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CENTENNIAL
19082008
 WASHINGTON STATE NURSES ASSOCIATION
PRIDE IN OUR PAST. CONFIDENCE IN OUR FUTURE.
Volume 37, No. 4 Winter 2007
2 Calendar of Events3 In Focus5 Important Notice to Members6 Report from WSNA’s 2008 NurseLegislative Day7 You Were Represented8 2008 Legislative Platform9 2008 Legislative Priorities10 2008 Legislative & RegulatoryAgenda
12SafeNurseStafngAgreement
Inside...
Photos from Legislative Day ‘08 Stakeholders Reach Agreement on Safe Nurse Stafng Nursing Practice Update
14 E&GW UpdateWSNA Wins Flu Shot Lawsuit,
•
AgainContract Negotiations
•ShortStafng&PatientSafety•
18 Nursing Practice UpdateUnsafe Care?
•
Reading List
•
New ARNP Web Page
•
Association or Commission?
•
Nursing Delegation: Insulin
•
InjectionsPNHCC Update
•
24 Health & Safety UpdateChemical Eposure Causing
•
Diseases in Nurses?Adolescent Immunizations:
•
TDap & More26 Nursing News Briefs27 Membership Update28 DistrictNews29 ANA News Briefs32 Continuing Education Calendar34 New Members36 Centennial CelebrationInformation & Registration
 
 Washington statenurses association
575 Andover Park West, Suite 101Seattle, WA 98188, Tel: 206/575-7979Fax: 206/575-1908, wsna@wsna.org
the Washington nurse
—(ISSN#0734-5666) newsmagazine is publishedquarterly by the Washington State Nurses Association, 575 Andover Park West, Suite101, Seattle, WA 98188, 206/575-7979. It is
distributed as a benet of membership to all WSNA members. A member rate of $10 per 
year is included in WSNA membership dues.
Institutional subscription rate is $20 per year (Canada/Mexico: US $26 per year; Foreign:US $39 per year) or $37.50 for two years.Single copy price is $5.00 each prepaid.The information in this newsmagazine is for the benet of WSNA members. WSNA is amulti-purpose, multi-faceted organization.
The Washington Nurse
 
provides a forumfor members of all specialties and interests
to express their opinions. Opinions expressed
are the responsibilities of the authors anddo not necessarily reect the opinions of theofcers or membership of WSNA, unless sostated. Copyright 2008, WSNA. No part of 
this publication may be reproduced withoutpermission.
 advertising
—Information on advertising
rates may be obtained on the WSNA website
 www.w.
, under Press and
TheWashington Nurse,
or by contacting the WSNA Business Agent at 206/575-7979. Advertising deadlines are: March 1, June 1,September 1, and December 1. Advertising
 will be accepted on a rst come, rst servedbasis for preferred positions, pending space
availability. WSNA reserves the right to rejectadvertising. Paid advertisements in The
 Washington Nurse do not necessarily reectthe endorsement of the WSNA Members, Staff 
or Organization.
contributor guidelines
—Articleideas and unsolicited manuscripts are
 welcome from WSNA members (300 word
maximum). Please submit a typed copy and
diskette (Word Perfect 6.0/Windows 98),and include identified relevant photos, a
biographical statement, your name, address
and credentials. It is not the policy of WSNA to pay for articles or artwork.
 article subMission deadlines
 Winter ....................................November 15Spring.......................................February 15Summer ...........................................May 15Fall .............................................August 15
Calendar of Events
WSNA Board of Directors & Headquarters Staff
MARCH 200817 Washington State NursesFoundation Board of Trustees21 WSNA Board of DirectorsAPRIL9 Grievance Workshop - WSNA22 Seattle Regional Council Meeting -WSNAMAY5 Cabinet on Economic and GeneralWelfare5 Statewide Local Unit CouncilMeeting
6 WSNA Centennial - SeattleWestin Hotel
26OfceClosed-MemorialDay
Observed30 Finance/Eecutive CommitteeMeetingsJUNE21 Professional Nursing and HealthCare Council25-27 ANA House of Delegates -Washington, DC Hilton Towers
PRESIDENTKim Armstrong, BSN, RNC, OlallaVICE PRESIDENTTim Davis, BSN, RN, Mt. VernonSECRETARY/TREASURERStasia Warren, MSN, RN, SpokaneDIRECTORS-AT-LARGEEd Dolle, RN, Port OrchardPam Pasquale, MN, RN, BC, CNE, WenatcheeJean Pfeifer, BSN, RN, KirklandVee Sutherlin, MEd, BSN, RN, Nine Mile FallsJudith Turner, RN, Fo IslandCHAIR, PROFESSIONAL NURSING& HEALTH CARE COUNCILSharon Bradley, MSN, RN, SpokaneCHAIR, LEGISLATIVE &HEALTH POLICY COUNCILSusan E Jacobson, RN, CCRN, YakimaCHAIR, CABINET ON ECONOMIC& GENERAL WELFAREJeanne Avey, RN, LongviewExECUTIVE DIRECTORJudith A. Huntington, MN, RNDIRECTOR, NURSING PRACTICE, EDUCATION &RESEARCHSally Watkins, PhD, MS, RNEDUCATION SPECIALISTHilke Faber MN, RN, FAANDIRECTOR, GOVERNMENTAL AFFAIRS,COMMUNICATIONS & MEMBERSHIPAnne Tan PiazzaCONTRACT LOBBYISTTamara WarnkeWEB & COMMUNICATIONS SPECIALISTBen TildenDIRECTOR, LABOR RELATIONSBarbara E. Frye, BSN, RNASSISTANT DIRECTOR, LABOR RELATIONSDarlene Delgado, RNGENERAL/CORPORATE COUNSELTimothy Sears, JDGENERAL COUNSELLinda Machia, JDMichael Sanderson, JDECONOMIC AND GENERAL WELFARE STAFFStacie Addison, BS, RNDebbi Bessmer, BSN, RNKate Boyle, RNJan Bussert, BSN, RNMargaret Conley, ARNP, RNJim Favre, RNCarmen Garrison BSN, RNChristine Himmelsbach, MN, RNKathi Landon, RNPat McClure, RNDeborah Neiman, RNRosie Tillotson, MSN, RNHanna Welander, BSN, RNBUSINESS AGENT & SYSTEMS ADMINISTRATORDeb Weston
More information & resources available online at wsna.org
 
