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NDONE Minutes

NDONE December 7, 2006

NDONE Business Meeting - September 7, 2006

NDONE Business Meeting - February 24, 2006

NDONE Business Meeting October 27, 2005

 NDONE Business Meeting  May 31, 2005

Joint Meeting of CUNEA and NDONE  May 31, 2005

NDONE Business Meeting February 18, 2005

NDONE Meeting  BT-WAN Conference through North Dakota Healthcare Association
December 7, 2006   - 9:00am - 11:30 a.m.

Members Present:  Trina Schilling, President; Julie Baustad, Secretary; Jerriellen Feldner, Treas., Melana Howe, Jan Kamphuis, Doris Vigen, Terry Watne, Renee Axtman, Ev Quigley, Jacquelyn Walsh, Mariann Doeling, and Linda Shanta and Connie Kalanek from the NDBON.

Guest Speaker:

            Denise Steinbach, State Coordinator ND Cancer Control, presented information on North Dakota’s Cancer Control Plan.  This plan was developed by the ND Cancer Coalition in conjunction with the CDC and other partners from many sectors in ND.  The Cancer Coalition wants to develop as many partnerships as possible.  Many aspects of the plan are already being done and just not getting recognized as being part of the plan.  The Cancer Control Plan looks at all aspects of Cancer and the full continuum of care, starting with prevention to treatment, palliative care and survivorship.  The ND Cancer Control Plan is only the beginning with the goal of eventually reducing the burden of cancer.  Today a Steering committee meeting is being held at Med Center I.  The Cancer Coalition would like to find all available state resources and assist The American Cancer society in setting up Resource Centers throughout the state.  Currently there are centers in Altru, Merit Care and Dakota Clinic.  The Cancer Coalition would like a letter of endorsement from NDONE.  We can be an organizational member (partner) of the Cancer Coalition or we can also have a representative on the Coalition or on the Steering Committee.  Currently Nancy Klatt is on the Steering Committee and is an NDONE member. 

            For a copy of the plan, background information and a power point presentation on the burden of Cancer, please go to the following link: http://www.ndhealth.gov/compcancer

            Thank you Denise for an excellent presentation!

ND Board of Nusing:  Reported by Dr. Constance Kalanek

            See handouts:  ND Board of Nursing Fact Sheet

                                    ND proposed legislation for Nursing licensure – Criminal                                                           Background Checks – Provision of Medication at Correctional                                      Facilities.

                                    ND Board of Nursing – Limited License and License by                                                            Endorsement.

Criminal Background Checks:

            Refer to the above handout.  There have been some changes since the printing and Connie will get the most current one to us.  The proposed legislation initially started with the Board of Nursing and the Board of Pharmacy and now numerous other professional agencies are getting involved.  The Board of Medical Examiners has had recent legislation proposed on this issue.  The proposed legislation grants authority to the NDBON to conduct Criminal Background Checks as a condition for licensure/registration.  A temporary license will be issued until results of the Criminal Background check are received.  Finger printing is part of the Criminal Background assessment.  Rules will be promulgated to define the process and instructions will be included in the licensure/registration application process.  Trina will contact Chip Thomas from NDHA for their stand on this issue.

Provision of Medication at Correctional Facilities:

            This proposed legislation exempts correctional facilities from the provisions of the Nurse Practice Act.  The Correctional facility shall provide the Board of Nursing with verification of medication training.

License by Endorsement:

            Proposed action to change NDCC 43.12.1 of the Nurse Practices Act that would allow the Board of Nursing to issue a “limited license”.  The request came about in an effort to accommodate the “close to retirement” age nurse who would like to continue to practice in a limited status.  It was suggested to decrease the 400 hour requirement, but that request was declined.  Also, as an addition to the Nurse Practices Act is a proposal to allow endorsement of currently licensed LPNs who did not complete an LPN program but rather completed an RN program and failed the RN NCLEX Examination.  The National Council State Boards of Nursing Delegate assembly passed the Uniform Requirements for Licensure in 2000, so very few states are continuing this process but there are nurses licensed under this process that have applied to work in ND and the law prevented them from doing so.

            The Board of Nursing needs feedback on the above issues from all NDONE members by the January Board meeting.  Overwhelming disapproval would kill the bill.

Minutes of the Sept. 2006 meeting:  Terry Watne moved to approve.  Melana seconded.  Motion carried.  Reminder that it is time for 2007 dues.  Current membership list has been circulated.  There are 33 members.

Treasurer’s Report:  Jerriellen Feldner reported.

            Checking account - $2652.32

            Savings account - $2189.82

            Discussion was held regarding the need to increase the yearly dues.  Terry W. moved to increase the dues to $75.00.  Jan K. seconded.  Motion carried.  Discussion was also held whether or not to pro-rate late applications.  Terry W. moved to stop pro-rating the dues.  Melana seconded.  Motion carried.  Julie will make appropriate adjustments to the application and send out to all members with the minutes. 

ND Nurse Leadership Council (NDNLC):  Jan Kamphius reported.

            The committee met 11-30-06 with Cheryl Risen as acting chair.   A planning committee was organized to develop committee goals.  Each member is to bring 8 goals back to the committee.  Much of the goals focused on Education of the Public and peers about NDNLC and on RN vacancies.  The Advanced Practice Nurses have organized a group and already have 50 members.  Sue Flatten has been named the LTC rep for NDNLC and has been very active.

