- Email: [email protected]
LTC in the news
TRIC SING
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NA D ONA/L TC IN THE NEWS Presidents Participate in ASCP Conference
NADONA/LTC Plans Mentor Program
ORLANDO, FLORIDA--Terri Carillo, RN, CCRD, CNAA, CDONA, president of the New Jersey Chapter of NADONA, and Joan Warden, R N - C , BSN, C D O N A , president and founder of N A D O N A / L T C , both made presentations to the 23rd Annual Meeting and Exhibition of the American Society of Consultant Pharmacists in Orlando, Fla., Nov. 1 !-15. 1992. Carillo outlined NADONA's involvement with recent federal regulatory mandates and the effect on the long-term care facility. Warden appeared as part of an interdisciplinary panelIPaul Bach, NHA, Meridian Health Care; Jonathan Musher, MD, Hebrew Home of Washington, and William Simonson, PharmD, FASCP, Oregon State University College Pharmacy. The topic for the panel was "Optimizing Interdisciplinary Relations in Long-term Care."
Mentors (members) within each of NADONA's five regions will be selected to serve as mentors for directors of nursing who request assistance or resource materials in their positions. Mentors will provide assistance by telephone, mail, or on-site, depending on the specific need, and will be educationally and experientially prepared for this project. N A D O N A members who are interested in serving as mentors within their region should submit curriculum vitae to the N A D O N A office. Sponsorship and support for this program are pending.
34/8/47311
NADONA/LTC
Interdisciplinary Symposium at NADONA Conference, June 15-19, 1993 N A D O N A ' s first Interdisciplinary Symposium/Breakfast is scheduled for Thursday, June 17, at the NA-
DONA Sixth Annual Conference/ Exposition. Discussing issues of mutual interest will be representatives from the A m e r i c a n C o l l e g e of Health Care Administrators, The American Medical Directors Association, The American Society of Consultant Pharmacists, and N A D O N A / L T C . Representing N A D O N A / L T C will be Robin Storey, president of the Missouri chapter. The Interdisciplinary Symposium/ Breakfast will be provided through a grant from Ciba-Geigy.
NADONA Certification Offered ORLANDO, FLORIDA--The NAD O N A certification examination was administered to 30 directors of nursing at the Florida chapter convention here in January. The exam is offered annually to convention participants. To date, N A D O N A has certified more than 300 directors of nursing t h r o u g h o u t the United States. Individuals interested in in-
Geriatric Nursing Volume 14, Number 3 1-13
Left to right: Terri CariIIo, RN, CCRN, CNAA, CDON; Harlan Martin, CEO, Pharmacare; Sam Kidder, PharmD, developer of OBRA; and Joan Warden, RN-C, BSN, CDONA/LTC.
formation on certification may request an information packet (rules and regulations, study guide, information for candidates, and application) from NADONA. Send $5 to NADONA/LTC, Certification Registrar, 10999 Reed Hartman Hwy., Suite 229, Cincinnati, OH 452428331.
LTC Associations Collaborate on AIDS Traineeship The American Society of Consultant Pharmacists (ASCP) Research and Education Foundation--in cooperation with the American Medical Directors Association (AMDA), NADONA-LTC, American Health Care Association (AHCA), American Association of Homes for the Aging (AAHA), and American College of Health Care Administrators (ACHCA)--will develop a multidisciplinary AIDS traineeship in longterm care. The purpose of the traineeship is to provide three key health care disciplines within nursing facilities-medical directors, consultant pharmacists, and directors of nursing-with the background, information,
144 GeriatricNursing May/June 1993
and tools necessary to prepare a facility and its staff, residents, families, and community for the acceptance of H I V / A I D S patients. The AIDS traineeship in long-term care will be unique in its experiential and multidisciplinary focus. The increasing number of persons with AIDS and those infected with the human immunodeficiency virus (HIV) has placed a great strain on the nation's health care system. Although no cure has been discovered for this fatal disease, the development of medicines for HIV/AIDSassociated infections and complications enable persons with H I V / AIDS to live longer. As a result, more people with H I V / A I D S are seeking long-term care and nursing facilities will participate in the continuum of care for HIV/AIDS patients. The ASCP Foundation's AIDS traineeship in long-term care will begin to meet the needs of the rapidly growing number of HIV/AIDS patients who require long-term care by increasing the number of qualified nursing facilities to care for these patients. Only when more nursing facilities begin admitting HIV/AIDS patients will a reasonable choice of care sites become available.
