By Patricia Boston, MSN, RN, RRTANA-MAINE President

It is late December as I write this president’s message. The holiday season is coming to a close and we will soon welcome in the New Year. We have also recently concluded a contentious political campaign season and, by the time you receive this newsletter, President Trump will have been sworn into office, a new congress will be in place, and the 128th Maine legislative session will have convened. National, state and local governments will have begun their work.

Many in healthcare have concerns about what the future holds for the Affordable Care Act (aka Obamacare), Medicare, funding for nursing education, and other programs that impact nursing and the populations we serve. Several candidates ran on platforms that promised to make changes, even radical changes, to these programs and the related appropriations. Soon after the election, the American Nurses Association (ANA) got to work making connections with the incoming administration. In November, ANA sent then President-Elect Trump a letter (published elsewhere in this newsletter) communicating their desire to collaborate with the administration on any proposed revisions to health policy and programs, and outlining the principles which guide ANA positions. In December, ANA coordinated and participated in a National Day of Action which brought nurses, physicians and other healthcare providers together to make their presence and priorities known to legislators. ANA members were challenged to contact their legislators by phone or in person at their local offices to urge their ongoing support for healthcare. ANA has also been reviewing and revising their legislative and advocacy priorities in response to what they anticipate will be forthcoming initiatives.

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The Newsletter of the American Nurses Association–MaineQuarterly publication direct mailed to approximately 25,000 RNs and LPNs in Maine.

ANA-MAINE

JOURNALWINTER 2017

President’s Message

Index

Patricia Boston

Though many of the challenges facing us are set on the national stage, there are others that will come before our Maine state legislators and our officials at the local level. Medicaid expansion, privileges for advanced practice nurses, and the enhanced nursing licensure compact will likely surface in Augusta. Several local communities are dealing with environmental issues, such as the use of plastic grocery bags and the protection of clean air and water, as well as policies related to recreational marijuana and other heath-related matters. For years, ANA-Maine has maintained a connection to the legislature in Augusta. Juliana L’Heureux, currently our secretary, has served in that capacity for some time. She formerly chaired our legislative committee, a position now held by Carey Clark. Juliana was also our official liaison for the 127th legislative session. ANA-Maine has attended several meetings with leaders of other nursing and healthcare groups from across the state to discuss issues and strategies. ANA-Maine is committed to remaining visible in the legislative arena and representing nursing at the state level. (See related article about Nurses Day at the State House.)

We have witnessed some examples of inaction on the part of elected officials, often as the result of hardline partisanship. To make progress, we need to look for common ground and be prepared to consider compromises rather than face stalemates. As we grapple with health-related issues, we must anticipate and welcome diversity of opinion and perspective. Our debates should focus on the facts, the data, and the strategies that will lead to the desired outcomes, and should not be delivered or received as personal attacks. It is a lesson I learned as a child from observing my father and his colleagues, who were administrators and faculty members at a small liberal arts college. It was common for them to gather at each other’s homes for informal conversations, which often included discussions of issues related to the college, but also political and social issues. The discussions often became quite heated as the topics were considered and debated from a variety of viewpoints. But, in the end, when the conversations came

Let Us Hear Your Voiceto a close, the relationships remained cordial, respectful, and professional. I observed that staying focused on the issues and facts, and giving thoughtful consideration to others’ perspectives and arguments promoted consensus building and stronger decision-making. It’s a practice that I have tried to follow.

It is evident that nursing has a role to play in the political arena. Each of us has a voice and we all have an opportunity and a responsibility to use that voice to promote our profession and the health of those we serve. As a senior nursing student in a professional issues seminar, I heard my instructors speak of the importance of belonging to ANA, our national professional organization. We were told that ANA would be the face of the nursing profession to the public at large and to policy makers, and would be shaping the standards of nursing practice. If we wanted to be in a position to influence those decisions and policy statements, we had to be participating members of that organization. Those statements were sufficient motivation for me to join ANA then and have been sufficient motivation for me to sustain that membership over the years. With increasing evidenced-based and standards-based care, and the expansion of government’s role in healthcare, the need to be informed and involved is crucial.

As the New Year is ushered in, we invite you to add your voice to those from ANA and ANA-Maine who are speaking on behalf of the health and wellness of our communities and our profession. Become an advocate. Visit www.RNAction.org to sign up for regular legislative updates. We invite you to Nurses Day at the State House on February 14 to learn about our legislative process. We welcome new members to our Legislative Committee. We urge you to stay informed on the issues of the day and share your perspectives with us and with your legislators at the local, state and national levels. And, finally, please consider joining ANA if you are not a current member. Let us hear your voice.

Best wishes to all for a healthy and fulfilling New Year!

Nurses Day at the State House . . . . . . . . . . . . .2ANA Maine Supports MeSNA . . . . . . . . . . . . . .321st Century Cures Act . . . . . . . . . . . . . . . . . .3The “Enhanced” Nurse Licensure Compact - What Maine Nurses Need to Know . . . . . . .4Meet the New Chief Nurse Officer of United States Public Health Service . . . . . . . .5Healthy Nurse, Healthy Nation . . . . . . . . . . . . .6

ANA Leadership Summit . . . . . . . . . . . . . . . . .7Letter to President-Elect Trump . . . . . . . . . . . .8ANA-MAINE Continues Participation in Northeast Multistate Division . . . . . . . . . . . . .8Vaccines and Your Child . . . . . . . . . . . . . . . . . .9Harold Alfond Foundation Gives $1.5 Million Challenge Grant . . . . . . . . . . . 10Membership . . . . . . . . . . . . . . . . . . . . . . . . . 11

Page 2 ANA Maine Journal February, March, April 2017

Published by theAMERICAN NURSES ASSOCIATION-MAINEa constituent member association of the

American Nurses AssociationE-mail: info@anamaine.org

Web Site: www.anamaine.org

P.O. Box 647 Kennebunk, ME 04043

ANA-MAINE BOARD OF DIRECTORS

Patricia Boston, MSN, RN, RRTPresident, Biddeford

patricia.boston@anamaine.org

Catherine Lorello-Snow, PMHRN-BCPresident-Elect, Portland

Jean Dyer, PhD, MSN, BSN, CNETreasurer, York

Juliana L’Heureux, BS, MHSA, RNSecretary, Topsham

Robert Abel, BSN, RN, CHPN, CMC, CCMDirector, Saco

JoAnne Chapman, MED, MSN, RN, NE-BCDirector, Falmouth

Paula Delahanty, RN, BSN, MHSADirector, Warren

Carla Randall, PhD., RN, CNEDirector, Auburn

Amander Wotton, BSN, RNDirector, Windham

Contents of this newsletter are the opinion of the author alone and do not reflect the official position of ANA-MAINE unless specifically indicated. We always invite leaders of specialty organizations to contribute.

