Ariel’s Arlington Race Track Bal Arisi Designs BLING Brunswick Zone Cheesecake Factory Chicago Bears Chicago Cubs Chicago Sky Chicago White Sox Chicago Wolves Classic Cinema Corner Bakery
Designs by Laur & Gar Ditka’s Restaurant
El Salto’s Restaurant
Essential Massage & Bodywork Gino’s East Grand Country
Music Hall HarleyDavidson Museum
Holly Janssen Hooters of Schererville Jenny’s Restaurant Joliet Slammers Baseball
Judith Jennrich
Kane County
Cougars Kelli Lord/ Origami Owl Laurie Anema
Lou Malnati’s
Marcel’s Culinary Experience Maria Connolly Mario Tricoci Salon
Bernadette
Bottom Brewery Rocky Mountain Chocolate Factory Round the Clock Ruth Anne Sanders
Sam’s Club
Season’s 52 Fresh Grill
Shedd Aquarium
SkyDeck Chicago
Smits Funeral
Homes, Ltd.
Starbucks
Susan Fox
Tap House Grill
Tasting de Vine
The Bookstore
The Field Museum
The Law Office of Robert H. Sorge The Urban Mutt
Theo’s Steakhouse
Thunder Bay Grille
Time for Wine
Tonika Little Ulta
Vanis Salon
Walt’s Food Stores
White Chocolate Grill
INF Holds 2nd Annual Holiday Fundraiser
On December 5, 2014 INF held its 2nd annual Holiday Fundraising Gala. It was a great night for INF and all those in attendance at the Marriott-Chicago in Naperville. This year we had several organizations purchase entire tables for their supporters, members, association, friends or family. This proved to be a great way for groups to get together over the holidays without all the planning and support a great cause at the same time. In fact, many did their Holiday shopping at the Gala. The event was a great success with nearly $10,000 raised for the INF!
Attendees each donated a new toy for the INF Toy Drive for Youth Services Project, Inc. Youth Service Project, Inc. (YSP) is a predominately Latino and African-American community-building youth based organization in the Greater Humboldt Park community of Chicago. YSP’s mission is dedicated to working Holiday Fundraiser continued on page 4
M ess A ge F ro M T he i NF P resi D e NT
Dear Illinois Nursing Colleagues,
I think we all have heard and understand the importance of saving money and investing for the future of our personal lives but have we all thought about the need to invest in the future of nursing? In past columns I have asked you to consider philanthropy as another facet of your professional nursing role. Philanthropy provides a strategy for investment in the future – on a personal level, philanthropy helps manage your own future through tax advantages. On a larger level, philanthropy can be viewed as an investment in the future of the larger cause you are supporting because your contribution is an investment that helps strengthen and support the cause.
A recent example of philanthropy that is investing globally in the future of nursing is the nonprofit Partners in Health (PIH) which has started a mentorship program for nurses in Rwanda and Haiti with plans to expand to other countries needing nurses. The International Council of Nurses (ICN) cites statistics from the World Health Organization (WHO) that nurses comprise 60-80% of
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the total health system workforce and provide 90% of all health care services. PIH Chief Nursing Officer Sheila Davis told NPR that “Nurses are also often the voice of patients because they are with them so much of the time. So we’re trying to raise the standard of care by raising the standard of nursing.” PIH has recognized the value of nursing to patients and is investing resources to increase that value moving forward.
The value of nursing is also recognized by the American public who, once again, ranked nursing at the top of the 2014 Gallup Poll’s “U.S. Views on Honesty and Ethical Standards in Professions.” Nurses have been chosen by poll respondents as most trusted every year since 1999, with the exception of 2001. This indicates that an investment in nursing’s future is a good one; no risk with the promise of a good return!
The Illinois Nurses Foundation offers the opportunity to invest in nursing locally. Through scholarships and funding special projects, the foundation exists to support and improve nursing in Illinois. Please consider adding your support by making an investment in Illinois nursing through a contribution to the Illinois Nurses Foundation. http://www.ana-illinois.org/Main-Menu-Categories/ Foundation
Thank you for being part of this healing profession that is so trusted by our patients and the public!
ICN (2012) Reforming Primary Health Care; A Nursing Perspective Contributing to Health Care Reform Issues and Challenges. ICN; Geneva.
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The Nursi N g Voice
INF Board of Directors
Officers
Maureen Shekleton, PhD, RN, DPNAP, FAAN President
Alma Labunski, PhD, MS, RN Vice President
Cathy Neuman, MSN, RN, CNAA Secretary/Treasurer
Directors
Cheryl Anema, PhD, RN
Maria Connolly, PhD, CNE, ANEF, FCCM
P. Joan Larsen, RN
Sarah Gabua, DNP, RN
Karen Egenes, EdD, MSN, MA, RN
Linda Olson, PhD, RN, NEA-BC
Lauren Mardirosian, BSN, RN
Diana Cafi, MSN, MHA, RN, CLNC
Officers
2013-2015 ANA-Illinois Board of Directors
Pamela Brown, PhD, RN, ANEF President
Ann O’Sullivan, MSN, RN, CNE, NE-BC, ANEF Vice President
Dan Fraczkowski, MSN, RN Treasurer
Sarah Gabua, DNP, RN Secretary
Directors
Diana Cafi, MSN, MHA, RN, CLNC
Deb Eagan, BSN, RN
Karen Egenes, EdD, MSN, MA, RN
Alyssa Grzegorzewski, BSN, RN
Bonnie Salvetti, BSN, RN
Editorial Committee
Editor Emeritus
Alma Labunski, PhD, MS, RN
Chief Editors
Lisa Anderson-Shaw, DrPH, MA, MSN
Karen Mayville, MSN, PhD, RN
Members
Cheryl Anema, PhD, RN
Margaret Kraft, PhD, RN
Linda Olson, PhD, RN, NEA-BC
Executive Director
Susan Y. Swart, MS, RN, CAE
ANA-Illinois/Illinois Nurses Foundation
Article Submission
• Subject to editing by the INF Executive Director & Editorial Committee
• Electronic submissions ONLY as an attachment (word document preferred)
• Email: info@ana-illinois.org
• Subject Line: Nursing Voice Submission: Name of the article
• Must include the name of the author and a title.
• INF reserves the right to pull or edit any article / news submission for space and availability and/or deadlines
• If requested, notification will be given to authors once the final draft of the Nursing Voice has been submitted.
• INF does not accept monetary payment for articles.
Article submissions, deadline information and all other inquiries regarding the Nursing Voice please email: info@ana-illinois.org
Article Submission Dates
(submissions by end of the business day)
January 15th
April 15th
July 15th
October 15th
Advertising: for advertising rates and information please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, P.O. Box 216, Cedar Falls, Iowa 50613 (800-626-4081), sales@ aldpub.com. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement or approval by the ANA-Illinois and Illinois Nurses Foundation of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of ANA-Illinois or those of the national or local associations.
Maureen Shekleton PhD, RN, DPNAP, FAAN
Happy New Year to All
I am writing this in ZERO
DEGREE weather, and thinking of and very thankful for all the nurses who go to work day after day despite adverse weather conditions.
BLESS YOU!! In this edition of the Voice, I am sharing the strategic initiatives that ANA-Illinois is focusing on in the next few years, I am also seeking your input about healthy work environments, and ending with inviting you to join in my New Year’s resolution. I want to take a minute and say thank you for participating in surveys. I so appreciate your willingness to complete surveys which provide the organization with valuable information about the needs and priorities of nurses in Illinois.
The strategic planning process began at the ANAIllinois Annual Membership Assembly in October, and the Board of Directors finalized the strategic plan in January 2015. We used the ANA strategic plan as our guideline. ANA-Il has 4 major goals. Goal 1 is to promote a safe, ethical work environment as well as the health and wellness of nurses in all settings. Goal 2 is to advance the quality and safety of patient care in a transforming health care environment. Goal 3 is to optimize professional nursing practice and the quality of health care in Illinois through leadership development and by ensuring full use of the knowledge and skills of RNs and APRNs. Goal 4 is to aggressively grow membership by acquiring, engaging, and retaining members.
In the next year the focus will be to create an expert panel on workplace safety that will assess workplace safety in Illinois and align with ANA’s expert panel on workplace safety. We will also need an expert panel on
quality and safety. This panel will identify appropriate links to quality and safety sites such as QSEN, and develop educational programs. I encourage you to watch for the announcements and calls to serve on the expert panels. We need your expertise.
Full practice authority is a strong focus for 2015, and we are collaborating with the Illinois Society of Advanced Practice Nurses and other nursing associations to lobby for full practice authority in Illinois. It is crucial that Illinois nurses log onto the ANA-Illinois advocacy portal to learn about legislation, and support full practice authority for APRNs. Currently, ANA-Illinois has an expert panel looking at the RN scope of practice. Focus groups are being conducted throughout Illinois, and the analysis of our findings will guide us in updating and revising the RN scope of practice as we prepare for the sunset of the Nurse Practice Act in 2017.
