talladega, Alabama 35160
                 Graduate Certificate in Nursing Education                                                     (205) 620-8500                             (256) 362-4197
                                                                                                              Lisa Perini, DON                          Deb Weldon, DON
                 MSN – Master of Science in Nursing                                                     Sharon Baker, Administrator                Mary Tuberville, Administrator
                 Specialties: Family Nurse Practitioner
                     Acute Care Nurse Practitioner
                    Adult Clinical Nurse Specialist
                         Clinical Nurse Leader
          Leadership in Health Care Systems (Online Program)
                                                                                                      750 Alabama Highway, 75 North                    100 Perry Hill Road
                   DNP – Doctor of Nursing Practice                                                     Albertville, Alabama 35950                 Montgomery, Alabama 36109
                                 (Online Program)                                                             (256) 878-1398                             (334) 272-0171
                        (joint program with UA and UAB)                                                      Rita Sauls, DON                         Cynthia Alexander, DON
                                                                                                        Mary Meeks, Administrator                Bobby Stephenson, Administrator
                            207 Nursing Building
                            Huntsville, AL 35899
                            Phone: 256-824-6742
                          Email: Nursing@uah.edu                                                        “We exist to enhance the lives of those we serve and
                      Web: http://onlinenurse.nb.uah.edu                                                      above all we keep our residents first.”

             UAH is an Affirmative Action/Equal Opportunity Institution                               Call today to explore YOUR new opportunities!
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce
Alabama Nurse March 2010 Lioce

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Alabama Nurse March 2010 Lioce

  • 1. The Official Publication of the Alabama State Nurses Association Circulation to 74,000 Registered Nurses, Licensed Practical Nurses and Student Nurses in Alabama Alabama State Nurses Association • 360 North Hull Street • Montgomery, AL 36104 Volume 37 • Issue 1 March, April, May 2010 Inside Alabama Nurse National Nurses Week History National Nurses Week begins each year on May 6th and Eisenhower to proclaim a ends on May 12th, Florence Nightingale’s birthday. These “Nurse Day” in October permanent dates enhance planning and position National of the following year. Nurses Week as an established recognition event. As of 1998, The proclamation was May 8 was designated as National Student Nurses Day, to never made. be celebrated annually. And as of 2003, National School 1954 National Nurse Legislative Day Nurse Day is celebrated on the Wednesday within National Week was observed Photos Nurses Week (May 6-12) each year. from October 11–16. The The nursing profession has been supported and promoted year of the observance by the American Nurses Association (ANA) since 1896. Each marked the 100th of ANA’s state and territorial nurses associations promotes anniversary of Florence Page 13 the nursing profession at the state and regional levels. Nightingale’s mission to Crimea. Representative Frances Each conducts celebrations on these dates to recognize the P. Bolton sponsored the bill for a nurse week. Apparently, a contributions that nurses and nursing make to the community. bill for a National Nurse Week was introduced in the 1955 The ANA supports and encourages National Nurses Congress, but no action was taken. Congress discontinued Week recognition programs through the state and district its practice of joint resolutions for national weeks of various nurses associations, other specialty nursing organizations, kinds. Save These educational facilities, and independent health care companies 1972 Again a resolution was presented by the House Dates and institutions. of Representatives for the President to proclaim “National Registered Nurse Day.” It did not occur. A Brief History of National Nurses Week 1953 Dorothy Sutherland of the U.S. Department of Page 16 Health, Education, and Welfare sent a proposal to President National Nurses Week continued on page 2 Best Practices for Retention Inside this Issue of Older Nurses ASNA Board of Directors . . . . . . . . . . . . . . . . . . . . . . .2 Improvements in • Provide mechanical patient lifts & devices to aid ambulation and transfers Convention News . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Patient Handling • Develop transport and lift teams ED’s Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Develop patient handling policies • Education regarding improved Patient handling techniques Elizabeth A. Morris Clinical Sessions–FACES ‘10 . . . . .9 • Acquire new and improved patient handling techniques & devices Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Environmental Issues . . . . . . . . . . . . . . . . . . . . . . . . .14 Adaptations in • Decentralized nursing stations to allow for easy access to patient rooms Legal Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Work Environments • Improved flooring for areas of prolonged standing for the Nurse • Enhanced lighting schemes over task areas LPN Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 • Provide accessible, adequate, and comfortable rest areas away from nursing station Nurse Practitioner Alliance of Alabama . . . . . . . . . . . . .6 • Incorporate ergonomically correct seating at nursing stations Membership News . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Scheduling • Offer nontraditional lengths of daily shifts President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . .3 Flexibility • Offer longer breaks for adequate rest Research Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 • Offer more off days between work days Scholarship Information . . . . . . . . . . . . . . . . . . . . . . .17 • Offer self scheduling, shift sharing options, and flexibility around educational schedules Save These Dates . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Best Practices continued on page 6 The Face of Nursing 2011 Calendar Application . . . . .18 Presort Standard US Postage SAVE Elizabeth A. Morris PAID Permit #14 THIS Clinical Education current resident or Princeton, MN 55371 DATE Sessions–FACES ‘10 ASNA/AANS/ALaONL Registration Information in ANNUAL CONVENTION Pullout Section SEPTEMBER 30–October 2, 2010 (at the Renaissance Riverview Plaza in Mobile, Eastmont Baptist Church AL. Full convention materials will be printed Montgomery, AL in the June/July/August issue of April 20, 2010 The Alabama Nurse).
