Together, we can have a positive impact on Long-Term Care ...fadona.org/2020/FADONAFocus_PreconventionMarch2020.pdf · tables, DJ and dance floor, karaoke, live entertainment, and

®

F O C U S

Together, we can have a positive impact on Long-Term Care!Together, we can have a positive impact on Long-Term Care!

Florida Association Directors of Nursing Administration/LTCFlorida Association Directors of Nursing Administration/LTC

FADONA/LTCP r e c o n v e n t i o n

MARCH 2 0 2 0

Inside FADONA FocusMessage from the President ........................................................................................ 3Regional Reports ..................................................................................................... 4-5FADONA’s 33rd Annual Convention to Share Sounds of Success ............................. 6The Elder Justice Act ............................................................................................... 8-9Carrying the Torch of Leadership 2020 Convention Highlights ......................... 10-11The Imposter Leader ............................................................................................ 12-13The Future of CBD Oil ............................................................................................. 14Directory of Alliance Council Members — Our Preferred Vendors ........................ 16

The Premier Event for Nurse Administrators!

Visit pages 10 and 11to learn more aboutCarrying the Torch ofLeadership 2020 Convention!

Visit pages 10 and 11to learn more aboutCarrying the Torch ofLeadership 2020 Convention!

2 FADONA/LTC is here for you!

P R E C O N V E N T I O N — M a r c h 2 0 2 0 F A D O N A / L T C

Presents:

FADONA/LTC is here for you! 3

P R E C O N V EN T I O N — M a r c h 2 0 2 0 F A D O N A / L T C

Success – A Motown Disco FunNight. It will feature casinotables, DJ and dance floor,karaoke, live entertainment,and fabulous prizes for theChinese Auction.

We are all confronted withour facility’s individualchallenges and face new onesdaily. As the complexity ofhealth care as a field and ourpatients/residents continues to

evolve, so must we as a profession —with the ultimate charge of protecting ourresidents and colleagues.

Come join us for education, fun, laughter,and camaraderie at the Rosen Plaza Hotelon International Drive in Orlando!

To survive, we need to support our fellownurse leaders in the PA/LTC world. FADONAis where the support can be found. Our focusis to increase our membership and influencethroughout the state. Help us create a largerand louder voice for our residents.

Mark the conference dates on yourcalendar, and plan to attend. We must allknow how to navigate the new regulations,standards of practice, and techniques inorder to help our nursing staff stay up todate with the best practices.Members Unite

The leadership is passionate aboutFADONA’s place in the continuum and itsrole in providing members with thenecessary tools to allow them to succeedand excel as professionals and as nurseadministrators. We continue to have apositive impact on care and increase in ourmembership and influence. You can assistby inviting your colleagues to be membersif they are not. You may contact yourFADONA board members, or staff, as aresource at any time.

Please check out our website at www.fadona.org for additional news andupdates.Respectfully submitted,

Susie Jensvold, BSN, MHSA, RNPresident �

Susie Jensvold

Message from the PresidentCCCCC

Executive BoardPresident: 2019-2021

Susie JensvoldCell: (941) [email protected]

1st Vice President: 2019-2021Betty Barron – (727) 849-6939

[email protected]

2nd Vice President: Vacant

Secretary: 2018-2020Kimberly Biegasiewicz – (352) 233-6006

[email protected]

Treasurer: 2019-2021Immediate Past-President

Jean Nelson – (813) [email protected]

RegionalVice Presidents

Region I: Vacant

Region II: Vacant

Region III: 2018-2019Marilyn M. Nalley – (772) 284-0484

[email protected]

Region IV Vice President: 2018-2020Diane Speaks – (813) 917-3047

[email protected]

Region V: 2019-2021Elizabeth Borer – (941) 400-7369

[email protected]

Region VI: 2018-2020Lisa Slaydon – (305) 923-4270

[email protected]

Region VII: 2019-2021Amina Dubuisson – (305) 389-9485

[email protected]

Business Office StaffIan L. Cordes, Director of Operations

[email protected]

Shane Bellotti, BAMembership Services Manager

[email protected] Executive Center Drive, Suite 208

West Palm Beach, FL 33401(561) 689-6321 • Fax: (561) 689-6324

FADONA is a state chapter of NADONA, (800) 222-0539.

arrying the Torchof Leadership’s33rd Annual Con-vention & Trade

show is fast approaching —March 16-19, 2020, at theRosen Plaza Hotel in Orlando.It’s still not too late to registeronline at www.fadona.org.

Our thanks go to BettyBarron, 1st Vice President &Convention Planning Com-mittee Chair, who is in charge oforchestrating FADONA’s 33rd AnnualConvention. Together the committee plannedan exceptional event to assist post-acute andlong-term care (PA/LTC) nurse leaders inleading their organizations in qualityresident care and quality of life.

We have planned an excellentPreconvention Day on Monday, March 16.Cindy Fronning, RN-BC, CDONA,FACDONA, RAC-CT, IP-BC, AS-BC, isthe Director of Education for NADONA.She will be presenting Nurse AdministratorLeadership: Knowledge Is Power. Thereare numerous topics to assist you in betterleading your nursing team.

Cindy has more than 30 years experiencein LTC. In her role with NADONA, she isresponsible for the planning, direction, andimplementation of all educational projectsand pursuits within NADONA.

The slate of topics includes RiskManagement: Best Practices for ElopementPrevention; Trauma Informed Care; PDPM:How to Maximize SNF Reimbursement;and as always, AHCA’s Update for CMSRules of Participation with Kim Smoak, toname a few.

These topics, and others, will continueto support our efforts to stay current withROP Phase 3, as well as PDPM.

FADONA/LTC is the only dedicatedorganization for directors of nursing andnurse administrators in the state of Florida.

Come join the fun and education toenhance the quality of patient care at ourcenters. You will have the opportunity tonetwork and share ideas with your peers.

An evening with our Alliance Councilvendors will be filled with the Sounds of



Region I — Northwest1A—Bay, Escambia, Holmes, Okaloosa, SantaRosa, Walton, Washington; 1B—Jefferson,Madison, Calhoun, Leon, Taylor, Franklin,Gadsden, Gulf, Jackson, Liberty, Wakulla

FADONA’s Annual Conference is anexcellent environment for professional devel-opment and networking.

