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ResolutionsAlexis BroggiLegislative Director2014
Make a Difference!
Write a Resolution!
• Are you passionate about an issue in health care? • Would you like to make a difference in health
policy at the state and possibly the national level?
• Advocate and voice matters of importance for nursing students, CNSA, the nursing profession, and the health needs of the community.
Replacement nurses had been hired at a hospital in Oakland, CA under a 5 day contract as a result of a one day nurse strike. On the 3rd day of this contract a replacement nurse mistakenly connected a bag of enteral feeding to a patients Intravenous catheter, resulting in their death.
SPONSOREDTOPIC: IN SUPPORT OF INCREASING AWARENESS TO PREVENT TUBING AND CATHETER
MISCONNECTION ERRORS IN THE HOSPITAL SETTING.SUBMITTED BY: San Diego State UniversityAUTHOR: Jessica HunterWHEREAS, “Reports to the Joint Commission, ECRI (formerly the Emergency Care Research Institute), the Food
and Drug Administration (FDA), the Institute for Safe Medication Practices and the U.S. Pharmacopeia show that tubing and catheter misconnection errors occur frequently and lead to deadly consequences in many instances” (Hellwig, 2006); and
WHEREAS, According to The Joint Commission (2006), on April 3, 2006, a Sentinel Event Alert (Issue 36) was published reporting that, “To date, nine cases involving tubing misconnections have been reported to the Joint Commission’s Sentinel Event Database. These resulted in eight deaths and one instance of permanent loss of function, and affected seven adults and two infants”; and
WHERAS, “Further review of misconnections reported to the United States Pharmacopeia found 300 cases that included connections of epidural lines to intravenous catheters, bladder irrigation solutions connected to primary infusion sets, intravenous infusions connected to indwelling (Foley) catheters, and various other misconnections between critically incompatible infusion and drainage sets” (Graves & Simmons, 2008); and
WHEREAS, The ECRI (2010) identified Luer misconnections as hazard # 6 in their recent report of the “Top 10 Technology Hazards for 2011” in which they stated that “Although misconnections have been recognized as a serious problem for years, incidents are still common”; and
WHEREAS, The World Health Organization (2007) named “avoiding catheter and tubing misconnections” as one of its “Nine patient safety solutions” that will “help reduce the toll of health care-related harm affecting millions of patients worldwide”; therefore be it
RESOLVED,that the California Nursing Students’ Association (CNSA) encourage its constituents to advocate for increased awareness of preventing tubing and catheter misconnection errors in the hospital setting by nurses and nursing students; and be it further
RESOLVED,that the CNSA publish an article about this topic in the Range of Motion magazine, if feasible; and be it further
RESOLVED,that the CNSA send a copy of this resolution to the Association of California Nurse Leaders, American Nursing Association/California, the Nurse Alliance of California, the California Board of Registered Nursing, the California Association of Medical Product Suppliers, Catholic Healthcare West, Kaiser Permanente, Sutter Health, Community Regional Medical Center, Stanford Medical Center, Loma Linda University Medical Center, California Department of Veterans Affairs, and all others deemed appropriate by the CNSA Board of Directors.
Definition of a Resolution
A resolution is a document that, when adopted by the CNSA House of Delegates, becomes the basis of policies, priorities and actions of CNSA.
These position papers represent matters of importance to CNSA constituents, members, chapters, nursing and/or the health needs of the public.
3 Types of Resolutions
•Resolutions of Substance
•Courtesy Resolutions
•Emergency Resolutions
An author can be…
•CNSA members•CNSA chapters•CNSA Board of
Directors•CNSA Committees
•Faculty and Advisors are available only to help guide student authors
Topic•First: determine an issue that is relevant
to nursing students, nursing, healthcare policy and CNSA
•Choose a topic that has not been adopted by the CNSA or NSNA HOD within the past 5 years
•Must be able to be implemented within CNSA’s resources
•Fall within the CNSA bylaws and mission statement
Resolution Reaffirmation
•Resolution reaffirmation: duplication of an adopted resolution <5 years old
•First whereas statement must reference the original resolution
•Needs to have significant change in the status of an issue, new research or information
A resolution is composed of:
1. Title 2. Submitting Chapter 3. Submitting Authors4. “Whereas” clauses: summarize with
documentation the reasons and rationale for the resolution (with supporting documentation cited)
5. "Resolved" clauses: contain the position to be taken on the issue and/or actions to be taken by CSNA, its constituent associations, and its members.