  • 2. Page 2 • The Alabama Nurse March, April, May 2010 Alabama Board of PUBLICATION Nursing Vacancies The Alabama Nurse Publication Schedule for 2010 There will be 2 RN positions open and 1 LPN position Issue Material Due to ASNA Office open as of January 1, 2011. The term of Pamela Autry, Nursing Practice; Sylvia Nobles, Advanced Education; and June/July/Aug May 3 Greg Howard, AFLPN will expire December 31, 2010. RN Sept/Oct/Nov Aug 9 ASNA Board of Directors applications only are available from the ASNA office. Call Dec/Jan/Feb2011 Nov 1 Betty at 334-262-8321 or Greg Howard, AFLPN 1-205- President . . . . . . . . . . . . . Debbie Faulk, PhD, RN, CNE 554-2000 Ext.2270. Guidelines for Article Development President-Elect . . Joyce Varner, DNP, GNP-BC, GNCS Vice President . . . . . . . . . . . Jackie Williams, MSN, RN The ASNA welcomes articles for publication. There Secretary . . . . . . . . . . . . . . . . . Mardell Davis, PhD, RN is no payment for articles published in The Alabama Treasurer . . . . . . . Arlene Morris, EdD, MSN, RN, CNE Nurse. District 1 . . . . . . . . . Brian Buchmann, BSN, RN, MBA District 2 . . . . . . . . . Pamela Moody, PhD, RN, FNP-BC Condolences to: 1. Articles should be microsoft word using a 12 point District 3 . . . . . . . Delores “Dee” Sherman, MSN, BSN, Long-time active members font. RN, HCPN Mattie Simms & Joy Morris. 2. Article length should not exceed five (5) pages 8 x 11 District 4 . . . . . . . . Henrietta “Henri” Brown, DNP, RN 3. All reference should be cited at the end of the article. District 5 . . . . . . . . . . . . . . Margaret Howard, ADN, RN Long-time ASNA former member 4. Articles (if possible) should be submitted Commission on Frances Chisolm. electronically. Professional Issues . . . . Debra Litton, RN, MSN, MBS, CNA Anita McFaddin on the death of Submissions should be sent to: VA Consultant . . . . . . . . . . . . . . Jeanell Foree, BSN, RN her husband John. edasna@alabamanurses.org Special Interest Group: or Advance Practice Council. . . . . .Karen Davidson, DSN, Edna Moore on the death of her sister. Editor, The Alabama Nurse CRNP Alabama State Nurses Association Paula Gasser on the death of her mother. 360 North Hull Street ASNA STAFF Montgomery, AL 36104 Executive Director, Joseph F. Decker, II, MA, BA Director Leadership Services, Charlene Roberson, MEd, RN-BC ASNA Attorney, Don Eddins, JD Administrative Coordinator, Betty Chambliss National Nurses Week continued from page 1 acknowledged May 6, 1982 as “National Nurses Day.” Programs Coordinator, April Bishop The action affirmed a joint resolution of the United States 334-262-8321 Phone Congress designating May 6 as “National Recognition Day 1974 In January of that year, the International Council of for Nurses.” VISION STATEMENT Nurses (ICN) proclaimed that May 12 would be “International 1982 President Ronald Reagan signed a proclamation Our Vision Nurse Day.” (May 12 is the birthday of Florence Nightingale.) on March 25, proclaiming “National Recognition Day for Since 1965, the ICN has celebrated “International Nurse Nurses” to be May 6, 1982. ASNA is the professional voice of all Day.” 1990 The ANA Board of Directors expanded the registered nurses in Alabama. 1974 In February of that year, a week was designated by recognition of nurses to a week-long celebration, declaring the White House as National Nurse Week, and President May 6–12, 1991, as National Nurses Week. OUR VALUES Nixon issued a proclamation. 1993 The ANA Board of Directors designated May 6–12 1978 New Jersey Governor Brendon Byrne declared May as permanent dates to observe National Nurses Week in 1994 • Modeling professional nursing practices to other 6 as “Nurses Day.” Edward Scanlan, of Red Bank, N.J., took and in all subsequent years. nurses up the cause to perpetuate the recognition of nurses in his 1996 The ANA initiated “National RN Recognition Day” • Adhering to the Code of Ethics for Nurses state. Mr. Scanlan had this date listed in Chase’s Calendar of on May 6, 1996, to honor the nation’s indispensable registered • Becoming more recognizably influential as an Annual Events. He promoted the celebration on is own. nurses for their tireless commitment 365 days a year. The association 1981 ANA, along with various nursing organizations, ANA encourages its state and territorial nurses associations • Unifying nurses rallied to support a resolution initiated by nurses in New and other organizations to acknowledge May 6, 1996 as • Advocating for nurses Mexico, through their Congressman, Manuel Lujan, to have “National RN Recognition Day.” • Promoting cultural diversity May 6, 1982, established as “National Recognition Day for 1997 The ANA Board of Directors, at the request of the • Promoting health parity Nurses.” National Student Nurses Association, designated May 8 as • Advancing professional competence 1982 In February, the ANA Board of Directors formally National Student Nurses Day. • Promoting the ethical care and the human dignity of every person • Maintaining integrity in all nursing careers OUR MISSION ASNA is committed to promoting excellence in nursing. www.ReadyToPass.com Join us on Facebook ADVERTISING New Graduates * Foreign Trained Nurses * Repeat Test Takers For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa Classroom and LIVE Online 50613, (800) 626-4081, sales@aldpub.com. ASNA and review classes available. Tues., June 1-Fri., June 4 9AM-5PM—Early Registration $399 the Arthur L. Davis Publishing Agency, Inc. reserve Promo Code until May 18, 2010 New York (516) 408-3696 the right to reject any advertisement. Responsibility for Georgia (404) 824-0668 708-1 To Save $25 Marriott Hotel Airport South 4711 Best Road Atlanta, GA 30037 errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by the Alabama State Nurses Association DEAN OF NURSING of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association CAREER OPPORTUNITIES: Enjoy all the advantages of Dean of Nursing Position Reopened disapproves of the product or its use. ASNA and the Call 877.629.3332 “home-town” healthcare. Darton College, a two-year multi-purpose college of Arthur L. Davis Publishing Agency, Inc. shall not be Central Alabama community or email: Maxestaffing@maxe2.com held liable for any consequences resulting from purchase the University System of Georgia, announces or use of an advertiser’s product. Articles appearing in based rural hospitals are its search for a Dean of Nursing and invites Full range of benefits including this publication express the opinions of the authors; they expanding and looking for health, dental, vision and nominations and applications. Visit our website at do not necessarily reflect views of the staff, board, or 401 (k). Convenient commute www.darton.edu for a complete job description Case Manager membership of ASNA or those of the national or local from Auburn, Montgomery or and requirements, or contact: associations. Troy. Alabama license required. Pediatric CRNP Personnel Office, Darton College © Copyright by the Alabama State Nurses Association. Psychiatric RN/LPN 2400 Gillionville Road Psychiatric CRNP Albany, GA, 31707 AA/EOI Women and Minorities are encouraged to apply.
