**National Nurse Executive Council**

**(NNEC) Conference Call**

**1-800-767-1750, Access Code 19267**

# July 14, 2005

> Roll Call:

  ------------- ----------- ---------------------- ---------- -----------------
  **LAST NAME** **FIRST     **FACILITY**           **VISN**   
                NAME**                                        

  RICK          Cathy       VACO, Wash, DC         HQ         Presided

  DRAKE         Audrey      VACO, Wash, DC         HQ         X

  PARADIS       Rose        VACO, Wash, DC         HQ         X

  OTT           Karen       VACO, Wash, DC         HQ         X

  MOORER        Oyweda      VACO, Wash, DC         HQ         X

  ALT-WHITE     Anna        VACO, Wash, DC         HQ         Excused

  KELLEN        Becky       VACO, Wash, DC         HQ         X

  GROVE         Mike        VACO, Wash, DC         HQ         X

  HARTY         Kate        VAMC White River       1          X
                            Junction, VT                      

  WEISS         Lizabeth    VA WNYHCS, Buffalo     2          X

  GRIFFIN       Sandra      VA HVHCS Montrose, NY  3          X

  WETZEL        Donald      VAMC Erie, PA          4          X

  COYLE         Geraldine   VAMC, Martinsburg, WV  5          X

  MOORE         Audrey      VAMC Hampton, VA       6          X

  EAGERTON      Gregory     VAMC Birmingham, AL    7          X (Mary

  JANZEN        Sandra      VAMC, Tampa, FL        8          X

  HARRIS        James       VAMC Nashville, TN     9          X

  YERARDI       Ruth        VAMC, Chillicothe, OH  10         X

  TIRONE        Jo          VAMC, Ann Arbor, MI    11         X

  GORDON        Cynthia     VAMC, Mountain, MI     12         X (Paula Steward)

  GREGORY       Christine   VA CIHCS, Des Moines,  23         X
                            IA                                

  COOPER        Lynn        VAMC, Columbia, MO     15         X

  KNIGHT        Rosell      VAMC, Oklahoma City    16         X

  BERRIGAN      Sandra      ST\`VHCS, San Antonio  17         X

  WALTERS       Mary        VAMC Tucson, AZ        18         X (Shelia
                                                              Thompson)

  SNYDER        Chandra     VA Montana HCS, MT     19         X

  ALLEN         Karen       VAD White City, OR     20         X

  IATAROLA      Donna       VANCHS, Mather' CA     21         X

  GILLESPIE     Anne        VAMC Loma Linda, CA    22         X

  DOUGLAS       Marty       VAMC, Palo Alto, CA    RSCH       X (Maude Rittman)

  EINHORN       Carol       VAMC, Chicago, IL      APN        X
  ------------- ----------- ---------------------- ---------- -----------------