The AIDS traineeship will be conducted at a competitively selected facility currently caring for AIDS patients and will encompass didactic programs, experiential training, and provision of resource materials.
NADONA Official Meets with ANA W A S H I N G T O N - - J o a n Warden met recently with officials from the American Nurses Association to discuss common goals and explore areas of mutual concern. The interests of these two organizations in matters of client support in long-term care are mutual and reflect the growing concern of the care of the elderly.
NADONA Member Wins Lawsuit SALT L A K E CITY, U T A H - - A federal court jury made a $1 million award to Joanna Nolan, RN, DON, after finding that she was fired improperly from her job at the Holladay Health Care Center, a nursing home owned by Hillhaven Corp., because managers believed rumors started by coworkers. Nolan stated (according to The S a l t L a k e T r i b u n e ) t h a t , even
NADONA/LTC
though it was an u n u s u a l l y large amount of money to be awarded in a defamation case, " M o n e y wasn't an issue at all" and that the restoration of her good name was much more important to her than the money. Nolan was fired in 1989 after returning from a month-long leave of absence to visit her ailing mother in Ireland. Nolan said there had been no rumors before she left but that, in the interim, new managers took over
and they never checked the rumors with previous managers or with her. " H i l l h a v e n did nothing to bring me in and find out what happened," Nolan told the Tribune. A registered alien who came to America in 1974 with her son, Nolan said that after her discharge she considered moving to a place where no one knows her but that she decided to stay and fight. According to fellow DONs, she was an excellent director of nursing.
Turnover of directors of nursing in the United States is a growing cause for concern because the Professional director of nursing in long-term care is a principal in the delivery of quality care. The directors of nursing of the Utah Chapter of N A D O N A received c o m m e n d a t i o n f r o m N A D O N A for their support and encouragement of Nolan throughout her ordeal.
NADONA ROUNDTABLE FORUM Each GERIArmC NvRsm6 Management section will present a NADONA Roundtable Forum. The forum will highlight members o f the NADONA Roundtable (state chapter presidents), who will speak to current issues/challenges confronting them in their profession as directors of nursing administration in long-term care facilities.
This issue addresses the question:
There are so many challenges I must meet daily. Throughout the facility I How do you handle the myriad chal- must be prepared to use all of my lenges that face you daily? senses from one minute to the next. For example, I may be attempting This question was addressed by: to solve an emergency staffing problem and receive a call from a very concerned family member while the administrator is in my office ready to work on next year's operating budget! (It is also about this time that the state inspectors walk in for their annual inspection.) Aside from utilizing o r g a n i z a tional and delegation skills in maintaining some type of order, a DON gains a lot of stability by sharing exT h e r e s a C. Carillo, R N , C C R N , periences with another professional CNAA, C D O N A D O N - - t o listen, share, and compare Director of Nursing challenges. Perth Amboy Nursing Home D O N s need to support one anPerth Amboy, New Jersey other, and that is why I am very in-
NADONA/LTC
voiced with our DON organization, on both the state and the national level. Networking with peers gives me the support I need and ideas that I can utilize. No one understands a DON like another DON. At our local m e e t i n g s , I have gained information on staffing, budgeting, educational credits, what to expect from state inspectors, and much more. My becoming involved in this organization and assuming an administrative position ensures that those resources will always be there for me and for o t h e r D O N s . Although I do not want this response to appear to be a plug for N A D O N A , I feel that by belonging to your own professional organization, you have access to other DONs, resources, and professional development.