NDHA – Trina reported

            Legislative Committee has been developing goals and recommendations regarding Medicaid reimbursement as follows:

·        Increase Medicaid hospital and physician fee schedule to Medicare level.

·        Establish capital funding to do study analysis on Medicaid population and reimbursement

·        Look at the structure of Medicaid

            Recommendation to allow hospitals to operate a Commercial Pharmacy where there is no community Pharmacy.

            Trina will contact Chip and schedule either Chip or Jerry to attend the next NDONE meeting to discuss the above and the NDHA opposition to the finger printing mandate.

AONE – Ev Quigley reported

            Ev has been appointed to the AONE Strategic Planning Committee.  Her appointment is for 1 year.  The 2007-2009 Strategic Plan can be found on the AONE website.  Trina will send out the Washington Report with information on Federal Legislation.

            It is AONE’s 40^th Anniversary.  As part of the celebration – they would like “Chapter history” from all state organizations.  The deadline for sending any information is Dec. 18.  Julie will contact Kay Hovland for historic information.  Much of the minutes and organizational information was stored in the NDHA office building and was burned in the fire.  Julie has minutes only as late as 1999.  Anyone knowing any information should contact Trina.

AONE National Convention:

            The AONE National Convention is April 12-16.  Trina and Terry plan to attend.  In the past NDONE has sponsored 2 members to attend.  The cost of the Convention include:  Registration - $700, Round Trip Air fare - $433, Hotel - $1800 – for a total basic cost of $2933.  Discussion was held as to dollar amount NDONE will sponsor.  Jerriellen moved to pay a total of $1600 to be used to assist 2 members with expenses to the AONE National Convention.  Melana seconded.  Motion carried.

Workforce Summit:

            Ev attended the Workforce Summit meeting.  NDONE was well represented.  The first session was designed to educate legislators.  There is a lack of data within the state in order to do adequate workforce planning.  Nursing is the only discipline that has done any study – with the Nursing Needs Study.  All other medical professions are also very short.  The group looked at the whole educational system, K-12 and up.  How well were health careers introduced and how did we influence higher education?  Much discussion is being held on recruitment and retention and curriculum design that would pull interdisciplinary teams together for common goals and to assist the rural setting.  Goal is to foster a more caring environment:  Employer – consumer.  Worker – worker.  Retiring employees – be flexible.  Young employees with families – be flexible.  Keep current employees.  North Dakota and North Carolina have the most data of nursing needs.

            ND is 37^th nationally in regards to Nursing wages.  Minnesota is 10^th.  Evelyn will get more national data.  Many nurses are working 2 jobs.  We need to focus on educating our Legislators.  We need to demonstrate what we do.  They can’t push the cost of living being lower here anymore. 

Cancer Control Plan:

            Terry moved that Trina send letter of endorsement.  Melana second.  Motion carried.

Flags for name tags for NDHA Annual meeting:

            Discussion held to have colored flags on our name pins that designate NDONE membership.  Trina will contact NDHA to find out colors already used by other organizations.

Newsletter:

            Trina would like to send out a “Newsletter” quarterly between meetings to maintain communication and keep us informed.  It was also suggested that the Board of Nursing could have a section in the Newsletter to summarize issues.

Foreign Nursing Programs:

            Please be aware that there are some bogus and foreign nursing education programs that have not been approved by the Board of Nursing, who are calling hospitals requesting to use them for clinical practice.  Be sure to check with the Board of Nursing to assure the program is legitimate.  There has been in increase in this problem lately because a clerk was paid to falsify documentation.  The “Masedonia Nursing Program” is one that is not approved in the US.

NDHA meeting:

            Ev has been invited to participate in NDHA meeting.  Discussion held regarding what “Non-profit” Hospitals are doing to meet that designation.  Often things are being done and we are not taking credit.  AHA is developing a way to get these published.

Follow up with CUNEA:

            Ev is co-chair of committee of leaders and academia.  She will distribute more information at the next meeting.  They are working on several issues to include:

            1.  Clinical capacity – to assure the best experience.   2.  Simulation    3.  JCAHO regulations.   4.  Value of Observation   5.  Education Council

The meeting was adjourned at 11:10 AM.

The next meeting will be March 8, 2007 at the NDHA office in Bismarck, ND.  The BT-WAN will also be available.                                                                                

Respectfully Submitted,  Julie Baustad RN, NDONE Secretary

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NDONE Annual Meeting

North Dakota Healthcare Association Convention - Ramada Plaza Suites
Fargo, ND     September 7, 2006    4:30 pm - 7:30 p.m.

Members Present:  Ev Quigley, President; Trina Schilling, President Elect; Julie Baustad, Secretary; Melana Howe, Stacy Schumacher, Darlene Bartz, ND Dept. of Health; Jan Kamphuis, Marilyn Bader, Doris Vigen, Terry Watne, Linda Nygaard, Kate Gausmen, Paulette Amundson, Cheryl Anderson, G. Hansen, Joan Justensen, JoAnn Sund, from the NDBON; and Mary Margaret Mooney.

The Education Program, entitled, “Transitioning From Graduate Nurse to Professional Nurse” was presented by Jan Kamphuis, PhD, RN, CNAA, VP of Patient Care Services at Medcenter One Health System.  Included in her presentation was information from her own research, and was followed by much discussion from the group.  Thank you, Jan, for sharing with us, this useful information on Role Transition!  

