Self-compassion is simply giving the same kindness to

ourselves that we would give to others. ~ Christopher Germer,

The Mindful Path to Self-Compassion

Job stress and burnout are common among healthcare professionals, and nurses in particular. In addition to the heavy work load and lack of recourses, nurses are also confronted with emotionally intense situations associated with illness and suffering, which require empathic abilities. Although empathy is one of the core values in nursing, if not properly balanced it can also have detrimental consequences, such as compassion fatigue. Compassion fatigue has been defined as a combination of physical, emotional, and spiritual

depletion associated with caring for patients in significant emotional pain and physical distress.1 Self-compassion, on the other hand, has been shown to be a protective factor for a wide range of well-being indicators and has been associated with compassion for others.2 Self-compassion has been defined as extending compassion to one's self in instances of perceived inadequacy, failure, or general suffering. The explosion of research into self-compassion over the last decade has shown its benefits for well-being. Individuals who are more self-compassionate tend to have greater happiness,

current resident or

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Vermont Nurse Connection

Quarterly Publication direct mailed to 19,000 Registered Nurses, LPNs, and LNAs in VermontVolume 22 • Number 3 July, August, September 2019

Inside

Nurses Legislative DayPage 8

Stress Management And Resilience TrainingPage 2

EBP SymposiumPage 4

Lori Poirier

On Thursday April 4, 2019 a group of Vermont’s American Nurses Association members took to the capital for a jam-packed day of learning and expressing any concerns that Vermont nurses had.

The morning started with a meet and greet over coffee with multiple legislators and looking over the committee agenda. The first representative we met was Mari Cordes RN from the Health Care Committee who joined us and spoke of the importance of joining committees and lobbying to everyone’s representatives by the way of phone calls and letters on bills that are important to each one of us as nurses.

Then Mitzi Johnson the speaker of the house joined us to go over some of the bills that were in legislature that were being addressed pertaining to nursing and to hear our concerns over certain bills. A couple of the bills we discussed were H.107 which is an act relating to paid family and medical leave and the other one was S.42 an

act relating to requiring at least one member of the Green Mountain Care Board to be a health care professional. Another topic of discussion was the support of Compact Licensure by the Vermont Board of Nursing and ANA Vermont.

We also had meetings with Senate President Pro Tempore Ashe and Lieutenant Governor David Zuckerman to discuss the effects of nursing shortage throughout Vermont. Lots of suggestions and ideas were given by members of ANA as to how the State of Vermont could not only attract new nurses but retain the one’s we have.

One of the highlights of the day in my opinion was when all members of ANA in attendance were recognized by the House for their dedication and commitment to Nursing in Vermont.

Many thanks go to our Executive Director Meredith Roberts for planning a very exciting and educational day at the Capital and our co-sponsor the Northern New England Poison Nurses for contributing in the coffee expense.

President’s Letter

Priscilla Smith-Trudeau

life satisfaction and motivation, better relationships and physical health, and less anxiety and depression. They also have the resilience needed to cope with stressful life events such as divorce, health crises, and academic failure, and even combat trauma.3

You can search throughout the entire universe for someone who is more deserving of your love and affection than you are yourself, and that person is not to be found anywhere. You yourself, as much as anybody in the entire universe

deserve your love and affection. ~ Buddha

Nurses provide a number of specific functions, but “the essential product they deliver is themselves.”4 On a daily basis, nurses may feel stressed, challenged and even overwhelmed by the enormity of the responsibilities inherent in the work of being a good team player while providing care to patients and their families. We all do the best we can to manage these stressors and yet there are times when the boundaries between work and life become blurred resulting in higher work-to-life conflicts and neglect of our well-being. Gary Keller wrote in his book, The One Thing: The Surprisingly Simple Truth Behind Extraordinary Results, “That work is like a rubber ball. If you drop it, it will bounce back. The other four balls–family, health, friends, integrity–are made of glass. If you drop one of these, it will be irrevocably scuffed, nicked, perhaps even shattered.”5 Daniel Reid bestselling author and a leading expert on eastern philosophy and medicine says, “Unfortunately, most people spend their entire lives travelling the path of indulgence, without ever realizing that it is the quickest short-cut to the grave.” As the sage

Moving from Compassion Fatigue to Self-Compassion

Moving from Compassion Fatigue continued on page 3

Page 2 • Vermont Nurse Connection July, August, September 2019

Letters to the EditorIf you wish to submit a “Letter to the Editor,” please address it to:

ANA-VermontAttn: Vermont Nurse Connection4 Carmichael Street, Suite 111, #215Essex, VT 05452

Please remember to include contact information, as letter authors may need to be contacted by the editors of the VNC for clarification. NOTE: Letters to the Editor reflect the opinions of the letter authors and should not be assumed to reflect the opinions of the ANA-Vermont.

Jean Graham, Editor

Voices of Vermont Nursespremiered at VSNA Convention 2000 and

is available from the ANA-Vermont Office at:ANA - Vermont

4 Carmichael Street, Suite 111, #215Essex, VT 05452

Price: $20 each book (plus $3.95 for postage and handling)

Make check or money order payable to:VERMONT STATE NURSES FOUNDATION

Name: ____________________________________

Address: __________________________________

City: ______________________________________

State: __________________ Zip: ______________

Are you interested in contributing an article to an upcoming issue of the Vermont Nurse Connection? If so, here is a list of submission deadlines for the next 2 issues:

Vol. 22 #4 – July 15, 2019Vol. 23 #1 – October 14, 2019

Articles may be sent to the editors of the Vermont Nurse Connection at:

ANA-Vermont Attention: VNC

4 Carmichael Street, Suite 111, #215Essex, VT 05452

Articles may also be submitted electronically to vtnurse@ana-vermont.org.

Deadlines for theVermont Nurse Connection

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.ANA-Vermont.org

Vermont Nurse Connection

Official publication of ANA-Vermont, a constituent member of the American Nurses Association. Published quarterly every January, April, July and October. Library subscription price is $20 per year. ISSN# 1529-4609.

Editorial OfficesANA-Vermont, 4 Carmichael Street, Suite 111, #215, Essex, VT

05452, PH: (802) 651-8886, E-mail: vtnurse@ana-vermont.orgEditor: Jean E. Graham

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, sales@aldpub.com. ANA-Vermont 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 ANA-Vermont 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-Vermont 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-Vermont or those of the national or local associations.

ContentANA-Vermont welcomes unsolicited manuscripts and

suggestions for articles. Manuscripts can be up to:• 750 words for a press release• 1500 words for a feature articleManuscripts should be typed double-spaced and spell-checked

with only one space after a period and can be submitted:1) As paper hard copy

2) As a Word Perfect or MS Word document file saved to a CD-Rom or zip disk

3) Or e-mailed as a Word Perfect or MS Word document file to vtnurse@ana-vermont.org.

No faxes will be accepted. Authors’ names should be placed after title with credentials and affiliation. Please send a photograph of yourself if you are submitting a feature article.

All articles submitted to and/or published in Vermont Nurse Connection become the sole property of ANA-Vermont and may not be reprinted without permission.

