Testimony in Opposition to House Bill 2663 An Act Ensuring Patient Safety

Transcription

1 1.4 Provide examples of how nurses at all levels are leading and participating in professional nursing organizations and activities at the local, state, national and/or international levels. Include examples of how this benefits the practice setting and the nursing community. MGH nurses are committed to having a voice about their practice not only within the walls of the MGH, but also in the broader professional community. MGH Nurses, at all levels of the organization, are members and leaders of professional organizations. Attachment 1.4.a lists the professional, specialty and healthcare organizations to which MGH nurses belong. In FY 2007, from October through April alone, $102,000 and $165,000 was spent on supporting Staff Nurses and nursing leadership, respectively, to attend local, state, national and international meetings, (annual expenditures average $500,000). Several MGH nurses also hold leadership positions in professional and specialty organizations. Appointments to leadership roles in nursing professional and specialty organizations in 2006 and 2007 to-date, are cited in attachment 1.4.b. The illustrations that follow cite MGH nurses (leadership and Staff Nurses) in the organization who hold leadership positions/roles at the local, regional, state, national and international levels. Their involvement benefits the MGH and the nursing community through opportunities to: Network with colleagues in the same specialty Share ideas and knowledge (e.g., cutting-edge practice information) Participate in activities that enhance the members and the profession (e.g., education) Develop relationships with other nursing leaders throughout the country Get involved in activities and opportunities (i.e., participation in research) Bring back new knowledge to MGH (e.g., best practices). On the Local Level: Elizabeth Johnson, RN, MSN, AOCN, AOCNS, HPCN, Clinical Nurse Specialist Re: Chapter President, Boston Oncology Nursing Society As President of the Boston Chapter of the Oncology Nursing Society in 2006, I was able to use my experience and knowledge of cutting-edge cancer treatments learned in a world-class, Magnet hospital to lead a diverse constituency of oncology nurses in activities dedicated to enhancing patient care and promoting professional growth. During my tenure, the Society presented eight educational events, sponsored five support meetings, published columns in two chapter newsletters, conducted a product fair, donated $2000 to the Neely Foundation for Cancer Support, and 41

2 hosted the 31st Annual Oncology Nursing Society Congress at the Boston Convention Center, where I had the opportunity to welcome 6500 nurses to our city. My leadership position with the Boston Oncology Nursing Society led to further involvement with the Oncology Nursing Society on the national level. In 2007, I was the Team Coordinator for a four-hour presentation on ovarian cancer at the 32nd Congress in Las Vegas where I shared the podium with nurses from Johns Hopkins Medical Center and the University of Oklahoma Health Sciences Center. I was elected to a three-year term on the National Oncology Nursing Society's Nominating Committee, which is charged with managing orderly succession planning for the Society's leadership. We meet approximately four times a year at the Society's headquarters in Pittsburgh, PA, at the Spring Congress, and at the Fall Institutes of Learning. I am also the Team Leader for an evidence-based practice project focusing the oncology nurse s role in preventing unplanned hospitalizations. For this project I have the privilege of working with a group consisting of a staff nurse and a Medical Librarian from MGH, a Nurse Practitioner and a Staff Nurse from an oncology center in southern Ohio, and Nurse Researchers from Yale University and the University of Pittsburgh. I was also accepted into two Oncology Nursing Society programs designed to promote leadership and clinical knowledge among oncology nurses: the Leadership Development Institute, which focuses on developing oncology nursing leaders, and the Genetics Short Course, which focuses on developing nurses knowledge of the genetic components of cancer. Working at a major medical center with a strong commitment to nursing has enabled me to grow the knowledge, skills, confidence, and vision to pursue a meaningful leadership experience outside of my daily work setting. The Oncology Nursing Society has provided me with untold opportunities to integrate profound experiences in day-today practice with national initiatives, making for a very rich professional growth trajectory. On the State Level: Janet Madigan, RN, MS, CNAA, Senior Project Manager, PCS Informatics Immediate Past President, Massachusetts Organization of Nurse Executives Re: Testimony on Beacon Hill about staffing legislation MASSACHUSETTS ORGANIZATION OF NURSE EXECUTIVES Testimony in Support of Senate Bill 1260 An Act to Promote Safe Patient Care and Support the Nursing Profession Testimony in Opposition to House Bill 2663 An Act Ensuring Patient Safety 42

