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The Voice of South Carolina Nursing for over 100 years!

Brought to you by the South Carolina Nurses Association (SCNA), whose dues paying members make it possible to advocate for nurses and nursing at the state and federal levels.

QUARTERLY PUBLICATION DIRECT MAILED TO APPROXIMATELY 72,000 REGISTERED NURSES & LPNS IN SOUTH CAROLINA.

A Constituent Member of the American Nurses Association.

index

Volume 23 • Number 2 April, May, June 2016

Call for 2016 Nominations . . . . . . . . . . . . . . . . .2

CEO Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

President’s Column . . . . . . . . . . . . . . . . . . . . . . .3

SCNA Convention, Annual Meeting, andAPRN Fall Pharm Conference: Registration . . . . . . . . . . . . . . . . . . . . . . . . . .4 Call for Poster Abstracts 2016 . . . . . . . . . . . .5

Peer Assistance Programs in Nursing: Nurse Managers: Why You Should Hire a Nurse in Recovery . . . . . . . . . . . . . . . . . . .6 The ANA Code of Ethics for Nurses and the Impaired Nurse . . . . . . . . . . . . . . . . . . .6

SCNA Board Update . . . . . . . . . . . . . . . . . . . . . .7

South Carolina Nurses Association New and Returning Members . . . . . . . . . . . .8 New SCNA-Only Members . . . . . . . . . . . . . . .8 Dues Deductibility . . . . . . . . . . . . . . . . . . . . .8 Membership Made Easy . . . . . . . . . . . . . . . .9 Save the Date 2016 Calendar . . . . . . . . . . . .9

Advocacy: SCNA Advocacy Fund . . . . . . . . . . . . . . . . .10 Lobby Day . . . . . . . . . . . . . . . . . . . . . . . . . .10 Nursing, Environment, and Health . . . . . . . .11

Chapter Section: New SCNA Chapter Clinical Nurse Leader (CNL) Chapter . . . . . . . . . . . . . . . .11 Newborn Screening in the Genomic Era . . . .12

News You Can Use: Retirement Q&A . . . . . . . . . . . . . . . . . . . . . .14 Election 2016 . . . . . . . . . . . . . . . . . . . . . . .15 Dolphins for Nurses Campaign . . . . . . . . . . .16 Nurses Rank as Most Honest, Ethical Profession for 14th Straight Year . . . . . . .16

South Carolina Department of Labor, Licensing, and Regulation . . . . . . . . . . . . . . 17-19

Save the Date

NURSING: A Kaleidoscope of Practices

SCNA Convention,Annual Meeting, and

APRN Fall Pharm ConferenceOctober 19-21, 2016

*Pre-Con October 18 & 19Sonesta Hilton Head Resort,

Hilton Head, SC843-842-2400

$139 room rate until September 27, while supplies last.

Registration opens April 1, see page 4 for more details.

In recognition of the impact nursing has on patient outcomes and the quality of care, the American Nurses Association (ANA) has designated 2016 as “Culture of Safety” and the tagline is “Safety 360 Taking Responsibility Together.”  Keeping with this focus, the theme for National Nurses Week 2016 (May 6-12) is “Culture of Safety—It Starts with You.”

• Safety is everyone’s responsibility. There is nohierarchy.Safetyrequiresempoweringeveryvoice.

• A culture of safety is one where nurses feelsupported, listened to and understood. A cultureof safety fosters transparency, accountability andresults.

• Nurses foster open conversations about safetyissues,suchas fatigue,stress,safepatienthandling,workplaceviolence,incivilityandbullying.

• Nurses prioritize safe staffing and help connectindividual,teamandorganizationalsafetygoals.

• National Nurses Week celebrates the contributionsnursesmakeeverydaytomakepositivechangesforpatients.

• Nursesensure thedeliveryofqualityhealthcare topatients,familiesandsociety.

• Nurses are recognized by the public for upholdinghigh ethical standards. An annual Gallup surveyshows that thepublichas rankednursingas the top

profession for honesty and ethical standards for 14yearsstraight.

• Nurses have a critical responsibility to upholdthe highest level of quality and standards intheir practice, including fostering a safe workenvironment.

• Nursing leaders ensure resources are availableto achieve safety results, providing resources foradequatestaffing,equipmentandeducation.

• Nursesusequalitymeasurementstoimprovepatientoutcomes.

• The American Nurses Association (ANA) has along-standing commitment to ensuring the healthandwellnessofnursesinallsettings.ANAsupportsimproving the work life of health care providers:what’sgoodfornursesisgoodforpatients.

National Nurses Week 2016

“Culture of Safety: Safety 360 Taking Responsibility Together”

Key Messages

Page 2—April, May, June 2016—The South Carolina Nurse www.scnurses.org

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.scnurses.org

2016 Board of Directors

President: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ConnieVarnPresident-Elect:. . . . . . . . . . . . . . . . . . . . . . . . . . . SherylMitchellSecretary/Treasurer:. . . . . . . . . . . . . . . . . . . . . . . .StanleyHarrisCommissionChair–PublicPolicy/Legislation:. . . . . . . . . . . . . . . . . . . . . T.K.CurtisCommissionChair–ProfessionalAdvocacyandDevelopment: . . . . . . . . .SelinaHunt-McKinneyCommissionChair–SCNAChapters:. . . . . . . . . . . . . . VACANTDirector,Seat1: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .AliceWyattDirector,Seat2: . . . . . . . . . . . . . . . . . . . . . . . . . . . .TamiNielsonAPRNChapterChair(BODEx-Officio): . . . . . . . . . . . . . . . . . . . KahlilDemonbreunClinicalNurseLeader(BODEx-Officio): . . . . . . . . . . . . . . . . . . . . MaryAliceHodgeNurseEducatorChapterChair(BODEx-Officio): . . . . . . . . . . . . . . . . . . . . . . . . . AnitaKorbePiedmontDistrictChapterChair(BODEx-Officio): . . . . . . . . . . . . . . . . . . . . . . . AvaPridemorePsychiatric-MentalHealthChapterChair(BODEx-Officio): . . . . . . . . . . . . . . . . . . . . . . MaggieJohnsonWomenandChildren’sHealthChapterChair(BODEx-Officio): . . . . . . . . . . . . . . . . . BonnieHoladaySNA-SCRepresentative(Ex-Officio):. . . . . . . .SavannahTurnerSCNFPresident(Ex-Officio): . . . . . . . . . . . . . . . . PatMacarusoCEOandLobbyist:. . . . . . . . . . . . . . .JudithCurfmanThompsonAssistanttotheCEO:. . . . . . . . . . . . . . . . . . . . . .RosieRobinson

The South Carolina Nurse (ISSN 1046-7394) is publishedquarterlyevery January,April, JulyandOctoberby theSouthCarolina Nurses Association, a constituent member of theAmerican Nurses Association, 1821 Gadsden St., Columbia,SC 29201, (803) 252-4781, website: www.scnurses.org.Subscription fees:Members $2per year included in dues as amembership benefit, Institutional subscriptions, $40 per year.Singlecopies$10.

Readers: Send address changes to South Carolina Nurses Association,1821GadsdenSt.,Columbia,SC29201.

Foradvertisingratesandinformation,pleasecontactArthurL.DavisPublishingAgency,Inc.,517WashingtonStreet,POBox216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.com.SCNAand theArthurL.DavisPublishingAgency, Inc.reservetherighttorejectanyadvertisement.Responsibilityforerrors inadvertising is limited tocorrections in thenext issueorrefundofpriceofadvertisement.

Acceptance of advertising does not imply endorsement orapprovalbytheSouthCarolinaNursesAssociationofproductsadvertised,theadvertisers,ortheclaimsmade.Rejectionofanadvertisementdoesnot implyaproductofferedforadvertisingiswithoutmerit,orthatthemanufacturerlacksintegrity,orthatthisassociationdisapprovesoftheproductoritsuse.SCNAandtheArthurL.DavisPublishingAgency, Inc. shallnotbeheldliable for any consequences resulting frompurchase or use ofan advertiser’s product. Articles appearing in this publicationexpress the opinions of the authors; they do not necessarilyreflect views of the staff, board, ormembership of SCNA orthoseofthenationalorlocalassociations.South Carolina Nurse Copy Submission Guidelines:All SCNA members are encouraged to submit material forpublication that is of interest to nurses. The South Carolina Nurse also welcomes unsolicited manuscripts written bymembers.Article submission is preferred inMSWord formatandmaybeup to1000words.When sendingpictures, pleasebe certain to label themclearly since the editorshavenowayof knowing who persons in the photos might be. Preferredsubmission is by email to Rosie@scnurses.org. Please donot embedphotos inWord files, but use jpg files.All articlessubmittedaresubjecttoeditingbytheSC Nurseeditorialstaff.

SC NurseEditorialStaff:JudithCurfmanThompson,ExecutiveEditorRosieRobinson,AssistantEditor

CEAC UpdateForacompletelistofApprovedThreeYearProvidersandApprovedIndividualActivitiespleasevisitourContinuingNursingEducationpageonwww.

scnurses.org.YouwillalsofindalltheinformationyouneedtoknowabouthowtheSCNACNEprocessworks.

Because You Are A Nurse – SCNA!

Call for ResolutionsAny SCNA member may research, write and submit

resolutions for consideration by the 2016 SCNA AnnualMeeting. Resolutions should be submitted in form forprinting to the Reference Committee through SCNA at1821 Gadsden St., Columbia, SC 29201. Resolutions areduebyMay 1, 2016.

Guidelines for writing and submitting resolutionscan be downloaded from http://www.scnurses.org/?SCNAAnnualMeeting

2016 Official Call For Suggested SCNA Bylaw

RevisionsPlease consider this theofficial call for any suggested

SCNA bylaw revisions for consideration at the 2016SCNAAnnualMeeting to takeplace thisFall.A full setof current SCNABylaws can be obtained via the SCNAwebsiteathttp://www.scnurses.org/?Bylaws.Allproposedrevisions must be submitted to SCNA by May 1, 2016. Pleaseforwardto:

SCNA-BylawsCommittee1821GadsdenStreetColumbia,SC29201FAX(803-779-3870)

Call for 2016 NominationsThe SCNA Nominating Committee has called

for member suggestions for the 2016 election.NominationsaredueMay1st.

In2016,memberswillelect:

Full (SCNA/ANA) & SCNA Only ElectionPresident-ElectCommissionChair-SCNAChaptersDirectorSeat1DirectorSeat2SCNANominationCommittee(5people)

Full (SCNA/ANA) ElectionRepresentativestotheANAMembershipAssembly(2people-PresidentandPresident-Elect)Alternates for Representatives to the ANAMembershipAssembly

Current Board Members Eligible to run for office other than the one they currently hold:StanleyHarris–CurrentlySecretary/TreasurerSelina Hunt McKinney – Currently ProfessionalAdvocacyandDevelopmentCommissionChair

Current Board Members Eligible to run for office that they currently hold:Teshieka Curtis – Currently Public Policy/LegislationCommissionChairAliceWyatt–CurrentlyDirector1TamiNielson–CurrentlyDirector2

SCNA Chapters will also hold elections for:ChairMemberAtLarge(2people)

SCNA Chapter Ballot will be with the SCNABallotsforthoseSCNAmemberswhoarealsosignedupasSCNAChaptermembers.NominationsmaybesubmittedatthesametimeasnominationsforSCNAofficers. All nominations are due to SCNA byMay1st2016.

Note that both the nominator and nominee forthe SCNA 2016 elections must be SCNA membersin good standing. Call SCNA at 803-252-4781 ifyou would like more information on any of thesepositions.

Go to www.scnurses.org to fill out a nominationform.Thelinktothenominationformcanbelocatedunder “AboutSCNA”on the “Elections”pagehttp://www.scnurses.org/?page=SCNAElections

The Molina Healthcarefamily is growing and

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Molina values our health care service employees so consider joining our family today!

www.MolinaHealthcare.com/Careers

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 3

Culture of Safety it Starts With You – Nurses Week May 6-12

President’s ColumnConnie B. Varn, MN, RN

HappyNursesWeek!

This year, the ANA focuswill be on “2016 Culture ofSafety!” The theme for NursesWeek, May 6-12 is: “Safety360 Taking ResponsibilityTogether.”ANAdefines cultureof safety as shared by ANAPresident, Pam Cipriano as,“one in which core values andbehaviors—resulting froma collective and sustainedcommitment to organizationalleadership, managers, and workers—emphasize safetyover competing goals. Other attributes of a positive

Connie Varn

safety culture include openness andmutual respectwhendiscussing safety concerns and solutionswithout shiftingtoindividualblame;alearningenvironment;transparencyand accountability; and high-reliability teams.” Visitthe ANA website for more information. There is aspecial Toolkit for use to promote the 2016 theme forNursesWeek.

The theme encompasses Safe Patient Handling, SafeStaffing, a SafeWorkplace, and being a “HealthyNurse.”President Ciprianio also stated that, “a culture of safetymeans committing not only to practices andpolicies thatsupportsafe,ethical,andhigh-qualitycaretoourpatients,butalsotothosethatensurenurses’ongoinghealth,safety,andwell-being.”

Happy Spring! I hope that this issue of the SCNursefinds you well, enjoying the warmth of spring and thebeautifulbloomsthatwehaveinSouthCarolina!Moretocomeaboutthe“healthyworkenvironment!”

Judith Curfman Thompson, IOM, CEO and Lobbyist

This edition of the SCNURSE should find us withwarmer weather and bloomingflowers. As I write this inFebruary,itiscoldandblustery.At least so far we have beensparedsnow,sleetandice.