Supper was served and a short business meeting followed.

The meeting was called to order by Evelyn Quigley, president.

Announcements:

Board of Nursing Regulation Day is October 4, 2006

Health Workforce Summit – December 5, 2006 in Bismarck

Minutes of last meeting:  Terry Watne moved to approved.  Linda Nygaard second.  Minutes approved without amendment.

Treasurer’s Report:  Checking account - $2631.68.   Savings - $2,188.72

It was suggested to invest our savings.

Membership:

There are now 31 members.  There were 2 new members who joined at this meeting.  An updated membership list will be circulated with the minutes.  This is a vast improvement in membership!  There were no noted problems with the current system.  We still have more to do in the way of attracting “aspiring new leaders”.

Bylaws Report:

The Bylaws have been completed and approved.  Terry recommended that we review them and compare them with AONE yearly.  

NDNLC

Trina Schilling reported on the July 12 meeting.  The next meeting is Oct. 5.

Home Care Nurses Association has been added to the group.

Some discussion was held regarding the proposal to do Criminal Background Checks for all hires.  Some concerns noted in regards to delegation, responsibility and liability.

The Nursing Faculty Pilot Project will be discussed on Regulation Day.

NDNLC continues to work with the Education Systems to coordinate clinical practice with curriculum.

October will be a Strategic Planning meeting.

The two topics from the ND Nursing Needs Study that received the most votes by our members, as topics the NDNLC council should focus on are:

1.       The workplace environment continues to be problematic.

2.       Explore partnership models (Practice, Academic Settings, etc.) to enhance clinical experiences for students.

Nurse Practice Advisory Committee:

Melana reported the committee will be dealing with all areas of nursing.  Minutes can be reviewed on the ND Board of Nursing website.  The goal is to come together before the Legislative year begins.  Some issues are:  1. The role of the nurse in Pain Management.  2.  Safety to practice.  3.  RN & LPN utilization of prescriptive protocols in clinic settings   4.  Legislative Authorization to seek Criminal Background checks for new applicants – this in conjunction with the Board of Pharmacy. 

Election of Officers:

Nominations:

Evelyn Quigley – Past President

Trina Schilling – President

Jerriellen Feldner – Treasurer

Julie Baustad – Secretary

Jan Kamphuis – President Elect

Terry Watne and Marianne Doeling – Members at Large

            There were no further nominations from the floor.

Melana moved that nominations cease and cast a unanimous vote for all nominees.

Joan J. seconded.  Motion carried.

Melana questioned that the Secretary and Treasurer officers could be combined into one.  There was no discussion.

NDHA Legislative Committee:

Trina Schilling Reported on the May meeting.  See circulated report.

The current working NDHA state agenda relates to “Quality, Manpower and Finance”

Trina also reported that Sharon Moos is working with the ANA regarding the “Ideal Nurse Working Environment”.  The next meeting will be 9-24-06.  The goal is to ID a “Magnet” type model that works for Critical Access Hospitals.

Evelyn circulated the NDONE Annual Book of Reports.

Joan J. moved to endorse the annual report and recommendations.

Melana second.  Motion carried.

Evelyn provided framed certificates to all past members.  Evelyn was deservingly recognized for her enormous commitment to the NDONE organization throughout her term as President Elect and President.  Thank you again Evelyn for a job well done.

Next meeting December 7, 2006.  Possibly over the BT-WAN.

Respectfully Submitted,  Julie Baustad RN, NDONE Secretary

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 NDONE Business Meeting
North Dakota Healthcare Association, Bismarck, ND
February 24, 2006  -  10:00 a.m. – 2:30 p.m.

Members Present:  Ev Quigley, President; Trina Schilling, President Elect;

Linda Shanta and Constance Kalanek from the NDBON; Chandice Covington, UND College of Nursing; Karen Haskins, NDHA; Julie Baustad, Secretary; and Linda Nygard and Melana Howe via video conference 

Meeting was called to order at 10:00 a.m. by Evelyn Quigley.

Handouts: 

·        Minutes of last ND Nurse Leadership Council meeting and membership list

·        AONE Strategic Plan 2006-2008

·        NDONE Guiding Principles - The Executive Committee will take these and the AONE Strategic Plan to develop a proposed NDONE Strategic Plan for the Annual Meeting in September

·        Summary of Proposed NDONE Bylaws and Regulations

Announcements: 

·        AONE 39th Annual Meeting – April 19-22 in Orlando. We do provide a scholarship for any member interested in going. VP Trina Schilling is considering attending. Things are booking up fast.

·        Next NDONE meeting will be a joint NDONE/CUNEA meeting on May 30, 2006 at Jamestown College, Jamestown, ND

·        NDHA Annual Meeting – Sept. 6-8 in Fargo

·        NDNA Convention – October 26-28

·        Statistics of all Nursing Education programs are available on line at www.ndbon.org. You can also contact the BON office for a hard copy.

Chandice Covington, Dean of the UND College of Nursing, provided us with an update of UND activities:

1.      Clinical Simulation Education is being implemented.

2.      Nursing faculty is involved in research regarding nursing care, trying to gear efforts in order to increase resources.