All accepted manuscripts may undergo editorial revision to conform to the standards of the newsletter or to improve clarity.

The Vermont Nurse Connection is not a peer review publication. 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-Vermont or those of the national or local association.

Copyright Policy Criteria for ArticlesThe policy of the ANA-Vermont Editorial Board is to retain

copyright privileges and control of articles published in the Vermont Nurse Connection unless the articles have been previously published or the author retains copyright.

ANA-Vermont Officers and Board of DirectorsPresident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lori Poirier Vice President . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Elizabeth HassanSecretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cynthia PetersonTreasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jocelyn BressetteDirector at Large . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VacantExecutive Director . . . . . . . . . . . . . . . . . . . . . . . . .Meredith Roberts

ANA-Vermont Foundation BoardPresident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Amy CurlyVice President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VacantTreasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VacantSecretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VacantTrustee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vacant

VNC EditorJeannie Graham

Committee ChairpersonsBylaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VacantGovernment Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VacantMembership & Publicity . . . . . . . . . . . . . . . .Task Force VolunteersNominations & Elections . . . . . . . . . . . . . . . .Task Force VolunteersEducation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deborah SanguinettiVermont State Peer Review leader of NEMSD . . . . .Carol HodgesPsychiatric Special Interest Group . . . . . . . . . . . Maureen McGuireCongressional Coordinator . . . . . . . . . . . . . . . . . . . . . . . . . . VacantSenate Coordinator for Sanders . . . . . . . . . . . . . . . . . . . . . . VacantSenate Coordinator for Leahy . . . . . . . . . . . . . . . . . . . . . . . VacantANA Membership Assembly Representative . . . Catherine DeweyAlternate Representative . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vacant

Evy Smith, LCMHC & EFAP Counselor

The University of Vermont Medical Center Employee And Family Assistance is offering an innovative state of the art program in self-care and resilience known as Stress Management And Resilience Training (SMART) to its healthcare practitioners and employees. This program is an evidence-based model offered through 40 years of research by Dr. Herbert Benson and is taught through the Benson Henry Institute & Massachusetts General Hospital in Boston. There are three Benson-Henry Insitute SMART certified healthcare practitioners in Vermont who are providing this training to hospital employees. The model is taught over an 8-week period for two hours per week and covers topics on: the neuroscience of stress, awareness of stress symptoms and various mind-body strategies to cope with stress.

The concepts that are taught serve to build resilience through regular routines of mindfulness and self-care along with the activation of the “relaxation response.” The SMART model has the positive outcome of increasing the

Stress Management And Resilience Training (SMART): A Model of Self-Care

practitioner’s tool kit for buffering the negative outcomes of stress and burnout that currently plague the American workforce. Chronic stress has been implicated in causing inflammation in the mind and body and research has demonstrated a correlation to various chronic conditions affecting both mind and body.

There is a growing trend introducing well-being into workplaces through teaching the principles and practice of mindfulness. Many businesses are incorporating the practice wellbeing through mindfulness and other stress management strategies for their employees and noticing improved states of health, happiness, cognitive functioning, and productivity. Taking regular “mindful pauses” can improve concentration and productivity, resulting in more harmonious relationships and environments both at home and in the workplace. The SMART program teaches powerful approaches to self-care that have led to significant reductions in medical costs over time, especially when regularly practiced.

Mindful moments you can add into your day: • Pause at your computer, breathe; notice sensations • Pay attention to each foot on the floor as you walk

down the hall• Pause, stand still as you wash your hands; feel the

texture of the soap and water; let your hands remind you of the present moment

• When you meet someone, take the time to notice your connection—see the color of their eyes or facial expression

• Establish an intention to be present in an important meeting or interaction with a patient, family member or a colleague

• Appreciate yourself and all that you do…

The Vermont Veterans’ Home staff work as a team to fulfill America’s promise to care for our country’s veterans, their spouses, and gold-star parents. We offer 5-star clinical care and a wide range of services that are recognized as Best in Class for their effectiveness in patient-centered care. Together we strive to create an environment that provides our residents with the dignity and respect that they so rightfully deserve.

Nursing Employment OpportunitiesMDS Nurse Case Manager

Registered NursesLicensed Nursing Assistants

VVH Website: http://vvh.vermont.gov State of Vermont Careers Website:

https://careers.vermont.gov

The State of Vermont offers an excellent total compensation package. To apply, you must use the online job application at careers.vermont.gov. For questions

related to your application, please contact the Department of Human Resources, Recruitment Services at (800) 640-1657 (voice) or (800) 253-0191 (TTY/Relay

Service). The State of Vermont is an Equal Opportunity Employer.

Looking for your next opportunity?

July, August, September 2019 Vermont Nurse Connection • Page 3

compassion fatigue. Being aware gives us an insight into our beliefs and whether they are positive or holding us back. When we choose to focus our awareness on the experience of self-compassion, gratitude, kindness, and other feelings that put us in touch with our natural resilience our energy changes. Self-compassion practices allow us to be kind and caring to ourselves in any situation. Linda Graham, psychotherapist offers that practices of mindfulness and self-compassion together allow us to make the wisest choices possible. We can shift our patterns of response to difficult, and even adverse life events from confusion and reactivity to intentional openness and reliable clarity.9

Self-care is not selfish or self-indulgent. We cannot nurture others from a dry well. We need to take care of

our own needs first, so that we can give from our surplus, our abundance. ~ Jennifer Louden, A Self-Nurturing

Guide for Restoring Balance in Your Life

Priscilla Smith-Trudeau MSM RN BSN CCM CRRN HNB-BC is an author, speaker and healthcare management consultant. She is board certified in holistic nursing and board-certified in rehabilitation nursing with a focus on integrative health. Holistic person-centered care is at the core of her nursing practice. In order to fully appreciate the challenges facing managers and staff nurses, Priscilla continues to practice as a bedside nurse in an acute rehabilitation setting.

References1 Anewalt, P. (2009). Fired up or burned out? Understanding

the importance of professional boundaries in home health care hospice. Home Healthcare Nurse, 27(10), 591-597 Retrieved February 17, 2019 from: https://www.ncbi.nlm.nih.gov/pubmed/19907234

2 Duarte, J., Pinto-Gouveia, J., & Cruz, B. (2016). Relationships between nurses’ empathy, self-compassion and dimensions of professional quality of life: A cross-sectional study. Retrieved February 15, 2019 from: International Journal of Nursing Studies, https://www.ncbi.nlm.nih.gov/pubmed/27297364

3 Neff, K., Germer, C., (2018) The Mindful Self-Compassion Workbook: A Proven Way to Accept Yourself, Build Inner Strength, and Thrive. Guilford Press, NY, NY

4 Johnson, C. (1992). Coping with compassion fatigue. Nursing. 22(4). 116-120. Cited from: https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.13766

5 Keller, G., & Papasan, J. (2012). The one thing: The surprisingly simple truth behind extraordinary results. Austin, TX: Bard Press.

