ARNP Care 1-96

Washington State's, very own, Phyllis Arn Zimmer, MN, ARNP, FNP, was recently presented with the University of Rochester, School of Nursing, 1995 Distinguished Alumna Award. Zimmer received this award for her outstanding efforts in advancing nurse practitioner education and practice. Zimmer, a 1972 graduate of the School of Nursing and a native of Syracuse, New York, is a professor of nursing at the University of Washington. She is president of the American College of Nurse Practitioners and a past-president of the National Organization of Nurse Practitioner Faculties.

Editors note: Hugs, flowers and congratulations can be sent via E-mail to her at pzimmer@u.washington.edu.

You now have the opportunity to pay your AU dues one time only. Lifetime memberships are currently available for $1,000. With this membership, you will receive a jewel quality pin, a certificate of appreciation and the opportunity to have your name highlighted in ARNP Care. Additionally, you gain the satisfaction of knowing you have been instrumental in making your association grow and prosper.

The Clinton Budget Bill includes language that provides reimbursement for nurse practitioners. Direct reimbursement is called for at 85% of the physician rate in all outpatient settings, in all geographic areas and for all specialties. According to Nancy Sharp, MSN, RN, Executive Vice President of the American College of Nurse Practitioners this reimbursement language was not in the first Clinton budget.

In the Republican budget, nurse practitioner reimbursement for Medicare, at 85% of physician rate, did survive the House/Senate Conference Committee before Christmas. According to Sharp, the fact that the nurse practitioner reimbursement piece survived through the Conference Committee is very good news. It has never made it that far before. Even if the entire budget process dies, as many predict, it still bodes well for nurse practitioners in the next round.

As part of our continuing effort to raise funds for future legislative effort, ARNPs United is planning its First Annual Spring Phonathon.

If you are interested in helping with this worthwhile effort, please contact Suzan Watanabe at 206.820.7966. A minimum of 25 volunteers are needed to make this event successful.

Happy New Year! The American College of Nurse Practitioners welcomes ARNPs United as a member. The ACNP was founded in 1993 as a result of two national nurse practitioner summits which identified the critical need for existing nurse practitioner organizations and groups to work together collectively at the national level. The ACNP is focused on advocacy, lobbying, and keeping you current on the legislative, regulatory, and practice issues that affect you in this era of health care reform. The mission of the ACNP is to unite, galvanize and represent nurse practitioners across this nation to ensure an appropriate, prevention-based health care system with nurse practitioners as essential health care providers. Membership in the ACNP includes all nurse practitioners, regardless of specialty. (Membership criteria were revised this year after the 1995 Summit in order to be sure that all specialties - primary care nurse practitioners, acute care nurse practitioners, psychiatric mental health nurse practitioners, and specialty nurse practitioners - were represented as members.) Members may join as national or state organizational affiliates, or as individual members. The structure of ACNP is designed to enable us to achieve political unity at the national level, a critical need at this time. We currently have an office in Washington, DC and an Executive Director in place. At this time, there are 14 state group affiliates, and 5 national organizations which are affiliates.

Although I am new to the ACNP Board, and only 6 months into the Presidency, I am pleased to report that the ACNP is moving toward its goals of financial stability, increased membership, and continued advocacy for nurse practitioners. We are working to become Fast, Friendly, Flexible, Focused and Funded. As we move into 1996, I think it's important that we stay clearly focused on the vision of the ACNP: To unite all nurse practitioners.

For ACNP membership information contact us at: 2401 Pennsylvania Ave NW, #350, Washington, DC 20037-1718, phone 202.466.4825, Fax 202.466.3826, or E-mail ACNP@aol.com.

This year the staff of ARNP Care found a unique gift under our Christmas tree. If you can imagine our suprise to find Ted Ritter, MN, ARNP all wrapped up with a note identifying him as a new contributing editor.

Ted is replacing Frank Maziarski and Marty Melcher, who hope to retire from the newsletter writing business. We wish them well!