Title•Max of 15 words•Includes the topic along with the goal•Check the CNSA and NSNA Resolution
Index for more examples▫“In support of___”▫“Increase awareness of___”▫“Seek to add___ to nursing curriculum”▫“Support policy that___”▫“Advocate for___”
Whereas
•5-10 whereas clauses, LIMIT 300 WORDS▫Essentially pieces pulled from reliable
articles/organizations which support the topic of the resolution
▫Evidence based information < 5 years old▫Use direct quotes or paraphrasing from
evidence▫Non-amendable by the House of Delegates▫Less is more, be concise
Resolved
• 3-5 Resolved clauses, which define▫ the purpose of the resolution and the stance the
author believes CNSA should take on this issue▫Define the ways in which the resolution may
realistically be feasibly implemented by CNSA• First statement: should be the position/initial
action• Following statements: subsequent actions• Final statement: “send a copy of this resolution
to…” and include a list of organizations• Amendable by majority vote in HOD
Before Submitting!
•Proof read/ review your resolution•Pre-Formatted Template provided on the
NSNA website: http://www.nsna.org/Resolutions/
NSNAResolutions.aspx•APA 6th ed •All components of the Resolutions
Submission Packet completed
Other Components: Resolutions Packet
• Abstract•Cost estimate•Articles used to
develop the whereas statements
•Reference list•Names and Addresses
of those identified in the resolved clauses
•Resolution checklist
AbstractFor ExampleTOPIC: INCREASING NURSING STUDENT RESEARCH
EXPOSURE TO ADDRESS NEED FOR MORE RESEARCH-FOCUSED NURSES SUBMITTED BY: Florida Nursing Students' Association
Board Abstract: Nursing research is an essential component of
improving national health outcomes. All nurses provide evidence-based care, and are, therefore, called to be both responsible research consumers and contributors to the nursing knowledge base. The number of qualified U.S. nurse researchers must double in the next decade. By participating in research projects, journal clubs, and exploring research studies with nurse researchers, nursing students can be exposed to career opportunities in nursing research.
Cost EstimateSample Cost EstimateSample of Cost Estimate to be prepared based on
projected cost of implementing the resolution, if adopted.
Document Size 3 pages Photocopy costs $.10/page x 3 pages = $.30/copy x 65 mailings = $19.50
Postage costs $.45/mailing x 65 mailings = $29.25 Envelopes $.10/envelope x 65 envelopes $ 6.50Total Cost $55.25
Articles Used▫ Professional journals and appropriate
sourcesmust be evidence based!
▫ Ex: journal articlesweb site articlestext and reference booksmaterials from other organizationsspeechesresearch reports
▫ Documentation must be fact, rather than opinion.
▫ CINAHL, PUBMED, and other databases such as these are great places to search for reliable articles
Reference ListPartial Sample List of References
Fact Sheet Safe Needles Save Lives. (2010). Risks and Laws regarding safe
needles procedures and precautions. [Brochure]. American Nurses
Association educational project.
Safe Needles Save Lives. (n.d.). American Nurses Association. Retrieved
from:
http://www.nursingworld.org/MainMenuCategories/
OccupationalandEnvironmental/occupationalhealth/SafeNeedles.aspx
Safety and Health Topics: Bloodborne Pathogens and Needlestick
Prevention. (2009, January 22). Occupational Safety and Health
Administration - Home. Retrieved from:
http://www.osha.gov/SLTC/bloodbornepathogens/index.htm
Submitting
• Resolutions must be submitted to the Legislative Director
• Resolutions are checked for completeness utilizing the CNSA Resolutions Checklist found on the CNSA website
• Only complete resolution, accompanied with a completed checklist, will be considered for submission to the House of Delegates.
First Draft is due via email to the Legislative Director on August 29th, 2014
Final Draft must be received by the Legislative DirectorAND the CNSA Office by September 19th, 2014
After Submission
•After the first submission, the resolution will be reviewed by the Resolutions Committee
•All resolutions submitted have the chance to be adopted at the CNSA convention, as well as presented at NSNA.
•However, one resolution may be sponsored to be presented at the NSNA convention
•The sponsored resolution is then submitted as a “CNSA resolution”
Convention• Resolutions Hearing
▫Resolution Introduction: authors present a timed statement
• House of Delegates Formal Debate▫Authors have the
courtesy to speak first and give the first timed pro statement
▫Adopted by a majority vote 50%+ of the HOD
Be Concise Be Realistic
Be PositiveBe Knowledgeable
Gather support and Assistance
Use Microphone Time WiselyBe available
Have Documentation Handy
Ask Questions
What is the issue or problem that you want to address?
Why is it important to nursing students and the nursing community?
What do you want CSNA to do about it?
If you can answer these questions, you can write a successful resolution!
Alexis [email protected]
(559)283-0538
Legislative [email protected]
Do NOT use the [email protected]
•http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Guidelines%20for%20Planning%20Resolutions%20for%202015%20HOD.pdf