Another priority for 2015 is to establish a brand and core message for ANA-Illinois and distribute that widely. We have continued to experience a steady slow increase in membership. There are approximately 176,000 licensed nurses in Illinois and 1600 belong to ANA-Illinois. It is crucial to our continued success that we aggressively increase membership.
The Illinois Nurses Foundation (INF) is seeking your support in an Illinois license plate drive that honors nurses. We need 1,500 nurses to step up to the plate and let the state know that you would purchase a license plate. The proceeds from the sales of the license plate go to the INF for nursing scholarships and grants. What a worthy cause!!
In 2004, the Nursing Organizations Alliance (coalition of major U.S. nursing organizations) issued a joint position paper identifying 9 core characteristics of a healthy work environment. They are: 1) a collaborative practice culture; 2) a communication rich culture; 3) a culture of accountability; 4) the presence of adequate numbers of qualified nurses; 5) the presence of expert, competent, credible, visible leadership; 6) shared decision making at all levels; 7) the encouragement of professional practice
and continued growth/development; 8) recognition of the value of nursing’s contribution; and 9) recognition by nurses for their meaningful contributions to practice. I am very interested in how many of you are working in a “healthy environment.” Please go to https://www. surveymonkey.com/s/ZLTCXDW and complete a short survey. I will share the results in the next edition of the Voice. Thank You.
Please think about:
As nurses we have the opportunity and obligation to practice in a way that brings caring into every encounter we have with another person. I believe the more we embrace and embody ethical practice, the easier it is to see caring in all we do. I also believe healthy workplaces are also ethical workplaces that model ethical practice and attract ethical practitioners. Taylor wrote the following in Provision One of the ANA Guide to the Code of Ethics for Nurses:
“In every human encounter, we convey one of three messages: 1) Go away, my world would be better without you; 2) You are an object, a task to be done, you mean nothing to me; or 3) You are a person of worth, I care about you,” (Taylor, 2010, p. 6).
I have certainly committed 1 and 2 too many times. When I don’t give my full attention to someone, or I pay more attention to the computer than to my patient and family, or I judge a person or a group of people based on looks or circumstances, or I don’t “like” someone, or I’m tired and I just want my nagging teen to go away, etc. Professionally, I need to be at #3 all the time, but I also want to be at #3 in all my encounters. I strongly encourage all of us to be aware of falling into 1 or 2, STOP THAT BEHAVIOR, and strive for #3 in each and every encounter. This is my New Year’s resolution, and I invite you to join me.
Thank you for all the dedication, care, and expertise you provide!!
Pamela Brown PhD, RN, ANEF
with youth by cultivating relationships through safe, supportive, and creative programming to maximize their strengths and navigate their lives. Several cars were packed full with toys at the end of the evening and delivered to the youth and was greatly appreciated.
The evening was filled with raffle ticket buying, Silent Auction bidding and a special 52 chance drawing for a $620 Autobahn Country Club Racing Experience. Everyone enjoyed a plated 4-course dinner, cash bar, DJ Mike, and some great dancing on the dance floor. In between activities of the night, most attendees took time to have a little fun in the Photo Booth. There were over 100 items raffled or auctioned throughout the night. Some of the other popular auction items were 2 – one day Park Hopper tickets to Disney World, tickets to several sporting events including Chicago White Sox, WNBA Chicago Sky, and the Chicago Wolves, Get-aways to Branson, Reno, and Milwaukee, Spa gift certificates, Chef for the day at Tin Fish Restaurant, Chicago tourist locations, and so much more.
INF hopes that this event continues to expand and that this becomes the MUST ATTEND event for nurses and those that support nursing. Just remember, when the invitation is released for the next event, book your tickets early. A special thank-you goes to each of our major sponsors – Rasmussen College and ANA-Illinois, and our many donors. Thank-you also go to the many volunteers it took to make this a success event. Thank you for your support and dedication to INF!
Holiday Fundraiser continued
Acute Pancreatitis: What Elders Need to Know About an Unforgiving Organ
Alma J. Labunski, Ph.D., M.S. R.N, Consultant, Educational Challenges Within a Global Culture; Former Executive Director, Nurse Educators of Illinois; Retired Dean and Professor, North Park University School of Nursing
PURPOSE
This continuing education session is designed to review essential characteristics of the gastrointestinal system, specifically the pancreas, and the impact of the disease process and its intervention upon adults as they age.
OBJECTIVES/OUTCOMES
1. Review the anatomy and physiology of the normal pancreas and its tributaries.
2. Explain the pathophysiological changes which impact the organ and entire body, especially upon aging adults.
3. Discuss the specific effects of pathophysiology and its therapeutic intervention upon older adults.
4. Prepare for unwarranted complications and the guarded prognosis which often occurs with acute pancreatitis.
5. Discuss the significance of appropriate therapeutic and educational outcomes which impact patient and family.
CASE STUDY
An 85 year old petite, Caucasian female, whose weight was 105 pounds and height, 5’ 1½ inches was enroute from a fund raising charity event. She reported that she was” struck with severe excruciating upper abdominal pain. Given her history of diverticulosis, the patient assumed that she developed acute diverticulitis and headed straight to a nearby northern Emergency Room of an acute care medical center.
Subsequent to a computerized axial tomogram, a magnetic resonance imaging scan, an ultrasound, echocardiogram and numerous blood tests, the patient was immediately transferred to an intensive care unit, placed on oxygen at 2L per minute, heart monitor, and an IV at a rate of 200cc/hour – so that in four hours, 1000 cc’s were absorbed; all of which were followed by a second, third and a fourth bottle of 1000cc’s per bottle administered at the same intensity.
The patient’s breathing became more labored, her heart went into failure, she developed pericardial effusion, and she incurred extremely intense abdominal pain. The patient’s weight also rapidly increased; in 24 hours, twenty pounds were added – and an additional 10 for a total of 30 pounds in 36 hours. The fluid overload caused heart failure, pulmonary edema and the pericardial effusion. During the period, the patient several times refuted the amount and the critical changes which were ensuing. The response from the attending Hospitalists was always “That’s protocol; we must do that.”
The patient’s blood was drawn twice per day; based upon the results of the Intravenous intake, her blood sugar was so low, that the hospitalist physicians switched the order from normal saline at 200cc/hour to dextrose / water at 200cc/hour. A follow up blood test revealed that the blood sugar was dangerously high. Insulin was ordered to counteract the high glucose blood level. The Patient vehemently declined indicated she is not a diabetic and although hospitalists insisted, the patient continued to refuse.
A few short hours later, the patient’s long-term cardiologist who was informed of the patient’s hospitalization, came to visit her, walked into the hospital room, examined the speed of the fluid intake, and the patient’s status; he turned around, and angrily stated, “what in the world have they done to you?” Parenthetically, the long term cardiologist, who is highly respected in the respective hospital, completely changed the orders, ordered daily weights (which were never previously ordered), decreased speed of the IV, and additional tests to determine the extent of the damage that had been done. No one dared to make any revised changes subsequent to his revised orders.
Based upon the results of the tests, the physicians determined that the likely culprit was a gallbladder stone which, although not visible, was likely released from the gallbladder and blocked the pancreatic duct to cause severe back up, inflammation and severe pancreatic pain, due to the extensive back up of enzymes and inflammatory secretions.
Attempts to take in fat were to no avail. The Patient was not allowed any oral intake for two and one half weeks.
Thereafter, she was allocated a clear liquid diet with careful, continuous monitoring of blood, urine, weight changes and a low rate of IV intake.
A hospitalist surgeon daily entered the patient’s room with the emphatic statement that the patient quickly needed gallbladder surgery to prevent any further complications and potential death, in spite of her critical condition. She was too ill for any surgical intervention at that time, however, the patient later sought other surgical counsel and underwent surgery seven weeks following hospitalization discharge.
The patient was discharged three weeks later, with specific monitoring orders regarding her condition. Given the presence of several pseudocysts and necrotic cells in the pancreas, physicians were concerned regarding their status and the possibility of transformation into cancer and/or necrotic cells.
PANCREAS – THE ORGAN
The pancreas is an elongated organ of 12 to 15 centimeters, with a head, body and tail. Its location is posterior to the stomach; the head is tucked into the curve of the duodenum.
The mixed gland contains functions with (exocrine) and without ducts (endocrine). The exocrine functions as the digestive organ, secretes digestive secretions, enzymes and alkaline materials whith empty into the intestine.
The endocrine section secretes hormones in the blood stream; its weight is only 1% of the total weight of the gland/. It synthesizes, stores, and secretes hormones from the clusters of cells called pancreatic islets (eg., islets of Langerhans). The adult pancreas contains 200,000 to two million islets which are scattered throughout the gland. Islets contain four groups of cells: Alpha raises the glucose level; Beta cells produce insulin to lower the glucose;( when blood glucose concentrations rise, Beta cells secrete insulin). Delta cells secrete somatastatin hypothalamic growth hormones which inhibits both glucogen and insulin; and, F cells secret pancreatic polypeptide which is released after a meal and regulates pancreatic digestive enzymes.