3.      There is no “AHEC” in North Dakota. There are national grants available for this. Typically this is run by Schools of Medicine; however, UND School of Medicine isn’t interested.  Nursing could take the lead. AHEC aims to be a concerted state effort to build health programs addressing consumer health. Melana Howe,              Ev Quigley and Linda Shanta agreed to represent NDONE.

4.      There is a Nursing Center at the College of Nursing. Students and Faculty help about 1,000 families per year. Chandice would like to address the concept of “5 wishes”.

5.      UND is undergoing an evaluation of 6 Masters Programs. The Masters in Health Administration program is especially under much scrutiny. They are considering the addition of a Geriatric FNP and Patient Safety Expert programs.

6.      Dr. Covington is available to anyone with questions or concerns and is trying to get out to see everyone. She may be contacted at www.und.edu or www.nursing.und.edu         

Treasurer’s Report:  Checking account - $1,720.09 (which doesn’t include the $400 check to AONE). Savings - $2,185.08

Membership:

Membership list was circulated for review and corrections.

In order to expedite the enrollment process, it was decided to have the Secretary be the first level of interaction, therefore, we will change the return address on the applications to Julie Baustad’s work address.  She will then review the information on the application with the membership list and make any corrections. Each member will then receive a membership card, receipt and other materials such as the Bylaws and Guiding Principles.  Julie will then send the checks to Jerri for bookkeeping. A new membership list will be circulated when completed. Julie will distribute new applications to past members. General endorsement by members.

Nurse Practice Committee and Board of Nursing Report:

Report given by Constance Kalandek, NDBON. The Practice Committee is currently working on drafts for the following:  (1) Pain Management; (2) Safety Practices;

(3) Treatment protocols; and (4) Criminal Background checks. They are receiving input from NDHA, NDMA, Board of Pharmacy, NDLTC, and ND Dept. of Health. Disaster Preparedness is also a big discussion. LPN and RN Standards of Practice are in need of updating. Work continues on the Nursing Needs Study. Linda Shanta is working on Nursing Program Surveys. NDSCS of Wahpeton had developed a “Ladder Program”.  They have a very good simulation lab for OB and ICU. All LPN programs also have an Associates RN except the Dakota Nurse program. UND is looking into an Associates to Masters Program. Health Administration, Nursing Educator or Geriatric NP are the Masters programs being considered.

NDHA Report by Chip Thomas:

NDHA is currently working on 3 projects outside of their usual activity.

1.      Member assessment – come together with a common set of objectives.

2.      Functions of the association
a)      Advocacy (prime)
b)      Communication
c)      Information gathering and distributing 
d)      Education

3.      Current council configuration – structure and collaborative agreements

4.      Legislation Committee – Trina is NDONE representative

5.      Currently reviewing principles/philosophies that have governed us today

6.      Transparency agenda – public reporting

7.      Morally shaped issues

8.      Informed consent

9.      Study on status of Emergency System and Safety Net

10.  Medicaid – we are very low in ranking. Work with PRO and Peer review.

NDONE Bylaws Committee:

Terry Watne was unable to attend due to the weather; however, he did leave a summary of “Proposed NDONE Bylaws and Regulations” for review. Terry will continue to provide the leadership in this committee as long as we provide the input. A long discussion was held with the following suggestions:
 ·        Leave the name as NDONE so as not to sound so much like the Nurse Leadership Council.
 ·        Leave the terms of office as is but add that the President and President Elect are also NDONE representatives on the Nurse Leadership Council.
 ·        Have our Annual Meeting in conjunction with NDHA. Election of officers will occur at that time.

Linda moved to approve the draft as noted above. Connie seconded. Motion carried.

Ev will contact Terry and inform him of the above suggestions. Terry will amend the Bylaws and use electronic means to obtain endorsement by membership. Once endorsed, Evelyn will appoint a Nomination Committee chaired by the Past President,

Melana Howe. The goal is to have the Bylaws approved in early May. Nomination Committee will be seeking candidates for open positions. New officers to be taking office after the Annual meeting in September.

AONE Annual Meeting Update:

Ev Quigley provided report. There is increased discussion on the Doctorate and Clinical Nurse Leader programs. There is no consistency with credentialing and the process that should occur when a new specialty arises. To be discussed further at the joint meeting with CUNEA.

Nursing Internships:

Discussion led my Melana Howe regarding Internships/Co-op/Mentorship. West River Medical Center contacted all nursing schools in ND and SD. Most schools are excited to place students for rural preceptorships. However, one ND school dropped rural nursing experiences. There is no clear cut definition or standardized hourly requirements for

Co-ops, Internships or Mentorships. Some are paid by the hospitals; others do the time for college credits. There is also no standardized formal preparation for the preceptor.  This is an area we should look into to develop some consistency. Hettinger chose not to do Internships due to fear of LCDs. Melana, Linda and Trish Strom, MeritCare, will work on this and format an agenda item for the meeting with CUNEA on May 30.

Thank you, Melana, for your hard work and bringing this issue to the meeting.

“Nursing Needs Study” presented by Patricia Moulton, Ph.D.:

Handouts are available on request. The presentation may be found on-line at http://medicine.nodak.edu/crh

The data was collected in Nov. 2004 and printed in 2005 and did include both RN and LPN statistics. Study compared rural with urban and hospitals with long-term care with regard to decision making.

