The Official Publication of the Virginia Nurses Association Volume …€¦ · the transition from districts to chapter structure. A legacy that will follow Susan will be the creation

current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

CONTENTSWinter 2012

President’s Message . . . . . . . . . . . . . . . . . . . 2

VNA 27th Annual Nurses Day at theGeneral Assembly . . . . . . . . . . . . . . . . . . . . . 1

Legislative Update—General Assembly 2012 . . . . . . . . . . . . . . . . 3

Nurse Leadership Institute . . . . . . . . . . . . . 4

Chapter News• CentralVirginiaScholarship Opportunities . . . . . . . . . . . . . . . . . . . . . . 5• HowtoCreateaVNAChapter . . . . . . . . . . 5

Complementary and Alternative HealthMentalHealthNursing,DoesEvidenceComplementOutcomes? . . . . . . . . . 6

Practice Information:• GuidelinesonSocialMediaand

Networking for Nurses . . . . . . . . . . . . . . 7

• EducationProgressionand What it Means . . . . . . . . . . . . . . . . . . . . . 7• VirginiaActionCoalition— NursesonBoardsSurvey . . . . . . . . . . . . 8• StayingUptoDate . . . . . . . . . . . . . . . . . 8

VCNPNurse Practitioners Introduce Bill toIncrease Access to Health Care . . . . . . . . . . . . . 9APRN Myth Busters . . . . . . . . . . . . . . . . . . . . . 10

News Briefs:• AmericanNursesAdvocacyInstitute . . 12• OralHealthcareTraining . . . . . . . . . . . . 12• VCUtoLaunchState’sFirst NursingPh.D.HybridProgram . . . . . . . . 12

Membership NewsWelcomeNewMembers . . . . . . . . . . . . . . . . . 14

Provided to Virginia’s Nursing Community by VNA. Are You a Member?

The Official Publication of the Virginia Nurses Association Volume 20 • No. 1 Circulation 97,000 Registered Nurses and 2,300 Student Nurses February 2012

VNA President Shirley Gibson reminded everyone of the importance and power of a nurses voice.

The 27th Annual Nurses Day at the General Assembly

Dr. William Hazel, Virginia’s Secretary of Health and Human Resources speaks to over 600 nurses and student nurses at the State Capitol

Page 2 February, March, April 2012 Virginia Nurses Today www.VirginiaNurses.com

Shirley Gibson, President

Astheyear2011endedand2012 begins, it gives us anopportunity to reflect on theyears accomplishments andprepareforthefuture.Idevotemycolumntoreflectingonthepast that has positioned usso well for the future. Whileit is with deep regret that wewishedSusanMotleyourCEOfarewell on January 6, 2012,it is with great admirationand appreciation that we saythankyoutoherforhertenureand contributions to VNA and the members weserve.SusanjoinedVNAinMarchof2007andhastransformed the organization to serve themembersandbeavitalpartofthehealthcarecommunity.

Susan has brought us into the 21st century inmanyarenaswithournewlydesignedVNAwebsite.The on-line Career Centerwas established for bothnurses and employers. The new website providedthe ability to register and pay for conferences on-line. Previously to join the organization you had togo through the ANA website, but the new websiteprovided the ability for VNA to process on-linemembershipandothervalue-addedservices.Anon-lineweeklynewsletterandlistservewerecreatedtobring real time communication and weekly post ofhealth issues. A tremendous accomplishment hasbeen the online application process for ContinuingEducationthattakesustoa“green”environment!

Tocontinuewithtechnology,VNAisonFacebook,Twitter and LinkedIn. The newly revisedWorkplaceAdvocacy Guide for Nurses, thanks to Susan’sforwardthinkingisavailableonKindle,NookandiscomingsoontoAppleiBook.

VNA is continually striving to improve the valuefor members and after 25 years of annual tripsto the State Capitol on “Legislative Day,” Susanhelped to change the structure. Susan led thewaytorevitalize theVirginiaNursesFoundationannualgala,whichhasbeenasuccessfuleventoverthepast4 years.Susan spearheaded the “friendofnursing”awardalongwith thebrillianceof recognizing fortyemerging leadersunder theageof fortyat the2011gala.

VNA has undergone a tremendous change froma House of Delegates structure to onemember onevote.Thischangehelpstheorganizationtobemorenimble andmeet theneeds of themembers. Susanoftenvoicedtheconcernthatmanymembersfelttheyhadnovoiceanda“secretgroup”madeallpolicies!Well that is not possible now, everyone has a voiceand everyone canparticipate.Susanhas facilitatedthetransitionfromdistrictstochapterstructure.

A legacy that will follow Susan will be thecreation of the Virginia Action Coalition. There isnothingmoreimportanttonursesatthistimethanimplementing the recommendations of the Instituteof Medicine, Future of Nursing: Leading Change,AdvancingHealth. Susanhelped create a structureand support to establish the five workgroups andmakeourworkvisible.

Published by:Arthur L. Davis Publishing Agency, Inc.

www.VirginiaNurses.com

is the official publication of the Virginia NursesAssociation: 7113 Three Chopt Road, Suite 204Richmond,Virginia23226, a constituentmemberoftheAmericanNursesAssociation.

[email protected]

Fax:804-282-4916

Theopinionscontainedhereinarethoseoftheindividualauthorsanddonotnecessarily

reflecttheviewsoftheAssociation.

Virginia Nurses Todayreservestherighttoeditallmaterialstoitsstyle

andspacerequirementsandtoclarifypresentations.

VNAMissionStatementThemission of the VNA is to promote education,advocacy and mentoring for registered nurses toadvance professional practice and influence thedeliveryofqualitycare.

Board of Directors:ShirleyGibson,President; LoressaCole,President Elect;ThelmaRoach-Serry,Vice President;ChelseaSavage, Secretary; Amy Black, Treasurer; LaurenGoodloe,Commissioner on Nursing Practice;LindaAult, Commissioner on Government Relations; Nina Beaman, Commissioner on Resources & Policies; Linda Dedo, Commissioner on Nursing Education; Kathy Baker, Commissioner on Work Force Issues, Denise Hill, Director-at-Large; Barbara Cross, Committee on Ethics & HumanRights; Sallie Eissler, President Virginia Nurses Foundation; Jan Haas, Advocacy for Nursing Excellence.

Contacts for established VNA Chapters:DeDee Foti,Roanoke Valley; Ellen Linkenhoker,New River Valley; Anne Marie Caylor, Central Virginia Chapter 3; Sherry Ferki and SandraOlanitori,Hampton Roads;BeverlyRoss,Central Virginia; Linda Dedo, Piedmont Area; SallieBradford,Northern Virginia;DonTyson,Augusta Advocacy Chapter; Marcia Perkins, Northern Shenandoah Valley; Jan Haas, Advocates for Nursing.

Check our website, www.virginianurses.com asnewchaptersarecontinuallybeingorganized .

VNAStaffKathrynMahone,InterimCEOCelineBarefoot,OfficeAssistant

VNTStaffKathrynMahone,ManagingEditor

Virginia Nurses Today is published quarterlyeveryFebruary,May,AugustandNovemberbytheArthurL.DavisPublishingAgency,Inc. Copyright©2012,ISSN#1084-4740Subscriberratesareavailable,804-282-1808.

For advertising rates and information, please contactArthurL.DavisPublishingAgency,Inc.,517WashingtonStreet,POBox216,CedarFalls, Iowa50613. (800)626-4081, [email protected]. VNA and the Arthur L. DavisPublishing Agency, Inc. reserve the right to reject anyadvertisement. Responsibility for errors in advertising islimitedtocorrectionsinthenextissueorrefundofpriceofadvertisement.

Acceptance of advertising does not imply endorsement orapprovalbytheVirginiaNursesAssociationoftheproductsadvertised, the advertisers or the claims made. Rejectionof anadvertisementdoesnot imply that aproduct offeredfor advertising iswithoutmerit, or that themanufacturerlacks integrity, or that this association disapproves of theproductoritsuse.VNAandtheArthurL.DavisPublishingAgency, Inc. shallnotbeheld liable for any consequencesresulting from purchase or use of advertisers’ products.Articlesappearinginthispublicationexpresstheopinionsof theauthors; theydonotnecessarilyreflectviewsof thestaff,board,ormembershipofVNA,orthoseofthenationalorlocalassociations.

Shirley Gibson

Susan is capable of keeping more knowledgein her head than I will ever read in amultitude ofbooks.Sheconnectedwithothers in thehealthcarecommunitytoprovidepartnershipsthatwillliveon.She was active at the national level with ANA andtheANApresidentandCEOusedherknowledgeandwisdomtostructuremanyoutcomesforANA.Susanenergyandloveoflifeandquesttoserveotherswasatruegifttonursing,VNAandourmembers.

Therefore, you see we have reflected on only afew highlights of the past but extend our heartfeltthanks and give great tribute to Susan’s manyaccomplishments for VNA members. What weare the most proud of is how she left us poisedand ready to face the future to turn any challengeinto an opportunity that will be successful forthe organization, the members and the nursingcommunityatlarge.Susan,wethankyouandwishyou great success in your new endeavor! You willalwaysbea“FriendofNursing”andwebestowuponyouthetitleof“HonoraryNurseSusan!”GodSpeed,ourfriendandcolleague! ◆

www.shenandoahgraduatenursing.com540-678-4382

The Endorsement in Nurse-Midwifery is provided through Shenandoah University’s Nurse-Midwifery program which is accredited by ACME (www.midwife.org/acccreditation).

Radford UniversityOld Dominion UniversityJames Madison UniversityShenandoah University

Enroll in the Graduate Nursing Program at participating universities and become a midwife through Shenandoah University’s accredited Nurse-Midwifery Program

www.VirginiaNurses.com Virginia Nurses Today February, March, April 2012 Page 3

ItisaveryinterestingtimetobeinvolvedpoliticallyinVirginia.BelowIwillcoverthreeareasthatwehavetrackedcloselyandwillcontinuetomonitor.

Elections:OnNovember8thvoteswerecastforall140seatsof

theVirginiaGeneralAssembly.Withdemocrats facingan unfavorable national atmosphere, republicans hadhopesofabignight.Thosehopeswerefulfilledbutnotinthewaythatrepublicansmightprefer.