Beta cells facilitate glucose transport. Glucose is transported to increase the metabolism of carbohydrates. Increased amino acid is transported into cells; there is increased conversion of glucose to fatty acids and decreased glycogenalysis and gluconeogenesis occur.
Insulins’ functions are opposite of glucagon. The two hormones work in concert to maintain normal
Continuing Education continued on page 6
Continuing Education continued from page 5
blood glucose levels. If beta cells don’t produce enough insulin, Diabetes occurs. If too much insulin is secreted, hypoglycemia occurs.
Pancreatic secretions are clear, alkaline (7.1-8.2), contain mostly water, salts, bicarbonate and enzymes which are alkaline secretions and buffer the acidic cymes, inhibit the enzyme pepsin and establishes a good medium for intestinal enzymes. The enzymes are secreted by acinar cells and lead to digestion of lipids, proteins and carbohydrates. Lipase converts starch into maltose and other proteolytic enzymes which contain chymotrypsin and converts proteins into fatty acids and glycerol.
Two hormones stimulate release of pancreatic secretions. Secretin is released from the small intestine in response to the acidic chyme in the small intestine. Partially digested fats and proteins in the small intestine also stimulate release of hormone cholecystokinin causing release of enzyme-rich secretin from the pancreas.
ACUTE PANCREATITIS
This condition is an acute inflammatory process of the pancreas which ranges from mild to severe depending on the extent of destruction of tissues. It may become chronic; it may be life threatening. Although it has been more commonly revealed in middle aged males, it is increasingly being revealed in older adults who increase fat intake because it is “easier to chew and swallow.” Additionally, some older adults are increasingly consuming greater amounts of alcohol as their staple.
The cause may be many factors, however, the most common are twofold: alcoholism, and gallbladder disease with increased amounts of stones in the organ, causes blockage of the ampulla of Water and is the entry to the pancreas. It may also, although rarely, occur after assuming certain drugs, postoperatively or is idiopathic. The most common pathogenic mechanism is autodigestion of the pancreas – injury to the pancreatic cells in the pancreas versus the intestine via gallbladder stones. Injury to the pancreas results in severe inflammation, oftentimes, pseudocysts, and possible necrosis and/or cancerous tissue development of the cells.
MANIFESTATIONS OF SYMPTOMS
a. Severe pain in the upper left quadrant and in the mid epigastrium – commonly radiating to the back.
b. Sudden , severe, piercing continuous onset of the pain.
c. May experience temperature elevation, flushing dyspnea, cyanosis, vomiting, absent bowel sounds.
d. Shock due to hemorrhage into the pancreas or toxemia from the activated pancreatic enzymes.
e. Hypovolemia;’ blood and plasma proteins move into the retroperitoneal space causing massive fluid shifts.
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COMPLICATIONS
As indicated above, pseudocysts commonly occur; they often develop into abscesses which cause necrosis with liquid secretions containing enzymes, inflammatory exudates, and plasma. All may resolve eventually two months later – or may develop into more complications such as pulmonary and cancerous development.
Primary diagnosis is made via blood testing revealing high serum amylase high lipase, triglycerides and eratic changes in blood glucose. Urinary amylase is elevated, hyperlipidemia, hypocalcemia are revealed. An ultrasound, abdominal xrays, echocardiogram and CATscan of the pancreas. Reveals the acute condition.
THERAPEUTIC INTEERVENTION
• Intravenous fluids containing electrolyte solutions for shock.
• Monitor heart, lungs with oxygen administration
• Remain on nothing per mouth for a minimum of two weeks – then gradually begin with small clear to nourishing liquids with simple carbohydrates , and no fat intake to minimally stimulate the exocrine portion of the pancreas.to stimulate the exocrine
• Pending results of blood test and a state of shock, administer albumin, IV calcium gluconate, observe for electrolyte imbalances; intervene for to reverse the imbalance
• Daily weights
• Observe for Tetany due to hypocalcemia
• Good oral and nasal care to relieve dryness to prevent parotitis
NURSING CARE GOALS:
1. Relief of pain
2. Return of fluid and electrolyte balance
3. Prevent complications
4. Prevent recurrence
IMPLEMENTATION:
1. Patient teaching critical: regarding areas such as diet, heart factors, fluid balances, weight monitoring
2. Monitor for Cholelithiasis
3. Elevate head of bed 45 degrees
4. Nothing by mouth – need for good oral and nasal care
5. Monitor for frequent vomiting and electrolyte imbalances
6. Monitor for Tetany –Positive Chvostiks and/ or Trouseau’s sign due to as indicated above, hypoglycemia and electrolyte imbalance. Administer calcium gluconate
7. Prevent infections – turn frequently, cough, deep breathing, wound care as needed
8. Chronic home management:
a. Physical therapy may be needed;
b. Avoid smoking and caffeine which stimulate the pancreas
c. Prevent infections
e. When intake is allowed, may have high carbohydrates – less stimulating
f. Avoid binge eating, crash diets, anything unusual which will likely precipitate attacks.
g. Monitor for mental depression; may develop post traumatic stress syndrome (PTSS)
h. Report manifestations of infection, onset of diabetes, steatorrhea (foul smelling stool)
9. Follow orders carefully
10 Contact health care providers regarding any manifestations which may reflect recurrence, regression and/or complications.
References available upon request – syswart@anaillinois.org
CE Offering
1.0 Contact Hours
This offering expires in 2 years: MARCH 10, 2017
The goal of this self-study is to review essential characteristics of the gastrointestinal system, specifically the pancreas, and the impact of the disease process and its intervention upon adults as they age.
Learning Objectives:
1. Review the anatomy and physiology of the normal pancreas and its tributaries.
2. Explain the pathophysiological changes which impact the organ and entire body, especially upon aging adults.
3. Discuss the specific effects of pathophysiology and its therapeutic intervention upon older adults.
4. Prepare for unwarranted complications and the guarded prognosis which often occurs with acute pancreatitis.
5. Discuss the significance of appropriate therapeutic and educational outcomes which impact patient and family.
HOW TO EARN
CONTINUING EDUCATION CREDIT
This course is 1.0 Contact Hours
1. Read the Continuing Education Article
2. Take the test on the next page
3. Complete the entire form
DEADLINE
Answer forms must be postmarked by MARCH 1, 2017
d. Remain fat free or on low fat intake to avoid stimulating secretion of cholecystokinin which stimulates pancreas- needs extensive time to heal. Oftentimes, older adults prefer ingesting fat, which requires less chewing due to their false or lack of full mouth of teeth
Mail or fax the completed answer form. Include processing fee as follows: ANA-Illinois members- $7.50 Non members- $15.00
Check or money order payable to Illinois Nurses Foundation (INF) or credit card information only
MAIL: Illinois Nurses Foundation PO BOX 636, Manteno, Illinois 60950 FAX: Credit Card Payments Only 773-304-1419
If you, or someone you know has an interest, please contact CDR Stephen Navarro at 602-364-5222, or email Stephen at Stephen.navarro@ihs.gov
I hope we’ll talk soon.
Key Qualifications:
P.S. Your Southwest adventure awaits you.
Romeoville/Joliet, IL
Dean of Nursing Opportunities Include:
• Green Bay, WI
Aurora,
Mokena,
ACHIEVEMENT
To earn 1.0 contact hours of continuing education, you must achieve a score of 80%
If you do not pass the test, you may take it again at no additional charge
Certificates indicating successful completion of this offering will be emailed to you.
The planners and faculty have declared no conflict of interest.