  • 3. March, April, May 2010 The Alabama Nurse • Page 3 The President’s Message Debbie Faulk, PhD, RN Evaluation of 2008-2009 Strategic Plan • ASNA President and ED attended two Constituent ASNA President • Legislative Advocacy–members updated each month Member Assemblies at ANA headquarters during legislative session via email • CE policies maintained by ASNA staff When this edition of the • Lobbying presence during legislative session–5 days a • Published continuing education announcements in Alabama Nurse is published week Alabama Nurse and on ASNA Website and arrives in the mail to the • Nursing representation on 7 community boards and/or • Leadership CD series available for purchase by nurses homes of 62,000 plus Alabama committees and/or health care facilities in Alabama nurses, I will be a mere seven • CE Committee sponsored a number of programs • Evidence based findings published in the Alabama months away from the end of related to pertinent practice issues at the following Nurse and on ASNA Website my term as YOUR President educational opportunities: Elizabeth Morris Clinical • Published and distributed ASNA calendars featuring of ASNA. In early November Education Sessions–FACES ‘09; ASNA 2009 Alabama nurses of 2009, the ASNA Board convention; AND in the following publications and/ • Developed a membership and recruitment CD of Directors evaluated the or Websites: Alabama Nurse; ASNA Website; and (available from ASNA at no cost) 2008-2009 strategic plan and regional educational opportunities: ASNA 2009 • Restructured ASNA Website to provide ease of developed a new plan for 2010. convention navigation; a members only and district only link; In this message, I would like to provide you with a list of • ASNA President and/or Executive Director (ED) sites for CE, etc. accomplishments, as well as, a list of goals and objectives attended all meetings of the Alabama Nursing • Hosted 2009 Nurse’s Day at the Capitol event in for 2010. Many, many times I have heard nurses say, Coalition collaboration with Alabama Nurses Coalition on Feb. “What has ASNA done for me?” I believe it is extremely 12, 2009 important that you know what YOUR state nurses • Conducted an annual ED evaluation association has done for you in fulfilling the mission of • Held 2 virtual BOD meetings Strategic Plan 2010 promoting excellence in nursing and in what ways it will continue to work throughout 2010. In the next edition I will GOAL OBJECTIVE provide the performance indicators and an update related to meeting the goals and objectives. Provide leadership for health policy and 1. Collect and disseminate information related to proposed I am also very excited to include an inspiring message legislative activities and on-going legislation affecting nursing and health that was presented by Mr. John Hankins, Director of care. Nursing for the Alabama Public Health Department, at the 2. Maintain lobbying activities in the state legislature. 2010 Nurse’s Day at the Capitol. This year’s event was a 3. Assume nursing representation on key committees and huge success with more than a 1,000 nurses and students boards that affect health-related legislation. advocating for nursing and access to health care for 4. Endorse and provide support for qualified nurses and Alabama citizens. friends of nursing seeking elected office. As always, in order to make a difference in health care, 5. Monitor advance practice nursing issues. nurses must be united. While we have many voices and 6. Monitor environmental issues. diverse values, we can dialogue, agree to disagree, and yet show others that we speak with one strong CIVIL voice Advocate for Alabama nurses on professional 1. Offer support and guidance for professional practice when it comes to providing quality access to care for practice issues issues Alabama citizens and to promoting excellence in nursing. 2. Disseminate information on professional practice issues We at ASNA strongly believe that this advocacy can be best accomplished through membership in ASNA. Thank Provide for the continuing professional 1. Maintain continuing education provider and approval you for your time and attention. I want ALL nurses in development for Alabama nurses status Alabama to know that ASNA is working with you and for 2. Market continuing education services you. If you are a member of ASNA, thank you! If you are 3. Market and disseminate leadership competency CD not, JOIN us in promoting excellence in nursing. series to nurses 4. Disseminate evidence-based practice (EBP) findings Improve the visibility and image of nursing 1. Recruit and retain members Are you a Mary? 2. Improve public visibility and image of nursing. John Hankins, RN, MBA Evaluate organizational effectiveness, relevancy 1. Review structural efficiency of ASNA Director of Nursing, Alabama Department of and efficiency as an on-going process 2. Investigate more efficient and effective ways of Public Health communicating with nurses 3. Explore a number of options for increasing the fiscal As a Registered Nurse we have all had those moments viability of ASNA such as, affinity programs, of great success when we felt like the work we had done discounted membership options, etc. truly made a difference in the world. I call those days our Florence Nightingale days. Nightingale has long been recognized all over the world as the official face of nursing. The work she did was groundbreaking and the Serving the Greater Mobile Area accolades bestowed upon her are well deserved. We would all like to think that like Nightingale, we will also be Online Adult & Geron Nurse Practitioner Program remembered for our great works. However, I would like to introduce you to a nurse that made an equally important difference in the world during This online Adult/Geron Nurse Practitioner program in the same period