We offer scholarships for nursing studentsand acknowledge passion and performancewith Awards of Excellence. FADONA alsoenhances/develops clinical and leadershipskills through local chapters, regionalsymposiums, annual convention, Facebookposts, and a website. At our local chaptermeetings and through email, we share ourpride and passion in LTC and rehab nursing,celebrate successes with our peers, shareideas and innovations, and support each otherduring difficult times (we have all been there!).

For more information, call the businessoffice at (561) 689-6321. Let’s have a greatyear! �

Region II — Northeast2A—Hamilton, Lafayette, Alachua, Marion,

Clay, Nassau, Suwannee; 2B—Dixie, Union,Putnam, Baker, St. Johns, Columbia, Gilchrist;

2C—Levy, Bradford, Duval, Flagler

Would you like to become moreinvolved in FADONA? Presently, we arelooking for chapter presidents for theGainesville, Ocala, or Jacksonville areas.If you are not interested in becoming achapter president, consider hosting a

FADONA meeting in your facility.Becoming involved in FADONA is a

great way to correspond with your peers.If you are interested in becoming more

involved or coming to our next meeting,please call the Business Office at (561) 689-6321. Do not forget to friend FADONA onFacebook and share some of the great thingsyou are doing in your facilities. �

Region III — Centraleast3A—Lake, Osceola, Orange, Seminole

3B—Volusia

I’d like to extend a welcome andinvitation to all directors of nursing inRegion III. As we continue to navigate thechallenges of our industry we needfortitude, resources, and the support of ourorganization. FADONA offers all three aswell as the collaboration of our peers.

Region III comprises Lake, Osceola,

Seminole, Orange, and Volusia counties andwe have a great need for involvement at alllevels. We can make a difference but onlyif your voice is heard. If you’re not amember please consider, and if you are,reach out to your community of DONs andsupport their journey.

I’m available to discuss any questionsyou have as well as organization of localmeetings. “Save the Date” for FADONA’s33rd Annual Convention, March 16-19,2020, at the Rosen Plaza in Orlando.

Please contact me at (772) 284-0484 [email protected] Nalley RN, CDON LTC, DCPRegion III Vice President �

Region IV — Centralwest4A—Hillsborough, Pinellas, Highlands, Polk

4B—Hardee, Hernando, Sumter, Citrus, Pasco

We are looking for ways to regenerateand come together for support and network-ing opportunities.

If you are interested in getting involved,this is a great way and FADONA is here toassist. Getting together gives area DONsand nurse leaders an opportunity to seewhat’s new in the industry and also leavesplenty of time to network with colleagues.

We invite you to get involved in theevents and meetings occurring within thecounties under Region IV.

Regional Reports

REG

ION III

Marilyn M. Nalley

Register online andbook your hotel

rooms forFADONA's 33rd Annual

Convention athttp://www.fadona.org/

convention.html

For assistance, call Shane at theBusiness Office, (561) 689-6321.



R e g i o n a lR e g i o n a lR e g i o n a lR e g i o n a lR e g i o n a lR E P O RR E P O RR E P O RR E P O RR E P O RT ST ST ST ST S

For more information, please contact meat (813) 917-3047, or [email protected] Speaks, RN, CDPRegion IV Vice President �

Region V — Southwest5A—Manatee, Charlotte, Collier

5B—Desoto, Lee, Sarasota

I am currently reaching out to all DONsin Region V, which encompasses 71 facilities.I look forward to speaking with each of you todiscuss ways to solidify a consistent quarterlymeeting. FADONA is committed to colla-borating with aspiring nurse leaders in ourquest to deliver the best care for our residentsand patients in the post-acute care continuum.Please reach out to me if you are interestedin being a part of our vision and mission.Please call me on my cell, (941) 400-7369,or email [email protected].

Elizabeth Borer, RNRegion V Vice President �

Region VI — Southeast6A—Palm Beach; 6B—Brevard, Indian River,

St. Lucie, Martin, Okeechobee;6C—Hendry, Glades

If you would like information on futuremeetings and events for the Palm BeachCounty chapter, please call AndrewRosebrough, PBCDONA communityliaison, at (561) 723-7888 or [email protected].

For questions about Palm Beach Countychapter, please call Debbie Grotke, chap-

These are the official online CareerCenters of theFlorida Association Directors of Nursing Administration

and FMDA – The Florida Society forPost-Acute and Long-Term Care Medicine.

www.fadona.org and www.fmda.org.

Amina Dubuisson

REG

ION VII

What would you do if youdiscovered the Golden Egg?What would you do if you

discovered the Golden Egg?Visit the CareerCenters atwww.fadona.org and www.fmda.org.

These are the official online CareerCenters of theFlorida Association Directors of Nursing Administration

and FMDA – The Florida Society forPost-Acute and Long-Term Care Medicine.

These CareerCenters are a treasured online resource designed toconnect long-term care industry employers with the largest, most-qualifiedaudience of nurses, nurse administrators, directors of nursing,

medical directors, physicians, physician assistants, andadvanced practice nurses in Florida.

Job Seekers may post their résumé (it’s FREE)— confidentially, if preferred — so employers can actively search for you.Let these CareerCenters help you make your next employment connection!

REG

ION V

Elizabeth Borer

ter president, at (561) 683-1400; [email protected].

If you have any questions for or aboutRegion VI, please call me at (305) 923-4270,or email [email protected] Slaydon, RNRegion VI Vice President �

Region VII — SoutheastMiami-Dade, Monroe, and Broward Counties

This region runs from Deerfield Beachall the way south to Key West.

Broward County Chapter: Call or textHeather Grasso, secretary, BrowardFADONA, at (561) 275-9273 or [email protected].

Miami Chapter: The Miami Chapter’sExecutive Board includes:

President Claudia Innocent, (954) 647-5098; 1st Vice President Anne Museau,(305) 962-9537; 2nd Vice PresidentCharviette Paramore, (786) 660-0170;Treasurer Idel Benjamin, (954) 243-6668;and Secretary Bobbette Sangrado, (917)705-8104.

If you would like to help us develop andenhance our region, contact the chaptersdirectly, or Amina Dubuisson at (305)389-9485 , or [email protected].

Amina DubuissonRegion VII Vice President �



FADONA’s 33rd Annual Convention to Share Sounds of SuccessConvention Corner by Betty Barron, MSN, RN; 1st Vice President, and Chair, Convention Planning Committee, FADONA

CCCCC

Betty Barron

arrying the Torch ofLeadership 2020combines excep-tional educational

programming, great networkingopportunities, timely advocacy,and leadership training for nurseadministrators practicing in theskilled nursing and post-acutecare setting.