ANA-MAINE EDITORIAL COMMITTEEMichelle L. Schweitzer (Editor)Patricia Boston, MSN, RN, RRT

Jean Dyer, PhD, MSN, BSN, CNEJuliana L’Heureux, BS, RN, MHSA

We welcome submissions, but we reserve the right to reject submission of any article. Send to publications@anamaine.org. CE calendar listings are without charge.

Attribution: We do not knowingly plagiarize. We encourage our authors to fact check their material but we do not assume responsibility for factual content of ads or articles.

For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.com. ANA-Maine 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. Published quarterly every February, May, August and November.

Acceptance of advertising does not imply endorsement or approval by ANA-Maine 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-Maine 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-Maine or those of the national or local associations.

Postal Address corrections: This list of addressees is obtained from the Maine State Board of Nursing (MSBON) each issue. To keep your address current for these mailings, simply notify the MSBON of any needed changes in your postal mailing address.

Permission must be obtained from ANA-Maine to replicate or reproduce any content from ANA-Maine Journal.

Volume 13 • Number 1

SHARE YOUR TALENT WITH ANA-MAINEDo you have an idea for an article for the ANA-Maine

newsletter or would you like to author one? Perhaps there is something in your workplace that is innovative that would be of interest to other nurses in Maine or maybe you have a human interest story. We can assist with getting your column ready for publication.

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NURSES DAY at the STATE HOUSE

Join ANA-MAINE and OMNE as they co-host Nurses Day at the State House on

Tuesday, February 14, 2017

The schedule for the day as of press time is as follows:

9:00 – 9:30 Welcome in the Hall of Flags

9:30 – 10:30 Program: The Maine Legislative Process

10:30 – 11:30 Hall of Flags Exhibits and Tours of State House

11:30 – 12:00 Media Event

12:00 – 1:30 Lunch in State House Cafeteria and Discussion with Panel of Legislators

Please let us know if you are planning to attend. To register, please contact Juliana L’Heureux at juliewriter@hotmail.com. Coffee and breakfast pastries will be available in the morning. There is no cost to attend, except for your lunch in the cafeteria, but pre-registration is requested and appreciated to ensure we have adequate space and morning refreshments.

February, March, April 2017 ANA Maine Journal Page 3

News Release – Reported by Juliana L’Heureux

Washington DC: Both Congressional houses and President Obama support this important health care legislation. The U.S. House of Representatives passed The 21st Century Cures Act with a strong majority vote of 392-26. Moreover, the U.S. Senate passed the bill with a strong 95-5 vote. President Obama has signed the bill and it will become law.

The broad health bill includes mental health care reforms strongly supported by patient and physician advocacy groups and funding for opioid abuse treatment and prevention. Additionally, the bill provides $1 billion to address the opioid crisis in the various states.

The 21st Century Cures Act covers a lot of ground in terms of improving and modernizing our health system, including giving researchers the resources they need to identify ways to treat, cure and prevent all kinds of brain disorders — anything from Alzheimer’s to epilepsy to traumatic brain injury and more. Additionally, the bill combines mental health proposals to provide early intervention for psychosis, a treatment program that has been hailed as one of the most promising mental health developments in decades reported in USA Today. Some of President Obama’s top research priorities will receive funding, including the first major mental health legislation in nearly a decade.

This bill has been waiting a long time for this approval. It’s about to make a big impact on the health care industry, reports Nicole Stempak, in Long Term Living Magazine.

It includes $1.8 billion for the Cancer Moonshot Initiative, intended to speed up cancer research and is heralded by Vice President Joe Biden following the death of his son, Beau; $1.5 billion for Obama’s Precision

Medicine Initiative designed to tailor treatments to people based on their genes and lifestyles; $1.5 billion for the BRAIN initiative to advance understanding of the brain to help find a cure for Alzheimer’s and $1 billion on anti-opioid efforts.

In the Maine Medical Association Bulletin, other provisions in the bill include:

• FundingfortheU.S.FoodandDrugAdministration(FDA) to meet its various priorities and obligations.

• More protections for human participants in clinicalresearch and provisions to streamline and simplify Institutional Review Board (IRB) requirements.

• Requiring that Medicare Advantage and MedicarePart D plans provide beneficiaries with an option to change plans during the first three months of the benefit year.

• New authority for the U.S. Department of Healthand Human Services (HHS) Office of the Inspector General to investigate and penalize acts of information blocking—the first financial penalties that can be directed at electronic health record (EHR) developers and vendors.

21st Century Cures Act: Support for Health Care Initiatives Including Mental Health

ANA-Maine Supports MeSNA

The Maine Student Nurses Association (MeSNA) held their first annual conference at the University of Maine, Orono campus on Saturday, October 29th, 2016. ANA-MAINE was an exhibitor at that event and our table was visited by a majority of the attendees. It was interesting and encouraging to speak with the enthusiastic future members of our profession. The topics were timely and the presenters were engaging. Kudos to the student group that conducted such a well-planned and organized meeting! ANA-MAINE looks forward to participating in the 2017 conference.

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Page 4 ANA Maine Journal February, March, April 2017

The following article provides information on the “Enhanced” Nurse Licensure Compact. Share this information with your legislators, employers and fellow nurses. Become involved and spread the word. Maine has been part of the present compact for 15 years and for continued mobility of nurses and adequate access to care of our patients, Maine needs to adopt the “Enhanced” NLC to continue what we started in the year 2001 and retain its status as a compact state.

