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IndexSDNA Board of Directors . . . . . . . . . . . . . . . . . . . . 2Nursing: A Career With Options . . . . . . . . . . . . . . 32017 SDNA Annual Convention Highlights . . . . .4-52017 Convention Sponsors & Exhibitors . . . . . . . . 6SDNA 2017-2018 Calendar of Events . . . . . . . . . . . 6PAC Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Nurses Day at the Legislature . . . . . . . . . . . . . . . . . 7SDNF Donors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Staying Up to Date/Contacting Your Legislators . . .8

South Dakota Nurses Association Health Policy Agenda . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Welcome New Members . . . . . . . . . . . . . . . . . . . . 10Membership Application . . . . . . . . . . . . . . . . . . . 10District News . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11One of Yankton’s Landmarks: The Mead Building at the SD Human Services Center . . . 12The Enhanced Nurse Licensure Compact (eNLC) Implementation FAQs . . . . . . . . . . . . . . 14

South DakotaNURSE

Vol. 8 • Number 4 DECEMBER 2017THE OFFICIAL PUBLICATION OF THE SOUTH DAKOTA NURSES ASSOCIATION

Quarterly publication direct mailed to approximately 19,000 Registered Nurses and Licensed Practical Nurses in South Dakota

President’s MessageMargie Washnok

President, South Dakota Nurses Association

I would like to commend the Nurses from District 11 for hosting an excellent 101st Anniversary Celebration for our SDNA Convention . The tour of the Mead Building at the SD Human Services Center was an excellent reminder of our past and how we have progressed in our nursing practice . The tour was an excellent way to begin the convention: “SDNA The Next 100 Years .” District 11 nurses provided an excellent 2017 convention, which included a wonderful musical performance by “Smooth Benediction,” a group of students from Mount Marty College at the banquet .

The educational session presented by Dr . Marge Hegge that discussed information related to ethical issues in the next 100 years . She made us think about what nurses should be doing in the future, but not losing sight of caring, social justice, ensuring nursing presence, and above all “core value to ensure the ethical future .”

Dr . Julie Kittelsrud provided valuable information about what is new in cancer/genetics, which provided valuable information for nurses and nursing students related to our role in cancer care and genetics . Janelle Keller and Stacy Krall provided insight on methamphetamine prevention and treatment, including how to involve the community with prevention and treatment . The session by Pamila Van Meeteren related to medication assisted withdrawal management included real life situations and the challenges of working with patients to provide safe management

of withdrawal from drugs, including alcohol . Dr . Diane Smith closed the convention with pictures and information from the past, present, and considering the future of nursing practice .

Dr . Tom Stenvig did an excellent job on moderating the SD Gubernatorial Candidate Health Issues Forum . A special thanks to Gloria Damgaard for providing information about the 100th Celebration of the SD Board of Nursing, and to Linda Young for her report on the SD Nursing Workforce .

The 102nd Anniversary Convention will be hosted by Districts 8 & 9 October 7-8, 2018, in Brookings, SD at the Days Inn . Add these dates to your calendar and plan to attend another exceptional convention!

Add to your calendars Nurses Day at the Legislature February 5 & 6, 2018 in Pierre, SD . Information concerning this event, as well as bills that will be introduced into this year’s legislation will be emailed and available on the SDNA website (http://www .sdnurses .org/) .

As we work with graduating nursing students, access our ANA website (www .nursingworld .org) for the “Welcome to the Profession Kit,” which will provide a variety of information about ANA and the profession of nursing . Also, in the ANA website you will have access to ANA and State member benefits, personal benefits, factsheets and resources, professional tools to assist you with your job, and ANA periodicals . The factsheets and resources can assist you to provide information to nurses and nursing students in your districts . Make sure to inform all senior nursing students that they can join ANA/SDNA for half-price for two years . It is important for SDNA members to mentor nursing students, new graduates, and other nurses who are not members of SDNA and ANA, to provide information on how important it is for them to join their professional nursing organization .

Margie Washnok

South Dakota Nurses Association Elects Leadership The South Dakota Nurses Association elected RN leaders to be a mentor, an advocate, and actively involved in shaping the future of the

nursing profession .

The SDNA is excited to announce that the following members were elected at the 2017

Annual Convention in Sioux Falls, SD .

Nominations Committee

President Vice President Treasurer

Sandra Welling District 4

Margie WashnokDistrict 4

Vicky BuhrDistrict 10

Nancy Fahrenwald

District 8 & 9

Alham AbuatiqDistrict 8 & 9

Christina Plemmons

District 1, 2, 3

Page 2 South Dakota Nurse December 2017, January, February 2018

The SOUTH DAKOTA NURSE is published quarterly every March, June, September and December by the South Dakota Nurses Association (a constituent member of the American Nurses Association) and Arthur L . Davis Publishing Agency, Inc . All rights reserved by copyright . This newspaper or parts there of must not be reproduced in any form without permission in writing from the publishers .

Subscription rate is $12 per year to non-members of the Association .

ADVERTISINGFor 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 . SDNA and the Arthur L . Davis Publishing Agency, Inc . reserve the right to reject any advertisement . Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement .

Acceptance of advertising does not imply endorsement or approval by the South Dakota Nurses Association 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 . SDNA 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 SDNA or those of the national or local associations .

CIRCULATION, ARTICLES, LETTER TO THE EDITOR, ETC . 2018 deadlines for articles submitted to the South Dakota Nurse: Jan . 12 – March issue, April 13 – June issue, July 13 – Sept . issue, and Oct . 12 – Dec . issue .

The South Dakota Nurse accepts and encourages manuscripts or editorials . We will determine which letters and articles are printed by the availability of publication space and appropriateness of the material . We welcome signed letters of 300 words or less, typed and double spaced and articles of 1,500 words or less . All materials should be mailed to: South Dakota Nurses Association, P .O . Box 1015, Pierre, SD 57501 or e-mailed to: contactus@sdnurses .org .

The views expressed in the articles and editorials are those of the individual contributors and do not necessarily reflect the viewpoint of SDNA .

South Dakota Nurse is the newsletter of the South Dakota Nurses Association . Direct inquiries about SDNA or this

newsletter to:

South Dakota Nurses AssociationPO Box 1015, Pierre, SD 57501

Phone: 605-945-4265Fax: 1-888-600-1232

Email: contactus@sdnurses .orgWebsite: www .sdnurses .org

‘Like’ us on Facebook!www .facebook .com/sdnurses

sdna Board of directors

PresidentTerm: 2017 – 2019Margie WashnokDistrict 4Cell: 380-4561Office: 229 .8478washnok@midco .netdrmargie .washnok@presentation .edu

Vice PresidentTerm: 2017 – 2019Nancy FahrenwaldDistrict 8 & 9Office: 688-5178 nancy .fahrenwald@sdstate .edu

SecretaryTerm: 2016 – 2018Dawn R . WarrenDistrict 2Office: 394-5481dawn .warren@usd .edu

TreasurerTerm: 2017 – 2019Christina PlemmonsDistrict 1, 2, & 3Office: 605-394-5390christina .plemmons@sdstate .edu

Government Relations Committee (GRC) ChairTerm: 2016 – 2018Carrie Clausen-HansenDistrict 4Cell: 380 .7320Home: 877 .3766 carrie .clausenhansen@yahoo .com

President, District 1-3Term: 2016 – 2018Linda De Long Home: 393-0247ldelong@edutechassociates .com

President, District 4Term: 2016 – 2018Marlys VolzkeOffice: 229-5646volzke@abe .midco .net

President, District 5 & 7Term: 2015 – 2017Pat SudbeckHome: 928 .3202 patricia .sudbeck@avera .org

President, District 8 & 9Term: 2015 – 2017Eileen BrunerHome: 256 .2338Office: 688 .4126eileen .bruner@sdstate .edu

President, District 10 Term: 2016 – 2018Julie DangelOffice: 321-9497 julia .dangel@sdstate .edu

President, District 11Term: 2015 – 2017Kathy JorgensenHome: 267 .4260 Cell: 660 .6763kathy .jorgensen@usd .edu

SDNA StaffEric OllilaExecutive DirectorPO Box 1015 Pierre SD 57501Phone: 271 .7708Fax: 888 .600 .1232contactus@sdnurses .org

Revised Nov. 2017

Published by:Arthur L. Davis

Publishing Agency, Inc.