On behalf of the Board of Directors, Iam very pleased to invite you to Orlandoand our 33rd Annual Convention & TradeShow — Carrying the Torch of Leadership2020. In keeping with our conventiontheme, Sounds of Success, we are fortunateto have an excellent lineup of nursingleadership topics presented by highlyknowledgeable speakers. This year’smeeting is going to be outstanding!

The Planning Committee has workeddiligently to develop an exceptional agendafilled with education, networking, and fun.

We hope you attend the wonderfulWelcome Reception on Monday, March 16,

that is sponsored by ConsulateHealth Care.

Then, please join us Tuesdayand Wednesday in the ExhibitHall and connect with our vendorfriends. Visit our Platinum Partners— the Fun Night sponsors — andearn extra raffle tickets that couldhelp you win some amazing doorprizes at Sounds of Success —

A Motown Disco Fun Night. It is these samemembers who have worked so hard overthe past few months in preparation for thisexciting event. This is also where the silentauction for the themed gift baskets will beon display — waiting for your generous bids— with al l proceeds benefiting thePatches Bryan Scholarship.

We have more than 60 booths at ourconvention this year, and their support isvery important to FADONA. Please be sureto show them your appreciation and supportby visiting each and every one multipletimes during the trade show.

This year, we have a special dinner eventplanned for you on Tuesday evening inhonor of Patches Bryan. GreystoneHealthcare Management is sponsoring adinner featuring Risty Smith, who willpresent Keys to Establishing an EffectiveEthics and Compliance Program. You willdefinitely want to attend this session. Oursincerest thanks to Greystone HealthcareManagement for their generous sponsor-ship of this event two years in a row!

The Awards Luncheon is featured onWednesday. This is when we salute Florida’sbest and brightest in an uplifting andinspiring event.

By working together, we have become,and will continue to be, a cohesive forcethrough which we will produce positivechanges in our industry. Networking atmeetings like this is vital and ultimatelybenefits the residents of our facilities.

For information visit www.fadona.org,our mobile app, or contact Ian Cordes,FADONA’s Director of Operations, at (561)689-6321 or [email protected]. �





re you following theElder Justice Act?

The Elder JusticeAct was signed into

law on March 23, 2010. Part ofthe Patient Protection andAffordable Care Act (PPACA),the Elder Justice Act authorizedand imposed a comprehensiverange of initiatives aimed atcombating elder abuse, neglect,and exploitation. The Elder Justice Actincludes that citizens who reside in a facilityshould have the same rights as those whodo not. One of the most significant aspectsof the Elder Justice Act is contained insection 6703(b)(3), which adds section1150B to Title XI of the Social Security Act,establishing notification and reportingrequirements aimed at uncovering crimesagainst those residing in long-term carefacilities.Broad Scope

Section 6703(b)(3) of the Elder JusticeAct, titled Reporting to Law Enforcementof Crimes Occurring in Federally FundedLong-Term Care Facilities, applies to long-term care facilities that received at least$10,000 in annual federal funds during thepreceding year. The Act defines a long-termcare facility as a residential care providerthat arranges for, or directly provides, long-term care. Long-term care is further definedas supportive health services, specified bythe Secretary, for individuals who needassistance because the individuals have aloss of capacity for self-care due to illness,disability, or vulnerability. These expansivedefinitions ensure that the vast majority oflong-term care facilities and their staffmembers and contractors must comply withthe Elder Justice Act’s notification andreporting obligations.Individual Reporting Requirements

Covered individuals, defined above, areresponsible for reporting to HHS and to atleast one local law enforcement entity anyreasonable suspicion of a crime (as definedby the law of the applicable political

subdivision) against anyindividual who is a resident of,or is receiving care from, thefacility. Generally, suspiciousevents must be reported within 24hours; however, any eventresulting in serious bodily injurymust be reported no later than twohours after forming the suspicion.Serious bodily injury is definedas an injury involving extreme

physical pain, substantial risk of death,protracted loss or impairment of thefunction of a bodily member, organ, ormental faculty; or requiring medicalintervention such as surgery,hospitalization, or physical rehabilitation.

A dilemma is presented by the fact thatthe Elder Justice Act does not prescribe aclear process for reporting reasonablesuspicions to HHS. Based on this each statehas defined its reporting process. In Florida,we do report through the Agency for HealthCare Administration (AHCA). This is doneusing the Abuse, Neglect, Exploitation,Misappropriation, Mistreatment, and Injuryof Unknown Source (ANEMMI)

The Elder Justice Act

AAAAABy Robin A. Bleier, ASN, HCRM, CLC; President, RB Health Partners

Robin Bleier

immediate and five-day federal reports.Given the Elder Justice Act’s short timeframes, skilled nursing facilities areencouraged to establish coordinatedreporting protocols that involve all staffmembers, including management andsupervisory staff, considering that care-related issues may arise on a 24/7 basis.

Facility Notification RequirementsAnnually, owners and operators must

notify each covered individual — definedas an owner, operator, staff member,manager, agent, or contractor of the facility— of the individual’s obligation to complywith the Act’s reporting requirements.Frequent and thorough notification istherefore advisable, although, as describedbelow, some aspects of the reportingrequirement still need to be clarified.

In addition, a facility must conspicuouslypost a sign, drafted in a form specified bythe Secretary, that describes the rights ofstaff members under the Elder Justice Act,including their right to file complaintsagainst facilities that unlawfully retaliateagainst reporting staff members.Penalties

Any staff member who does not complywith the Elder Justice Act’s reportingrequirements is subject to a fine, and if thenoncompliance exacerbates the harm to thevictim of the crime or results in harm toanother individual, the staff member facesan increased fine. The penalties forreporting violations are centered onproviders; long-term care facilities may alsobe deemed ineligible to receive federalfunds if excluded individuals are foundwithin their employ. The Elder Justice Actincludes that facilities are prohibited fromretaliating against staff members who reportpursuant to the Act. Any facility thatcommits a retaliatory act is liable to be finedand may be classified as an excluded entityfor two years.

ConsiderationsProviders should be aware of the Elder

Justice Act’s mandates and prohibitions;

The penalties for

reporting violations are

centered on providers;

LTC facilities may also

be deemed ineligible

to receive federal funds

if excluded individuals

are found within

their employ.



any transgressions committed may be thesubject of subsequent enforcement. In theabsence of sufficient clarity, providers canbest mitigate risk by broadly interpretingthe law’s requirements. Considerationsinclude:

• Establish a working relationship withyour local law enforcement agencybefore reporting is necessary tosupport understanding of roles andresponsibilities.