ACCREDITATION
This continuing nursing education activity was approved by the Ohio Nurses Association (OBN001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
CE Quiz
1. The pancreas functions as a mixed glad with and without ducts labeled as the following:
a. Exocrine, Endocrine
b. Positive, Negative
c. Digestive Components
d. Alkaline, Acidic
2. Two hormones which stimulate the release of pancreatic secretion are:
a. Lipase, secretin
b. Amylase, Lipase
c. Amylase,Cholecystokinin
d. Sectetin, Cholcystokinin
3. The most common etiologic factors for the acute inflammatory pancreas are the following:
1. Postoperative complicating structures develop
2. Heavy alcohol ingestion stimulating excess production of secretions and pancreatic blockage.
3. Gallbladder stones which block the pancreatic duct
4. Idiopathic
a. 1,2,3
b. 1,3
c. 2,3
d. 4
4. Common manifestations of disease include:
a. Severe pain in the upper left quadrant and midepigastrium
b. Severe pain in the lower left quadrant and midepigastrium
c. Shock due to hemorrhage into the intestine
d. Hypervolemia with massive fluid shifts
5. Primary diagnostic tests to confirm the condition reveal the following:
a. Hypercalcemia
b. Decreased serum lipase and lipase
c. Increased serum amylase and urinary amylase
d. Hypoglycemia
6. Complications of disease may relate to the following:
a. Pseudocysts and abscesses
b. Pericardial effusion, pulmonary effusion
c. Electrolyte imbalance, tetany
d. a and b.
e. All of the above
7. Therapeutic Intervention requires all of the following EXCEPT:
a. Intravenous Fluids for fluid imbalance
b. Calcium Gluconate for potential Tetany
c. High fat intake to stimulate secretion of cholecystokinin
d. Daily weight to monitor patient
8. Implementation of safe patient care should be directed toward the following:
1. Elevate of head of bed at 45degrees.
2. Monitor frequent vomiting and electrolyte imbalance
3. Check Chvostek’s, Trousesseau’s signs
4. Monitor for signs of infections
5. Patient teaching regarding potential need for Gallbladder removal -
6. Avoid alcohol intake
a. All of the above
b. 2,3,4,5,
c. 2,4,5,6,
d. 3,4,5
9. The patient in the case study was instructed to avoid oral intake for the following purpose:
a. Avoid Weight gain
b. To relieve patient’s depression
c. To avoid the potential development of Diabetes mellitus.
d. To avoid stimulating secretion of Cholecystokinin to allow pancreas to heal.
10. Principles of patient education include the following:
a. Promote intake of caffeine and smoking which stimulate the process of healing
b. Introduce oral intake of bland food items to aid in healing
c. Encourage intake of high fat and low carbohydrate foods
d. Avoid oral intake of high fat which stimulate the pancreas
Rocky Boy Health Board
ANSWER FORM
CE #17967: ACUTE PANCREATITIS: WHAT ELDERS NEED TO KNOW ABOUT AN UNFORGIVING ORGAN
Please circle the appropriate letter
(Please PRINT clearly)
NAME
ADDRESS CITY STATE ZIP CODE
PHONE
EMAIL ADDRESS (required to receive CE certificate)
1. Review the anatomy and physiology of the normal pancreas and its tributaries.
2. Explain the pathophysiological changes which impact the organ and entire body, especially upon aging adults.
3. Discuss the specific effects of pathophysiology and its therapeutic intervention upon older adults. 1 2 3 4 5
4. Prepare for unwarranted complications and the guarded prognosis which often occurs with acute pancreatitis.
5. Discuss the significance of appropriate therapeutic and educational outcomes which impact patient and family.
2 3 4 5
How many minutes did it take you to read and complete this program?
Suggestions for improvement? Future topics?
ANA-ILLINOIS MEMBER $7.50 ANA-ILLINOIS ID# NON MEMBER $15.00
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IHAC Education Workgroup Update
Nurses contribute to every area of health care, including public health agencies, primary care clinics, home health care, nursing homes, industry, health care research, nursing-school-operated nursing centers and many other areas of care. The Affordable Care Act (ACA) expanded or created programs to support the nursing profession and improve care to Americans to build on existing work and to create new opportunities. We will continue to need more nurses, particularly in primary care areas, to care for the newly insured and the increasing number of baby-boomers who continue to retire and are eligible for Medicare.
The Illinois Healthcare Action Coalition (IHAC) Education Workgroup continues to build consensus through collaborating with Illinois nursing education organizations. These state nursing education organizations (Illinois Association of Colleges of Nursing (IACN), Illinois Community College Board (ICCB) Deans and Directors and Illinois Organization of Associate Degree Nursing (IOADN) programs) meet quarterly and jointly at least twice per year. At the June 12, 2014 joint meeting the standardized ADN curriculum was approved. The recommended standardized curriculum for Illinois Associate Degree (ADN) RN programs:
• Anatomy and Physiology w/lab (8 semester hours)
• Microbiology (4 semester hours)
• Introduction to Psychology (3 semester hours)
• Developmental Psychology (3 semester hours)
• English Composition (3 semester hours)
• English II (Speech) (3 semester hours)
*Approx. 38-40 hours of nursing will transfer
Total: 62-64 semester hours to transfer to BSN Completion
The IHAC Education workgroup has a position statement on seamless academic progression for nurses, which is available on the IHAC website: http://www. illinoishac.com/workgroups/education/educationprojectscollaborations/
The IHAC Education Workgroup continues to meet to determine involvement of regulatory agencies to work with the standardization of RN nursing education curriculum. The Illinois Center for Nursing (ICN) website http://nursing.illinois.gov/education.asp has a list of all RN baccalaureate- completion nursing education programs. This seamless progression model would allow for schools to graduate more RNs in order to meet the healthcare needs of the state. New and innovative strategies continue to be developed to facilitate a seamless progression throughout all levels of nursing education.
The IHAC Education Workgroup also has a position statement on the currency of science courses for transfer to RN/BSN programs, which is available on the IHAC website: http://www.illinoishac.com/workgroups/ education/education-projectscollaborations/
Policy recommendation: the IHAC Education workgroup recommends that there be no time limit for accepting science courses from accredited colleges to meet prerequisites as courses for students entering RN-BSN completion programs.
Rationale: Registered Nurses in RN-BSN programs have already taken requisite science courses to meet the requirements for graduating from the basic pre-licensure nursing education program and passing the NCLEX exam to become licensed as Registered Nurses in Illinois. They have been using the science knowledge in caring for patients. Evidence in colleges of nursing where there is no time limit for science courses demonstrate that RNs complete the programs successfully with no evidence to the contrary.
The IHAC education committee has been working on ways to streamline articulation and to remove barriers for nurses to enroll in and complete BSN programs. It is a major barrier for nurses to repeat pre-licensure science courses in order to take RN-BSN courses. This could seriously reduce the number of current RNs completing the BSN degree.
Each individual nursing RN-BSN education program will determine acceptance of required science courses; IHAC Education workgroup continues outreach to Illinois RN-BSN completion education programs in support of this policy.
The Illinois Healthcare Action Coalition (IHAC) Education workgroup meets monthly by conference call to bring to life recommendations from the Institute of Medicine Report: The Future of Nursing, Leading Change, Advancing Health. This work group is composed primarily of Illinois nurse educators, and is co-chaired by Sheri Banovic/Lewis and Clark Community College and Vickie Keough/Loyola University Marcella Niehoff School of Nursing. Project support is provided by the Illinois Center for Nursing. Other members include:
Deborah Jezuit PhD, RN
P. Ann Solari-Twadell RN, PhD, MPA, FAAN
Peggy Cowling APN/CNS, RNC-OB, C-EFM
Ann O’Sullivan MSN, RN, CNE, NE-BC, ANEF
Lydia Falbo MSN, APHN
Kellee Hayes MSN, RN, CNE
Wendee Guth MS, RN, CNE
Margaret Gas MPA, MSN, RN
Renee Kidd-Marshall EdD., CNE, RN-BC
Vickie Folse PhD, APN, PMHCNS-BC, LCPC
Holly Janssen MSN, RN
Alma J. Labunski PhD, MS, RN
P. Lea Monahan PhD, RN
Patricia Brown DNP, APN, CNS, CCRN
Julie Hoff MPH, PhD, RN
Bonnie Bennett-Campbell RN, MSN
Vickie Gukenberger PhD, RN
Donna Meyer MSN, RN
Mary Beth Luna PhD (c), MS, RN, CNE
Monique Ridosh MSN, RN
Karen Egenes RN, EdD
Cynthia Maskey RN, PhD, CNE
The IHAC Education Workgroup has developed a position statement on the currency of science courses for transfer to RN/BSN Program, which is available on the IHAC website: http://www.illinoishac.com/workgroups/ education/education-projectscollaborations/
The IHAC Education Workgroup continues to meet to determine involvement of regulatory agencies to work with the standardization of RN nursing education curriculum, to eliminate competition among programs, to work towards a comprehensive database for all programs and requirements. The Illinois Center for Nursing (ICN) website http://nursing.illinois.gov/education.asp has a list of all RN baccalaureate- completion nursing education programs.
The Illinois Center
The Illinois Center for Nursing Moving Forward
The Illinois Center for Nursing’s (ICN) central challenge: to optimize ICN’s influence as the leader for nursing workforce development that impacts quality healthcare policy, practice and education in an era of change. Annual elections were held, and the ICN Advisory Board elected a new Chairperson, Maureen Shekleton, PhD, RN, DPNAP, FAAN and a Vice Chairperson, Donna Meyer, MSN, RN.