RN turnover rates are at 20%, which is an increase over 2004 and 2003, which were 18% and 15% respectively. RN vacancy rates have increased from 9% last year to 11% in this study. 

The overall conclusions to the study are:  The educational programs are increasing enrollment, however, with the current turnover rates – retention is a problem. A connection between facilities and education programs could foster more clinical placements which might increase supply to facilities. NDONE members were interested in creating action plans. Be incorporated into agenda with CUNEA in May.

Patricia would also be willing to join us for the NDONE/CUNEA meeting in May.  Thank you, Patricia, for a very enlightening presentation.

ND Nurse Leadership:

Trina reported. Bylaws were approved. They received a request from Home Care group to join. Connie is checking into other potential interested groups. The next meeting is April 7.

Agenda Items for May 30 in Jamestown:
·        Follow up of Bylaws
·        APRN Vision Paper
·        Internships
·        Continue with Guiding Principles
·        Nursing Needs Study – Pat Moulton

Meeting adjourned by Ev Quigley, President at 2:30 p.m. 
Respectfully Submitted,   Julie Baustad RN, NDONE Secretary

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NDONE Business Meeting   Carrington Health Center, Carrington, ND   October 27, 2005 

Members present:  Ev Quigley, president, Trina Schilling, vice president via videoconference, Julie Baustad, secretary, Melana Howe via video conference, Doris Vigen, Corrine Semmens, Ann Sherlock, Mariann Doeling, Aspiring Leader present via video conference – Barb Statum from Hettinger

Handouts:  AONE “Principles & Elements of a Healthful Practice/Work Environment”

                    AONE “Guiding Principles for Future Patient Care Delivery”

                    AONE “Practice and Education partnership for the future”

“Charting Nursing’s Future” Jan’05 publication of the Robert Wood Johnson Foundation

NDONE Guiding Principles

“Washington Update on Medicaid Changes”

House Bill No. 1280 (1^st engrossment with Senate amendments)

Conditions of Participation:  Organ, tissue and eye procurement

Life Source “Implementing Donation After Cardiac Death” June’04

            Meeting was called to order at 10:00 AM by Evelyn Quigley.

Secretary Report:  Minutes were corrected to state that Minnesota State University in Moorhead has a new 3 yr. BSN program.  Minutes approved as corrected.  The minutes are now accessible on SDONE website at www.sdone.org.

Treasurer’s Report:  Checking account - $1720.09.  Savings - $2185.08

Membership:                                                                                                                          Discussion held regarding ways to increase membership and organize the renewal process.  All agreed with the idea to make the February 2005 meeting a membership drive with each member bringing another “aspiring leader”.  Suggestions were made to consider 2 year membership and “Roll over” memberships.  All agreed that we need to be open to all levels of nursing leaders.  Jerriellen does have renewal and application papers and NDONE brochures ready to be sent to all hospital DON’s.  Suggestion was made to add information to be distributed to Nursing Coordinators or Middle managers.  Jerriellen and Julie will present proposal and complete membership list at next meeting.

Congratulations:  To Corrine Semmens on her retirement in January.  Thank You Corrine for your years of service and all your contributions to Nursing and to NDONE.

To Evelyn Quigley on her promotion to “Mission and Community Benefits Senior Executive” and to Mary Ellen Frey on her promotion to CEO of Mercy Hospital in Valley City.

NDHA Committees: 

With the next meeting being held in Bismarck, the membership request that James Cooper, the new NDHA Chairman and Chip Thomas, President, NDHA, be invited and to discuss the following items:  An Update on committee appointments, NDHA Priorities, and Legislative agenda (both state and national) and determine how to keep open communications flowing.  With the BTWAN, this opens up numerous opportunities to keep current.   With the exception of the Legislative Committee, most NDONE committee members haven’t received an update regarding their committees.  We have several members requesting to be on the Safety Committee. We will discuss this at our February meeting.  Also, since our last meeting, Jan Kamphius, MedCenter One, represented NDONE at a meeting with NDHA at an Influenza Vaccine Committee.                                                                                                                                         NDONE Bylaws Committee:                                                                                         Terry Watne was planning on presenting a draft, however, his mother has been very ill and recently died.  Refer to minutes from 11-12-04 where there was much discussion on the Bylaws.  There were some amendments made then.  Most current NDONE Bylaws are dated 1998.  Add to agenda for February.  The action taken and recorded is that all authorized officers will continue to serve until nominations take place.  Proposed changes will be sent out to the membership in advance and finalized at the next meeting.   Ev will follow up with Terry and the Committee.

AONE Annual Meeting Update:                                                                                           Linda Knodel is no longer Region 6 Director.  Diane Twedell from Mayo Clinic has been voted into the position.  Linda is currently at the AONE Chapter 6 & 8 meeting in Iowa and we will request a report at the next meeting.

ND Nurse Leadership Council: 

            Trina Schilling reported.  Bylaws were established and accepted.  The North Dakota Board of Nursing will be a non-voting affiliate member with three representatives, one of whom shall be the Executive Director.  Standing agenda:  Legislative Initiatives and Position Papers from each group.  Officers will remain as current until next annual meeting.  However, due to the change in By-Laws,  the Council needed to appoint a Vice President.  We have the opportunity to recognize a Nurse Practitioner.   Submit names of Nurse Practitioners to Gwen Wetzel – may receive a service award.