• Facilities should identify crimes —which must be defined by referringto the law of the applicable politicalsubdivision — that are subject to the

reporting.• Facilities should create a policy

regarding all rights, obligations, andprocedures relating to Elder JusticeAct section 6703(b)(3).

• Facilities should establish a means ofnotifying covered individuals of theirreporting obligations.

• Facilities should develop a protocolfor timely submission of reports to thelocal State Survey and CertificationAgency.

• Staff members and contractors willneed to be carefully screened to

http://www.fadona.org/convention.html

prevent a facility from dealing withexcluded individuals.

In ConclusionWe all have a responsibility for our

resident/patient safety. Residents of askilled nursing facility have the same rightsas other citizens residing in the country. TheElder Justice Act and the reporting ofsuspicion of a crime has been considered asa breakthrough in the prevention andenforcement of elder abuse. �

Robin A. Bleier is the president of RB HealthPartners, a Clinical Risk Medicare OperationalConsultancy firm. She can be reached at (727)786-3032, or [email protected].

MONDAY, MARCH 16PRECONVENTION DAY

8:30 a.m.-4 p.m. — Nurse AdministratorLeadership: Knowledge Is Power (101)

Cindy Fronning, RN-BC, CDONA,FACDONA, RAC-CT; Director of Educa-tion, National Association of Directors of

Nursing Administration in LTC—NADONAModerator: Amina Dubuisson, RN, MSN,

MBA/HCM, LNHA

12-1 p.m. — LUNCH on Your OwnRegular Convention Sessions Start Here!

4:15-5:15 p.m. — Clinical Practices toImprove Resident Care and Star Rating (102)

Alan Obringer, RPh, CPh, CGP;President, Guardian Pharmacy of Orlando

Moderator: Lisa Slaydon, RN5:30-7 p.m. — WELCOME RECEPTION

Sponsored by Consulate Health Care —Everyone is invited!

TUESDAY, MARCH 178:45-8:55 a.m. — Welcome Remarks8:55-9:55 a.m. — Keynote Speaker

The Power of Storytelling for Nurses (103)Andi Clark, RN; Chief Nursing Officer,

Consulate Health CareModerator: Susie Jensvold, BSN, MHSA, RN

10-11:30 a.m. — Risk Management:Best Practices for Elopement Prevention (104)

Robin A. Bleier, RN, LHRM, CLC;President, RB Health Partners

Moderator: Marilyn M. Nalley, RN11:40-12:40 p.m. — Product Theater Lunch

Sponsored by Sun Pharmaceuticals12:45-1:45 p.m.

Understanding Palliative Care (105)Leonard Hock, DO, MACOI, CMD,

FAAHPM, HMDC; Palliative MedicineMedical Director, VITAS Healthcare;

Chairman of the Board,FMDA – The Florida Society for Post-Acute

and Long-Term Care MedicineModerator: Kimberly Biegasiewicz, RN

1:50-3:20 p.m. — Agency for Health CareAdministration Update for

CMS Rules of Participation (106)Kimberly R. Smoak, MSH, QIDP; Chief ofField Operations, Health Quality Assurance,

Florida’s Agency for Health Care AdministrationModerator: Susie Jensvold, BSN, MHSA, RN

3:30-6 p.m. — Annual Trade ShowReception and Gift Basket Silent Auction

– Refreshments sponsored by Avante Group6:10-7:40 p.m. — Keys to Establishing anEffective Ethics and Compliance Program

Risty Smith, OT; Corporate Director ofCompliance, Greystone Healthcare Management

Moderator: Elizabeth Borer, RNDinner sponsored by Greystone Health

WEDNESDAY, MARCH 187:30-8:30 a.m.

— Light Continental Breakfast

Moderator: Marilyn M. Nalley, RNRecruitment & Retention in HealthCare

John Dalton, BA; Owner / CEO, Optimum RTSModerator: Diane Speaks, RN, CDP

7-10:30 p.m. — Sounds of Success– A Motown Disco Fun Night

Planned and sponsored by Platinum Partners.

THURSDAY, MARCH 198-8:30 a.m. — Stretching & Light Exercise

for Your Health and the Health ofYour Residents and Staff (116)

Certified Personal Trainer Jeri Lundgren,RN, BSN, PHN, CWS, CWCN, CPT;President, Senior Providers ResourceModerator: Betty Barron, MSN, RN

8:30-9:30 a.m. — Setting up a RestorativeNursing Program (117)

Jeri Lundgren, RN, BSN, PHN, CWS, CWCN,CPT; President, Senior Providers Resource

Moderator: Betty Barron, MSN, RN

9:35-10:35 a.m.Headline News for Infection Prevention (118)

Anne-Carol “AC” Burke, BS, MA, CIC;VP of Healthcare Quality, RB Health Partners

Moderator: Kimberly Biegasiewicz, RN

10:40-11:40 a.m. — PDPM: How toMaximize SNF Reimbursement (119)

Loni Collard, RN, RAC-CT, DNS-CT;Director, Clinical Reimbursement, Greystone

Healthcare ManagementModerator: Elizabeth Borer, RN

11:45 a.m.-1:15 p.m. — Preventing the Spread of Novel or Targeted Multi-Drug Resistant

Organisms in Nursing Homes (120)Tammy Jernigan, APRN, MSN, CIC; SeniorHealth Care-Associated Infection Preventionist,

Florida Department of Health (FDH)Sasha Nelson, BS, CCMA, MPH; Infection

Control Assessment and ResponseEpidemiologist for FDH, Healthcare-

Associated Infection Prevention ProgramNicole Castro, MPH; Antibiotic ResistanceCoordinator, FDH, Healthcare-Associated

Infection Prevention ProgramModerator: Amina Dubuisson, RN, MSN,

MBA/HCM, LNHA

1:10 p.m. Door Prizes & End of Convention

Carrying the Torch of Leadership 2020: Sounds of SuccessCarrying the Torch of Leadership 2020: Sounds of Success

8-9 a.m. — Trauma-Informed Care (108)Rachel Guzman, Corporate Director of

Social Services and Recreation,Greystone Healthcare Management

Moderator: Betty Barron, MSN, RN9:05-10:05 a.m. — Recognizing Patient

Depression, Anxiety, & Mood Disorders (109)Greg A. Sullivan, MD; Department of

Psychiatry & Behavioral Neurosciences,USF Morsani College of Medicine

Moderator: Amina Dubuisson, RN, MSN,MBA/HCM, LNHA

10:10-10:55 a.m. — Concurrent Sessions AConnecting the Dots: Antibiotic Stewardship

and The Facility Assessment (110)Debra Fey, DNP, MSM, MSN; Consultant/

Speaker/EducatorModerator: Diane Speaks, RN, CDP

Behaviors Related to Brain Injury (111)Debbie Coleman, RN; Area Manager,

Lakeside NeurologicModerator: Elizabeth Borer, RN

11-11:45 a.m.Hot Legal Issues for SNFs (112)

Karen Goldsmith, Esq.Partner, Goldsmith & Grout, P.A.