Rosebud Comprehensive Healthcare Facility

Hiring New Graduate & Experienced Nurses.

Positions available within ER, Medical/Surgical, OB/L&D, Ambulatory Care & Specialty Nurse Positions.

Baby Friendly Certified

Deb Sully, RN, ADON605-747-0437 | debra.sully@ihs.govContact:

I.H.S. is required by law to give absolute preference to qualified Indian applicants. Equal Opportunity Employer.

We offer: Relocation and Recruitment IncentivesCompetitive Salaries | Loan Repayment Program

Carman Timmerman, EdD, RNSDNF Treasurer and

Scholarship Committee Chair

In October 2017, the South Dakota Nurses Foundation board will determine the recipients for the various South Dakota Nurses Foundation scholarships, namely South Dakota Nurses Foundation Scholarship, Rita H . Walsh Scholarship, Marianne M . Stenvig Scholarship and Dr . Carl and Leona Stadler Scholarship . These scholarship recipients will be announced in the next issue of the SD Nurse.

Watch this Space for 2017South Dakota Nurses Foundation

Scholarship Recipients AnnouncementThe fact that these scholarships are available

underscores the generosity of South Dakota nurses, their families and their friends . We thank you for that generosity . If you are interested in donating to the South Dakota Nurses Foundation, your gift will help sustain the Foundation’s efforts to endorse the nursing profession as SDNF promotes positive health care changes in South Dakota . Please make your check payable to South Dakota Nurses Foundation Fund and send your check to South Dakota Community Foundation ~ Box 296 ~ Pierre, SD 57501 .

December 2017, January, February 2018 South Dakota Nurse Page 3

Nursing: A Career With OptionsM. Claire May,

South Dakota Nurses Foundation Community Board member

“If you put your mind to it, you can accomplish anything,” is the mantra Tara Weeman has uttered since her enrollment at Dakota Wesleyan University College of Nursing to acquire her BS in Nursing . Weeman is a 2016 SDNF recipient of the Rita H . Walsh Scholarship .

In her early thirties, Weeman returned to the academic world . “I wanted a career where I could serve others with a variety of options to choose from . I wanted to provide a better life for my family and have a career that I enjoy,” she said . “My family has been my inspiration and support from day one .”

In addition, the Matson Halverson Christiansen Hamilton (M .H .C .H .) Foundation has had the greatest impact on her

life . The M .H .C .H . Foundation’s mission is to improve the quality of life and create opportunities for growth and enterprise development primarily in rural South Dakota .

“The MHCH Foundation has inspired me to take the plunge and go back to school for a career in nursing .” She continued, “They have provided me with guidance to get started and have continued to encourage me along the way . Without them, the Chamberlain/Winner areas would be without many of the nurses they have today .”

She admits, “I am still working on finding my niche in nursing, but I have enjoyed seeing the faces of those who are thankful for my caring spirit .” To develop her understanding and skills in geriatric nursing, Weeman weekly works three twelve-hour shifts with varied days and nights in the Chamberlain Care Center that serves forty-four residents . “I assist with medications and daily care . I oversee the CNA’s (Certified Nurse Assistants) to make sure residents are safe and taken care of .”

When asked what she does for relaxation from studies and work, Weeman exclaimed, “Relax? I am not sure if I understand that word . In the summer I like to take my daughter to the beach or pool to enjoy some fun in the sun . When it gets cold outside, I escape my normal world by enjoying television .”

Upon completion of the BSN, Weeman anticipates enjoying time with her family that consists of husband Eric and six-year-old daughter, Carly . “I am [also] passionate about flower gardening and scrapbooking family memories . I love to travel when time and money allow .”

“I am humbled to receive [the Rita H . Walsh] Scholarship . I have worked so hard and my family has given so much in order for me to obtain my degree . This scholarship has meant so much to us,” she acknowledged . “I understand that nursing students are busy, focused people; [but] find time to fill out the application .” She concluded, “People have given these scholarships because they believe in the future of nursing . You aren’t going to get a scholarship if you don’t fill out the application!”

In a word or two:

Most remarkable medical wonder: antibiotics .

Famous historical medical person that I would love to work with: Clara Barton .

If I were not a nurse, I would be a: travel agent .

If I could live anywhere, it would be: tropical .

No one knows: fear of receiving IV’s .

One word to describe me: quirky

My family thinks I am: busy .

A pet peeve: toilet paper that rolls under the roll .

If I could change anything in medicine, it would be: A magic cure-all pill . It would be wonderful!

Tara Weeman

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For more information contact: Ernasha McIntosh, RN, BSN, DON, 928-755-4501, ernasha.mcintosh@sagememorial.com.

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Submit applications to the Human Resources Department,Fax#: 928-755-4659, hr@sagememorial.com

That research paper isn’t going to write itself.

Visit www.nursingALD.comto gain access to 1200+ issues of official state nurses publications,

all to make your research easier!

Page 4 South Dakota Nurse December 2017, January, February 2018

2017 SDNA Annual Convention Highlights

Pierre, SD – The South Dakota Nurses Association (SDNA) recognized nurses from across the state at its 2017 Annual Convention, held this year in Yankton, South Dakota . The 2017 convention marked the 101st anniversary of the SDNA . The following nurses were recognized for their exceptional service, dedication, and contributions to the nursing profession:

• Rookie of the Year Award – Diane Smith, Yankton• Distinguished Service – Jean Hunhoff, Yankton• Nursing Practice Award – S . Debra Kolecka, Yankton• Joy of Nursing Award – Sylvia Pickard, Brookings• Pioneer in Nursing Award – Carol J . Peterson, Brookings• Hall of Fame Award – Sandra H . Isburg, Yankton; Roberta

Olson, Brookings; Marilyn J . Asher, Aberdeen• President’s Award – Thomas Stenvig, Brookings• Nurse Educator Award – Venita Winterboer, Brookings

2017 South Dakota Nurses Association Annual Convention Looked Forward to the Next 100 Years and Honored South Dakota Nurses

SDNA districts also honored one nurse for his or her contributions to the SDNA and the nursing profession .

• District 1, 2, 3 – Carman Timmerman, Rapid City• District 4 – Jeanette Hahler, Aberdeen• District 5-7 – Kristi Riggs, Mitchell• District 8 & 9 – Nancy Fahrenwald, Brookings• District 10 – Robin Arends, Nicole Gibson, and Bryan

Wermers, Sioux Falls• District 11 – Jacqueline Kelley, Yankton

The goal of the SDNA Annual Convention is to offer a forum for nurses to gain knowledge about clinical care, leadership, and professional practice issues and to build professional relationships . The South Dakota Nurses Association is a statewide not-for-profit professional association representing Registered Nurses in South Dakota . It is a constituent member of the American Nurses Association .