Republicans picked up 6 seats in the alreadyrepublican majority House of Delegates. This givesrepublicansa2/3or“vetoproof”majorityof67seats.These are themost seats held by the republicans inhistory.Therealeffectofthesegainsisthatdemocratswillloseseatsoncommittees.WiththedefeatofHouseMinority Leader Ward Armstrong, the democrats willalsoneedtoregroupandchoosenewleadership.

While republican gains in the House of Delegateswereexpected,controloftheSenatewastherealprize.From the beginning republicans had aggressivelyfoughttowardthisgoal.Republicanschallengedalmostevery democratic incumbent and spent significantlymore money on these races. With Senator RoscoeReynolds (D)beingdefeatedandall of thedemocraticincumbentsaheadthenightlookedtobeoverwiththeendresultbeinga19-21splitinfavorofthedemocrats.However, the Houck (D)/Reeves (R) race was stillongoing with Houck ahead by about 136 votes. With96%ofprecinctsintheracewasbeingcalledforHouck.However,inSpotsylvaniaprecinct303anuploaderrorhad caused only 8 votes to be registered. When thiswas corrected Reeves led with 186 votes. The Houckcampaign declined a recount. With Houck’s loss wewereleftwitha20-20tieintheSenate.Thiseffectivelygivestherepublicansa21to20votemajorityastheLt.Governor(BillBolling(R))votesinthecaseofatie.Thereal question now is how will Senate leadership andcommitteechairsbedetermined.

PartyLeadershipintheHouseandSenate:Shortlyaftertheelectionsrepublicansanddemocrats

finalized their leadership positions. It is important tonotethatthereisaquestionregardingwhethertheLt.Governor has the constitutional authority to vote onorganizational issues in the Senate. Normally the Lt.Governor votes in thecaseofa tie.Since republicansand democrats both have 20 seats the issue of whocontrolsthesenateiftheLt.Governorisnotabletovoteis very much in question. The republicans obviouslythinkthathecanvoteastheyhaveorganizedasanoutrightmajority.TheSenatedemocratsappeartodisagreeas they have also organized as amajority. It is likelytheSenatedemocratswillchallengeanattemptbytherepublicans to organize as a majority in court. ThiscouldleadtotheSenatehavingtosuspenditsbusinessuntiltheissueissettled.

House of Delegates majority (republican) leadership:Delegate Bill Howell re-elected as Speaker of the

House.DelegateKirkCoxre-electedasMajorityleader.DelegateTimHugore-electedasCaucusChair.Delegate Jackson Miller elected as new Majority

Whip.

House of Delegates minority (democratic) leadership:

Delegate David Toscano elected as new MinorityLeader.

DelegateMarkSickleselectedasnewCaucusChair.DelegateCharnieleHerringelectedasMinorityWhip.

Senaterepublicanleadership:Sen. Tommy Norment elected as new Majority

Leader.Sen.RyanMcDougleelectedcaucuschairandSen.

SteveNewman(R)electedvicechair.

Sens. Jill Vogel, Jeff McWaters and Bill StanleyMajorityWhips.

Senatedemocraticleadership:Sen.DickSaslawelectedasMajorityLeaderSen.DonaldMcEachinelectedasnewCaucusChair.Sen. Linda “Toddy” Puller elected as Caucus Vice

ChairSen.HenryL.MarshIIIelectedasTreasurerSen.YvonneB.MillerelectedasSecretarySens. John Edwards and Janet Howell elected as

MajorityWhips.

Budget:TheGovernorreleasedhisbudgetonDecember19th.

ThisisGovernorMcDonnell’sonlybudgetthathebothcrafts and sees through theGeneralAssembly. Therewas awide spreadbelief that thehealth careportionof the budget would be very tight requiring sometough cuts. These fears proved groundless as cuts tohealthcarewereminimal.Providersreceivednocuts.Hospitalsweredeniedtheirinflationaryincreasesandthetwoteachinghospitals(VCUandUVA)werecutby14.9millionperfiscalyear.ItremainstobeseenifthisrelativelypainfreehealthcareportionofthebudgetwillmakeitthroughtheHouseandtheSenateunchanged.

Asbillscontinuetobeintroducedwewillkeepyouup to date on issues affecting the profession. Withcontrolof theSenatestill indoubt thissessionof theGeneralAssemblyshouldbeveryinteresting. ◆

__________________________________JamesAPickralJr.PrincipalPickralConsulting,LLC2530ProfessionalRoad,Suite210Richmond,VA23235Phone:[email protected]

The difference is in The way we care.What words would you use to describe a nurse? Excellence, professionalism and dedication come to mind. These are just a few of the qualities that nurses exhibit each day at Centra. And we know that the quality of nursing care is a primary reason people give for choosing their hospital.

Become a part of one of the finest healthcare systems in the country, serving central and southside Virginia. We invite you to learn more about nursing opportunities by contacting [email protected] or visiting BeACentraNurse.com.

Be a centra nurse


Are You Ready to Take Your Leadership to the Next Level?The Nurse Leadership Institute of Virginia (NLI), a

statewide program of the RichmondMemorial HealthFoundation, is a nine-month leadership developmentopportunityfornurseleadersworkinginallsectorsofhealthcare across the Commonwealth. The InstitutehelpsVirginia’sRegisteredNurses (RNs)whoserveas,orhavebeenidentifiedashavingthepotentialtobe,anursemanageroramemberofthemanagementteamstrengthenleadershipcompetencies.

Inatimeofgreatchangeandwithan increasinglycomplexhealthcareenvironment,enhancingleadershipknowledgeandskills, improvingcommunicationsandenablingleaderstosolvesharedproblemsandfacilitatechange is critical for nurse leaders. With strongerleadership skills, nurses lead staff more effectively,increasingthelikelihoodthatboththenurseleaderandhisorherstaffremainintheirjobs,therebypositivelyimpactingpatientcareoutcomesandnurseretention.

In addition to providing individual leadershiptraining, theNLI is helping grow the social capital ofVirginia’s nurse leaders, forming a network creatingchange,innovationandexcellenceandgreaternursingleadershipcapacityintheCommonwealth.NLIFellowsandAlumninumbernearly150nurses.Beingapartofsuch a peer network, Fellows and employers indicate,helpsparticipantsrecognizethattheyareencounteringsimilar issues in their respective work places andprovidesthemtheopportunitytolearnfromNLIfacultyandfromeachothertocreativelyandeffectivelyaddressthosechallenges.

Virginia’s nurse executives and NLI Fellows reportthat the Institute provides participants tools tostrengthen leadership skills, focusing on retainingnurses and improving patient outcomes. One ChiefNurse Executive shared “The NLI has been a greattool for nurse leaders within our organization. I haveobservedanincreaseinthenurses’confidenceandtheabilitytobemore‘big-picture-thinking’witharenewedmotivationto ‘engage’inthestrategicinitiativesofourorganization.” A Fellow in theClass of 2012 reported,“Thisclasswasamazing.Timeflewby.Iwascompletelyabsorbed inwhatwasbeingtaughtbecause itwassorelevanttomyworklife.Ilearnedsomuchaboutmyself

asanurse,aleaderandaperson.IamexcitedaboutbeingaNurseLeaderbecausenowI feel like Ihaveapathtofollowandguidancealongtheway.Thankyou.”

The NLI curriculum focuses on communicationskills,leadingthroughchange,managingresourcesandevidence-based practice, and complements employers’leadershipdevelopmentprograms.TheInstituteusesablended learningmodel—six (6)Retreats inRichmond,a structured Preceptorship, a Change Project andaccess to an extranet that supports distance learningactivities.Fellowsmay earn three (3) academic creditsfor successful participation in the NLI through apartnershipwiththeVCUSchoolofNursingoralmost100continuingeducationcontacthours.

NLI staff, Denise DalyKonrad, MS and Amy B.Gillespie, RN, MSN, EdD,work closely with Virginia’snurse executives to ensurethat the curriculum isrelevant and preparesnurses to serve effectivelyas leaders in a varietyof practice settings.Established and well-respected nurse leaders, aswellasexpertsinleadershipand communication, serveasFaculty.

To learn more about the NLI or to receive an announcement when applications are available, please go to www .VirginiaNLI .org or contact Denise Daly Konrad: 804 .282 .6282 or DKonrad@VirginiaNLI .org . For more information about the Richmond Memorial Health Foundation, visit www .rmhfoundation .org . ◆

Pictured from left to right: Haley Roberts, Carol-Jo Osinski, Melissa Grootendorst, Bonnie Bellows and Kelly Atkinson

Bachelor of Science in Nursing Traditional and Accelerated program schedules RN-to-BSN (live broadcast, live videostream, and online options)

Master of Science in Nursing Nurse Anesthesia (full-time, campus-based) Adult Gerontology CNS/Nurse Educator (online)* (Beginning fall 2012)Nurse Administrator/Nurse Executive (online, multiple entry options)* Family Nurse Practitioner (online with live broadcasts)* Women’s Health Nurse Practitioner (online with live broadcasts)* Nurse Midwifery (in partnership with Shenandoah University)

*Post-Masters certificate programs available

Doctor of Nursing Practice DNP Advanced Practice (online post-masters program) DNP Nursing Executive

For more information about a nursing education program, call or visit:

1-800-483-3625 dl.odu.edu/ODU-Nursing

Carilion Roanoke Memorial Hospital and CarilionRoanoke Community Hospital were awardedMagnet Recognition by the ANCC.

Help Inspire Better HealthCarilion Clinic, which serves nearly one million patients and families throughout southwestVirginia, is recruiting nurses for its eight hospitals, outpatient specialty clinics and primarycare centers.

Our nurses are:• Committed to improving the health of the communities that we serve.• Actively engaged in interdisciplinary, evidence-based initiatives that improve patient• care and safety using advanced technologies and innovative strategies.• Dedicated to their professional development and advancement as expert• practitioners, researchers, teachers and mentors.

As a Carilion employee, you can take advantage of a variety of opportunities for professionaldevelopment, an attractive pay and benefits package and relocation assistance.

To apply online or for more information, visit www.CarilionClinic.org/Careers or contact anurse recruiter at 1-800-599-2537.

Carilion Clinic is an Equal Employment Opportunity/Affirmative Action Employer.

Inspiring better health.

www.twitter.com/CarilionAtWork www.facebook.com/CarilionAtWork


Central Virginia Chapter(Formerly District 5)

Scholarship InformationTheVirginiaNursesAssociation,CentralVirginia

Chapter, Nursing Student Scholarship is awardedannually to selectednursing students attending anaccreditedschool ofnursingwithincentralVirginiaorwhoare residentsofCentralVirginia,butattendschoolsofnursingoutsideofthearea.