Moderator: Kimberly Biegasiewicz, RN11:50-12:50 p.m.

2020 AWARDS LuncheonNurse Administrator of the Year

– Sponsored by OptumCNA/LPN Awards of Excellence

– Sponsored by RB Health Partners1-3 p.m. — Annual Trade Show, Gift

Basket Silent Auction, and Door Prizes3:10-4:40 p.m. — Special Keynote

PresentationJourney on the Gurney: Perspective from

Inside the Bed Rails & Outside the Box (113)Julia Fox Garrison, Healthcare Advocate,

Keynote Speaker, Author, and PhD (PersonalHealthcare Discoveries)

Sponsored by: United Apollo InternationalModerator: Susie Jensvold, BSN, MHSA, RN

Followed by Book Signing.4:45-5:45 p.m. — Concurrent Sessions B

How Do Pressure Injuries andWounds Affect PDPM? (114)

Jeri Lundgren, RN, BSN, PHN, CWS, CWCN,CPT; President, Senior Providers Resource

Our Sponsors Rock!Optum: Grand Sponsor Greystone Health: Grand Sponsor

United Apollo International: Grand Sponsor VITAS Healthcare: Classic SponsorCURITEC – Classic Sponsor

Consulate Health CareWelcome Reception

United Apollo InternationalSpecial Keynote

Greystone HealthTuesday’s Dinner Program

RB Health PartnersLPN & CNA Awards of Excellence

Greystone HealthTote Bags

Guardian PharmacyHotel Key Cards

OptumNurse Administrator of the Year Award

Avante GroupCoffee Break

This educational program will be approved for 24.5maximum contact hours for Florida licensed nurses andnursing home administrators by FADONA, CE BrokerProvider #50-682.

Paperlite ConventionIn keeping with our organization-wide initiative, the

convention will be paperlite – not paper free. This meansthat we will not be providing printed session handouts.

FADONA has its own mobile app. The app contains manyexciting features and is available now and throughout theyear. Download it for free in iTunes and Android stores bysearching for “FADONA” or “Florida Association Directorsof Nursing Administration.” The app will work on tabletsand smartphones and will allow you to view conventioninformation, including the agenda and speaker handouts.

Handouts will also be available online for paid registrantsat www.fadona.org. This will allow you to view and printthem without charge before you arrive. Look for thehandouts to be posted online 7-10 days prior to theconvention.

If you prefer, for an extra charge of $75, you may order aprinted set of handouts no later than March 1, and it will beready for you at the registration counter when you arrive.However, please be aware that we cannot ensure theavailability of every PowerPoint presentation or handoutfor every session.

Fun Homemade, Themed Gift BasketContest & Silent Auction

We are inviting all our members, convention attendees,and exhibitors to create and donate themed, homemadegift baskets for the silent auction in the Exhibit Hall.Baskets will be judged by a panel of Platinum Partnersand the winners will receive great door prizes at Fun Night.

All proceeds from the sale of these baskets will benefitthe Patches Bryan Scholar-ship. Over the years, FADONAhas prov ided more than$35,000 in scholarships to itsmembers and their staff, andwith your support, we will beable to continue this nobletradition.

For more information on howyou can participate, please callthe FADONA business office at(561) 689-6321.

Rosen Plaza Hotel, OrlandoPlease note that FADONA is financially responsible for

all hotel rooms reserved in its group block. Any unusedrooms, not sold, are still billed to FADONA in the form ofattrition. We ask for your support in booking only at theconvention hotel to ensure we fill the room block and cancontinue to offer discounts to our attendees. We ask thatyou reserve hotel rooms realistically and cancel anyunneeded rooms with as much notice as possible. Thankyou for your cooperation.

Continuing Education

Convention NewsConvention News Support the Patches BryanScholarship

With our Fun, Homemade, ThemedGift Basket Contest & SilentAuction

F-TAGFido wasadopted

and founda great

new home!

Carrying the Torch of Leadership 2020: Sounds of SuccessCarrying the Torch of Leadership 2020: Sounds of Success

F-Tag Fido and his basket of treats wereauctioned off at FADONA’s convention. F-TagFido is a 6-foot stuffed plush dog with a reallysoft, extra-long cashmere scarf. He was luckyenough to be adopted by one of our amazingvendors.We invite all members, convention attendees,and exhibitors to create and donate themed,homemade gift baskets for the silent auctionat the Annual Trade Show.Baskets will be judged by a panel of PlatinumPartners, and the top three will receive anAmerican Express gift card ($100, $50, or $25)during Fun Night.

Judges will be looking for theMost Creative, Most Number of Bids,

and Highest Dollar Bid.For more information on how you canparticipate, please call Shane Bellotti at theFADONA business office, (561) 689-6321.

Thanks for Your Donated Baskets!



s readers of thispublication wellunderstand, being aleader requires a

high level of accountability andintegrity to self and others. Nurseleaders are not mystical super-heroes with special powers whoread minds and bend steel, yetthey are asked daily to performthe impossible task ofconciliating everyone around them.

Every day, DONs are faced withcomplaints, problems, and concerns fromstaff, families and their representative, thephysicians, the pharmacist, the surveyors,the regional personnel, the corporate teams,and every other stakeholder in the companywho are seeking answers. Nurse leadersmust balance the care of the patient/residentagainst the available resources under theirauthority, both human and financial, andsometimes against all odds for success.These are daunting tasks for even the mostseasoned leader, causing many nurses toquestion their ability to lead. Chronic self-doubt, burnout, and high anxiety in thisindustry are mounting and going uncheckedin our most valuable human asset.

