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November 2013

Inside PNAA News November 2013 Online Edition

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We appreciate your feedback. Please send us your Comments, etc. The Editors.

Inside PNAA Online Newsletter Editorial Staff

Madelyn Yu Editor in Chief

Ferdinand Luyun

Mel Carrillo

Majuvy Sulse

Manelita Dayon

Ghie Alagano

Associate Editor

Contributing Editor Western Region

Contributing Editor Eastern Region

Contributing Editor North Central Region

Contributing Editor South Central Region

November 2013

Fall Edition | Volume 2 | Issue# 11

A Google Image

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Thanksgiving for many folks in the United States is the time to reflect and be thankful for their many blessings. The purpose of Thanksgiving is to commemorate the good harvest of the Pilgrims in 1621, and to give thanks for our friends, family and good fortune. Thanksgiving Day in the United States is traditionally a holiday to give thanks for the food collected at the end of the harvest season. Thanksgiving Day is traditionally a day for families and friends to get together for a special meal. The meal often includes a turkey, stuffing, potatoes, cranberry sauce, gravy, pumpkin pie, and vegetables. Thanksgiving Day is a time for many people to give thanks for what they have. Thanksgiving Day parades are held in some cities and towns on or around Thanksgiving Day. Some parades or festivities also mark the opening of the Christmas shopping season. Some people have a four -day weekend so it is a popular time for trips and to visit family and friends. In the Philippines, especially in the typhoon-ravaged Visayan islands, it is quite difficult to find something to be thankful for.

Thanksgiving in the Face of Calamity

Photo: Filipinos board an HC-130 Hercules airplane as U.S. sailors carry relief supplies November 17 in Guiuan, Samar. Photo:

The most forceful typhoon on earth has devastated Tacloban, Leyte with over 5000 dead, and 95% of the city in ruins. As heart -breaking and mind-boggling the images we saw of the loss and devastation in the affected areas, the true spirit of the Filipino rose to help each other. The countries of the world also responded in such a manner that one could say, it is one world, one community. As Filipino-Americans we found ourselves hurting and sympathizing with our countrymen. And as nurses, we helped mobilized everybody to help. Most of the hospitals or businesses we work in set-up processes wherein employees can donate tax deductible contributions. Some employers matched the contributions donated by the employees. Churches held masses and did second collections for the victims. Prayer vigils and prayer groups were held everywhere in every state. It is very heartwarming to see volunteers from different countries set up instant hospitals in ships, tents, nearby provinces to care for the victims. It is as if the whole world came to the aid of the Philippines. For this, we are thankful! In the pages of this month’s issue, the editorial staff shines the light on the various heroic activities done and being undertaken by the different PNAA Chapters and other agencies to send relief help to the Philippines. „



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Project HOPE: Nurses Needed for Philippines to serve on Navy Ships Update from: Vicky Navarro, MAS, MSN, RN PNAA President survivors continues to be a major challenge as much of Project HOPE Deploys First Volunteers to Plan Logistics and the health infrastructure was destroyed by Haiyan. Assess Medical Needs For Humanitarian Mission with US Project HOPE has been working in the region for Navy in the Philippines over 50 years, first aboard the SS HOPE, the first peacetime hospital ship. Project HOPE has played a cruMillwood, VA (November cial role in saving lives in re20, 2013) – The global gions hit by natural disasters NGO, Project HOPE, over much of the last decsays it will deploy a first ade, in Haiti, Indonesia, Jacontingent of volunteers pan, China and other parts to the Philippines to of southeast Asia. work on logistics in Since 2005, HOPE has preparation for its partnered with the U.S. Navy mission with the U.S. and Air Force on annual Navy to provide medical medical humanitarian misProject Hope and the SS Hope had become a symbol of hope around the globe care for survivors of sions. Last year, HOPE medias they responded to humanitarian missions in disaster stricken areas where Typhoon Haiyan, the they are needed. The staff also become our country’s ambassadors on goodwill. cal volunteers joined the country’s worst disaster This was made possible since 2005 when HOPE partnered with the U.S. Navy Pacific Partnership 2012 on record. mission aboard the massive “The collective expertise of the first deployment of USNS Mercy hospital ship for a four-month mission, proHOPE volunteers is astounding. From logistics to trauma viding health care and education to underserved comcare and social work, this group is experienced in each munities in the Philippines, Vietnam, Cambodia, and Inphase of a disaster response and some of them have prior donesia. experience with the US Navy. They will lay the groundAbout Project HOPE work for a well-organized process of volunteer rotations in the weeks ahead to ensure that future deployments Founded in 1958, Project HOPE (Health Opportunireflect the most pressing medical needs of survivors of this ties for People Everywhere) is dedicated to providing tragedy,” said John P. Howe III M.D., President and CEO, lasting solutions to health problems with the mission of Project HOPE. helping people to help themselves. Identifiable to many Health officials in the Philippines have expressed by the SS HOPE, the world’s first peacetime hospital concern over maternal and child health following the ship, Project HOPE now provides medical training and disaster. They estimate that 25,000 births per month will health education, as well as conducts humanitarian assisoccur in the Philippines, and 3,500 of them are expected tance programs in more than 35 countries. to be with complications. An additional team of experts from Project HOPE, a global health and humanitarian assistance organization, has been traveling to the northern province of Cebu to meet officials from the Ministry of Health and the World Health Organization advising NGOs. The HOPE experts visited local hospitals and health facilities in the remote area of Daan Batayan, north of Bogo City to assess immediate and long-term health needs as HOPE prepares for the distribution of $1 million dollars of donated medicines and supplies including antibiotics, anti-inflammatories, generators, surgical masks and gloves. The Philippines’ government says 13 million people are affected by the mega typhoon and over four million displaced. Access and logistics conditions continue to improve, allowing rescuers to get food aid to 2.5 million people, but experts say addressing the medical needs of