6 Reid, D. P. (1998). The complete book of Chinese health & healing. New York: Barnes & Noble Books.

7 Lombardo, B., Eyre, C., (Jan 31, 2011) “Compassion Fatigue: A Nurse’s Primer” OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 3. Retrieved February 16, 2019 from: http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJ I N/ TableofContent s / Vol-16 -2011/ No1-Ja n-2011/Compassion-Fatigue-A-Nurses-Primer.html

8 Carlson, R., (1997) Don’t Sweat the Small Stuff at Work—Simple ways to minimize stress and conflict while bringing out the best in yourself and others. Hyperion, NY, NY

9 Graham, L. (2016, Dec). Is it Time to Change Course? Mindful Magazine, p.75-80

Strategies to Prevent Compassion FatiguePractice self-careSet emotional boundariesBuild and use a support networkReduce work stressUse active coping measuresDevelop and utilize self-awarenessMaintain balanceSource: Karen Badger, PhD, MSW www.phoenixsociety.com

Lu Tung-pin put it, “The human body is composed entirely of essence, energy and spirit. If you do not cherish your essence and dissipate it recklessly, it is like pouring water into a cracked cup. Instead of filling the cup, it will leak away until it is depleted to the last drop. If you do not cherish your energy and dissipate it carelessly, it is like putting incense on hot coals and continuously adding fuel to the fire until the incense has burned to ashes. If you do not cherish your spirit and dissipate it indiscriminately, it is like setting a lamp out in the wind unprotected and letting the wind blow the flame until it is extinguished.”6

To be self-compassionate is not to be self-indulgent or self-centered. A major

component of self-compassion is to be

kind to yourself. Treat yourself with love, care, dignity and make your well-being a priority. ~

Christopher Dines

Developing positive self-care strategies and healthy rituals are very important for a caregiver’s recovery from compassion fatigue. Healthy rituals are those activities that one participates in on a regular basis and that replenish personal energy levels and enhance feelings of well-being. As nurses begin meeting the needs of others, they often neglect their own needs. It is important for the nurse to identify replenishing strategies that can promote physical, emotional, and spiritual well-being. A commitment to taking care of one’s self includes having adequate nutrition, hydration, sleep, and exercise. The nurse may need to be encouraged to try a new approach to self-care, such as a yoga class, massage, meditation, or tai-chi.7

Compassion isn’t some kind of self-improvement project or ideal that we’re trying to live up to. Having compassion

starts and ends with having compassion for all those unwanted parts of ourselves, all those imperfections that we don’t even want to look at. ~ Pema Chodron, author of

When Things Fall Apart

Dr. Richard Carlson wrote in his book, Don’t Sweat the Small Stuff at Work, “If you talk to people who aren’t burned out, you’ll discover that most of them strive to have a balanced life and to be growth-oriented. This means that while they work hard, compete well, strive for excellence, and have very specific, often lofty goals, they nevertheless insist on having a life outside of work–they enjoy and spend time with their families and friends, they exercise or enjoy hobbies, they value their free time, and strive to make a contribution to their community apart from their work. He goes on to say that these people are constantly attempting to better themselves and to grow, not just professionally but spiritually and emotionally as well. They have a fascination with learning and a zest for life. They are curious and enjoy listening to others.”8

You may be thinking to yourself easier said than done. Take it from me it is not. What I do know from personal experience is that awareness is the first step in healing

Moving from Compassion Fatigue continued from page 1

Common symptoms of compassion fatigueInsomniaDetachmentSadness & GriefDifficulty concentrating.Frequent use of sick daysPhysical and mental exhaustion Feeling irritable, angry, or anxiousProblems in personal relationshipsReduced feelings of empathy or sympathy. Source: www.dailycaring.com

The ANA-Vermont website has been updated: ANA-Vermont.org. We will continue to update and expand the

website so look out for e-mails and keep checking!

Do you want to stay updated on the latest ANA-Vermont has to offer?Learn of webinars offered by the ANA?

How you can earn CEU hours?

‘Like Us’ on Facebook.Follow us on Twitter @VTnurses.

Questions regarding our social media and website?E-Mail: membership@ana-vermont.org

On Nurse Legislation Day, nurses and students met with Senate President Pro Tempore Tim Ashe who brought to our attention a bill more people need to hear about: S.111 An act relating to the U.S. Department of Veterans Affairs’ Airborne Hazards and Open Burn Pit Registry.

Many soldiers who fought in Iraq and Afghanistan have been exposed to burn pit fumes when waste, including bodies as well as harsh chemicals such as petroleum or plastics, was burned. Our soldiers who were deployed camped nearby were exposed. Senator Ashe explained how skin, eyes and the respiratory system could be affected, and after research, I found that the GI tract and internal organs could also be at risk. Pre-existing conditions such as asthma, lung or heart conditions can worsen the effect, which can get worse over time. Senate President Tim Ashe’s bill requires the Commissioner of Health to develop educational materials to make veterans and members of the U.S. Armed Forces aware of the health effects associated with exposure to open burn pits during overseas military deployments and of the existence of the U.S. Department of Veterans Affairs’ Airborne Hazards and Open Burn Pit Registry. After completing a questionnaire on the burn pit registry, veterans can schedule a free health exam with a VA provider. In Vermont, veterans can talk with environmental health coordinator Audrey Osgood (Audrey.Osgood@va.gov) to discuss symptoms of exposure. The registry link is available online https://www.publichealth.va.gov/exposures/burnpits/registry.asp

While nurses were at the capital, a roll call vote was taken and the bill passed the senate. It now goes to the House side for discussion and possible passage, referred to the Committee on General, Housing, and Military Affairs. In the past, the U.S. Armed Forces have been slow to acknowledge the physical injuries associated with environmental exposure during service, such as Agent Orange, but if passed, Vermont will address exposure to burn pits proactively, prioritizing the health of service members and veterans and not repeating past patterns of denial. Please help support our Veterans by encouraging passage of S.111.

Veterans and Burn Pit Exposure

Psychiatric Nurse Practitioners

Matrix Health Systems80 Linden StreetBrattleboro, VT 05301Attn.: Program Administrator

Private Behavioral Health Practice has openings for Psychiatric Nurse Practitioners for our Brattleboro and Burlington Vermont locations. We are an established, multi-disciplinary practice that offers credentialing, billing, and collaboration with colleagues in pleasant, historic buildings.

If you are interested in joining our comprehensive clinical team, please contact us at:

802-451-6523

Page 4 • Vermont Nurse Connection July, August, September 2019

ANA-Vermont will be sponsoring the Leaf Peepers Half Marathon & 5k to be held October 6, 2019. Registration opens May 1st. We need volunteers to help serve the runners. If volunteering please email VTnurse@ANA-Vermont.org. Runners register at https://leafpeepershalfmarathon.org/.

ANA members who run will receive a 20% discount.