Background information:On July 1, 2001, the Maine State Board of Nursing

voted to initiate compact legislation. Effective July 1, 2001, the Nurse Licensure Compact was enacted into rule in Maine.

The Nurse Licensure Compact (NLC) is an interstate compact. It allows a nurse to have one multistate license in his/her primary state of residency. This permits the nurse to practice in other member states both physically and electronically subject to each state’s practice laws. So what is an interstate compact? An interstate compact is a statutory agreement between two or more states (called “party states”) established for the purpose of solving a particular issue or multi-state concern.

To think of this in simple terms, the NLC is modeled after the driver’s license compact. Each of us is allowed to drive in another state with a license from the state in which we reside, though we follow the rules and regulations of the state we are traveling in.

Currently, there are twenty-five states which are members of the NLC. Within these twenty-five states the belief is that the practice of nursing takes place in the state where the patient resides. Therefore, if a nurse who resides in Maine and holds a Maine license practices in a compact state, such as New Hampshire, she/he would practice on their multistate license following the rules and regulations of New Hampshire.

This would appear to be a win-win situation for both the nurse and those states which participate in the compact. The compact allows for portability of the nurse to meet the needs of patients in many states and decreases the potential of more than one licensing fee for the nurse.

So why fix what is not broken? There are many reasons for the revisions contained in the “Enhanced” Nurse Licensure Compact as cited below:

1. Though there are 25 states which participate in the compact, there are 25 states which do not. There may be many factors as to why

a state is opposed to joining the compact. One factor may be that the requirements for licensure in the compact states are not stringent enough. Currently, states which participate in the compact are not required to complete background checks on initial licensure applicants or endorsements. Maine does not require background checks.

2. The Affordable Care Act (ACA) has increased access to care for the nation’s growing and aging population, which in turn requires creative modalities in the delivery of healthcare.

3. The United States Congress is having national licensure discussions which would remove each state’s individual rights for licensing and governing nurses in their respective states.

4. Other health care professions are developing interstate licensure compacts (i.e. medicine, physical therapy, EMS, psychology).

5. Telehealth services are increasingly being utilized. Telehealth delivery has no geographic boundaries. A nurse may be practicing in an agency in Maine, and may have patients all over the country with whom she/he communicates via technology. Again, if the belief is that the practice of nursing occurs where the patient is, this nurse would require separate licenses in those states which are not part of the compact. The need for facilitating interstate nursing practice continues to grow.

In 2013 through 2015, therefore, members of the National Council of State Boards of Nursing (NCSBN) met several times to draft a new compact. The “Enhanced” Nurse Licensure Compact was approved by the membership in May of 2015. The NCSBN also approved a new Advanced Practice Registered Nurse Compact.

As a brief reminder, the National Council of State Boards of Nursing (NCSBN) is an independent, not-for–profit association comprised of boards of nursing from the U.S. and around the world. NCSBN is the leading source of data, information and research regarding nursing regulation and related issues. The mission of the NCSBN is to provide education, service, and research through collaboration and leadership to promote evidence-based regulatory excellence for patient safety and public protection.

What are the benefits of the “Enhanced” Nurse Licensure Compact?

1. A nurse has the ability to practice in multiple states with one license.

2. The compact reduces regulatory requirements by removing the necessity for obtaining a license in each state.

3. The compact clarifies a nurse’s authority to practice in multiple states via telehealth, which in turn increases patient access to care and provides continuity of care.

4. The compact provides member states with the authority to facilitate a discipline case across state lines.

5. The compact gives nursing boards the ability to share complaint and investigative information throughout the investigative process and there is a shared responsibility for patient safety not governed by geographical boundaries. There is a commitment to the protection of the public.

6. The compact provides for uniform law, rules and policies applicable to and enforceable in all compact states.

Maine is presently one of the 25 states which are part of the current Nurse Licensure Compact, but, as the “Enhanced” Nurse Licensure Compact becomes adopted by states, the need for Maine to adopt the new compact will become vital.

Uniform Licensure Requirements:One of the driving forces to adopt the “Enhanced”

NLC is that all states joining the compact will require uniform licensure requirements. This reinforces the fact that the “Enhanced” NLC is safe and efficient:

1. The current NLC had been operational and successful for more than 15 years.

2. All the safeguards that are built into the current state licensing process are required before a nurse is issued a multistate license.

3. The “Enhanced” NLC has uniform licensure requirements so that all states can be confident the nurses practicing within the NLC have met a set of minimum requirements, regardless of the home state in which they are licensed.

4. Although less that 1 percent of U.S. nurses ever require discipline by a board of nursing (BON), in the rare event of any disciplinary issues, swift action can be taken by the BON regardless of the state where the nurse is licensed or practices. If a nurse is disciplined, the information is placed into the national database, NURSYS®

The following are the uniform licensure requirements that a nurse must meet to be issued a multistate license under the “Enhanced” NLC, regardless of their home state:

1. Meet the home state’s qualifications.2. Graduate from a qualifying education program.3. Pass the NCLEX-RN® or NCLEX-PN® exam (or

predecessor exam).4. Have no active discipline on a license.5. Submit to a criminal background check and have

no prior state or federal felony convictions.6. Not be currently enrolled in an alternative

program.7. Have a valid U.S. Social Security number.

Grandfathering Clause:The “Enhanced” NLC has a grandfathering clause

to address nurses who currently hold a multistate license and how the uniform licensing requirements affect their licensure. A nurse holding a home state multistate license on the “Enhanced” compact’s effective date may retain and renew the license provided that:

• Anursewhochangesprimarystateof residenceafter the “Enhanced” NLC’s effective date must meet requirements to obtain a multistate license from a new home state.

Example – Nurse Nancy holds a multistate license in Maine, her primary state of residence. She moves to Wisconsin, also a compact state, but she has a history of a felony which would now prohibit her from receiving a multistate license in Wisconsin. Nurse Nancy may receive a single state license in Wisconsin if she meets the laws and rules set forth in Wisconsin for licensure.

• A nurse who fails to satisfy the requirementsdue to a disqualifying event occurring after the compact’s effective date is ineligible to retain or renew a multistate license.