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Typhoon Appeals By: The CEO of Genesis Healthcare

To All Genesis Employees: As the media has extensively reported, Typhoon Haiyan made landfall in the Philippines on November 8th leaving catastrophic damage in its wake. Haiyan was the second category 5 typhoon to strike the Philippines this year. This “super storm,” which some experts believe to be one of the strongest recorded storms to ever reach land, has affected 4.3 million people across 36 provinces in the Philippines. Evacuation centers are packed with more than 330,000 people left homeless by the storm. Casualties are estimated in the thousands, and the damage is so extensive that rescue efforts have been severely hampered. Water, food and medicines are all critically needed. If you wish to contribute to relief efforts, we have located some information for you. The American Red Cross is working with the International Red Cross Committee and the Philippines Red Cross. • Go to

• Call 1-800-REDCROSS, or • Mail in a donation to your local Red Cross chap-

ter (which you can find on the website) • The Philippine Nurses Association of America, INC (PNAA) is working with two charitable organizations on the ground in the Republic of the Philippines and is distributing all contributions raised by the American Nurses Association. Many of our Genesis nurses are members of this organization and Dino Doliente is the current Vice President. • Go to for information on how to contribute • Call Iris Fermantez at (713)937-7416 For employees anxious about friends and family members in the regions affected by the storm, the American Red Cross has activated its family tracing service to help find missing family members. The Red Cross wants to remind people that phone lines, electricity and communications are all non-functional in the disaster zone. Local airports are also devastated, making inbound flights impossible. Anyone unable to reach loved ones is urged to contact their local Red Cross chapter to initiate a family tracing case. The American Red Cross is in close contact with the Philippine Red Cross to help find anyone not yet accounted for.

For family restoration assistance, go to: http:// Philippines.aspx This will be a very complicated and complex recovery and aid effort over the coming months. Any contribution you are able to make will certainly be put to good use and appreciated. The Genesis Employee Foundation has information on additional helpful resources for employees directly impacted on Central at HR/GEF/Lists/Announcements/DispForm.aspx? ID=108&Source=http%3A%2F%2Fcentral%2Egenesishcc% 2Ecom%2Fsites%2FHR%2FGEF%2Fdefault%2Easpx

555 New Jersey Avenue, N.W., Washington, D.C. 20002 / 202879-4400

Dear Mary, The entire AFT family is heartbroken by the loss of life and devastation caused by Super Typhoon Haiyan. The Philippines now faces the daunting task of rebuilding communities that have been left without essentials such as healthcare, food, shelter, clean water, schools, power and transportation. AFT officers Randi Weingarten, Lorretta Johnson and Francine Lawrence have instructed us to help with relief and recovery efforts in any way we can. As part of that effort, the AFT is putting together a database of volunteer healthcare members willing to travel to the Philippines within the next one to two months to help with medical relief efforts. If you are able to offer assistance, please fill out this form. We are asking for a commitment of two weeks at a minimum, longer if possible. This will be difficult duty under extraordinary conditions. It should also be a deeply rewarding opportunity to serve others in need. If you are interested, please fill out this form. We will then contact you. Right now, conditions in the affected area are unstable and your safety cannot be guaranteed. We expect the situation to improve in the coming months, and we are working to find reliable, effective organizations to partner with in the areas that need help most. We appreciate your interest in registering with us, but please feel free to accept other opportunities to volunteer if you would prefer not to wait. We are all working toward a common goal—restoring the lives and communities of our brothers and sisters in the Philippines after this devastating loss. In unity, Mary Lehman MacDonald AFT Healthcare Director


Papal Hug: The Holy Father hugs Cardinal Eduardo Tagle of the Philippines to comfort him for the unfortunate event that happened to the country after Typhoon Haiyan.

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Haiyan survivors carry food that a U.S. military helicopter dropped off in Guiuan on Thursday, November 14.

A woman mourns in front of her husband's dead body November 10 in Tacloban.