The schools should be accredited by NLNAC orCCNE.

Thesestudents shouldbe enrolled inadiploma, associate degree, or baccalaureate degree program. The scholarship is awarded to thosestudents who exhibit high academic achievement,a commitment to nursing, and strong clinical andleadershipabilities.

Fourscholarshipswillbeawardedat$500.00peraward

Criteria:• CumulativeGPAof3.0orhigherona4.0scale• Submission of the typed/word processed

scholarship application, nursing school/college official, sealed transcripts, andrecommendations(2).

• Studentmusthavereceived6ormoregradedcreditsinnursingcoursestobeconsidered.

• Evidence of clinical excellence supported byrecommendations (2) fromclinical instructorsorcurrentnursemanagers.

• Demonstration of leadership potential fornursing.

• Completion of a typed/word processed essayconsisting of 500 words stating why thecandidate wants to become a nurse or whataprofessionalnursingorganizationmeans toyou.Candidatesareexpectedtoexpounduponany involvement inprofessionalorganizationsand community service organizations on theapplication aswell as currentwork/activitiesinnursing.

All materials must be mailed as one packet bytheapplicant.IncompletepacketswillbeconsideredNAineligible.

Application Deadline: April 16, 2012 (postmarked by this date)

Sendto: Dr.KristinWindon,EdD,RN, GCNS-BC,CNE Chairperson,ScholarshipCommittee CentralVirginiaChapter 696FowlkesRoad,Victoria,VA23974

FormsandinformationalsoavailableattheVAwebsite:www.virginianurses.com ◆

VNA Chapter Development

IfyouareinterestedincreatingaChapter,pleasefollowthestepsbelow.

1. ObtainacopyoftheVNAbylawsbygoingto:www.virginianurses.com

2. ReviewcurrentVNAChapterslistedonwww.virginianurses.com

3. Identify the purpose of the Chapter indevelopment.(Chapterscanbecreatedaroundspecialinterests,geography,hospitalsystems,academic settings, practice areas, etc. VNAChapters created around special interestsand specialty practice areas do not replacethe value of belonging to your specialtyorganizations.)

4. Developarosterofaminimumof10currentVNA members, who would like to be amember of the developing chapter. If thereare Registered Nurses interested in joiningthechapter,whoarenotVNAmembers,theycanjoinbygoingto:www.virginianurses.com Membershipverificationcanbecompletedbycontacting the VNA Headquarters at 1-804-282-1808.

5. SelectaChapterChairwhowill serveas thecontactpersontoVNAHeadquarters.

6. Create a Chapter Name that identifies thepurposeofyourChapter.

7. Submit a VNA Chapter DevelopmentApplicationtoVNAHeadquarters.

8. The Chapter Development Committeewill review all VNA Chapter DevelopmentApplications and submit to the VNA Boardto approve or decline the application. TheMembership Development Committee willnotifyChapterapplicantsof theVNABoard’sdecision.

9. After a Chapter has been approved, it iseligibletoapplyforfundingfromtheChapterGrowthandDevelopmentFundbysubmittinga Chapter Growth and Development GrantApplication. ◆

forward step, improvement, progress

Culpeper Regional Hospital has opportunities for experienced nurses who want to take that forward step. We are currently accepting applications to join our Family Birth Center and Surgical Services teams. Please visit our job center at www.culpeperhealth.org for details and to apply online.

P.O. Box 592, Culpeper, VA 22701540-829-4304

REGISTERED NURSES

SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTEin Marion, VA has immediate openings for Registered Nurses, Upcoming Grads and Experienced RNs. Our current openings are on 1st, 2nd and 3rd shifts.

We provide:♦ An Excellent Shift Differential and Weekend Differential♦ 6-Week Orientation & Psych Preceptorship♦ Friendly Work Environment where your Professionalism is Valued &

Rewarded♦ Excellent Commonwealth of Virginia Benefit Package

156-bed state-of-the art Mental Health facility. Health, Healing & Hope is more than a motto, we make a valuable difference in the lives of our patients on the Adult-Acute & Long-Term Care and Geriatric Units.

To access the State Application visit our website www.swvmhi.dbhds.virginia.gov or visit our Recruitment Management System (RMS) website at https://jobs.agencies.virginia.gov

Human Resources Office, SWVMHI, 340 Bagley Circle, Marion, VA 24354. (Phone #276-783-1204 & Fax #276-783-0844) EOE


Mental Health Nursing, Does Evidence Complement Outcomes?The otherworldly experience that is mental illness

causeshumansufferingunlikeanyotherdisease.Allhumans suffer. How suffering manifests in behavioris as varied as are the models used to explain theexperience. Whether curling in a corner or silentlygoing about a lifeless routine, psychiatric nurseshavepreserved lifeandhelpedadultpatientsregainasenseofself fordecades.Asnursingmovestoexplainall carebasedonevidence, there isaneed to remindpractitioners who embrace use of self and othercomplementary practices that much of what helpsmentalhealthpatientsmaynotrequiremeasurement.

Mental health care is delivered in traditional andnon-traditional settings from teams in mobile vansproviding medications to advance practice nursesmanagingcomplextreatmentofclientsinlockedwards.Care is needed regardless of time, place, or finances,andnursesoftenare theproviders, coordinators,andtherapistsdeliveringcare.

The bio-psychosocial model has been practiced bynursing for years as amore inclusive alternative to areductionistmedicalmodel.ThemodelwasintroducedtopsychiatrybyGeorgeEngel (1978)asawaytohelpphysiciansorganizecareinamorelogicalway.

Evidence-basedpsychiatricnursinghasgrownfromaneed tomakenursing theoryactionable.Talking topeopleaspeople,however,maybeoverlookedwhenthereisanunderlyingsenseofuncertaintyaboutwhatbestpracticemightbeeffectivegivenapsychiatricpatient’smultipleneeds.

Although struggling with uncertainty whenfacing a challenging adult patient, research hasshown that models of psychotherapy achieve broadlysimilar outcomes, despite varying in their theoreticalorientations.The ‘equivalentoutcomesparadox’ (Stileset al, 1986), asserts that diverse care models canachieveresults,regardlessofdiagnosis.

Thosewhohaveworkedinthefield formanyyearsunderstand thateverythingworkswithsomepatientsand nothing works with others. Specific therapeutictechniques, according to Lambert (1992) can explainapproximately 12% to 15% of the variance acrosstherapies. Whether a patient can make connectionsfromtroubledpastrelationshipstocurrentunhappinessornametheself-defeatingbehaviorsthatworsenworkrelated anxiety disorders, the type of therapy offereddoesnotnecessarilyaccountforwhatcreatesasenseofhope,dignity,orsafetyforthatpatient.

Complementary nursing practices are based ona philosophy that recognizes the individual as anintegrated whole interacting with and being actedupon internal and external environments. Practicesof self-care, intentionality, presence, mindfulness,and therapeutic use of self are clearly healing andpatterningofwellnessinothers.

Theauthorunderstandsthatwarmth,theinstillationof hope and of feeling supported, the accurate use ofmedications,aswellasthe ‘ritual’associatedwiththeprovisionoftherapycanaccountformuchofwhathelpspsychiatricpatients. Thenon-specific factorsthataresoimpactfulforpsychiatricnursestounderstandhavebeendescribedinliterature.

Lambert and Bergin (1994) suggest that non-specific factors aremediators of outcome and ‘shouldnot be viewed as theoretically inert or trivial.’ Thetherapeuticalliancewiththepatientiswellunderstoodand, according toRoth andParry (1997) is predictiveoftheoutcomeofinterventionsaimedathelpingadultpsychiatricpatients.

AlargeUSstudyconductedinthelate1980’s(Elkinet al, 1989) compared CBT, interpersonal therapy,imipramineplusclinicalmanagement,and,aplaceboplus clinical management. Although imipraminewas found to be the most effective treatment,

psychotherapies had positive outcomes, with nostatisticaldifferencesineffectivenessbetweenCBTandinterpersonaltherapies(Elkinetal,1989).

Similarly an investigator’s allegiance to treatmentsunder comparison has been stated as stronglypredictiveofoutcome, explaining69%of thevarianceof comparative studies (Luborsky et al, 1999). Allpsychiatric nursing care, including complementarycare,islikelyroutedinevidence.

With the advent of new techniques for measuringchanges in blood flow within the brain, newopportunitieshavearisentotesttherapeuticoutcomesin patients exposed to many different therapies. Todate, a number of promising findings exist and maydrivecaretonewlevelsofprecision.

MentalhealthnursesdonotneedtofeelintimidatedorinsecureiftheyhavenotreceivedspecialisttraininginCBTorDBTforinstance.Thereisplentyofresearchevidencethatclearlyindicatesthetherapeuticvalueofavarietyofmodels.Anyformofcounselingthatleadstothedevelopmentofa therapeutic relationshipbetweennurseandpatientattendstothepotentialimprovementofpsychiatricpatients.Thisisdependentonthenursehavingsufficientclinicalskills,however.

As financial and psychosocial support for thementallyillcontinuetobechallenging,understandingthe broader opportunities that exist within mentalhealthnursing tousecomplementarycare tosupportthetherapeuticrelationshipwithpatientsmayprovetobeuseful,and,evidence-based. ◆

ReferencesElkinetal,1989Engel,G.,1978Lambert,Luborskyetal,1999RothandParry(1997)Stilesetal,1986

© 2012 KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. PRINCIPALS ONLY. DRUG-FREE WORKPLACE. EEO/AA EMPLOYER.

For more informationabout specific opportunitiesin Maryland, NorthernVirginia, or the District ofColumbia, we inviteinterested individuals tovisit jobs.kp.org forcomplete qualificationsand job submission details.

jobs.kp.org

The nation’s leading nonprofit integrated health plan, KaiserPermanente is a recognized health advocate in the communitiesin which it resides. Here, in the Mid-Atlantic Region, we providequality health care to our more than 500,000 members in Maryland,the District of Columbia, and Northern Virginia. At this time, wehave the following excellent opportunities:

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➞ Clinical Supervisor – Capitol Hill Medical Office Building

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➞ HP Director, Perioperative Services – Kensington, MD

I haveI believe in teamwork. That “good enough” never is. And that we can always do itbetter together. As a nurse at Kaiser Permanente, I put these beliefs into practice.My colleagues and I set our expectations high. And so does Kaiser Permanente.Together, we know that if we can help our patients maintain their best level ofhealth, we’ve succeeded in our mission. When you work together as family in anenvironment where the patient comes first, great things happen. The wholebecomes stronger. And so do the individuals. If you believe collaboration inspiressuccess, this is the place to put your beliefs into practice.