The imposter syndrome is a realphenomenon that causes chronic, andsometimes overwhelming self-doubt inleaders of every profession. In a seminalpiece of investigative work, a team ofpsychologists published their research onthis topic in the internationally knownjournal Psychotherapy: Theory, Researchand Practice, in which they identified thephenomenon. In 1978, researchers PauleneClance and Suzenne Imes interviewed 150high-achieving women who had attained aPhD in their field of study. These women,in spite of their high academic andprofessional achievements, expressedconsiderable self-doubt during thoseinterviews. In addition, the high achieversbelieved that they did not deserve theirsuccess and were convinced that ultimately,they would be found out by others to beimposters or fakes. Clance and Imes labeledthis phenomenon the imposter syndrome tohelp identify how high achievers often

express a deep, inner nagging thatthey are not good enough to lead(Clance & Imes, 1978). At thetime, this research primarilyfocused on the impos te rsyndrome as a professionalwomen concern, but laterresearch in 2011 concluded theimposter syndrome is applicableto both sexes (Pedler, 2011). Inthat research, Pedler found that

while some leaders can fail because theyare overwhelmed by the circumstances(think PDPM, short staffing, over-regulation, etc.), just as many go on to faildue to self-sabotage via the imposterphenomenon with overwhelming anxietyand chronic self-doubt.

Nurse-educator Rose Sherman foundthat the imposter syndrome can createperformance anxiety, burnout, anddepression in nurses when not provided thetools to properly learn to manage this state.Sherman also noted that while most peopletend to overestimate their abilities, thosewith impostor syndrome tend to under-

The Imposter Leader

AAAAABy Debra Fey, RN, DNP

Debra Fey

estimate their abilities (Sherman, 2013).At a time in healthcare when nurse

leadership demand is at an all-time high,this could be a game-changer for operators.October brought the new patient-drivenpayment model (PDPM) to unload a newset of stressors for nurses, one that mayultimately push nurse leaders to the brink.Nurse leaders are already plagued with self-doubt and burnout; some have even chosento leave the industry or step back from theirleadership roles.

The results of PDPM stress fallout as itrelates to nurse leaders is yet unknown.DONs have come to believe they are notleaders but merely facilitators or evenworse, scapegoats to blame for the failuresat the facility level. One need only look atthe number of job openings and incentivesoffered by companies seeking new hires forthe DON position to realize there is some-thing erroneous about this positiondescription.

What is missing are the tools to helpcurrent DONs realize they are leaders, evenif they don’t realize it or feel it at themoment. Instead of providing nurses themanagement tools to help them throughthese changes, we give them plaques withpithy quotes telling how to be a leader orwhat real leaders should do, say, or act. Ourleaders need the knowledge and tools toshow them how to take their rightful reinsfirmly in hand to drive change. What theyneed and want is real leadership training.

Few nurses are born natural leaders;nurses are educated and trained ascaregivers to give voice to those who aresick and provide hands-on care. Nurseshave been taught to take direction fromothers and follow through with their orders.Few nurses have been trained to lead. Thisis particularly true with nurse leaders whodo not hold higher educational degrees.Consider the LPN unit manager who hasbeen educated specifically in task-orientedskills with little or no leadership training.

Now ask that nurse to assume commandof an entire nursing unit comprising of non-skilled staff and to accomplish goalsflawlessly! It is akin to sending a soldier intobattle without a weapon; most will not survive.

Nurse leaders must

balance the care of the

patient/resident against

the available resources

under their authority,

both human and

financial, and

sometimes against all

odds for success.



Through hard work and on-the-jobtraining, many nurses find that they risethrough the ranks to positions whereleadership skills are crucial to their success,including to the positions of DON andADON. Once in the position they realizethey are sorely lacking the formal trainingto manage and lead. They are cajoled withwords of wisdom such as “fake it ’til youmake it,” handed down from the top. Nursesare not trained to fake it. This scenariocreates a perfect storm for the impostersyndrome to take firm hold of leaders.

Because nurses want to do a great job,many decide they are not leadershipmaterial and either forego the advancementor leave the industry altogether. Othersreturn to advance their degree and move tothe acute care environment or other settingsthat provide the leadership foundationneeded for their success. We need to stopbailing. The LTC bucket has too many holesin it to save the ship; we are sinking fast.

Every employee satisfaction survey asksemployees to indicate what otheropportunities they would like to haveprovided by the company. More often thannot, nurses tick the yes box for moreprofessional growth opportunities. Nurseswant and need professional growth

education, including leadership training.This element is often overlooked by ownersbecause the answer is not an easy check-off list or a quick CE program fix. Qualityprofessional leadership training requires astrong commitment by owners to providenurses opportunities. Nurse leaders arelooking for reasons to stay in LTC; offeringthis training can provide the edge to retainand promote high-quality nurse leaderswithin the organization.

As noted earlier nurse leaders face a dailybarrage of questions from stakeholders.Their day can become a deep hole ofquestions, and even petty complaints on topof all the other duties and responsibilitiesthey face. Perhaps it is time to consider thewisdom of General Powell, who noted that“The day the soldiers [employees] stopbringing you their problems is the day youstopped leading them. They have either lostconfidence that you can help them orconcluded that you do not care. Either caseis a failure of leadership.”

As long as stakeholders are talking, thereis a portend of trust and confidence that youcan help and that you still care enough tohelp. But know this: You are not a failure,but you may be victim of the impostersyndrome. General Powell knew that his

staff coming to him with even their pettiestof concerns was not the problem; he alsoknew that when his staff became silent andstopped bringing issues forward, there wasfailure at the top and he owned it.

If staff and other stakeholders are stillbringing problems to you, you are not animposter leader and you have not failed.You are their leader; step up and claim yourrole. Seek out those who provideprofessional leadership training andbecome the leader you want to be. Thefailure is not trying. �

For more information about the impostersyndrome or more on leadership training, pleasecontact Dr. Debra Fey at [email protected].