The ICN Board continues to focus work in the following areas:
• Increase visibility and communicate the value of the ICN
• Foster key strategic partnerships to facilitate the work of the ICN
• Collect, aggregate and analyze current and new data to better understand Illinois nursing workforce needs
The ICN Board’s marketing team (C. Hovanec, M. Prater, M. Lebold) are in the process of completing the first informational brochure highlighting ICN’s achievements. The team evaluated state nursing workforce center information ( http://www. nursingworkforcecenters.org/ ), along with current Illinois Department of Financial and Professional Regulation (IDFPR) resources to create the brochure design. The brochure will be used to support ICN outreach, including providing education to the General Assembly and others. The ICN works to enhance the delivery of quality health care services by providing ongoing strategies and initiatives supporting the nursing workforce in Illinois. The ICN marketing team’s next project is to review the ICN website, evaluating designs that are interactive and formatting pages to highlight recent projects.
The ICN partnership team continued outreach activities by participating in the Small Business Advocacy Council annual event: Empowering and Connecting Small Business. The event was held at Block 37 in Chicago on October 30, 2014. The networking event included over 100 exhibitors and standing room only education sessions where small business owners could learn practical skills to grow their business, including negotiations, marketing, employee management and more. The IDFPR/ICN information booth in the exhibit area was supported by M. Bromberg, D. Jimenez, P. Haley and L.B. Roberts. ICN answered licensure, education and other questions, along with distributing brochures and providing information to approximately 5,000 attendees.
The Illinois Healthcare Action Coalition (IHAC), is another partnership which ICN co-chairs with the Illinois Organization of Nurse Leaders (IONL) and ANA-IL. IHAC is currently focusing on the Robert Wood Johnson Foundation (RWJF) State Implementation Program (SIP) grant activities. The 2015 SIP grant deliverables include education forums, opportunities for stakeholders to come together to discuss and share ideas for shaping the Illinois healthcare workforce of the future and to identify potential opportunities for collaboration. An adequate supply and distribution of nurses is an essential component of an effective health care system. ICN will examine the adequacy of the nursing workforce at both the state and regional levels and provide projections of the future nursing workforce under a number of scenarios.
The ICN Advisory Board of Directors meets the second Wednesday of the months of February, April, June, September, October and December, and meets by videoconference in the IDFPR offices in Springfield & Chicago, 10am-2pm. The next meetings are: April 8 and June 10, 2015. ICN meetings are open to the public. Meeting dates are posted on the ICN website, tab: About the Advisory Board http://nursing.illinois. gov/aboutboard.asp and are also located on the Division of Professional Regulation web page, on the right side, section: Division Features: http://www.idfpr.com/ DPRdefault.asp, tab: FY15 Committee/Board schedules. The ICN is working with industry professionals and educational institutions to ensure that Illinois has a nursing workforce necessary to meet the demands of a growing and aging population. Visit the ICN website, http://nursing.illinois.gov
Center for Nursing
The Illinois Center for Nursing Workforce Data Collection
The Illinois Center for Nursing’s (ICN) central challenge: to optimize ICN’s influence as the leader for nursing workforce development that impacts quality healthcare policy, practice and education in an era of change.
For the first time, the ICN offered Illinois RNs the opportunity to voluntarily participate in a survey upon completion of the 2014 online licensure renewal process. The ICN partnered with the IDFPR Licensing and Information Technology units to create a straightforward process.
The ICN Board’s data team (K. Delaney, J. Bracken & C. Haviley) are now working with a data consultant to evaluate the responses from the 28 question survey. The information obtained from the survey can be categorized into four areas:
• demographic (age, diversity (ethnicity, gender) and retirement horizon)
• human capital elements (education and employment specialty)
• job characteristics (work settings, earnings and other details)
• geographic information (derived from reported employer zip codes)
The ICN Board will use this data with their continued strategic planning, with a focus on nursing workforce development that impacts access to quality health care practice, policy and education in this era of change.
The LPN nursing workforce survey offered Illinois LPNs the opportunity to voluntarily participate in a survey upon completion of the 2015 online licensure renewal process. The survey is similar to the RN workforce survey that includes the national minimum data set with additional questions, and is a total of 26 questions long; licensure renewal ended January 31, 2015. As of November 2014, there were 30,311 Illinois licensed LPNs. In the past, approximately 85% of Illinois LPNs renewed their license through the online licensure renewal process.
For the first time, data is being collected on Illinois LPNs, RNs and APNs in one year; APN data is being collected through the Illinois Healthcare Action Coalition (IHAC) Robert Wood Johnson Foundation grant. The RN and LPN nursing workforce surveys are offered upon completion of the individual online licensure renewal. ICN is anticipating an initial RN report in the Spring of 2015; subsequent reports should include comparison to data from other sources.
The ICN is working with industry professionals and educational institutions to ensure that Illinois has the nursing workforce necessary to meet the demands of a growing and aging population. Visit the ICN website, http://nursing.illinois.gov
Thank you!
The INF Board of Directors wishes to thank our 2014 donors
ANA- Illinois
Cheryl Anema
Arthur L. Davis Publishing Agency
Agnes (Rusti) Bauman
Diana Cafi
Sue Clark
Maria Connolly
First Baptist Church
Sarah Gabua
IBM – Sweiner
Judith Jennrich
Retriever Merchant Solutions
Karen Kelly
Alma Labunski
Cristina & Thomas Lambert
Robert Larkin
P Joan Larsen
Law Office of Robert H. Sorge
Mary Lebold
Tonicka Little
Ellen Merkle
Catherine Neuman
Linda Olson
Ann O’Sullivan
Rasmussen College
Maureen Shekleton
Ann Smith
Smits Funeral Home
Stepping Stone Financial
Susan Swart
Mary Ann Tuft
Walter W. Schultz Insurance Agency
Memorial Medical Center Foundation
OSF HealthCare System
Illinois Association Colleges of Nursing Illinois Organization of Nursing Leaders
Robert Larkin
Margaret Miller
Renata M. Hornick
Darrell Molen
Linda & Pamela Ragland
N Jean Gates
Ann E. Bozarth
Deborah White
HS Teachers Soda Fund –
Kimma L. Ross
If you were inspired by a nursing instructor who instilled in you a passion for teaching, or perhaps you desire to invest in teaching a future generation of nurses for the good of your profession, Olivet has online or on-ground opportunities for you:
Bachelor of Science in Nursing (RN to BSN)
Accelerated Bachelor of Science in Nursing
Master of Science in Nursing (MSN):
Leadership/Management
Education
Family Nurse Practitioner (FNP)
Conference
Yvette M. Rose RN MSN DNPc
Dear Colleague,
I am writing to tell you about an important educational and networking opportunity for those of us who work with older adults. March 23-27, Aging in America (http://asaging.org/ aia), the annual conference of the American Society on Aging, will take place in Chicago, and will offer five days of intensive learning, networking and community-building.
With topics relating to aging in community, retirement, health and wellness, elder justice, caregiving, older workforce, long-term services and supports, public policy and everything in between, Aging in America is an important event for all who want to better understand older adults, their challenges and their potential.
At the conference I will be presenting a poster presentation from my Doctorate of Nursing Practice (DNP) scholarly project related to Veterans and caregivers, so I hope you will plan to attend the conference and schedule time for my session March 25, noon – 1:30 pm. Also, I have arranged for you to get a $40 discount to attend the conference. Just enter promotion code PRES40 when you register. Visit www.asaging.org/aia to learn more.
Join me to discover practical solutions to the challenges we face, and connect with peers and leaders who will transform the way you think about aging. You will leave the conference energized and inspired by the people you meet, the discoveries you make, and the connections you form.
I hope to see you in Chicago!
Six Reasons Why Nurses Should Network
Sharon Rangel MSN, MBA, RN
Often the thought of networking can be daunting. Most people, nurses especially, are juggling many commitments, and adding one more event to the calendar might seem overwhelming. However, networking really can be easy and beneficial. Sharon Rangel, MSN, MBA, RN and Executive Director of the Illinois Organization of Nurse Leaders (IONL) shares six key reasons why you likely should accept your next networking opportunity.
1. HELP YOUR JOB SEARCH
According to the UCLA Career Center (2011), networking and personal connections account for up to 80 percent of all positions obtained. When you network with someone, you will be more familiar to them than a blind resume, giving you an advantage over the unknown applicant. Even if you are not currently looking for a job, it is important to foster and maintain relationships in advance of when you need them.
2. GATHER HELPFUL INFORMATION
Networking allows you to develop a large body of knowledge from others. You can share solutions and exchange information with people you meet, and easily learn current dynamics within the field of nursing.
3. EXPAND YOUR COMFORT ZONE
Some people just don’t like to network and socialize with people they don’t know. Networking forces you to grow, to interact with others, and moves you outside your usual circle of friends and acquaintances.
4. DEVELOP NEW CONTACTS
It is very important to establish contacts in the healthcare arena. It’s not just about making connections. It’s about creating relationships that can last a long time, and looking for ways to collaborate with them in the future.
5. BE ACTIVE IN THE NURSING COMMUNITY
When you network with nurses, you automatically accelerate your professional development and gain a sense of belonging. By remaining connected with other nurse professionals outside of your typical day, you also will learn what the current trends are and what is happening within the state of Illinois.