as Nightingale. Many of us have never primary care offers a Masters of Science in Nursing (MSN) There is no health without mental health been taught about her, or have even heard her name. But, degree or a Post Masters Certificate. This innovative (251) 450-5912 | AltaPointe.org Carnegie (1995) captures the story of Mary Seacole who program prepares graduates to provide primary care to was by no means less important, nor did her work make less of a difference. When Seacole offered to care for patients from adolescence through elders and for the Adult Nurse Practitioner (primary care) certification exam. RNs & LPNs dying soldiers in London, her services were not accepted. Additionally, after successful completion of the program, Not because she could not do the work of a nurse, but and passing the Adult NP certification exam, students AltaPointe Health Systems is currently because she was female and a person of color. But although who meet the ANCC criteria will be eligible to sit for certification as a Gerontological Nurse Practitioner using seeking RNs & LPNs for she faced prejudice, a lack of funds and minimal supplies she would not be deterred. Seacole spent her own money ANCC’s Alternate Criteria. The enhanced gerontological Full-Time, Part-Time, PRN and was often found caring for soldiers on both sides of content in the program will help prepare students for this the battle. She along with many others whose names we Alternate GNP certification exam as well as the ANP AltaPointe Health Systems offers excellent will never know brought healing to the sick without any certification exam. benefits which include employee participation recognition or reward. in the Retirement Systems of Alabama, BC/BS Nightingale has deservedly been honored many times for her work. Many of you may in fact be a Florence health insurance, Dental, Vision, 403b, PTO, Nightingale and will help to change the course of nursing STD, 10 paid Holidays, company paid life and history. The fact is most of us will not. But if you keep long term disability insurance. working and making a difference one patient or student at a time, while you may not be remembered as a Florence, For more information, contact: you may be remembered as a Mary. Considering Mary Dr. Lynn Chilton, Coordinator of Program: On Line Application Seacole’s history, that wouldn’t be so bad. 251-445-9433 or lchilton@usouthal.edu www.AltaPointe.org/careers Visit our website: Carnegie, M.E., The Path We Tread; Blacks in Nursing http://www.southalabama.edu/nursing/geronp.html Equal Opportunity Employer Worldwide, 1854–1994, New York: National League of Nursing Press, ©1995. Funded by HRSA Grant #1D09HP14815-01-00.
  • 4. Page 4 • The Alabama Nurse March, April, May 2010 Legal Corner by Don Eddins, BS, MS, JD candidates ask various individuals and organizations for candidates and some Senate candidates as well. No nurses money. The Alabama State Nurses Association has a political have announced in any of the 35 Senate districts. Every four years, Alabama action committee with very limited funds. When Joe Decker If you are not inclined to offer for election, that is nurses have the opportunity and I go to the Legislature, we are opposed by groups that put understandable. Public service takes considerable sacrifice and to determine how the state literally hundreds of thousands of dollars, even millions, into campaigns are getting so partisan and dirty that some of the government will function during political campaigns. ASNA may spread a few thousand dollars most qualified people often refrain from running. But there are the next quadrinnium. Of course, among its friends. many other things you can do. as an election year, 2010 presents The groups raise the funds because they know that Every candidate needs volunteers. Call a candidate’s office that opportunity. campaign contributions will pay off later. No doubt, nurses and offer to type letters, make phone calls, hand out literature It’s been noted that decisions are going to be out-spent in 2010, like we have been since and put out yard signs. It does not matter whether the candidate are going to be made. The only the inception of political action committees. But these other is a Democrat, Republican or Independent as long as he/she issue is who will be seated at groups cannot match us in sheer numbers. After all, the state supports nursing. the table when the choices are has 62,000 plus licensed nurses. That’s a lot of man- and While the Legislature is where our proposed legislation discussed. If nurses get involved in woman-power. is introduced, nurses need to be involved in other races as the election process now, RNs will be involved in the decision- What should you do? First, we are in desperate need of well. Appellate court contests will be decided in 2010 and the making process later. nurse candidates. Registered nurses, who are ASNA members, governor’s race will be hotly contested in both Republican and It also has been noted that politicians are interested in two are running in two of the 105 House districts. They include Democratic primaries. things–money and votes. April Weaver, a Republican, in District 49, Bibb and Shelby The key is involvement. If we help candidates now, they Political advertising is expensive, so it’s no disgrace that counties, and Terrence Johnson, a Democrat, in District 82, will remember us in the future. So let’s get out there and make Macon, Lee and Bullock counties. We need more House a difference for the next four years. The E.D.’s Notes by Joseph F. Decker, II Brown, CRNP, JD. At 10:00AM the Alabama State University Executive Director Band, under the leadership of Dr. James Oliver, Band Director, entertained the crowd. If you haven’t heard the ASU band before, Our 2010 Nurses at the Capitol rally at the Alabama State