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Fauquier Health is a beautiful 97 bed, acute care hospital serving a rural/suburban community. We are located in stunning Warrenton, VA, approximately 40 miles southwest of Washington, DC.

We currently have great opportunities in multiple departments at Fauquier Health. We are seeking RNs with a minimum of two years of experience in an acute care setting.

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ANA and NCSBN Unite to Provide Guidelines on Social Media and

Networking for NursesThe American Nurses Association (ANA) and the

NationalCouncilofStateBoardsofNursing(NCSBN®)havemutuallyendorsedeachorganization’sguidelinesfor upholding professional boundaries in a socialnetworkingenvironment.

The use of social media and other electroniccommunication is expanding exponentially; thelatest statistics indicate that there are 150 millionU.S. Facebook accounts and Twitter processes morethan 250 million tweets worldwide on a daily basis.Social networking can be a positive tool that fostersprofessionalconnections,enrichesanurse’sknowledgebase, and promotes timely communication withpatientsandfamilymembers.ANAandNCSBNcautionnurses that they need to be aware of the potentialconsequences of disclosing patient-related informationvia social media and mindful of employer policies,relevant state and federal laws, and professionalstandardsregardingpatientprivacyandconfidentiality.

“Nurses must recognize that it is paramount thattheymaintainpatientprivacyandconfidentialityatalltimes,regardlessofthemechanismthatisbeingusedto transmit themessage, be it social networking or asimpleconversation.Aslicensedprofessionalstheyarelegallybound tomaintain theappropriateboundariesandtreatpatientswithdignityandrespect,”commentsNCSBNBoardofDirectorsPresidentMyraA.Broadway,JD,MS,RN, executive director,MaineStateBoard ofNursing.

ANA conducted a social media webinar, “NursingGuidelines for Using Social Media,” in October thatfeaturedNancySpector,PhD,RN,director,RegulatoryInnovations, NCSBN and Jennifer Mensik, PhD, RN,

NEA-BC, ANA board member and administrator forNursingandPatientCareServicesatSt.Luke’sHealthSysteminBoise,Idaho.

“Social Media can be a powerful tool, one withthe potential to enhance or undermine not onlythe individual nurse’s career, but also the nursingprofession,” said ANA President Karen A. Daley, PhD,MPH,RN,FAAN. “ANAhopes theseprinciplesprovidea framework for all nurses to maintain professionalstandards in a world where communication is everchanging.”

ANA’s e-publication, “ANA’s Principles for SocialNetworking and the Nurse,” provides guidance toregistered nurses on using social networking mediainawaythatprotectspatients’privacy,confidentialityand inherent dignity. This publication is available asa downloadable, searchable PDF, which is compatiblewith most e-readers. It is free to ANA members onthe Members-Only Section of www.nursingworld.org; non-members may order the publication atwww.nursesbooks.org. ANA also provides additionalresources at its Social Networking Principles Toolkitpage.

NCSBN’s white paper “A Nurse’s Guide to the Useof SocialMedia” canbe downloaded free of charge athttps://www.ncsbn.org/Social_Media.pdf. NCSBN isalsodevelopingelectronicandhardcopyversionsofabrochurefornursesandnursingstudentsthatdetailsprofessional standards regarding patient privacy andconfidentiality in social networking. AYouTube videoonsocialmediaisalsobeingproduced.Bothproductsarenowavailableandareaccessibleviawww.ncsbn.org freeofcharge. ◆

Education Progression:What Does It Mean

for Nurses in the Commonwealth?

Linda Dedo, RN, MSN, MHACommissioner on Nursing Education

The Future of Nursing report has elevatedawareness of the need for continued education innursing.Lifelonglearningisessentialinaprofessiondriven by patient acuity and advancing technology.Today’s nurses are required to work harder andsmarterthanever.Nursingleadersmustbereadytohelppreparetheworkforceforthesechallenges.

The Education Progression workgroup of theVirginia Action Coalition is working to analyzethe current state of the RN workforce in theCommonwealth. One goal of the Future of Nursingwork is to promote continued education for RNs sothat,by2020,80%oftheworkforceisbaccalaureateprepared. Our workgroup is collaborating withnurses, employers, nursing faculty, and nursingstudents to investigate creative strategies foraffordable and accessible education opportunities.Associate degree programs provide an importantvehicle for entry into practice and the committeeis working to identify ways for graduates of theseprograms to accomplish seamless progression tobaccalaureatepreparation.

Membersof thecommitteeareavailable tospeaktogroupsabout this initiative.Wewouldappreciatetheopportunitytosharethedetailsofourworkandtosolicitfeedback.

For more information on Education Progression,email Linda Dedo at [email protected] . ◆

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Nurses’ Involvement on Boards Survey

The Virginia Action Coalition’s LeadershipWorkgroup (VACLW) is aggressively working toidentify nurseswho are serving on local, statewideand national Boards and/or have the desire toserve on aBoard. TheWorkgroupwould appreciateyourparticipation in a short survey regarding yourcurrentandpotential future involvementonBoardsand/ororganization’sBoardofDirectors.Itwilltakeabout5minutestocompletethesurvey.AresponsebyFebruary28,2012wouldbeappreciated.

The survey can be found at https://www.surveymonkey.com/s/KG9DN92

ABoard,as theWorkgroupdefines it,mayrangefrom theBoard ofDirectors of a local free clinic orchapterofyourprofessionalassociation,toacountyhealth commission, to a statewide Board like theBoardofNursingortheVNAandbeyond.TheBoard/organizationdoesnotneedtobehealth-related.

We will use the information gathered to help usunderstandhow:

• Virginianursesareinvolvedasleadersintheircommunitytoday

• VirginianursesmightliketoserveasleadersthroughBoardmembership

• Tobest supportVirginianurses interested inBoardleadershipatvariouslevels

• TohelpVirginianursesbecomemoreengagedindecision-makingrelatedtohealthreform

The Workgroup’s efforts and this survey relatedirectly to the Institute of Medicine/Robert WoodJohnson (RWJ) Foundation’s report The Future of Nursing: Leading Change, Advancing Health andthe RWJ Foundation’s “Nursing Leadership – FromBedside to Boardroom” initiative, which recognizesthatnursesneed tobemore involved inhealthcaredecision-makingatthecommunitylevelandbeyondas healthcare changes with the passage andimplementationofhealthreform.

It is critical that nurses, as keymembers of thehealthcareteam,maketheirvoicesheardandhaveagreaterinfluenceinhealthcareplanning,policyandmanagement at all levels.Board involvement is oneway to increase nursing’s influence in healthcareandthebroadercommunity. ◆

Pleasetaketimetocompleteoursurvey!Thankyouinadvanceforyourparticipation

Staying Up-to-date on Changing Requirements

Michele Satterlund

As one of the most trusted professional groups,nursespracticewithasignificant levelof trustandrespect. As such, nurses must take responsibilityfor knowing and following the legal requirementsgoverninglicensureandpracticeinVirginia.

Nurses who vigilantly review laws that impactnursing practice, including nursing standardsspecifictothenurse’sareaofexpertise,willdevelopan increased level of confidence in their practicesandwillreducetheriskofpatientharm.

Finding time to locate and research the latestpractice requirements can be time consuming anddifficult.However,thereareresourcesavailablethatnursescanemploytohelpthemstaycurrentontheever-changingpracticeenvironment.

The Virginia Board of NursingThe Virginia Board of Nursing is an excellent

resource for staying current on nursingrequirements. The Board regulates the practice ofnursing as defined by Virginia’s laws and enforcesthe Nursing Practice Act, as well as other lawsrelatedtonursingeducation,licensure,practiceanddiscipline.

TheBoardwebsitemakesavailable(atnocharge)the laws and regulations that govern nursingpractice,includingguidancedocuments,publicationsthat define standards or expectations which arepartofa ruleor requirement.Todate, thereare59documentspostedontheBoard’swebsite,anumberofwhicharespecifictonursing.

In addition to the legal requirements governingnursing practice, the Board also posts a list offrequently asked questions to help nurses navigatethe various aspects of licensure. The questionsinclude topics covering the NCLEX, licensurerenewal,and issuesrelated to licensingprocedures.Of course, the Board is also available Mondaythrough Friday during standard business hoursto assistnurseswhomaywish to askquestionsbyphoneoremail.

The Board homepage regularly postsannouncements regarding practice or licensingchanges and provides helpful links to otherlicensure-relatedwebsites.NurseswhoregularlyandconsistentlyreviewtheBoardofNursingwebsitewillbeawareof,andbetterunderstand,anypendingorrecentpracticechanges.

Professional OrganizationsA professional association, an organization

formed to unite and inform people who work inthe same occupation, provides members withmany advantages. While the benefits of joininga professional organization include networkingopportunities, peer recognition, certificationsupport and career assistance, the professionalorganization also serves as a resource for keepingnurses up-to-date on changes to current practicestandards.Numerousstateandnationalprofessionalassociations representnot onlynursingasawhole,butthedifferentspecialtygroupsaswell.

Manyprofessionalassociationsnotifynurseswhenchangesaremadetofederalorstateregulations,aswell as offering continuing education opportunitiestohelpthepracticingprofessionalbetterunderstandtheevolving lawsandguidelines.Theseeducationalopportunities could include webinars, seminars,classesoronlineinteractiveeducationaltools.

Additionally,manyprofessionalassociationshavecommittees taskedwith overseeing state regulatoryandlegalsystems.Thesecommitteesareoftensomeof the first professionals to know about impendingchanges, and nursing professionals may wish toconsiderjoiningaprofessionalassociationcommitteeasanextrasteptoawell-informedpractice.

Professional Journals and MagazinesNumerous nursing publications cover a broad

spectrumofissuesaffectingnursingpractice.Whilesome publications contain content that is moregeneric, others are geared toward specific areasof practice. These types of publications can ensurethat nursing professionals stay current, not onlyonchangingpracticerequirement,butonthe latestmedicalbreakthroughs,trends,andtechnology.