A man reconstructs his house in the bay of Tacloban, Leyte province, Philippines. U.S. Marine Corps Osprey aircraft arrive at Manila's Villamor Airbase to deliver humanitarian to typhoon-ravaged areas in the South.. Filipino evacuees left homeless by Super Typhoon Haiyan in Tacloban, Leyte rejoice watching Pacquiao's victory in front of television screens set up by cable operators in various evacuation centers. Photos by:

A typhoon survivor keeps her husband alive by manually pumping air into his lungs after his leg was amputated at a Tacloban hospital November 15. The hospital has been operating without power since the typhoon.

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Tropical Cyclone HAIYAN-13 (Yolanda) D+7/All times UTC: Wednesday, 13 November 2013 Purpose. To provide a daily situation report of Tropical Cyclone HAIYAN/Yolanda13 (named “Yolanda” in PHL).

Situation. Typhoon HAIYAN, a category 5 storm, made landfall early Friday morning 8 Nov 13at Guiuan, a small city in Samar island province in eastern Philippines and sped across the islands in the center of the country. a. The landfall and subsequent passage of Typhoon HAIYAN through the Visayan Islands (one of three principal geographical divisions of the Philippines; Residents are known as the Visayans) caused severe destruction; the exact scale of is still uncertain. b. The national government and disaster agency confirmed 2,275 deaths on 13 Nov 13. The government downplayed initial reports that 10,000 had died in the storm. President Benigno Aquino said local officials overstated the loss of life, saying it was closer to 2,000 or 2,500 than the 10,000 previously estimated. c. The preliminary number of missing, according to the Red Cross, is 22,000. Gwendolyn Pang, secretary general of the Philippine Red Cross, told Reuters that figure could include people who have since been located. d. “Today I met a man who lost his whole family,” says MSF Dr. Moens. “He was hospitalized because he tried to stab himself with a knife in the chest. Tragically, we hear these sorts of stories in many places. There are villages that have lost so many people, and psychosocial assistance is going to be essential to help people rebuild their lives.” e. Desperation triggered anarchy in communities flattened by Typhoon Haiyan as struggled to find food, clean water and medicine Wednesday. Police were working to keep order across the region amid reports of armed gangs roaming the streets. f. The U.S. military started running 24-hour relief operations as the Philippine army tries to establish security so help can get to the areas most affected by the devastating typhoon that hit

the island country. g. ANC Television said security forces exchanged fire with armed men amid widespread looting of shops and warehouses for food, water and other supplies in Leyte province. 90 percent of Tacloban had been destroyed but only 20 percent of the city's 220,000 residents received help. Aid officials blamed the shortage of aid on not enough trucks and the roads being blocked. h. The latest Republic of the Philippines National Disaster Risk Reduction and Management Council (NDRRMC) SITREP 13 for 13 Nov 13 reported: i. 4.5 million persons affected; 544,606 persons displaced; and 1215 evacuation shelters in place housing 38,000 persons. j. GOP authorities say Iloilo, one of two major cities on the island of Panay, was in the direct path of typhoon Haiyan and suffered 162 deaths and the destruction of 68,543 houses as a result.has so far been less served by some of the humanitarian efforts. k. Tropical Depression (TD) [ZORAIDA] moved northwest during the past 6 hours as it maintains its strength and poses a threat to the provinces of Northern and Eastern Mindanao and the Visayas. The core of TD Zoraida will make landfall along the border of Surigao Del Sur and Davao Oriental on Tuesday, 12 Nov 13 between 0900-1000 hrs local time, passing across Agusan Del Sur, Bukidnon and Misamis Oriental in the afternoonand traverse the Mindanao Sea by evening. It will be crossing the Sulu Sea on Thursday. l. The Visayan languages (or Bisayan languages) of the Philippines, along with Tagalog and Bikol, are part of the Central Philippine languages. Most Visayan languages are spoken in the Visayas region but they are also spoken in other regions. Over thirty languages constitute the Visayan language family. The Visayan language with the most speakers is Cebuano, spoken by 20 million people as a native language in Central Visayas, parts of Eastern and Western Visayas and