House in Montgomery on then you missed a real treat. This is an outstanding group of young Wednesday, 27 January was a hugely successful event. Well over 1,000 nurses and student people, very talented musicians, and terrific entertainers. They nurses from all over the state attended, with some crowd estimates put at 1,500-1,800. The were a huge hit at our rally. Completing the concert, our own Dr. focus of this year’s rally was threefold: to highlight the nursing/nursing faculty shortage and Bobbie Holt-Ragler, favored us with wonderful renditions of The push for nursing scholarship funding; to advocate for improved and less restrictive practice Battle Hymn of the Republic and America the Beautiful. environments for our nurse practitioners and nurse midwives; and to protest the seizure Our lineup of speakers was equally outstanding. ASNA of $2.5 million (transferred to the state General Fund) from the Alabama Board of Nursing President and AUM Professor Dr. Debbie Faulk opened the funds in the 2010 budget by the Governor and Alabama Legislature. The day began with an session and emceed the entire program. State Senator Kim excellent presentation in the Capitol Auditorium on basics of the political process by Richard Benefield (D) Woodland and Representative Greg Wren (R) Montgomery, both great friends of nursing and nurses in Alabama, Joseph Decker made very supportive remarks much appreciated by the crowd. By the way, Sen. Benefield is sponsoring the ASNA Nursing Scholarship bill (SB234) in the Senate and Rep. Wren along with Reps. (Dr.) Bentley (R), Wood (R), Love (R), Salaam (D), Clouse (R), Mask (R), Williams (R), and Harper (D) are co-sponsoring the companion bill (HB398) in the House. Rep. Bentley has taken the lead as House sponsor but was out of town on the 27th and unable to appear with us at the State House. Additional speakers included Your Skills + A New Degree = SUCCESS! Ruth Harrell, RN, a former President of ASNA and a member of the Alabama Nursing Hall of Fame; John Hankins, the ADPH Director of Nursing; Heather Rankin, CRNA, President of the AANA; Lori Lioce, CRNP and President of the NPAA; and Dr. Ruby Morrison, Professor at the University of Alabama Capstone College of Nursing, past President of ASNA Study online without leaving your job. and current President of the Alabama Coalition of Nursing Organizations. We also had excellent media coverage, including the Montgomery Advertiser and other newspapers, and local WAKA-TV 8 (CBS) and WSFA-TV 12 (NBC). Check out the photos on our website at www.alabamanurses.org. and in this edition of the Alabama Nurse. While there is no need to remind everyone that this is indeed an election year, it is worth pointing out that the face of the Legislature and state government will change dramatically in the next year. Governor Riley is term limited and cannot run for re-election, and all other statewide offices are up for election in November. In the House, Speaker Seth Hammett (D), Reps. Ron Grantland (D) and Frank McDaniel (D) are not running for re-election. In addition, Reps. Gerald Allen (R), Locy Baker (D), Bill Beasley (D), Robert Bentley (R), Earl Hilliard (D), Tammy Irons (D), James Thomas (D), and Cam Ward (R) have declared for other offices and thus will vacate their current House seats. In the Senate, Sens. Bobby Denton (D), Charles Bishop (R), Larry Dixon (R), Myron Penn (D), and Sen. Kim Benefield (D) will retire/not run again, and Sen. Hank Erwin (R) will vacate his seat to run for another office. Sen. Hank BS in Nursing (RN to BSN/MSN) (Online) i N i (O li ) Sanders (D), who had previously announced his retirement after 7 terms, has reconsidered and BS in Nursing (RN to BSN) (Online) will in fact run for re-election. And don’t forget: we have two ASNA nurse members running MS in Nursing (Case Management for Rural Populations) (Online) for office–April Weaver (R) in District 49, and Terrence Johnson (D) in District 82. Let’s get MS in Nursing (Clinical Nurse Leader) (Online) out there and support them; it would be terrific to have two RNs in the state legislature! Bottom line: lots of changes coming. We urge all of our members to be informed about the issues and candidates, get involved and above all VOTE in November. You can make a difference. Our ASNA legislative agenda this year will look familiar. We will renew our push to revise the enabling legislation for nursing scholarships, and fight for funds in the Education Trust Fund Budget. We will also work hard to get the NPAA bill for nurse practitioners introduced, fairly heard and debated, and passed. Other bills we have an interest in include: HB 462 (Lay) Midwifery Board; HB 207, Medical Marijuana; HB 134, Domestic Violence; HB 173, Patient’s Ventilator Bill of Rights; HB 384, Alzheimer’s Disease Task Force; and HB 432, Human Trafficking. There are also numerous bills already introduced about gambling in Alabama, many ethics reform bills and various education related bills. It goes without saying that this year’s legislative session may be one of the most difficult in memory, given the forecast extreme shortfalls in both the General Fund and Education budgets. This will be further complicated by the gambling, ethics reform, charter schools, sales tax on food, and road stimulus package (using Alabama Trust Fund monies) bills proposed. The result will most likely be a very Doctor of Nursing Practice (Online) contentious period, especially in an election year. We could be in for a rough ride. EdD or MSN/EdD in Instructional Leadership for Nurse Educators (Online & Weekend) Finally, here as some dates to remember for 2010: FACES 2010 Tuesday, 20 April Montgomery Inquire Today! ANA HOD 16-19 June Washington DC ASNA Convention 30 Sept–2 October Mobile BamaByDistance.ua.edu/nurse 1-800-467-0227 Hope to see you at every event.