I would like to wish allof you a most exciting andwonderful Nurses Week,2016! May it be a time foryou of reflection on yourprofession and celebration ofthe contributions that you asan individual nurse practicinginSouthCarolinamake everyday to the art and scienceofnursing.Toooften forallpeople involved inpowerful,intense professions the “big picture” of the contributionthat each of you makes wherever you practice becomeslost in the actuality of each day.You as nurses in SouthCarolina are in a powerful place in the life of everypatientwhocomes intoyourcare.Thevery livesofeachand everypatient hingeonwhat youdo andhowyoudoit.Thisisnottosendyouona“guilttrip”abouthowyoumaynotbeabletopracticeasyouwouldliketoduetonothavingenoughstaff toenableyou to reallypracticewhatyouwereeducated todo. Iwrite this tocomplimenteachofyouasyoureallydomakethebestofeachmomentandprovide the professional care that each patient requires,eveninthefaceoflessthanoptimalconditions.Mayyouknowjusthowyourexpertisemakesthisabetterworldforallyourpatients.HAPPYNURSESWEEK,2016!

Judith Curfman Thompson

WANTED:Volunteers for SCNA Continuing Education Approval Committee

SCNAisseekingvolunteerstoserveontheSouthCarolina Nurses Association Continuing EducationApproval Committee. Ample training in the processis offered. BSNminimum degree required. Reviewstake place four times per year. All applications aresubmittedon line and reviewsare alsodoneon line.Verysmallcompensationisoffered,eventhoughthisis still a volunteer position. Please go to the SCNAweb site (www.scnurses.org) to fill out a Consent toParticipateform.WelookforwardtohavingyouwithusintheimportantSCNAactivity!

CongratulationstoKahlilDemonbreunforbeingselectedas

aAANP2016Fellow.

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Open Door Personnel offers free ACLS and Telemetry classes for nurses who sign a 3 month commitment for available work assignments.

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Classes That Fit Your Schedule — Competitive Tuition

Nursing Instructor (Medical/Surgical)

Provide classroom and clinical instruction for ADN students; teaching role includes didactic and seminar style teaching, clinical supervision of students; simulated clinical environment instruction. A Doctorate or master’s degree in the teaching discipline or a master’s degree with a concentration in the teaching discipline; current unencumbered SC nursing license is required; a minimum of 2 years’ clinical experience as a registered nurse or advanced practice nurse in adult medical surgical specialty. Salary is competitive and determined by evaluating qualifications. Excellent benefits program that includes: employer provided health, dental and life insurance; paid holidays; sick leave; and state retirement.

Please submit the following: Copy of Philosophy of Teaching statement (1 page, singled spaced, CV – Academic, Nursing License and all certifications, unofficial transcripts of academic work (Official will be collected by those coming for interviews). Applicants coming for interview will be asked to present on a specified topic. Position available immediately.

Visit our website at www.jobs.sc.gov for job detailed job requirements and employment application. Resumes’ will not be accepted in lieu of college application. Florence-Darlington Technical College, 2715 W. Lucas Street, P.O. Box 100548, Florence, SC 29501-0548, or Fax to (843) 661-8371, or e-mail to Employment@fdtc.edu. EOE/AA/ADA

Page 4—April, May, June 2016—The South Carolina Nurse www.scnurses.org

SCNA State Convention Pharm Conference / Annual Meeting Oct. 19-21 Sonesta Resort, Hilton Head, SC

Nursing: A Kaleidoscope of PracticesSCNA Convention, Annual Meeting, and APRN Fall Pharm Conference

October 19-21, 2016 Sonesta Hilton Head Resort

Hilton Head, SC

Registration opens April 1, go tohttp://www.scnurses.org/event/2016SCNAStateConvention.

Registration Fees

SCNA Member (SCNA/ANA and SCNA Only)

Discount 1April 1 – July 1

Discount 2 July 2 – Sept. 14

Regular Price after Sept. 15

ThreeDayRate $390 $400 $425

TwoDayRate $290 $300 $325

OneDayRate $190 $200 $225

AnnualMeetingOnly $0 $0 $0

Pre-Con(10/18) $50

Pre-Con(10/19) $50

Non SCNA Member

ThreeDayRate $540 $550 $575

TwoDayRate $440 $450 $475

OneDayRate $340 $350 $375

Pre-Con(10/18) $75

Pre-Con(10/19) $75

Contact SCNA for retired member rate for SCNA members who do not need continuing nursing education

APRN Pre-Con Events (extra fees)TuesdayOctober18,20163:30-5:00PMWednesdayOctober19,201610:00-12:30PM

Convention Purpose: istoprovideupdatedinformationacrossthepracticespectrumofregisterednursesandadvancedpracticenurses.

State,regional,andnationallyrecognizedspeakerswillbepresentingtopicsrelevantto all. The Convention will provide Continuing Nursing Education. The content isdesignedtomeettheneedsofregisterednursesandadvancedpracticenursespracticingin SC. If Continuing Nursing Education is your chosen form of meeting the SouthCarolina Nurse Practice Act requirements, Chapter 33, Section 40-33-40, ContinuingCompetencyforyourbiannuallicenseorforyourcertificationonthenationallevel,thisconventionwillbeacceptableforthosepurposes.

AllsessiontopicsandspeakerswillbeannouncedJuly1st.Attendees of the Convention will be awarded up to 14.25 contact hours (18.25

includingPre-ConEvent).Thenumberofhoursthathavepharmacologyandcontrolledsubstance content will vary depending on the breakout sessions attended. In order toreceivecontacthoursyoumustattendasession/breakoutinitsentiretyandcompleteaCNEevaluationform.

SCNA is an Approved Provider of continuing nursing education by the Northeast Multistate Division (NE-MSD), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Hotel Information: SonestaResort130ShipyardDrive,HiltonHeadIsland,SC29928,USA$139.00 Room Rate till September 27th while supplies last. Call 1.843.842.2400

requesttoNOTbetransferredtoglobalreservations.Youwanttomakeyourreservationwithalocalperson.

Besuretogetaconfirmationnumberforyourrecords.

Calling all Artists!CallingallartiststodisplaytheirworkdepictingNursing:

A Kaleidoscope of Practices.Materials in allmediums areencouraged.ArtwillbedisplayedinSCNA’sGallery of Arts and Science of NursingonThursdayandFridayoftheStateConvention.Lookformoredetailsontheregistrationform.

Do you knit or crochet?Wewouldliketomakea“Kaleidoscope”lapblanket

(ortwo)attheConvention.Bringacompleted5inchx5inch square of any patternwith you to theConvention.The lap blanket(s) will be assembled and presentedduringtheluncheononFriday.

Exhibits and Sponsors WantedExhibits and Sponsors Wanted for the 2016 SCNA State Convention and APRN

PharmConferenceOctober20–21,2016,SonestaResort,HiltonHead,SC.• ExhibitorLevel-$500• SupporterLevel-$1000• SustainerLevel-$1500• ChampionLevel-$5000

http://www.scnurses.org/event/2016Exhibits-Supportersformoreinformation

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 5

SCNA Annual Meeting Oct. 21

Nursing: A Kaleidoscope of PracticesSCNA Convention, Annual Meeting, and APRN Fall Pharm Conference

October 19-21, 2016 Sonesta Hilton Head Resort

Hilton Head, SC

Registration opens April 1, go tohttp://www.scnurses.org/event/2016SCNAStateConvention.

• Have you made a practice change that you believe has implications for thefutureofnursing?

• Haveyouimplementedapracticechangethatisshowingimprovedpatientand/ornurseoutcomes?

• Haveyouconductedresearchthatyoubelievehasimplicationsforthefutureofnursing?

If you answered yes to any of the questions, share your research by submittingyourabstractforSCNAStateConventionin2016.

Submission DeadlineAbstracts must be submitted no later than May 1, 2016. Pleasesubmityour

abstracttoinfo@scnurses.orgNoticeofacceptancewillbesenttoapplicantsnolaterthanAugust30,2016.

General InformationA. Abstracts must be submitted electronically. Abstracts must be 300 words or

less.Donotplaceyournameonyourabstract.B. Postersmaybeforacompletedprojectoraworkinprogress.C. Please indicate whether the content of the abstract best fits the category of

“research”or“clinicalpractice.”D. For research abstracts, the following sections are required: Purpose, Review

ofLiterature,Methodology,ResultsandImplicationsforRegisteredNursesorAdvancedPracticeRegisteredNurses.

E. For clinical practice abstracts, the following sections are required: Purpose,Review of Literature, Summary (of the innovation or practice), andimplicationsforRegisteredNursesorAdvancedPracticeRegisteredNurses.

F. Bio-sketch(es) must be provided as part of the submission process. Include:name,credentials,position,andtitleofabstract.Submitthebio-sketch(es)asaseparatepagefromtheabstract.

G. If accepted,presenter(s)must register for theconference.At leastoneauthormust be available at theposter duringposter session times for questions anddiscussion with participants. Handouts and your contact information arerecommended for attendees. Poster session times do not occur during anyeducationalpresentationattheconference.

Selection ProcessAll abstracts submitted prior to deadline and adhering to the guidelineswill be

considered.A limited number of abstracts will be accepted. The selectionwill bemade by

blindreview.Please do not include your name on the abstract page. Include the title of your

abstract on the bio-sketch page. Because the number of abstracts that will beacceptedislimited,SCNAmemberswillbegivenprecedence,allotherthingsbeingequal.A registrationdiscount to attend the conferencewill beoffered for acceptedposterabstracts.

Call For Poster Abstracts 2016

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Page 6—April, May, June 2016—The South Carolina Nurse www.scnurses.org

Because You Are A Nurse – SCNA!

City Location Day &Time of Meeting

Anderson AndersonPublicLibrary300N.McDuffieSt.Anderson,SC

Monday,5:30PM

Charleston CharlestonCenter5CharlestonCenterDr.Conf.room-Rm.237B(callforcodeinformation)

Monday,5PM

Columbia AdolescentRecoveryCenterStephensonCenter720GracernRd.,Ste.120Columbia,SC29210Grouproom5

Tuesday,5PM

Columbia AdolescentRecoveryCenterStephensonCenter720GracernRd.,Ste.120Columbia,SC29210Grouproom5

Thursday,5PM

Florence DoctorsBruce&LeeLibrary509DargonStreetFlorence,SCRoom253(secondfloor)

Wednesday,6PM

Greenville SCFavor355WoodruffRd.,Suite303Greenville,SC

Monday,6PM

Myrtle Beach

OfficeofDr.BrianAdler1945GlennsBayRd.MyrtleBeach,SC

Thursday,6:30PM

Rock Hill NorthRockHillChurch2562Mt.GallantRd.RockHill,SC29732

Tuesday,5:30PM

Spartanburg WestsideCyrillLibrary525OakGroveRd.Spartanburg,SC

Tuesday,5:30PM

Peer Assistance Programs in Nursing

Received by Lucy Easler, PAPIN Steering Committee Member

ThefollowingisatrueaccountwrittenbyarecoveringnurseinSC:

When people discover I am in recovery, the firstquestion I get asked is, “How did this happen?” I assureyou that no one has addiction listed as one of their lifegoals.Yousee,Isufferedsomesignificantfamilylossesinmy life and turned to substances to easemy pain. Iwasvery pre-disposed to addiction due tomy family history.I now realize that my problem occurred when the linesblurredbetweenwhoIwasasapersonandwhatIdidasanurse.Asitturnsout,nursesinrecoveryareoftentimesyour high performers. They are the ones that provideexcellent carewith littleharmormistakes, theoneswhocanbecountedon tocomeinapinchand,unfortunately,the ones most likely to take it home with them. As arecovery nurse, I holdmy license in high esteem.Now Irecognizemorethaneverthatmylicenseisaprivilege,notaright.

Asanurse in recovery, I tried tomake it as easyas Icould for themanagerwhowas gracious enough to giveme a second chance. I was given a chance at a facilityin theColumbia area.The specialty area Iwas hired forhas a great number of painmeds given on a daily basis.For an entire year, the nurses gave all of my narcoticsfor my patients. For the five years I was in RecoveringProfessionalsProgram,Iworkedmyprogramandcontinue

todoso.Subsequently,IwaspromotedtoAssistantNurseManageronthatunitandnowamtheNurseManageronanotherfloor.

Hiring a nurse in recovery can be risky business.These nurses have been through treatment but, really,they have the potential to lapse at any moment. If theyareworkingasolidprogram,theycertainlyhaveabetterchanceof succeeding.Many times I havewonderedwhyImade it through thosehorribleyearsbefore I endedupintreatmentandnowIrealizeitwastohelpothernurses.Currently, I have two recovery nurses working for me.Onehasanarcoticrestrictionandonedoesnot.Wemakeitworkhere andyou justhave tokeep lookinguntil youcan find someone willing to give people a chance. Mypurposeforsharingmystoryistodispelsomeofthefearsemployers have regarding recovery nurses. In this time,when nurse managers are charged with providing safestaffinginanursingshortage,letusnotforgetthatmanyof thesenurseshave awealthof experience. I really feelthat my openness with my story and my success at mycurrentemployer(whichIcontinuetobegratefulfor)hasinfluencedothermanagersheretotakeachanceonsomeofthesenurses.Ifindthisbothfrighteningandrewarding.IhavetorememberwhenIwakeupeverydaythattodaycould be the day, and I have to make the consciousdecision to continue working my program and “do thenextrightthing.”

The preceding was received by the PAPIN SteeringCommitteewhichwanted to share itwith the readers oftheSouth Carolina Nurse.

Nurse Managers: Why You Should Hire a Nurse in Recovery

Peggy Dulaney, MSN, RN, PAPIN Steering Committee

In 2015, the American Nurses Association publishedanupdatedversionof theCode of Ethics for Nurses with Interpretive Statements. You may know that accordingto theSCNursePracticeAct, theCode of Ethicsdefinesunprofessional behavior, but did you know that it alsospeaks tohowweare todealwithcolleagueswhosufferfromsubstanceusedisordersandaddiction?

