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Lessons Learned: Rebuilding the Greater New Orleans Chapter of AACN Denise Bonura-Henry, RN CAT Region 12 (AR, LA, MS) Liz Stevens, RN President-Elect GNOC Michelle Rihner, RN President GNOC Objectives • Identify challenges facing a chapter post disaster • List strategies that can be used to rebuild and/or revitalize a chapter • Utilizing the President’s Theme to gain strength and regroup Lessons Learned: Rebuilding the Greater New Orleans Chapter of AACN Denise Bonura-Henry, RN CAT Region 12 (AR, LA, MS) Disaster Struck August 29, 2005 Impact on Healthcare • 14 hospitals prior to Katrina • 3 hospitals remained opened during/after • Currently 8 hospitals opened Impact on GNOC Members • Do we have jobs? • Where will we live? • Where will our children attend school? • Families split between cities/states • Retirement and lost benefits GNOC Where is everybody? • Members scattered across the country • 504 area code down • 985 area code overloaded • No mail, UPS, FedEx • Chapter information at homes of officers – Home addresses – Home and work phone numbers – Cell phone numbers not in database Finding Strength and Inspiration Engaged in Strategies to Find Our Nurses • GNOC website – ET’s Phone home not an option – Engage in today’s technology with “email home” • “Where are you?” • “What do you need?” • “What is your situation?” Engaged in Strategies to Find Our Nurses • AACN office and its resources – A means of communication; a link between local members – Phone conference call with Pres. Debbie Brinker, Pres-elect Mary Fran Tracy, and CEO Wanda Johanson – AACN Katrina Disaster Connection Center – a message board on AACN’s website Engaged in Strategies to Find Our Nurses • Word of Mouth • Hospital visits • Engaging your CAT • Visit from AACN Pres Debbie Brinker and Pres-elect Mary Fran Tracy Meeting and Resuming Chapter Business • Teamwork and shared responsibilities – Sensitivity to each one’s own situation – Stepping up to the plate • Hospital liaisons or “Chapter Ambassadors” Finding Strength and Inspiration Lessons Learned: Rebuilding the Greater New Orleans Chapter On The Frontline Michelle Martello Rihner GNOC AACN President This is our love, This is our life, This is our home, Louisiana, This is our day, come what may, This is our home. Lessons Learned: Rebuilding the Greater New Orleans Chapter Lessons Learned • Been there, • Did that, • Got the T- shirt • If only I had…. Lessons Learned • In order: • Recover – To prepare for “it could happen to us” • Rebuild – To regroup from whatever “storm” may • Renew have befallen you – To save the life of a chapter “on your shift”: AKA Chronicles of “Warning Ya” CHALLENGE 1: PREPARATION Preparation- the Board • Design an emergency protocol and review with all levels of the chapter, once a year through meetings, email, newsletters • Each board member knows how to easily access chapter emergency contact information Preparation-the Board • All members of the board should have a hard (Paper/CD) copy list of board/chapter members to easily store/transport • Design a board “emergency phone tree” to be activated in the situation of an urgent evacuation/crisis On Line Archival • Set up this information on an online archival system – At the chapter e-mail site • Have folders listed for each officer or task Newsletters Agendas Minutes Board contact list Membership list/ Mailing list Facility liaison list Financial reports Correspondences On-Line Archival • Purchase a program for online archiving CHALLENGE 2: IN THE FACE OF THE EMERGENCY IN THE FACE OF THE EMERGENCY •Engage- Why should I invest my energy into this task Internal: Officers External: Members, Patients •Transform- Take action In The Emergency • With the email/phone tree system: • As appropriate: each officer takes their respective Chapter binders, information discs with them or knows how to access the information • Remind each officer to contact the Chapter President/ National ASAP after the event In The Face of the Emergency-National • President notifies the National Office-Chapter Relations (Mitzi Inman), reference point for all board members to communicate with, if they are unable to reach local chapter leaders • President establish correspondence with the Regional CAT • Establish an “out-of-the-area” National contact name and maintain communication with that same person • Converse with a minimal # of people and establish a record of communications with a “notebook” and converse consistently with your CAT In The Emergency-Chapter • Minimize communications to only those necessary – Establish members’ personal safety, needs of family members – Refer all members to a central site of communication, AACN web site, local resources if available: ARC, FEMA, banks CHALLENGE: TO RISE • Powered by insight • And each other Rise Strategy Rise • Where is everyone? • Contact Board members first –phone, email, text message • Establish an updated contact list for the board and be certain that all members of the board receive each other’s new information • • Locate membership: – E-mails are sent out first as possible – Postal service mail is attempted second • Printers have moved to ?????? • Mailers( mail services) are MIA or moving still • P. O. Box is closed, no mail delivery • Post office itself moves • Mail service now takes weeks to deliver by way of Houston Rise: CONTACT • Contact Chapter members • Contact chapter vendors that provided communication services and send out an immediate contact flier – Mailers 1: never found – Mailer 2: found them…then lost them??? – Mailer 3: found 30 miles North Communication • Thoughts for the day: – Do a physical mailing to a “pre-disaster” membership list – Initially, use first class delivery to accumulate information on displaced/ “non-deliverable” members – Certain zip codes are not receiving mail at all – Bulk mailing is not permitted to certain zip codes including journals – Initiate E-mailing to any current facility contacts – Conduct member-delivery of fliers to facilities as possible There is no greater gift than your physical presence Rise: Contact • Field Rides • Officer/s divide chapter area into quadrants • List all facilities with active critical care units – ICU, CCU, TRANSITIONAL UNITS, CATH LAB, SPECIAL PROCEDURES, ED, PACU – Walk into every hospital, every unit Rise • On the Field Ride • Bring fliers with: – Local chapter statements/ priorities – National contacts list – Local chapter contacts list • web sites • email addresses ENGAGE At each unit: – Assess staff member/ unit losses and document – Establish specific facility liaison contact per email/phone: Critical Care Circle – Communicate findings to the board/ chapter as feasible Hear us… Flier for Fall Field Rides www.AACN.org> AACN Announcements> AACN Katrina Disaster Connection Center We are listening AACN-GNOC AACN helping nurses…… AACN has launched a special online Katrina hurricane disaster connection center, which combines existing resources with a new one developed in response to communications with members from the impacted areas as well as from across the country. The latter is a message board where nurses wanting to provide assistance can post what they have to offer and nurses needing assistance can respond directly to them. AACN has received numerous inquiries from its chapters and individual members about how they can help their Gulf Coast colleagues. And, during a recent conference call with a group of members from the New Orleans area, AACN leadership heard about the need for a way to connect with displaced colleagues and others. The message board will be a place to post offers of assistance, such as available jobs, temporary housing, furniture and personal items. Also in this online center are the existing resources that were posted immediately following the hurricane and the “Share Your Stories” area, where members are posting accounts of their personal experiences. To access this new online resource, go to www.aacn.org > AACN Announcements > AACN Katrina Disaster Connection Center. …….Nurses helping the Gulf Coast Please help us help others…….. We, the local chapter of GNOC- AACN, would like to extend our deepest gratitude and appreciation for all the critical care nurses who aided our community before, during, after the hurricanes. We, as your local chapter, are trying to locate our displaced critical care nurses. If you should happen to know of one of our members who had to move to due to the hurricanes, please have them connect with us through the AACN web site. There is a “Locate a Colleague”page for members to contact our chapter officers directly. This page can also be used for connecting our critical care nurses who have been separated from their peers. The site is intended to help the displaced members and critical care nurses find assistance through local resources or the many concerned chapters in our organization. Displaced members and critical care nurses can liaison with other AACN members in their current geographic area. We would greatly appreciate your help in this most important of endeavors. Our AACN officers have been in contact with us and helping as they can. Some of our officers are hoping to come to the New Orleans area in the end of January. They are here to give their support, hear your concerns, and needs. We will update you as the dates near. Our thoughts and best wishes are with you all at this time. Please help us : Engage and transform Critical Care Nursing, New Orleans, and our neighbors We are with you. www.AACN.org >AACN Announcements> AACN Katrina Disaster Connection Center (on the home page, top, left, in red) Hello to you from AACN-GNOC, If we have not been able to meet with you directly, we are hoping to work with you in the mutual endeavor of bringing quality critical care to our community. Because of the hurricanes, we have lost contact with many of our displaced members and critical care nurses. We would like your help in communicating with them. If we may receive your email address, personal or with the institution, we will e-mail flyers, communications, update, resources etc. directly to your address . We would like you to post these flyers to aid in reaching all our nurses. We will also be emailing you about various forms of support, for the nurses , from resources as it becomes available. We would like your assistance in making sure these resources reach those nurses in need. Please visit the AACN Katrina site. There are options to post job openings, locate colleagues, and several other pages to assist the Gulf Coast Nurses recover. www.AACN.org >AACN Announcements> AACN Katrina Disaster Connection Center (on the home page, top, left, in red) If you should have any questions, please feel free to call Michelle Rihner at 504-338-4244 or email firstname.lastname@example.org Engaging and transforming Critical Care Nursing , New Orleans, and her Neighbors, Michelle M Rihner R.N., BSN,CCRN President Elect AACN-GNOC Rise • Create the e-mail contact list of all facility contacts and email the same list to the board • Place the post-event facility contact list in the archival system so all officers and facilities can contact each other directly TRANSFORM January- AACN Visit • Chose 4 major facilities that operated throughout the storm • Made contact with facility representatives with goals and general itinerary of the national visit • These representatives coordinated interviews with staff members in each unit from various shifts and experiences EJGH- (L-R)Greg Wood,Pam Taylor,. Kelly Spalt,Jeanie Smith,Liz,Lynn Strain