3 Testimony in Support of Senate Bill 1261/House Bills 2682 and 2693 An Act Relating to the Massachusetts Center for Nursing Testimony in Support of House Bill 2678 An Act Creating a Nursing Advisory Board Chairwoman Fargo, Chairman Koutoujian, distinguished members of the Public Health Committee, the Massachusetts Organization of Nurse Executives (MONE) is pleased to be here today to provide our perspective on legislation that will have a lasting impact on the nursing profession in Massachusetts and the patients we care for in our hospitals and health care facilities every day. My name is Janet Madigan and I am the President of the Massachusetts Organization of Nurse Executives. I have been a registered nurse in Massachusetts for over 30 years. Testifying with me today are Pat Reid Ponte, President-elect of MONE and Senior Vice President for Patient Care Services and Chief of Nursing, Dana Farber Cancer Institute and Barbara Doyle, Co-chair of MONE s Government Affairs Committee and Vice President, Patient Care and Ambulatory Services at Winchester Hospital. We are all registered nurses who have provided direct patient care during our nursing careers. The Massachusetts Organization of Nurse Executives (MONE) represents more than 500 nurse leaders from diverse practices throughout the Commonwealth. Our members employ and manage nurses and health care workers in various practice settings, including most of the acute-care hospitals in the Commonwealth, homecare, longterm care, academia and corrections. Additionally, they administer operating budgets of over $1 billion annually. There are over 107,000 registered nurses in Massachusetts. Nurse executives are responsible for managing and directing the activities of all nurses employed within health care facilities. MONE is pleased to testify today in support of Senate Bill 1260, the Patient Safety Act. I want to extend my thanks to the many staff nurses, physicians, medical professionals from home health care and behavioral health systems and business leaders who have joined us today to voice their support for this comprehensive nursing and patient safety legislation. Senate Bill 1260 is the proactive, compromise solution that the Legislature has been seeking to address two primary goals: 1. Addressing the nursing shortage and bolstering the supply of nurses and nurse faculty by supporting the nursing profession in Massachusetts through scholarships, loan forgiveness and mentoring and 2. Promoting safe patient care by creating a public accountability and state oversight process for the development of safe-staffing patterns to ensure high levels of patient care. Senate Bill 1260 is the only bill before you that focuses on the most important issue of all patient outcomes. This bill provides a process for hospitals to identify, monitor and publicly report on nurse staffing plans and nursesensitive quality outcome measures. Senate Bill1260 will not just give you a ratio of nurses to patients in a given 43

4 hospital, it will provide information on the nurse staffing of each hospital and the resulting patient outcomes. As you review the specifics of Senate Bill 1260 it is clear that this legislation sets out a concrete and comprehensive plan for achieving the dual goals of ensuring safe patient care and supporting the nursing profession. Here are the key components: Nurse Staffing Plans. Nursing workforce issues are complex. The ability to determine appropriate nurse staffing cannot be simplified by setting a fixed number. Differences in nursing skill level, patient acuity, geography of the unit, available technology, available assistive personnel, time of day etc. are factors that must be considered when assigning nurses to patients. Because every hospital is different and every nursing unit is different, the ability for each hospital to develop staffing plans specific to every unit and every shift is a key component of Senate Bill Unitbased plans that are developed with input from caregivers on the unit is the best way to ensure that the patient population cared for on that unit receives the appropriate level of care to ensure quality outcomes. Caregivers along with managers are the best people to make these decisions and to manage the day-to-day variables that affect staffing decisions. Legislated ratios cannot be substituted for clinical judgment. Placing the oversight of these plans in the hands of the Department of Public Health is an appropriate mechanism to ensure compliance. Public posting of the plans provides accountability and transparency to our patients and the public. Conclusion: All of these aspects demonstrate that Senate Bill 1260 is the credible and comprehensive solution to address the nursing shortage and ensure the delivery of safe patient care in Massachusetts. MONE respectfully asks the Committee to give Senate Bill 1260 a favorable report. House Bill 2663: Oppose MONE wishes to be recorded in opposition to House Bill As we have stated throughout our testimony, rigid ratios are not the solution and can and never should replace the clinical judgment of nursing professionals. There are no scientific studies to support the ratios called for in House Bill House Bill 2663 is silent on the issue of bolstering the supply of nurses and nurse faculty and supporting the nursing profession through scholarships, mentoring and other incentives. In addition, this legislation is silent on the critical issue of patient outcomes and accountability. This bill provides an unscientific, arbitrary ratio for all patients in all hospitals with no regard to the impact on patient outcomes. MONE believes there is a stark contrast between the two bills before you. We urge the Committee to reject House Bill 2663 and support the comprehensive and proactive alternative provided in Senate Bill We thank you for the opportunity to provide testimony and we are happy to provide any additional information to the Committee on this issue. 44