Example – Nurse Tim holds a multistate license in Maine, his primary state of residence. The Maine State Board of Nursing is informed that

The “Enhanced” Nurse Licensure Compact – What Maine Nurses Need to Know

February, March, April 2017 ANA Maine Journal Page 5

Meet the new chief nurse officer of United States Public Health Service

Reprinted from The American Nurse (November/December 2016)www.TheAmericanNurse.org

USPHS – Rear Admiral Susan Orsega, MSN, FNP-BC, FAANP, FAAN, is the new chief nurse officer of the United States Public Health Service.

The USPHS is the only uniformed service solely committed to protecting, promoting and advancing the health and safety of the nation. Members often serve on the frontlines in public health emergency and crisis situations, including 9/11, Hurricane Katrina, the 2010 Haiti earthquake, the tragic shootings in Roseburg, OR, and most recently, in West Africa treating Ebola patients.

Orsega’s vision for Commissioned Corps nurses is that they are highly regarded, innovative, proactive leaders in nursing practice and health care, who apply health promotion strategies to their jobs, programs and communities, who identify, deliver and document best practices, and who exemplify healthy lifestyles. During her tenure, she will work to foster a culture of commitment, character, adaptability, leadership, and teamwork to achieve excellence within the category.

Previously a captain in the USPHS Commissioned Corps, Orsega began her new role following a change of command and promotion ceremony on Sept. 30 at the National Institutes of Health in Bethesda, MD. As chief nurse officer, she is responsible for leading the 1,700 nurse corps, and advising the U.S. Office of the Surgeon General and the federal Department of Health and Human Services on the recruitment, assignment, deployment, retention and career development of Corps nurse professionals.

Among her goals are to expand knowledge of nursing science and increase evidence-based practice within the PHS, expand nursing leadership alliances with universities and organizations, and prepare a highly effective PHS nursing force ready to respond in complex environments.

Orsega continues to serve as a senior program management officer at the National Institute of Allergy and Infectious Diseases of NIH. She is responsible for the operational management of international research partnerships with South African and Malian

governments, involving 150 international nurses and researchers, and 7,000 research participants.

In 2015, she played a fundamental role in the federal government’s NIH Ebola response and was instrumental in the implementation of first human vaccine trial in Liberia and the operational management of first Ebola Z-Mapp trial in Sierra Leone.

Orsega’s expertise in disaster care is evident by her selection to a USPHS medical team deployed after 9-11, as well as 13 other national and international disaster and humanitarian missions serving in roles with progressive nursing and leadership responsibilities. Further, she was selected as the only USPHS nurse officer on the Advance Planning team, USS Pacific Peleliu Navy ship health diplomacy mission.

Orsega began her career in the USPHS Commissioned Corps in 1989 in the Junior Commissioned Student Externship Program. At that time, when the HIV/AIDS epidemic was unfolding, she continued to advance her nursing and scientific knowledge with an emphasis on education, and is recognized as a subject matter expert in realm of HIV/AIDS global research, advanced nursing practice, health diplomacy and disaster response.

Orsega received her Bachelor’s of Science Nursing degree from Towson University in Maryland, and obtained her Master’s degree of Science from the Uniformed Services University of Health Sciences Nurse Practitioner program in 2001. In 2013, she was inducted as a Fellow in the American Association of Nurse Practitioners and recently inducted into the American Academy of Nursing. She is a member of the American Nurses Association (ANA).

Orsega was nominated by U.S. Surgeon General Vivek Murthy to serve as Chief Nursing Officer. Her predecessor is U.S. Deputy Surgeon General Rear Admiral Sylvia Trent-Adams.

Nurse Tim has been convicted of a felony. He would no longer be eligible for a multistate license.

Adoption of the Compact:As of this time, the “Enhanced” compact is on

the move nationally and has been adopted in the following states: Arizona, Florida, Idaho, Missouri, New Hampshire, Oklahoma, South Dakota, Tennessee, Virginia and Wyoming.

It is expected that legislation to adopt the “Enhanced” Nurse Licensure Compact will be introduced in Maine’s 2017 Legislative Session.

The effective date of the “Enhanced” NLC legislation is determined by either 26 states joining the compact or by the date December 31, 2018, whichever occurs first.

• Example1:If26statesjoinbyMarch1,2017,the“Enhanced” NLC becomes effective.

• Example 2: If only 20 states have joined byDecember 31, 2018, the “Enhanced” NLC still becomes effective.

Here is important information you should know as Maine moves forward with the “Enhanced” Nurse Licensure Compact:

1. Maine is one of 25 states currently a member of the Nurse Licensure Compact (NLC).

2. The NLC has been operational for over 15 years. 3. The “Enhanced” NLC is an updated version of

the current Nurse Licensure Compact with the goal to have all 50 states become members.

4. Key elements of the “Enhanced” NLC:a. Provides for uniform licensure requirements for

all states. b. The practice of nursing takes place in the state

where the patient resides. c. Nurses have the ability to practice in multiple

states with one license. d. Reduces regulatory requirements by

eliminating the necessity to obtain a license in each state.

e. Increases access to care while maintaining public protection.

f. Clarifies a nurse’s authority to practice in multiple states via telehealth.

g. Allows nurses to quickly cross state borders and provide vital services in the event of a disaster.

h. Removes burdensome expense for both nurses and the organizations that employ them.

i. Provides member states the authority to facilitate a discipline case across state lines.

Visit the website www.nursecompact.com to learn more about the “Enhanced” Nurse Licensure Compact.

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Page 6 ANA Maine Journal February, March, April 2017

The ANA Enterprise has designated 2017 as the “Year of the Healthy Nurse,” which includes launching the Healthy Nurse, Healthy Nation™ Grand Challenge and the continuation of #FitNurseFriday.

Some key highlights of this initiative are:• Beginning January 1, ANA began the Year of

the Healthy Nurse. The themes for the first three months are worksite wellness, cardiovascular health and nutrition. Web resources, fact sheets, a news release, webinars, American Nurse Today articles, a social media toolkit and website went live in early January.