Elections were held for the offices of ANP, PNP and CRNA members. The results are below, along with the current board members and their positions.

Adult Nurse Practitioner Rodie Renn-Lasher, Secretary 1601 NW 87th Circle Vancouver WA 98665 E-mail: none Home Phone: 360.576.9783 Home Fax: 360.576.9783 call 1^stWork Phone: 360.696.8213Work Fax: 360.696.8424 (non-political only) Term expires 12.31.98	Gerontologic Nurse Practitioner Marty Melcher 426B 124th Pl SW Everett WA 98204-5603 E-mail: jfredmel@aol.com Pager: 360.336.7205 Home: 206.353.1281 Home Fax: 206.353.2019 VM: 360.428.2588 X-661 Work Fax: 360.4208.6408 Term expires 12.31.96
Certified Nurse Midwife Lyell Fox, Secretary 824 Atterberry Rd Sequim WA 98382 E-mail:none Home Phone: 360.681.0934 Work Phone: 360.452.7202 Work Fax: 360.452.7303 Term expires 12.31.97	Pediatric Nurse Practitioner Hazel Fleck 1960 Whitman Walla Walla WA 99362 E-mail: fleckhc@whitman.edu Home Phone: 509.525.0068 Work Phone: 509.525.6650 Work Fax: 509.522.2349 Term expires 12.31.98
Certified Registered Nurse Anesthetist Jenny Beth Kimberly 32307 1st Ln SW, #N202 Federal Way, WA 98023 E-mail: none Home Phone: 206.874.8505 Home Fax: 206.874.8505 Work Phone: 206.735.0500 Term expires 12.31.98	Psychiatric Mental Health Nurse Practitioner Patti Varley, President-Elect 2504 NW 202nd St Seattle WA 98177 E-mail: pvarley@u.washington.edu Home Phone: 206.542.4017 Work Phone: 206.454.4644 Work Fax: 206.451.0214 Term expires 12.31.97
Council of Affiliate Groups Ronald Young, Treasurer 30 140th St NW Marysville WA 98271 E-mail: ryoungarnp@mem.po.com Voice Mail & Pager: 206.335.6869 Home Phone: 360.652.0832 Home Fax: 360.652.0832 Work Phone: 360.653.4100 Work Fax: 360.653.2095 Term expires 12.31.96	Women’s Health Care Nurse Practitioner Suzan Watanabe, President Eastside Women’s Clinic 12815 120^th Ave NE, Suite A Kirkland WA 98034 E-mail: swat@u.washington.edu Home Phone: 206.643.7313 Work Phone: 206.859.5600 Work Fax: 206.899.4011 Term expires 12.31.96
Family Nurse Practitioner Ted Ritter, President-Elect PO Box 674 Duvall WA 98019 < E-mail: tritter@nurse.net Home Phone: 206.788.6308 Work Phone: 206.788.6888 Work Fax: 206.788.8326 Term expires 12.31.97	Chairperson, Government Relations Tracy Lin 1516 N Fife St Tacoma WA 98406-7506 E-mail: tlin@wolfenet.com Home Phone: 206.759.9640 Work Phone: 206.383.5777 Work Fax: 206.383.5320 Term expires 12.31.97
	Immediate Past-President Bob Smithing 212 Railroad Av N Kent WA 98032 E-mail: bsmithing@wizards.net Home Phone: 206.852.0526 Work Phone: 206.852.9042 Work Fax: 206.852.7725 Term expires 6.30.96

There will be a meeting to review the ARNPs United bylaws on March 13, 1996 from 10 am to 2 pm in Ellensburg, WA. All interested members are encouraged to attend. If you are not able to make it, please forward all bylaws comments, thoughts, ideas, suggestions and even corrections to Hazel Fleck. (Address above.) Comments should arrive by Feburary 14, 1996 for consideration.