  • 5. March, April, May 2010 The Alabama Nurse • Page 5 Suggestions on How to Celebrate LPN Corner National Nurses Week Newly Licensed Nurses • Hold a special celebration or reception to recognize a health care (nurses being replaced by unlicensed assistive and Their Transition nurse or several nurses in your community. These nurses personnel, safety and quality of care issues, etc.) could be honored for heroic acts, years of service to the Into Practice community, exemplary courage, or their commitment to • Invite a local celebrity (one who has spoken about health the nursing profession over the years. care in the past; one who has personally been a patient of a nurse; or one whose family member has been a Gregory Howard, LPN • Promote a positive, realistic image of registered nurses patient) and request his/her sponsorship of National by sponsoring health fairs, conducting preventive Nurse Recognition Day and/or National Nurses Week. Because of an ongoing screenings in underserved areas, organizing a walk-a- Hold an event and ask him/her to speak about a personal need for nurses, and the high thon, etc. experience in which he/she was cared for by a nurse. expectation of employers, nurses are expected to perform • Place an article in your state or local newspaper(s) about • Host a fund-raiser (i.e., walk-a-thon) and donate money to far beyond their experience. I National Nurses Week and the value of nurses. a local charity. Emphasize the importance of registered believe it is often forgotten that nurses in our nation’s health care system; pay tribute to nurses are tested for minimum • Invite a politician–local, state or federal–to accompany a local nurse; or recognize all registered nurses who are competence when licensed. It is a nurse or several nurses at their place of employment indispensable and provide care selflessly 24-hours a day, practice and continued education for a day or part of a day. Health care remains an issue seven days a week, 365 days a year. that takes the nurse to a higher of tremendous importance to voters. Politicians should level of performance in their be visible and accountable for their positions on health • Request a proclamation from your mayor/governor area of practice. care. This is a win-win situation and it offers good media declaring May 6 as National Nurse Recognition Day The transition from student to licensed nurse is yet coverage potential. and/or May 6-12 as National Nurses Week. (Sample another challenge if the student has had no previous proclamation). nursing experience other than what was taught in school. • Sponsor a community-wide event, such as a coloring Because the application of what was taught verses what contest or poem-writing contest for school children. • Host an editorial board meeting with leading state or you have had experience in doing on a regular basis. This The children could acknowledge their favorite nurse, local newspapers. Discuss the importance of registered is quite different, and besides that, the nurse is working a famous nurse, or family member who is a nurse–past nurses at the bedside and the nursing profession’s independently. This also means others will be looking or present–in a colorful drawing. The drawings could be concerns about current issues, specifically those related to the nurse for direction. This is where experience is displayed in local schools, hospitals, nursing homes, etc. to safety and quality of care. important or where continued support is crucial in the transition from student to nurse. There is orientation, but • Work cooperatively with hospitals, schools, and libraries • Organize a candlelight vigil on National Nurse it’s felt that it’s not long enough. The National Council of to set up a special display for National Nurses Week. Recognition Day (May 6) in honor of the hard work and State Boards of Nursing (N.C.S.B.N.) has a committee that commitment of the nurses in America. is researching this very issue. Dr. Nancy Spectra is the • Host a press conference. Discuss an important health staff person on this committee and she has on their web the care issue in your community; release the findings of a • Suggest that your state or local newspaper solicit stories findings as well as a solution. I invite you to visit the site local survey; honor a nurse for a heroic act; or bestow an from readers who would like to pay tribute to a nurse read the findings and follow their work in the committee. “honorary” nurse title to a deserving politician or civic who provided exemplary care. Like most solutions, there is an economic impact that will leader. drive the success or failure of this solution; and this is • Press release is available.) where the real work began. • Organize a free cholesterol and/or blood pressure The concept is that the employer will assume screening in your local community and promote via • Obtain support from other nursing and health care responsibility by extending support from orientation radio announcements, flyers, posters, etc. organizations in your area by asking them to sponsor through the first year of practice, visit the committee’s National Nurse Recognition Day and/or National Nurses report for details. The savings to the employer would • Host a hearing before city council or hold a town Week and to hold a joint event with your organization. be: retention of the nurse, job satisfaction of the nurse, meeting on nursing’s concerns about the recent trends in better patient outcomes and cost savings to the employer/ institution. ANNOUNCING Doctor of Nursing Practice (DNP) — Post Master’s* Georgia Baptist • Applications now being accepted for Fall 2010. • Priority deadline is April 1, final deadline is May 1. College of Nursing • Join our contact list for the DNP degree. Call 678-547-6700. The purpose of the Doctor of Nursing Practice (D.N.P.) program is to build ATLANTA upon the foundation of advanced nursing skills to prepare nurses for leadership roles in health care delivery and to propose solutions for the improvement of health care outcomes for individuals and for society. PhD in Nursing: Develops Nurse The DNP will focus on the 3 major categories Scholars for Careers in Education, of practice: Practice and Research • Direct care for individual clients • Health care for Offered in a hybrid format of online aggregates, communities, and and 2 visit onsite instruction, populations the PhD in Nursing program • Management prepares nurses to educate the of health care next generation of nurses and through roles in assume leadership positions in administration, administrative, research, clinical policy development, and entrepreneurial settings. and quality assurance. *Pending approval by the Southern Association of Colleges and Schools. Additional programs offered: A Bachelor of Science in Nursing Program with two tracks: • The BSN Pre-Licensure Track • The RN-BSN Track (for licensed nurses) A Master of Science in Nursing Program with two areas of concentration • The Nursing Education Focus • The Clinical Nurse Specialist Focus For more information contact Office of Admissions: 678-547-6700 www.mercer.edu/nursing
