A Publication of the Washington State Nurses Association
What Nurses Need to Know About Seasonal Flu & H1N1
What We Are Doing to Educate the Public
Information for Pregnant Nurses
Essential Facts & Information Web Resources
What you need to know.
Volume 39, No 3 Fall 2009
The Washington Nurse
2 | The Washington Nurse | Fall 2009
575 Andover Park West, Suite 101, Seattle, WA 98188
206.575.7979 206.575.1908 fax email@example.com
The Washington Nurse (ISSN# 0734-5666) newsmaga-zine is published quarterly by the Washington State Nurses Association. It is distributed as a benefit of membership to all WSNA members. A member rate of $10 per year is included in WSNA membership dues. Institutional subscription rate is $20 per year (Canada/Mexico: US $26 per year; Foreign: US $39 per year) or $37.50 for two years. Single copy price is $5.00 each prepaid.
The information in this newsmagazine is for the benefit of WSNA members. WSNA is a multi-purpose, multi-faceted organization. The Washington Nurse provides a forum for members of all specialties and interests to express their opinions. Opinions expressed are the responsibilities of the authors and do not necessarily reflect the opinions of the officers or membership of WSNA, unless so stated. Copyright 2009, WSNA. No part of this publication may be reproduced without permission.
A d v e r t i s i n g
Information on advertising rates may be obtained on the WSNA website (www.wsna.org) or by contacting the WSNA Business Agent at 206.575.7979. Advertis-ing deadlines are: March 1, June 1, September 1, and December 1. Advertising will be accepted on a first come, first served basis for preferred positions, pending space availability. WSNA reserves the right to reject advertising. Paid advertisements in The Washington Nurse do not necessarily reflect the endorsement of the WSNA Members, Staff or Organization.
C o n t r i b u t o r g u i d e l i n e s
Article ideas and unsolicited manuscripts are wel-come from WSNA members (300 word maximum). Please submit a typed copy and digital copy (Word 97/2003/2007), and include identified relevant photos, a biographical statement, your name, address and credentials. It is not the policy of WSNA to pay for articles or artwork.
A r t i C l e s u b M i s s i o n d e A d l i n e s
Spring ......................................................................... February 15
Summer ................................................................................ May 15
Fall ................................................................................... August 15
Winter ..................................................................... November 15
W S N A B o A r d o f d i r e c t o r S & S t A f f
ExEcutivE DirEctorJudith A. Huntington, MN, RN
SpEcial projEctS ManagErDarlene Delgado, RN
ExEcutivE aDMiniStrativE aSSiStant to thE ExEcutivE DirEctor
aSSiStant ExEcutivE DirEctor, govErnMEntal affairS anD opErationS
Anne Tan Piazza
contract loBByiStTamara Warnke
SEnior govErnMEntal affairS aDviSorSofia Aragon, JD, BSN, RN
coMMunicationS SpEcialiStLillie Cridland
WEB & coMMunicationS SpEcialiStBen Tilden
opErationS / SyStEMS aDMiniStratorDuncan Taylor
MEMBErShip coorDinatorMary Peterson
MEMBErShip procESSorSPatrick McGrawLouise Hohbach
MEMBErShip procESSor / clErical SupportKelly King
coMMunicationS procESSorKathryn MacLeod
rEcEptioniSt / Mail clErkIrene Mueller
aSSiStant ExEcutivE DirEctor, nurSing practicE, EDucation & rESEarchSally Watkins, PhD, MS, RN
occupational & EnvironMEntal hEalth SpEcialiStKaren R. Bowman, MN, RN, COHN-S
EDucation SpEcialiStHilke Faber, MN, RN, FAAN
aDMiniStrativE aSSiStant, prograMS & opErationSHue Tran
aSSiStant ExEcutivE DirEctor, laBor rElationSBarbara E. Frye, BSN, RN
aSSiStant DirEctor, laBor rElationSChristine Himmelsbach, MN, RN
gEnEral / corporatE counSElTimothy Sears
gEnEral counSElLinda Machia
SEnior nurSE rEprESEntativEKathi Landon, RN
nurSE rEprESEntativESDebra Bessmer, BSN, RN
Margaret Conley, ARNP, RN Sara Frey, JD, BSN, RN
Carmen Garrison BSN, RN Michelle Huskinson, RN Judy Marken, BSN, RN
Pat McClure, RN Hanna Welander, BSN, RNHeather Worbets, BSN, RN
Ed Zercher, BSN, RN
nurSE organizErSJan Bussert, BSN, RN
Tara Goode, BA, BSN, RN Mara Kieval, BSN, RN
prESiDEntJulia A. Weinberg, RN, Bow
vicE prESiDEntTim Davis, MN, RN, Mt. Vernon
SEcrEtary / trEaSurErVerlee Sutherlin, MEd, MSN, RN, Nine Mile Falls
DirEctorS-at-largEJeanne Avey, RN, Longview Ed Dolle, RN, Port Orchard
Jennifer Graves, RN, MS, ARNP, SeattleJudi M. Lyons, RN, Ellensburg