N AT I O N A L most of Mindanao. Two other well-known and widespread Visayan languages are Hiligaynon, spoken by 7 million in most of Western Visayas and Cotabato region, Waray-Waray spoken by 3 million in Eastern Visayas. Tacloban: Officially, the City of Tacloban, is the capital of the Philippine province of Leyte; approximately 360 miles (580 km) southeast of Manila.Tacloban has a population of 221,174 inhabitants. Tacloban is predominantly a Waray-speaking city. The language is also officially called Lineyte-Samarnon ("LeyteSamarnon"). Tacloban is culturally and linguistically diverse. Government Response. PHL Response capacity: Philippines has experienced national disaster response capacity and preparedness. The Government’s National Disaster Risk Reduction and Management Council (NDRRMC), with local authorities, is leading the typhoon response. They pre-emptively evacuated 125,604 people to 109 evacuation centers in 22 provinces before the typhoon’s arrival. The Government airlifted safe drinking water, relief supplies, and food commodities to Tacloban and other affected areas. Transporting and distributing food, emergency sheltermaterial, hygiene kits, body bags and establishing a family tracing service are urgently needed in Tacloban for thenext days. Insufficient trucks and fuel are severely hampering the response. There are about 25 international humanitarian agencies, including response teams from Member States, nongovernmental organizations,the Red Cross, the UN and IOM operating in Tacloban City where aid continues toarrive including a Belgian field hospital team. HCT members reached out to the municipalities of Palo, Tanauan and Dagami 13Nov 13 reporting the damage in these areas is as severe as in Tacloban City. People from remote areas are forced to walk several Km to reach aid distribution points. GOP established additional distribution points in Guiuan, Eastern Samar, and Ormoc City, Leyte, to facilitate fasterdelivery of aid. However, debris and logistics continue to severely constrain humanitarian assistance, especially inLeyte and Eastern Samar provinces. In Tacloban City, bodies remain unrecovered on the streets. The Department of Health (DOH) said there is no disease outbreak yet in typhoon-hit areas but it still expects an increase in the number of patients affected. Health Secretary Enrique Ona said they have not received any report of disease outbreaks in Tacloban City and other badly-hit areas five days after Yolanda struck. Several cargo loads of medicines, supplies and medical equipment already reached Tacloban City. Health Secretary said they are also in the process of augmenting all their medical supplies by "more than 100 percent.Aside from replenishing medicine stockpiles, several medical teams were already able to reach Tacloban City on Wednesday and are already set to take over the operations of public and private hospitals in the city. The National Disaster Risk Reduction and Management Council reported all airports under the Civil AviationAuthority of the Philippines resumed operations. The airport in Tacloban City is still closed to civilian flights. Filipino,American, Singaporean, and Japanese C130 aircrafts and American Osprey planes are now regularly rotatingthrough Tacloban airport. The US and UK dispatched naval ships with helicopters


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expected to arrive 15 Nov13. Communication networks were restored with intermittent signals in some areas of Tacloban City. Humanitarian partners were advised to be self-sustaining with adequate supplies upon deploy According to the Financial Tracking Service (FTS), donors, including 21 Member States and the private sectorcontributed an overall amount of US$81 million. On 12 Nov 13, the HCT appealed for US$301 million in the Haiyan Action Plan to provide life-saving materials, services, and a safe and healthy living environment until reconstruction restores normality and self-reliance. As of13 Nov 13, the GOP Action Plan is 13% funded ($38 million). This includes the UN Central Emergency Response Fund’s allocation of $25 million. The Government provided relief assistance worth $886,000) to the affected areas. DOH deployed 200 personnel into the area to takeover local hospital operations as well as conduct house-to-house consultations in hard-to-re.ach areas. DOH announced that it is taking over operations of different hospitals in Tacloban City and some neighboring areas after they were made non-functional due to absence of medical personnel and supplies insufficiency. DOH and WHO begun establishing mobile hospital tents in "strategic areas" in a bid to complement established hospitals.DOH is also deploying on Thursday five bus clinics carrying medical personnel to typhoonhit areas to conduct medical assistance The HCT reports severe damage to health infrastructure including to the cold chain. Preliminary reports indicate 18 of 38 assessed health facilities are not functioning, including 3 of 13 hospitals in Region VI, VII and VIII. Of the health facilities assessed so far, one birthing facility was reported non-functional, and one is still operating. Medicines, surgical supplies, and general medical supplies are insufficient. An estimated 203,250 pregnant and 135,500 lactating women (up to 6 months of lactation) need specialized services for prenatal, postnatal, child health, health promotion and family planning services. In Guiuan, Eastern Samar, all health facilities are destroyed including the only facility with comprehensive obstetric care services in the province. An inter-cluster coordination meeting was held in Manila 13 Nov 13. Clusters are reviewing the requirement of a base camp for humanitarian workers in Tacloban City. Humanitarian partners arriving in Tacloban City are requested to liaise with the Reception and Departure Centre (RDC) located at the airport. An assessment coordination meeting is scheduled for 14 Nov 13; an information management working group will meet 15 Nov 13 to ensure assessment data is harmonized and disseminated to all partners UN Response. a. In trying to identify needed medications, when site providers are unable to provide detailed lists during emergency/ catastrophic situations best practice points to UN WHO consensus lists of supplies and equipment, which guide selection of medical GIK to be offered. These include: (1) The List of World Health Organization Essential Medicines an evidence-based resource a model list of essential medicines created by the World Health Organization. This list is based on the 18th edition dated April 2013 (October 2013 amendments). Essential medicines satisfy the priority health care needs of a population and are selected with regard to disease > Continued to page 19

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PNAA Hurricane Haiyan Disaster Relief Activities: Eastern Region Chapters

November 2013

PNAA Hurricane Haiyan Disaster Relief Activities: Western Region Chapters North Central Region Chapters