• On January 9, ANA began a preview ofthe Healthy Nurse, Healthy Nation™ Grand Challenge. C/SNAs and Organizational Affiliates were given the opportunity to officially sign up as partners on our website and detail their commitment to improving the health of nurses. Members were also invited to participate in a video contest. Individuals and groups were asked to share a 1-minute video describing their health resolutions related to physical activity, nutrition, rest, quality of life, or safety. Winners will receive gift cards and the chance to be featured in a video series.

A toolkit with social media content and graphics to help promote Healthy Nurse, Healthy Nation developed by ANA was also shared in early January.

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-OR- graduation from an accredited school of nursing plus three years of professional nursing experience AND a license as a Registered Nurse as issued by the Maine State Board of Nursing.

Experience must include one year of supervisory experience as a head nurse.

Benefit Package Includes: State-Paid Health & Dental Insurance (Value: $407.48 biweekly), Maine State Retirement

System (Value: 15.85% of Salary), Twelve Paid Holidays, Sick Leave, Vacation Benefits, Student Loan Reimbursement Program

To apply, please submit a state of Maine direct hire application that can be found at www.maine.gov/dhhs/jobs, a resume and cover letter to Tamra.L.Hanson@maine.gov.

For further information please contact Tamra Hanson, HR Manager at (207) 941-4431. AAE/EOE

February, March, April 2017 ANA Maine Journal Page 7

FDA issues final rule on safety and effectiveness of antibacterial soaps

Rule removes triclosan and triclocarban from over-the-counter antibacterial hand and body washes

September 2, 2016The U.S. Food and Drug Administration today

issued a final rule establishing that over-the-counter (OTC) consumer antiseptic wash products containing certain active ingredients can no longer be marketed. Companies will no longer be able to market antibacterial washes with these ingredients because manufacturers did not demonstrate that the ingredients are both safe for long-term daily use and more effective than plain soap and water in preventing illness and the spread of certain infections. Some manufacturers have already started removing these ingredients from their products.

This final rule applies to consumer antiseptic wash products containing one or more of 19 specific active ingredients, including the most commonly used ingredients – triclosan and triclocarban. These products are intended for use with water, and are rinsed off after use. This rule does not affect consumer hand “sanitizers” or wipes, or antibacterial products used in health care settings.

“Consumers may think antibacterial washes are more effective at preventing the spread of germs, but we have no scientific evidence that they are any better than plain soap and water,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research (CDER). “In fact, some data suggests that antibacterial ingredients may do more harm than good over the long-term.”

The agency issued a proposed rule in 2013 after some data suggested that long-term exposure to certain active ingredients used in antibacterial products — for example, triclosan (liquid soaps) and triclocarban (bar soaps) — could pose health risks, such as bacterial resistance or hormonal effects. Under the proposed rule, manufacturers were required to provide the agency with additional data on the safety and effectiveness of certain ingredients used in over-the-counter consumer antibacterial washes if they wanted to continue marketing antibacterial products containing those ingredients. This included data from clinical studies demonstrating that these products were superior to non-antibacterial washes in preventing human illness or reducing infection.

Antibacterial hand and body wash manufacturers did not provide the necessary data to establish safety and effectiveness for the 19 active ingredients addressed

in this final rulemaking. For these ingredients, either no additional data were submitted or the data and information that were submitted were not sufficient for the agency to find that these ingredients are Generally Recognized as Safe and Effective (GRAS/GRAE). In response to comments submitted by industry, the FDA has deferred rulemaking for one year on three additional ingredients used in consumer wash products – benzalkonium chloride, benzethonium chloride and chloroxylenol (PCMX) – to allow for the development and submission of new safety and effectiveness data for these ingredients. Consumer antibacterial washes containing these specific ingredients may be marketed during this time while data are being collected.

Washing with plain soap and running water remains one of the most important steps consumers can take to avoid getting sick and to prevent spreading germs to others. If soap and water are not available and a consumer uses hand sanitizer instead, the U.S. Centers for Disease Control and Prevention (CDC) recommendsthat it be an alcohol-based hand sanitizer that contains at least 60 percent alcohol.

Since the FDA’s proposed rulemaking in 2013, manufacturers already started phasing out the use of certain active ingredients in antibacterial washes, including triclosan and triclocarban. Manufacturers will have one year to comply with the rulemaking by removing products from the market or reformulating (removing antibacterial active ingredients) these products.

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by helping to ensure the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for helping to ensure the safety and security of our nation’s food supply, cosmetics, dietary supplements, and products that give off electronic radiation, and for regulating tobacco products.

http://www.fda.gov/NewsEvents

ANA held its first Leadership Summit in Alexandria, Virginia on November 29 – December 1, 2016. The meeting was attended by ANA-Maine officers Patricia Boston, President, and Catherine Lorello-Snow, President-Elect. The Leadership Summit was designed to replace the former President’s Immersion Course. In response to a vote at Membership Assembly, ANA has now formed a Leadership Council structure. While incorporating some of the content of the former immersion course, the summit also included a Leadership Council business meeting to promote the exchange of ideas between and among C/SNAs and ANA. Over the three days, a variety of topics were covered including: strength-based leadership; decision-making; communication; legal risks in nursing; best practices for boards; and recruiting volunteers. During the Leadership Council segment, council officers were elected, the proposed ANA 2017 budget was reviewed along with proposed bylaw revisions which will come before the Membership Assembly in June. During a breakout session, input was elicited on ANA’s upcoming strategic goals and objectives and there was lively discussion on all topics. In addition to the knowledge acquired and the opportunity to have input, another significant benefit of attending such conferences is meeting and networking with peers from across the country who can share knowledge, concerns, experiences and successes.

ANA Leadership Summit

Catherine Lorello-Snow, ANA-MAINE President-Elect (far right), participates in a breakout session on ANA’s strategic goal related to Healthy Nurse Healthy Nation

ANA-MAINE President Patricia Boston, MSN, RN, RRT (left) and ANA-MAINE President-Elect Catherine Lorello-Snow, PMHRN-BC (right) join ANA President Pam Cipriano, PhD, RN, FAAN at the ANA Leadership Summit in Alexandria, VA.