SAVE THE DATE ANA-Vermont

Fall ConferenceDate: Friday, September 6, 2019

Location: Commodores Inn, Stowe, VT

For more up-to-date information, visit the ANA-Vermont website:

https://anavermont.nursingnetwork.com/

KNOWLEDGE GAPS:Let’s Get Nursing Research

Priorities Straight

Call for Abstracts

Nursing ResearchQuality Improvement

Evidence-Based Practice

Proposals Accepted online throughFriday, June 28, 2019 - Registration begins 9/1/2019

www.NursingResearchSym.org

November 7-8, 2019 • Hampton Inn • Colchester, VT

11thAnnual

Please fill out an intent to serve form if you are interested in being on the election ballot or to volunteer on a workforce. We are looking for those interested in being the president elect, which is a person who becomes the next president after being mentored for a year. We are also looking for a Vice president, treasurer, and possibly a secretary. We will also need a Foundation president, vice president, and delegates to Membership Assembly. Please email vtnurse@ana-vermont.org and complete the intent to serve form at: https://form.jotform.us/71596204884162

Looking for Leaders

Visit nursingALD.com today!Search job listings

in all 50 states, and filter by location and credentials.

Browse our online databaseof articles and content.

Find eventsfor nursing professionals in your area.

Your always-on resource for nursing jobs, research, and events.

July, August, September 2019 Vermont Nurse Connection • Page 5

The Arthur L. Davis Publishing Agency, Inc.

2019 ScholarshipVermont State Nurses

Foundation, Inc.4 Carmichael Street, Suite 111, #215

Essex, VT 05452(802) 651-8886

Applications for the $1,000 scholarship are open to ANA-Vermont members who are

currently enrolled in an undergraduate or graduate nursing program and who

are active in a professional nursing organization.

Submit your application by August 1, 2019 by filling

out the online form:https://docs.google.com/forms/

d/1HOXJkAdlshV2ioeRV3fkEsr16_rDxVh-2ec3ttST_hU/viewform?c=0&w=1

Application for the 2019Pat & Frank Allen

Scholarship

Vermont State Nurses Foundation, Inc.

4 Carmichael Street, Suite 111, #215Essex, VT 05452(802) 651-8886

The Pat & Frank Allen Scholarship is a $1500.00 award given to a registered

nurse who is a matriculated student in an accredited nursing program.

Applications must be submitted by August 1, 2019. You do not have to be

a member of ANA-Vermont but priority will be given to ANA-Vermont members,

please go online to fill out the form:https://docs.google.com/forms/

d/1HOXJkAdlshV2ioeRV3fkEsr16_rDxVh-2ec3ttST_hU/viewform?c=0&w=1

Application for the 2019Judy Cohen Scholarship

Vermont State Nurses Foundation, Inc.

4 Carmichael Street, Suite 111, #215Essex, VT 05452(802) 651-8886

The Judy Cohen Scholarship is a $2,000 award given to a registered nurse who is in a baccalaureate or higher degree

accredited nursing program.

Applications must be submitted by August 1, 2019. You do not have to be a member of ANA-Vermont but priority will

be given to ANA-Vermont members.

To apply for the scholarship, please fill out this form:

https://docs.google.com/forms/d/1HOXJkAdlshV2ioeRV3fkEsr16_

rDxVh-2ec3ttST_hU/viewform?c=0&w=1

Marilyn Rinker Leadership Scholarship Application

Application – 2020 deadline: March 25, 2020

Name: _____________________________________________________________

Address: ____________________________________________________________

Telephone #: ____________________ Email Address: ______________________

Vt RN Lic # _____________________ VONL member since _________________

School of Nursing: _____________________________________________________

Currently in which year? 1 2 3 4 year of graduation (if applicable) _______________

Graduate school _______________________ 1st yr _________ 2nd year _________

expected date of graduation ______________

If employed in nursing, current employer __________________________________

Currently receiving Financial Aid, Grants, Scholarships? Yes _______ No _______

If yes please list the sources ______________________________________________

Please attach to this form:1. Résumé2. Most recent transcript of grades demonstrating a cumulative average of 3.0 (B)3. A brief essay (500 words or less) describing nursing leadership experience and

aspirations, community service experience, commitment to serve in Vermont, and financial need

4. At least two (2) letters of recommendation (at least one academic and one work related)

5. Evidence of acceptance in an accredited program leading to an advanced degree in nursing if not yet matriculated.

I understand that if I receive an Advanced Degree Nurse Leaders Scholarship, I commit to practice nursing in Vermont for a minimum period of two years following graduation.

Student signature: ______________________________ Date: _________________

Return application (with attached materials) before March 25, 2020 to:

Martha Buck, VAHHS/VONL148 Main Street, Montpelier, VT 05602

(802)223-3461/ext. 111 Martha@vahhs.org

Marilyn Rinker Memorial Scholarship

The Marilyn Rinker Memorial Scholarship Award was established by the Vermont Organization of Nurse Leaders in 2009 to honor Marilyn’s lifelong commitment and dedication to professional nursing practice, nursing education and leadership. Marilyn held many leadership positions during the course of her career such as Nursing Director for Medicine and Cardiology at Fletcher Allen Health Care (University of Vermont Medical Center); Oncology Clinical Coordinator at the Vermont Regional Cancer Center; Clinical Research Nurse and Educator in Vermont and Rhode Island; and, BSN Nursing Program Director at Norwich University. Marilyn also served as the Executive Director of the Vermont State Nurses’ Association and President of the Vermont Organization of Nurse Leaders.

This award provides scholarship support in the amount of $1000 for a qualified registered nurse to participate in an approved course of study leading to an advanced degree with an emphasis in nursing leadership.

Application Criteria for the Marilyn Rinker Memorial Award 1. Current member of ONL 2. Registered nurse or advanced practice registered nurse currently licensed in the

state of VT* 3. Demonstrated commitment to nursing leadership as evidenced by participation

in professional seminars, organizations, work accomplishments, project, recommendations of peers

4. Currently enrolled or accepted in an accredited program that will lead to an advanced degree in nursing

5. Willingness to commit to completing the program as indicated by realistic timeframe.

6. GPA of 3.0 or the equivalent 7. Two (2) supportive professional recommendations 8. A double-spaced, short essay (500 words or less) of the reasons this nominee

should receive the award according to the criteria listed above 9. Nominee’s current Curriculum Vitae

Nominations must be submitted by March 25, 2020. Annual scholarship award announcement will be made at the member reception and awards gala at the ONL Annual Meeting.

*Vermont RNs will receive first priority. Applicants from other states will be considered if there are no applicants from Vermont or the scholarship criteria are not met by applicants from Vermont.

Page 6 • Vermont Nurse Connection July, August, September 2019

Norwich University Capstone Posters

Each year, SkillsUSA Vermont holds competitions for professional excellence in Career/Technical Education trades and leadership opportunities, sending Gold Medal winners to the National Conference every summer. This year the ANA was able to award Ryan Beloit of the Nursing Assistant Program. The ANA wishes Ms. Beloit success in her future career.

SkillsUSA Vermont Award Winner

Ryan Beloit

Without ANA-Vermontthere would be...NO influence on laws, rules and

Scope of Practice

NO national collaboration

NO professional protection

NO state accrediting body for continuing education

NO role model for the next generation

NO voice for nursing

It Pays to Join Your Professional Association

Submitted by: Amy Curley, DNP, MSN, RN, CEN, Foundation President, ANA-VT.