Provision 3 states “The nurse promotes, advocatesfor, and protects the rights, health, and safety of thepatient.” (ANA, 2015, p.9) The various sub-provisionsand interpretive statements then explain various aspectsof that Provision. For example, statement 3.4 addresses“Professional Responsibility in Promoting a Culture ofSafety” and 3.5 deals with “Protection of Patient Healthand Safety by Acting on Questionable Practice.” (ANA,2015,pp.11-12)

Provision 3.6 goes even further to address “PatientProtectionand ImpairedPractice.”Youmaybe thinking,“That’s right.We have to protect patients from all thesenurseswhoaredivertingdrugsor coming toworkwhileimpaired.”Andthatistrue.Wedohavethatresponsibilitytoprotectthepatient.Weallhavearesponsibilitytoreportimpaired or unsafe practicewhenever it occurs. But thatbeing said, Provision 3.6 continues and addresses theresponsibilityweallhavetoourimpairedcolleagues.

Provision 3.6 states in part “The nurse’s duty is totake action to protect patients and to ensure that theimpaired individual receives assistance. The processbegins with consulting supervisory personnel, followedby approaching the individual in a clear and supportivemanner and by helping the individual access appropriateresources.Thenurseshouldextendcompassionandcaringto colleagues throughout the processes of identification,remediation, and recovery.” In the following paragraph,the statement continues, “In instances of impairedpractice,nurseswithinallprofessional relationshipsmustadvocateforappropriateassistance,treatment,andaccesstofairinstitutionalandlegalprocesses.Advocacyincludessupporting the return topracticeof individualswhohavesoughtassistanceand,afterrecovery,arereadytoresumeprofessionalduties.”(ANA,2015,p.13)

Ifwehadacolleaguewhowasabrittlediabeticorwhodeveloped a seizure disorder, or who suffered a majordepression, would we not be offended if other nursestalkedbehindthisperson’sbackormadefunofthemdueto their illness?Wouldwenothavecompassion for themandwant to offer them support? In these circumstances,manyworkplaceswouldseeothernursescalling,offeringhelp or taking casseroles. So I challenge you to considerthat those colleagueswho suffer the disease of addictionalso deserve our compassion and care and support. It isnotonlytherightthingtodo,itistheethicalexpectationforusasnurses.

American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD:Nursesbooks.org.

The ANA Code of Ethics for Nurses and the Impaired Nurse

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www.scnurses.org South Carolina Nurse—April, May, June 2016—page 7

Culture of Safety it Starts With You – Nurses Week May 6-12

SCNA Board Update

January 15, 2016

Thefirstmeetingofthe2016yearwasheldonJanuary15, 2016 at SCNAHeadquarters. 5 of 7 Boardmemberswerepresent either inpersonorbyphone.The first itemofbusiness,whilenoton theagenda,was tocelebrate10yearsofservicebyRosieRobinson,AssistanttotheCEO.Timeflies!Themembersof theBoardpresentgave theircongratulations and expressed their pleasure at havingRosiewith us for all of these years.Wehave seenmanytrulyremarkableimprovementsinthese10years!Wehadflowers, cake and some nice gifts tomark the occasion.(CEOAddition….“Ontothenext10years!”)

The SCNA Board of Directors has adopted the useof a Consent Agenda to facilitate the work that it doestogether.All itemsontheConsentAgendawereacceptedexceptone,whichwasthenacceptedaspartoftheregularagenda.

The most important item on the agenda was theadoption of the 2016 budget. The Budget proposal waspresented as received from the Finance Committee andSCNAstaff.Thebudgetwasapprovedaspresented.

Update on the progress of theCEProvider agreementwith the Tennessee Nurses Association was discussed.SCNAwillhaveitsapplicationtoTNAbefore theendofFebruary.

Peggy Dulaney sent her indication of leaving theposition as Chair of the SCNA PAPIN. Peggy wasresponsibleforthemostrecentupdatingandrevitalizationof the program. The Board accepted her plans as she

outlined themwith immense gratitude for themarvelouswork that she has done for many, many years. It wasrecommended that SusanOuten, an experiencedmemberof the PAPIN be appointed as the nextChair of PAPIN.TheBoardwas delighted to learn thatMs.OutenwouldacceptthispositionifapprovedbytheBoard.Themotionto approve SusanOuten as the newChair of the PAPINwasproperlymade,secondedandcarriedunanimously.

A report on current Public Policy/Legislation issueswaspresented.

A plan for updating the current Strategic Plan forSCNAwas presented andAliceWyattwill take the leadonreceivingcommentsandupdatesuggestion.

The President-elect reminded all present of theupcomingorganizationdatesofimportanceinpreparationforthe2016AnnualMeeting,whichwilltakeplaceduringthe 2016 Convention. The Convention theme will be“Nursing:AKaleidoscopeofPractices.”Nominationsarepartof theAnnualMeetingpreparationaswellasBylawproposalsandReferenceReports.

Themeetingwasadjourned.

Board OrientationAbrieforientationtestwasgiventothemembersofthe

Board to start the 2016 orientation process. The testwasa good mix of SCNA specific items as well as generalitems that allmembersof allboardsneed toknowabouttheirresponsibilities.MoreorientationwillbedoneateachmeetingoftheSCNABOD.

NextBoardmeetingisApril15,2016.

SCNA Board ActionsYou Were

RepresentedFrom January to February 2016

SCNABoardMeeting

StateBoardofNursingMeeting

AdvisoryCommitteeonNursing

CoalitionforAccesstoHealthcareMeetings

CommitteeMeetingsofSCHouseandSenate

ConventionPlanningMeetings

CEACUpdateSession

ConsultationwithstudentsreAPRNissues

ANABoardCall

ANAGovacall

LuncheonwithSCHouseDemocraticCaucus

The Care and Concern of SCNA...

is sent to:Cheryl Neuner ontherecentdeath

ofhersister.

Sue Porter Heineyonthedeathofherhusband,Michael.

Teresa Durdenandherfamilyontherecentdeathofherfather-in-law,

SamuelDurden.

Jean Masseyandherfamilyontherecentdeathofhermother,HazleK.Austin.

RN’S & LPN’S(VARIOUS VACANCIES STATEWIDE)

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For more information about Health Services vacancies contact:SCDC Employment Office, 4502 Broad River Rd. Columbia, South Carolina 29210

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Thank you to all South Carolina nurses for your dedicated service.

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Page 8—April, May, June 2016—The South Carolina Nurse www.scnurses.org

SCNA State Convention Pharm Conference / Annual Meeting Oct. 19-21 Sonesta Resort, Hilton Head, SC

South Carolina Nurses Association

, New and Reinstated SCNA/ANA MembersNovember 20, 2015 – February 22, 2016

CherylAllen Charleston,SCEvelmanAllen Bishopville,SCJenniferAmaker Manning,SCKimberlyAnderson RockHill,SCJeannetteAndrews Columbia,SCRobbiAngle Lexington,SCAndreaBanbury Bluffton,SCStephanieBarron Columbia,SCRobinBartley Irmo,SCJenniferBeach Walterboro,SCTinaBeard Greer,SCAlfredaBeaty Mauldin,SCDeonaBien Summerville,SCMichelleBish NorthAugusta,SCBrendaBlack Spartanburg,SCSabrinaBlocker Columbia,SCJeanneBonadonna Charleston,SCEmilyBoucher Columbia,SCPaulaBoyle Beaufort,SCHelenBrooks MountPleasant,SCJanCapps Taylors,SCRoseChevere Columbia,SCKatieCieluch Florence,SCNicolinaClarke NorthCharleston,SCJoannetteCudnik Blythewood,SCCristyDegregory Elgin,SCAmandaDehart Belton,SCStephenDelp MountPleasant,SCAmberDewberry Greer,SCDonnaDiluna EdistoIsland,SCCharisseDupree(Henegan) Bennettsville,SCBarbaraEdlund Charleston,SCKathleenErnst FortMill,SC

AlliceEustace Summerville,SCAnikoEwing Charleston,SCMichelleFerrigno Florence,SCLisaFinley Pickens,SCJenniferFlowers Starr,SCBernadetteFrederick Orangeburg,SCKellieGeater Simpsonville,SCMarieGehling Orangeburg,SCShellyGoins Chapin,SCIonaGraham Columbia,SCDeeAnneGriffin Columbia,SCJessicaHafford Elgin,SCJessicaHamilton JohnsIsland,SCVictoriaHarrison Walterboro,SCErinHart NorthAugusta,SCKimberlyHefner MyrtleBeach,SCChristopherHern MountPleasant,SCSabrinaHinshaw TravelersRest,SCPatriciaHout Dalzell,SCKatieHudgins Summerville,SCCamillaHunter Columbia,SCRobinInfinger GooseCreek,SCKayrnJohnson Hartsville,SCKristinaJohnson Ladson,SCVickyJohnson Aiken,SCKimberlyJolly Sumter,SCAltaJordan Lexington,SCAnnetteKao Greer,SCJaneneKeefe Greer,SCAmandaLeMay Charleston,SCTanyaLott Charleston,SCKizMalpass NorthAugusta,SCJohnnieMartines Hanahan,SCTrillaMays Gaston,SC

WendyMcBride-Peters Columbia,SCTroyMcCurry Gaffney,SCTanyaMcKenzie Hamer,SCBrittanyMcNair Sumter,SCJacksonMcRae Darlington,SCJohnMellon TegaCay,SCNancyMiddleton Greenwood,SCShelbyMilbrath Charleston,SCJayMollett MyrtleBeach,SCBernadetteMuffett LakeWylie,SCKellyMyers Sumter,SCTanikaNesmith Blythewood,SCMariaNichols MyrtleBeach,SCKayLynnOlmsted Savannah,GAJennyO’Neill Columbia,SCErinPadgett Orangeburg,SCAmyParker Pinopolis,SCDianeParker Gaffney,SCRinaPatel Beaufort,SCLeShantaPinckney Lexington,SCMichellePittard Florence,SCKayPoulnot MountPleasant,SCKristaPoulton MyrtleBeach,SCAylinPowell Hanahan,SCLezliRabon Lugoff,SCChandraRacer Johnsonville,SCSheenaReid Columbia,SCNatishaSanders Columbia,SCSharonSatterthwaite Columbia,SCMickiSchurlknight Orangeburg,SCSharonSchwartz GooseCreek,SCPaulineSeebode PawleysIsland,SCJamieSegroves Lexington,SCMaryShaw RockHill,SC

TeresaShelley Florence,SCVirginiaSherry Ruffin,SCKathleenShinada MyrtleBeach,SCAshleySirianni Columbia,SCMachelleSmith Florence,SCSarahSmith Columbia,SCTracieSmith York,SCCourtneySnell Orangeburg,SCMarySnipes Lexington,SCRondaSnyder Lyman,SCSuzanneSoto Columbia,SCConnieSpykerman Seneca,SCKatherineStabler Orangeburg,SCStephanieStewart Irmo,SCBridgetteStill Greenwood,SCLatisaStiltner GooseCreek,SCKellySullivan WareShoals,SCTracySullivan FortMill,SCJenniferThrasher Williamston,SCAllysonTimmons Pamplico,SCKrystalTompkins GrayCourt,SCLudmilaTsyplakova Ballentine,SCMargaretWalker Manning,SCKellyWall MountPleasant,SCFrancesWatson Greenville,SCJulianaWeeks Blythewood,SCNadineWiggins Greenville,SCSarahWilkes Camden,SCAustinWilliams IndianLand,SCEvelynCaseyWilliams Greenville,SCAlexWilson Mauldin,SCEugeneWoodall Charleston,SCBarbaraWoods Orangeburg,SC

New SCNA-Only MembersNovember 20, 2015 – February 22, 2016ChristiCorder

Anderson,SCBarbaraDavenportInman,SCBeverlyGivens FountainInn,SCDanaJones

Marion,SCJenniferLafon Summerville,SCBarbaraMurphyLexington,SCAlishaOrageBeaufort,SCMichellePeterson Summerville,SCAmyRodgers

Summerville,SCJessicaStricklinLexington,SC

MEMBER GET A MEMBER REWARDS!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

WANTED:MembersofSCNAwhowillrecruitnewmemberstoSCNA

REWARD:Acheckfor$25.00foreachFullSCNA/ANAmemberORSCNAOnlymember.Notvalidforanyreducedpricememberships

HOW TO COLLECT YOUR REWARDS:Besurethatyournewrecruitknowstojoinonlineandtoputyournameinthe“referredby”sectionoftheapplication.Itcouldn’tbeeasier!

HOW MANY REWARDS MAY A MEMBER COLLECT: ThereisNOrepeatNOlimittothenumberofrewardchecksof$25.00thatcurrentmemberscanearn.Starttodayandenjoyyourrewards!

Full Reduced Special

Total Dues: $283 $141.50 $70.75

Breakdown:

ANAPortion $146 $73 $36.50SCNAPortion $137 $68.50 $34.25SCNAOnly $187ANAOnly $191

Full Membership-ANAPortionofduesthatisnon-deductibleis20.24%

forafigureof$29.55ofyourfullANAduesof$146.00.of$19.87yourfullSCNAduesof$137.00.

-SCNAPortionofduesthat isnon-deductible is14.5%forafigure

-Therefore, a total of$49.42 is non-deductible of yourtotalduespaymentof$283.00.

Dues Deductibility for the SC Nurses Association Calendar Year 2016

Reduced Membership-ANAPortionofduesthatisnon-deductibleis20.24%

forafigureof$14.78ofyourfullANAduesof$73.00.-SCNAPortionofduesthatisnon-deductibleis14.5%

forafigureof$9.93ofyourfullSCNAduesof$68.50.-Therefore, a total of $24.71 is non-deductible of your

totalduespaymentof$141.50.

Special Membership-ANAPortionofduesthatisnon-deductibleis20.24%

forafigureof$7.39ofyourfullANAduesof$36.50.-SCNAPortionofduesthatisnon-deductibleis14.5%

forafigureof$4.97ofyourfullSCNAduesof$34.25.-Therefore, a totalof $12.36 isnon-deductibleofyour

totalduespaymentof$70.75.

SCNA Only Membership- SCNA dues that are non-deductible is 14.5% for a

figureof$27.11ofyourSCNAOnlyduesof$187.