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PNAA Hurricane Haiyan Disaster Relief Activities: South Central Region Chapters Name of





Region Chapters

Chapter tax Interviews Donations members exempt status Collected addected & (501C3/501C6) Organizations Aid partnered given

Total Money Raised


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Nominations and Elections Committee BULLETIN No. 1

EDITORIAL STAFF COMMENT To all our Colleagues in PNAA: Please be informed that we, the Editorial Staff, publish articles in our Inside PNAA newsletter accordingly as we receive them from chapters of the different PNAA Regions. Inside PNAA news is published monthly at the end of each month. All submissions must have a “Title”, a “By-line” and photos in Word document. Submission deadline is 5 days prior to publication. Please send your articles to your Regional Field Reporters or Contributing Editors: Western Region: Mel Carrillo South Central Region: Ghie Alagano North Central Region: Manelita Dayon Eastern Region: Majuvy Sulse Majuv77@hotmail .com THANK YOU! Madelyn Yu (Chair) and Ferdinand Luyun

ON THE COVER: A little girl transfers drinking water she collected from a faucet after Typhoon Yolanda (Haiyan) devastated Tacloban City, central Philippines November 12, 2013. Rescue workers tried to reach towns and villages on Tuesday that were cut-off; fearing the estimated 10,000 deaths could jump sharply. Reuters Photo by: Romeo

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Education: The Core of Our Existence By: Christie M. Candelaria, MA, RN, CCRN President, PNAST-RGV

The Cooper Center of South Texas College in McAllen, Texas was a witness to the conglomeration of one hundred eight (108) registered nurses, licensed vocational nurses, and nursing students last October 19, 2013 during the annual education day of the PNASTRGV. This year’s theme, “Healthcare Trends in the Spectrum of Professional Nursing Practice” provided opportunities for the attendees to network and share their views on documentation legalities, electronic health records, nursing informatics, and clinical updates on management of cancer, sepsis, and wound care. The attendees were welcomed by Jayson Valerio, the co-chair of the Education Committee. Elmer Esguerra led the group in seeking God Almighty’s guidance and enlightenment throughout the proceedings of the day. Cherry Sloan-Medrano, Cancer Manager Program of MD Anderson Physician Network in Houston, Texas provided a very thorough, down-to-earth, humor-laden presentation on nursing care and management of cancer. Our visual learners reveled at the numerous pictures of different types of wounds and wound beds as Dr. Rafael Rafols

explained the factors that affect wound healing and his best practices in managing different types of wounds. An eye-opener and highly informative session on the relevance and importance of electronic health records under the Affordable Care Act was eloquently delivered by Maria Theresa Escobar, Director of Advanced Clinicals of Rio Grande Regional Hospital while Precy Bongat, a Family Nurse Practitioner and the Sepsis Coordinator of the same hospital shared her expertise on nursing care and management of sepsis. Rudy Gonzalez, a registered nurse and a judge of Hidalgo County Court No. 1 took our participants for a reality check with case studies on the legalities surrounding nursing documentation and practice. The day was wrapped up with closing and evaluation remarks by the Education Chair, Dr. Alfred Acevedo. Domine Caterers provided the much-needed break-

fast, mid-morning snacks, and lunch. Aster Vargas, Membership Chair and Assistant Treasurer of the PNAA conducted a General Assembly during the working lunch. This resulted in some amendments to the organization’s Constitution & By Laws. Christie Candelaria, President of the PNAST-RGV was the moderator of the day which earned 5.25 contact hours and continuing education credits provided by the PNAAF to all the licensed participants. The attendees gave the Education Day thumbs-up, perfect evaluation with majority of them clamoring for more sessions like this. The Planning Committee would like to take this opportunity to thank all those who actively participated in making 2013 Education Day a huge success!


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‘When Is the Next Cruise?’

A Successful Leadership Retreat By: Dr. Sigrid Ladores and Mr. Manny Anchors aweigh! and off went the PNACF group to the Bahamas for two exciting days of leadership training and team building aboard Royal Caribbean’s Enchantment of the Seas cruise ship. This ambitious project developed by both the Education and Events Committees was truly a labor of love by all. Everyone who attended, including the PNACF family members who joined the group, disembarked at the conclusion of the trip with a greater sense of the 3 C’s of Leadership: collaboration, communication, and camaraderie. On the first day of the leadership retreat, PNACF was honored to have well-renowned nurse leader, Dr. Ed Pajarillo, Associate Dean for Faculty Services at Rutgers University and the editor-in-chief of the PNAA Journal of Nursing Practice Applications & Reviews of Research. He successfully engaged the audience in the discussion of cultural implications in leadership. After enjoying a delicious lunch, the group reconvened to learn about the impact of mentorship on new graduate nurses. This topic was aptly covered by the Education co-chairs and nurse educators,