ReferencesPedler, M. (2016). Leadership, risk and the

imposter syndrome. Action Learning: Researchand Practice, 8. doi:10.4324/9781315565521

Clance, P.R., & Imes, S.A. (1978). Theimposter phenomenon in high achievingwomen: Dynamics and therapeutic intervention.Psychotherapy: Theory, Research & Practice,15(3), 241-247. doi:10.1037/h0086006

Sheman, R.O. (2013). The impostersyndrome: When you feel like you are faking it.American Nurse Today, 8(5), 57-58. Retrievedfrom AmericanNurseToday.com



CCCCC

Karen Goldsmith

By Karen L. Goldsmith, Esq.; Goldsmith & Grout, PA

The Future of CBD Oil

BD oil has beenaround for years. It isopenly sold in healthfood stores, conven-

ience stores, and on the internet.But is it legal? Most of us haveheard the tale about the 69-year-old great grandmother recentlyarrested at an Orlando theme parkfor possession of CBD oil. By theway, she was not formally charged.

Well, as of July 1, CBD oil is legal inFlorida. However, there are some cautionsassociated with this, which we will discussbelow.

By way of background, true CBD oil isthe non-psychoactive compound found incannabis. It is derived from the hemp plant,not the marijuana plant, to which it is a closecousin. Hemp is used for a number ofthings, including over 25,000 manufactureditems from rope to textiles to disposablefood service items. Furthermore, it is thebasis of CBD oil.

Until 2018, growing hemp was illegalunder the federal Farm Bill. In 2018 thatwas changed. So why arrest our greatgrandma? Hemp production was still illegalin Florida and hemp was included in theFlorida statutory definition of cannabis,which is an illegal drug.

The 2019 Florida Legislature changedall that. In SB 1021, the Florida hempprogram was established. The governorsigned it into law on June 25. It set outprocedures for growing hemp and producingproducts from it. This is seen as a boon toboth agricultural and manufacturing inFlorida. Although the statute went into effect,the program is not in place yet. It must bedeveloped (draft regulations have beenissued), approved by the federal government,and implemented. Growers will be requiredto get licenses and be highly regulated. OurCommissioner of Agriculture, Nikki Fried,is a strong proponent of legalized hemp, solook for the process to move quickly.

We will focus on the medicinal uses forhemp products, primarily CBD (cannabidiol)oil. It has been found to reduce seizures,pain, anxiety, and reduce depression. Under

the previous law, only twouniversities in Florida were ableto grow and experiment withhemp, so the research here islimited. But in other states,research has been ongoing andthe medicinal claims seem to besupported. Anecdotal informationis glowing about the effects ofCBD oil.

So why isn’t it flying off theshelves here in Florida? Because hemp hasbeen treated as an illegal drug, health carepractitioners were reluctant to recommendit. Health care centers were often treatingCBD oil just like marijuana, because of thevery real risk law enforcement or regulatorswould take action. Ergo, our poor greatgrandmother.

A very real concern, and a risk forresidents, is that CBD oil has not beenregulated, therefore one cannot be sure whatone is buying. In order to be legal, the oilcannot contain more than 0.3 percent THC— the component of marijuana that createsa euphoric state. Thus, CBD oil should notgive anyone a high, no matter how used. Butwithout regulation, can you be sure the THC

level is in the legal range? I have read thatthe heat in Florida can increase the THC levelin hemp if not properly grown. If this is true,it is extremely important to the success ofhemp production that regulations andsystems be put into place.

And without regulation, can you even besure that what you are getting is not derivedfrom the marijuana plant rather than thehemp plant? If it is not truly CBD oil but amarijuana derivative, it is still illegal underfederal law?

The draft rules for use of hemp productsare out. They include:

• Hemp meant for ingestion must beobtained from a state-approved source

• It must originate from a crop intendedto be used in the food supply chain

• Hemp meant for bodily application willbe under the Florida Drug andCosmetic Act

• It has to be stored and transported atlow temperatures

• Must be stored without exposure to light• THC must be less than 0.3 percent• Very specific labeling will be requiredNo mechanisms are in place to ensure

compliance. Further, no growers have beenauthorized by Florida to produce hempexcept the two universities with the researchgrants.

The final rules will move quickly throughthe Administrative Procedure process and,hopefully, will result in federal approval. IfCBD oil works the way it is touted to workand it can be used by our residents to reducepain and improve their quality of lifewithout the potential side effects of otherdrugs, it will be a boon for all of us. In themeantime, we are not quite there yet.

I will supply more information to you asit is developed.

Caveat: This article is my interpretationof the current status of the law and is notmeant to be legal advice. You should discussspecific circumstances and decisions withyour facility management and attorneys.

If you have any issues, please feel freeto contact me at (407) 312-4938 [email protected]. If I canhelp, I will be happy to do so. �

If CBD oil works theway it is touted to workand it can be used by

our residents to reducepain and improve theirquality of life without

the potential sideeffects of other drugs,it will be a boon for allof us. In the meantime,we are not quite there.





Matthew DepenbrockGuardian Pharmacy of Florida9402 International Ct.St. Petersburg, FL 33716(727) [email protected]

Fred PurnellInfiniti Medical Solutions50 Randolph Rd., Ste. A2Somerset, NJ 08873(856) [email protected]

Lori GableKG Health Partners13600 Icot Blvd., Building AClearwater, FL 33760-3703(813) [email protected]

Megan OlsonMcKesson Medical-Surgical401 Gills Dr.Orlando, FL 32824(321) [email protected]

Medical Solutions5401 W. Kennedy Blvd., Ste. 830Tampa, FL 33609(866) 633-3548; Fax: (866) 688-5929

David LilleyMedline IndustriesThree Lakes Dr.Northfield, IL 60093(407) [email protected]

Cherie ArcherNew Source Medical9913 Shelbyville Rd., Ste. 203Louisville, KY 40223(775) [email protected]

Lisa SlineyNew York Life7111 Fairway Dr., Ste. 202Palm Beach Gardens, FL 33418(561) [email protected]

Robyn KresserOcean Spray Cranberries2566 Camelot Ct., Unit 120Cooper City, FL 33026(774) [email protected]

Heather BarnettOptum601 Brooker Creek Blvd.Oldsmar, FL 34677(813) 818-3825; Fax: (888) [email protected]

Marc WeissPartner Care Pharmacy6555 Nova Dr., Ste. 304Davie, FL 33317(954) [email protected]

Jamie Dunn

PharMerica

805 N Whittington Pkwy.

Louisville, KY 40223

(800) 564-164

pharmerica@

nimlok-kentucky.com

Jamie Billings

PharmScript

3801 Corporex Dr.

Tampa, FL 33619

(888) 319-1818; Fax: (888) 290-1812

[email protected]

Erika Kosaka

Polaris Pharmacy Services

2900 NW 60th St.

Fort Lauderdale, FL 33309

(305) 790-2689

[email protected]