6. OPPORTUNITY TO GIVE BACK
Many say that it is more gratifying to be able to help someone in your network than to just take assistance. That said, networking provides you with the opportunity to be a resource and assist others as well.
IONL promotes professional development, networking, research and innovation for the advancement of nursing practice. As part of this mission, the IONL offers many different opportunities for members to network. To learn more about the IONL and how you can become involved, visit www.ionl.org
isAPN uPDATe
Lisa ILG APN, ANP-BC, FNP-BC
I was asked to “write something” in regards to being selected as the ISAPN 2014 “Member of the Year” and I am finding this to be a rather daunting task. Not so long ago, a friend brought it to my attention that although I am “gracious and generous in giving gifts,” I am less so when it comes to receiving them. Indeed, this was an award versus a gift, but when I think about the ISAPN members whom I believe to be equally or more deserving, I am deeply honored and humbled. I would like to reflect back on what culminated to this point in my life/career that Stephanie Crawford, who is Region 1 Chair, would nominate me. Yes, me an APN in central Illinois for this award. I honestly cannot recall how many years I have been an ISAPN member and truth be told, I will label it an uninvolved member. I had many reasons for this, starting a career as an advanced practice nurse after a divorce, trying to keep two sons with ADHD on track, and being the first advanced practice nurse in a specialty that was dependent on referrals as a new graduate. No pressure. I say this because life gets in the way for ALL of us and our good intentions, goals, ideas, and yes even dreams. However, there was one ideal that I held myself accountable to uphold, no matter how ludicrous some barriers were that served to keep me invisible, and I would attempt to overcome in a fashion that would pave the way for the next generation of APNs. To give you an example, I was told by a hospital radiology department that although I could order a CT, the results needed to be called “to the doctor” and he would be responsible for letting me know the results. Yes, on the patient I had seen in the office and for which my collaborative physician had no idea of why it was even ordered. This was the hospital protocol and we would all agree, draconian; but what was even more concerning was the reasoning behind instituting such a policy. Everything inside me wanted to lash out. This policy was, I believe, instituted to protect patients from ME. How ludicrous to protect patients from the APN who weighed out the risk/ benefits ratio and deduced that additional diagnostic testing was warranted and would then discuss further with the physician, not because it was mandated but because it was prudent and in the patients best interest. There is a happy ending. After a season of time, the protocol changed through the combined efforts of myself and my collaborative physician. One small step and one giant leap. I thought about those that went before me and paved my way. The constraints they endured, the success and ideas they were responsible for but were soon owned by others considered a step up in the hierarchy of professional practice. You see, our now being able to prescribe Schedule Two medications did not come without the hardship of enduring many rules and regulations being imparted to constrict, control, and stifle their ability to practice. Fellow APNs, this is not my journey or your journey. It is so much bigger. It is our journey. I gave you my example and speak to those that came before me because the path chosen in response to these barriers was not to become victims. No, they remained steadfast and can claim victory as the veil of invisibility is lifted. When I decided that I wanted to step up to the plate and go for a leadership role within our organization, I thought about the additional time commitment and did I have the energy for the “work” involved. Little did I know that my involvement in ISAPN, especially at this time when going for independent practice, would be the
Through the generous donations of individuals, we celebrate the following nurses:
2014 Memorial donations
Phyllis Robichard
Charlice Martin
Daniel Labunski
Buster Kellogg Sr
Gail Larkin
highlight of my nursing career. Every single time I am at a board meeting, I come away renewed and rejuvenated because every member is in a busy professional practice with a home life that is no doubt even more demanding but they all inspire me with their dedication, brilliance, and humor. Think back to your initial nursing education years. Nurses are engaging, hilarious. After all every day in healthcare provides new material and they “get it.” The ISAPN board is no different. We recognize and appreciate our differences because our similarities are the ties that bind us.
There are times when I reflect back to moments in history and wonder: Would I have had the courage to participate? Would I have been a Freedom Rider? I would like to think if presented with the opportunity, I would have joined the civil rights movement at the grassroots level. Some of us have experienced injustice, prejudice, and poverty first hand, and others of us bore witness through our patients; however, APNs have experienced and witnessed barriers to healthcare long before it became a buzz word. I will always fight against injustice but my path will not come close to those that came before me. They risked everything for the future that many of them knew they would never see. On a smaller scale, I am now faced with the opportunity to join in an effort that is near and dear to my heart and I know yours as well. The opportunity to remain steadfast and continue to work towards independent practice in Illinois in 2015.
This is my story. So I want to include one of my favorite Old Testament passages from the Book of Esther 4:14: “For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father’s family will perish. And who knows but that you have come to your royal position for such a time as this? ” Fellow APNs, it is now our time. All the lobbying efforts by Sue Clark and her team are coming to fruition but there is so much more ground work that needs done to secure what will be a historical event for Illinois nursing. This is no longer a dream. It is an attainable reality and I am asking that everyone do something. Please feel free to contact me, any board member, or region chair/ vice-chair as listed on the ISAPN website if you have any questions or concerns. Even if your part is joining or rejoining ISAPN, you will make a difference.
Every geographical area in Illinois is covered by a regional chair or vice chair. As Vice President of ISAPN, my goal is to attend every region meeting at least once and most are dinner meetings that provide non-CME education and networking. I have enjoyed everyone I have attended. I also have the privilege to serve as chair on an ANCC panel in Washington DC, and on more than one occasion, panel members have commented on the strength of our organization. I am proud of us! We have dared to dream and what better way to acknowledge all of those that came before us than to make this a shared reality. It is a joy to serve the APNs of Illinois.
Carmen Violet Delay
Laverne Knight Hansen
2014 In Honor donations
Adrienne Villotti
May 28, 2015 Bloomington, IL
June 27, 2015 Edwardsville, IL
April 25, 2015 Lewis University Romeoville, IL
Lisa Ilg discusses full practice authority with a colleague
Lisa serves as Bylaws Committee chair
Lisa participates in the induction of new ISAPN board members
Left to right: Lisa Ilg, Stephanie Crawford, Mary Barton
Public Health Nursing…Today
Perhaps you have been out of nursing school awhile and even then, it never was clear what a Public Health Nurse (PHN) really does. Do the following statements reflect your thoughts?
A Public Health Nurse:
• Works in a clinic for poor people
• Gives flu shots to the elderly in the fall
• Doesn’t get paid very well
• Must have understood those classes in “community nursing” better than I did: boring!
• Doesn’t work as hard as an acute care nurse
• Not sure if s/he is really a nurse – “Does anyone ever get better?”
Let’s provide a little clarification. Public Health Nurses make up about 3% of the nursing workforce. While less visible in the media, and on TV than acute care nurses, their work is vital in every community.
Public Health Nurses [PHNs] work in communities and neighborhoods to promote the health of the people there. The community is their patient. Individuals and families may be part of a day’s work, but PHNs are also interested in how populations of people are doing.
A “population” could be all pregnant women or all children with asthma or all elderly residents at risk for injury from falls. It could be listening to community members about the lack of fresh foods in their neighborhood, or the impact of a healthcare practice leaving or their concerns about rising incidences of gun violence. A day may include a morning discussing the measles outbreak at Disneyland including what is the evidence for vaccine safety. The afternoon may be spent working with a community coalition on raising awareness on sex trafficking and discussing how mass dispensing of medication during an emergency would be conducted. The day may end in the evening with attending a community gathering about reducing childhood obesity or asthma; collaborating with others to promote the health of the community.
As nurses we all agree that it is better to prevent communicable diseases – like pertussis or gonorrhea - than it is to have people in the community sick and dying. Helping teens wait to have a baby until they are fully able to care and provide for the infant is better for mom, baby and community. All communities want clean drinking water, safe and healthy food to eat, less chronic illness and disability. We all thrive when people and places are healthy. It takes work - patience, knowledge and skills in clinical health and public health to bring community partners together to address health issues. Public Health Nursing is a specialty, and the great reward of Public Health Nursing is healthier, stronger communities. Now that’s a very big impact. Not so boring after all!
The American Public Health Association Public Health Nursing Section is leading the way in building healthy communities, achieving health equity and social justice and improving quality of life for all communities. The Public Health Nursing Section advances this specialty through leadership in the development of public health nursing practice and research. The Section assures consideration of nursing concerns by providing mechanisms for interdisciplinary nursing collaboration in public health policy and program endeavors. http://www.apha.org/apha-communities/member-sections/public-health-nursing
Practical Nurse Bridge Program for Veterans Launches in March
Mary Beth Luna, Interim Dean of Health Professions & Emergency Services, Joliet Junior College
After more than a year of planning, the inaugural class for a new state initiative will begin on March 9, 2015 at Joliet Junior College. The Military Corpsman to Practical Nurse Bridge Program was developed in response to former Governor Quinn’s Executive Order in 2013 to mandate the assessment of military training against state licensing requirements. The state received funding from the National Governors Association to assist with this endeavor. The Illinois Board of Nursing was instrumental in beginning the process and guiding the committee throughout the development of the program.