A big Thank You smile from Pam Pam enjoying her gift coat from the Spokane Chapter on a chilly day in NOLA Krista, Sonja, Erin Janice Taulli -Lasseigne,Michelle, Paula Kensler, Liz, Krista,Denise Bonura- Henry ,Nicole Judice Krista in the chair…at the dental clinics at the Spirit of Charity tents. Pivotal Ingredient for Success Our 1st Meeting • Annual CCRN dinner that had been cancelled due to Katrina • Features an “O” topic: Balance: Myth or Legend • Update membership files, data, displaced members lists Charitable donations – Jackets :AACN contacted by Chadwick’s • Many are donated to local schools – Financial assistance donated by chapters – Gifts donated by chapters OOPS- Postal Services • Officer Ballots are returned- Our GNOC P.O. Boxes are closed • Flier send outs are delayed • Officer activity – “Elect” officers have received little training • Membership list is defunct • National reports are due..stay in touch – Design a calendar NTI 2006 Presentation at NTI Messages of Hope Continuing to Rise and Moving Forward: • Empower- here are the tools and the authority to move forward • Insight- built upon experience and knowledge Are we all working in the same direction?-Mission Statement • Lots of activity • Lots of exertion • No forward motion • Everyone ends up a little dirty Leaders • THERE ARE: • Leaders at all levels of the ladder • Leaders of all diversities and cultures • LEADERS WHO LEAVE A LEGACY Leadership Walter Lippman • The final test of a leader is that • he leaves behind him • in other men • the conviction and the will to carry on. We will rise Powered by insight CO SPONSOR A MEETING • August 2006 • Co-sponsored a meeting with the Association of American Medical Surgical Nursing – Increase attendance – Increase cohesive nursing force – Increase resources November 2006 • Field Rides • Newsletters initiated – All trackable members – Critical Care Circle Field Rides • BRING: • Meeting Fliers • Newsletters • Announcements • Contact information for local and national • Finger food containers • Labels with contact information and our message: – We are with you – We will rise…powered by insight…and each other • Between chapter/board meetings – E mailing of newsletters to facility liaisons – Physical delivery of newsletters/fliers as possible December Program Meeting • Agenda of meeting activities • Field ride results posted • Newsletter available • Design and announce Priorities of the chapter EVERY MONTH:PROGRESS • January- • Sponsored Business Meeting – Activate Committees • Chaired and designed to assist each office • President: Minute Man • President Elect: Program • Treasurer/Elect: Finances, Grants • Secretary: Critical Care Circle, Ambassadors Circle • Board 1 Year: Membership/ Community Project • Board 2 Year: Membership Creating a Visually Active Chapter – Co-ordinate with another association – Announce a business agenda for every meeting and a change in meeting format – Board members give office reports at every meeting Board Meetings • February – Encourage all members/ non-members to attend – Board-Officer Meeting Checklist – New Meeting format/ Officer Reception Line – Interface with state government representation – Interact with other Nursing Specialty Organizations You always have an attitude choice… • Is the …Glass half full • Is the …Glass half empty • -OR- • Now where did I put that glass???? Positive Situational Focusing • See and acknowledge the positive • See and acknowledge the negative • Keep the assessment factual and in the present • Assign the appropriate meaning and weight to the +/- of the situation…. – CHOOSING A MONITOR FOR THE UNIT??? –what will be the return on your investment??? E+R=O • E=Events, Experience plus • R= Response to the events • O= Outcome At E=O Officer Motivation • Environment we are living in • Focus on the role, acknowledge the person’s situation • Design simple, clarified roles • Learn; teach; and then have the learners teach • Assist in the determination and use of resources at all levels If that doesn’t work… Everyone has a role.. • Everyone has a specific role in a group: role appreciation • That role is based on the strength that a team member innately has • This role becomes their contribution to the team: group dynamics • A teammate is someone who can look right through you and still enjoy the view!! • March – New Physical Officer Reception line to meet all members and offer services/reports • Treasurer and their Elect- Registration • Board Members-Membership- AACN,GNOC/Community • Secretary-Liaisons/Correspondences • Announcements-President • Presentation Introduction-President Elect – Meeting provides as an educational liaison for other offerings • APRIL – Ballots – Dead President’s Society**** – Active Communication with Committees Planned – Calendar of annual activities designed Prepare for: Loss OUTCOMES • Online communication system-Critical Care Circle • Attendance to program meetings increases from 30-40 attendees/meetings to over 60 • Growing number of facilities represented at each meeting • Growing number of new members at each meeting • Committees-- WITH volunteers OUTCOMES • Officers who re-enlist for terms • Growing new leaders • Growing new professional nursing relationships to form a nursing solidarity • Engaged, transformed, and powered by insight and WISDOM •What we learn after we know it all PANDORA’S BOX • Rejoice in our suffering • Suffering produces perseverance • Perseverance; character • And character; hope Romans 5:3 Resources Guthrie,E. Miller,W. Making Change. -Minneapolis:Interpersonal Communications Program,1978. Lower, J.S. Transitioning to Charge Nurse -10/2006 Advance for Nurses, PA. Miller , J. QBQ The Question Behind The Question. Denver: Denver Press,2001.
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