5 On the State Level: Meg Soriano, RN, Staff Nurse, Bigelow 11 General Medicine Re: Massachusetts Hospital Association Radio Ad titled, DECISIONS, April 18, 2006 Sound effect: BEATING HEART Meg: When you re sick. Sound effect: LOUDER HEARTBEAT Meg: when you re really sick Sound effect: HEART BEAT AND MEDICAL EQUIPMENT BEEPING Meg: and a nurse can ease your pain and save your life. do you want doctors and nurses making life and death decisions about your care or some government bureaucrat? Sound effect: END Meg: I m Meg. I m a nurse. And I m worried. A union representing only one in five nurses wants government mandated nurse staffing ratios so the government not health care professionals - will make decisions about your care. Ratios are opposed by the Association of Registered Nurses and the Association of Nurse Executives here in Massachusetts, and by the American Nurses Association...because they know patients deserve the best individualized care. And they know staffing ratios will add to your health insurance costs while doing nothing to improve care or solve our nursing shortage. Sound effect: HEARTBEAT Meg: Call and ask your legislator to oppose Mandated Ratios and support the Patient Safety Act. On the National Level: Kathryn Brush, RN, MS, CCRN, CCNS, FCCM, Clinical Nurse Specialist Member, Board of Directors, National Association of Clinical Nurse Specialists Through involvement with the National Association of Clinical Nurse Specialists (NACNS), I was invited by the Massachusetts Board of Registration in nursing (MABORN) to sit on the Advanced 45

6 Practice Registered Nurse (APRN) Task Force. With the exception of the Psychiatric Clinical Nurse Specialist, the title of CNS is not recognized and licensed within the state of Massachusetts. Because there is no formal recognition of the CNS title and thereby no title protection by the MABORN, there were many nurses holding the title of CNS who did not meet the nationally recognized educational requirements for the role. As a representative of the NACNS, I worked with the MABORN to resolve this title protection and licensing issue in Massachusetts. The Task Force unanimously voted to recommend to the full MABORN that CNS with APRN credentials who met the educational requirements should be licensed as APRNs. On the National Level: Jane Harker, MS, BSN, RN, CGRN, Staff Nurse Member, Nominations and Elections Committee of the Society of Gastroenterology Nurses and Associates (SGNA) Being part of the National Nominations and Elections Committee allowed me to be part of the screening and selection of a slate of candidates for national office that was presented to the Board of Directors of the Society of Gastroenterology Nurses and Associates (SGNA), and subsequently put forward for the membership to vote on. What an extraordinary experience to observe first hand how this process happens. I have had the opportunity to network with SGNA officers, and have been asked by several of them to consider running for the National Board in the Fall. On the International Level: Jeanette Ives Erickson, RN, MS, Senior Vice President for Patient Care and Chief Nurse Member, International Council of Nursing The following abstract titled, Global Nursing Partnerships for Dealing with the Unexpected: Creativity, Culture and Collaboration was submitted and accepted for presentation for a symposium at the 2007 International Council of Nursing Conference in Japan. Presenters: Jeanette Ives Erickson, MS, RN; Sheila Burke, RN, BSN; Lin-Ti Chang, MSN, RN-BC, APRN-BC, CCRN; Grace Deveney, RN, BSN; Marianne Ditomassi, MBA, MSN, RN; Katie Fallon, RN, BSN; Sukaina Ghazi Matter, RN, BSN; Karen Holland, RN, BSN; Donna Perry, PhD, RN; Angelleen Peters-Lewis, PhD, RN 46