The American Nurses Association (ANA) is the largest association of professional nurses, empowering millions of registered nurses from all specialties and practice settings across the U.S. The ANA remains a powerhouse that champions nursing at the federal and state level. Here in Vermont, the ANA supports, advocates, celebrates and

promotes the professional achievement and advancement of all nurses. We are very proud of our nurses in Vermont and we are especially proud of our Vermont residents who choose to continue to provide excellent care to the citizens of Vermont. Mrs. Scalisi, ANA-Vermont is honored to present you with this recognition of Clinical Excellence. Your University, your professors, colleagues, and ANA-VT thank you for your commitment to providing excellent clinical to our Vermont residents.

Clinical Excellence Award winner—Andrea Scalisi

Abstract: - Compassion fatigue results in the desensitization of feelings towards patients and the inability of nurses to nurture. Compassion fatigue leads to increased nurse turnover rates, decreased patient safety and satisfaction, and decreased nurse satisfaction. Nurses experiencing compassion fatigue show signs of depression and physical and emotional distress. Educational sessions, nurse retreats, and nurse lead support groups are recommendations that can help nurses who are at risk or are experiencing compassion fatigue (Henson. 2017; Figley. 1995; Lumpkin. 2014). Methods: - CINAHL - Publish date of 2014-2019 - Peer reviewed journal articles - Search terms include (compassion fatigue, oncology nurses, burn out, nurse retreats, compassion fatigue among oncology nurses, effects of compassion fatigue)

Background: - Oncology nurses have a higher rate of compassion fatigue than other professions. Compassion fatigue affects nurses personal health and professional practice (Henson. 2017; Lumpkin, 2014; Brint, 2016)

Results: - Nurses who attend continuing education, unit based support groups, nurse retreats, and use positive coping skills, hove lower incidences of compassion fatigue. Educational sessions provided by management are crucial in combatting compassion fatigue. (Groh. Moran. Zajac, 2017; Lumpkin, 2014; Brysiewicz & Wentzel, 2016).

Recommendations for Nursing Science: - Recommendations include incorporating unit based educational sessions and support groups requiring nurses to leave the floor for their breaks, and offering nurse lead debriefing sessions (Finley & Shepard, 2017; Buller. et al. 2019; Lumpkin, 2014).

Compassion Fatigue in Oncology Nurses Samantha Smith

July, August, September 2019 Vermont Nurse Connection • Page 7

Norwich University (NU) and Vermont Technical College (VTC), have teamed up to bring a new opportunity for top nursing students at their respective Schools of Nursing and nurse leaders and scholars from throughout Vermont, to join a new nursing honor society - the Greater Vermont Honor Society for Nursing (GVHSN).

The purpose of this honor society is to welcome, honor, recognize and support nursing students and nurse leaders throughout our state for their academic achievements, nursing service, nursing leadership and for their contributions to nursing scholarship.

This honor society will soon be reviewed for a full At-Large Chapter in Sigma Theta Tau International, with NU and VTC as the founding institutions. After two years of collaboration, GVHSN submitted its final application to Sigma in February 2019, and anxiously awaits approval, expected in July, 2019. With over 50 members and having held several distinctive events, the founding Board is optimistic and poised for this new Chapter approval.

Among key events held, in October was GVHSN’s first Harvest Leadership Dinner, with a special address from Keynote Speaker Anna Noonan, RN, BSN, MSN, President and COO, Central Vermont Medical Center, University of Vermont Health Network. Anna emphasized the vital role of nursing in our transforming healthcare system and she encouraged fellowship, scholarship, leadership and networking to promote our profession. The first induction for all of our new members of GVHSN was held in November at Norwich University where new members pledged to accept membership and support the Sigma mission for promoting nursing excellence, knowledge, service, and leadership through their nursing careers.

Members also received “Vermont green” honor cords and signed the founding membership register. Heather Dohr, MSN, CNRA addressed new members underscoring the importance of teamwork as we deliver complex care in evolving healthcare systems. In January, members gathered for a Paint, Sip and Snack that proved to be a wonderful opportunity for newer members to connect and share experiences and aspirations for our new Chapter.

Our next event will be our Annual Dinner that will be held on May 2nd at Central Vermont Hospital. The dinner will feature a keynote address “There are no limits, everything is possible” from Julie Jones, RN-BC, MS, Network Epic Clin App Analyst Staff RN, Epic Orders Department, The University of Vermont Health Network, a silent auction, awards presentation and business meeting. All nurses and nursing advocates are invited to attend, GVHSN membership is not required.

For more information about GVHSN, please visit our website

GVHSN website: https://sites.google.com/view/gvthsn/home or contact any of the current Board Members.

President: Jessica Sherman, DNP, MSN, RN-BC, PCCN-K, President

President Elect: Linda A. Havey, DNP, MSN, RNC-OB, UVMHN: Porter Medical Center, Birthing Center Manager

Vice President: Sarah M. Billings-Berg, DC, DNP, RN, CNE, Associate Dean of Nursing, Central Region Site Director, Vermont Technical College

Vice President: Paulette Thabault, DNP, APRN, JD, FAANP, Director and Professor, School of Nursing, Norwich University

Treasurer: Karen Mckenny BSN, Nurse Educator, University of Vermont Medical Center

Secretary: Mary K Hill DNP, MSN, RN-BC, OCN, Associate Professor of Nursing, Vermont Technical College

Student Faculty Counselor: Linda A. Havey, DNP, MSN, RNC-OB, UVMHN: Porter Medical Center, Birthing Center Manager

Graduate Student Faculty Counselor: Jan Hansen, MSN, RN, Graduate Program Director, Norwich University

Undergraduate Student Faculty Counselor: Kate Healy, DNP, RN, ACNP-BC, Associate Professor, Norwich University

Member at Large: Carolyn Stannard-Carlo, MS, RN, Professor of Nursing, BSN Department Chair, Vermont Technical College

Member at Large: Susan Tschorn, MSN, RN, Nurse Manager, The University of Vermont Medical Center

Member at Large: Deborah Sanguinetti, RN, MSN, CHPN, Public Health Nurse, Maternal-Child Health Coordinator, Vermont Department of Health

NORTHFIELD, VT. – Norwich University’s School of Nursing, in collaboration with the University’s College of Graduate and Continuing Studies (CGCS), has launched a new online bachelor’s degree completion program, bachelor of Science in Nursing (RN to BSN), designed for licensed RNs who want to pursue their degree while balancing work and other life responsibilities. The program is set to begin its first trimester in August 2019.

“This is a great opportunity for Norwich to expand on its proud history and commitment to educating leaders by providing working registered nurses with the ability to expand on their current expertise and achieve their career and educational goals,” CGCS Vice President and Dean William Clements said. Similar to other CGCS online degree completion programs, the Bachelor of Science in Nursing degree can be completed in 18 months or less and will have multiple start dates throughout the year. Prior learning within an Associate Degree in Nursing, and any additional prior education will be evaluated to facilitate transfer credits and provide the most efficient way for nurses to earn their degrees. The biggest goal of all CGCS degree completion programs is to help students successfully attain their education based on their individual needs.