District 10 NOY - Robin Ahrends and SDNA President Margie Washnok and

SDNA Vice President Nancy Farhenwald

Districts 5-7 NOY - Kristi Riggs and SDNA President Margie Washnok and SDNA Vice

President Nancy Fahrenwald

Districts 8&9 NOY - Nancy Fahrenwald and SNDA President

Margie Washnok

District 11 NOY - Jacqueline Kelley and SDNA Vice President

Nancy Fahrenwald

Distinguished Service - Jean Hunhoff and SDNA

President Margie Washnok

Hall of Fame - Marilyn J. Asher and SDNA President Margie

Washnok

Hall of Fame - Roberta Olson and SDNA President Margie Washnok

Joy of Nursing - Sylvia Pickard and SDNA Vice President Nancy

Fahrenwald

Nurse Educator - Venita Winterboer and SDNA Vice

President Nancy Fahrenwald

Nursing Practice - S. Debra Kolecka and SDNA Vice President

Nancy Fahrenwald

President’s Award - Thomas Stenvig and SDNA President

Margie Washnok

Pioneer in Nursing - Carol J. Peterson and SDNA President

Margie Washnok

Rookie of the Year - Diane Smith and SDNA President Margie

Washnok

December 2017, January, February 2018 South Dakota Nurse Page 5

2017 SDNA Annual Convention Highlights

2017 Convention ReportKathy Jorgensen, RN, MA, MSN

District 11 President & 2017 Convention Chair

October 1st and 2nd brought the 2017 South Dakota Nurses’ Convention, “SDNA: The Next 100 Years,” to the Best Western Kelly Inn in Yankton, SD . The District 11 members hosted this event . The VFW 791 Ernest Bowyer Post of Yankton provided the presentation of the Colors . The Yankton Mayor’s welcome was offered by Yankton City Commissioner, Tony Maibaum .

Both days offered the opportunity to bid on the multiple silent auction items . “A good problem to have” is needing more tables for silent auction items and the staff at the Best Western had to supplement our tables for the silent auction several times during the two days!

Instead of a formal keynote speaker, a tour of the historic Mead Building at the South Dakota Human Center was held Sunday the 1st of October . A special thank you to Mount Marty Nursing Faculty who facilitated the MMC bus for transportation to the Mead Building and to Candyce Koch and Dr . Diane Smith, who drove MMC vans to the hospital . The Mead Building renovation as well as the history of the building and Dr . Mead was described to the attendees by the

tour guides, Crystal Nelson, Laura Beall (director and staff member, respectively, of the Dakota Territorial Museum) and Kathie Gerstner (member of the Mead Building Committee) . Thank you to the tour guides, also, as they explained the history in great detail to us . Attendees were able to go to 3 floors and the basement of the building and hear the plans for this historic area . See https://www .meadbuilding .org for historic pictures of the building as well as artist’s renderings of the completed projects .

On Sunday, the convention offered the Mead tour and a Gubernatorial Candidate Forum on Health Issues, the Live Auction as well as an acapella singing group from Mount Marty College, the Smooth Benediction, who sang during the evening banquet . District 11 would like to thank Sherry Soukup, the auctioneer for her work at the Live auction . She made the auction fun as well as financially productive for SDNA .

Monday’s agenda included five speaker sessions and the SDNA Awards Luncheon with SDNA President Margie Washnok . The speakers were very well received by the convention attendees . We look forward to October 2018 when we go to Brookings for the next SDNA convention!

Page 6 South Dakota Nurse December 2017, January, February 2018

PacrePort

This year during convention with donations from members we raised $1,137 .04 . This brings our PAC total to $1,376 .94 . We will continue to accept money for the raffle that will be drawn at NDL in Pierre .

Our raffle consists of a blue Calvin Klein leather bag with its own cover, 3 Bath & Body items in the Sleep line, Necklace from Riddles in the shape of EKG strip, and infinity scarf in tones of blue . The tickets are 1/$5 or 3/$10 . You may send your order and money to me and I put in your tickets, 201 South Sunshine Ave . Brandon SD 57005 . Be sure to include your name and phone number so that we can contact you when you win!

Last legislative election we gave out over $3,000 .00 in contributions to campaigns . It would be awesome to do the same in the next legislative election .

Please be a part of what affects the nurses in SD . SDNA is the legislative organization that advocates for nurses and patients . We have well over 10K RNs in the state of South Dakota . There are much less than that who support and work in SDNA . I do this work because I do not want a few people to make decisions that will affect my nursing practice or my care as a patient, I want to be a part of the voice .

A way you can be a part is to support PAC . One administrator once asked me how do you eat an elephant . His reply was one bite at a time . So any and every contribution is a bite . We disperse to the candidate on the criteria of what support they will provide to the causes of South Dakota nurses and citizens of South Dakota health care .

I look forward to hearing from you and wish you well in the raffle . If you do not want to participate in the raffle, all and any contributions are welcomed!

I will look forward to seeing you in Brookings in 2018 for the annual convention, you never know what will be in store for fundraising activities .

Respectfully submitted,Julie Dangel SDNA PAC Chair

If you have events that you want posted on the SDNA Calendar of Events, please contact the SDNA Office at (605) 945-4265 or by email at contactus@sdnurses .org .

December 2017December 1District Leadership Reporting Form Due to SDNA Office

December 25Christmas Day

January 2018January 993rd South Dakota Legislative Session begins

January 22SDNA Board of Directors Meeting

February 2018February 5-6Nurses Day at the Legislature (NDL)

March 2018March 9Last day of the 93rd South Dakota LegislativeSession

April 2018April 16SD Nurse Article Submission Deadline – June Issue

April 23SDNA Board of Directors Meeting

sdna 2017-2018calendar of events

2017 SDNA Convention Sponsors

2017 SDNA Convention Exhibitors

Arthur L. Davis Publishing Agency. Inc.

Sanford Health

Avera

University of South Dakota Department of Nursing

South Dakota State University College of Nursing

Gideons

Avera

Avera Education and Staffing Services

Mt . Marty College

Mutual of Omaha

Grand Canyon University

Edgewood Vista & Prairie Crossings

South Dakota Human Services Center

South Dakota State University College of Nursing

FULL-TIME NURSING FACULTY MEMBERS (2) Salary: Dependent upon education and experience on the Faculty scale

The individual will work under the supervision of the Nursing Department Chairperson to carry out the mission, philosophy and purposes of the Oglala Lakota College. The Nursing program is a two-year Associate Degree with the mission of providing, “academic excellence that will prepare an AD nurse to respond with relevant knowledge and skills to meet health care needs of individuals and families as an entry level RN.”

A qualified applicant will have a Master’s Degree in Nursing (preferred) and minimum of one year clinical experience. Previous teaching experience preferred.

To see a complete list of job duties, qualifications, and benefits please visit us online at http://www.olc.edu/administration/human_resources.htmTo apply, contact the Personnel Director at (605)-455-6029Oglala Lakota College Nursing Department, Pine Ridge, SD*Indian Preference is applied in accordance to OLC policy.

www.mobridgehospital.org

Mobridge Regional Hospital is looking for full and part time RN’s and LPN’s to work on our busy Medical Surgical Floor, as well as gain

experience in OB, ER, and ICU.

Wage is competitive DOE. Excellent benefit package.

Visit www.mobridgehospital.org to apply or call HR at 605 845-8171 for more information.

Auctioneer,Sherry Soukup-

Neuharth

December 2017, January, February 2018 South Dakota Nurse Page 7

2018 Nurses Day at the Legislature Agenda

Monday, February 5, 2018

10:00 AM – 11:00 AM Registration Ramkota Hotel River Centre

11:00 AM – 12:15 PM Luncheon Ramkota Hotel River Centre

Welcome Overview of SDNA Political Agenda / Orientation and Advocacy Carrie Clausen Hansen, SDNA Government Relations Chair Brittany Novotny, SDNA Lobbyist Deb Fischer Clemens, SDNA N-STAT Coordinator and GRC member  Federal Legislation and Nurses Strategic Action Team Committee (N-STAT) Update Deb Fischer-Clemens, SDNA N-STAT Coordinator

12:15 PM – 12:30 PM Break

12:30 PM – 1:45 PM South Dakota Department of Health Update South Dakota Department of Social Services Update Ramkota Hotel River Centre

2:00 PM – 4:00 PM House and Senate Floor (all attendees) South Dakota State Capitol

4:00 PM – 4:45 PM 2018 Legislative Update Ramkota Hotel River Centre Carrie Clausen Hansen, SDNA Government Relations Chair Brittany Novotny, SDNA Lobbyist

4:45 PM – 5:00 PM Evaluations and Wrap-up

5:00 PM – 7:00 PM Chili Supper with South Dakota Legislators Ramkota Hotel River Centre

Tuesday, February 5, 2018

7:45 AM – 12:00 PM (noon) Committee Hearings South Dakota State Capitol

9:45 AM – 10:00 AM Picture on the Capitol Stairs (all attendees) South Dakota State Capitol

Fragrance-Free Event: We ask that you avoid wearing perfumes, fragrances or using perfumed soaps to create a more comfortable environment for those with chemical

sensitivities.