Dr. Sigrid Ladores (UCF College of Nursing) and Mr. Manny Ramos (Valencia School of Nursing), and generated an active discussion on ways that each of the audience members can foster the principles of mentorship within their different organizations and clinical roles. On the second day, the group moved the leadership training from the comforts of the Spotlight Lounge to the beaches of Coco Cay, a private island owned by Royal Caribbean. Two members of the PNACF Executive Board, Ms. Lorelei Perez and Ms. Joy Tangonan, showcased their creativity in leading the group through a variety of beach-themed team building exercises. Lastly, Ms. Orpha Ale Mineque, of the PNA Gulf Coast, reviewed the FISH philosophy in customer care which is the basis of nursing leadership. After a lot of laughs while working together to complete the tasks required within each team building exercise, the group moved on to swimming, watersports, eating and dancing (lots of it). That evening, the group reconvened with their sun-kissed skin to hear the keynote speaker, Dr. Christopher Blackwell, Associate Professor and Coordinator of Nurse Practitioner Programs at UCF College of Nursing, empower each member to ‘go and do!’ as a leader. > To next page

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In between each educational offering, certainly there were many opportunities to visit with each PNACF member and family while fully taking advantage of the many amenities that the beautiful cruise ship offered. Here are a few comments from the attendees recapping the most memorable moments of the leadership cruise:

• Joy: “The ‘Lost at Sea/Island Survival’ activity makes it evident that Filipino nurses will always survive because of their resourcefulness, creativity, and collaboration.” • Cornelia: “My first meeting with Ed Pajarillo was memorable. He is interesting, caring, and smart.” • Merlene: “The whole experience was awesome! Together with one mission, one vision, we can achieve greatness.” • Rosie: “This cruise proved that there is always a leader within ourselves.” Noemi: “Dancing in the Centrum with the Village People was awesome!”


November 2013

1st Global Summit and 9th International Nursing Conference January 16-17, 2014

Register Now!!! Only 55 days to… PNAA Website: HOSTED BY:

Philippine Nurses Association of America, Inc. (PNAA) Philippine Nurses Association (PNA) Association of Nursing Service Administrators of the Philippines (ANSAP) Association of Deans of Philippine Colleges of Nursing (ADPCN) Commission of Filipino Overseas Workers

SCHEDULE: Day 1 - Global Summit | Thursday, January 16, 2014 “Filipino Nurses World Wide: Unite for GLOBAL HEALTH AND NATION BUILDING” Day 2 – International Nursing Conference | Friday, January 17, 2014 “Promoting Solidarity for Global Health and Sustainable Social Action”

HOTEL ACCOMODATION: Manila Hotel, Philippines Bonifacio Drive, One Rizal Park Manila 0913 Metro Manila, Philippines

REGISTER ONLINE: Airfare Discount, Tours and Packages Available! PNAA Website: "Disclaimer: PNAA will not be held liable for the airline tickets' transactions, issuing, cancellation, changes, etc.”

For more information, visit our website at or send your e-mail to

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Canada also deployed an advance team of planners to Manila 12 Non 13 to meet with authorities and determine where help was most badly needed. Group consisted of 43 members on board a C-17 transport plane stopping in Hawaii to await the details of its destination. A second C-17 with aid, supplies and equipment departed 12 Nov 13. Wednesday. Canadian Forces are helping with the deployment of a separate 12-member Canadian Red Cross field hospital. The unit is a self-contained, general outpatient clinic providing basic health and surgical care to up to 300 people/day.It includes 74 inpatient beds for ongoing observation and care. The Canadian Red Cross, said it could take "a few months" for the medical team to complete its emergency intervention. Teams such as the one being deployed can spend as long as six months in the field. Israel is sending over 200 doctors, nurses and paramedics. Senior members of the Israeli Ministry of Foreign Affairs and Israeli Defense Forces will accompany the team of medical personnel. The group will set up a mobile hospital. International Red Cross and Red Crescent Movement said they would solicit at least 87 million Swiss francs or $94.6 million to help Yolanda victims. Jagan Chapagain, International Federation of Red Cross and Red Crescent Societies director for Asia-Pacific, said the money would benefit about 10 million people. Telstra, Australia’s leading telecommunications company, announced free calls and text messages to the Philippines for those who wish to check on their relatives. Telstra said it would also

As a super typhoon smashed into the Philippines on Nov. 8, Maj. Darryn Gray was standing in 50 centimetres of snow and deep sub-zero temperatures on a combat training range in northern Alberta. Forty-eight hours later the Kingston-based armoured officer was in the Philippines as the operations chief for Canada’s Disaster Assistance Response Team. Matthew Fisher/Postmedia News (

match staff payroll contributions made to Typhoon Haiyan Appeal activated by the Australian Red Cross. The International Labor Organization (ILO) has pledged emergency employment and other assistance for Yolanda victims. Google will donate $500,000, and would be divided between Red Cross and aid agency CARE. US Defense Secretary Chuck Hagel directed PACOM to deploy ships and aircraft to the Philippines 10 Nov 13. The USS George Washington was delayed by bad weather and now 5-days from the disaster zone. DOD dubbed their relief mission "Operation Damayan" -- which means "help" in the Filipino language. DOD plans to deploy about 1,000 Marines to the Philippines