CUNEA/NDONE Collaborative Meeting:                                                                           Karen Latham, President, via e-mail has expressed interest in a joint meeting again in May 2005.  Agenda items discussed and include:  Masters, Doctorate and Clinical specialists programs, the new 3 yr. BSN program, and  Internships/Co-ops/Nurse Tech programs.  Members concurred that we would want to meet again.   The suggested date was May 30^th in Jamestown.   Ev will confirm with Karen.   In preparation for this meeting, we will develop a proposed agenda.  In the meantime,  Melana will set up a presentation on the Internships etc. for the next meeting.  If anyone has a program of this nature, get the information to Melana or bring to the meeting to share.  Consider putting together a Panel or Committee with NDONE and CUNEA rep. on it to develop a program that is consistent.  Also need to address strategies to advance the AONE Position statements – see on handouts.  We need to be sure the faculty know what we need.  Some academic settings are utilizing committees which include members from several different nursing entities to develop/change curriculum.  Also we are seeing clinical practice earlier in the curriculum.  Other agenda items will be determined at the next meeting.

Nursing Programs:

            Discussion was held regarding graduates from on-line programs such as Excelsior in New York.   ND rules and regulations require graduates who are applying to write their ND boards need to present evidence of clinical experience across the life span or registered nurses applying to work in ND are required to provide evidence of having  400 hours of clinical experience before they are allowed to take the ND Board exam or be licensed.  In the Excelsior LPN to RN program, there is no clinical experience in the curriculum, therefore, this curriculum is in conflict with NDBON requirements.  Just to note that Minnesota Board of Nursing has different requirements.  We need to be aware of all programs out there.

CMA’s

            Much work has been done by the BON on this issue.  Currently, there is a level created for Medication Assistants Level 3.  They must be on the BON Registry.  Contact the BON for questions regarding this issue.

House Bill No. 1280 (1^st engrossment with Senate amendments)

            Discussion was held on the amendment that directed the following:   Study the feasibility and desirability of creating an allied health professions board to regulate the practice of members of allied health professions, including the feasibility and desirability of a North Dakota allied health professions board entering joint professional licensure agreements with neighboring states (Budget Committee on Health Care).  The study has been assigned to the Budget Committee on Health Care.

http://www.state.nd.us/lr/assembly/59-2005/bill-index/bi1280.html

Minutes from the Budget Committee on Health Care can be located at

http://www.state.nd.us/lr/assembly/59-2005/interim-info/minutes/hc072705.html

Previously a document had been distributed to the membership regarding State Nursing Board Structures.   Ev will e-mail.

Donation after Cardiac Death:

            Melana and Barb Statum, an RN from Hettinger, presented a case study that occurred in their hospital.  Lifesource has more recently implemented a new policy regarding Donation after Cardiac Death due to the large number of organ needs that aren’t being met.  Lengthy discussion was held.  Lessons learned are:

1.                  Contact Lifesource for information on this issue.  If you have a contract with LifeSource, they should be informing you of these changes in direction.

2.                  The contact with LifeSource regarding the condition of this patient was done correctly.  They do need to be contacted in cases of imminent death.

3.                  Be sure you have a policy on “Palliative Care” and on “Donation after Cardiac Death”.

4.                  Follow your usual drug protocols.  If the patient was sedated,

Consider doing drug levels and wait until they are “0” before doing determination of death.

5.                  Keep the Physician in charge until the very end.  Don’t let them out of the loop.

6.                  Involve Ethics Committee and family.

Board of Nursing Practice Committee:  Melana reporting

Meeting held in Jamestown.   Melana will report next meeting.                         Agenda: --*Pain management.                                                                                   *Medication Assistants,                                                                          *Telephone Triage – check the Minnesota BON website or the University of Texas protocol on the ER Physician’s website for protocols.  Also address post op calls, OP and Ambulatory care.  Be consistent and specific.

*Range of Medications – Concern is when “Standing Orders” allow too much latitude so that it puts the nurse in the position of “prescribing”                  *Criminal Background Checks                                                                                 *Nurses taking prescribed medication at work.

ND Board of Nursing:

            Third survey published.   All members encouraged to review the Nursing Needs Study.  Noted that ND’s turnover rate had increased from previous report.

Safe Patient Handling:  Sandy Opdahl, NDNA, is willing to come to a meeting to discuss this issue with us.  There is also a Conference on this title sponsored by NDNA and NDLTCA in Fargo, ND April 11, 2006.

Telephone Triage Conference – January 26-27, 2006 in Fargo.  Sponsored by PESI Health Care.

 Agenda Items for February 24, 2006, Bismarck:

            Membership – bring another “Aspiring Leader”

Internships/Co-op programs

            Bylaws

            12 hour shifts

            Patient ID – what are the colors for

            NDONE/CUNEA agenda

How to prepare for the future when we have such chaos now.

            ND Nursing Needs Study

            NDHA Collaborative effort and committee action report.

            Reports:  BON Practice Committee, NDNLC, AONE update         .

2005-2006 NDONE Meeting Dates:

            February 24, 2006, Bismarck

            May 30, 2006, Jamestown– NDONE & CUNEA

Meeting adjourned by Ev Quigley, President at 2:10PM.