South Dakota State Capitol and Ramkota Hotel | Pierre, South DakotaFebruary 5-6, 2018

NURSES DAY at the LEGISLATURE

Register Now!To qualify for early rates, this form below must be filled out for each attendee and

mailed by January 5. Please circle the amount you are attending so we may plan our numbers.

Nurses Day at the Legislature SDNA Member Non-Member Nursing

Student/Retiree

Early NDL Registration $95 .00 $116 .00 $61 .00

Postmarked after January 5, 2018Full NDL

Registration $105 .00 $128 .00 $72 .00

- Full refunds less a $25 .00 processing fee, allowed in case of major personal emergency when notice is given at least 96 hours prior to the start of the event .

- SDNA cannot be held responsible for weather-related problems .- Due to the expenses that are incurred during the planning of this event, there will be

no refunds issued if the event is cancelled for any reason including, but not limited to, bad weather, natural disaster, or acts of terrorism .

- Fees include education programs and materials, refreshments and meals as noted on the agenda .

A block of rooms will be held at the Ramkota until January 5th.Telephone: (605) 224-6877

Please make your check payable to SDNA and mail to the SDNA Office with this registration form:

Name, Credentials _________________________________________________________(Please print your name as you would like it to appear on the nametag)

Email ___________________________________________________________________

Are you a Registered Nurse? Yes No (Please circle Yes or No)

Address _________________________________________________________________

City __________________________________ State _______ Zip ________________

Phone _________________________________

Legislative District Number ________ (Can be found at http://legis .state .sd .us)

South Dakota Nurses Foundation (SDNF) is a charitable organization affiliated with SDNA to support nursing in South Dakota through education, research, and

service. Please consider supporting SDNF by “Adding Up” to your registration fee.

Registration Fee $ _________________

“Add Up” to SDNF $ _________________

Total Submitted $ _________________

South Dakota Nurses Association | PO Box 1015, Pierre, SD 57501Phone: (605) 945-4265 | Fax: (888) 600-1232

www .sdnursesassociation .org | contactus@sdnurses .org

The South Dakota Department of Health is accepting applications for a Registered Nurse II/Health Facilities Surveyor to inspect healthcare facilities and related services in areas such as nursing, patient activities, dietary and life safety codes to ensure compliance with state and federal licensure and certification regulations for the protection of the public from health and safety hazards. Must have the knowledge of medical terminology; causes & control of diseases produced by unsanitary conditions and the ability to access all occupied areas of a health care facility to conduct inspections and complete survey process. Travel is necessary with overnight stays. The desired candidate will need to be a Registered Nurse in SD and Associates Degree, Bachelor’s degree or 3-year diploma. Candidate must pass the Centers for Medicare and Medicaid Service Surveyor Minimum Qualifications Test within approximately 6 months of employment. Will fill two full time positions. This job is Open Until Filled.

For more information and to apply, please go to http://bhr.sd.gov/workforus or contact any South Dakota Department of Labor and Regulation Local Office.

Health Facilities Surveyor/Registered Nurse IIJob ID#9027 Statewide, SD

An Equal Opportunity Employer.

Page 8 South Dakota Nurse December 2017, January, February 2018

Staying Up to Date/Contacting Your

Legislators

InternetSouth Dakota’s legislative session has its own website,

House and Senate sessions are broadcast live, and all committee hearings are broadcast via Internet .

State of South Dakota Home Page: http://sd .govLegislative Research Council: http://legis .state .

sd .us – Has all the legislators, full bill lists and reports, committee hearings, committee hearing minutes, email to your legislators, bill status, lobbyist, and hearing dates in committees or debate on the floor .

Email (Fastest way to reach them: All legislators have their

own laptop computer .) Go to: http://legis .state .sd .us . Click on Legislators . Find

your legislator(s) . Click on email legislator .• Make reference to the number of the bill HB or SB

### and its title . • Ask for support or opposition to the bill .• Provide brief and specific information to your

reason .• Include your name, RN, phone number and email

address.

Letters• First sentence of the letter: Bill number HB or SB

###, title and request for support or opposition .• Keep your supporting information brief and concise .• Avoid the use of form letters .• If you have printed material that may assist in

making your point, mail it with the letter .• Always include your name, RN, address and

phone number.• Letters and postcards may be sent to the legislator’s

home .• The mailing addresses of legislators in Pierre are:

The Honorable [Representative’s name] 500 East CapitolPierre, SD 57501

or

The Honorable [Senator’s name]500 East CapitolPierre, SD 57501

Phone Calls• Legislators are best reached when they are home for

the weekend . Do not worry about disturbing their “off” time . It’s their job to listen to you and they expect calls .

• Identify yourself and the bill you are supporting and opposing .

• If you sent a letter or a postcard, ask if they received it and if there are any questions .

• Ask if you can count on their support . Do not let them hedge .

• ALWAYS thank them for listening to your opinion .• If you are unable to call them at home, you can call

them at the Capitol Building and leave a message asking them to support/oppose HB or SB ### . The Senate Lobby number is 605-773-3821 and the House Lobby number is 605-773-3851 . A page will take the information and deliver the message to your legislator .

Cracker Barrel Sessions• Local cracker barrel sessions are an effective way to

receive and provide information to your Legislators . Check your local newspapers for dates, times and locations .

• Legislators listen to their constituents .

A special “Thank you!” to the following individuals who have donated to the South Dakota Nurses

Foundation since January 1, 2017. The great support is appreciated!

South Dakota Nurses Foundation Scholarship FundMarcella Lund

Craig & Patricia ShaverRobert & Judith King

George & Lenore WhaleyArdelle Kleinsasser

Donald & Linda ErlenbuschJudith NiklasonDr . Kay Foland

Wesley & Lois TschetterCarol Jean Peterson

David & Roberta OlsonGary & Mary Brendtro

Rita H. Walsh Scholarship FundJeremy & Michelle McGregor

William & Carla TexelRodney & Karen Pettigrew

Kathy Jorgensen

SDNF DonorsMarianne M. Stenvig Scholarship Fund

John Jacoway & Linda KropenskeMarlin & Joyce Fjelland

Verna SchadKathryn Vigen

Joe & Mary EdelenEugene & JoAnn Goodale

Cynthia ElversonThomas E . Stenvig

Gary & Audrey StevensMary Ingram

Dr. Carl and Leona Stadler Scholarship FundNONE

SDNA Undergraduate Nursing Scholarship FundThomas E . Stenvig

Mike & Julia DangelEllann K . Petersen

Wesley & Lois TschetterRandy & Adele Jacobson

Deb Fischer ClemensDoris Heine

Paula Goddard

Sioux Falls VA Health Care System

Working with and for America’s Veterans is a privilege and we pride ourselves on the quality of care we provide. In return for your commitment to quality health care for our nation’s Veterans, the VA offers an incomparable benefits package.

The Sioux Falls VAHCS is currently recruiting for night and day RN and LPN healthcare positions in the following clinical areas. 8 hour, 12 hour and intermittent shifts available, depending on location.