The RN to BSN curriculum focuses on leadership, evidence-based practice, evolving concepts in technology and informatics, human patho-pharmacology, community nursing and end of life care. Norwich nursing programs are led by expert faculty and dedicated staff members who offer support from day one to graduation and will often provide support postgraduation to help students achieve their academic, professional and personal goals.

“Increasingly, employers are recognizing the importance of BSN prepared nurses in meeting the complexity of healthcare delivery,” Director of Norwich University’s School of Nursing Paulette Thabault, DNP, APRN, JD, FAANP, said. “This program serves our communities and the nursing profession by allowing a path for nurses to advance their education and their careers.” Upon completion of Norwich’s RN-BSN program, those who wish to earn a master’s degree in nursing may fast track into CGCS’ Master of Science in Nursing (MSN) education program through an expedited application process.

LEARN MORE about the ONLINE RN TO BSN by visiting (HTTP://WWW.ONLINE.NORWICH.EDU/BSN).

Norwich University’s nursing programs are accredited by the Commission on Collegiate Nursing Education (http://www.aacn.nche.edu/cce-accrediation). Learn more about nursing programs at Norwich (/programs/nursing).

Norwich University Launches New Online

RN-to-BSN Degree Completion Program

Greater Vermont Honor Society for Nursing

• Credit given for previous education and RN licensure

• Part-time program with online nursing courses designed for working adults

• For more information visit: http://tinyurl.com/UVMRNtoBS Margaret.Aitken@med.uvm.edu

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Page 8 • Vermont Nurse Connection July, August, September 2019

ANA/ANA-Vermont News

April 4 was Nurses Legislative Day at the Capital in Montpelier. ANA President Lori Poirier, Vice President Elizabeth Hassen, Vermont Director of the National Association of School Nurses Clayton Wetzel and many advanced practice nurses as well as student nurses and others enjoyed meeting with many legislators who joined us for coffee in the State House cafeteria. A psychiatric nurse practitioner joined us to share about mental health concerns. At 8:30, Representative Mari Cordes RN, from the Health Care Committee joined us to speak about a variety of issues. She will continue to work on H.313 but states the bill needs further work and will not be addressed this year. She discussed health reform needs, including mental health, and current issues. At 10 AM, nurses met with Speaker of the House Mitzi Johnson and nurses shared many concerns, such as the nurse workforce shortage, and lack of education funding. While discussion continued upstairs with the Speaker, some went to the House Committee on Health Care where Executive Director Meredith Roberts provided testimony at 10:15 for ANA-Vermont, which represents nurses in Vermont and is dedicated to improving the quality of healthcare and nursing, enhancing the health of the people and empowering nurses. There are over 25,000 nurses in Vermont (BON, 2019 compact report), four million nurses in America, and nurses spend more time with patients than any other health care provider. Some topics mentioned included:

• Safe Staffing: appropriate staffing levels reduce preventable complications, errors, adverse events, and even death. Appropriate staffing also protects against high levels of nurse burnout and turnover. During a staffing shortage, less time will be spent with patients. This puts patients at risk for injury, and nurses at risk for burnout

• An Aging Nursing Workforce with inadequate faculty and resources- By 2022, ANA national research anticipates more RN jobs available than any

other profession- U.S. Bureau of Labor Statistics projects the need for 1.1 million new RNs for

expansion and replacement of retirees- We are in the midst of a crisis with State RN needs, between 2015 and 2030

growing 22% with highest growth rates in nursing home, residential care settings, & home health (AHEC, 2017)

• Nurse Workforce Development- Health reform needs to include tuition assistance and loan repayment - Title VIII Nursing Workforce programs represent the only dedicated federal

program aimed at bolstering nursing education from entry-level preparation through graduate study. For five decades, these programs have helped build the supply of qualified nurses needed across health care settings. ANA will again work to reauthorize these programs through support of Title VIII Nursing

Workforce Reauthorization Act of 2019 (H.R. 728)

- Higher Education: The nurse faculty vacancy rate is climbing, with more graduates needed. More nurses are needed in education and practice to maintain quality care, yet nationally >75,000 students were turned away (AACN, 2019)

- Nurses engage in interdisciplinary teamwork, evidence-based care research, arrange and manage hospital or home care... advocating for patients from birth, to end-of-life.

- End-of-life care ANA advocacy includes the federal bill HR.647 Palliative Care and Hospice Education and Training Act as well as local efforts. The palliative care bill seeks to increase the number of permanent faculty in palliative care.

• Workplace Violence- The Workplace Violence Prevention for Health Care and Social Service

Workers Act (H.R. 1309) has been introduced. ANA supports this bill which requires the Occupational Safety and Health Administration (OSHA) to develop standards requiring health care and social service employers to write and implement a workplace violence prevention plan to prevent and protect employees from violent incidents in the workplace.

- In America, health-care workers are five to 12 times more likely than other workers to experience violence at work; worldwide, nurses are more likely to be attacked at work than prison guards and police officers (The Conversation, 2017).

• Gun Violence - Enact sensible legislation aimed at reducing gun violence. In the wake of multiple mass shootings, ANA encourages background checks and no automatic weapons or bump stocks

• The Opioid Crisis- Promoting the use of Complementary & Integrative Health Practices to

Minimize Opioid Use, for example, acupuncture- Prevention strategies across State government and in collaboration with

community partners - Support for S.146 An act relating to substance misuse prevention that establishes

a Substance Misuse Prevention Advisory Council• ANA advocates for greater access to quality, affordable care and encourage

consideration of a candidates’ perspective on health reform when heading to the polls. ANA monitors and responds to the many legislative efforts addressing health care delivery, such as the ACO Pilot Program.

• S.7 An act relating to social service integration with Vermont's health care system - ANA-Vermont approves of alleviating toxic stress, and balancing oversight with

support for innovation• Healthy Environment with healthy water and food for children and adults and no

unhealthy chemicals or lead in water or toys

At 10:30, Nurses met with Senate President Pro Tempore Tim Ashe. This man with the heart of a nurse, puts the public health first, and must plan innovatively to make solutions happen. After discussing workforce concerns and bills such as S.40, an act relating to testing and remediation of lead in the drinking water of schools and child care facilities, which passed the senate and is now in the House, he brought to our attention S.111 An act relating to the U.S. Department of Veterans Affairs’ Airborne Hazards and Open Burn Pit Registry (see more about this bill in the article on page #3). He shared about the potential horrific effects from burn pit exposure. This bill was later voted on and approved in the senate and crosses to the House.

At 11:15, Nurses and students met with Lieutenant Governor David Zuckerman, discussing workforce and environmental concerns. He listened attentively and offered suggestions.