These types of publications provide the perfectforum for introducing new information regardingpractice or research, thus serving as a criticalasset in assistingnursingprofessionals inknowingand understanding what new developments arehappeninginthepracticeofnursing. ◆

Michele Satterlund is an employment and health care attorney with Macaulay & Burtch, P .C . in Richmond, Virginia . She can be reached by telephone at 804-649-8847 or by email at msatterlund@macbur .com .

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Nurse Practitioners Introduce Bill toIncrease Access to Health Care

by Cynthia Fagan, RN, MSN, FNP-BC

A consensus bill, whichserves to increase access tohealth care for citizens of theCommonwealth and minimizeoversight obstacles for nursepractitioner (NP) care hasbeen introduced in the 2012General Assembly by theVirginia Council of NursePractitioners (VCNP). DelegateJohnO’Bannon,M.D.ispatronof House Bill 346 Practice ofnurse practitioners, patientcare teams. Thebill is a resultofmonthsofdialoguebetweentheleadershipofVCNPandtheMedicalSocietyofVirginia(MSV)inresponseto recommendations emerging out of the VirginiaHealthReform Initiative (VHRI)Capacity Taskforce toaddress systemic challenges of access to health careincluding current and projected shortages of primarycarephysiciansand thegeographicmaldistributionofhealthcareprovidersthroughoutthestate.

The bill is expected to increase access to healthcare delivered by NPs by extending the geographicreach to rural and underserved areas in the statethrough a team-based care model, which eliminatestherequirementforphysiciansupervisionanddirectionand provides for collaboration and consultation witha patient care team physician. Obstacles to NP caredelivery including the requirement for physicians toregularly practice in the setting where NPs prescribeor toconductregularsitevisitshavebeeneliminated.

In addition, paperwork requirements have beenstreamlined to include consolidation of the currentrequirements forbothapracticeprotocolandpracticeagreement into a single practice agreement documentthat will be maintained by the NP and provided tothe Boards of Nursing and Medicine as requested.Practice agreements are setting specific and affordflexibility in chart reviews and/or site visits in thefrequencynecessarytomaintainqualitycare.CurrentNP:MD ratioshavebeen increased from4:1 to6:1 forprescribing and will furthermore facilitate increasedassess to care especially when NPs volunteer in freeclinicsandothervolunteersettingsaswellallpracticesettings including primary care. Additionally, the billspecifiesforuseoftelemedicinetechnologyforNPcarein collaboration and consultation with a patient-careteam physician and specialists that will expand thegeographicreachofhealthcareservicestounderservedareasof thestate.The team-basedmodelof careandreducedregulatoryburdensareexpectedtoaffordmoreflexibilityandinnovationincaredeliveryinallpracticesettings.

SalientFeaturesofHouseBill346

• Removesphysiciansupervisionanddirection

• Permits NPs to practice in collaboration andconsultationwithapatientcareteamphysicianaspartofapatientcareteam

• Streamlines paperwork requirements andfilingprocessestoasingleelectronicorwrittenpractice agreement maintained by the NP andprovidedtotheBoardsuponrequest

• Allows practice agreements for NPs working in

Cynthia Fagan

hospitalsorhealthcaresystemstobesatisfiedbycredentialingdocuments

• Provides flexibility in requirement for periodicreviewofpatientchartorelectronicrecordsandvisitstothehealthcaredeliverysite

• Increases NP:MD ratios from 4:1 to 6:1 whenprescribing

• Allows for collaboration and consultationthroughtelemedicine

• Eliminates requirement for regular practice orsitevisitswhenNPsprescribe

While the consensus bill falls short of the keymessagethatnursesshouldpracticetothefullextentoftheireducationandtrainingincludedintheInstituteofMedicine’slandmarkreportontheFutureofNursing:Leading Change and AdvancingHealth, we recognizethatsouthernstateshavesomeofthemostrestrictive practice laws for advancedpractice nurses and believe that itis an acceptable incremental steptowardthegoal.VCNPiscommittedto continued dialogue with theMSVandwillcontinuecollaborativeeffortstoremoveNPpracticebarriersinthefuturetofurther improveaccesstoqualityhealthcare.

Visit our website at www.vcnp.net for additionalinformation about the bill and how you can helpsupportitspassage. ◆

NursePractitioners:PartnersforaHealthierTomorrow

Explore... Educate... Engage...

Open Faculty/Administrator

Positions

Description: Faculty needed in all areas of the undergraduate baccalaureate program, especially in Adult Health, Mental Health, Maternal/Child Health, and Community Health, as well as for grant positions: (1) a 9-month position for HU-CARES, which requires teaching retention courses and assisting with activities assigned by the project director, and (2) a 12-month position as a Nurse Recruiter/Counselor for HU-STARS that requires identifying, recruiting, and selecting students from disadvantaged backgrounds as project participants. A Master’s Nurse Educator is needed to prepare students to become Certified Nurse Educators. Administrator positions are also available: (1) a 9-month position as Chair of the Department of Graduate Nursing Education and (2) a 12-month position as Assistant Dean for Research.

Founded in 1868, Hampton University is a leading historically Black university located on the Virginia Peninsula in Hampton, Virginia. The undergraduate baccalaureate program has a traditional four-year program on the Hampton Institute campus and a three-year accelerated program at the College of Virginia Beach campus in Virginia Beach, Virginia. The graduate program incorporates both master’s and doctoral programs.

Duties and Responsibilities: Tasks include teaching, conducting research, and engaging in community service. Additionally, faculty must advise and register assigned students; participate in recruitment and retention activities; keep accurate academic/student records; prepare and/or maintain current course syllabi and outlines; develop course expectations; and sustain expertise in specialty areas in teaching, clinical practice, and professional development.

Requirements and Qualifications: Faculty in the undergraduate baccalaureate program must hold a master’s degree in nursing (earned doctorate preferred), a minimum of three (3) years of recent nursing practice, and two (2) years of clinical experience in specialty areas. Teaching experience is highly preferred. The Master’s Nurse Educator must have an earned doctorate, a minimum of 10 years teaching experience at the master’s level or higher, and hold at least the rank of Associate Professor. Administrators must possess an earned doctorate and a master’s in nursing.

A review of applications will begin immediately and continue until all available positions are filled. The compensation package will be commensurate with experience. Interested candidates should submit a curriculum vitae, contact information, and names of three professional references (please include their postal and e-mail addresses and telephone numbers) to Dr. Deborah E. Jones, PhD, RN, Dean, at [email protected]. If you wish to mail your materials, send them to the following address:

Deborah E. Jones, PhD, RN, Dean, School of Nursing 100 E. Queen Street, Hampton University, Hampton, VA 23668

http://nursing/hamptonu.edu


Advanced Practice Registered Nurses “Myth Busters”Stephen Blanchard, CRNA; Karen Winsted, CNM;

Donna Bond, CNS; Mark Coles, NP,Cindy Fagan, NP

Advanced practice registered nurses (APRN)are nurses with advanced didactic and clinicaleducation, knowledge, skills, and scope of practicein nursing. APRNs are educated at a minimumof a master’s degree though many hold doctoratedegrees in their specific specialty. APRN educationforms the basis of four recognized general areas ofspecialization which includes the roles of certifiedregisterednurseanesthetists(CRNA),certifiednurse-midwives(CNM),clinicalnursespecialists(CNS)andnurse practitioners (NP). Nationally, there is a lackof uniformity in recognition of APRN terminology,titling and regulations which results in barriers topracticeanddecreasesaccesstocareasAPRNsmovefromonestatetoanother.Therehasbeenmovementby theNationalCouncil of StateBoards ofNursingtowardstandardizationoftitlinganduniformuseofterminology with adoption of the APRN ConsensusModel.TheuniformadoptionoftheAPRNConsensusModel would ensure that education, accreditation,certification and licensure of APRNs is consistentfrom state to state and assure patient safety whileexpandingaccesstocare.

In Virginia, the APRN Consensus Model isnot recognized in statute or regulation. CRNAs,CNMs and NPs are recognized in the statues as acategory of nurse practitioners. The CNS’s practiceisrecognizedwithinthescopeofaregisterednurseanddoesnotallowfordiagnosingexceptfornursingdiagnosis. Lack of uniformity inAPRN terminology,titling and regulations leads to misunderstandingfrombothconsumersaswellashealthcareprovidersalike.

Certified Registered Nurse AnesthetistsIt is commonly believed by many healthcare

professionals that CRNAs have only been a recentphenomenon of the past few decades. In fact,nurse anesthetists have been providing anesthesiafor almost 150 years, well before physiciananesthesiologists formed their specialty. Historicalrecords show that nurse anesthetists providedanesthesiaduringthecivilwar.

Myth #1: The Standard of Care is different forCRNAsandphysiciananesthesiologists.

Truth: CRNAsmustmeet the same Standard of

Care that physician anesthetists do. Standard ofCareismeasuredbywhata“reasonableandprudentpractitionerwoulddoundersimilarcircumstances.”The primary goal in anesthesia is to provide thehighest level of care that would ensure that eachand every patient experiences the best possibleoutcome foragivensetofcircumstancesregardlessofwhethertheanestheticisdeliveredbyaphysicianorbyaCRNA.

Myth #2:CRNAsmustworkunderthesupervisionofananesthesiologist.

Truth: CRNAs are legally able to workindependently and without the supervision ofa physician anesthesiologist in all 50 statesthroughouttheUS.InVirginia,CRNAsarerequiredto be supervised by a physician, however thesupervisingphysicianisnotrequiredtopossessanyknowledge or skills specific to anesthesia delivery.Currently, many offices, outpatient facilities, andruralhospitalsinVirginiarelyonCRNAsasthesoleproviderofanesthesiafortheirpatients.

Myth #3: Anesthesiologists provide saferanesthesiacarethanCRNAs.

Truth: Several studies over the past 20 yearshavedemonstratedthatanesthesiacaredeliveredbyanurseanesthetistisjustassafeaswhendeliveredby a physician anesthesiologists. In August 2010,Health Affairs, a preeminent journal in healthcare,published the most recent study comparing thesafety of anesthesia when delivered by either anurse anesthetist or physician anesthesiologist.The study entitled, No Harm Found When Nurse Anesthetists Work Without Supervision By Physiciansi,once again confirmed that there is no increase inpatient morbidity or mortality when anesthesia isadministeredandmanagedbyaCRNA.

For more information about CRNAs, visit www.vana.org or www.aana.org.

Certified Nurse MidwivesCNMs provide primary health care to women

throughout the lifespan. They perform physicalexams,prescribemedicationsincludingcontraceptivemethods, order laboratory tests as needed, provideprenatal care, gynecological care, labor and birthcare,aswellashealtheducationandcounseling towomenofallages.