ANA Only Membership- ANA dues that are non-deductible is 20.24% for a

figureof $38.66ofyourANAOnlyduesof$191.

Please check with your accountant as to whetherin your individual case any of your SCNA dues fee isdeductibleforbusiness/professionalexpensesasthisvarieswidely.

This information is published each year in the SouthCarolinaNurseoryoucancall803-252-4781.Thankyouforyourcontinuedsupportofyourprofessionthroughyourprofessionalorganization.

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 9

SCNA Annual Meeting Oct. 21

South Carolina Nurses AssociationJust Because You Received This Publication, It Doesn’t Mean You Are A SCNA Member

Membership Made EasyEverythingyouneedtoknowisonline

http://www.nursingworld.org/joinana.aspx

FullSCNA/ANAMembershipDues:$283.00 annually or $24.09 monthly

•Fulltimeemployed•Parttimeemployed

ReducedSCNA/ANAMembershipDues:$141.50 annually or $12.29 monthly

•RNsnotemployed•RNsinfulltimestudyuntilgraduation•Graduatesofbasicnursingprogramsforafirstyearofmembershipwithin6monthsfollowinggraduation;

•RNs66yearsofageorolderwhoarenotearningmorethansocialsecurityallowswithoutalossofsocialsecuritypayments

SpecialSCNA/ANAMembershipDues:$70.75 annually or $6.40 monthly

•66yearsofageoroverandnotemployed;•Totallydisabled•PastNSNA/SNA-SCMembersforafirstyearofmembershipifmembershipisinitiatedwithin6monthsoflicensure

SCNAState-OnlyMembership:$187.00 annually or $16.08 monthly

ANA-OnlyMembership$191.00 annually or $16.42 monthly

As a member of SCNA there are several options available to you to enhance your membership experience. SCNA has Chapters that are open to members of SCNA. You are welcome to join any of the chapters listed, think about creating others, or simply enjoy your state membership in SCNA. For more information about SCNA Chapters go to http://www.scnurses.org/?SCNAChapters

There is currently one geographical Chapter:

-Piedmont Chapter (Spartanburg, Cherokee, Union, and York Counties)

There are currently five practice based Chapters: -APRN Chapter -Psychiatric-Mental Health Chapter -Clinical Nurse Leader (CNL) Chapter -Women and Children’s Health Chapter

-Nurse Educator Chapter

Sign up for chapter membership by going to https://scnurses.site-ym.com/?page=ConsentParticpateChC

2016 CalendarApril15,2016 SCNA BOARD MEETING4:00PM-6:00PMConferenceCallApril15,2016 CHAPTER CHAIRS MEETING 3:00pm-4:00pm Conference Call if desiredApril15,2016 ListofNominationsDuefromSCNABoardandChapterChairs toNominationsCommitteeApril16,2016 APRN CHAPTER MEETING10:00AMatSCNAMay1,2016 NominationsDueMay1,2016 BylawsProposalsDueMay1,2016 ProposedResolutionsDueMay11,2016 forprogramsJuly1storlaterCE APPROVER COMMITTEE SUBMISSION DEADLINE DATE May13,2016 ElectionsFinalTicketDuetoSCNABoardofDirectorsMay18,2016 ElectionConsenttoParticipate/BioForm/Picturedueforthe JulySCNurseJuly1,2016 DateofeligiblemembershiptovoteinelectionJuly15,2016 SCNA BOARD MEETING1:00-4:00PMJuly15,2016 CHAPTER CHAIRS MEETING3:00pm-4:00pm Conference Call if desiredJuly16,2016 APRN CHAPTER MEETING10:00AMatSCNASeptember6,2016 ElectionNoticeMailedSeptember6,2016 lastdaytofileconsenttoparticipateasofficeronfileatSCNASeptember6,2016 ListofmemberseligibletovotepostedonSCNAwebsiteSeptember6,2016 ElectionOpens

SCNA Organizational AffiliatesSCNA welcomes our renewed Organizational Affiliate Members for calendar year 2016

SCAssociationofSchoolNurseshttp://www.scasn.org/SCFaithCommunityNursesAssociationhttp://scfcna.com/

SCNA welcomes our newest Organizational Affiliate Member for calendar year 2016 SCNAPNAPhttp://community.napnap.org/southcarolinachapter/home

For more information about our Organizational Affiliate Member program go tohttp://www.scnurses.org/?SCNAOrgAffiliates.

Are you a REGISTERED NURSE (RN)

looking to be part of Medical Excellence?

The Medical University of South Carolina has an immediate need for Nurse Managers and Registered Nurses in a variety of areas including the Operating Room, ICUs, and Med/Surg areas!

We offer a competitive compensation and benefits package in a progressive environment. All interested candidates should complete an on-line application at www.muscjobs.com.

Located in beautiful Charleston, South Carolina, the MUSC Medical Center offers a unique lifestyle with coastal living. The beaches and parks are a quick getaway for those looking for a relaxing retreat. Likewise, historical downtown Charleston offers exciting yearly events such as Spoleto, art walks and the Cooper River Bridge Run.

Medical University of South Carolina Medical Center Human Resources

1-800-468-7276www.muscjobs.com

“Promoting Workplace Diversity: An Equal Opportunity Employer”

Page 10—April, May, June 2016—The South Carolina Nurse www.scnurses.org

Because You Are A Nurse – SCNA!

Advocacy

TheSCNAAdvocacyFundisnowtwoyearsold.ThisfundassistsincoveringcostsoftheadvocacyworkdonebySCNA.Costsincreaseasopportunitiesforactionincrease.Thereareopportunitiesforadvocacyinallareasofnursingpractice.

Allmembersof theSCNABoardofDirectorshavealsobeenaskedtocontributeinadditiontoallthevolunteertimethattheyprovideforadvocacyonbehalfofthenursingprofession.SCNAChaptermembershavealsobeenchallengedtoparticipate.

The Advocacy Fund augments the SCNA budgeted amounts that are needed for avariety of costs related to advocacy.Contributionsmay bemade by anyone to SCNA.TheFundisnotatax-deductibleitemforindividualsduetothefactthatitwillbeusedforadvocacyandlobbying.DonationsshouldbemadeusingtheinformationfoundontheSCNAWEBsitewww.scnurses.org.Donationsmaybemadebycheckorbycreditcardandcanbepaidmonthly.

Join your peers as they work to ensure that nursing will continue to be a forwardmovingprofession!

SCNA Advocacy Fund

Another successful Lobby Day in support of removing barriers to advanced practice nursing.

Lobby Day

THANK YOU! THANK YOU!A huge THANK YOU to all APRNS, and RNs and Students in

nursing programs who have been so wonderfully supportive of thework that we have been doing to try to bring South Carolina into themoderneraforAdvancedPracticeNursing.Wearenotfinishedyet,but,you need to know how vitally important your presence, your emails,your calls, yourmeetings and your letters tomembers of theHouse ofRepresentatives have all been to the actions that we are attempting totake.Whilewehavenotyetcompletedalltheworktobedone,SCNAisextremelygratefulforallofyourworkandsupport.Weshallbecountingonyouinthefutureaswell!ONWARD!

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 11

Culture of Safety it Starts With You – Nurses Week May 6-12

Advocacy Chapter SectionNursing, Environment,

and HealthMarty Hucks, MN, APRN-BC

On December 17, 2015, the US Senate cleared the way for significantimprovement in the health of the nation by agreeing to reform the ToxicSubstances Control Act (TSCA). First enacted in 1976 in an effort to regulatechemicalsintheproductsmostcommonlyusedbyconsumers,TSCA(pronouncedtoss-ka) has been widely criticized as ineffective, mainly due to its inability toenabletheEnvironmentalProtectionAgency(EPA)totestchemicalsandimposerestrictions if necessary.SinceWorldWar II, 80,0000newchemicals have beencreated,butonlyafractionofthe3,000high-production-volume(HPV)chemicalshave been assessed for toxicity or their impact on the development of children(Mt Sinai Hospital, 2016). Fortunately, the new legislation removes many ofthe barriers that hindered the ability of theEPA to carry out its duty to protectAmericancitizens.

The frequent exposure to formaldehyde, mercury, and chemicals found incleaners, disinfectants, solvents, and medical devices that healthcare workersexperience may explain the increase in the incidence of certain diseases thatoccurs in our profession. Many healthcare institutions have already reducedexposuretoknowntoxinsbyswitchingtobetteralternatives,butitistheunknownthat ishindering the industry’seffortsat trulycreatingameaningfuldecrease inexposureforbothitsemployeesandpatients.Hopefully,TSCAreformwillleadtocleaner, saferbuiltandnaturalenvironments forusand thegenerations tocome.FindoutmoreabouttheissueandcheckoutalistofchemicalsknowntobelinkedtohealthproblemsatSaferChemicals.orghttp://saferchemicals.org/.

ReferencesMount Sinai Hospital (2016). Children and toxic chemicals. Retrieved from http://www.

mountsinai.org/Safer Chemicals (2015). TSCA reform: The most important work comes next. Retrieved from

http://saferchemicals.org/

New SCNA ChapterClinical Nurse Leader (CNL)

ChapterMary Alice Hodge PhD, RN, CNL, Chapter Chair

It iswithpleasuretoannouncethat theSouthCarolinaNursesAssociationhasapprovedtheClinicalNurseLeader(CNL)Chapter.TohighlighttheClinicalNurseLeader: The CNL role was developed in 2003 by the American Association ofCollegesofNursing(AACN)todecreasefragmentationinhealthcare(www.aacn.nche.edu/CNL).Preparedatthemaster’slevel,theCNLsprovideefficientandcost-effectivepatientcareservicesaswellastheleadershipneededtorepairfragmentedcaredeliveryacrosssettings.ClinicalNurseLeadersprovidelateral integrationatthepointofcareandcombineevidence-basedpracticewith:

• Microsystems-levelAdvocacy

• CentralizedCareCoordination

• OutcomesMeasurement

• RiskAssessment

• QualityImprovement

• InterprofessionalCommunication

Please consider joining our new CNL Chapter if you are a staff nurse,preceptorofaCNLstudent, interestedintheCNLroleandwanttobeamemberofafantasticchapter!ForinformationconcerningtheroleoftheCNLpleasevisitwww.aacn.nche.edu/CNL.

When you’re a leader you want the best. Providence Hospitals, the Midlands’ leader in cardiovascular and orthopedic inpatient care, is accepting applications for experienced nurses in these positions/units: Critical Care, Medical–Surgical, Emergency, General Surgery, Orthopedic Surgery, CV Surgery, PACU, and Cath Lab.

Why make Providence Hospitals your next step?

Personally rewarding. At Providence, nursing is more than a career. It’s a calling. As the Midlands’ only faith-based hospital, our nurses and clinicians collaborate to treat the whole person: body, mind and spirit.

Future-focused. Our nurses enjoy competitive compensation and benefits, support in professional growth and personal development, and rewards for initiative and innovation. Our workplace values compassion, collaboration,

respect and courage. For you and for our patients.

Join a leader. To learn more or to apply online,

visit www.providencehospitals.com/careers or call (803) 256-5410.

Page 12—April, May, June 2016—The South Carolina Nurse www.scnurses.org

SCNA State Convention Pharm Conference / Annual Meeting Oct. 19-21 Sonesta Resort, Hilton Head, SC

Chapter Section

Bonnie Holaday, PhD, RN, FAAN, Professor Emeritus, School of Nursing Clemson University & Scott Emory Moore, PhD(c), APRN,

AGPCNP-BC, Doctoral student Health Care Genetics Program, School of Nursing,

Clemson University, Clemson, SC 29634

Ithasbeen54yearssinceGuthrie’s (1963)publicationdescribing the use of dried blood spots to detectphenylketonuria (PKU) in newborns. Since that timestate newborn screening (NBS) programs have testedmillions of infants to identifymedical conditions that, ifnottreated,leadtodeathorlastingdisability.TheCentersfor Disease Control identified NBS programs as one ofthe 10most important public health achievements in theUnited States (CDC, 2011). States support mandatoryNBS on the basis of parens patriae power, which givesthem the authority to act to promote the welfare of thechild (Gostin,2000).However,manystatesallowparentsto opt out of screening for religious or other reasons.FormalparentalconsentisgenerallynotrequiredforNBS.Advances in next generation sequencing technologiessuchaswhole-genomesequencing(WGS)maychangethepracticeofnewbornscreening.

Whole exome sequencing (WES) and WGS are nottargeted approaches but are carried out by sequencingalmost the entire exome and genome respectively.WhileNGS technology progressively extends diagnostic testingcapabilities, these two approaches are not truly testingthe ‘whole’ exome or genome because of limitations oftechnologyinnavigatingandmappingtandemrepeatsandstructural nuancesofDNAsuchasguanine andcytosinerich areas that are often in regulatory and untranslatedportionsofthegenome(Katsanis&Katsanis,2013;Rehm,2013). It isestimated thatWEScoversapproximately90-95%of all protein coding regions of the exomewhich isonly approximately 1% of the entire genome (AmericanCollege of Medical Genetics and Genomics [ACMG],2012;Gonzaga-Jauregui,Lupski&Gibbs,2012;Katsanis& Katsanis; Rababani, Tekin & Mahdieh, 2014; Rehm).Those limitations acknowledged, WES and WGS stillhavemany clinical and diagnostic strengths thatwarranttheir judicious application in the clinical testing arena.The use of WES has been applied for a wide range ofclinical testing applications including those availablethroughdiseasetargetedtestingaswellastestsrelatedtocommonandcomplexdiseaseprocessesandunknownorunexplainable disorders and syndromes with suspectedgenetic links (Katsanis & Katsanis, 2013). Similarly,WGShasalsobeenapplied to these sameareas, andhas

theaddedadvantageofreachingthenoncodingconserved,andregulatoryregionsthatarenot includedin theexomeand allowing for the examination of single-nucleotide(SNVs(ACMG;Gonzaga-Jaureguietal.,2012;Katsanis&Katsanis).