At noon, nurses enjoyed discussion and a pizza lunch at Kellogg-Hubbard Library, though a few attended the Thursday climate caucus. After lunch, nurses returned to the State House to be recognized in the House for nurse legislation day as recommended by Representative Mari Cordes. After recognition, nurses listened to discussion of the family paid leave bill before it was passed, and at the same time a few stopped over to the senate chambers just in time to hear the roll-call vote of passage of S.111, An act relating to the U.S. Department of Veterans Affairs’ Airborne Hazards and Open Burn Pit Registry, that has crossed over to the House side for discussion: referred to the Committee on General, Housing, and Military Affairs. A picture was taken at the end of the day with our RN legislator, Mari Cordes on the steps of the Capital.

Nurses Legislative Day

Med/Surg • Pain/TBI (Specialty Care) • ICUOR • Emergency Department • Nursing Assistants • LPN (Specialty Care)

GI • Night/Weekend Hospital Nursing SupervisorCase Management • Care Coordination/HomeTelehealth

July, August, September 2019 Vermont Nurse Connection • Page 9

ANA/ANA-Vermont News

On March 15th all bills that passed either the House or Senate were sent to the opposite body for consideration. Bills that did not “crossover” from one legislative body to the other will not be enacted in this legislative session. This is the first year of a biennium, so bills that do not crossover in 2019 will resume the legislative process in January 2020.

Bills of interest to nurses that crossed over include:

S.7 An act relating to social service integration within Vermont’s healthcare system passed the Senate and is being revised in the House Committee on Health Care. The bill proposes to require the Green Mountain Care Board to conduct an evaluation of the extent to which social services are integrated into accountable care organizations

Much discussion this week and likely to come to a vote very soon.

S.31 An act relating to informed health care financial decision making passed the Senate and is now under discussion in the House Committee on Health Care.

This bill requires providers to have an understandable explanation of charges that reflects the patient’s entire financial obligation and is under discussion this week- vote likely 4/30

S.40 An act relating to testing and remediation of lead in the drinking water of schools and child care facilities. Passed the education committee and the Senate, crossed over to the House Committee on Education, then was taken up for immediate consideration and sent to Human Services and is now finishing up in Appropriations this week

S.41 An act relating to regulating entities that administer health reimbursement arrangements in House Committee on Health Care. It went to the Ways and Means Committee and is now back to the House Committee on Health Care for final discussion

S.42 An act requiring at least one member of the Green Mountain Care Board to be a health care professional passed the Senate and is now in the House Committee on Health Care.

Much discussion and testimony was taken and it is likely to come to a vote soon.

S.43 An act relating to prohibiting prior authorization requirements for medication-assisted treatment

Passed the Senate side, crossed over to the House and was in the Committee on Human Services, but then back to the Committee on Health Care where a vote is planned this week.

S.55 An act relating to the regulation of toxic substances and hazardous materials

This bill proposes to establish an Interagency Committee on Chemical Management to evaluate chemical inventories in the State and identify potential risks from the inventories. The bill would require a manufacturer of a children’s product containing a chemical of high concern to children (CHCC) to report the brand name, product model, and universal product code.

Passed the Senate and is being discussed this week in the House Committee on Human Services

S.65 Banning baby bumper bill passed the Senate and crossed to Human Services: still there

S.73 An act relating to licensure of ambulatory surgical centers that passed the Senate, was discussed this week in the House Committee on Health Care, then referred to the Committee on Ways and Means

S.86 An act relating to increasing the legal age for buying and using cigarettes, electronic cigarettes, and other tobacco products from 18 to 21 years of age that passed the Senate and crossed to the House and passed with an amendment added. It went back to the Senate, who is reviewing the amendment.

S.111 An act relating to the U.S. Department of Veterans Affairs’ Airborne Hazards and Open Burn Pit Registry which passed the Senate, is now in the House Committee on General, Housing, and Military Affairs

S.117 An act relating to the therapeutic use of cannabis that was passed by the Senate, is under discussion in the House Committee Human Services

S.146 An act relating to substance misuse prevention, passed in the Senate and is under current discussion in the House Committee on Human Services, and is on the schedule next week.

H.26 An act relating to restricting retail and Internet sales of electronic cigarettes, liquid nicotine, and tobacco paraphernalia in Vermont which passed the House, now has a favorable report from the Senate Committee on Economic Development, Housing and General Affairs, so will go to the floor for a vote

H.47 An act relating to the taxation of electronic cigarettes that passed the House crossed over remains in the Senate Committee on Finance

H. 57 An act relating to preserving the right to abortion that passed the House, is under discussion in the Senate Committee on Health and Welfare, continuing next week.

H.83 An act relating to female genital cutting that passed the House, went to the Judiciary Committee and is now in the Senate Committee on Health and Welfare

H.107 An act relating to paid family and medical leave that passed the House crossed over to the Rules committee and is now in the Senate Committee on Economic Development, Housing and General Affairs where it is under current discussion and again May 1 and 2

H.132 An act relating to adopting protections against housing discrimination for victims of domestic and sexual violence that passed the House, received a Favorable report with proposal of amendment by Senate Committee on Economic Development, Housing and General Affairs, so will be up for a floor vote

H. 162 An act relating to removal of buprenorphine from the misdemeanor crime of possession of a narcotic. It is on the schedule next week to be discussed in the House Committee on Human Services

H.524 An act relating to health insurance and the individual mandate, is being discussed section by section crossed over and is under discussion in the Senate Committee on Finance

H.527 An Act Relating to Executive Branch and Judicial Branch Fees Bill (licensing fees) It passed in the House and discusses increasing nurse licensing fees. It continues to be discussed in the Senate Committee on Finance with a vote likely May 1

H.528 An act relating to the Rural Health Services Task Force, which creates a Rural Health Services Task Force and evaluates the sustainability of rural health services. It passed the House and is under current discussion in the Senate Committee on Health and Welfare. For more information, see https://legislature.vermont.gov/Documents/2020/Docs/BILLS/H-0528/H-0528%20As%20Passed%20by%20the%20House%20Unofficial.pdf.

H.533 An act relating to workforce development is in the Senate Committee on Economic Development, Housing and General Affairs with current testimony being taken.Bills passed by the House & Senate

S.49 An act relating to the regulation of polyfluoroalkyl substances (PFAS) in drinking and surface waters. This bill proposes to adopt a maximum contaminant level for these substances under the Agency of Natural Resources’s Water Supply Rule, which means amending Vermont Quality Standards to include criteria or limitations on PFAS. 4/26/19 passed

S.53 An act relating to determining the proportion of health care spending allocated to primary care

This bill proposes to require the Green Mountain Care Board to determine the proportion of health care spending currently allocated to primary care, recommend the proportion that should be allocated to primary care, and project the avoided costs that would likely result if that proportion were achieved. It would then direct certain payers to provide a plan

Bills passed by the House & Senate, approved by the Governor so enacted

(now an Act/ law)

Act 4 (H.218) Act Summary An act relating to lead poisoning prevention (affects 18 VSA)

Act 5 (S.14) An act relating to extending the moratorium on home health agency certificates of need

Act 6 (H.532) An act relating to fiscal year 2019 budget adjustments (affects 18 VSA)

Act 7 (was H.7) An act relating to second degree aggravated domestic assault 4/23 signed

Act 19 (S.89) An act relating to allowing reflective health benefit plans at all metal levels. This bill will affect health benefit plan requirements.