Myth #1:CNMsworkonlyinhomes.Truth: CNMs attend births in hospitals, homes,

andbirth centers. At thenational level, about 90%of births attended by CNMs occur in hospitals. InVirginia, CNMs must attend births in hospitalsbecause of supervisory/collaborative agreementsthat forbid out-of-hospital birth attendance. Thisprevents CNMs from providing services wherethere is no hospital or a physician willing to signan out-of-hospital collaborative agreement. Theseunfortunately are often the areas that could mostusetheservicesofaCNM.

Myth #2: It is illegal for CNMs to attend birthsoutsidethehospital.

Truth:There isnoVirginia lawrequiringwomento birth in a hospital or preventing CNMs fromprovidingbirthservicesoutsidethehospital.Womencangivebirthanywheretheychoose.

Myth #3: CNMs need to be supervised by aphysician.

Truth: CNMs are educated to be independentproviders who collaborate with physicians andother members of the health care team as clientshave need. Many states do not require a writtencollaborativeagreementwithaspecificphysician inorder forCNMs topractice. The safety ofmidwiferycare has been well documented. CNMs workinterdependently with other healthcare providerswithinthesystemofhealthcareintheirlocation.

For more information about CNMs, visit www.midwife.org.

ClinicalNurseSpecialistsThe CNS role includes providing direct patient

care,expertconsultantfornursingstaffs,researcherandleaderinimprovinghealthcaredeliverysystems.The analysis of statutes and regulations by LyonandMinarikii revealed that thereare26states thatspecificallyauthorizetheCNStopracticeasaCNS.Ofthosestates,15providetheoptionforprescriptiveauthority. As noted in the introductory paragraph,CNS’s in Virginia practice within the scope of aregisterednurseanddonotdiagnose(exceptnursingdiagnosis)orhaveprescriptiveauthority.

Myth #1:TheCNSisnotanAPRNsrole.Truth: The CNS is one of four categories of

APRN “Myth Busters” continued on page 11

“ I t ’ s u n l i k e a n y o t h e r p l a c e I ’ v e b e e n ”

COMMITMENT TO

NURSES...Everyday

Come see what makes SRMC different from other hospitals….While you’re here; we’ll give you a tour of our new state-of-the-art medical center and let you talk with other nurses so you can have a better understanding of what we have to offer RNs.

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Experience the difference in our delivery of healthcare. Call us today and see why we are unlike any other place you’ve ever worked.

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advanced practice nurses recognized by theAdvanced Practice Registered Nurse ConsensusModel. The first CNS program began at Rutgers’sUniversity in 1954 and was the first APRN role torequiregraduate level education. In theUSA,about72,521 RNs have the education and credentials topracticeasaCNSandabout14,689RNscanpracticeas both a nurse practitioner (NP) and a CNS. TheCNSevolvedfromtheexpertbedsidenurse.

Myth #2: The CNS only practices in hospitalsettings.

Truth: CNSs are expert clinicians that work ina wide variety of clinical practice areas. Generally,theCNSpractices ina specialized clinical area, forexample:

– Population(e.g.pediatrics,geriatrics,women’shealth)

– Setting (e.g. critical care, emergency room,hospitals,outpatientofficesorclinics)

– Disease or Medical Subspecialty (e.g.diabetes,oncology)

– Type of Care (e.g. psychiatric, rehabilitation,communityhealthprograms)

– Type of Problem(e.g.pain,wounds,stress)

Myth #3:TheCNSisprimarilyaneducatorrole.Truth:Educatorisjustoneoftherolecomponents

of the CNS. The other components include expertpractitioner, consultant, researcher and leader. TheCNS functions autonomously and in collaborationwith other healthcare providers. In addition toproviding direct patient care, the CNS influencescare outcomes by providing expert consultation fornursingstaffsandbyimplementingimprovementsinhealthcaredeliverysystems.

Formore information about CNSs, visit www.vacns.weebly.com.

Nurse Practitioner

NPs have provided health-care services formore than 40 years. The nurse practitioner rolehad its inception in the mid-1960s in response toa nationwide shortage of physicians. NPs provideprimary care and specialty care, and are qualifiedtomeet themajority of patients’ health careneeds.They promote a comprehensive approach to healthcareandemphasizetheoverallhealthandwellnessof theirpatients.Themost recentHealthResourcesand Services Administration Sample Survey report(2008) shows 158,348 Nurse Practitioners in theUnitedStates.

APRN “Myth Busters” continued from page 10 Myth #1: NPs need supervision to be safeproviders.

Truth:Virginia isoneof just12states requiringmedical direction and supervision of NPs for eitherdiagnosis and treatment or with prescriptiveauthority. The argument goes that maintenanceof supervision ostensibly improves patient safety.Yet there is no objective evidence whatsoever thatmandating this requirement for supervision in thestatutes or regulations has any correlation withpatientsafety.Thisisregardlessofwhichparametersfordeterminingpatientsafetyareutilized.

Forexample,theNationalPractitionerDataBank(NPDB) tracks the number of malpractice relatedactions across all states for allNurse Practitioners,Doctors of Osteopathy (DO), or Medical Doctors(MD). Across the board, NPs are involved in farfeweractions.TheoverallNPDBoccurrence ratiooftotalnumberofreportstototalnumberofprovidersis 1:160 for NPs and 1:4 for MDs and DOs. Thesepatterns hold true for the other national datastorehouse as well—the Healthcare Integrity andProtection Data Bank. Furthermore, there is nochangeintheseratioswhethertheNPsarepracticinginstateswhichrequiresupervisionorwhether theymay practice autonomously. NP education, trainingand abilities do not vary across state lines—whatdoesvary—andquiteillogicallyso—arethestatutoryrestrictionsonNPpractice.

Myth #2: NPs provide lesser quality care thanMDs.

Truth: Data from numerous blue ribbon studiesand panels (including physician reviewers) havedocumentedthehighqualityofNPcare.Thisistrueof clinical outcomes and the same holds true forpatientsatisfactionmeasures.

Amongitsmanyrecommendations,theprestigiousandinfluentialIOMReportonTheFutureofNursing:Leading Change, Advance Health recognized the

efficacy of NP care. A major retrospective study ofAPRN outcomes over several decades was recentlypublishedintheJournal of Nursing Economicsiii.Theyanalyzed 69 studies published between 1990 and2008.NPoutcomesweresimilarorbetterthanthoseof physician comparison groups in areas of glucosecontrol, lipidcontrol,patientsatisfaction, functionalstatus and mortality. The study reinforced thatAPRNs provide effective, high quality patient careandplayanimportantroleinimprovingthequalityofcareintheUnitedStates.

Myth #3: NPs malpractice insurance rates willskyrocketifmedicalsupervisionisremoved.

Truth: National malpractice insurance carrierssuch as Marsh or Nurses Service Organizationmake no such distinction in setting their rates.The actuaries set rates according to the field ofclinicianpractice,notthepracticemodel.Thus,NPsinOB/GYNorcriticalcarewill typicallypayhigherpremiums thanNPs in primary care. Furthermore,contrarytopopularmyth,MDswillhavelessliabilityexposure with removal of supervision requirementswith more “arms-length” distance established in acollaborativeorautonomousmodel.

For more information about CNPs, visit www.vcnp.net. ◆

Referencesi Dulisse B, Cromwell J (2010). No Harm Found When

Nurse Anesthetists Work Without Supervision byPhysicians.Health Affairs,2010(29):1469-1475.

ii Lyon BL, Minarik P. (2001). Statutory and regulatoryissues for clinical nurse specialist (CNS) practice:ensuring the public’s access to CNS services. ClinicalNurseSpecialist.2001;15(3):108-114.

iii NewhouseRP, Stanik-Hutt J,WhiteKM, JohantgenM,BassEB,ZangaroG,WilsonR,FountainL,SteinwachsDM, Heindel L, Weiner JP (2011). Advanced practicenurse outcomes 1990-2008: A systematic review.Nursing Economics, 2011 September/October (Vol. 29,No.5).

Contact:

Johnathan PhillipsR.N., M.S.N., M.S.

[email protected]

(540) 831-7656www.radford.edu/nurs-web

Online R.N. to B.S.N.The post-licensure track of our undergraduate program

accommodates working Registered Nurses who may have family, community and other responsibilities. The 26-credit track may be completed in just three semesters, and part-time options

are available. Using online instruction, experienced faculty are available electronically, via telephone and in person. Clinical

hours are completed in students’ own communities.

“The R.N. to B.S.N. program provided me a wonderful educational experienceand gave me the confidence to pursue further studies.” —Recent Graduate

START THINKING AHEAD.

START AHEAD OF THE CURVE.

START BECOMING A LEADER.

START ON THE CUTTING EDGE.

START MAKING A DIFFERENCE.

START READY FOR THE FUTURE.

STAY STRONG.

©2008. Paid for by the United States Army. All rights reserved.

Contact 910-528-5836 or visitgoarmy.com/rotc/courses-and-colleges/programs/nursing.html

for more information.

ARMY STRONG.

There’s strong. Then there’s Army Strong. By enrolling in Army ROTC as a nursing student in college, you will receive advanced training from experienced Army Nurses working with state-of-the-art equipment on real patients. After graduation, you will care for Soldiers as an Army Nurse. And lead others as an Army Officer.

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START ACCOMPLISHING MORE.

The #1 Choice for Nursing Professionals!Immediate need for Critical Care,

Med/Surg, OR, and ER• Your choice of assignments • Expand your skills • Per-Diem

• 24-hour support team • Short and long term contracts available• Flexible hours • and more!

To apply, call 804-716-9200

www.carepartners.net

NURSING INSTRUCTOR – Full-TimeEverest College–Tysons Corner Campus, a division of Corinthian Colleges, Inc., has an immediate opening for a dynamic and caring Nursing Instructor for our new associate degree (RN) nursing program.

We are currently hiring one full-time Nursing Instructor for a classroom/clinical/lab position. Qualified candidates for the position must hold a current, unencumbered VA RN license or a multi-state licensure privilege to practice nursing in VA and 2 years of recent clinical nursing experience (within the last 5 years). Preferred qualifications include: a Master of Science in Nursing degree, strong medical-surgical nursing background, and teaching experience in nursing.