A gap analysis was conducted by the Education Committee of the Illinois Board of Nursing comparing the curriculum of the Medical Education and Training Campus (METC) Basic Medical Corpsman Program and the requirements of a practical nurse program as prescribed by the Illinois Nurse Practice Act. The rigorous curriculum of the Air Force and Navy medic programs was most closely aligned with the PN requirements. The Education Committee developed the framework for the curriculum to address the gaps found in their analysis. The Illinois Department of Veteran’s Affairs worked closely with representatives from many community colleges in Illinois to develop the program and stay within the established timeline.
The three colleges that will be offering the program initially are Joliet Junior College in March, College of DuPage in June and Illinois Central College in August. More detailed information can be found on each school’s website. The program is designed to be eight weeks in length and six credit hours, part of which will be online. It focuses on the development of competencies based on accepted national standards of LPN practice and will focus heavily on geriatric care. Graduates will receive a certificate from their respective college and be eligible to sit for NLCEX-PN. Eligible students must have completed the METC Corpsman program through the Air Force or Navy in the past five years, or if completion was longer than five years ago, must have had a job for at least one year using corpsman skills within the last five years.
The development and the approval of this program has demonstrated that with a shared vision and collaboration between all the necessary parties, great things can happen. We look forward to welcoming our first student-veterans in March.
Nurses want to provide quality care for their patients.
The Nurses Political Action Committee (Nurses- PAC) makes sure Springfield gives them the resources to do that.
Help the Nurses-PAC, help YOU!
So. . . . . . . if you think nurses need more visibility if you think nurses united can speak more effectively in the political arena if you think involvement in the political process is every citizen’s responsibility.
Become a Nurses-PAC contributor TODAY!
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Peace Corps Nurse from Illinois Part of World History
Little Women of Baghlan: The Story of a Nursing School for Girls in Afghanistan, the Peace Corps, and Life Before the Taliban, by Susan Fox, RN, is inspired by the journals of Peace Corps Volunteer and Nurse, Joanne Carter Bowling. (344 pages, 2013, a Peace Corps Writers Book. Amazon, Barnes and Noble, Kindle and Nook)
“Training a nurse is more important to the people than building a city.”
–Tribute to Registered Nurse Jo Carter by Dr. Wasel, Afghan physician, Baghlan, Afghanistan. July 15, 1970.
In Washington, D.C., on a hot July day in 1957, the Junior Senator from Massachusetts, John F. Kennedy, delivers a speech in the Senate Chambers. A young woman from Kankakee, IL, listens in the Senate gallery. Ten years later Kennedy has been assassinated and America is mired in the Vietnam War. The young girl— Jo Carter—remembers Kennedy’s words and is inspired to join the Peace Corps. She is deployed to Afghanistan, with instructions to establish a nursing school for girls in the village of Baghlan.
She flies into Afghanistan on March 21, 1968, and sees the massive Hindu Kush Mountains from her plane window, the earth creased and folded like so many pieces of discarded paper. The ridges are bleak and unadorned with vegetation; shades of brown deepen to a blue haze in the narrow valleys.
On the ground, Kabul explodes into color and sound.
Taxis honk and busses spew diesel fumes, sharing traffic lanes with donkeys and the occasional camel. The air is infused with the distinct aroma of Kabul on a spring afternoon: wool, waste, sweat, dust, and dung. As the Volunteers tour the Blue Mosque in Mazar-e Sharif, three Russian MIGS buzz the courtyard, foreshadowing the Soviet invasion of 1989.
With co-workers Nan and Mary, Jo struggles to extricate the young girls of Baghlan from a centuries-old tradition of oppression in the male dominated society. The fathers of the village do not want their daughters to attend school, much less become nurses, but with the support of Dr. Ali, an Afghan physician, and permission from a handful of men, the Volunteers recruit thirteen girls and set up a classroom on the second floor of Baghlan Hospital.
The girls arrive in tunics and flowing trousers. They take their seats, chattering and laughing in Farsi, making it apparent they have no idea how to conduct themselves in a formal classroom setting. Preliminary testing confirms Jo’s suspicion: the girls are barely literate. She is prepared to teach in Farsi, but she is dismayed at the prospect of rewriting the entire curriculum, and wonders if she can pull off the incredible balancing act that seems to be unfolding: maintain an acceptable academic standard, yet present the material on a level the girls will understand.
Clinical teaching in the hospital presents another set of problems. The young girls are simultaneously horrified
and titillated at the prospect of “touching” a man for even the most basic procedure of taking a pulse. Baghlan Hospital has one operating room that doubles as the delivery room. Glass panes in the windows crank open with a handle. There are no screens. Sinks and Westernstyle commodes are impressive; useful only when there is electricity to run the water pump. Hospital linens are carted by donkey to vats of boiling water and soap. The medical staff goes home every evening at 4:30, leaving patients in the care of the bâbâ, the night watchman. No one ever heard of a hospital cafeteria. Central supply is a closet. Untrained aids give anesthesia for the OB patients, and when the Volunteers feel compelled to give anesthesia themselves, Jo must come to terms with providing care that exceeds her licensure.
Everything Jo had ever learned about the practice of safe medical care was irrelevant, it seemed. Syringes were boiled in a tin container over a kerosene stove and reused. Some days there was running water, and many days there was none. Patients had lice and fleas. Doctors were trained, or not. Oxygen was so scarce it was rationed for five minutes every hour. Flammable ether was dispensed in the presence of open flames, for God’s sake, and intestinal surgery occasionally revealed the presence of roundworms. When Jo considered their circumstances, she thought perhaps Mary was right: they simply had to do what they could, the hell with protocol.
The Volunteers did not have many choices. They could adapt, or they could stand by and become judgmental, rendering them ineffective and useless. Neither was a satisfying solution, and over time, each woman worked within her personal capabilities, within the boundaries of what she was emotionally capable of accepting. As for the rest, well, there was always denial.
– Excerpt from Chapter 19: St Elsewhere
The American women lease a home with a well, electricity, and a family of swallows living in the rafters of their kitchen ceiling. Jo brings a stray puppy with her from Kabul. They shop the bazaar, deliver babies, attend Afghan weddings, and vacation together in India. They find excuses to party, and travel five hours across the Hindu Kush Mountains in a crowded taxi to call home.
They celebrate the end of Ramadan and Eid-al-Fitr with their Afghan hosts; the Muslims bring a Christmas tree to their American guests. On Christmas Eve, 1968, Jo works in a hospital without running water. On that same night three American astronauts orbit the moon.
Listening to her short-wave radio, Jo hears of the assassinations of Martin Luther King and Robert Kennedy on Voice of America. She records it all in her diary: the news from home, her day-to-day life in Afghanistan, and most importantly, how the Volunteers live in safety with the Afghans families.
The Volunteers teach every day except Juma, the holy day of the week. Eight girls eventually graduate, certified as nurses by the Afghan government. Several of them continue their studies in Kabul to become midwives.
Jo starts her assignment full of optimism and promise, but after working two years in a complex and impoverished country, she wonders what she has accomplished, and reflects on the paradox that is Afghanistan. The Afghans are mired in poverty, yet generous to the point of embarrassment. The men are
welcoming and solicitous of the Volunteers; capable of turning a blind eye to the suffering of their wives, daughters, and sisters. The climate is harsh and unforgiving; the Hindu Kush Mountains starkly beautiful. Between the lines of her daily journal entries—the dust and dysentery, fleas, floods and homesickness, Afghan generosity and unexpected laughter—is a rare glimpse into a country that in 1968 is welcoming; a country with little religious fanaticism and on the brink of becoming a modern nation. Forty years after Jo’s departure, there is little evidence to indicate that such a country ever existed.
Sometimes I can’t help but wonder. For all our work, for all the time we were there, what did we really accomplish?
We thought we were going to save the world. Instead, we stepped out of the box into another culture, and it changed us forever. And if only a handful of people learn something from us, well, it was still worthwhile.
–Conversation between Peace Corps alumni Nan O’Rourke and Joanne Carter Bowling.
Based on Jo Carter’s diary and tapes, “Little Women of Baghlan” is the true account of an ordinary young woman who answers the call to service and adventure during an extraordinary time in world history. Her story rivals the excitement, intrigue, and suspense of any novel, unfolding against the backdrop of changing social mores, the Cold War, the Peace Corps, and a country at the crossroads of China, Russia, India, Pakistan, and Iran. For more information, visit www.littlewomenofbaghlan.com
Joanne Carter Bowling, RN, BSN, received her nursing diploma from St. Mary’s School of Nursing in Kankakee, IL, and her BSN from Governor’s State University. She worked at Riverside Medical Center from 1964-1968, at which time she joined the Peace Corps. She returned to the United States in 1970 and resumed her career at Riverside. Jo worked in several departments, including head nurse in the Coronary Care Unit, staff nurse on medical-surgical units, post anesthesia recovery, and outpatient surgery. She remained at Riverside until her retirement in 2005. Jo lives in Kankakee with her husband Roy, and her son, James.