7 Background: One of the greatest challenges for nursing is the need to achieve quality health outcomes for populations in transition, those whose lives have been disrupted due to conflict, genocide, natural disasters and migration. Objectives: The proposed symposium will report on five initiatives of Massachusetts General Hospital s multifaceted strategy to effect global health. Content: (1) Education for Disaster Preparation: A course on trauma care and disaster management was presented in Wuhan, China to prepare nurses to effectively manage patients in a disaster. (2) Nursing Leadership During Conflict: The MGH CNO is providing a new Iraqi CNO with mentoring in strategic planning and nursing education for a new pediatric hospital. (3) Disaster Response: MGH nurses provided care in Indonesia for victims of the tsunami and off the Gulf Coast following Hurricane Katrina. An ED nurse from MGH served as CNO for Project Hope aboard the USNS Comfort. (4) Refugee Medicine: Two staff nurses worked in the volatile Darfur region of Sudan as part of an MGH fellowship for refugee medicine. (a) One created and managed a mobile clinic for displaced persons. (b) One served as a nurse educator/supervisor in a malnutrition treatment program for children. (5) Health Disparities Research: A study exploring health patterns in women who migrated to the U.S. from the Caribbean found that patterns evolved to higher levels of consciousness in the midst of chaos, disorganization, and tragedy. Conclusion: Nursing knowledge and intervention is essential across the spectrum of preparation, response and healing. On the International Level: MGH Nursing has played an integral role in responding to international health needs. Numerous initiatives have been implemented to respond to both emergent and chronic health needs of global populations including: MGH nurses provided care in Indonesia and the Gulf Coast for victims of the tsunami and Hurricane Katrina on board the US Navy ships, Mercy and Comfort. MGH Emergency Department Staff Nurse, Karen Holland, RN, served as Chief Nurse on these missions and 47

8 subsequent missions. This important work was recognized at a ceremony on the South Lawn of the White House by President George W. Bush. Lin-Ti Chang, RN, Staff Specialist, and Shelia Burke, RN, Clinical Educator, taught trauma care and disaster-management in Wuhan, China, preparing nurses to effectively manage care delivery in a disaster situation. Sheila Davis, RN, Nurse Practitioner, and Chris Shaw, RN, Nurse Practitioner, taught AIDSprevention to nurses in South Africa. As integral members of the Nursing Partners AIDS Project team, they implemented and coordinated services to help alleviate the suffering caused by this devastating disease. Serving as Durant Fellows in Refugee Medicine, Katie Fallon, RN, Staff Nurse, created and managed a mobile clinic in the volatile Darfur region of the Sudan; and Grace Deveney, RN, Staff Nurse, served as a nurse educator/supervisor in a malnutrition treatment program for children in the Sudan. MGH Staff Nurse and Durant Fellow Chandra Plong, RN, completed the first half of her fellowship aboard the US Navy Ship, Mercy, visiting various ports to provide post-tsunami primary care and other medical services in areas of great need. Her mission brought her to Bangladesh; Kupang, West Timor; Dili, East Timor; Simeulue Island; Nias Island; Banda Aceh; and Tarakan in Indonesia. Chandra then traveled to Cambodia where she began the second half of her fellowship. Working for the Cambodian Health Committee, she was charged with the task of improving nursing care in the Pulmonary Unit of the largest public hospital in Phnom Penh. Lucy Langencamp, RN, Staff Nurse, worked in Rwanda as a Durant Fellow. She launched primary care services, as well as HIC care and treatment, in two rural health districts, Rwinkwava and Kirehe. Angelleen Peters-Lewis, RN, PhD, Nursing Director, conducted her dissertation on the health disparities topic, Exploring Health Patterns in Women who Migrated to the US from the Caribbean. MGH Clinical Nurse Specialist, Lynda Tyer-Viola, RNC, PhD, is the principal investigator in developing the Maternal/Infant Millennium Initiative for Zambia to meet the United Nations Millennium Development Goals of reducing maternal and infant mortality. Her responsibilities include developing an interdisciplinary, clinical curriculum to advance the role of the midwife to respond to, and provide, emergency obstetrical care closer to the family. 48

9 MGH Nursing is participating with colleagues from MGH Pulmonary Medicine and Respiratory Care to develop a pulmonary clinic in Banda Aceh. Colleen Dunbar, RN, and Melissa Pescatore, RN, Staff Nurses in the MGH Medical Intensive Care Unit (MICU) traveled to work in this clinic. They are the first of many MICU nurses who will go to Banda Aceh to staff this clinic. MGH Chief Nurse, Jeanette Ives Erickson, RN, MS, has consulted on developing the Nursing Services for the new Basrah Children s Hospital in Basrah, Iraq, slated to open in This has included personal mentoring of the new Chief Nurse, Sukaina Matter, RN. Creating this specialized pediatric hospital the first such healthcare facility built in Iraq in more than a quarter century is truly a humanitarian effort. It is being championed and supported by First Lady, Laura Bush, and Secretary of State, Condoleezza Rice. 49