We offer an exceptional starting salary and benefits! Please send a resume with a cover

letter to: [email protected]. EOE


American Nurses Advocacy InstituteVNA members, Cynthia Fagan, RN, MSN, FNP-

BC and Thelma Roach-Serry, RN, BSN, NE-BCparticipated in the third annual American NursesAdvocacy Institute (ANAI) face-to-face sessionheld inWashington, DC, in October, 2011. Twenty-two participants, representing twenty states wereselected by their state nurses association (SNA) toparticipate in this prestigious year-long mentoredprogram which is sponsored by the ANA. CynthiaFagan is President of theVirginiaCouncil ofNursePractitioners and Thelma Roach-Serry is Vice-PresidentoftheVNA.

According to Janet Haebler MSN, RN, ANAAssociate Director, State Government Affairs,“the intent of the program is to groom a cadre ofnurses into political leaders, who will supportadvancementof theSNA’sandANA’s legislativeandregulatory agendas, while educating nurses aboutthe policy-making process.” A broad array of topicswere covered during the 2½-day program withparticular emphasis given toassessing thepoliticalenvironment when seeking to make a sustainedpolicychange,messagingforspecificaudiences,andworkingincoalitions.Uniquetothisprogramistheexpectation that all participants work on a givenprojectorsetofactivitiesexplicittoasetgoal.

During the face-to-face, Cynthia and Thelmaparticipated on an assigned team to perform groupexercises and make pre-arranged visits to theoffices of Virginia (Rep Connolly D, 11th District),NorthCarolina (Sen.Hagan –D), New Jersey (Rep.LoBiando – R), and Maryland (Sen. Mikulski – D).Talkingpointswerepresented to legislative liaisonson the Home Health Planning and Improvementbillwhichwould allowadvancedpractice registerednurses (APRNs) – nurse practitioners (NPs), clinicalnurse specialist (CNSs), certified nurse midwives

(CNMs)andphysicianassistants(PAs)toorderhomehealthservicesandmeettheface-to-facerequirementunderMedicare.

ANAI participants are assignedmentors and areexpected to participate in bi-monthly conferencecalls toprovideupdateson their respectiveprojectsand/orproposedactivities. ◆

Left to right: Cynthia Fagan, RN, MSN, FNP-BC, President of VCNP; Janet Haebler MSN, RN, ANA Associate Director, State Government Affairs and Thelma Roach-Serry, RN, BSN, NE-BC, Vice President of VNA at the American Nurses Advocacy Institute in Washington, DC.

VCU to Launch State’s First NursingPh.D. Hybrid Program in Fall 2012

by Nancy McCain, D.S.N., R.N., FAAN, Chair, Doctoral Program Committee,

VCU School of Nursing

The VCU School of Nursing will enhance itscurrent Ph.D. program by incorporating a *hybridinstructional format beginning Fall 2012. This willbe the first nursing Ph.D. hybrid program basedin Virginia and will place VCU among only a fewuniversitiesintheMid-Atlanticregionthatofferthisdegreeoption.

Ourprogramwillincludeacombinationofonlinecourses and on-site courses to offer students adynamic, interactive learning experience that willpreparethemtobecomenursescientists.Thehybridformatwill require periodic on-campus experiencesand continuous enrollment in the Ph.D. programuntilthedissertationissuccessfullycompleted.

AnnHamric,Ph.D.,R.N.,FAAN,AssociateDeanofAcademic Programs, said the format is designed toexpandthePh.D.program’sreachtoawiderrangeofhighly motivated, independent students who aspireto become scholars, make a significant differencein the field of nursing, and study with nationallyrecognized nurse scientists who conduct cutting-edgebiobehavioralresearch.

“Throughout their studies, Ph.D. students willengage in experiences that foster their developmentas nursing leaders, educators and nursescientists,” Dr. Hamric said. “Role developmentis focused on mentored and guided research andscholarly experiences, as well as development ofinterdisciplinarybiobehavioralresearchprograms.”

Dr. Hamric also emphasized the experienceof our faculty, describing them as “distinguishedexperts engaged in teaching and research that aretransformativetothenursingprofessionandhealthcare,ingeneral.”

With the establishment of its NINR-funded P20CenterforBiobehavioralClinicalResearch(CBCR)in2004,theVCUSchoolofNursingplaceditselfamongafeweliteinstitutionsinthenationfocusingonthedevelopment of biobehavioral science for nursing.In 2009, NINR awarded our school a P30 grant,expandingtheCBCRintotheCenterofExcellenceforBiobehavioralApproachestoSymptomManagement.Centerresearchersaremakingimportantdiscoveriesthat advance nursing knowledge, particularly byenhancingsymptommanagementandbiobehavioraloutcomes. Our faculty, post-doctoral fellows, anddoctoralstudentshaveawiderangeofopportunitiestointeractwiththeCenterbyconsultingwithcenterscientists, utilizing center services or support staff,and participating in center symposia and otheractivities.

Ranked in the top 10% of the nation’s graduatenursing programs by U.S. News andWorld Report,the VCU School of Nursing offers unparalleledtrainingopportunities forPh.D.studentsduetotheexperienceofourhighlytrainedfaculty,state-of-the-art facilities, and collaboration with VCU MedicalCenter,alevel1traumacenterwithMagnetstatus.

To apply or learn more about the upcominghybrid Ph.D. program in nursing, contact Mrs.Susan Lipp, Assistant Dean, at 804-828-5171 [email protected] . ◆

*The hybrid format is pending university approval,whichisexpectedtooccurbyearlyspring2012.

TheVNAapologizesforanerrorinourlastissueof the Virginia Nurses Today . We inadvertentlylistedCarolynRutledgeastheDeanoftheSchoolof Nursing at Old Dominion University. Actuallyshe is the Graduate Program Director of theSchoolofNursingatODU.VNAregretstheerrorand apologizes for any confusion it might havecaused. ◆

Gateway to Health:An Interdisciplinary Approach to Oral Health

Care in the Geriatric Population

June 1, 2012

Chestefield, Virginia

8AM – 1:00 PM

The purpose of this course is to providetraining for a wide range of health careprofessionals and direct care providerspertaining tooralhealthcare in thegeriatricpopulation.

Aninterdisciplinaryapproachwillbeutilizedto1) Increase clinical knowledge related to

maintenance of oral health for elders inlongtermcaresettings

2) Increase awareness of the importance of interdisciplinaryoral careon the impactofoverallhealthstatusandqualityoflifeforelders.

Contact: Patricia Brown Bonwell at [email protected], (804) 647-7730

*RegistrationbeginsmidFebruaryattheVirginiaDentalAssociation’ssitewww.vadental.org

ThisisofferedFreeofChargeandoffers4.5CEcredits

ThiscourseisalsoavailableviawebinarhostedontheVirginiaDentalAssociation’swebsite

New River Valley ChapterThe initial meeting of this new chapter was

January18thwith12memberspresent.AlegislativeupdateaswellastheworkgroupsfortheIOMFutureofNursingwerediscussed.

The chapter plans to meet bimonthly. MemberswholiveintheNewRiverValleyshouldwatchforanemailannouncementoftheMarchmeetingdateandplace.

ContactEllenLinkenhoker,[email protected]. or the VNA [email protected] for more information about hisnewchapter. ◆

CAMP NURSERNs needed for a NY Performing Arts Camp located in Hancock, 2½ hours from NYC. Available for 3, 6, or 9 weeks and include room and board. Families are accommodated.

For info call (800) 634-1703 or go to: www.frenchwoods.com

Nursing FacultyOPENINGS

• Graduate FNP Faculty and•Adjunct Faculty Positions

Winchester & Leesburg Campuses•Coordinator - Continuing Education

Faith Community Nursing - Winchester Campuswww.su.edu

Shenandoah University supports and encourages diversity in the workplace. Minorities encouraged to apply. All positions require candidates to complete a

pre-employment criminal background check. EOE.

Please send cover letter, resume and contact information for 3 references to:

[email protected]


Join VNA Today!

Apply online atwww.VirginiaNurses.com

• • • •

MARYMOUNT UNIVERSITYNursing Programs

• Bachelor of Science in Nursing- Four-year B.S.N.- Accelerated B.S.N. for students with a

bachelor’s degree in another field- R.N. to B.S.N. (primarily online)

• Master of Science in Nursing- Family Nurse Practitioner

• Doctor of Nursing Practice

Nursing Programs Information SessionsGraduate Open House

Saturday, March 24 • 10 a.m.

Nursing LuncheonWednesday, April 25 • noon

www.marymount.edu

RSVP: (703) 284-5902 orwww.MarymountNursing.com

summer camp positions: • rn • LpnIf you are a qualified nurse who enjoys working with kids, consider a summer at Songadeewin of Keewaydin for girls or Keewaydin Dunmore for boys on beautiful Lake Dunmore in the heart of the Green Mountains of Vermont. Newly renovated Health Centers and private areas for Nurses. Keewaydin’s website is www.keewaydin.org. Contact Ellen Flight at (802) 352-9860 or by email at [email protected]

A premier Continuing Care Retirement Community

employing can-do, dynamic, caring health professionals.

We offer a unique environment dedicated to resident-centered

care. Our Total Rewards Package is strategically

designed to keep us The Employer of Choice.

300 Westminster-Canterbury Drive, Winchester, VA 22603(540) 535-1514 • www.svwc.org

Virginia Appalachian Tricollege Nursing Program, Faculty Position. Evening and Weekend Program. Position based at Virginia Highlands Community College in Abingdon, VA.

RN with Master’s degree in Nursing or currently enrolled in a MSN program with a target for completion within 18 months from time of application. Two years recent, related clinical experience required.Rank and salary dependent upon qualifications.

Applicants must submit:• a completed Commonwealth of Virginia Application for Employment;• resume;• a letter of interest addressing qualifications for position, view of the

community college teaching role and professional aspirations;• unofficial copies of all college transcripts;• a list of three references with names, addresses, telephone numbers

and e-mail addresses.

The position is open until filled. The application form and job announcement may be accessed at www.vhcc.edu. Direct materials to Human Resource Manager, Virginia Highlands Community College, P.O. Box 828, Abingdon, Virginia 24212. Email: [email protected]. EOE

MEDICAL SURGICAL CLINICAL NURSING INSTRUCTORS (PART-TIME)

J. Sargeant Reynolds Community College has a need for adjunct medical surgical clinical instructors to teach in the AAS Nursing Program. Qualifications Required: High school diploma or equivalent; Bachelor’s degree in Nursing and Registered Nurse’s license. Recent clinical experience in medical surgical nursing. Pre-employment security screening is required. Salary commensurate with the education and experience of the applicant.