Geriatric Nursing Volume 14, Number 3 145
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NA D ONA/L TC IN THE NEWS Presidents Participate in ASCP Conference
NADONA/LTC Plans Mentor Program
ORLANDO, FLORIDA--Terri Carillo, RN, CCRD, CNAA, CDONA, president of the New Jersey Chapter of NADONA, and Joan Warden, R N - C , BSN, C D O N A , president and founder of N A D O N A / L T C , both made presentations to the 23rd Annual Meeting and Exhibition of the American Society of Consultant Pharmacists in Orlando, Fla., Nov. 1 !-15. 1992. Carillo outlined NADONA's involvement with recent federal regulatory mandates and the effect on the long-term care facility. Warden appeared as part of an interdisciplinary panelIPaul Bach, NHA, Meridian Health Care; Jonathan Musher, MD, Hebrew Home of Washington, and William Simonson, PharmD, FASCP, Oregon State University College Pharmacy. The topic for the panel was "Optimizing Interdisciplinary Relations in Long-term Care."
Mentors (members) within each of NADONA's five regions will be selected to serve as mentors for directors of nursing who request assistance or resource materials in their positions. Mentors will provide assistance by telephone, mail, or on-site, depending on the specific need, and will be educationally and experientially prepared for this project. N A D O N A members who are interested in serving as mentors within their region should submit curriculum vitae to the N A D O N A office. Sponsorship and support for this program are pending.
34/8/47311
NADONA/LTC
Interdisciplinary Symposium at NADONA Conference, June 15-19, 1993 N A D O N A ' s first Interdisciplinary Symposium/Breakfast is scheduled for Thursday, June 17, at the NA-
DONA Sixth Annual Conference/ Exposition. Discussing issues of mutual interest will be representatives from the A m e r i c a n C o l l e g e of Health Care Administrators, The American Medical Directors Association, The American Society of Consultant Pharmacists, and N A D O N A / L T C . Representing N A D O N A / L T C will be Robin Storey, president of the Missouri chapter. The Interdisciplinary Symposium/ Breakfast will be provided through a grant from Ciba-Geigy.
NADONA Certification Offered ORLANDO, FLORIDA--The NAD O N A certification examination was administered to 30 directors of nursing at the Florida chapter convention here in January. The exam is offered annually to convention participants. To date, N A D O N A has certified more than 300 directors of nursing t h r o u g h o u t the United States. Individuals interested in in-
Geriatric Nursing Volume 14, Number 3 1-13
Left to right: Terri CariIIo, RN, CCRN, CNAA, CDON; Harlan Martin, CEO, Pharmacare; Sam Kidder, PharmD, developer of OBRA; and Joan Warden, RN-C, BSN, CDONA/LTC.
formation on certification may request an information packet (rules and regulations, study guide, information for candidates, and application) from NADONA. Send $5 to NADONA/LTC, Certification Registrar, 10999 Reed Hartman Hwy., Suite 229, Cincinnati, OH 452428331.
LTC Associations Collaborate on AIDS Traineeship The American Society of Consultant Pharmacists (ASCP) Research and Education Foundation--in cooperation with the American Medical Directors Association (AMDA), NADONA-LTC, American Health Care Association (AHCA), American Association of Homes for the Aging (AAHA), and American College of Health Care Administrators (ACHCA)--will develop a multidisciplinary AIDS traineeship in longterm care. The purpose of the traineeship is to provide three key health care disciplines within nursing facilities-medical directors, consultant pharmacists, and directors of nursing-with the background, information,
144 GeriatricNursing May/June 1993
and tools necessary to prepare a facility and its staff, residents, families, and community for the acceptance of H I V / A I D S patients. The AIDS traineeship in long-term care will be unique in its experiential and multidisciplinary focus. The increasing number of persons with AIDS and those infected with the human immunodeficiency virus (HIV) has placed a great strain on the nation's health care system. Although no cure has been discovered for this fatal disease, the development of medicines for HIV/AIDSassociated infections and complications enable persons with H I V / AIDS to live longer. As a result, more people with H I V / A I D S are seeking long-term care and nursing facilities will participate in the continuum of care for HIV/AIDS patients. The ASCP Foundation's AIDS traineeship in long-term care will begin to meet the needs of the rapidly growing number of HIV/AIDS patients who require long-term care by increasing the number of qualified nursing facilities to care for these patients. Only when more nursing facilities begin admitting HIV/AIDS patients will a reasonable choice of care sites become available.