• Inpatient (med/surg, mental health)• Long-term Care• Emergency Department• Outpatient Clinics

Applicants can apply online at www.USAJOBS.gov

They all come together at the Sioux Falls VA Health Care System.To be a part of our proud tradition, contact:

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Hiring all positions for long term care.

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Aurora Brule is currently seeking a Director of

Nursing (DON).

• Competitive wages• Benefits package including health, vision and dental

insurance, referral bonuses, paid vacation, supplemental insurances, or take pay-in-lieu of benefits. Also ask about our PRN program.

Please contact Joseph Mason at 605-249-2216 for more information or pick up an application at Aurora Brule

Care & Rehab 408 S. Johnston St. White Lake, SD 57383

December 2017, January, February 2018 South Dakota Nurse Page 9

Professional Nursing PracticeSDNA supports legislation or administrative action that:

• Establishes the South Dakota Board of Nursing as the sole regulatory authority for professional nursing practice;

• Implements SDNA’s position on education for nursing practice;

• Protects nurses from discrimination in the workplace due to age, color, creed, disability, gender, health status, lifestyle, nationality, race, religion, or sexual orientation;

• Protects the economic and employment rights of nurses, including their right to advocate for patients;

• Provides direct third-party reimbursement for services provided by nurses, including advanced practice nurses;

• Provides for rehabilitation of impaired health care workers;

• Places professional nurses on boards, commissions and other entities which have responsibility for health care planning and policy making;

• Provides funding for nursing education and research at basic and advanced levels;

• Facilitates recruitment and retention of an adequate and culturally diverse registered nurse workforce .

Access to Quality and Affordable Health CareSDNA supports legislation or administrative action that:

• Provides access to quality, cost-effective health care for all South Dakotans, especially vulnerable populations, such as children, pregnant women, older adults, impoverished persons, minorities, homeless persons, the chronically mentally ill, residents of correctional facilities, and those who lack health insurance;

• Provides access to alternative models of quality, cost-effective health care, such as community nursing centers, hospice, home care, and adult day care;

• Assures access to nursing care services and recognizes advanced practice nurses as qualified providers of primary health care services;

• Improves the coordination of healthcare delivery systems to enhance continuity of care;

• Promotes public accountability for positive health outcomes through use of appropriate quality indicators;

• Provides incentives for cost containment in health care without compromising quality or access .

Public HealthSDNA supports legislation or administrative action that:

• Assures public health and safety• Strengthens the public health infrastructure;• Sustains and promotes access to effective public

health services (e .g ., school health centers, sexually transmitted infection clinics, and community mental health providers);

• Assures availability of essential health services for all South Dakota citizens;

• Provides for resources to promote a healthy society;• Provides adequate funding for programs aimed at

health promotion and prevention of disease/disability for people in all stages of life;

• Assures adequate prevention, preparedness and response to natural, biological and chemical disasters and to acts of terrorism;

• Initiates measures to reduce or eliminate violent crimes .

South Dakota Nurses Association Health Policy Agenda

This agenda reflects SDNA’s commitment to the assurance of an optimum level of health for all citizens of South Dakota.

Occupational and Environmental HealthSDNA supports legislation or administrative action that:

• Assures workplace safety; • Protects employees, including those in health

professions, from health hazards encountered in employment settings, including the establishment of ergonomic standards

• Sets and enforces standards for the protection of the environment

Human RightsSDNA supports legislation or administrative action that:

• Supports the basic rights of all people for equity under the law regardless of race, creed, color, gender, age, disability, lifestyle, religion, health status, nationality, or sexual orientation;

• Protects the privacy rights of patients in all health settings;

• Assures provision of health care information to consumers to facilitate informed choice in health care .

Revised:10/2005

Approved by Executive Committee, 11/20059/2007

Adopted by the Board of Directors, 10/2007

Page 10 South Dakota Nurse December 2017, January, February 2018

South Dakota Nurses Association Membership ApplicationPO Box 1015, Pierre, SD 57501P: 605.945.4265 | F: 888.600.1232 | E: contactus@sdnurses.org

*last name / first name / middle initial credentials

*street or po box # basic school of nursing home phone/

*city / state / zip graduation: month / year work phone/1jh21

employer name *r. n. license # fax/

employer address / city / state / zip e-mail

title / position major clinical, practice, or teaching area recruited by

Membership Categoriesplease check one

FULL ANA/SDNA MEMBERSHIP RN employed full or part time

REDUCED TO 75% OF FULL ANA/SDNA MEMBERSHIP DUES (STUDENT) RN enrolled in baccalaureate, masters or doctoral program, at least nine (9) credit hours per calendar year

REDUCED TO 50% OF FULL ANA/SDNA MEMBERSHIP DUES (NEW GRADS GET A 2-YEAR RATE) RN who is unemployed - or - over 62 years of age & earning less than maximum allowed receiving Social Security benefits - or - enrolled in baccalaureate, masters or doctoral program, at least 20 credit hours per year - or - RN FIRST YEAR, WITHIN SIX (6) MONTHS AFTER GRADUATION (RECEIVES RATE FOR 2 YEARS)

REDUCED TO 25% OF FULL ANA/SDNA MEMBERSHIP DUES (RETIRED) RN who is over 62 years of age and unemployed - or - who is totally disabled

SDNA ONLY MEMBERSHIP RN employed full or part time

According to Federal tax law, you may claim 50% of your annual SDNA/ANA dues as a tax deduction. The other 50% are used in lobbying activities and are not tax deductible.

MEMBERSHIP TYPE MONTHLY (EDPP) ANNUALFULL ANA/SDNA MEMBERSHIP $23.59 $277.00STUDENT ANA/SDNA MEMBERSHIP $17.82 $207.75NEW GRADS ANA/SDNA MEMBERSHIP $12.04 $138.50RETIRED ANA/SDNA MEMBERSHIP $6.27 $69.25SDNA ONLY MEMBERSHIP $16.04 $186.50

Payment OptionsFULL ANNUAL PAYMENT BY CHECK

PAY BY ELECTRONIC DUES PAYMENT PLAN (EDPP)Read, sign the authorization, and enclose a check for the first month’s payment (amount shown in bold above); one-twelfth (1/12) of your annual dues will be withdrawn from that checking account monthly, in addition to an annual $6.00 (50¢ per month) service fee (total is amount above). AUTHORIZATION: This authorizes ANA to withdraw 1/12 of my annual dues and any additional service fees from the checking account designated by the enclosed check for the first month’s payment. ANA is authorized to change the amount by giving the undersigned 30 days written notice. The undersigned may cancel this authorization upon receipt by ANA of written confirmation of termination 20 days prior to the deduction date as designated above. ANA will charge a $5.00 fee for return drafts.SIGNATURE FOR EDPP AUTHORIZATION:

PAY BY CREDIT CARD____ Full annual payment—automatic annual credit card payment (automatic renewal)___ _ Monthly payment from credit card____ Full annual payment---one year only

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Visa/MasterCard _______ Expiration date

Districts 1, 2 & 3Kristine SacharaSara MaddenDiane JanisKelly Rae HearnIsabelle ZephierAlexia ZeiglerJulie Dean-Pelikan

District 4Deb Hubert Becca Lynn AstonSophia LenterJordan Beck

Districts 5-7Whittney Joel RyanPenelyn TiltonAllyson Roth

Districts 8 & 9Carmen M . RedlinTerrie L . WilsonSylvia Kay Pickard

District 10Robyn Marie WeberGala WoitteMelissa Ann McConnielMichelle ReilTrevor Lee HickensSheila Freed

District 11Joan Elizabeth ClementCandyce KochBarbara Ross Larson

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NEW CLINIC OPENING SEPTEMBER 2017!