Genomic sequencing technologies are tools used toidentify the genetic underpinnings of disease whichincludes incidentally-revealed genomic risk factorsimportant scientifically as well as to patient care.Technological advances have led to the ability tosequenceand interpret the entiregenomeof aneonate in26 hours (Petrikin, Willig, Smith & Kingsmore, 2015).The availability, decreasing costs ofWGS/WES, and theability to detect larger numbers of deleterious geneticvariants might lead states to consider the integration ofWGS into newborn screening programs. The NationalInstitutes ofHealth (NIH)has already convened a forumto discuss the use ofWGS inNBS, and has funded fourstudies to examine the medical and ethical implicationsof sequencing whole genomes and exomes of newborns(NIH,2013). In thisarticlewebriefly review theclinicalcare, ethical and legal issues associated with WGS inNBS, and identify policy challenges associated with theintroductionofWGSintonewbornscreeningprograms.

Newborn Screening ProgramsNewbornscreeningisadministeredbystate-runpublic

health departments. The screening process begins byprickinganewborn’sheel,duringthefirst24-48hoursoflife,toobtainbloodtofillseveralcirclesonafilterpapercard. The specimen is called a dried blood spot, and issent to a state-designated NBS laboratory for analysis.If the results are not normal the laboratory contacts thebirthingfacilityandthenewborn’sphysicianwhoconductsadiagnosticworkupandarrangesfor treatment(Therrell,Johnson & Williams, 2006). There is some variationacross states inhowmanyandwhichdisorders screened,in consent processes and notification procedures, geneticcounseling services, fundingmechanisms, and long-termfollow-up(Anderson,Rothwell&Botkin,2012;Tluczek&DeLuca,2013).

Scientific advances in the late1980s and early1990sallowed the extraction of DNA from the dried bloodspotsonthefilterpaper.DNAtestingwasintegratedintoNBS testingwhichallowed thebloodspot tobeused forboth biochemical and molecular tests (McCabe, Huang,Seltzer & Law, 1987). DNA testing in the context ofNBS is used to test for conditions such as cystic fibrosisandcanalsobeused to identify an infant as a carrierofCF. Molecular testing allows for differentiation betweenspecific disorders such as sickle cell anemia and sickle/beta-thalassemia (Caggana, Jones, Shadied, Tanksley etal.,2013).Moleculartestingcanalsoreducethenumberoffalse-positivetests.

The US Maternal Child Health Bureau, the federalagency responsible for financial and educational supportof state newborn screening, was concerned about thevariation in the number of conditions included in NBSpanels. They commissioned the ACMG to recommenduniformed screening guidelines. The ACMG used datafrom the National Newborn Screening and GeneticsResource Center to help with its assessment. Using thisinformation conditions were categorized as either coreor secondary target conditions for NBS. The ACMGrecommended each state screen for 29 core conditionsand 25 secondary target conditions (ACMG, 2005). Thisreport received a lot of criticism, but the RecommendUniform Screening Panel (RUSP) was endorsed by theSecretary’sAdvisoryCommitteeonHeritableDisordersinNewborns andChildren (SACHDNC), a federal newbornscreening advisory committee. In 2010, SACHDNCrecommendedtotheHHSSecretarythatseverecombinedimmunodeficiency and critical congenital health diseasebe added to the RUSP bringing the number of coreconditions to 31 (Tluczek & DeLuca, 2013).Most statesinclude these 31 core conditions in their NBS programs.It is important to note thatSACHDNC recommendationsfocus only on the conditions to be screened, and not onwhattechnologytousenoronwhichlaboratorystandardsstates should use in NBS. Thus, states hold the ultimateauthority in deciding ifWGS/WESwill be used in theirnewbornscreeningprograms.

Clinical and Ethical IssuesThe first area of concern centers on the childwelfare

considerations and the moral justification for the state’sinterest in protecting newborns from preventable harm.Some critics of the use of WGS/WES in newbornscreening programs consider this as a clear departurefromtheoriginalwelfare-orientedgoalsofNBS.Sinceitsinception, the benefits from NBS focused on individualmedical benefit. The use of genome sequencing providesaway to report health-related information that goeswaybeyondimmediateriskstothenewbornincludetoonethatalso includes others such as familymembers and societyatlarge.Suchamissionshiftisasocietalvaluejudgmentthatstateprogramsmustaddress.Inaddition,parentsmayraise significantobjections to thegovernment sequencingtheirchild’sgenome,especiallyifthisisdoneastheresultofamandatorystatepublichealthprogram.IfachangeinNBSpolicytoincludeWGSistobeconsidered,itshouldbeginwithadiscussionwithallstakeholders.

A second area of concern is the vast amounts ofinformation about the newborn that would be generatedfrom NBS programs that included WGS/WES. The useofWGS/WESinnewbornscreeningprovidesinformationthat can be acted upon immediately, but most of theinformationbecomesrelevantlaterinthechild’slife.Thisinformationwill range from single-gene tomultiple genedisorders; preventable and treatable to non-preventableto non-treatable conditions; childhood onset to adult-onset conditions; risk susceptibility information; carrierinformation; and pharmacogenomic information. Howmuchofthisinformationshouldbeprovidedtotheparentsandwhen?Howmuch informationshouldbesharedwiththe child and when?What about the right of the futurechildnottoknow?Howandwhenwillthisinformationbetransferredtothechild’shealthcareprovider?Inaddition,providing genetic results that do not require immediateinterventions, or results whose clinical implications areunclear may create stress and emotional upset for theparentsandextendedfamily.

For the state health-care system to benefit from theWGSNBSprogramwouldrequireasystemthatprovidedpre-and-post genetic counseling, and interventions thataddressed the needs of identified “at-risk” populations.These interventionswould be directed towards identifiedpolygenetic clusters of at-risk subgroups. To meet theseneeds requires genetics-aware and educated healthcareproviders,nurses,geneticcounselorsandtrackingsystemsto work with these subpopulations. The state wouldalso have to determine the responsibility of the NBSprogram for responding to the WGS data for both theshort-term and the long-term. The benefit of state NBSprograms has been the short-and long-term treatment ofchildren identifiedwith a specific condition listed in thestate’s screening panel.Concerns are that the addition ofWGS will overwhelm state NBS programs, and that theexpandedprogramwillcomewithoutadequatefundingorinfrastructure to provide adequate initial care or follow-up care and without adequate genetic counseling for thefamily.Critics fear that somechildrenwillbediagnosed,but will not have access to treatment. The PatientProtection and Affordable Care Act of 2010 providescoverage for screening disorders in the RUSP, but notfor treatment (Costich&Durst, 2016). In anymandatoryscreening program, failure to provide treatment raisessignificantethicalconcerns.

In addition to the issues raised above there arechallenges in dealing with the management of the data.Wherewouldthisdatabestoredandforhowlong?Shouldthe states store the data, or should it be stored in thechild’smedical record?If thestatestores the informationwho should have access to it? Should the information beused in future biomedical research and for public healthsurveillance and planning? The introduction of WCS/WESintoNBSmightalsomeanthecreationofnewbornbio-banks (Knoppers, Avard & Senecal, 2012). If WGS/WES newborn screening information becomes part ofthe medical record, then insurance companies may gainaccesstoit.Thiscouldleadtofutureissuesrelatedtolifeanddisabilityinsuranceissues(Knoppers,Senecal,Barry&Avard,2014).

The controversies related to blood spot storage andtheir use will likely become more of an issue in thegenomics era (Tarini, 2011). Current newborn screeningrequires only a very small amount of the collected dried

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Chapter Sectionblood spot to be used for NBS. What remains, knownas the residual dried-blood spot, is stored for varyingdurations foruseby laboratories inaccordancewithstatelawsandpolicies.Residualdriedbloodspotsareusedforqualitycontrol,qualityimprovementinitiatives,andsomestates’NBSprograms allowcontrolled access to residualdried blood spots for academic, public health ormedicalresearch(DeLuca,Zanni,Bonhomme&Kemper,2013).IfNBSprograms expand to use genomic technologies suchasWGS andWES, there may be increased requests forgenomicstudiesusingtheseresidualsamples(Caggonaetal.,2013).Theuseofthesespecimensraisesethical,legaland social issues associated with consent, privacy andtrust.

Texas and Minnesota courts have already dealt withlawsuits associatedwith issues of storage and the use ofresidualdriedbloodspots (Caggona,etal.,2013;DeLucaet al., 2013). In Texas, privacy concerns led to changesthat required a parental option to request the destructionof residual dried blood spots after NBS was completed.Another Texas case led to further legal changes thatrequired parental consent for the use of residual driedblood spots for research and storage for more than twoyears. In Minnesota, written consent is now requiredfor the long-term storage and use of residual dried bloodspecimens. If WGS/WES becomes a part of mandatorynewborn screening parents will need clear explanationsabout what information this type of screening provides,the implications for the child and family, bio-bankingprocedures, the use of these specimens in population-basedresearchstudies,andtheirchoicestooptout.

AnotherareaofconcernistheuseofWGSinNBSasit relates in to providing guidance for current and futureaspects of care. WGS/WES in newborn screening willprovide quick testing of nearly all of the newborn’sgenes, and it is quite likely touncovermultiple sequencevariants whose clinical significance is uncertain. Inothercases, therewillbesufficientdata todetermine therisks for development of other conditions or disabilities.Consider the debate over the management and reportingof these incidental findings as it relates to the timingand appropriateness of returning the information to theparentsDeLucaetal.,2013;Knoppersetal.,2014;Moyer,Calonge,Teutsch&Botkin,2008).

With respect to the ethical challenges associatedwithincidental findings health care providers and bioethicistsare concerned about a number of issues. First, are theparent’s preferences about what results they want toknow, their understanding of data storage and datasharing as it relates to their privacy and confidentiality,their choices and preferences about the future use oftheir child’s genomic information, and how newbornscreening results from WGS could affect their child’saccess (and later access as an adult) to specific medicalinterventions in the future.SinceWGSinNBSprogramshavenotbeenimplementeditisdifficulttopredictexactlywhat the effectswill be.However, there are examples ofhow disability currently results in differential accessto medical treatment (Liou, Adler,Cox & Cahill, 2007;Goh, Helblling, Briank, Jarzembowski et al., 2012).Thus, we need to consider the possibility that incidentalfindingsfromWGSinNBScouldhavenegativeeffectsonchildren’sfuturehealthcare.

The last area of concern is associated with thecommunication of the findings from WGS expandednewborn screeningwith the parents.Who should presentthis information and what should be shared with theparents? Should they receive a full report once it isavailable,orshouldthisinformationbesharedovertime?If the parents do not wish to know about all aspects ofthe results, should thechildbe toldwhen theyareolder?Unfortunately, there is a limited amount of researchavailabletoguidepractitionersaboutthisissue.

There is research indicating primary care physician’spreference to have a genetic specialist discuss positivenewborn screening results with the parents (Wade,Tarni,&Wilfond,2013),andresearchalso indicates theyexperience discomfort in discussing these results withparents (Kemper, Uren, Mosely & Clark, 2006). Nursesandnursepractitionershavealsoexpresseddiscomfort indiscussinggenomicaspectsofhealthcare(Bancroft,2013;Seibert, 2014). A sustainable WGS newborn screeningprogramwillrequireeducationalprogramstoincreasetheknowledgebaseandcomfortlevelofphysiciansandnursesin thecommunicationofgenomic information toparents.TheadoptionofaWGSnewbornscreeningprogramwill

notbefeasibleifithastorelyonlyonmedicalgeneticistsandgeneticcounselorstocommunicatewithparents.

Implications for Nursing PracticeWebelievethatitislikelythatstatenewbornscreening

programs will have to address the issue of integratingWGS/WES. The clinical practice, bioethical, and healthcare system issues related toWGS integration into NBSprograms need to be addressed by professional nursingorganizations, and position papers developed.Nurses canprovidecritical insight intothepoliciesandpractices thatwill bemost beneficial for the parents and the newborn.Nurses and professional nursing organizations alsoneed to be ready to provide leadership related to theseissues, and to engage in research thatwill inform policyrecommendations. Nursing professional organizationrepresentatives need to be ready to present at nationalmeetingsandstatelegislativehearings.

Advances in genomic technologies used in clinicalpractice are necessitating the expertise of gnomically-literate nurses. The role of genetics in health care isimpactingmanyareasofnursingacrossbothprimaryandspecialtycare.ThepossibleintegrationofWGSintoNBSprogramsisonlyoneexampleofthetransitiontogenomic-basedhealthcare.Thismeans thatnursesmustknowthebasicprinciplesofgeneticsandgenomictechnologies,andtheir application to their area of practice. For example, astudy found that half ofmaternal/newborn nurses talkedwithparentsaboutNBS,whilephysiciansrarelydiscussedNBS with parents (Hayeems, Miller, Little, Carrall etal.,2009).Thusnursesare inaprimeposition to interactwithparentsand toexplain technologiessuchasWGSinnewbornscreeningprograms.Genomiccompetencieshavebeen identified for the registered nurse (ConsensusPanelon Genetic/Genomic Nursing Competencies, 2009) andfornurseswithgraduatedegrees(Greco,Tinley&Seibert,2012).Noweducatorsinhospitalsanduniversitiesneedtoprovideameanstoachievethem.

In summary, when discussing WGS and newbornscreening the moral, legal and clinical concerns mustbe considered as well as the prevention and therapeuticbenefits. The polices of NBS programs and the use ofgenomic technologies should be discussed prospectivelyamong newborn screening programs, genetic scientists,health care providers, and parents. Nurses can play animportantroleinthesediscussions.

ReferencesAmerican College of Medical Genetics. (2005). Newborn

screening:Towardauniformscreeningpanelandsystem.American College ofMedical Genetics and Genomics. (2012).

Points to consider in the clinical application of genomicsequencing.Genetics in Medicine, 18(8):759-761.