  • 6. Page 6 • The Alabama Nurse March, April, May 2010 Best Practices continued from page 1 Best Practices for Retention of Older Nurses Hatcher, B.J., Bleich, M. R., Connolly, C., Davie, K., O’Neill Expanding • Development of career paths/ladders appropriate for the older nurse Hewlett, P., & Stokley Hill, K. (2006, June). Wisdom at Work: Roles • Re-tooling skills sets to accommodate other job positions The Importance of the Older and Experienced Nurse in the • Involve older nurses in succession planning Workplace. Robert Wood Johnson Foundation. • Mentor younger nurses for succession planning Lewin Group, Inc., (2009, January). Evaluation of The Robert • Offer leadership, mentoring and preceptor roles for older nurses Wood Johnson Wisdom at Work: Retaining Experienced Nurses • Create non-traditional roles for the older nurse Research Initiative. Final Report. McHaney, D. F. (2009, April). Development and implementation of a Workforce Plan for Aging Registered Technological • Offer training to older nurses in computer literacy Nurses. Doctoral Project. DNP intensive. University of Alabama Support • Adapt training to different learning modalities and tools School of Nursing at UAB. Birmingham, AL. • Redesign & simply processes McHaney, D. F. (2009, February). Aging Registered Nurses • Incorporate larger font for text & computer screens Workforce Plan. 2009 Evidence-Based Practice Conference. • Use of integrated Management Information Systems, (MIS) that will reduce Phoenix, AZ. redundancy in documentation McHaney, D. F. & Varner, J. (2007, July). Assessment of • Provide Computer Work Stations on Wheels or at the bedside with consideration Policies and Procedures to Accommodate the Aging Nurses in for larger computer screens Alabama’s Workforce. STTI 18th International Nursing Research • Increase the number of work stations on nursing units Congress Focusing on Evidence-Based Practice. Vienna, Austria. • Adapt systems that are more portable for use on nursing units McHaney, D. F. (2007, May). Accommodating Aging Nurses in the Work Environment. Annual Geriatric Workshop by • Develop dedicated tech support teams to assist nurses Alabama Nurses Association. Selma, Alabama. • Adapt telephone systems that are more portable McHaney, D. F. (2006, April). Changing the Work Environment to Accommodate Aging Nurses. Annual Geriatric Retirement Benefits • Portable pensions Workshop by Alabama Nurses Association. University of South • Incentivized pensions Alabama, Mobile, Alabama. • Avoid financial penalties for returning part time retires McHaney, D. F. & Varner, J. (2006, April). A Study of the • Provide buy back options for nurses who return to the workplace Aging RN Workforce in the State of Alabama. Natural Bridges: Preparing for an Aging South: Southern Gerontological Society Health Benefits • Provide access to health benefits for part time employees 27th Annual Meeting, Lexington, Kentucky. • Group rates for Long Term Care insurance McHaney, D. F. (2004, November). Changing the Work Environment to Accommodate the Physical Needs of Aging • Discounted medication cost plan Nurses. Geriatric Workshop by Alabama Nurses Association. • Offer the option of a cafeteria style healthcare benefit plan Montgomery, Alabama. • Offer a tax-free health account to save toward additional medical expenses. Varner, J. (2009, February). Development of a toolkit for retention of personnel in long-term care. 2009 Evidence-Based Wellness Support • Provide access to preventive health and wellness programs Practice Conference. Phoenix, AZ. Systems • Provide preferred parking or valet parking for older nurses Varner, J. (2009, April). Development and implementation • Provide appropriate ergonomic environments of a toolkit for retention of nursing personnel in long-term care • Educate older nurses on appropriate ergonomics measures and ergonomic accessories settings. Southern Gerontological Society annual meeting, St. • Provide decreased membership cost in exercise facilities Petersburg, Fl. Varner, J., Roussel, L. & McHaney, F. (2008, September). Alabama workforce development: research update. Presentation Redefine • Include older workers in selection of new equipment, supplies or environmental changes regarding how to design and implement a toolkit for retention the Culture • Include older nurses in unit & hospital committees of nursing personnel at the Alabama State Nurses Association • Include older workers in writing policies, procedures, and processes Convention, Tuscaloosa, Al. • Include older workers in workplace redesign modifications Varner, J., McHaney, F., & Roussel, L. (2008, September). • Knowledge transfer paired with phased retirements Panel discussions: leading a healthy work environment. Panel • Offer mentoring and coaching programs designed especially for the older nurse discussion at the Alabama State Nurses Association Convention, Tuscaloosa, Al. Developed by ASNA Commission on Professional Issues Support Nursing Nurse Practitioner Alliance of Alabama 2010 NURSE by Lori Lioce, MSN, FNP-BC, NP-C symptomatic care and recovery for our patients. Alabama ALABAMA remains one of two states in the entire country that have This year marks the not been granted this authority. Advanced practice nurses Proposed Car Tags for Alabama Nurses: UPDATE– beginning of the fourth year practice in many settings outside the hospital that add We are close to 700, only 300 more to go! for the Nurse Practitioner additional access to healthcare for patients who deserve the Alliance of Alabama (NPAA). best care available. Barriers that ration qualified care only The Alabama State Nurses Association has Our mission is to advocate for perpetuate the broken healthcare system. We must put our contacted the Alabama Department of Revenue, professional privileges consistent patients first and supporting this bill is one positive step Motor Vehicle Division regarding a car tag for nurses. with our educational preparation forward toward a solution. Two choices are available; a decal to be placed on a and for issues of significance for During the 2009 legislative session, physician special tag, or a specially designed tag. The difference the welfare of advanced practice assistants (PAs), who are in a supervisory relationship is of course numbers. If at least 250 people will sign nurses and most importantly for with physicians, were granted the authority to prescribe a “Commitment to Purchase” at their local revenue our patients. The work of NPAA controlled substances, schedules III to V. This was a office, we get the decal. It takes at least 1000 to get is completed through a steering monumental achievement for the patients of Alabama and the whole tag. A design similar to the photo above will committee compromised of representatives from the we support and commend the legislators and physicians for be submitted. Please do not sign a “Commitment to regional groups of advanced practice nurses in Alabama. supporting this improvement. Purchase Agreement” until you are notified that the If you are interested in serving on this committee, As nurses who represent a large and diverse group of tag has been created. please contact Lori Lioce at blioce@samford.edu. constituents and patients, please join me in contacting We are proud to announce that Joe Decker, the ASNA legislators to support this bill and in voting for those ASNA will need to know what kind of interest we Executive Director and the Attorney Don Eddins are legislators who are willing to stand up for the patients and have in this tag prior to submitting the application. the new lobbyists for the NPAA legislative bill this year. nurses of Alabama. Remember this is an election year. Once the tag becomes available, if you have signed a This marks a tremendous moment in nursing in Alabama Whether you consider yourself a democrat, republican, or “Commitment to Purchase Agreement” with your as the organizations join forces to advocate for nursing. I independent this is a bipartisan prescription to improve the local revenue office, you will be