December 2017, January, February 2018 South Dakota Nurse Page 11

district neWs

District 4The district fundraiser for District 4 is the First Aid

Station at the Brown County Fair . A big thank you goes out to all who volunteered their time to the community of Fair goers . The First Aid Station logged over 100 visits . There were seventy 2 hour shifts for a total 140 volunteer hours . Skin cancer screenings were offered by a Nurse Practitioner during two 4 hour shifts of Fair week .

District 4 is using the ANA Healthy Nurse, Healthy Nation challenge as the focus for several of our meetings . The September meeting was held at Total Package Med Spa . Team members discussed the many facets of feeling healthy through state of the art treatment options offered at Total Package . The October meeting was held at Horizon Health Care clinic . Jillaine Naasz presented information on the services provided by their clinics throughout the state of South Dakota . Plans for the January meeting are to meet at Sanford Medical Center for information presented by RN Health Coaches .

District 4 would like to congratulate Marilyn Asher on her induction to the South Dakota Nurses Hall of Fame . A special recognition will be held at the First United Methodist Church in Aberdeen on November 14th . We congratulate all who were nominated for the various award recognitions .

SDNA District 4 partnered with Aberdeen Hospice, Avera St Lukes Foundation and Northern State University on November 9th to host an event in honor of National Hospice and Palliative Care Month with viewing the documentary, Defining Hope. There was a nice turn out of physicians, social workers, nurses, hospice volunteers and chaplain support who help guide patients with life-threatening illnesses .

Respectfully submitted, Marlys VolzkeDistrict 4 President

Districts 5-7I would like to recognize the members and friends

of District 5 and District 7 for their contributions to the SDNA Convention Auction . Their generous donations benefitted SDNA . We also congratulate Kristi Riggs as District 5/7 Nurse of the Year for her involvement in the projects of the organization and of the district . Our district has worked diligently to attract young people in high school to the profession of nursing and Kristi has fostered their interest in health care through shadowing experiences and promoting the profession of nursing .

Pat SudbeckPresident District 5-7

Districts 8 & 9Greetings from District 8/9 . Our September meeting

was on September 26 at Mama Mia’s Restaurant in Brookings . The Program was: Dr . Amy Forbes’ “Health-promoting Behaviors, Hope and Quality of Life in Parkinson’s Disease .” It was an excellent presentation on her Doctoral Work .

A number of members from our District attended the State Convention in Yankton . . The convention was very well done . Good work Yankton area!!

Receiving awards from our District at the Convention were: Sylvia Pickard, Carol Peterson, Tom Stenvig, Roberta Olson and Venita Winterboer . We were very proud of all the winners!!

The next scheduled meeting is October 24 at 6p, again at Mama Mia’s . We truly invite all to attend . Our district has the next convention so there is tons of planning to do . Hope to see you attend .

Raffle tickets for a Convention Fundraiser will be going on sale soon for another beautiful Star Quilt . Details to follow .

Respectfully submitted, Eileen Bruner, President District 8/9

District 11As you can imagine, District 11 has been busy with

the 2017 State Convention, “SDNA: The Next 100 Years” held on October 1st and 2nd in Yankton . The speakers, as well as the tour of the Mead Building at the South Dakota Human Services Center, were very well received by the convention attendees . I would like to take this opportunity to thank the District 11 members who contributed so much to this event . The different committee members were wonderful and helped make this event fun as well as interesting . The

Best Western Kelly Inn and Minerva’s staff were great to work with, also .

District 11 would like to congratulate our members who were honored at the Awards Luncheon of the convention . Sandi Isburg was inducted into the SDNA Hall of Fame . Dr . Diane Smith earned the SDNA Rookie of the Year Award . Sr . Debra Kolecka was awarded the Nursing Practice Award and Jean Hunhoff received the Distinguished Service Award at Monday’s Awards Luncheon . Congratulations, award recipients!

During the summer months, District 11 members assist with the Vermillion Sack Pack program . On Fridays, at noon, children under the age of 18 are allowed to select items from a variety of categories for the weekend . Nurses assist with set-up, giving direction to the children attending and with taking down remaining food .

On October 30, District 11 hosted a fundraiser for the local free clinic, the Servant Hearts Clinic at the Yankton Pizza Ranch . District members bused tables, etc ., from 5:00 PM until 8:00 PM at the Pizza Ranch and 15% of the total amount of money received will go to the Servant Hearts Clinic . After 8:00 PM, Franni Kieffer, director of the free clinic will address our group before the October meeting of the district .

For the remaining fall and winter months, we have been discussing programming for our local meetings .

Thanks to all who attended this convention and we look forward to attending the 2018 convention in Brookings next October!

Kathy Jorgensen

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Page 12 South Dakota Nurse December 2017, January, February 2018

Kathy Jorgensen, RN, MA, MSN

During the 2017 South Dakota Nurses’ Association Convention, a key event was a tour of the Mead Building at the South Dakota Human Services Center . Originally called the “Women’s Receiving Hospital,” the building now bears the name of the visionary medical director at the time of its construction, Dr . Leonard Mead .

Prior to the construction of the Mead Building in 1870, Governor John A . Burbank, the fourth Governor of the Dakota Territory brought a serious concern to the legislature, citing, “It is important that some provision should be made for the custody and treatment of insane persons…Humanity dictates that this unfortunate class of people, however few may be their number, should not be neglected when prompt and careful treatment might result in their recovery .” (Miles, S ., 2012, The Dakota Hospital for the Insane, p . 2) . This led to an arrangement with South Dakota’s neighboring states to house patients with psychiatric illnesses . By 1878, seven patients were receiving care at the Minnesota’s Saint Peter State Hospital . In that year, Minnesota notified the Dakota Territory Governor, William A . Howard that they would no longer take new mentally ill patients and current ones were to be relocated by October first of that year . Governor Howard traveled throughout southeastern Dakota Territory and found two wooden buildings in Yankton . These two buildings were taken apart and moved to land north of Yankton . Patients were moved from the neighboring states to the Yankton site in 1879 .

Another building was constructed in response to increased patient numbers and housed up to 70 patients after the original wooden building burned on April 2, 1882 in a 30-minute time frame . Sadly, five patients lost their lives in this fire . The number of patients continued to rise dramatically from 17 in 1879 to 153 in 1884 . The opening of a hospital in Jamestown offered some relief in 1885 but the majority of the patients were coming from the more heavily-populated southern area as well as the Black Hills region so the Yankton facility continued to experience overcrowding . With South Dakota’s statehood in 1889, the hospital came under the State Board of

Charities and Corrections . The hospital was in need of a strong leader to guide it into the future . Dr . Leonard C . Mead, an individual described as having “compassion and wisdom” was appointed the hospital’s superintendent in 1891 (Miles, p .4) .

Patient overcrowding, lack of funding, outdated medical procedures and overall hospital staff apathy were presented to Dr . Mead when he took over the helm of the hospital . He did not want to run an “insane asylum” nor just “shut the insane away .” (Miles, p .7) . He believed “the mentally ill were sick and should be treated with dignity and compassion .” He kept current with the latest medical diagnoses and did away with archaic diagnoses of the time such as “religious excitement” and “softening of the brain” (Miles, p .7) .

On February 12, 1899, at 2:00 AM, the farm manager noticed flames burning in a building that housed women patients and the manager sounded the alarm . This building had a granite shell with a completely wooden interior; one narrow staircase and wooden floors that had been repeatedly polished with a highly flammable paraffin wax allowing the building to burn in a matter of minutes . An evening attendant awakened to the smell of smoke and quickly alerted the patients to leave through the front

door . Seventeen female patients became confused in the heat and smoke and clung together in the corner of a room This room eventually gave way and fell into the flames to

a lower floor, causing all seventeen to perish .

For a decade prior to this tragedy, Dr . Mead had been requesting funds for facility improvements for the hospital . After this second fire at the hospital, the South Dakota Legislature granted Dr . Mead almost any funds he requested .