Anderson, R., Rothwell, E. & Botkin, J.R. (2012). Newbornscreening: Ethical, legal and social implications. Annual Review of Nursing Research, 29,113-132.

Bancroft,E.K.(2013).Howadvancesingenomicsarechangingpatient care.Nursing Clinics of North America, 48(4): 557-569.

Berg, J., Khoury, M. & Evans, J. (2011). Deploying wholegenome sequencing in clinical practice and public health:Meeting the challenge one bin at a time. Genetics in Medicine, 13(6):499-504.

Centers for Disease Control. (2011). Ten great public healthachievements-United States, 2001-2010. Morbidity and Mortality Weekly Report, 60(19-May20):619-623.

Consensus Panel on Genetic and Genomic NursingCompetencies. (2009). Essentials of genetic and genomic nursing: Competencies, curricula guidelines, and outcome indicators, 2nd Ed. Silver Spring, MD: American NursesAssociation.

Costich,J.E.&Durst,A.L.(2016).TheimpactoftheAffordableCareActonfundingfornewbornscreeningservices.Public Health Reports, 131(1):160-166.

DeLuca,J.,Zanni,K.L.,Bonhomme,N.&Kemper,A.K.(2013).Implications of newborn screening for nurses. Journal of Nursing Scholarship, 45(1):25-33.

Gaggana, M., Jones, E.A. Shahied, S.I., Tanksley, S. et al.(2013).Newbornscreening:FromGutherietowholegenomesequencing.Public Health Reports, 128(Supp.2):14-19.

Goh,V.,Helbling,D.,Biank,V.,Jarzembowski,J.etal. (2012).NextgenerationsequencingfacilitatesthediagnosisinachildwithTWINKLEmutationscausingcholestratic liver failure.Journal of Pediatric Gastroenterology & Nutrition, 54(2):291-294.

Gonzaga-Jauregui, C., Lupiski, J. & Gibbs, R. (2012. Humangenomesequencinginhealthanddisease,Annual Review of Medicine, 63,35-61.

Gostin, L. (2000). Public health law: Power, duty, restraint.Berkeley:UniversityofCaliforniaPress.

Greco, K.E., Tinley, S. & Seibert, D. (2012). Essential geneticandgenomiccompetenciesfornurseswithgraduatedegrees.Silver Springs, MD: American Nurses Association &InternationalSocietyofNursesinGenetics.

Gutherie,R.(1963.Asimplephenylalaninemethodfordetectingphenylketonuria in large populations of newborn infants.Pediatrics, 32(3):318-343.

Hayeems,R.Z.,Miller,F.A.,Little,J.Carrall,J.C.,etal.(2009).Informing parents about expanded newborn screening:Influencesonprovider involvement. Pediatrics, 124(3):950-958.

Katsanis,S.&Katsanis,N.(2013).Moleculargenetictestingandthefutureofclinicalgenomics.Nature Reviews: Genetics, 14 (june):415-426.

Kemper,A.R.,Uren,R.L.,Moseley,K.L.&Clark,S.J. (2006).Primary care physicians’ attitudes regarding follow-up carewith positive newborn screening results. Pediatrics, 118:1836-1841.

Knoppers, B. M., Avard, D. & Senecal, K. (2012). Newbornscreening programs: Emerging biobanks? Norsk Epidemiologi, 21,163-168.

Knoppers, B.M, Seneca, K., Barry, P. & Avard, D. (2014).Whole-genome sequencing in newborn programs. Science Translational Medicine, 6(March26):1-4.

Liou,T.G.,Adler,F.R.,Cox,D.R.&Cahill,B.C. (2007).Lungtransplantation and survival in childrenwith cystic fibrosis.New England Journal of Medicine, 357(21):2143-2152.

McCabe,E.R.,Huang,S.Z.,Seltzer,W.K.&Law,M.L.(1987).DNAmicroextractionfromdriedbloodspotsonfilterpaperblotters:potentialapplicationfornewbornscreening.Human Genetics, 75,213-216.

Moyer,V.A.,Calonge,N.Teutsch,S.M.&Botkin, J.R. (2008).Expandingnewbornscreening:process,policyandpriorities.Hastings Center Report, 38,32-39.

NationalInstitutesofHealth.(2013).NIHprogramexplores theuseofgenomicsequencinginnewbornhealthcare.www.nih.gov/news/health/sep2013/nhgri-04.htm. Accessed February11,2016.

Petrikin, J.E., Willig, L.K., Smith, L.D. & Kingsmore, S.F.(2015). Rapid whole genome sequencing and precisionneonatology.Seminars in Perinatology, 39,623-631.

Rabbani,B., Tekin,M.&Mahdieh,N. (2014). The promise ofwhole exome sequencing in medical genetics. Journal of Human Genetics, 59(1):5-15.

Rehm,H.(2013).Disease-targetedsequencing:Acornerstoneintheclinic.Nature Reviews: Genetics, 14,295-300.

Seibert,D.C.(2014).Genomicsandnursepractitionerpractice.The Nurse Practitioner, 39(10):18-28.

Tarini, B.A. (2011). Storage and use of residual newbornscreening bloodspots: a public health emergency. Genetics and Medicine, 13,619-620.

Therrell, B.L., Johnson, A. & Williams, D. (2006). Status ofnewbornscreeningprogramsintheUnitedStates.Pediatrics, 117,S212-S252.

Tluczek,A.&DeLuca, J.M. (2013).Newborn screeningpolicyandpractice:Issuesfornurses,JOGNN,42,718-729.

Wade,C.H.,Tarini,B.A.,&Wilfond,B.S.(2013).Growingupinthegenomicera: Implications forwhole-genomesequencingfor children, families andpediatricpractice.Annual Review of Genomics and Human Genetics, 14,535-555.

Newborn Screening ResourcesInternationalSocietyforNewbornScreening–

http://www.isns-neoscreening.orgNationalCoordinatingforGeneticsandNewbornScreening–

http://www.nccrcg.orgNationalNewbornScreening&GeneticsResourceCenter–

http://genes-r-us.uthscsa.eduNewbornScreeningTranslationalResearchNetwork–

https://www.nbstrn.orgSaveBabiesthroughScreeningFoundation–

http://www.savebabies.org

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Because You Are A Nurse – SCNA!

News You Can Use

My employer offers a 403(b) plan. Is this type of plan a good way to save for retirement?

In general, yes. Also known as a tax-sheltered annuity,a 403(b) plan is an employer-sponsored plan designed foremployeesofcertaintax-exemptorganizations(e.g.,hospitals,churches, charities, and public schools) to invest for theirretirement. Typically, the employer purchases annuitycontractsorsetsupcustodialaccountsforeligibleemployeeswhochoose toparticipate.A403(b)planis technicallynotaqualifiedplan,butitissaidtomimicaqualifiedplanbecauseitsharessomeofthesamefeatures.

Like a 401(k) plan, a 403(b) plan enables you to makecontributions to the plan on a pretax basis. These areknown as salary-reduction contributions because they comefrom your salary before taxes are withheld, thus reducing your taxable income. Fortax year 2016, you are allowed to defer up to $18,000 a year or 100 percent of yourcompensation, whichever is less, to the plan. If you’re 50 or older, you can makean extra “catch-up” contribution of $6,000 in 2016 (additional special catch-upcontribution rulesmay also apply). Employers will sometimes contribute to the planaswell,althoughemployercontributionsaregenerallynotrequiredand(ifmade)mustvest before you are entitled to them. Earnings (e.g., dividends and interest) on your403(b)planinvestmentsaccruetaxdeferred.Onlywhenyouwithdrawyourfundsfrom

Retirement Q&Atheplandoyoupayincometaxoncontributionsandearnings. Ifyouwaituntilafteryou’reretiredtobeginwithdrawing,you’llprobablybetaxedatalowerrate.

The combination of pretax contributions and tax-deferred growth creates theopportunity tobuild an impressive retirement fundwith a403(b)plan,dependingoninvestment performance. You may even qualify for a partial tax credit for amountscontributedifyourincomeisbelowacertainlevel.Inaddition,a403(b)planmayallowyou (under certain conditions) towithdrawmoney from the planwhile stillworkingfor your employer.Beware of these “in-service”withdrawals, however. Theymay besubject to both regular income tax and (if you’re under age 59½) a 10 percent earlywithdrawalpenalty.Aplanloan,ifpermitted,mightbeabetterwaytoobtainthecashyouneed.

Althoughsome403(b)planshavealimitednumberofinvestmentchoices,manyoftheseplanshavebeenofferingabroaderrangeofinvestmentsinrecentyears,includingmanywell-knownmutualfunds.

Note:Youremployermayalsoallowyoutomakeafter-tax“Roth”contributionstoyour 403(b) plan. Because your Roth contributions are after tax, those contributionsare always tax freewhen distributed to you. But themain attraction of Roth 403(b)contributions is that the earnings on your contributions are also tax free if yourdistributionis“qualified.”Ingeneral,adistributionisqualifiedifitismademorethanfive years after the year youmake your first Roth 403(b) contribution, and you areeither59½ordisabledwhenyoureceivethepayment.

How do I protect my assets in the event of a divorce?Ifprotectingyourassetsmeans thatyouwant tokeepallofyourmoney,property,

andpossessionsoutofyoursoon-to-beex-spouse’shands,you’reprobablyoutofluck.Any assets acquired during marriage are considered marital property and must bedividedaccordingtostatelaw.

InSouthCarolina,assetsmustbedividedequitably(fairly)ratherthanequally.Yourbestprotectionistomakesurethatyourinterestsarerepresented.Hireanexperiencedattorneywhowillhelpyounegotiateafairsettlement.

Don’t shortchange yourself by overlooking hidden assets. For instance, you mayknowyourjointsavingsaccountbalanceandwhatpossessionsyoumustdivide,butdoyouknowthebalanceofyourspouse’spensionplan?Doesyourspouseownaprepaidlifeinsuranceplan?Doesyourspousehaveretirementfunds(e.g.,401(k),IRAs)inhisorherownname?Thesethingswillbeconsideredmaritalassetsaswell.

Finally, don’t forget about debt. In general, you’ll be responsible for any debtacquiredduring themarriage,even ifyoudidn’t runup thedebtyourself.Makesurethatthedivorcesettlementstateswhowillberesponsibleforpayingoffalldebts,andclosealljointaccounts.

About Great South Advisory GroupTheGreatSouthAdvisoryGroupistheapprovedretirementincomeplanningfirm

to theSouthCarolinaNursesAssociation.Asabenefitofmembership in theSCNA,youcanreceiveyourpersonalizedRetirementIncomeEvaluationreportfornocharge.Simplycall toscheduleyourcomplimentaryappointmentat803.223.7001.Visit theirwebsiteatwww.greatsouthadvisorygroup.com.

JanneyMontgomeryScottLLC.Member:NYSE,FINRA,SIPC.PortionsofthisarticlewerepreparedbyBroadridgeInvestorCommunicationSolutions,Inc.Copyright2016

Chip Stanley

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 15

Culture of Safety it Starts With You – Nurses Week May 6-12

News You Can Use

ANA-PAC Presidential Endorsement ProcessFormany years there have questions about theANA-

PAC Presidential Endorsement Process that has beentaking place since 1984. SCNA thought that it mightbe helpful if all members and others who receive theSC NURSE could see the actual process, including thequestions thatwereaskedtoeachof themanycandidatesprior to any selection. Please note that the deadline datefor submission of the questionnaire to ANA staff wasNovember30,2015. Ifyouhaveanyquestions about thisprocess,pleasebeintouchwiththeANA-PAC.

Asyouwill seewhenyou read thequestions they areverynurseandhealthcarebased.

We have also included the Step by Step Process forthe 2016 Endorsement for you to be able to follow as itprogresses.

All members of SCNA have already been invited toparticipate in this process by sharing their insight andcommentswiththeANA-PAC.

Afullreportwilltakeplacelaterin2016oftheprocess,participationandoutcomeoftheactions._____________________________________________

2016 ANA Presidential EndorsementStep by Step Process

Background:TheAmericanNursesAssociation(ANA)has endorsed a candidate in each presidential electionsince 1984. For the 2016 election,ANAwill continue tofollow the 1985 House of Delegates (HOD) resolutiondirectingtheAssociationtoengagepresidentialcontendersofallpartiesinendorsementconsiderations.

Presidentialendorsementsprovidethebestopportunitytoeducateourmembersaboutthepoliticalprocessandtoencouragepoliticalparticipationamongallnurses-whilealso demonstrating ANA’s political power and ability toaccomplishitslegislativeandregulatorygoals.

Step 1The American Nurses Association Political Action

Committee (ANA-PAC) and its Board of Trustees aretaskedwithoverseeingthepresidentialendorsementeffort.

ACTION:Select five members of the ANA-PAC Board to help

lead the endorsement process by serving as the PAC’sPresidentialEndorsementTaskForce:

2016 ANA Presidential Task Force -Elizabeth(Liz)Dietz,EdD,RN,CS-NP(Chair)-RayCoe,PhD,MBA,MHA,RN,NEA-BC,FACHE-FaithJones,MSN,RN,NEA-BC-GaylePeterson,RN-BC-PatVanMaanen,MS,RN

Step 2 ANA-PAC Board and its Presidential Endorsement

Task Force members will work with ANA GovernmentAffairs staff to undertake the necessary steps that willresultinanendorsementdecision.

ACTION: • Examiningthevotingrecords,totheextentpossible,

of all announced candidates in relation to ANA’slegislativeagenda

• Drafting a questionnaire to gauge the level of eachcandidate’ssupportforANA’scorepolicyissues

• Polling individual Constituent/State NursesAssociations (C/SNAs) and ANA membership fortheirpreferredcandidates

• Conducting interviews with viable presidentialcandidates.

Step 3 Uponreachingtheconclusionof thisprocess, thePAC

Board will present its endorsement recommendation toANA’sBoardofDirectors. It’s important tonote that thePACBoard’s endorsement decision typically represents achoiceamongthreepositions:

1. Noendorsementorsupportofacandidate,2. Supportoneormorecandidatesduringtheprimary

elections3. Support of a candidate following the party

nominatingconventions.

