The 2000s

100 Years of Texas Nursing Magazine
A Heartfelt Thank You
In the immediate aftermath of the September 11 attacks, TNA President K. Lynn Wieck reflects on the shared grief of the nursing community. Despite the national tragedy, she emphasizes that the profession’s work must continue, highlighting the recent signing the Nursing Shortage Reduction Bill into Texas law.
K. Lynn Wieck, PhD, RN
TNA President
Texas Nursing, September 2001
AN EARTHSHAKING TRAGEDY has gripped our nation with the assault on the World Trade Center and the Pentagon. Shaken out of our innocence, people are searching for meaning and understanding in an uncertain world. Nurses have joined with custodians, lawyers, homemakers and bakers in a huge group hug as we try to explain to our children and ourselves why things like this happen. Our hearts and prayers go out to the victims and their families. We also remember our nurse colleagues in the stricken areas who are not only dealing with their grief, but are also trying to manage a health delivery nightmare in an environment already stretched with the nursing shortage. Texas nurses have been wonderful in their willingness to volunteer to assist with the emergency. In a compelling message of gratitude, Martha Orr, executive director of the New York State Nurses Association, put the horror in perspective when she said, "Many of you have offered to send busloads of nurses to help. Regrettably, there are not enough survivors to warrant bringing in volunteers. All of us at NYSNA are profoundly grateful for the outpouring of caring messages, offers of assistance, and volunteers."
Nurses are geared to save lives, to fix things, to make it all right. The realization that even our best efforts will not "fix" this situation has had a sobering effect on the world nursing community.
What happens now? Are the things that were important before the attack still important now? Do we just go on like nothing happened? Life in America will be changed forever, but it will not stop. People will still travel. People will still conduct business. People will still have barbecues in their backyards. Sisters will still borrow each other's clothes, and kids will still need that new CD. Life will not be the same, but it will go on.
We are still facing the same issues of nursing in Texas. The shortage is still with us, although a significant effort has contributed to easing the problem. A wonderful thing happened on August 31 as hundreds of nurses and friends of nursing gathered at Harris Methodist Hospital in Fort Worth to watch Governor Rick Perry ceremoniously sign the Nursing Shortage Reduction Bill. His wife, Anita Perry, is a nurse, and she spoke to everyone of her love for her chosen profession and her pride in her nursing colleagues. Many dignitaries extolled the virtues of nursing as the cameras rolled and the flash bulbs snapped.
From the entire afternoon however, it is the words of one staff nurse that I Remember. She said, “I have been a nurse for 23 years, and this is the first time anyone ever said thank you to me for being a nurse.” Upon hearing that, I was stunned. I was sad. I was stunned because saying thank you is so easy. I was sad because it had taken 23 years to have the words said. What a shame that nurses are so busy, so dedicated, and so stretched that we have forgotten the most important part of our job. We accept the importance of caring for our patients and their families, most of whom are perfect strangers to us until they arrive on our unit. But we miss so many opportunities to care for each other, our friends, our colleagues, ourselves.
I have vowed to say thank you more often. I now use every opportunity in my role as an educator to thank students for choosing nursing as a career, to tell them how lucky nursing is to have them, to affirm the career choice they have made. I have vowed to say thank you to my nurse colleagues, to tell them how lucky nursing is to have them, and to affirm their career choice. Can you say thanks too many times? Can you be too grateful? I think not.
So I encourage each and every one of you who is at a loss to know how to handle the national tragedy that we are facing to try to make your corner of the world a little nicer, a little more sane, a little happier. We have witnessed how fragile, precious and transient life can be. We should use every opportunity to touch people in a positive way before the opportunity is lost.
Tell your colleagues you are glad they chose nursing and thank them for the job they do. No nurse should have to wait 23 years to hear the words "thank you." I thank each of you for your dedication to nursing, and I am sincerely thankful that you chose nursing for your career. We are better for each of you. TN
SPEAKING OF CHANGE...REMEMBER WHEN?
Alexia Green, PhD
Texas Nursing, November/December 2000