10 Attachment 1.4.a Membership of MGH Nurses in Professional Nursing / Healthcare Organizations Academy for Health Services Research and Health Policy Academy of Medical Surgical Nurses American Academy of Nurse Practitioners American Academy of Nursing American Association of Critical Care Nurses American Association of Neuroscience Nurses American Association of PeriAnesthesia Nurses American Burn Association American Cancer Society American Dermatology Association American Diabetes Association American Heart Association American Nurses Association American Organization of Nurse Executives American Psychiatric Nursing Association Armenian Nursing Association Association for the Advancement of Wound Care Association for the Care of Children s Health Association of Nurses in AIDS Care Association of Operating Room Nurses Association of Rehabilitation Nurses Association of Women s Health, Obstetrical and Neonatal Nurses (AWHONN) Council of Armenian American Nurses Council on Teaching Hospitals: Perioperative Management/Nursing Eastern Nursing Research Society Emergency Department Management: Conference of Boston Teaching Hospitals Emergency Nurses Association End Stage Renal Disease Network of New England General Clinical Research Nurse Managers Association 50

11 Attachment 1.4.a continued Harvard Medical Institution s Committee Standards for Ambulatory Surgery and Anesthesia: VHA American Nephrology Nurses Association Health Summit Coalition Infusion Nurses Society Institute for Nursing Health Care Leadership International Association of Forensic Nurses International Council of Nurses International Society for Human Caring March of Dimes Massachusetts Coalition of Nurse Practitioners Massachusetts Public Health Association National Association of Clinical Nurse Specialists National Association of Neonatal Nurses National Association of Orthopedic Nurses National Conference of Gerontological Nurse Practitioners National Council of Negro Women National Kidney Foundation National League of Nursing National Patient Safety Foundation New England Regional Black Nurses Association North American Nursing Diagnosis Association (NANDA) Oncology Nursing Foundation Oncology Nursing Society Respiratory Nursing Society Sexual Assault Nurse Examiner Program, Dept. of Public Health, Commonwealth of Massachusetts National Alliance of Certified Legal Nurse Consultants Sigma Theta Tau Society of Critical Care Medicine Society of Pediatric Nurses Society of Rogerian Scholars Society of Vascular Nurses Transcultural Nursing Society Wound, Ostomy, Continence Nursing Society 51

12 Attachment 1.4.b Officers in Professional Organizations: I Officers: MGH Adele Keeley, RN, MS, Nursing Director Member, Board of Directors, MGH School of Nursing Alumnae Association STATE AND REGIONAL Patricia Atkins, RN, CNOR, BSN, Staff Nurse Treasurer, Association of Perioperative Registered Nurses, (AORN), Mass Chapter 1 Kathryn Brush, RN, MS, CCRN, FCCM, Clinical Nurse Specialist Member, Advanced Practice Registered Nurse Task Force, Massachusetts Board of Registered Nursing Joanne Empoliti, RN, MSN, APRN, ONC, Clinical Nurse Specialist President, National Association of Orthopaedic Nurses, Massachusetts Chapter Carol Ghiloni, RN, MSN, OCN, Staff Specialist Co-Chair, Membership Committee, Boston Oncology Nursing Society, (BONS) Mary McKenna Guanci, RN, MS, CNRN, Clinical Nurse Specialist President, Boston Chapter, Neuroscience Nurses Association Jeanette Ives Erickson, RN, MS, Senior VP for Patient Care/Chief Nurse Member, Harvard Humanitarian Initiative Executive Committee, Harvard University Member, Board of Directors, Benson-Henry Institute for Mind Body Medicine, Chestnut Hill, MA Member, Board of Directors and Senior Associate, The Institute for Nursing Healthcare Leadership, Boston, MA Elizabeth Johnson, RN, MSN, AOCN, AOCNS, HPCN, Clinical Nurse Specialist Chapter President, Boston Oncology Nursing Society Cynthia Ann LaSala, MS, RN, Clinical Nurse Specialist Delegate, American Nurses Association, (ANA) Board Member, American Nurses Association (ANA) Center for Ethics and Human Rights Amy Levine, RN, BSN, Staff Nurse Nurse Leader, Sigma Theta Tau-Gamma Epsilon Chapter, Boston Janet Madigan, RN, MS, CNAA, Senior Project Manager Immediate Past President, Massachusetts Organization of Nurse Executives Jill Pedro, RN, MSN, APRN, Clinical Nurse Specialist Secretary, National Association of Orthopaedic Nurses, Massachusetts Chapter 52