Pam Pasquale, MN, RN, BC, CNE, Wenatchee
chair, profESSional nurSing & hEalth carE councilSharon Bradley, MSN, RN, Spokane
chair, lEgiSlativE & hEalth policy councilSusan E. Jacobson, RN, CCRN, Yakima
chair, caBinEt on EconoMic & gEnEral WElfarEMartha Avey, RN, CCRN, Spokane
The Washington Nurse | Fall 2009 | 3
W H A T Y O U N E E D T O K N O W
4 President's Letter6 Calendar of Events 6 You Were Represented7 2010 Dues Rates Chart8 News Briefs9 ANA News
20 2009 Voter's Guide21 Missed Breaks Survey22 Journey to Washington, D.C.24 A New Campaign for
Health Care Reform
26 Protecting Jail Nurses26 Sidewalk Social at UWMC27 Mandatory Vaccination Fight28 2009 E&GW Awards30 Photos from 2009
nurSing practicE & EDucation
32 Liability Insurance34 Continuing Education Calendar36 Upcoming Workshop:
Violence in the Workplace
Back of Book
37 District News38 Membership Update39 New Members
10 PREVALENCE11 VACCINATIONS11 WSNA'S POSIT ION REGARDING FLU VACCINE12 MASKS FOR SEASONAL FLU
13 INTRODUCTION14 VACCINATION RECOMMENDATIONS15 STATUS OF VACCINE15 MASKS FOR H1N116 SURVEILLANCE OF HEALTH
16 NURSES WHO ARE PREGNANT17 PROTECTING YOURSELF18 HELPING YOUR COMMUNITY
4 | The Washington Nurse | Fall 2009
Ihave had the opportunity to attend several health care reform rallies, participate in a health care reform panel, and be in attendance at a few of the
town hall meetings that Congressman Larson held here in my region of the state.
I have talked with nurses who feel much like I do when it comes to health care reform and others who have differing opinions. What was good about all of these conversations and interactions is that we talked. We didnt yell or call each other names just had good dialogue about the pluses and minuses of what is out there now and of the various bills already in the Senate and House for our review. What we did all agree on was that our current health care system is indeed broken and in need of serious reform, though we differ in our views of what that reform should be.
WSNA and ANA support a public option that would allow for people who do not have insurance (and possibly more people) to choose a federally admin-istered health care insurance plan. Insurance com-panies have promised to help reform the system but we need real accountability to ensure that they will help bring down costs, put caps on the out of pocket costs for patients and families, stop denying cover-age for preexisting conditions, and not make gender a factor in effect discriminating - in the services health plans provide coverage for. We need to hold insurance companies accountable and a quality pub-lic plan would do just that.
We need to make sure that there is access to care,
but access is only one piece of the puzzle. We
also need to make sure that this health care is
We need to make sure that there is access to care which means having enough primary providers across the country including enough registered nurses and advanced registered nurse practitioners to make sure we can meet the healthcare needs of
our population. But access is only one piece of the puzzle, we also need to make sure that this health care is affordable for everyone.
I have come to develop several core beliefs about health care, and Ive heard many others share these same thoughts during those town hall meetings and conversation:
No one should ever have to be concerned about not being able to afford or access health care at any time in their lifetime.
There needs to be a huge emphasis on public health and education, on health promotion and on disease prevention.
We all will benefit if incentives are created that reward those who actively seek to improve their health by getting vaccinations, receiving regular screenings, exercising, living a healthy lifestyle, and availing themselves of preventive care. Rewarding people with chronic condi-tions who go the extra mile in managing their condition(s), under the guidance of a primary care provider, will be especially beneficial.
When I attended the forums, the rallies and the town hall meetings or watched them on TV (as many of us did), I began to see and understand how much misinformation was really out there. People were certainly fearful, though many either did not know the facts or had heard only those who wanted to dis-rupt the debate and cause panic. Its true that real reform means big changes, but that change that will be good for most of us. However, there are also people who make a lot of money under the current system and they are certainly working hard to maintain the status quo.