 Respectfully Submitted,   Julie Baustad RN, NDONE Secretary

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 NDONE Business Meeting  May 31, 2005

Lyngstad Center, Jamestown College

Members present:  Ev Quigley, president, Trina Schilling, vice president, Julie Baustad, secretary, Doris Vigen, Mariann Doeling, Mary Ellen Frey, Melana Howe, Linda Nygaard, Jan Kamphuis, Renae Muhonen, Terry Watne, Ann Sherlock, Corrine Semmen, Claudia Dietrich and Linda O’Halloran.  Non members present were:  Trish Strom and Bobbie Holman.

Schedule of Events:   NDNA Convention – Minot – Sept. 29-Oct. 1

                                    NDHA Convention – Bismarck – Sept. 28-30

                                    State Trauma Convention – Minot Radisson – Minot 28-29

Recommended Publications:   Future Scan  - futuristic view of healthcare for next 5 yrs

AHA Hospital & Health Network  March 2005,  “What        do Nurses Want”

Nursing Economics

Nurse Leader – focuses on evidence based practice.

Prarie Rose – Terry Watne featured

                                                    NDHA Capital Views 4/22/0

            Meeting was called to order at 1:00 PM by Evelyn Quigley.

Secretary Report:  Terry W. moved to approve minutes.  Linda Nygaard 2^nd.  Motion carried.  The minutes are now accessible on SDONE website at www.sdone.org.

Treasurer’s Report:  Checking account - $2119.60.  Savings - $2183.32

We have 16 fully paid members.  Some present have not received membership information.

                                    Jerri is to assure that we have paid National membership.

Membership:                                                                                                                           Cost is $50.00.  Suggestions to increase membership:  Publish information in:  The Informer, the Prairie Rose, Dakota Nurse, ND Medical and LTC Association Newsletters and on the SDONE web; Consider noting a promotion for a new leader by a welcome card and an invitation to join NDONE.

NDHA Committees:                                                                                                              Have not met.  Karen will check when Quality and Legislative committees will meet and when the Patient Safety Committee will be activated.

NDHA Finance Council:                                                                                                        Mary Ellen Frey has volunteered to be the NDONE rep.  She will be an active member of the committee.

NDONE Bylaws Committee:  Has not met.

AONE Annual Meeting Update:                                                                                           Linda Knodel’s reign on the AONE Board is over.  Anyone interested in the position should apply now.  All members who attended the event were very pleased with the sessions.

NDHA Annual meeting:   Theme – “Managing in an Information Focused Environment”                                                                                                                                  Discussion held whether we should sponsor an NDONE breakfast again.  Many members wanted to be sure to attend the Risk Managers sessions, which are devoted to “Patient Safety” and presented by Sue Dill.  Karen will get the exact schedule to us.  Further discussion held regarding speaker for the NDONE breakfast session.  Suggestion was to check the QIO’s for someone to give a futuristic view of CMS Scope of Care.  Dave Remelard was suggested as a speaker.  Karen will check on this for us.

            Decision was to have only the Breakfast/Speaker session without a business meeting.  Our booth will be set up.

Future Agenda Items:

            Discussion held regarding National Nurse Indicators.  Linda Aiken is doing research on the work environment and nursing practice and how it affects patient safety.  We need systems within our organizations to assure safety and competency – are our current tools adequate?  We need to spell out safety indicators.

            “How do we prepare for the future when we have such chaos now?”  Linda and Terry will set up for future discussion.

            Summary of CUNEA Group meeting:  Discussion held and all members felt the meeting was very worthwhile.  Further discussions needed regarding entry into practice and quality of the 1 yr. LPN and AD RN.  Clinical site input needed in ongoing evaluations of the Clinical Instructors.

            NDHA Committee reports.

            Bylaws Committee Report.

            NDONE membership promotion.

2005-2006 NDONE Meeting Dates:

            October 27, 2005

            February 24, 2006

            May meeting – will try to coordinate again with CUNEA

Meeting adjourned by Ev Quigley, President at 3PM.

Respectfully Submitted,  Julie Baustad RN, NDONE Secretary

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Joint Meeting of CUNEA and NDONE  May 31, 2005  10:00AM

Lyngstad Center, Jamestown College

Facilitators:  Karen Latham, Pres. CUNEA and Ev Quigley, Pres. NDONE

Handouts:       AONE Guiding Principles

                        DNP Roadmap Task Force Survey

                        AONE CNL and Practice Doctorate competencies

                        The Federal Report – 2006 Appropriations

            Meeting was called to order at 10:00 AM by Evelyn Quigley.

Nursing Shortage:  The nursing shortage is 8 years running and expected to worsen.  Nationally, 60% of the nursing work force is Associate Degree, 30% are BSN and 10% are Master prepared or higher.  Last year, there were 35,000 new immigrant nurses added to the US work force.  There is question that we are doing more to assist immigrants than those nurses who are US citizens.  Lengthy discussion was held regarding the latest ND statistic that “1500 students were denied entry into a nursing program”.  Karen Latham explained that this is very misleading in that it doesn’t take into account those students who applied to several programs, and may have actually been accepted at one, or those who applied but were not fully qualified.

Nursing Programs:

A member present from each University or College of Nursing, provided information regarding enrollment:

UND – Accepts 104 nursing students per year (approximately 50% of applicants).  There is an incentive to reapply.

Tri-College – As of August 1, all will have separate programs..