Step 4 The ANA Board of Directors will vote to ratify

the PAC Board’s endorsement recommendation. Uponapproval the endorsement choice will be communicatedto the ANA membership base, C/SNAs, the candidates’campaign,andappropriatemediaparties._____________________________________________

Presidential Candidate QuestionnaireThese are the questions asked of the Presidential

Candidates.- Please share any experiences you have had with

the health care system that have shaped your perspective on registered nurses, health care or health care delivery (including involvement with health care nonprofits, boards, legislation, etc.).

- Describe your knowledge and experience regarding the health care system and its providers. What do you see as the biggest challenges facing our health care system? What solutions would you propose to overcome these challenges?

SAFE PATIENT HANDLING AND MOBILTY - Over the course of an eight-hour shift, the average

nurse could lift 1.8 tons. If elected, how would you require health care facilities to invest in safe patient-lifting technology to reduce the risk of workplace injuries to nurses?

ADVANCED PRACTICE REGISTERED NURSES- Describe your understanding of “full utilization”

of health care practitioners within the health care system. What actions are needed to remove arbitrary barriers that prevent health care practitioners from performing to the full extent of their education, licensure an training?

For answers from the candidates go to http://nursingworld.org/VirtualVotingBooth_____________________________________________

2016 ANA Presidential Endorsement Process Timeline

April 2015 – August 2015AnalysisofthePoliticalClimate

July 2015SelectPresidentialEndorsementTaskforce,Approve

EndorsementprocessasrecommendedbyANAGovernmentAffairs(GOVA)staff(established)

August 2015PresidentialEndorsementTaskforcefinalizescandidate

questionnaireandhasitapprovedbytheANAPACboardandothernecessaryparties

September 2015CandidateQuestionnairesDistributed

September 2015 – November 2015CompletedCandidateQuestionnairesReturned(deadline

forconsiderationNovember30th)

September 2015 – December 2015CandidateInterviews(1-2ANAPresidentialEndorsement

TaskforceMembers,ANAGOVAstaff)

August 2015 – December 2015AnalysisofPresidentialcandidatepositionpapers,votingrecords,andleadershiponthenursinglegislativeagenda

August 2015 –February 2016Educatethemembershipabouttheendorsementprocess

throughANA’swebpageandpublications;educatemembersthroughablastmembercall.

February 2016ConductanelectronicsurveyoftheANAmembership

March 2016 (Fluid)ANA-PACconsiderationofPresidentialcandidate(s)ANABoardratificationofANA-PACendorsement

decision

Dean – School of NursingQualifications: Required: Earned doctorate in nursing or related discipline from an accredited institution; Un-encumbered license to practice nursing in SC; Leadership experience in the nursing program; Teaching experience in nursing; Experience with CCNE Accreditation.

For application information, contact: Office of Academic Affairs,

Melissa Thompson, or email mthompson@lander.edu

Lead a multi-disciplinary team of health care professionals committed to supporting, educating and empowering patients.

To apply, send resume to: kvarner@sumterfhc.com

Learn more: www.sumterfhc.com

Director of Case Management (RN)

Come join a team of dedicated professionals who focus on quality care and have a passion to serve others.

Hilton Head Hospital offers a broad array of specialty programs and services, including cardiac care, spine surgery, orthopedics, dedicated

breast health center, women’s health and surgical services. Our dedicated physicians and caregivers are committed to providing quality care.

To search and apply for opportunities at Hilton Head Hospital please visit us at hiltonheadregional.com.

Coastal Carolina Hospital, a fully accredited facility, has been providing quality care for our community for over five years.

Services include our Emergency Care, Imaging, Rehabilitation, Surgical Services, OB and more.

To search and apply for opportunities at Coastal Carolina Hospital visit coastalhospital.com.

Page 16—April, May, June 2016—The South Carolina Nurse www.scnurses.org

SCNA State Convention Pharm Conference / Annual Meeting Oct. 19-21 Sonesta Resort, Hilton Head, SC

News You Can Use

Nurses Rank as Most Honest, Ethical Profession

for 14th Straight Year Ranking Reflects High Regard for

Nursing Profession

SILVER SPRING, MD – Nursing continues to beratedthemosttrustedprofession,accordingtotheannualGalluppollrankingofhonestyandethicsinvariousfields.

Forthepast14years,thepublichasvotednursesasthemosthonestandethicalprofessioninAmerica.Thisyear,85percentofAmericansratednurses’honestyandethicalstandards as “very high” or “high,” tying a nurses’ highpoint on theGallup poll and 17 percentage points aboveanyotherprofession.

“It’s essential that we leverage this trust to lead andimplementchangeinthehealthcaresystem,”saidPamelaF. Cipriano, PhD, RN, NEA-BC, FAAN, president ofthe American Nurses Association (ANA). “Hospitals,health care systems and other organizations are lackingan importantperspective andcan’tmake fully competentdecisionsif theydon’thaveregisterednursesat theboardtableor in theC-Suite.  That’swhyANAisamemberoftheNursesonBoardsCoalition,working toplace10,000nursesonboardsby2020.”

Ethics is an essential part of nursing practice. Thisincludes an ethical responsibility to ensure the safety ofpatients and the health andwellness of nurses and otherhealthcareproviders.In2015,ANAreleasedarevisionofitsCode of Ethics for Nurses with Interpretive Statements,a cornerstone document of the nursing profession thatreflects many changes and evolutions in health care andconsiders themost current ethical challenges nurses facein practice. The release was just one component of the“Year of Ethics,” a series of activities emphasizing theimportanceofethicsinnursingpractice. 

In2016,ANAwillbuildonthisconceptofethicalandshared responsibility by launching a year-long “Cultureof Safety” campaign to drive changes leading to a saferhealth care system. The campaign will also highlighthowpatients,communitiesandthenursingprofessioncanbenefit fromefforts to fosteracultureof safety inhealthcare.Formoreinformation,pleasevisitNursingWorld.org.

www.trmchealth.org slmedley@regmed.com

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The Regional Medical Center (RMC), a 286-bed, TJC-accredited, acute-care facility serving a six-county region, offers opportunities that literally change lives for the better.

•Variety of full-time nursing opportunities in critical care and medical/surgical areas including ED and Pediatrics.•For a limited time, up to $8,000 signing bonus.*•12-hour, day or night shifts available.

SEND YOUR RESUME TO RMC TODAY!Email: slmedley@regmed.com

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* • Must have one (1) year of experience. • Commit to two (2) years on the assigned unit.

EOE

Protect Your Nursing License and Know Your Rights

If you are the subject of a complaint to the Board of Nursing or an allegation of criminal conduct, contact the Leddy Law

Firm for a free consultation.

Before speaking with the investigators or your licensing board, you should discuss your case with me during a free

case evaluation.

Call T. Micah Leddy 803-779-9966 (24/7)2008 Lincoln St., Cola, SC 29201

www.LeddyLaw.com

Clinical Nursing InstructorsClinical Instructors needed for the

Nursing Assistant, the Associate Degree and Practical Nursing Programs

Qualifications: Nursing Assistant Instructors must have an Associate’s Degree in Nursing or higher with 1 year long term care experience. Practical and Associate Degree Instructors must have a Baccalaureate Degree in Nursing; Master’s degree preferred. Two years recent clinical experience required in Med/Surg, OB, or Pediatrics. Must have current South Carolina Registered Nurse license. Contact Kimberly Cochran at cochrank@midlandstech.edu for more information.

Interested persons should submit resume and unofficial transcripts stating Social Security Number to:

Midlands Technical CollegeNursing, Kimberly Cochran

PO Box 2408, Columbia, SC 29202AA/EOE/ADA

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 17

SCNA Annual Meeting Oct. 21

South Carolina Department of Labor, Licensing and Regulation

South Carolina Board of Nursing110CenterviewDr.•Columbia,SC•29210P.O.Box12367•Columbia,SC29211-2367

Phone:803-896-4550•NURSEBOARD@LLR.SC.GOV•Fax:803-896-4515•http://www.llr.state.sc.us/pol/nursing/

MISSION OF THE BOARD OF NURSINGThe mission of the State Board of Nursing for South Carolina is the protection of

public health, safety, and welfare by assuring safe and competent practice of nursing.This mission is accomplished by assuring safe initial practice as well as continuing

competency in the practice of nursing and by promoting nursing excellence in the areas of education and practice. The Board licenses qualified individuals as licensed practical nurses, registered nurses or advanced practice registered nurses. Complaints against nurses are investigated and disciplinary action taken when necessary. Schools of nursing are surveyed and approved to ensure quality education for future nurses.

DON’T LET TIME RUN OUT – RENEW YOURNURSING LICENSE!

You are required to renew your license as an RN, LPN or APRN in South Carolina before the deadline of 11:59 pm, April 30, 2016, in order to continue practicing nursing in this state. It takes only a few minutes to complete your renewal online.

Advantages of Renewing Online (https://eservice.llr.sc.gov/OnlineRenewals/)• Faster - It takes only a few minutes to complete your renewal online. • Convenient - You can complete your renewal application 24 hours a day, seven

days a week, at any location with internet access.• No Lost Payments - You can use your Visa or MasterCard credit card, electronic

check or debit card with the Visa or MasterCard logo on the front of the card to renew your license. You will receive a receipt confirming the renewal process is complete and that your payment has been accepted.

• Quicker Turn Around - Your license is renewed within 24 hours of your credit card / electronic check clearing.

• License Renewal Confirmation - You or your employer may confirm your new expiration date on Licensee Lookup on the Board’s website (http://llr.sc.gov/POL/Nursing/). Please allow three business days after renewing to verify the transaction.

Below are some frequently asked questions to help you with the renewal process.

RENEWAL FAQsQ: I haven’t received my renewal notice; what do I do?

A: As a courtesy, renewal notices are sent out in January to the last address on Board of Nursing records.* The law does not require the Board to send out renewal notices and many courtesy notices are returned by the postal service each renewal cycle.

You may renew online using your same User ID and Password as you did during the last renewal. If you do not remember or do not have your User ID/ Password, you may still renew. Please go to https://eservice.llr.sc.gov/OnlineRenewals/ and click on “Alternative Login I do not know my User ID/ Password” and complete the required security questions.

*Note: Section 40-33-38(C) of the South Carolina Nurse Practice Act requires that all licensees notify the Board in writing within 15 days of any address change.

Q: How can my employer verify that I have renewed my nursing license?A: If you need paper evidence of your nursing license and expiration date, you may

obtain this information one of two ways: 1) Go to Licensee Lookup located at https://verify.llronline.com/LicLookup/Nurse/

Nurse.aspx?div+17.

Under the Board of Nursing, click on this same link and enter the bare minimum Information (i.e. your last/first name or license number only (no letters like RN, R, etc.) and security code. You may print this page.

If you type information in all blocks and it is not entered 100% the way it is in the Board’s system, you will receive an error message (appearing as if the nurse doesn’t hold a license in our state.)

2) Licensees have the capability through LLR’s website to download and print a wallet card after the license has been issued, reinstated, or renewed. The cards can be printed from your printer. You will need Adobe Reader installed on your PC to view and print the card. For best results, use card stock instead of copy paper to print a more durable card. To print a wallet card, go to https://eservice.llr.sc.gov/SecurePortal/Login.aspx. Click on “Print License Card” and follow the instructions.

Q: How can I check a license?A: To check a nursing license, you may utilize one or all of the following options:1) SC Licensee Lookup – Go to https://verify.llronline.com/LicLookup/Nurse/Nurse.

aspx?div+17. As you enter information, it is recommended that you enter a portion of the nurse’s name only. You will be provided with the nurse’s name, city and state, license number as well as license type, date issued/expires, license status, and whether the license is multi-state or single state.

2) Nursys QuickConfirm – Go to https://www.nursys.com/. Click on QuickConfirm and follow instructions. You will be provided with the nurse’s name, licensure, license type and number, license status, expiration date, and discipline status.

Q. What are my competency options for renewing my nursing license?A. There are four options available under the Nurse Practice Act to document

continued competency for renewal; however, not all of these options may be available for each nurse or available in every employment or practice setting. Prior to choosing an option, it is wise to verify that the option is available for you, such as your employer signing your competency verification form. One of these competency options must be completed and documented between May 1, 2014, and April 30, 2016, and prior to renewing your nursing license in 2016. The competency requirement can be found in §40-33-40 of the Nurse Practice Act under Laws/Policies on the Board’s website, llr.state.sc.us/pol/nursing/. Further explanation of the options shown below can be found in the Competency Requirement Criteria on our website.

1) Completion of 30 contact hours from a continuing education provider recognized by the Board. The list of recognized providers can be found on the Competency Requirement Criteria. OR

2) Maintenance of certification or re-certification by a national certifying body recognized by the Board. The list of recognized certifications can be found on the Competency Requirement Criteria. OR

3) Completion of an academic program of study in nursing or a related field recognized by the Board; OR

4) Verification of competency and number of hours practiced as evidenced by employer certification on a form approved by the Board. Further information can be found in the Competency Requirement Criteria. There are no set number of hours you must practice nursing to use this option. However, you must practice enough hours that your employer can verify your competency. The employer certification form is available on the Board’s website. Please verify that your

LLR Continued on page 18

Page 18—April, May, June 2016—The South Carolina Nurse www.scnurses.org

Because You Are A Nurse – SCNA!

South Carolina Department of Labor, Licensing and Regulation

employer can / will sign this form before choosing this option as your demonstration of continued competency. If your employer is unable to sign this form, you must choose one of the other options shown above.

Q: Are Continuing Education hours mandated by the Board of Nursing?

A: No, the Board of Nursing does not mandate continuing education hours. It is only one of the four options for continued competency recognized by the Board. The licensed nurse needs to select only one of these options. However, you may wish to check Section I of the Competency Requirement Criteria regarding classes that you are taking towards an advanced degree in nursing.