Dr . Mead’s vision encompassed not only mental health but also architectural design and mechanical engineering . He oversaw the construction of six major buildings during his tenure . Five of these buildings were for patient housing with a similar layout: two or three floors in a “U” shape with large parlors, patterned terrazzo floors, wide verandas and tall windows . Then modern-day conveniences were used for heating, lighting and porcelain

plumbing fixtures with solid brass pipes . The buildings had quarter-sawn oak wood framework inside . The roofs were tiled with copper sheet metal . As Dr . Mead vowed to never place patients in a situation where lives could be lost to fire, he utilized concrete blocks that were constructed on the hospital grounds with Sioux quartzite

One of Yankton’s Landmarks:The Mead Building at the SD Human Services Center

A picture of the exterior of the Mead Building in September of 2017

Two groups from the 2017 SDNA convention gathered on the grand marble staircase of the Mead Building for a picture.

The View from the second floor balcony of the Mead Building.

December 2017, January, February 2018 South Dakota Nurse Page 13

and bonded together with cement from the local Portland cement company (west of Yankton) . The Mead Building, completed in 1909 is one of these five buildings .

The hospital patients worked on many of the projects of the hospital construction . Patients laid the terrazzo tiles in the floors in the Mead Building . A wicker couch made out of willow branches is displayed in the old Mead physician’s office room on the first floor of the west wing .

Dr . Mead’s vision included beautiful landscaping on the hospital grounds . The hospital housed a greenhouse built to provide other buildings with flowers, plant seedlings for the orchards and gardens, as well as patient projects . Patient work programs were expected and they performed gardening, cooking, farming, furniture making

and for some female patients, “fancy work” (knitting, crocheting, embroidery and weaving) . Many items were sold at the hospital’s annual bazaar held annually, with the proceeds going into the “Patient Amusement” fund—to purchase radios, pianos, phonographs and other forms of entertainment . This vision enhanced the beauty of the campus, as well as individual buildings .

Patients were moved from the Mead Building to other units in 1981 and it remained vacant and unmaintained until 2008, when the Yankton County Historical Society launched an effort to revive it as a future home for the Dakota Territorial Museum . The members of the Mead Building committee and staff were guides for the SDNA convention tour .

The Mead Building has been described as having a hybrid of architectural styles . The grand marble staircase in the lobby and the terrazzo flooring throughout the building were found to be in immaculate condition . The dental moldings in the ceilings needed to have major interventions to be restored . Other unique features present challenges to the restorationists . The arched windows on the second floor are a challenge to the restorations who is working to refurbish every window while preserving as much of the original materials as possible . Each window is disassembled and any salvageable parts are used in the reconstruction . The unsalvageable pieces of the frame(s) are duplicated and reassembled for the windows in the current building

Not only did the artists who are restoring find stenciling on the ceiling but they found

several paintings on the walls of the patient dining room in the

basement of the Mead Building.

The bathtub in the treatment room for hydrotherapy

treatments.

After removal of several layers of paint, the artists found Stencils on many of the ceilings and walls

of the Mead Building. Some of the original stencils were salvaged and some were reproduced such as

this one.remodel . The progress of mental health care was evident during

the SDNA Mead tour of the building’s “treatment room .” In this room stands a 6-foot long claw-foot bathtub in which “hydrotherapy” was performed . This procedure entailed wrapping the patient in a blanket and inserting them in the tub filled with ice water—to shock them . The tour guide also explained that the electrical box on the outside wall of this room in the hall was the source of electricity for the first electroconvulsive therapy (ECT) treatments performed at the hospital . That ECT procedure was performed without a short-acting anesthesia nor muscle relaxants so the patient experience was much different from today when the patient is asleep throughout the procedure . The muscle relaxants now reduce the severity of muscle contractions during the seizures induced by the ECT process . The tour guide also explained the lobotomies that were performed by

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Dr . Walter Freeman II, in his traveling camper, the “lobotomobile” to alter patient behaviors, a process now extinct, also .

Dr . Mead’s quote from the April 15, 1917 Dakota Farmer is an indication of his empathy for psychiatric patients: “Insanity is a misfortune which may come to any of us and it is no disgrace . You or I may be stricken with it and, as I have dealt with this sickness, I have tried to create conditions as I should with them for myself and my family .”

ReferencesMead Cultural Education Center: Retrieved from https://www .

meadbuilding .org/ on October 10, 2017 . S . Miles & Yankton Co Historical Society . (2012) . The Dakota

Hospital for the Insane. Vol . 1 ., pp . 1-12 .

Simonsen, L . (ed .) “The Humanist” S .D . Human Services Center, vol . 1 . No . 1 January, 1978-Vol . 2 . No . 4 April, 1979 – Vol .3 ., No . 6 . Nov/Dec . 1980 .

Wenz, A . (1917) . South Dakota’s wonderful state hospital: An appreciation of Dr . Mead and his work . The Dakota Farmer, pp . 590-592 .

AcknowledgementsThe SDNA Convention Committee would like to offer sincere

appreciation to the following individuals:

Crystal Nelson, Director, Dakota Territorial Museum, Yankton County Historical Society

(Tour Guide for SDNA Mead Building Tour)

Laura Beall, Dakota Territorial Museum, Yankton County Historical Society

(Tour Guide for SDNA Mead Building Tour)

Kathy Gerstner, Mead Building Project Member(Tour Guide for SDNA Mead Building Tour)

Page 14 South Dakota Nurse December 2017, January, February 2018

1. When does the eNLC go into effect? The eNLC went into effect July 20, 2017, when 26

states enacted eNLC legislation . The significance of this date is that the compact was officially enacted and the eNLC commission met to draft rules, policies and set an implementation date . The effective date is not the same as the implementation date, which is when nurses can practice in eNLC states that have started issuing eNLC multistate licenses . See this resource for more information: www .ncsbn .org/ Difference_Between_Effective_Implementation .pdf for a multistate license .

2. What is the difference between the effective date and the implementation date?

Based on the legislation, the effective date of the eNLC was designated as “the earlier of the date of legislative enactment of this Compact into law by no less than twenty-six (26) states or Dec . 31, 2018 .” The eNLC was enacted in the 26th state on July 20, 2017, so, the effective date was set as July 20, 2017 . On this date, the compact’s governing body, the Interstate Commission of Nurse Licensure Compact Administrators (the Commission) was formed and could begin meeting and performing the work of the compact . The Commission

is charged with drafting rules and policies to govern the operations and implementation of the eNLC . By contrast, the implementation date, Jan . 19, 2018, is a date set by the Commission on which eNLC states begin issuing multistate licenses and when nurses holding multistate licenses may start to practice in eNLC states . More information is available at www .ncsbn .org/Difference_Between_Effective_Implementation .pdf

3. When will nurses have multistate licenses in eNLC states?

Nurses in the original NLC states that were grandfathered into the eNLC will be able to practice in eNLC states as of the implementation date, Jan . 19, 2018 . Nurses in new states that joined the eNLC (Wyoming, Oklahoma, West Virginia, Georgia and Florida) will be able to practice in eNLC states upon issuance of a multistate license . Each eNLC state will notify its licensees by mail of the implementation date and the process by which a nurse can obtain a multistate license .

4. What happens to nurses in the original compact if their state does not pass the eNLC legislation?

States that do not pass the eNLC will remain in the original NLC until: a) the state enacts the eNLC, b) the state withdraws from the original NLC or c) the original NLC ends due to having less than two states as members . As of now, Wisconsin, Colorado, New Mexico and Rhode Island are members of the original NLC that have not yet joined the eNLC . These states plan to introduce legislation in 2018 or sooner .