+-----------------+----------------------------------------------------+
| ## Minutes      |                                                    |
+-----------------+----------------------------------------------------+
|                 | ## June NNEC minutes will be sent out to           |
|                 |  NNEC members for comments/changes. Minutes will b |
|                 | e considered approved if no changes are provided.  |
+-----------------+----------------------------------------------------+
| #               |                                                    |
| # Announcements |                                                    |
+-----------------+----------------------------------------------------+
|                 | **Sandy Janzen,** NNEC representative for VISN 8,  |
|                 | will be will be rotating off. **Kathryn            |
|                 | Ward-Presson, VAMC Miami, FL** will replace Sandy, |
|                 | transitioning August 2005.                         |
|                 |                                                    |
|                 | **Sales & Sharp Study** manuscript was accepted    |
|                 | for JONA October 2005.                             |
|                 |                                                    |
|                 | **Licensure in Compact States for Federal Nurses** |
|                 | NNEC members were encouraged to share printed      |
|                 | guidance from NCSBN their VISN and Advisory Groups |
|                 | to clarify nurse license issues.                   |
|                 |                                                    |
|                 | ![](media/image2.wmf)                              |
|                 |                                                    |
|                 | ## ONS Annual                                      |
|                 |  Report All copies should have reached Nurse Execu |
|                 | tives. If Nurse Executives have not received their |
|                 |  distribution, they should contact Angela Walker.  |
|                 |                                                    |
|                 | ##                                                 |
|                 |                                                    |
|                 | **Commission Tracking Sheet** The new format was   |
|                 | presented as a revised approach to easily identify |
|                 | status of action/activities. NNEC members are      |
|                 | encouraged to share tracking sheet with advisory   |
|                 | groups and all Nurse Executives in their VISN.     |
|                 |                                                    |
|                 | ![](media/image1.wmf)                              |
+-----------------+----------------------------------------------------+
| ## Business     |                                                    |
+-----------------+----------------------------------------------------+
|                 | **2006 Nurse Leadership Conference** The           |
|                 | Leadership Workgroup developed an option paper for |
|                 | NNEC to review suggested dates to host the annual  |
|                 | nurse leadership conference. Three options were    |
|                 | provided and NNEC members recommended option 2 as  |
|                 | follows:                                           |
|                 |                                                    |
|                 | -   Travel Sunday, April 23                        |
|                 |                                                    |
|                 | -   Monday April 24^th^ all-day Conference         |
|                 |                                                    |
|                 | -   Tuesday April 25^th^ all-day                   |
|                 |                                                    |
|                 | -   Wednesday April 26^th^ NNEC meeting            |
|                 |                                                    |
|                 | -   Thursday April 27^th^ NNEC meeting, half-day   |
|                 |                                                    |
|                 | ## NOVA Member S                                   |
|                 | urvey Cathy Rick met with NOVA Present, Diane Nels |
|                 | on and Executive Assistant, Debra Beck, regarding: |
|                 |                                                    |
|                 | ## ONS feedback to the survey                      |
|                 |                                                    |
|                 | ## Survey question structure                       |
|                 |                                                    |
|                 | ## Plans on how data will be used                  |
|                 |                                                    |
|                 | ## Inclusion o                                     |
|                 | f VHA ONS in the review process of future surveys  |
|                 |                                                    |
|                 | ## According                                       |
|                 | to NOVA, the survey data is for information only.  |
|                 |                                                    |
|                 | ## Action: The Workforce group will re             |
|                 | view survey findings and determine if any action i |
|                 | s recommended from ONS on a national perspective.  |
|                 |                                                    |
|                 | **Keeping Patient Safe Report -- Crosswalk to      |
|                 | Nursing Goals**                                    |
|                 |                                                    |
|                 | The Workgroup has aligned recommendations with     |
|                 | NNEC goals. The crosswalk has been forwarded to    |
|                 | NNEC Workgroup chairs to review. Workgroup chairs  |
|                 | are expected to verify recommendations aligned     |
|                 | with workgroup initiatives and provide input and   |
|                 | comments. It was noted that some workgroups are    |
|                 | already working on strategies to address           |
|                 | recommendations from the IOM report.               |
|                 |                                                    |
|                 | > **Action**: Feedback from NNEC and workgroup     |
|                 | > chairs should be forwarded to Rose Paradis or    |
|                 | > Donna Iatarola                                   |
|                 |                                                    |
|                 | **General Nursing Task Survey** A study is being   |
|                 | developed to address one of the commission's       |
|                 | recommendations under work environment. The survey |
|                 | will be used to identify general tasks that are    |
|                 | sometimes performed by a nurse. Survey results     |
|                 | will help facilities in realigning tasks to        |
|                 | appropriate personnel. The survey is now in the    |
|                 | review process. NNEC members are asked to review   |
|                 | and provide feed back to ONS. Once survey is       |
|                 | final, it will be forwarded to Labor partners for  |
|                 | their review.                                      |
|                 |                                                    |
|                 | > **Act ion**: NNEC to forward feedback to Rose    |
|                 | > Paradis.                                         |
|                 |                                                    |
|                 | **Medication Administration by ULAPs** The         |