Q: What is a national nursing provider of continuing education?

A: A list of accepted providers can be found under Continued Competency Criteria on the Board’s website at www.llr.state.sc.us/pol/nursing/.

Q: Can I count taking one course in school as a nursing program under option (c) of Section 40-33-40?

A: No. The key word in this option is “completion.” You must complete all the coursework for the program before it can count toward your continued competency requirement. However, you may check section I regarding classes that you are taking towards an advanced degree in nursing.

Q: What is the difference between CEU and Contact Hours?

A: Continuing education hours, nursing credit hours and contact hours are all methods of measuring education hours. It is similar to quarts versus liters. Below is the breakdown provided to the Board by the American Nurse Credentialing Center (ANCC). Remember that continuing education hours must be approved by an organization on the Board’s Competency Requirement Criteria to be used for renewal. Continuing education is just one of the four options available to you.

1 contact hour = 60 minutes1 CME = 60 minutes or 1.0 contact hours1 contact hour = 0.1 CEU1 CEU = 10 contact hours(Reference ANCC)

Q: What are my options to document competency to renew my APRN license?

A: An APRN is required to hold a current APRN specialty certification by a Board-approved credentialing

organization for his/her area of APRN nursing practice to renew his/her APRN license. Certification or re-certification must be current during the renewal period. A list of Board-approved credentialing organizations is available at www.llr.state.sc.us/POL/Nursing/PDF/Board%20Approved%20Advanced%20Practice%20Certification%20Organizations.pdf.

Q: Does a nurse have to sign my employer verification form?

A: The Board understands nurses have non-nursing employers or employers who have policies regarding who can sign this type of form. Someone other than a nurse may sign the form as long as they are able to verify nursing competency for the individual.

Q. How many hours do I have to work to renew my license?

A: There are no set number of hours a nurse must practice nursing to document continued competency for renewal. However, you must practice enough hours that your employer can verify your nursing competency. Not all employers will sign the Employer Certification form. Prior to choosing any continued competency option for renewal, it is wise to verify that the option is available for you.

Q: Where do I get the Board approved employer verification form?

A: The Employer Certification form is located on the website. Nurses need to be sure that their employer can, by their policies, complete and sign the form required by the Board to document practice hours. If they cannot, nurses may choose one of the other options.

Q: Do I have to send in all my paperwork with my renewal?

A: No. Do not send any continued competency paperwork during renewal. You need only to mark the appropriate of the four options when completing your online renewal application. The Board conducts random audit of nurses in South Carolina. If your name is selected, you will receive a letter asking you to send the documentation in to verify competency. By law, you will have five days to provide the documents. A licensee must maintain all documented evidence of compliance for at least four years.

Q. Will my debit card work for online renewal payment?

A. If your debit card has the Visa/MasterCard logo on it, it will work with the Board’s system. Be assured the Department of Labor, Licensing and Regulation has state-of-the-art security on its licensure system. Your credit card/debit card number cannot be seen by our office, only your bank.

Q. I am nervous about using my credit card to renew my license online. How safe is it?

A. Our Agency utilizes state-of-the-art security systems to protect nurses’ information.

Q. I do not have a credit card. Is there another way for me to pay on-line?

A. Yes. You will be given the option to pay by credit card or by electronic check.

THINKING ABOUT GOING INACTIVE?Be sure to consider the following when thinking about

placing your nursing license on inactive status.• You must complete the Request for Inactive

Status form found on the Board’s website under Applications/Forms and submit it along with your $15 fee before your license lapses.

• You can change your mind at any time, but you will need to meet the requirements of Section 40-33-40 (B)(2) and (3) of the Nurse Practice Act to reactivate your license. The requirements to reactivate are based on the amount of time your license is inactive.

• If you do not practice for five years or more, the requirement for reactivating your license is retaking the licensure examination or taking a refresher course.

• Placing your license on inactive status includes your Multi-state (Compact) licensure status.

Remember, to keep your nursing license in an active status, you need to complete only one of the following continued competency requirements during the licensure period:

1) Completion of 30 contact hours from a continuing education provider recognized by the Board. The list of recognized providers can be found on the Competency Requirement Criteria.

2) Maintenance of certification or re-certification by a national certifying body recognized by the Board; OR

3) Completion of an academic program of study in nursing or a related field recognized by the Board; OR

4) Verification of competency and number of hours practiced as evidenced by employer certification on a form approved by the Board. Further information can be found in the Competency Requirement Criteria. There are no set number of hours you must practice nursing to use this option. However, you must practice enough hours that your employer can verify your competency. The employer certification form is available on the Board’s website. Please verify that your employer can/will sign this form before choosing this option as your demonstration of continued competency. If your employer is unable to sign this form, you must choose one of the other options shown above.

REPORTING MISCONDUCT AND VIOLATIONS OF THE NURSE PRACTICE ACT

It has come to the attention of the SC Board of Nursing that there is reluctance on the part of some employers to report violations of the Nurse Practice Act by their employees.

Section 40-33-111(A) of the Nurse Practice Act states that:

(A) An employer, including an agency, or supervisor of nurses, shall report any instances of the misconduct or the incapacities described in Section 40-33-110 to the State Board of Nursing not more than fifteen business days, excepting Saturdays, Sundays, and legal holidays, from the discovery of the misconduct or incapacity. A nurse supervisor who fails to timely report the misconduct or incapacity may be subject to disciplinary action and civil sanctions as provided for in Section 40-33-120. An employer who is not licensed by the board and who fails to timely report the misconduct or incapacity shall pay a civil penalty of one thousand dollars per violation upon notice of the board.

The Board believes it is important to note there are possible sanctions for employers who fail to report misconduct or incapacities in a timely manner to the Board. It is important for the safety of the citizens of South Carolina that nurses and employers of nurses adhere to the SC Nurse Practice Act.

ATTENTION APRNsYou must notify the Board of your APRN certification,

re-certification or certification renewal.• Are you licensed as an advanced practice

registered nurse (APRN)?• Have you renewed your certification?• Did you know that the Board does not

automatically receive notification you have renewed your certification?

• Did you know that it is the licensee’s responsibility to provide the Board with a copy of his or her current certification/recertification?

If you have recently become certified, recertified or have renewed your certification, please mail a copy of your current certification card to LLR-Board of Nursing, Attn: Advanced Practice Licensure, P O Box 12367, Columbia, SC 29211. You may also scan your document and e-mail to Nurseboard@llr.sc.gov or send your document by fax to 803-896-4515.

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Camp Laurel, a private, co-ed, residential camp in Maine seeks a Nurse Manager,

Charge Nurses and Staff Nurses. Often claimed as one of New England’s premier summer camps, Laurel boasts excellent facilities and a well-staffed medical team. NPs, RNs, LPNs and Recent Grads are all welcomed to apply. Excellent Salary, Travel Allowance, Room and Board.

For more information visit www.camplaurel.com, email staff@camplaurel.com or call 800-327-3509.

www.scnurses.org South Carolina Nurse—April, May, June 2016—page 19

Culture of Safety it Starts With You – Nurses Week May 6-12

South Carolina Department of Labor, Licensing and Regulation

BOARD VACANCIES There is currently one vacancy on the South Carolina

State Board of Nursing. Board members serve terms of four years and until their successors are appointed and qualify. Board members must be appointed by the Governor with the advice and consent of the Senate. Vacancies must be filled for the unexpired portion of a term by appointment of the Governor.

Pursuant to Section 40-33-10(A) of the Nurse Practice Act, when appointing members to the Board of Nursing, the Governor will give consideration to include a diverse representation of principal areas of nursing, but not limited to hospital, acute care, advanced practice, community health, and nursing education. Registered nurse and licensed practical nurse members must be licensed in South Carolina, be employed in nursing, have at least three years of practice in their respective professions immediately preceding their appointment, and reside in the district they represent. Lay members represent the public at large as consumers of nursing services and may not be licensed or employed as a health care provider. No Board member may serve as an officer of a professional health-related state association.

There is one vacancy for a Licensed Practical Nurse representative from the state at large. An individual, group or association may nominate qualified persons and submit written requests to the Governor’s Office for consideration and appointment to the State Board of Nursing. If you or someone you know is interested in the positions on the Board of Nursing, a letter of request, along with a resume or curriculum vitae, should be submitted to Boards and Commissions, Office of the Governor, Post Office Box 11829, Columbia, SC 29211-1829

CHANGING YOUR NAME ON YOUR NURSING LICENSE

If you have had a legal name change, submit your written request, along with a copy of the legal document(s) (copy of marriage certificate, divorce decree, court order, etc.), to LLR – Board of Nursing, P O Box 12367, Columbia, SC 29211 or you can send the request and documents by fax to 803-896-4515 to the attention of Board of Nursing. Please indicate in your request whether you will use your middle name or maiden name for your middle initial or if you wish to hyphenate your name. For example, if Jane Ann Doe marries John Smith will she use Jane Ann Smith? Or Jane Doe Smith? Or Jane Ann Doe Smith? Or Jane Ann Doe-Smith? Your request will be processed within five business days of receipt in Board offices and will be reflected on Licensee Lookup within three to five business days after the change is made.

You may verify that your name change request has been processed on Licensee Lookup on the Board’s website (llr.sc.gov/pol/nursing/). When utilizing Licensee Lookup, you do not have to enter complete names. For example, “J” and “Smith” will search for records with a last name of “Smith” and a first name beginning with “J.” Refer to Section 40-33-36(B) of the Nurse Practice Act regarding statutory requirements for your name on your license. You may view the Nurse Practice Act – Chapter 33 located under Law/Policies on the Board’s website.

HAVE YOU MOVED?Section 40-33-38(C) of the South Carolina Code of

Laws (Nurse Practice Act) requires that all licensees notify the Board in writing within 15 days of any address change. So you do not miss important time-sensitive information from the Board, such as your courtesy renewal notice, audit notice or other important licensure information, be sure to notify the Board immediately whenever you change your address. Failure to notify the Board of an address change may result in discipline. You may change your address online utilizing the address change form under Online Services found on the Board’s website.

Note: Changing your address with the South Carolina Nurses Association (SCNA) does not change your address on your licensing records with the South Carolina State Board of Nursing.

Board Members• Carol A. Moody, RN, MAS, NEA-BC, Congressional

District 4 - President• Samuel H. McNutt, RN, CRNA, MHSA,

Congressional District 5 - Vice President• W. Kay Swisher, RNC, MSN, Congressional District

3 - Secretary• Jaqueline L. Baer, APRN, MSN, FNP-BC,

Congressional District 1• Eric J. Sellers, RN, Congressional District 2• Sonya K. Ehrhardt, DNP, RN, NEA-BC, CPHQ,

Congressional District 6• Karen R. Hazzard MSN, RN, NEA-BC,

Congressional District 7• Neil B. Lipsitz, Public Member• James E. Mallory, EdD, Public Member• Jan R. Burdette, LPN, At-Large• Vacant, (1) Licensed Practical Nurse At-Large

Vacancies: [See Section 40-33-10(A) of the Nurse Practice Act for prerequisites and requirements]

SOUTH CAROLINA BOARD OF NURSING CONTACT INFORMATION:

Main Telephone Line (803) 896-4550Fax Line (803) 896-4515General Email NurseBoard@llr.sc.govWebsite llr.sc.gov/pol/nursing/

The Board of Nursing is located at Synergy Business Park, Kingstree Building, 110 Centerview Drive, Suite 202, Columbia, SC 29210. Directions to the office can be found on the website – llr.sc.gov - at the bottom of the page. The Board’s mailing address is LLR - Office of Board Services - SC Board of Nursing, Post Office Box 12367, Columbia, SC 29211-2367.

Normal agency business hours are 8:30 a.m. to 5 p.m., Monday through Friday. Offices are closed for holidays designated by the state.

Board of Nursing AdministrationNancy G. Murphy, Administrator

Office of Investigations and EnforcementMain Telephone Line (803) 896-4470

VISIT THE BOARD WEBSITE OFTENThe Board recommends all nurses licensed by or

working in South Carolina visit its website (llr.sc.gov/pol/nursing/) at least monthly for up-to-date information on nursing licensure in South Carolina. The Board of Nursing Website contains the Nurse Practice Act (Chapter 33-Laws Governing Nursing in South Carolina), Regulations (Chapter 91), Compact Information, Advisory Opinions, Position Statements, Licensure Applications, Continued Competency Requirements/Criteria, Application Status, Licensee Lookup, Disciplinary Actions, and other helpful information. The Nurse Practice Act, Regulations, Advisory Opinions and Position Statements are located under Laws/Policies. The Competency Requirement and Competency Requirement Criteria, which includes continuing education contact hours, are located under Licensure. You will also find the Board Meeting calendar, agendas, minutes and Board Member names and the area they represent.

The Board hopes you will find this information useful in your nursing practice.

Board of Nursing Meeting Calendar for 2016Board and Committee meeting agendas are posted on

the Board’s website at least 24 hours prior to meeting.

Board of Nursing Meeting May 19 - 20, 2016 July 28 - 29, 2016 September 29 - 30, 2016 November 17 - 18, 2016

Advanced Practice Committee May 6, 2016 August 5, 2016 November 4, 2016

Advisory Committeeon Nursing April 19, 2016

June 21, 2016 August 30, 2016 October 18, 2016 December 6, 2016

Nursing Practice &Standards Committee April 14, 2016

July 14, 2016 October 13, 2016

Designated 2016 State HolidaysConfederate Memorial Day May 10, 2016National Memorial Day May 30, 2016Independence Day July 4, 2016Labor Day September 5, 2016Veterans Day November 11, 2016Thanksgiving Day November 24, 2016Day after Thanksgiving November 25, 2016Christmas Eve December 24, 2016Christmas Day December 25, 2016Day after Christmas (Expected Observance) December 27, 2016

Page 20—April, May, June 2016—The South Carolina Nurse www.scnurses.org