Robin Bleier

RB Health Partners

PO Box 1116

Crystal Beach, FL 34681

(727) 786-3032

[email protected]

Brinn Helton

TridentCare

PO Box 17159

Clearwater, FL 33760

(727) 366-9670; Fax: (727) 734-9736

[email protected]

Donna Damiani

Ultra Healthcare Mobile X-Ray

& Ultrasound

21913 U.S., Hwy. 19 North

Clearwater, FL 33765

(727) 669-5525; Fax: (727) 669-8589

[email protected]

Cristhian Piraquive

VITAS Healthcare

2201 Lucien Way, Ste. 100

Maitland, FL 32751

(407) 599-2505

[email protected]

Matt Bowser

Wings Health Care Solutions

35246 U.S. Hwy. 19 N., Ste. 303

Palm Harbor, FL 34684

(800) 352-3966; Fax: (888) 874-2491

[email protected]

— Current as of Feb. 20, 2020.

FADONA’s Alliance Council Members — Our Preferred VendorsFrank TreneryAmerican Medical Technologies17595 Cartwright Rd.Irvine, CA 92614(803) [email protected]

Heather CooperCare Services Management126 Old Oak CirclePalm Harbour, FL 34683(727) 452-4662; Fax: (615) [email protected]

Nick PercivalCuritec421 Canal St., Ste. 201New Smyrna Beach, FL 32168(949) 922-3336; Fax: (949) [email protected]

Leah MyersDrylock Technologies, Ltd.36925 North Hastings Way, Ste. 101Eau Claire, WI 54703(715) 839-2268; Fax: (715) [email protected]

Steve McDonaldDynamic Health Care Services177 Royal Palm Dr.Largo, FL 33771(727) [email protected]

Karla ConwayEccoLab Group Clinical Labs8370 W. Flagler St., Ste. 216Miami, FL 33144(305) 220-3805; Fax: (305) [email protected]

Claire MurphyEssity – TENA2929 Arch St., Ste. 2600Philadelphia, PA 19104(954) [email protected]

Matt KingFacility Support Company1675 Palm Beach Lakes Blvd., #700West Palm Beach, FL 33401(561) [email protected]

Cathy SallittoGentell6850 Possum Tr.Sarasota, FL 34241(941) 228-5684; Fax: (941) [email protected]

Amber WestGreystone Health4042 Park Oaks Blvd.Tampa, FL 33610(813) [email protected]

FADONA Focus® is a trade-mark of FADONA. Theeditor welcomes letters,

original articles, and photos.Any statements of fact or

opinion expressed here arethe sole responsibility of theauthors. Copyright © 1991-2020, FADONA. All rights

reserved. No portion of thisnewsletter may be repro-duced without written

permission from FADONA.FADONA Focus® is published

by OnCore Marketing &Advertising Concepts, a

division of CorecareAssociates, Inc.,(561) 689-6321,

[email protected] FADONA nor

Corecare Associates, Inc.,endorses any advertisers.

FADONAOne of

the LargestChapters of

NADONABenefits YOU!

✔ National Certifications✔ Scholarships✔ Educational Awards✔ Annual Conferences

at Reduced Rates✔ Quarterly Newsletter✔ Bimonthly Bulletin✔ Reference and

Research Serviceincludes publishedmaterial, videosand audios

✔ National Network

✆ Contact NADONA at800-222-0539800-222-0539800-222-0539800-222-0539800-222-0539 foradditional information.






P R E C O N V EN T I O N — M a r c h 2 0 2 0 F A D O N A / L T CFlorida Association Directors of Nursing Administration/LTC

In the Trenches with You!The daily life of a long-term care nurse leader is about managing the next crisis, being constantlyaware of your surroundings, and staying up to date on industry changes. At FADONA/LTC, weunderstand, because we’ve walked in your shoes.

Some key points that have an impact with long-term care nurses around the state:

FADONA comprises one of the LARGEST and most active chapters of NADONA, the NationalAssociation of Directors of Nursing Administration/LTC.

FADONA/NADONA/LTC is the largest educational organization dedicated exclusively to nursingand administration professionals in long-term care and assisted living.

NADONA’s motto is Education, Communication, Service. Everything done by the organizationincorporates these elements.

FADONA is the only professional organization exclusively for and by long-term carenurses in administration in Florida.

FADONA is a great value, affording membership nationally in NADONA, as well as in Floridawith FADONA, for only $125 annually or $230 for two (2) years.

FADONA memberships offer access to our website; our award-winning newsletter, FADONAFocus; and discounted registration fees to local, state, and national educational opportunities.

FADONA enjoys and supports a cooperative relationship with other professional organizations,including Florida Center for Nursing, FNA, FONE, FLGNA, FHCA, FMDA, FLN, QUIN Council,LeadingAge Florida, FL-GAPNA, and many others.

FADONA members are highly flexible, highly trained, and very determined nurse leaders.

FADONA members are constantly putting out fires, with compassion and strength.

FADONA continues to build the professional network — one step at a time.

Professional Certification, CDONA/LTC, is offered through NADONA.

Professional Standards that LTC nurse administrators are held to are set by NADONA.These standards embody the same elements as our motto.

––––––––––––––––––––––––––––

FADONA’s Principles of ExcellenceIn 2009, “FADONA’s Principles of Excellence for Florida Directors of Nursing & Nurse Administrators”was published to support the provision of long-term health care services that are desired, meaningful,successful, and efficient. They are intended to assist directors of nursing in achieving these objectivesand to guide and inspire creative leadership in LTC.

The principles encourage the director of nursing to follow a reasonable course of action based on currentknowledge, available resources, and the needs of the facility so that effective and safe care can bedelivered. They are aspirational in nature and intended to foster self-appraisal and continuous performanceimprovement. The principles are neither inflexible rules nor requirements of practice.

These guiding principles feature FADONA’s Mission & Vision, Culture of Quality, Resident Care &Quality-of-Life, Caregivers, and Staff Finance.

Florida Association Directors of Nursing Administration/LTC400 Executive Center Drive, Suite 208 • West Palm Beach, FL 33401

(561) 689-6321 • Fax: (561) 689-6324 • www.fadona.org

Documents

Together, we can have a positive impact on Long-Term Care ...fadona.org/2020/FADONAFocus_PreconventionMarch2020.pdf · tables, DJ and dance floor, karaoke, live entertainment, and