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Page 8 ANA Maine Journal February, March, April 2017

ANA-MAINE Continues Participation in

Northeast Multistate Division

For the last few years, ANA-Maine has been a member of the Northeast Multistate Division (NEMSD), one of three pilot multi-state division organizations sponsored by ANA. The intent of the multistate structure is to consolidate and streamline “back office” and business operations such as payroll and finance, to make volume pricing and discounted contracting for services available to smaller state organizations, and to pool resources and reduce duplication of efforts. While in the multi-state division, each state association retains its organizational identity and autonomy as well as its responsibilities for strategic planning, programming and advocacy efforts for its state.

The pilot period ended on December 31, 2016 and, effective January 1, 2017, the NEMSD became a legally incorporated entity. It will continue to provide the services mentioned above to its member organizations but will explore additional opportunities, particularly in the areas of membership recruitment and retention, communication, and generating non-dues revenue to support individual state organizations.

The board of ANA-MAINE voted to continue participation in the NEMSD, and we are joined by New Hampshire, New York, Rhode Island, and Vermont. The NEMSD will have its own board of directors, with each state having two positions on the board. Patricia Boston and Catherine Lorello-Snow were elected to represent ANA-MAINE. Christine Ryan, Executive Director (ED) of the Vermont State Nurses Association, will serve as the part-time interim ED of the NEMSD while a full search is conducted. The new board has conducted meetings via conference call but has scheduled its first in-person meeting for Saturday, February 4th.

Representatives from the NEMSD states attended the Leadership Summit. Front Row:

Donna Policastro, former Executive Director - RI and NEMSD; Catherine Lorello-Snow, President-

Elect - ME; Bobbie Bagley, President - NH; Joan Widmer, Executive Director - NH; Back Row: Anita Creamer, President - RI; Jeanine

Santelli, Executive Director - NY; Patricia Boston, President - ME; Christine Ryan, Executive

Director - VT; Lee Mancuso, President - NY.

December 5, 2016

Donald J. Trump President-Elect1717 Pennsylvania Avenue Washington, DC 20006

Dear President-Elect Trump:

America’s 3.6 million registered nurses (RNs) care profoundly about the health and welfare of our nation. Nurses provide expert, compassionate care for people throughout their life and work in every health care setting. As the largest group of health care professionals and the nation’s most trusted profession, nurses are a valuable resource for improving the nation’s health care delivery system.

For decades, the American Nurses Association (ANA) has advocated for health care system reforms that would guarantee access to high-quality, affordable health care for all. ANA is calling on you and your administration to prioritize the health of the nation, which is foundational to progress and economic growth. We are pleased to share our principles for health system transformation.

ANA’s Principles for Health System Transformation

The system must:

Ensure universal access to a standard package of essential health care services for all citizens and residents. This includes: An essential benefits package that provides access to comprehensive services, including mental

health services. Prohibition of the denial of coverage because of a pre-existing condition. Inclusion of children on parent’s health insurance coverage until age 26. Expansion of Medicaid as a safety net for the most vulnerable, including the chronically ill, elderly

and poor.

Optimize primary, community-based and preventive services while supporting the cost-effective use of innovative, technology-driven, acute, hospital-based services. This includes: Primary health care that is focused on developing an engaged partnership with the patient. Primary health care that includes preventive, curative, and rehabilitative services delivered in a

coordinated manner by members of the health care team. Removing barriers and restrictions that prevent RNs and Advanced Practice Registered Nurses

(APRNs) from contributing fully to patient care in all communities. Care coordination services that reduce costs and improve outcomes with consistent payment for

all qualified health professionals delivering such services, including nurses.

Encourage mechanisms to stimulate economical use of health care services while supporting those who do not have the means to share in costs. This includes: A partnership between the government and private sector to bear health care costs. Payment systems that reward quality and the appropriate, effective use of resources. Beneficiaries paying for a portion of their care to provide an incentive for the efficient use of

services while ensuring that deductibles and co-payments are not a barrier to receiving care. Elimination of lifetime caps or annual limits on coverage. Federal subsidies based on an income-based sliding scale to assist individuals to purchase

insurance coverage.

Ensure a sufficient supply of a skilled workforce dedicated to providing high quality health care services. This includes: An adequate supply of well-educated, well-distributed, and well-utilized registered nurses. Increased funding, whether grant or loan repayment based, for programs and services focused

on increasing the primary care workforce. Funding to elevate support for increasing nursing faculty and workforce diversity.

ANA looks forward to working with you and your administration to address our nation’s health care challenges. We look forward to sharing the expertise of nurses throughout your transition period and presidency to improve the health care system and the health of the nation. Should you or your staff have any questions, please contact me or Michelle Artz, Director, Government Affairs (Michelle.Artz@ana.org or 301-628-5098).

Yours in partnership,

Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN President

Cc: Andrew Bremberg

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February, March, April 2017 ANA Maine Journal Page 9

Vaccines and Your Child: Separating Fact from Fiction

Juliana L’Heureux

A coalition of advocates to support the preventative health benefits of vaccines i n M a in e i n c l u d e s t h e American Nurses Association of Maine (ANA-MAINE), the Maine Primary Care Association, Maine Health and many other health care organizations.

One of the resources recommended to help educate the public about the importance of vaccines is “Vaccines and Your Child: Separating Fact from Fiction” by Paul A. Offit, MD, and Charlotte A. Moser. In fact, Dr. Offit is with the Division of Infectious Diseases Children’s Hospital of Philadelphia Perelman School of Medicine, at the The University of Pennsylvania.

An informative and interesting 16 minute YouTube video with Dr. Offit is at http://mepca.org/maineimmunizationcoalition, produced when he spoke on the program titled “No Bones About It.”

Although vaccines are proven to be highly safe and effective in preventing diseases from natural infection, without causing the consequences of the natural infection, there has been a growing push back to the science behind this immunotherapy. Certainly, the anti-vaccine movement has become vocal with their narratives, which are often persuasive with mothers who worry about potential unintended side effects of preventative vaccines. Their arguments are based on offering mothers a choice. In other words, the “anti-vaccers” will say, “You can vaccinate your children; but let me decide whether or not I should vaccinate my own children.” This subjective statement opens the discussion to emotional, rather than scientific, debate about the importance of vaccinating children.