            NDSU – Accepts 56 RN and 12 LPN to BSN students

Concordia – Accept 32 BSN students and also have a new 2^nd major track for students (10 currently enrolled) with a non-nursing BS degree majoring in Nursing. 

Moorhead State U. – Have a 3 year BSN program – accepting 32 students.  They had 150 applicants, but only 62 of the applications were complete and only 48 were fully qualified.  They also have had an RN to BSN program since 1976 with no caps.  They currently have 100 enrolled and most are not full time.

Dickinson – Accepts 43 LPN and 32 RN students.  They are usually inundated with applicants.  Approximately 1/5 don’t meet criteria.  Last year, 13 were declined and 11 of those chose to stay and take other courses and then did get priority admission this year.

Jamestown – Usually accepts 30 BSN students per semester, however currently they have 36 and 37.

University of Mary – accepts 70 BSN students per year.

Minot State U. – accepts 24 BSN students per semester

United Tribes – Provide a 2 year Associates Degree.  They have open enrollment and most students are Native American.  They tend to take all pre-nursing and end up weeding out the non-qualified.  Last year - 16 started and 15 graduated.

UND “Rain” program  (Recruitment and Retention of American Indians in Nursing) – Is Federally funded through a Quentin Burdick grant.  4-5 slots are reserved for Native American students – they must meet criteria.

NDSCS – Have an AD program that allows 30 students every semester.

STTC in Fargo – Registering first LPN to AD class this year.  Have 20 students.  The clinical is spread out over 2 semesters.

Sitting Bull College – Have open enrollment, most of whom usually don’t want to leave the reservation.  Graduated 3 last year.

Dakota Nurse Program – New program involves consortium of Williston, Bottineau, Lake Region and Bismarck State Colleges.  Accept 70 students from all sites.  Provide 1 yr. LPN and 2 yr. ADRN.  Have rigorous admission criteria.

            Further discussion was held regarding the clinical experiences within the state.  Concern is if there is enough available clinical sites, available clinical instructors and available campus space.

            Some nursing programs have C.N.A. certifications as admission criteria.

Dakota Nursing Program, UND, Med Center 1, Jamestown and NDSCS all require C.N.A.  Dickinson allows a C.N.A. to test out of those skills.  There was discussion regarding this philosophy.  Are we saying we can’t cover everything in 2 years?

Post Graduate Education:

            Discussion held regarding the various programs throughout the state.

            Tri-College – Graduated the first group last year including FNP, Adult Health and Nursing Education.  There are currently 62 students in the DNP program and 4 in the MS to DNP for FNP.

            UND – Currently have 6 Masters of Nursing tracks.  Nursing Educator, FNP, CRNA, Health Administration, Psych/Mental Health, and Clinical Nurse Specialist in Nursing Therapeutics.  They will be graduating their 3^rd class in Doctorate of Nursing Philosophy.  They are considering that FNP, CRNA and Nursing Education will go to DNP.

            University of Mary – offer Masters programs for Nursing Education, Nursing Administration and FNP.

Nursing Faculty shortages:

            BSN is OK for clinical but need MS in Nursing with certification to teach for didactic.  Many Nursing programs are struggling to find qualified faculty.  Can be FNP (masters) but then need to provide enough clinical hours for the FNP to maintain his/her license – education hours don’t count.  UND does provide Nursing Education Courses that would assist an FNP wanting to teach.  Schools of Nursing can apply for Federal Grants to assist with Nurse Educator Loan Repayment.

Rural Nursing Shortages: In Med Center1, Rural experience is now an “option”.  Tri-College had received a Dakota Medical Grant that required them to include a Rural experience in their curriculum..

Clinical challenges: 

            Colleges are now collaborating with clinical areas to adjust curriculum.  It was suggested that the clinical sites should be involved in the evaluation of the clinical instructor.  Some discussion held on the difference between “Internship” and “Co-Op” students.  We need common language and job descriptions.  Who is legally responsible for the student?

Doctorate of Nursing Practice: 

            Curriculum is geared towards leadership with an emphasis on Clinical, not research.  There are 5-15 electives, depending on the student.  Students can be BSN.  The AACN predicts that by 2015 DNP will be entry into practice for CRNA, Midwife, FNP and Clinical Nurse Specialist.  There would be a Grandfather clause.  There are task forces currently writing standards and Nursing Administration is included in this.  It was noted that the Masters programs in these specialties are already 70+ credits, so it won’t be much more and they will be getting what they deserve.  Initially there is no expected increase in salary initially.  However, a DNP may improve reimbursement for services and may be able to teach up to the “Professor” level.  There are also some “Nursing run” centers starting up.  Who is able to teach the DNP??  The faculty can’t be lower level than the student, so would need all PHD faculty eventually.  PA’s in many states do not need a Nursing background.

Formal Preceptorship:

            Brief discussion regarding various hospital’s programs.  Carrington and Valley City have a purchased program called  PPDS which helps prepare a “Clinical Coach”.  Trinity has a clinical ladder.

Pay more for BSN:

            Short discussion held.  Most facilities pay according to job description.  Innovis does pay more for BSN.  Valley City doesn’t differ in salary, however, they do have a Clinical Ladder that involves a menu for the RN to pick from to get points to move up the ladder, and BSN is included in the points.

            Meeting adjourned at 12:00 PM

            Respectively Submitted,   Julie Baustad RN, NDONE Secretary

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