The AIDS traineeship will be conducted at a competitively selected facility currently caring for AIDS patients and will encompass didactic programs, experiential training, and provision of resource materials.
NADONA Official Meets with ANA W A S H I N G T O N - - J o a n Warden met recently with officials from the American Nurses Association to discuss common goals and explore areas of mutual concern. The interests of these two organizations in matters of client support in long-term care are mutual and reflect the growing concern of the care of the elderly.
NADONA Member Wins Lawsuit SALT L A K E CITY, U T A H - - A federal court jury made a $1 million award to Joanna Nolan, RN, DON, after finding that she was fired improperly from her job at the Holladay Health Care Center, a nursing home owned by Hillhaven Corp., because managers believed rumors started by coworkers. Nolan stated (according to The S a l t L a k e T r i b u n e ) t h a t , even
NADONA/LTC
though it was an u n u s u a l l y large amount of money to be awarded in a defamation case, " M o n e y wasn't an issue at all" and that the restoration of her good name was much more important to her than the money. Nolan was fired in 1989 after returning from a month-long leave of absence to visit her ailing mother in Ireland. Nolan said there had been no rumors before she left but that, in the interim, new managers took over
and they never checked the rumors with previous managers or with her. " H i l l h a v e n did nothing to bring me in and find out what happened," Nolan told the Tribune. A registered alien who came to America in 1974 with her son, Nolan said that after her discharge she considered moving to a place where no one knows her but that she decided to stay and fight. According to fellow DONs, she was an excellent director of nursing.
Turnover of directors of nursing in the United States is a growing cause for concern because the Professional director of nursing in long-term care is a principal in the delivery of quality care. The directors of nursing of the Utah Chapter of N A D O N A received c o m m e n d a t i o n f r o m N A D O N A for their support and encouragement of Nolan throughout her ordeal.
NADONA ROUNDTABLE FORUM Each GERIArmC NvRsm6 Management section will present a NADONA Roundtable Forum. The forum will highlight members o f the NADONA Roundtable (state chapter presidents), who will speak to current issues/challenges confronting them in their profession as directors of nursing administration in long-term care facilities.
This issue addresses the question:
There are so many challenges I must meet daily. Throughout the facility I How do you handle the myriad chal- must be prepared to use all of my lenges that face you daily? senses from one minute to the next. For example, I may be attempting This question was addressed by: to solve an emergency staffing problem and receive a call from a very concerned family member while the administrator is in my office ready to work on next year's operating budget! (It is also about this time that the state inspectors walk in for their annual inspection.) Aside from utilizing o r g a n i z a tional and delegation skills in maintaining some type of order, a DON gains a lot of stability by sharing exT h e r e s a C. Carillo, R N , C C R N , periences with another professional CNAA, C D O N A D O N - - t o listen, share, and compare Director of Nursing challenges. Perth Amboy Nursing Home D O N s need to support one anPerth Amboy, New Jersey other, and that is why I am very in-
NADONA/LTC
voiced with our DON organization, on both the state and the national level. Networking with peers gives me the support I need and ideas that I can utilize. No one understands a DON like another DON. At our local m e e t i n g s , I have gained information on staffing, budgeting, educational credits, what to expect from state inspectors, and much more. My becoming involved in this organization and assuming an administrative position ensures that those resources will always be there for me and for o t h e r D O N s . Although I do not want this response to appear to be a plug for N A D O N A , I feel that by belonging to your own professional organization, you have access to other DONs, resources, and professional development.
Geriatric Nursing Volume 14, Number 3 145