An excellent first person essay from a mother who was educated to support vaccines, after she had been with the “anti vaccer” group, is at http://www.voicesforvaccines.org/leaving-the-anti-vaccine-movement. It’s titled: Leaving the Anti-Vaccine Movement.

Offit’s book explains the history of how vaccines were discovered and he describes how some diseases have been virtually eliminated from the United States thanks to the success of childhood vaccinations.

Polio is one vaccine preventable disease and new outbreaks are unheard of the US, although as recently as the 1950s, this disease was an epidemic and it caused President Franklin Roosevelt to live in pain for much of his life. As a result of the polio vaccine, polio is now reported in a few remote parts of the world because it has been difficult to administer in poor countries where there are still some outbreaks.

Another disease, diphtheria, is reported less than five times a year in the US, because of the preventive effectiveness of vaccines, writes Dr. Offit.

Nevertheless, in a population where people are not vaccinated, preventable diseases like measles can spread rapidly. “Most people don’t realize that every year about 60 people with measles enter the United States most from Western Europe. Typically, because most Americans are immunized, the virus doesn’t spread. But the outbreak in San Diego, CA showed that when enough people choose not to vaccinate their children, the virus can spread quite rapidly.” Therefore, Dr. Offit says, “choice” is not to get measles vaccines puts other at risk for contracting measles.

Offit supports giving children all the available vaccines, both those required and those recommended. “In some cases, families affected by vaccine-preventable diseases, such as bacterial meningitis, say they didn’t know that a vaccine was recommended, assuming that because it was not required, then it must not have been necessary.”

“Vaccines and Your Child” is an informative resource providing documented and understandable support for vaccines. It’s an essential and succinct resource for nurses, and all who receive questions about the safety and importance of vaccines from parents, caregivers, and school department personnel.

ANA-MAINE was invited to an interactive video conference with Dr. Offit when Maine Health hosted a program in Portland in November. A link to the PDF with Dr. Offit’s presentation slides used during the discussion are at this site: http://tinyurl.com/guczf48

Paul A. Offit

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HOME PLEDGEMaine CDC has worked with Breathe Easy

Coalition (BEC) and Maine Youth Action Network (MYAN) to create a series of short videos. The videos include youth sharing why they feel a smoke-free home is important and encouraging Maine families to take the Smoke-Free Home Pledge.

These videos can be found at BEC’s YouTube channel: https://www.youtube.com/user/SFHousing.

To learn more about the Smoke-Free Home Pledge or to join the more than 5,000 families in Maine who have taken the pledge –

visit www.BreatheEasyMaine.org/pledge.

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Page 10 ANA Maine Journal February, March, April 2017

Harold Alfond Foundation Gives $1.5 Million Challenge Grant for Saint Joseph’s College’s Center for Nursing Excellence

(Standish) – Saint Joseph’s College has received a $1.5 million challenge grant from the Harold Alfond Foundation to support the creation of a new Center for Nursing Excellence on its Sebago Lake campus in Standish in order to address current, critical shortages in Maine’s nursing workforce. As of 2017, the number of Maine nurses who are retiring or about to retire will rise greatly; research shows that 43% of the aging nurse workforce will retire, while 74% of nursing faculty have already reached a retirement cliff. In partnership with the lead investment from the Alfond Foundation, the Saint Joseph’s College Center for Nursing Excellence responds directly to these needs. The Alfond Foundation challenge grant provides the keystone element of SJC’s planned Center—21st century SIM Laboratory nursing facilities.

“The Harold Alfond Foundation is delighted to provide this $1.5 million challenge grant to launch the new Center for Nursing Excellence at St. Joseph’s College. We are confident that the outstanding faculty, staff and leadership of St Joseph’s College will use our grant to further strengthen Maine’s workforce of nurses, who are so critical to quality healthcare,” said Greg Powell, Chairman of the Harold Alfond Foundation and President and CEO of Dexter Enterprises, Inc.

Saint Joseph’s College President Dr. James Dlugos said, “Every college can look over its years of existence and point to a small number of times when a momentous event literally changed its life forever, and after which nothing would ever be the same again. I am happy to say that today is one of those special watershed moments for Saint Joseph’s College. Receiving a grant from Maine’s largest and most prominent foundation is a mark of distinction because it demonstrates the Alfond Trustees’ faith in the College’s leadership, strategic direction, and value not only to Maine students, but as a vital part of Maine’s identity and economic well-being. This Alfond donation pertains to far more than the nursing program; this gift will have a major impact on the entire campus as

the Center for Nursing Excellence entails renovation of Mercy Hall, one of the cornerstones of our campus and academic community.”

About the five components of the Saint Joseph’s College Center for Nursing Excellence:

• ExpansionoftheCollege’slongstandingon-campusand online nursing education program from BSN and MSN degrees to include Doctor of Nursing Practice and Acute Care Nurse Practitioner programs;

• Expansion to five cutting-edge SIM laboratories(hospital and home-care settings);

• Renovation and enhancement of Anatomy &Physiology, and Microbiology labs, used by nursing majors;

• Expansion of nursing scholarship opportunities forMaine students;

• Creation of a Nursing Advising And CollaborativeLearning Center, an entire floor dedicated to student’s needs – includes advising offices, a conference room, and a collaborative learning space.

Reactions to the AnnouncementJeanne S. Paquette, Commissioner of the Maine

Department of Labor said, “With Maine’s aging population, the need to provide healthcare services for our seniors will continue to grow. It is critical that we support in-state programs such as the Center for Nursing Excellence at Saint Joseph’s College to ensure that we have a strong, growing, well-trained workforce to meet these needs.”

U.S. Senator Angus S. King, Jr. said, “As one of Maine’s largest educational providers for first-time and practicing nurses, you have consistently provided quality education and created opportunity in our state. This well-deserved grant is a welcome step towards increasing the number of caregivers and resources to address the health issues facing Maine.”