5. What happens to the original NLC after the eNLC starts?

Once the eNLC is implemented, the original NLC will continue to operate until there are less than two states as members, at which time it will end . As of Jan . 19,

2018, the 21 states in the original NLC that enacted the eNLC will cease to be members of the original NLC . This means that a nurse in Wisconsin, Colorado, New Mexico and Rhode Island will then hold a multistate license valid in four states rather than 25 states, and will need to obtain additional licensure in order to practice in any of the eNLC states . Conversely, it also means that nurses in the eNLC will no longer have the authority to practice in those four states, and will need to obtain additional licensure in order to practice in the state .

6. Which nurses are grandfathered into the eNLC and what does that mean?

Nurses in eNLC states that were members of the original NLC may be grandfathered into the eNLC . Nurses who held a multistate license on the eNLC effective date of July 20, 2017, in original NLC states, will not need to meet the requirements for an eNLC multistate license . They are automatically grandfathered . Nurses issued a multistate license after July 20, 2017, will be required to meet the eNLC multistate license requirements .

7. Why was there a change to the eNLC from the original NLC?

The original NLC began in 2000 and grew to 24 member states by 2010 . From 2010 to 2015, one more state joined . A primary reason identified for the slowed adoption of the NLC was the lack of uniform criminal background check (CBC) requirements among NLC states . As a result, the eNLC requires that all member states implement CBCs for all applicants upon initial licensure or licensure by endorsement . This revision, along with other significant updates, will remove barriers that kept other states from joining . The eNLC will make it possible to get closer to the goal of all states joining the eNLC .

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positions include rotating shifts, weekends and holidays. Incentive package offered, including $10,000 loan forgiveness for Full Time and $5,000

loan forgiveness for Part Time - applicable to external hires only. Full time job code: 10685 | Part time job code: 11805

To view a complete position description and apply online, visit www.sanfordhealth.org and refer to job code.

Sanford Health EOE

NOW HIRING!Salem Care and Rehabilitation Center is looking for dedicated,

hardworking employees for the following open positions:

If interested in any of these positions, please contact Lynn Lee, Director of Nursing, at (605) 425-2203 to set up an interview, or feel free to stop by and

pick up an application at 500 Colonial Drive, Salem, SD 57058.

RNsFull-time & Part-time

LPNsFull-time & Part-time

CNAsFull-time & Part-time

December 2017, January, February 2018 South Dakota Nurse Page 15

8. How does the eNLC differ from the original NLC? Primarily, the eNLC adopts 11 uniform licensure

requirements (ULRs) in order for an applicant to obtain a multistate license . One of those requirements is submission to federal and state fingerprint-based criminal background checks (CBCs) . The full list of ULRs can be viewed at www .ncsbn .org/eNLC-ULRs_082917 .pdf . A fact sheet identifies the key provisions of the eNLC legislation and highlights the differences between the two compacts at: nursecompact .com/privateFiles/NLC_Key_Provisions .pdf

9. Who are the primary proponents of a state’s decision to join the compact?

Most states that have joined the compact have done so by the supportive efforts of the state nurse association, the state hospital association or the state board of nursing . A number of other stakeholder organizations (e .g ., AARP, AONE, National Military Family Association, etc .) have played significant roles in advancing the legislation .

10. Why are some states still not members of the compact? What is the opposition?

The minimum number of states (26) for the eNLC to become effective was just met . This includes five states that were not in the original NLC . More states plan to introduce eNLC legislation in 2018 and beyond . The eNLC removes barriers that prevented some states from joining .

Support for the NLC is overwhelming in the nursing community . According to 2014 NCSBN nurse and employer surveys, 80 to 90 percent of nurses and greater than 90 percent of employers want their state to be a member of the NLC . The main opposition to the compact, seen in only a few states, has been from nurse union organizations .

11. Why would a nurse need a multistate license? What are the benefits for a nurse?

The foremost reason is that a nurse will not need individual licenses in each state where the nurse needs authority to practice . Obtaining individual licenses is a burdensome, costly and time-consuming process to achieve portability and mobility . Nurses are required to be licensed in the state where the recipient of nursing practice is located at the time service is provided . Any nurse who needs to practice in a variety of states benefits significantly from a multistate license . These nurses include military spouses, telehealth nurses, case managers, nurse executives, nurses living on borders, nurses engaged in remote patient monitoring, school nurses, travel nurses, call center nurses, online nursing faculty, home health nurses, nurses doing follow up care and countless more .

12. How can nurses stay well informed of the changes in the compact?

Nurses can subscribe to receive email updates at www .nursecompact .com, review their state board of nursing website and newsletter, and review the implementation page on the NCSBN website at www .ncsbn .org/enhanced-nlc-implementation .htm . Follow the NLC on social media: Twitter @NurseCompact or Facebook at www .facebook .com/nurselicensurecompact .

13. How will the transition from NLC to eNLC affect employers of nurses?

The transition may impact employers in eNLC states that have nurses practicing in the four states that remain in the original NLC . As of the implementation

date, those nurses with an eNLC multistate license will not have the authority to practice in those four states without applying for a single state license in those states . The eNLC transition may also impact employers in the four states that remain in the original NLC who have nurses practicing in the 21 former original NLC states that joined the eNLC . As of Jan . 19, 2018, those nurses with an original NLC multistate license will not have the authority to practice in eNLC states without applying for a single-state license in those states .

Nurses residing in eNLC states who are not eligible to be grandfathered may not have a multistate license on the Jan . 19, 2018 implementation date until they have completed an eligibility process . This process will determine if the licensee meets the licensure requirements for a multistate license . In some eNLC states, the nurse may need to proactively engage in this eligibility process . By October 2018, nurses in all eNLC states should receive a letter from the respective board of nursing with more information .

For more information about the NLC, visit nursescompact.com or email nursecompact@ncsbn.org

JOIN OUR TEAM!Learn more about our career opportunities at Avera.org/careers

Opportunities for full-time staff are available in the following positions:• Advanced Practice Registered Nurse,

Extended Care

• Advanced Practice Registered Nurse, Mental Health

• Advanced Practice Registered Nurse, Primary Care & Specialty Medicine

• Registered Nurse, Extended Care

• Registered Nurse, Mental Health

• Licensed Practical Nurse, Extended Care

• Licensed Practical Nurse, Mental Health

US Citizenship required or candidates must have proper authorization to work in the US. Applicant(s) selected for a position may be eligible for an award up to the maximum limitation under the provision of the Education Debt Reduction Program. Possible recruitment bonus. EEO Employer.

Located sixty-five miles northwest of the twin cities of Minneapolis and St. Paul, the City of St. Cloud and adjoining communities have a population of more than 100,000 people. The area is one of the fastest growing areas in Minnesota, and serves as the regional center for education and medicine.

Enjoy a superb quality of life here—nearly 100 area parks; sparkling lakes; the Mississippi River; friendly, safe cities and neighborhoods; hundreds of restaurants and shops; a vibrant and thriving medical community; a wide variety of recreational, cultural and educational opportunities; a refreshing four-season climate; a reasonable cost of living; and a robust regional economy!

For more information:Visit www.USAJobs.gov

or contactHuman Resources STC.HR@VA.GOV Human Resources

4801 Veterans Drive St. Cloud, MN 56303

(320) 255-6301EEO Employer

Established in 2015, the South Dakota Early Hearing Detection and Intervention (EHDI) Collaborative, a partnership between

USD and the Department of Health State EHDI program provides training and evidence-based resources to healthcare

professionals on infant hearing screening and follow-up.

For information contact Haifa A. Samra at Haifa.abousamra@usd.edu or Jessica Messersmith

at Jessica.messersmith@usd.edu

Before ONE Month of Age: Hearing Screening

Before THREE Months of Age: Hearing Evaluation

Before SIX Months of Age: Early Intervention

INFORMYOURPATIENTS

It is critical that hearing loss be identified and addressed before infants develop language and speech problems. South Dakota School for the Deaf offers early intervention services for children who are deaf or hard of hearing and their families at no cost.

from the Board and Staff ofSouth Dakota Nurses Association