|                 | directive has been revised based on comments from  |
|                 | NAGE and UAN. No major changes were made to the    |
|                 | directive, however, it was expanded to clarify     |
|                 | information and include a statement that addressed |
|                 | medication administration safety and reporting     |
|                 | procedures of the training program. The directive  |
|                 | has been reissued to NAGE and UAN for comments.    |
|                 | Karen Ott is currently working with EES to develop |
|                 | a web-based medication administration training     |
|                 | program for ULAPs. The establishment of a training |
|                 | program will meet the training requirement that is |
|                 | stipulated in the policy.                          |
|                 |                                                    |
|                 | > **Action**: Oyweda Moorer will forward the       |
|                 | > updated draft Directive to NNEC. NNEC will       |
|                 | > forward to Karen Ott any known web-based         |
|                 | > training vendors that meet the needs of the      |
|                 | > medication administration training.              |
|                 |                                                    |
|                 | **AACN Clinical Practice Doctorate** The AACN      |
|                 | position statement on the Practice Doctorate in    |
|                 | Nursing and its Impact on the VA was shared with   |
|                 | NNEC members. A small group (Karen Ott, Anna       |
|                 | Alt-White and Chris Kasper) was asked to identify  |
|                 | the impact the program would have on VA Nursing    |
|                 | and develop an action plan. The action plan        |
|                 | consist of:                                        |
|                 |                                                    |
|                 | -   ONS request to be a major participant in the   |
|                 |     design and development of initiative           |
|                 |                                                    |
|                 | -   ONS will convene five to six focus groups      |
|                 |     (8-10 members) to obtain feedback and identify |
|                 |     issues, challenges benefits and needs for VA   |
|                 |                                                    |
|                 | Focus group membership will include VA APNs, Nurse |
|                 | Executives and Nurse Researchers. The first focus  |
|                 | group is tentatively scheduled to meet in August   |
|                 | at the APNAG meeting.                              |
|                 |                                                    |
|                 | **Business/Finance Skills for Nurse Executives**   |
|                 | The Leadership Workgroup is developing strategies  |
|                 | and tools that will increase the Nurse Executives  |
|                 | knowledge of VHA finance/budget and develop a      |
|                 | mechanism that will include NEs in the decision    |
|                 | process for local budgets. The Leadership          |
|                 | Workgroup plans include:                           |
|                 |                                                    |
|                 | -   Working with Paul Kearns from VHA Budget       |
|                 |     Office to assist in developing tools to        |
|                 |     education Nurse Executive in budget/finance    |
|                 |                                                    |
|                 | -   Developing web-based desktop training at the   |
|                 |     desktop                                        |
|                 |                                                    |
|                 | -   Discussing with EES to incorporate training    |
|                 |     options in ECF program for the Nurse Executive |
|                 |     Role                                           |
|                 |                                                    |
|                 | -   Identifying and review books for Nurse         |
|                 |     Executives on Finance                          |
|                 |                                                    |
|                 | -   Updating Core Curriculum to include a finance  |
|                 |     section for nurse executives and nurse         |
|                 |     managers                                       |
|                 |                                                    |
|                 | -   Working with the Administrative Indicator      |
|                 |     Workgroup                                      |
|                 |                                                    |
|                 | **Resource Documents for Care Coordination** The   |
|                 | Care Coordination Workgroup developed reference    |
|                 | materials and presented to NNEC for advice on the  |
|                 | best way to distribute the information. The        |
|                 | following suggestions were offered:                |
|                 |                                                    |
|                 | -   Make it available electronically on ONS        |
|                 |     Webpage                                        |
|                 |                                                    |
|                 | -   Have ONS do the initial distribution via email |
|                 |                                                    |
|                 | -   Present to NNEC Workgroups for further         |
|                 |     distribution strategies                        |
|                 |                                                    |
|                 | **GEC Referral Form** Issues related to the        |
|                 | implementation of the referral form have been      |
|                 | brought to the attention of Nursing. Ruth Yerardi  |
|                 | serves as ONS representative and will participate  |
|                 | in a conference call with the AFGE on July 20^th^. |
|                 | NNEC members were asked to review the GEC referral |
|                 | form and provide feedback to Ruth Yerardi.         |
|                 |                                                    |
|                 | > **Action**: NNEC to forward feedback to Ruth     |
|                 | > Yerardi by July 19^th^.                          |
|                 |                                                    |
|                 | **COLLAGE implementation** plan was provided. The  |
|                 | first step will be establishing the orientation    |
|                 | conference call between COLLAGE staff, NNEC        |
|                 | Workgroup leader and ONS facilitator. Jessica      |
|                 | Hunter will contact groups to schedule the         |
|                 | conference call. Questions regarding COLLAGE can   |
|                 | be referred to Becky Kellen.                       |
+-----------------+----------------------------------------------------+
| ## Futu         | -   Career Path Workgroup Interim Report           |
| re Agenda Items |                                                    |
|                 | -   Forensic Nursing Proposal                      |
|                 |                                                    |
|                 | -   Nursing Research Agenda                        |
+-----------------+----------------------------------------------------+

**Next NNEC Conference Call September 8, 2005**

**1-800-767-1750, access 19267**

### 

### Face-to-Face NNEC Meeting, November 3-4, 2005

**Nashville, TN**