Dr. Anthony McGuire, a Nurse Practitioner and Professor and Chair of the Nursing Department at Saint Joseph’s College said, “We are very excited about the

new Center for Nursing Excellence that this grant is going to help us create. It is exactly what Saint Joseph’s needs—and what Maine needs. The care aspect of nursing goes hand-in-hand with how Saint Joseph’s is service-oriented and faith-based with core values of community, compassion, and social justice. We are one of the largest nursing programs in the state, one which has a proud track record of producing nurses who are complimented by their employers for the quality of their clinical practice with patients. Our goal is to become a premiere program in the state that helps meet the growing need for healthcare professionals, specifically filling the critical need for acute care nurse practitioners that the State needs.”

“Without the ‘place’ and the ‘programs’ to deliver and enhance nursing education, dedicated nurses—both those who are still students, and those who are already practicing but need further education—are limited in their potential. That is why the Alfond Foundation grant is so incredibly important. Saint Joseph’s College has the dedicated faculty. It has students who have committed their lives to the nursing profession. It has a wonderful educational foundation to build upon—but now, for the sake of these nursing students, for the sake of nursing, and for the sake of healthcare in Maine and nationally—much more is needed. Thank you to the Alfond Foundation for launching the momentum through your challenge grant. Your grant gives us the most wonderful surge forward as we seek to raise $3.5 million to match it,” said Dr. Jeanne Arnold, a nursing alum, member of the SJC Board of Trustees and Chair of the Alfond Challenge for The Center for Nursing Excellence at SJC.

For more information about the Saint Joseph’s nursing program, visit: www.sjcme.edu/sjc-nursing/

Contact: Patricia Erikson, Director of CommunicationsSaint Joseph’s Collegeperikson@sjcme.edu; 207-893-7721

Congressman Bruce Poliquin presented on

behalf of the Maine Delegation (Senator

Susan Collins, Senator Angus King, and

Representative Chellie Pingree). Mr. Poliquin shared memories of

his mother, who was a nurse, and stressed the

importance of addressing the shortage of nurses in

the state of Maine.

Gregory W. Powell, Chairman, The Harold Alfond Foundation, announces the Challenge Grant for the Center for Nursing Excellence at

Saint Joseph’s College in Standish Maine. Tracy Sabol, Evening Anchor and Health Reporter for

WMTW Channel 8, Michael Sanderl, VP and Chief Sponsorship and Mission Integration Officer, Saint

Joseph’s College, and Commissioner Jeanne Paquette from the Maine Department of Labor

listen as the announcement is made

Dr. Jeanne Donlevy Arnold,

RN, BSPA ’83 Saint Joseph’s College Board

of Trustees, Chair, Alfond Challenge for

the Center for Nursing Excellence

Dr. Anthony McGuire, ACNP-BC, FAHA, Professor and

Chair, Department of Nursing at Saint Joseph’s College and Tracy Sabol, Evening Anchor

and Health Reporter for WMTW Channel 8, Master of Ceremony

Saint Joseph’s College alumni, current students, faculty, and staff attended The

Harold Alfond Foundation Challenge Grant Announcement held in the Harold Alfond Center Gymnasium on January 17, 2017.

Gregory W. Powell, Chairman, The Harold Alfond Foundation presents

traditional apple pies to Sister Joyce Mahany, RSM and Dr. Jim Dlugos,

president at Saint Joseph’s College

February, March, April 2017 ANA Maine Journal Page 11

Maine Nursing Preceptor Education Program

Inspiring, Teaching, Guiding and Investing in Maine’s Preceptors

Carole Mackenzie

Strong work is underway among Maine’s Nursing Leaders to accurately forecast the nursing workforce needs across the state. Recruiting future students to the nursing profession and supporting nursing students in their education and clinical practice is a key strategy to meet workforce supply and demand. Retaining qualified nurses is also a pivotal need in all healthcare settings. The Maine Nursing Preceptor Education Program was designed, developed and launched to support the recruitment, integration, satisfaction and retention of Maine nurses across the continuum of care.

Skilled, knowledgeable and confident nursing preceptors provide the learning environment and foundation to guide the successful transition of newly graduated nurses, nursing students and nurses transitioning to new roles or new practice settings. Successfully transitioning to a new nursing role involves the ability to apply knowledge, attitude and skills to the delivery of high quality, safe patient and family centered care. It also includes the ability to integrate as a member of the interprofessional health care team. Participating in an evidence based, blended learning preceptor education program provides nurses with the essential content needed to fulfill the preceptor role and responsibilities.

To date, over 300 nurses from 52 organizations across the continuum of care in Maine have completed the program. The nurses participating in the program completed nine engaging online learning modules and attended a one-day interactive live workshop. They are ready to guide the successful transition of their new orientees.

The evaluations from program participants, learning module authors and the faculty have been consistently very positive. All suggestions and recommendations received in the evaluations have been analyzed to enhance the upcoming spring program.

To learn more about The Maine Nursing Preceptor Education Program and to join us for the spring 2017 program visit the Lunder Dineen website at https://lunderdineen.org/preceptorship

About Lunder-DineenHealth education is powerful medicine. The

Lunder-Dineen Health Education Alliance of Maine offers free, easily accessible and evidence-based education to Maine health care professionals and the communities they serve through an innovative partnership with Massachusetts General Hospital and an ongoing collaboration with Maine’s health care community. Its goal is to improve the overall health of Maine residents by expanding their health knowledge and by advancing the skills and expertise of Maine health professionals.

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Page 12 ANA Maine Journal February, March, April 2017

WHO CAN REGISTER TO VOLUNTEER?We all have a role to play in preparing Maine for the challenges of responding to a public health or healthcare emergency. MAINE RESPONDS seeks volunteers from all backgrounds, skill levels, and experiences willing to support a public health or healthcare emergency response. If you work in a health-related discipline, we encourage you to register with MAINE RESPONDS.

MAINE RESPONDS Emergency Health Volunteer SystemJared McCannell, Volunteer Management Coordinator Phone: 207-287-4072 | jared.mccannell@maine.gov

WWW.MAINERESPONDS.ORG

The MAINE RESPONDS Emergency Health Volunteer System provides a prepared and ready workforce of volunteers to

serve the people of Maine in the event of any public health emergency.

OMNE: Nursing Leaders of Maine Presents:

16th ANNUAL MAINE NURSING SUMMITWednesday, March 22, 2017

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Register online at www.omne.org

SAVE the DATE