notified by that would like to thank the ASNA and NPAA leadership for quality of patient care by decreasing unnecessary pain and office. Please fill out the short form below and return it completing this vision. treatment delays. to ASNA at 360 N. Hull St., Montgomery, AL 36104 or The 2010 NPAA Legislative bill has been completed. A “Call to Action” has been issued for all nurses, not email at memberasna@alabamanurses.org Included with this article, you will find a synopsis of the just advanced practice nurses. Please read and share the bill with rationale for the requested changes. I would like following information with your colleagues, friends, Name: ______________________________________ to emphasize that the bill does not in any way attempt to and families. Every call and letter makes a difference. change collaborative practice. Remember, only with a united mission and message will Phone: ______________________________________ All advanced practice nurses have been educated, change succeed. Our message and mission are simple: nationally board certified, and charged with the advocate for your patients. The quality of healthcare Email: ______________________________________ responsibility of treating and diagnosing patients for should drive policy decisions. I thank you for your primary care of injuries, acute and chronic disease and commitment and service to the nursing profession. For Address: ____________________________________ illness, but have not been granted the state authority to do more information on how to help pass this legislation, find so appropriately. The NPAA bill advocates for prescriptive your regional group, or information on our bill please visit ____________________________________________ privileges for controlled substances schedule II to V for www.npalliancealabama.org This form indicates interest to ASNA only, it is advanced practice nurses in collaborative practice with (The bill will be available at www.npalliancealabama. not a “Commitment to Purchase” physicians. This authority would improve the quality of org after submission)
  • 7. March, April, May 2010 The Alabama Nurse • Page 7 Membership I Stand for Nursing Online by Rebecca Huie, BSN, RN to the patient during this critical time. I serve as a mentor My nursing career began 14 years ago. I graduated for new nurses at both the VA and UAB. I have received enormous support and encouragement from Greg Eagerton, Membership from Wallace State Community College with an Associate Degree in Nursing. A very special person, Helen James, DNP, Associate Director of Patient Care Services and Cynthia Cleveland, MSN, Chief Nurse of Patient Care Applications RN helped me to develop the excellent nursing skills, knowledge, and courage that I Services since my employment at the VA. They both have encouraged me and given me many wonderful Available at needed to embark in my career. opportunities to enhance my career. Her patience, encouragement, I have been a member of ASNA/ANA for almost three and faith in me helped to give years. I was unaware of the importance of being an active me the confidence that I needed. I spent the next 8 years in long- member of a professional organization. When I decided to further my education in nursing Debra Litton, SICU/ www.alabamanurses.org term care as a staff nurse and RN CVICU Nurse Manger became my mentor. She was Supervisor under her mentorship. the President of District 3 at the time, and she helped to This initial experience in open doors of opportunities for me. She has been a vital nursing taught me how to be part of my professional development and my endeavor a loving, compassionate, and as a member of ASNA/ANA. Since my membership in a caring nurse. Working with the geriatric population requires the “Art of Nursing” to ASNA/ANA I have assisted with a scholarship fundraiser and I have attended the 2008 and 2009 Annual ASNA DID YOU KNOW? be incorporated into the core values of a person’s nursing Convention and served as a delegate. I am on the In 2009 more than 500 nurses faced disciplinary action career. As a young new nurse, working with this population Nominations Committee, Awards Committee, and I by The Alabama Board of Nursing (abn.state.al.gov, 2010). was difficult at times, due to the substantial amount of currently hold the position as Secretary for District 3. As a member of the Alabama State Nurses Association, end of life situations that I had to face. However, these Being a part of such a huge organization that supports my you are entitled to FREE legal representation before the experiences enhanced my understanding of the compassion profession is a huge reward. Board should you be notified of a disciplinary action. This that is required to be a true nurse. I hope to encourage and educate fellow nurses of the is a Savings of $1500–$3500+ depending on whether a For the past 6 years I have worked for the Birmingham importance of getting involved in making changes and hearing becomes necessary. This is a free service offered Veterans Administration Hospital. My career there began fighting for the nursing profession. Every nurse should to existing ASNA members. on a busy surgical-neurology unit, where I had a couple of realize the impact that they can have on other nurses, Not sure if you’re a member? Contact April Bishop at great mentors that help to encourage me and I currently just as I realize the positive impact that so many valuable 334-262-8321 or memberasna@alabamanurses.org. work in the Surgical/Cardiovascular Intensive Care Unit nurses have had on my career and life. The support, in the role of Charge Nurse. Surgery is my passion and encouragement, compassion, and confidence that were Reference: my interests reside primarily in Cardiac Surgery. I enjoy shown to me during my development as a nurse, means www.abn.state.al.us (2010). Disciplinary Actions. Retrieved the exhilaration of receiving an open heart patient straight more to me than words can express. My experience as a from, http://www.abn.state.al.us/main/downloads/disciplinary/ from the O.R. and providing the appropriate nursing care nurse has shown me that nursing is more than just caring main-disciplinary.html. for the patient, but caring for each other. BSN– Bachelor of Science in Nursing Available exclusively at the following Schmidt Wallace facilities: RN to BSN for Registered Nurses (Online Program) RN to MSN – Early Decision Option (for Registered Nurses) Certificate Programs Available: 881 3rd Street NE 616 Chaffee Street Post-Master’s Family Nurse Practitioner Alabaster, Alabama 35007 Talladega, Alabama 35160 Graduate Certificate in Nursing Education (205) 620-8500 (256) 362-4197 Lisa Perini, DON Deb Weldon, DON MSN – Master of Science in Nursing Sharon Baker, Administrator Mary Tuberville, Administrator Specialties: Family Nurse Practitioner Acute Care Nurse Practitioner Adult Clinical Nurse Specialist Clinical Nurse Leader Leadership in Health Care Systems (Online Program) 750 Alabama Highway, 75 North 100 Perry Hill Road DNP – Doctor of Nursing Practice Albertville, Alabama 35950 Montgomery, Alabama 36109 (Online Program) (256) 878-1398 (334) 272-0171 (joint program with UA and UAB) Rita Sauls, DON Cynthia Alexander, DON Mary Meeks, Administrator Bobby Stephenson, Administrator 207 Nursing Building Huntsville, AL 35899 Phone: 256-824-6742 Email: Nursing@uah.edu “We exist to enhance the lives of those we serve and Web: http://onlinenurse.nb.uah.edu above all we keep our residents first.” UAH is an Affirmative Action/Equal Opportunity Institution Call today to explore YOUR new opportunities!