For further information, please contact Elaine Beaupre in the School of Nursing and

Allied Health at (804) 523-5476 or [email protected].

Additional information is available at the College's web site: www.reynolds.edu

AA/EOE/ADA


Welcome New & Returning MembersAJynniferAlbano,VirginiaBeachJuliaAllaman,GraftonCindyAndrejasich,LeesburgRobinsonAlison,CharlotteCourt House

BIreneBalcorta,YorktownCrystalBall,Lebanon,VAMaryBall,RichmondSusanBates,LynchburgElaineBeaupre,RichmondDianeBengtson,RichmondMaryAntoniaBeyer,ChesapeakeKarenBohnke,RichmondSandraBribnkman-Denney, PurcellvilleMichaelBrown,MelfaVickersBryan,AlexandriaShereseBunkley,SuffolkCrystalBurton,Dublin,VAJillByrd,Gloucester

CJeannetteCain,RichmondIrmaCaldwell-BarberWoodbridgeGaynorCallis,North,VANicoleCanterbery,RestonMaribethCapuno,RoanokeMelanieChristian,MidlothianCrystalClark,NewportNewsKellyClark,LeesburgMichelleClark,RoanokeRachelCloutier,RichmondAngelaConrad,ArlingtonLesleyCook,HarrisonburgAllisonCrawford,CharlottesvilleSuzanneCurry,Floyd

DBernadetteDarden,VirginiaBeachCaroleDarling,RichmondJuanitaDaugherty,LynchburgLisaDavey,RichmondRichardDempsey,PortsmouthRobynDiehl,MidlothianLisaDillon,RockyMountJudyDooley,LortonPatriciaDzandu,Hampton

FCynthiaFagan,MidlothianJessicaFinney,PetersburgAnnetteFrancis,UnitedStatesNavyJulianaFrimpong,WoodbridgeS.CatherineFurry,CharlottesvilleAndraFisher,Williamsburg

GRachaelGarlitz,Hagerstown,MDDianaGilbert,SpringfieldHeleneGingras,PoquosonJoyceGooden,MidlothianBrittanyGoldberg,RoanokeMandieGonzales,WoodbridgeBrendaGould-Johnson,ChesapeakeBrendaGravely,MartinsvilleAlisenGuyet,VirginiaBeach

HPamelaHanson,BassettAmyHardy,SanAntonio,TXLatishaHarper,PetersburgRhondaHarrigan,WinchesterAmeliaHarris,MarionDeneenHarris,MechanicsvilleErnestineHarris,AlexandriaKatherineHerring,KingGeorgeSusanHerrold,AlexandriaMelissaHoffman,Fairbanks,AKKatherineHughes,Leesburg

I–JLeslieJambor-Rakes,RoanokeAngelaJunior,Norfolk

KFatmataKabba,FredericksburgGeorgineKamide,CopperHillInjungKim,BristowValerieKnobloch,GreatFallsKellyKovlak,Lynchburg

LKellyLee,FairfaxRebekahLewis,BlacksburgJessicaLively,WinchesterTamiLynn,NewportNews

MStephanieMarangoni,SuffolkMarciaMason,MonetaSharonMcAllister,RadfordLindseyMcCurry,RoseHillTamaraMeyer,HarrisonburgDeniseMiller,CentrevilleEmilyMiller,RoanokeMaryMitchell,MidlothianRoderickMoore,SterlingDeboraMorley,PalmyraHillaryMorris,Leesburg

N–OMelissaNewman,CartersvilleChristinaNez,WarrentonGraceNixon,PotomacFallsNaomiNyarko-Kusi,WoodbridgeBeatriceOgunbo,Norfolk

P–QDianePeng,CharlottesvilleCristyPenn,LairdSarahPerry,MechanicsvilleBeatricePhillips,NewportNewsBethAnnPierce,PearisburgRobertPowell,SouthHillCatherinePrescott,RoanokeRebekahPrice,FredericksburgSoniaPritchett,NewportNewsMichelleQuesenberry,Hillsville

R–SCharlotteRamsey,RadfordPaulaRandolph,MadisonHeightsDeanaRhinehart,Bristol,VACarolRiggins,LynchburgRachelRiley,RichmondVickiRosas-Sanchez,RichmondHazelRuff,NewportNewsMiattaSamba,ManassasKarlaShuler,VirginiaBeachKareenSmith,RichmondPatriciaSmith,VirginiaBeachCatherineSmotrila,PulaskiMargaretStuppy,YorktownAnnSwitzer,SouthBoston,VA

TMaryTate,ArlingtonMarshaTaylor,CharlottesvilleSusanTaylor,VirginiaBeachMitziThomas,MathewsJanetThompson,Portsmouth

U–ZSuziWells,ForestKennethWhite,RichmondLanellWilliams,GloucesterReginaWilliams,HamptonDonnaWilmoth,HarrisonburgChristopherWilson,Meridian,MSCynthiaWilson,HenricoPamWisor,StephensCityKyleWyman,LangleyAFBRobertA.Young,III,Richmond ◆

We’re looking for great Leaders to join our Team!

•Woodbridge,VACampus: HealthSciencesDepartmentChairneeded. Advanced degree

required with medical teaching experience preferred.

WeekendClinicalNursingInstructorsneeded. MSN required.

• FallChurch,VACampus: InstructorsneededforMaternalChildandPediatricClinical

Faculty&Agency/PreceptorCoordinator.MSN required.

[email protected] That Works

www.stratford.edu

Wishing upon

a star?

Find a nursing career where you can become a star!

Find a nursing career where you can become a star!

nursingALD.comRegistration is free, fast, confidential and easy! You will receive an

e-mail when a new job posting matches your job search.


BON SECOURS MEMORIAL COLLEGE OF NURSINGBon Secours Health System



BON SECOURS MEMORIAL COLLEGE OF NURSING



BON SECOURSMEMORIAL COLLEGE OF NURSING

with mice type

no mice type

For more information, visit www.bsmcon.edu

Admissions: 804-627-5300 or toll free 866-238-7414

your education, your career,at your convenienceadvance your career online through our RN to BSN program • Complete your Bachelor of Science in Nursing in 3-5 semesters

• No clinicals

• Competitive tuition

• Asynchronous courses give you flexibility

Certified to operate in Virginia by the State Council of Higher Education for Virginia

EOE/AA. Women, minorities, veterans and persons with disabilities are encouraged to apply.

KEVINRegistered Nurse

WE’VE BUILT OUR REPUTATION AS ANEXCELLENT EMPLOYER, ONE PERSON AT A TIME.

The benefi ts of working as a nurse at VCU Health System are clear. We’re a Magnet® hospital – the fi rst in Richmond to achieve this prestigious designation and the fi rst to gain re-designation, a seven-time Working Mother magazine

“100 Best Company,” a 2011 Richmond Employer of Choice and a recipient of the 2011 Alfred P. Sloan Award for Workplace Flexibility. As a great place for work/life balance, we provide child and elder care, fl exible work options, extensive medical benefi ts, competitive pay and pre-paid tuition. Everything you need for a wonderful nursing career can be found here at VCUHS.

Discover all that VCU Health System has to offer at www.VCUHS.jobs.

certification

RNs, ARE YOU READY TO RETURN TO THE WORKFORCE?

YOU CAN LIVE ANYWHERE IN VA. AND TAKE OUR REFRESHER COURSE

RN Return to Practice is a Web-based course and includes:• an on-campus 3-day clinical skills weekend with Healthcare CPR and

simulation• an on-campus 3-day Pharmacology & IV Infusion Therapy weekend

IV Infusion Therapy Weekend (Sat. & Sun.) and our Physical Assessment Online Program are great ways to polish your skills or reactivate your RN License. For more information please visit our website or call us.

703-822-6523www.nvcc.edu/wdce/mec/

[email protected]


Comprehensive consumer information is available at: chamberlain.edu/studentconsumerinfo

Chamberlain College of Nursing. Expanding access to nursing education today to ensure our health tomorrow.

With 2.8 million new and replacement nurses needed by 2020*, nurses have the opportunity to shape the future of healthcare. Chamberlain is increasing access to nursing education nationwide by launching new campuses and adding fl exible online degree programs.

• For aspiring nurses, Chamberlain offers a 3-year Bachelor of Science in Nursing (BSN) degree program** .

• For nurse advancers, Chamberlain offers the RN to BSN online degree completion option, the RN-BSN to MSN online option and the Master of Science in Nursing (MSN) online degree program.

Chamberlain is advancing healthcare by training the nurses, nurse leaders and nurse educators of tomorrow.

Expanding access to nursing education today to ensure our health tomorrow.

With 2.8 million new and replacement nurses needed by 2020*, nurses have the opportunity to shape the future of healthcare. Chamberlain is increasing access to nursing education nationwide by launching new campuses and adding fl exible online degree programs.

• For aspiring nurses, Chamberlain offers a 3-year Bachelor of Science in Nursing (BSN) degree program** .

• For nurse advancers, Chamberlain offers the RN to BSN online completion option, the RN-BSN to MSN online

Master of Science in Nursing (MSN) program.

Chamberlain is advancing healthcare by training the nurses, nurse leaders and nurse educators of tomorrow.

Now enrolling for spring, summer and fall semestersFor more information, please visit chamberlain.edu or call 888.556.8CCN (8226)

Chamberlain College of Nursing, 2450 Crystal Drive, Arlington, VA 22202 is certifi ed to operate by the State Council of Higher Education for Virginia, 101 N. 14th Street, 10th Floor, James Monroe Building, Richmond, VA 23219, 804.225.2600. Chamberlain College of Nursing has provisional approval from the Virginia Board of Nursing, Perimeter Center, 9960 Mayland Drive, Suite 300, Henrico, Virginia 23233-1463, 804.367.4515.

© 2012 Chamberlain College of Nursing, LLC. All rights reserved.

* U.S. Department of Health and Human Services, Health Resources and Services Administration, 2008** The on-site Bachelor of Science in Nursing (BSN) degree program can be completed in three years of year-round study instead of the typical four years with summers off.

Chamberlain College of Nursing Arlington Campus – 2450 Crystal Drive – Arlington, VA 22202 – 888.556.8226

Documents

The Official Publication of the Virginia Nurses Association Volume …€¦ · the transition from districts to chapter structure. A legacy that will follow Susan will be the creation