There has been much discussion of cigarettes and cannabis this past week, such as the legal age for tobacco, or what constitutes impairment by cannabis, as well as substance misuse prevention. Committees are prioritizing their bills as the close of the legislative session draws near in May. The Rural Health Services Task Force Bill seems to be a priority, as well as workforce development, access to care and healthy water and environment. Healthcare reform, and informed health care financial decision-making are other top concerns, and the budget is tight. Energy is high.

Update on Healthcare Related Legislation

To access electronic copies of the Vermont Nurse Connection, please visit http://www.nursingald.com/publications

Page 10 • Vermont Nurse Connection July, August, September 2019

On April 11, H.462, an act to address climate change, and create a fair, workable, cost-effective, and legally enforceable system by which Vermont will be able to reduce its economy-wide carbon emissions to zero by 2050, was discussed in the climate caucus at the Capital. This act may be known as the “Vermont Global Warming Solutions Act.”

Olympic skier and gold medalist Alex Deibold, who competed internationally, joined with legislators and other skiers from Killington, Stratton, Sugarbush, ski area association, Burton, and Bromley to share how global warming affects snow in Vermont as well as the Alps, Spain and elsewhere and has an impact on the economy, impacting as many as one in seven jobs. It also affects ice fishing, skating. The version in the senate is S.173.

The bill focuses on three things • Gas emissions - We need to achieve 25% below emission standards by 2025, and

75% below by 2050 • A needed wholescale strategy- strategic plan to address climate change • Regulation and review, which is challenging for the legislature for political reasons

Sandy Levine of conservation law noted we are not meeting current goals, and are, in fact, increasing emissions, heading in the wrong direction. This act would provide a helpful framework and encourages innovation and recycling. Massachusetts has had successful results. The accountability of reporting back to legislators on how we are doing can get Vermont back on target without being prescriptive. The act is clear, enforceable, and doable. If we are serious about making a difference, here is a plan to help us achieve that goal.

Vermont New Members January – March 2019

Marie AlbanoJada Barton

Megan Beattie-CassanRebecca Brooklyn

Victoria BruceJamie Charlson

Sara ClarkElissa Close

Jamie CushmanSarah DeSilvey

Nina GabyLinda Havey

Rebecca HeflinHannah Johnson

Gail JuddJill Markowski

Rebecca McCraySamantha Mitchell

Claire Molner

Kathleen MonforteAbigail OlivierPamela PickettHeidi RichardAllison RoggeCaitlin SartorDeborah SnellAlice Spirito

Lindsey WeaverDawn Wing

IS YOUR NURSING ORGANIZATION PLANNING AN EDUCATION PROGRAM?CONSIDER APPLYING FOR CONTACT HOUR APPROVAL

FOR MORE INFORMATION CALL THE ANA-Vermont OFFICE @ (802) 651-8886

The Northeast Multi-State Division, (NE-MSD) is accredited as an approver of continuing education in nursing by the American Nurses’ Credentialing Center’s Commission on Accreditation.

ANA/ANA-Vermont NewsLegislation to Address

Climate ChangeOn May 1, ANA-Vermont members were at the State House with members of the

Climate Change Alliance supporting the planet. High School students from Vermont marched from Montpelier High School to the State House with signs and even cardboard pitchforks (to pitch in) at 10 AM where many booths and tents as well as face painting, and various art projects celebrated the planet and the need for more support of climate initiatives. After Vermont youth and allies marched in solidarity to the Statehouse lawn, there was live music by multiple bands, and remarks from youth speakers. Representative Selene Colburn gave a warm welcome, noting that lawmakers have not acted boldly enough this session to address climate change. Senator Becca Balint shared her thoughts on climate change as did Representative Timothy Briglin. Rep. Timothy Briglin, who speaks about bills such as S.173 An act relating to the mitigation of climate change, H.477 An act relating to a carbon charge, public transportation, tax credits, weatherization, and incentives, and H.462 An act relating to addressing climate change; however, none of these bills crossed over, so much action is delayed until 2020.

The rally went into the afternoon, with many visiting the tables and booths and engaging with students from around Vermont in a dialogue about strategies to slow global warming, such as encouraging the switch to electric vehicles, global warming solutions, weatherization, renewable power, and reducing our carbon emissions. “Nothing can discourage us from saving our futures from this climate,” said Sage Lawlor of Manchester. Many hope to see climate change legislation in the future, and promise to score Legislature’s progress. Despite the clouds and showers, it was a good turnout with over 300 people present.

Climate Rally at the State House

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July, August, September 2019 Vermont Nurse Connection • Page 11

ANA-VermontMembership Application

$15

$174

$15 $174

ANA-Vermont Foundation — Honor a

Nurse CampaignNursing continues to be the most trusted

profession as indicated in annual surveys. This attests to the collective contributions nurses make as they care for patients, families and communities. Efforts of individual nurses however deserve special recognition by colleagues, employers, patients, families and friends. There are many reasons to Honor a Nurse such as: to thank a mentor, to acknowledge excellent care given by a nurse to a patient, to celebrate a milestone such as a birthday or retirement, or to recognize a promotion. Just think for a moment, you will know a nurse to honor. Celebration: The honored nurses and the persons nominating them will be recognized at the ANA-Vermont Convention in 2018. The honored nurses each will receive a certificate identifying the person recognizing her/him as well as the reason for the honor. Submit nominations by: September 1, 2018. All contributions are tax deductible to the full extent allowed by law. ANA-VT Foundation is a 501(c)3 organization. Nominations this year are online.

Please go here to nominate someone: http://goo.gl/Z0F4f

The ANA Committee on Appointments (COA), a committee of the ANA Board of Directors, has opened its 2019 Call for Nominations for Appointed Positions on the following ANA committees:

• Committee on Bylaws• Committee on Honorary Awards• Committee on Honorary Awards Subcommittee• Committee on Nursing Practice Standards• Minority Fellowship Program (MFP) National

Advisory Committee• Professional Policy Committee

All members are invited to become more involved by seeking out a volunteer leadership position with one of ANA's committees. Serving as a volunteer leader offers great opportunities to build your professional network with other nursing professionals from across the nation. In addition, volunteer leadership provides a necessary level of support to ANA by participating in the association's governance. Don't miss this exciting opportunity to become involved!

Current members may nominate themselves and/or others to be considered for a committee position. Please refer to the Committee on Appointments page and the Guide to the Appointments Process, online at www.nursingworld.org. All nomination materials must be received by 5:00pm ET on Monday, July 1, 2019.

For additional information about the appointments process, please contact the ANA Leadership Services Department at leader@ana.org.

ANA/ANA-Vermont News

2019 Call for Nominations for

Appointed Positions

Confidental Contact info:802-828-1635

89 Main Street3rd Floor

Montpelier, VT

Website:www.sec.state.vt.us/

professional-regulation/professions/nursing.aspx