Susan Fox, RN, BS, holds a bachelor’s degree in psychology from the University of St. Francis, Joliet, IL, a nursing degree from Kankakee Community College, and a certificate in technical writing from the Illinois Institute of Technology in Chicago. She is senior assistant editor for Chicago’s online literary magazine, Ten Thousand Tons of Black Ink, has been a keynote speaker at The Indiana Center for Middle East Peace, and was recently interviewed by Bill Moller on WGN radio, Chicago.
Susan works as a Registered Nurse at Presence St. Mary’s Hospital in Kankakee, serves on the Human Rights Committee for Good Shepherd Manor in Momence, IL, and is a member of the Kankakee Valley Wind Ensemble. She lives in Momence with her husband Ken.
Promoting RN Health, Safety, and Wellness
Are you a healthy nurse and a role model for wellness?
Too often, RNs neglect their own care and health, forgetting to take the advice they give their patients. Stress, fatigue, poor diet, lack of exercise and time, as well as occupational health risks, threaten nurses’ health on a daily basis. RNs need to practice self-care to ensure they are at their optimal health level. The American Nurses Association (ANA) defines a healthy nurse “as one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social,
as a LPN or RN
Contact our 24 hour Recruitment Line at 1-800-830-2737 for openings or apply at: www.ansjobs.com
For Assessments and services contact our 24 hour centralized intake line: 1-866-383-3535 www.advantage-nursing.com
spiritual, personal and professional wellbeing. A healthy nurse lives life to the fullest capacity, across the wellness/ illness continuum, as they become stronger role models, advocates, and educators, personally, for their families, their communities and work environments, and ultimately for their patients.” Furthermore, ANA has developed the following HealthyNurse constructs:
Calling to Care
• Caring is the interpersonal, compassionate offering of self, as nurses build relationships with their patients and their families, while helping them meet their physical, emotional, and spiritual goals, for all ages, in all health care settings, across the care continuum.
Priority to Self-Care
• Self-care and supportive environments enable the nurse to increase the ability to effectively manage the physical and emotional stressors of the work and home environments.
Opportunity to Role Model
• The healthy nurse confidently recognizes and identifies personal health challenges in themselves and their patients; enabling them and their patients to overcome the challenge in a collaborative, non-accusatory manner.
Responsibility to Educate
• Using non-judgmental approaches, considering adult learning patterns and readiness to change, nurses
must empower others by sharing health and safety knowledge, skills, resources, and attitudes.
Authority to Advocate
• Nurses are empowered to advocate on numerous levels, including personally, interpersonally, within the work environment and the community, and at the local, state, and national levels in policy development and advocacy.
To assist RNs on their wellness journeys, ANA, in collaboration with Pfizer Inc, created a health risk appraisal (HRA). This HRA assists participants in identifying their health, safety, and wellness risks personally and professionally. The HRA is divided into three general categories: demographics, occupational health, and health/safety/wellness. Participants can compare their personal results against ideal standards and national averages. Participants can also access an interactive web wellness portal for further resources. A heat graph allows participants to easily evaluate their results: red denotes high risk, yellow medium risk, and green low to no risk. It takes approximately twenty minutes to complete the HRA. Participation in the HRA will help to build a unique nurse-specific personal and occupational health-related aggregated data base. Secure and HIPAA-compliant, the HRA is free and available to all RNs and nursing students. Take the HRA today at www.anahra.org!
Expert Panel Develops Tool to Reduce Costly Catheter-Associated Urinary Tract Infections during Hospital Stays
ANA Works with Partnership for Patients and CDC to Target Decrease in Dangerous Infections
SILVER SPRING, MD – The American Nurses Association (ANA) is spearheading an initiative to reduce catheter–associated urinary tract infections (CAUTIs) — one of the most common and costly infections contracted by patients in hospitals — through an assessment and decision- making tool registered nurses (RNs) and other clinicians can use at the bedside to determine the best way to provide care.
The initiative to implement the streamlined, evidenced-based tool into nursing practice nationwide is aimed at decreasing CAUTIs, which cause serious harm and even deaths, and increases in costs. Federal figures show CAUTIs affect 560,000 patients per year, which account for about 30 percent of all infections acquired in a hospital. Research indicates that 70 percent of the urinary tract infections — 380,000 cases and 9,000 deaths — could be prevented through consistent application of infection-control best practices.
The CAUTI Tool, designed to prevent harm and save lives, incorporates best practices based on Centers for Disease Control and Prevention (CDC) guidelines. The CAUTI Tool is a one-page guidance to assist clinicians in determining whether a urinary catheter is appropriate to insert; recommending alternative treatments for urinary retention and incontinence; evaluating indicators for timely catheter removal to prevent harm; and following a checklist on catheter insertion and cues for essential maintenance and postremoval care.
“Nurses can have a big influence on reducing urinary tract infections, since they are continually assessing patients to minimize the use of urinary catheters, and have sharp assessment and decisionmaking skills that will be enhanced by this concise guidance,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “The CAUTI Tool is a great example of how nurses, physicians and other health care team members can collaborate on strategies that work best for patients.”
The CAUTI Tool and effective implementation strategies will be introduced to nursing leaders across the country at ANA’s National Quality Conference Feb. 4-6. ANA also will disseminate the CAUTI Tool to the nation’s RNs, federal agencies and health care systems, geriatric and infection-prevention organizations, and other associations.
ANA, along with the Partnership for Patients (Partnership) and the CDC, convened a technical expert panel to develop the CAUTI Tool. The Partnership, which includes hospitals, health care professionals, patient advocates, employers and government, is seeking to reduce hospital readmissions
and harm that occurs during hospital stays, such as infections. The Partnership reports significant reductions in several types of hospital-acquired conditions; however, CAUTI rates continue to increase, largely because many factors can contribute to CAUTI and no universally accepted tool exists among clinicians for CAUTI prevention. To fill this gap in infection-prevention, ANA developed the CAUTI Tool. Fourteen hospitals participated in the Partnership’s pilot program to test and refine the CAUTI-reduction approach, and reported positive results.
These ANA affiliates contributed to the development of the tool: Association of peri- Operative Registered Nurses; Academy of Medical-Surgical Nurses; Association of Rehabilitation Nurses; and Wound, Ostomy and Continence Nurses Society.
For more information: Preventing infections using the CAUTI Tool.
DEPARTMENT CHAIR, NURSING PROGRAM
Indian Hills Community College has an opening for someone who will lead the nursing program administration, recruit students, provide student and staff mentoring & advising and provide excellent communication; coordinate curriculum revisions; program assessment and be responsible for nursing program accreditation; will select learning experiences at hospitals and other health care agencies for students in the nursing programs; will supervise students providing nursing care and evaluate their progress; will supervise nursing faculty and conduct performance evaluation.
A graduate of an approved school of nursing with licensure as a registered nurse in Iowa or a compact state; Masters of Science in Nursing; three years of full time clinical nursing as an RN; two years of full time experience in nursing education required. Supervisory experience and knowledge of Curriculum Development preferred. A complete job description can be found at www.indianhills.edu Starting salary range: $68,283–$74,949 plus competitive fringe benefit package & 4-day workweek (184 days annually). Applications will be accepted until the position is filled. Send letter of application and resume to:
Human Resources
Indian Hills Community College 525 Grandview Ave. Ottumwa, IA 52501
“Dynamic Transformations: Surviving Complexities, Embracing Diversities and Affecting Healthcare Changes Through PNAA Leadership” April 24-25, 2015 at the Embassy Suites O’Hare, Rosemont, Illinois.
The Philippine Nurses Association of Illinois will be the host chapter for the 15th Annual Philippine Nurses Association of American North Central Region Conference. The Presidential theme for the next two years is: Lead, Empower and Transform.
The Regional Leadership Institute focuses on the essential skills that novice and expert leaders need to successfully manage and lead an organization to any workplace setting to advance its mission. This year’s leadership Institute will focus on Transformational Leadership and best practices in implementing the Institute of Medicine (IOM) recommendations for the future of nursing.
The Leadership Institute is open to all chapter members, officers, leaders and potential future leaders. There is no limit to the number of chapter members who may attend for $40.00 each. We highly recommend the program for chapter and subchapter Presidents and President-Elects. The chapter and subchapter Presidents and President-Elects will receive free registrations.
For more details and to register visit, http://www. mypnail.com and look for the conference registration link at the top of the page.
Our nurses are an elite group of individuals who are dedicated to the mission of providing quality care and caring for the vulnerable and underserved populations with compassion and integrity.