WSNA made the decision in August to launch our own website so that nurses and the public can get the facts about health care reform at Nurses4HealthRe-form.org. The site gives nurses and others the abil-ity to make informed decisions based on facts and
The Washington Nurse | Fall 2009 | 5
Be a HealtH Care leader with an advanced education for busy professionals
Develop the management skills you need through a flexible program format while continuing to work:
Executive Master of Health Administration
Certificate in Medical Management
School of Public Health and Community Medicine
Department of Health Serviceswww.depts.washington.edu/mhap
not fears. It also lays out WSNAs four priorities for health care reform:
1. Guaranteed access to quality care in a timely fashion in a convenient set-ting by the most appropriate health care provider at an affordable cost.
2. Focus on prevention and primary care so that people can receive regular check-ups and early treat-ment, leading to better health and lower costs for all of us.
3. A strong public option to increase competition and keep insurance companies honest.
4. An adequate supply of well-edu-cated, well-distributed, and well-utilized registered nurses to meet the health care needs of the country
The website also contains an automated email system that lets you send a message to your elected officials, a mythbusters page that separate fact from fiction, stories from other nurses about our failing health care system, and links to other resources and more information.
Congress is back in session and health care is already shaping up to be the biggest issue this year. Let us all do our best to keep in touch with those who will be mak-ing the final decisions about our health care and what real reform looks like right here in America. One nurses voice begins the message, but 2.9 million nurse voices can carry it in for a win.
I for one want to see real health care reform now! The status quo is not accept-able for me, how about you?
The prediction is that this will be a
serious pandemic flu year, and were
already seeing this begin.
Speaking of health care and prevention, I also want to take the time to ask each of you, Have you had your seasonal flu shot yet? I have! I want to encourage all of our nurses to get your seasonal flu shot now AND to make sure you also follow through when the H1N1 shots become available and that your receive your H1N1 vaccination.
The prediction is that this will be a seri-ous pandemic flu year, and were already seeing this begin. All of us need to be pre-pared and ready. We need to remember to first be responsible for our own health. We then need to do all we can to help pre-vent the spread of disease. We do this by protecting ourselves and getting our flu shots so that we are ready and prepared to care for others. Protect yourself, your patients, and your family by getting your vaccinations, staying informed, and fol-lowing safety measures.
6 | The Washington Nurse | Fall 2009
Course content relevant to your clinical practice.
NursiNg Program RN to BSN degree Master of Nursing
Nursing classes 1 day/week BSN in Bothell and Mt Vernon (minimum 4-5 quarters) MN Friday classes (7 or 11 quarters)
You Were Represented
Washington State Nursing Care Quality Assurance Commission (NCQAC) and its Practice, Education and other subcommittees
Department of Health meetings
Governors Invitational Pandemic Flu Summit
Meetings with the Department of Labor and Industries
Puget Sound Health Alliance Consumer Engagement meetings
Puget Sound Health Alliance Aligning Forces for Quality meetings
Healthy Washington Coalition
Stand up for Health Care Reform Rally
No on I-1033 coalition meetings
Working Families Caucus
United Labor Lobby
Friends of Basic Health Coalition
Health Coalition for Children and Youth
Health Care for America Now (HCAN)
Safe Patient Handling Steering Committee
Public Health Funding Roundtable
Washington State Budget Crisis Coalition
Washington Health Foundation Board Meeting
Foundation for Health Care Quality re: SCOAP Program (Surgical Care & Outcomes Assessment Program);
Washington State DOH Adverse Event Committee
Washington Patient Safety Coalition - Medication Safety Initiative meetings
Washington Center for Nursing (WCN) Board Meetings
Washington Center for Nursing Master Plan All-Chairs Meeting
Washington Center for Nursing Curriculum Innovations Workgroup
Transition to Practice workgroup for Master Plan for Education, WCN
Faculty Compensation workgroup for Master Plan for Education, WCN
Johnson and Johnson Promise of Nursing Steering Committee
Washington State History Museum Nursing Centennial Planning Committee
Opening of the Nursing Centennial Exhibit at Washington Museum of History
Council on Nursing Education in Washington State (CNEWS) semi-annual meeting
NWONE Nursing Practice Commission
NWONE Spring Meeting
AONE Practice Policy Committee
Toxics Free Legacy Coalition Steering Committee
Health Care Without Harm Nurses Work Group
Alliance of Nurses for Healthy Environments Advocacy/Policy Group
Ruckelshaus Steering Committees Nursing Quality Indicators webcasts
Ruckelshaus Safe Staffing Steering Committee Meetings
Ruckelshaus Immediate Staffing Alert Task Force
Ruckelshaus Education Advisory Committee
NFN National Executive Board me...