3
 
Issue 37, No. 4
The Washington Nurse
In Focus
by Kim Armstrong, BSN,RNWSNA President
It was whatwe had to do.
In the mid to late 90’s, like-minded StateNurses Associations across the nationhad a vision. Tat vision was a NationalNurses’ Union, within the House o Labor and with close ties to ANA. Ourvision was o a Union which wouldorganize and be on site immediately tosupport nurses in need. Ater years o discussions and much debate, the UANwas ‘born’ in 2000. Shortly ater thistime, the UAN, through the eorts o the ANA, received a Charter to the AFL-CIO. We all celebrated. Our Union wasyoung, but had great promise or theuture.But in the ensuing years, things beganto change. Fundamental dierencesbetween the UAN and the State Aliates began to emerge. For example,the state nurses associations, who wereounding members o the UAN, wereno longer members under the UANconstitution adopted in 2004. Terewas little or no communication betweenthe UAN and ounding and aliatedState Nurses Associations except somedirect communication with the Chair o the E&GW, who was expected to speakor the whole state and association.Te State Nurses Association structurewas not only ignored, but denigratedas incorrect and not worthy o theUAN’s consideration. Tere becamea basic dierence o opinion and achallenge as to who we are, as WSNA– how we are structured and how werepresent our members. Tere was noeort to recognize, value, understandor work with our chosen decision-making processes. At WSNA, we haverepresented nurses or CollectiveBargaining since the 1940’s and we havebeen the voice or all o nursing withinWashington State or 100 years.Many within the State Nurses Associations worked endless hoursattempting to educate and advise thesta o the UAN as to the original visiono our National Union and the value o our relationship with the ANA. Terewas little eect. I personally once had aconversation with the Executive Directoro the UAN, concerning stang, basedon acuity and numbers. She assuredme she, as an airline attendant, knewwhat it meant because she too had beenrequested to care or an additional 8-10passengers on the airlines. When Iasked her i one was sel care, anotherwith a trach, another who was diabetic,an ill neonate and on and on, shesimply didn’t have a reply. Tat lack o willingness to learn specics o nursingand to see patients as only numbers isone o the undamental dierences thesta o the UAN never embraced. Tereare others.For those o you who do not rememberthe raids o the 80’s, SEIU raided andstole 50% o our membership. Terewere many reasons why, and rankly,WSNA as an organization learned a greatdeal rom this experience. We rebuiltour membership and nancial stability,but we did so without losing our values,integrity or the ability to speak or thenurses o Washington. Many wouldsay our eeling about SEIU is old news;however, we deal with the organizationin dierent coalitions and in dierentvenues almost daily. Teir mantra hasnot changed.SEIU, as you may or may not know,let the House o Labor, the AFL-CIO,several years ago, and developed acoalition o unions called Change toWin. It is a powerul coalition, withpolitical clout and resources. SEIU isalso a union with completely dierentphilosophical approaches in its belies.For example, while SEIU may state thatthey are a member driven organization,recent actions in Caliornia andelsewhere indicate behaviors quitedierent, where decisions are made atthe national executive level, with themembers and locals then inormedater the act. Even though they wereout o the AFL-CIO House o Labor,the UAN entered into talks with SEIUwhich we were led to believe would leadto a ‘No Raid Agreement.’ In January2006, it was announced to UAN statealiates that a no raid agreement hadbeen obtained. No other details wereshared with State Nurses Associationsat that time. But there was an extensivedocument, signed by the President o theUAN, entitled “A UAN-SEIU Partnership Agreement.” Even though Article 1.E o the UAN Constitution mandates that“Subject to expeditious raticationby the National Labor Assembly (TeNational Labor Assembly is the highestdecision making body o the UAN)at its next regular or special meetingor by ballot, the Executive Councilis empowered to and may enter intoaliation agreements,” this documentwas not brought to the National Labor Assembly the ollowing March 2006. Inact, the State Aliates did not knowo its complete content until a jointmeeting o UAN & SEIU was held inFebruary o 2007! Even then, the UANdidn’t provide the inormation; SEIUprovided the States with the document. At that point and time, your electedrepresentatives and WSNA sta,working in partnerships, set upon a pathto do everything possible to dissuadethe UAN rom urther and more bindingaliations with SEIU, while preservingthe UAN. At the next National Labor Assembly in March o 2007, Resolutions
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