13 Attachment 1.4.b continued Kathleen Myers, RN, MSN, APRN, BC, Nursing Director Member, Board of Directors, National Association of Orthopaedic Nurses, Massachusetts Chapter Gayle Peterson, RN, Staff Nurse Member, City of Melrose, MA, Human Rights Commission Laura Ryan, RN, OCN, Staff Nurse Member, Board of Directors, New England Coalition of Cancer Survivorship Carol Tyksienski, RN, MS, APRN, BC, Clinical Nurse Specialist Member, ESRD Network of New England Medical Review Board. Philip Waithe, Jr., RN, Nurse Educator Member, Board of Registration in Nursing NATIONAL Jane Harker, MS, BSN, RN, CGRN, Staff Nurse Elected to: Nominations and Elections Committee of the Society of Gastroenterology Nurses and Associates (SGNA) Jeanette Ives Erickson, RN, MS, Senior VP for Patient Care/Chief Nurse Member, Operational Review Team, National Institutes of Health, Warren G. Magnuson Clinical Center, Bethesda, MD Member, National Advisory Committee and Nurse Leadership Association, Board of Directors, Robert Wood Johnson Executive Nurse Fellows Program, Princeton, NJ Elizabeth Johnson, RN, Clinical Nurse Specialist Fellow: Oncology Nursing Society Leadership Development Institute Janet King, RN, Staff Nurse Co-facilitator, Manometry Electronic Special Interest Group (e-sig) Peter Moran, RN, Case Manager President-Elect, Case Management Society of America (CMSA) Janet Mulligan, RN, MS, Nursing Director Member, Publications Committee, Association for Vascular Access (AVA) Gayle Peterson, RN, Staff Nurse Member, House of Delegates of the American Nurses Association (ANA) Tom Quinn, RN, MSN, AOCN, Clinical Nurse Specialist Nominating Committee Member, American Society for Pain Management Nursing, (ASPMN) Sandra Silvestri, RN, MS, CNOR, Clinical Nurse Specialist Member, Advanced Practice, Perioperative Nurses with Masters Degree Task Force, Association of Perioperative Registered Nurses, National 53

14 Attachment 1.4.b continued INTERNATIONAL Jeanette Ives Erickson, RN, MS, Senior VP for Patient Care/Chief Nurse Senior Nurse Consultant and Mentor for Chief Nurse, Project Hope Basrah Children s Hospital, Basrah, Iraq II STATE AND REGIONAL Diane Carroll, RN, PhD, Nurse Researcher Adjunct Associate Professor, Northeastern University Visiting Scholar, Boston College Jane Harker, RN, MS, BSN, CGRN, Staff Nurse President, New England Society of Gastroenterology Nurses and Associates, (NESGNA) Christopher Robbins, RN, CGRN, Staff Nurse Member, Board of Directors, New England Society of Gastroenterology Nurses and Associates, (NESGNA) Julie Thayer, RN, Staff Nurse Chair, Governance Committee, Theta at Large Chapter, Sigma Theta Tau NATIONAL Paul Arnstein, RN, PhD, Clinical Nurse Specialist Member, Education Advisory Committee, American Pain Society Kathryn Brush, RN, MS, CCRN, CCNS, FCCM, Clinical Nurse Specialist Member, Board of Directors, National Association of Clinical Nurse Specialists Jeanette Ives Erickson, RN, MS, Senior VP for Patient Care/Chief Nurse Member, National Advisory Council on Nurse Education and Practice Elizabeth Johnson, RN, MSN, AOCN, AOCNS, Clinical Nurse Specialist Member, Nominating Committee, Oncology Nursing Society, (ONS) Member, Advanced Oncology Nursing Certification Committee, Oncology Nursing Certification Corporation Peter Moran, RN, C, BSN, MS, CCM, MGH ED, Case Manager President, Case Management Society of America, (CSMA) Thomas E. Quinn, MSN, RN, AOCN, CHPN, Clinical Nurse Specialist Member, Editorial Board for Pain Management Nursing, American Society for Pain Management Nursing, (ASPMN) Trainer, End-of-Life Nursing Education Curriculum in Oncology, (ELNEC-O) Trainer, Hospice and Palliative Nurses Association, (HPNA), Generalist Clinical Review Laurel Radwin, RN, PhD, Nurse Researcher 54

15 Attachment 1.4.b continued Member, Abstract Review Panel, June 2007 Academy Health Interdisciplinary Research Group on Nursing Issues Program INTERNATIONAL Jeanette Ives Erickson, RN, MS, Senior VP for Patient Care/Chief Nurse Senior Nurse Consultant and Mentor for Chief Nurse, Project Hope Basrah Children s Hospital, Basrah, Iraq 55