I WAS RECENTLY REVIEWING THE "MINDSET LIST" (Chronicle of Higher Education, September 8, 2000), a document that is published to help educators better understand freshmen. This year's list notes that most members of the Class of 2004 were born in 1982: the year the Equal Rights Amendment was defeated, C-SPAN was born, and fighting AIDS was first designated a top priority by federal officials.
A sampling from the list:
- Grace Kelly, Elvis Presley and Karen Carpenter have always been dead.
- Somebody named George Bush has been on every national ticket, except one, since they were born.
- The Kennedy tragedy was a plane crash, not an assassination.
- They have probably never lost anything in shag carpeting.
- Wars begin and end quickly; peacekeeping missions go on forever.
- There has always been ATM machines.
- There has always been a national holiday honoring Martin Luther King, Jr.
- The year they were born, Dustin Hoffman wore a dress and Julie Andrews wore a tuxedo.
- Hurricanes have always had men's and women's names.
- They have never used a bottle of White-Out.
- If they vaguely remember the night the Berlin Wall fell, they are probably not sure why it was up in the first place.
- They feel more danger from having sex and being in school than from possible nuclear war.
- "Spam” and “cookies” are not necessarily foods.
I came up with my own list for freshmen nursing students who will graduate in 2004.
- Syringes have always been plastic and IV medications have always been premixed by the pharmacist.
- Universal precautions have always been a protective measure used by health care workers.
- Managed care has been the only method of health care delivery they can remember.
- Peptic ulcers have always been treated with antibiotics.
- The year they were born, Betty Skaggs was the President of the Texas Nurses Association and Barbara Nichols was the President of the American Nurses Association.
- Polio and iron lungs are only seen in old nursing text.
- They will never wear a nursing cap nor wear an apron that passes their knees.
- Foley catheters have always come in “kits” and connected to a bag.
- There have always been IV pumps and pulse oxyimeters
- Nurse practitioners have always had prescriptive authority.
- Respiratory therapists have always been available to draw arterial blood gases and set up ventilators when a patient crashes.
I'm sure you could add many more items to this list. Is it any wonder why Generation X. folks will have different perspectives than most of us “Old Baby Boomers”!
Recognizing Change When We See It…
Good Press and a Legislative Win
With the beginning of a new millennium, TNA members made their marks in the profession and public policy.

Congratulations Texas Nurses Association!
You obtained wonderful publicity February 9 on the Nursing Shortage Reduction Act of 2001 in the El Paso Times newspaper (front page coverage that included a picture of a nursing student from The University of Texas at El Paso).
The story included quotes from Clair Jordan, executive director of TNA, and Sen. Mike Moncrief (D-Fort Worth), sponsor of the bill (which would later officially become designated, SB 572), and it contained information from local nursing administrator and nursing students.
Thank you, TNA, for doing so much for the nursing profession in Texas. TN
Mary Ann Friesen, MSN, RN, CPHQ
TNA District 1
TNA Members Receive National Recognition
Joining the best of the best of nursing, two TNA members received top recognition from the American Nurses Association Board of Directors and membership during the honorary awards ceremony held at the ANA Convention in Philadelphia in June.
Ellen L. Palmer, PhD, MSN, RN, McKinney (TNA-4), was the recipient of the 2002 Honorary Human Rights Award, given in recognition of an outstanding commitment to human rights and exemplifying the essence of nursing's philosophy about humanity.
Jan Pickett, MA, RN, CS, CNS, Granger (TNA-34), captured the 2002 Staff Nurse Advocacy Award, which was established in 1998 to recognize excellence in individual staff nurses who provide direct patient care in all settings and who have advocated for their patients. That award honors staff nurse advocates who have been inspirational role models and mentors to other staff nurses. TN
A LETTER TO THE EDITOR
From a TPAPN Advocate
DEAR EDITOR:
There are some days when a TPAPN advocate gets tired. We meet with participants, help them, hold their hands, encourage them, and help indicate the right direction. When that participant gets his/her first job while in TPAPN, it all seems worth it. When they make it through those first three months, it makes us happy that things are going well. When they contact us to tell us that things are going well, we are never so busy that we can't take the time to talk for a spell. When they graduate from PAPN, the advocate graduates with them—much more so than one could realize.
But there are those other days. Something happens. It could be a positive drug screen. I think I have heard too many times, "I was called for a drug screen and I don't have any chain of custody forms." Anything that shouldn't happen, does happen on those other days. The advocate begins to think, "Did I forget to tell the participant about that?" or "What if I had done this little thing or that little thing, then we wouldn't have this problem?" We have all asked ourselves those questions.
That is when the case managers come to the rescue. They answer those questions, explain those procedures, and clarify our duties. Yes, sometimes they make the decisions that are the most difficult. They make those decisions for the good of the participant, the advocate, TPAPN, and the people of the great State of Texas. Even though they probably don't want to make tough decisions, it is necessary. What would we do without the Case Managers? God love 'em!
During the last two days, I have had the pleasure to talk with Case Managers Leanne, Terry and the new Terrie. I cannot stress enough that their professionalism is an inspiration to us all. I can never thank them enough for the job they do.
Let us not forget the assistants. All have been great in directing us (advocates] to the correct person or getting that job done. Even though she is new, Jennifer has been wonderful to speak with and very helpful these last few days. I'm sure she will be again if I have to call.
Well, that's about all. I just wanted to say to TNA and TNF what a great staff TPAPN has looking out for the nurses who need help. I know that's realized but it never hurts to reinforce a point. Please give all of the nurses at TPAPN a thank you from me. TN
Joel, TPAPN Advocate