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from Okinawa, Japan, by the end of this week. The scope of US military operations is limited to providing assets as requested by the Philippines government. USG said it would provide $20 million to help in relief efforts. DOD said it was continuing to work closely with the country's government to determine what additional assets may be required. The US will spend half of its pledged US$20 million on emergency shelter and water purification and hygiene supplies; the other half on providing food aid in partnership A Google photo with the World Food Program. HOPE Response. HOPE received further guidance from DOD PACOM/ PACFLT/7th Fleet/Combined Taks Force 70 with personal involvement of ADM Harris, COMPACFLT/C7F; ADM Montgomery CTF70; VADM Thomas C7F; and the ADM Greenert, CNO. Special Programs and Operations (SPO) prepared Warning Orders based on information received from DOD regarding HOPE’s deployment of VOLs onboard USN ships in CTF70. HOPE Logistics team began preparations for deploying itself to MN to conduct a logistics assessment. SPO Issued recruiting statement for the HOPE VOL recruiting site. Operation DAMAYAN – Project HOPE disaster and recovery operations in support of the Philippines in Typhoon Yolanda/ Haiyan aftermath. We are deploying the HOPE Assessment and Response Team to the Philippines (PHL) to conduct an assessment and response survey. We are also recruiting volunteers (VOL) with a high probability of deploying them to the PHL within the next 5-10 days in support of Typhoon Yolanda disaster operations. Post disaster infrastructure damage and security lapse is currently preventing safe access and overland movement. Envision multiple 21-day door-to-door rotations. We will keep VOL informed of deployment dates/times as soon as we have the information. Numbers and specialties currently recruited may change after the field assessment. We envision our VOL will deploy across a variety of mission platforms to multiple disaster sites to provide medical support across a spectrum of post disaster needs. We are looking for qualified credentialed VOL in the following specialties: Operating Room Team General Surgeon DO/MD Surgeon Assistant DO/MD Anesthesiologist DO/MD Certified Registered Nurse Anesthetist Circulating Nurse (CNOR) Scrub Nurse (AND/BSN/CNOR) Surgical Tech (CST/CSFA)

Critical Care Team Intensivist DO/MD Acute Care Nurse Practitioner (ACNP) Intensive and Critical Care Nurse (CCRN) Acute Care Clinical Care Nurse Specialist (CCNS) Adult Acute Care Nurse Practitioner (ACNPC) Certified or Registered Respiratory Therapist Clinical Nurse Specialist (APRN-CNS) Pharmacist (BCPS/BCACP)

Nursing Team RN/BSN/MSN Adult HA Field Team Physicians Emergency Medicine Family Practice Pediatrician OBGYN Psychiatrist

RN/BSN/MSN Peds HA Field Team Other Board Certified Emergency Nursing (BCEN) Family Practice Nurse Practitioner (FPNP-BC) Pediatric Nurse Practitioner (PNP-BC) OBGYN Nurse Practitioner (OGNP-BC) Psychiatric/Mental-Health Nurse Practitioner (PMHNP) Certified Nurse Midwife (CNM)

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HOPE Volunteers must demonstrate following background/ experience and bona fides: MD/DO degree ADN/BSN or higher educational degree Physicians and RNs require BLS, ACLS proficiency; Physicians ATLS desired. Current professional licensure/credentials; no record of outstanding malpractice; no criminal record Demonstrate minimum 3-years of background/experience in specialty Demonstrated ability to live/work/thrive in simple, austere, primitive, nonsectarian environment outside premier western world-class, state of the art medical facilities Flexibility and adaptability to changing mission assignments and high-stress environments Must be prepared to live in austere field conditions Current immunizations/prophylaxis required for travel in and about Philippines Aged 18-65 (request waiver in writing showing reason why age not a factor) Good health, physically and mentally fit, highly ambulatory, no communicable diseases, no chronic/acute diseases impacting job performance, no personal mechanical medical devices Mature, flexible, adaptable, resilient, agile, patient, culturally sensitive, hardworking, sense of humor, like people, ability to communicate Foreign language: Cebuano, Hiligaynon, Waray-Waray, Filipino fluency highly desirable Timid, reticent, cranky, whining, angry, demanding, rash, paranoid, uncommitted applicants need not/should not apply Qualified married couples welcome HOPE provides following This is a volunteer, non-paid position VOL uniform Round-trip air transportation; if VOL redeploys in less than 30-days, the VOL is required to pay for return ticket, change fees and penalties, unless the redeployment is for HOPE verified/approved reasons (family or personal emergency, medical or HOPE directed). VOL who can self-fund their own transportation as a contribution towards the mission greatly appreciated Visas, entry documents Room and board: 3-culturally appropriate meals/day; may be in austere field location(s) Medical emergency ground/air evacuation insurance outlined in Project HOPE handbook Internet access where/when and if available When: Must deploy/redeploy when directed on published date (s) after VOL selection. Duration: Plan for 21-day door-to-door rotation. Where: At designated locations in/about disaster recovery sites; onboard ship, air, ground platforms. Why: To provide necessary medical support to Typhoon postdisaster survivors. In trying to identify needed medications, when site providers are unable to provide detailed lists during emergency/ catastrophic situations best practice points to UN WHO consensus lists of supplies and equipment, whichguide selection of medical GIK to be offered. These include:

NEWS prevalence, safety, efficacy and comparative costeffectiveness. The WHO Model List of Essential Medicines includes over 350 medicines to treat priority codes. (2) Specialized kits include the Interagency Emergency Health Kit (2011) standardizes medicines and medical devices needed in emergencies to allow efficient and effective responses. The concept of the emergency health kit has been adopted by many organizations and national authorities as a reliable, standardized, affordable and quickly available source of the essential medicines and medical devices urgently needed in disaster situations. Content is based on the health needs of 10 000 people 3-months. (3) The Essential Medicines for Reproductive Health (2006) is an interagency list of essential medicines for reproductive health and presents the current international consensus on rational selection of essential reproductive health medicines. International Response. International HA agencies responded on a large scale to two major natural disasters in the Philippines in the last year: Typhoon Bopha/Pablo December 2012 and Bohol earthquake October 2013. They also have ongoing operations in Mindanao to respond to a protracted conflict situation. Bilateral— direct support from several governments begun to arrive, such as military assets and equipment, and aid personnel and materials. PHL Emergency Relief Coordinator and the Humanitarian Coordinator for the Philippinesvisited Tacloban City 13 Nov 13 to assess the humanitarian situation. As aid agencies called for donations and countries sent supplies and assistance teams, relief efforts were hampered by roads washed away or blocked by debris, a lack of vehicles to transport aid from Tacloban airport, and gridlock at Cebu airstrips. Foreign medical missions arriving in Tacloban are from Belgium, Hungary, Malaysia, and Japan. Belgium is deploying a field hospital. MSF is strengthening its overall team (currently 72) with a target and there will be a total of 122 staff including doctors, nurses, surgeons, logisticians, psychologists and water and sanitation expertson the ground in the next few days. British PM is donating an additional P280 million to Yolanda relief efforts and will send a Navy warship and a Boeing C-17 freighter to help.UK embassy in Manila said their total amount donated is over £14 million. Royal Navy’s warship HMS Daring would provide humanitarian assistance, helicopter lift and engineering and first-aid expertise. The type 45 destroyer also carries equipment to make drinking water from seawater. It would also deliver forklift trucks, cutting equipment, 4x4s and other equipment to help clear and reopen runways and roads; temporary shelters, blankets and water purification tablets, and household goods to allow the safe treatment and storage of water and prevent the spread of diseases. Japan donated $10 million to international aid organizations for emergency shelters, food and water. Its 25-man medical team arrived 11 Jan 13 bringing with them an initial four tons of relief goods and medicine. The Canadian military's Disaster Assistance Response Team (DART) deployed to the Philippine city of Iloilo 13 Nov 13 as the death toll from typhoon Haiyan continued to rise. The Canadian response came in the face of a rising death toll in the Philippines that rose to more than 2,300 lives lost across the country.

N AT I O N A L The List of World Health Organization Essential Medicines is an evidence-based resource a model list of essential medicines created by the World Health Organization. This list is based on the 18th edition dated April 2013 (October 2013amendments). Essential medicines satisfy the priority health care needs of a population and are selected with regard to disease prevalence, safety, efficacy and comparative cost-effectiveness.The WHO Model List of Essential Medicines includes over 350 medicines to treat priority codes.. Specialized kits include the Interagency Emergency Health Kit (2011) standardizes medicines and medical devices needed in emergencies to allow efficient and effective responses. The concept of the emergency health kit has been adopted by many organizations and national authorities as a reliable, standardized, affordable and quickly available source of the essential medicines and medical devices urgently needed in disaster situations. Content is based on the health needs of 10 000 people 3-months. The Essential Medicines for Reproductive Health (2006) is an interagency list of essential medicines for reproductive health and presents the current international consensus on rational selection of essential reproductive health medicines. F. Gerber/M. Peterson


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Dr. Sigfrid Ladores for your accomplishment and adding Ph.D. on your on your professional title. PNACF is so proud of you! IN MEMORIAM

Let Us Remember Charito Medrano in our prayers who passed away November 18. May she rest in Peace. She is Cherry Medrano Sloan’s sister of PNA Texas May God’s grace be upon her family in this hour of bereavement.



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Emma Pacris Circle of Presidents (Michigan)

Ariel Zabala Circle of Presidents (Tampa Bay Florida)



Comm. & Marketing

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