For those of you that were able to attend the annual meeting you are aware that ARNPs United has secured an agreement with WSNA which makes us an affiliate organization. We are now attempting to stand alone as an organization with our own membership dues and privileges. This is both exciting and sobering at the same time. We are no longer receiving any financial assistance from WSNA and are entirely dependent on you for our financial viability.

One of the most critical needs for our profession in the current health care environment is that of a strong, effective, lobbying effort to ensure that our concerns are addressed and that patient care in our state does not suffer. But, yes you guessed it, there are no free lobbyists. In fact they are quite expensive. Currently ARNPs United can not afford our lobbyist and we have had to drop our contract with her. This leaves us essentially uncovered except for what WSNA is able to help us with.

The bottom line here is that if ARNPs United is to survive, and if our profession is to remain viable in this state we need all of you to become and stay members. Vote with your checkbook in support of ARNPs. To steal a phrase: No representation without taxation. Please help us help you. Join ARNPs United today.

We have more space and need more help. Auburn Children's and Family Clinic needs experienced PCP Nurse Practitioners. Our expansion plans call for adding two ARNPs. Competitive salary, benefits, casual working conditions, state of the art paperless charting and billing is on the way, and we will make working as easy as possible. Join our six going on nine providers specializing in children and Medicare patients. Ask for Don Tidwell or Doris Thompson, MD. 206.735.9409

Multi-specialty group in Skagit Valley, Washington has position available for Pediatric PA/NP. Competitive salary and benefits. Send resume to Debra Dean, Skagit Valley Medical Center, 1400 E Kincaid, Mount Vernon, Washington 98273.

Multi-specialty group in Skagit Valley, Washington has position available for PA/NP with OB/GYN experience and women's health focus. Competitive salary and benefits. Send resume to Debra Dean, Skagit Valley Medical Center, 1400 E Kincaid, Mount Vernon, Washington 98273.

Part-time or full-time opportunity for a PNP to join our premier pediatric practice of 5 Peds and 2 PNPs in twin city community of Longview and Kelso, WA, one hour north of Portland. Good schools and great community with all advantages of rural living. Competitive salary and benefits package with exceptional working environment. Contact Blaine E. Tolby, MD, Ph.D, 971 11th Ave, Longview, WA 98632, phone 360.577.1771.

Salem Hospital is located in the mid-Willamette Valley, one of the most desirable regions west of the Rockies. The nearby mountains and Pacific Ocean, a short hour away, provide a wealth of recreational opportunities. We currently have an ideal short-term, relief nursing opportunity in an Employee Health Clinic setting for a Locum Tenens Family Nurse Practitioner. Our clinic has emphasis on wellness, preventive medicine and minor acute care management. To qualify you must be a licensed NP with prescription privileges in the state of Oregon. This is an 8:30 am to 5:00 pm, Monday through Friday, shift covering for vacation during the last 10 days of January 1996. We offer an excellent salary. Please send your confidential resume to: Salem Hospital, Attn: Beverly Spink, Employment Manager, PO Box 14001, Salem, OR 97309-5014 or call 503.370.5227 between 8 am and 4 pm, Monday through Friday. We are an equal opportunity employer.

Nurse Practitioner/Physician Assistant needed for busy primary care clinic. Practice the fullest range of primary care medicine with own patient load. Hospital privileges available to qualified applicants. Salary ranges between $45,000-$50,000 DOE. Please send resume to Dr. Edwin Tegenfeldt, Kitsap Community Clinic, 423 Pacific Ave., Ste. 215, Bremerton, WA 98337. We are proud to be an Equal Opportunity Employer.

Barbara Schneider, ARNP PNP is closing her pediatric office at Crossroads in Bellevue the end of January, 1996. Medical diagnostic equipment, pediatric exam table, desk, office furniture and supplies are for sale. For further information and viewing sale items, please call Barbara Schneider at: work: 206.747.9810 or home: 206.882-1768. Items will be sold between January 20-31, 1996.

Seeking NP to join primary care/subspecialty internal medicine group, Bellevue, WA. Experience in adult medicine preferred; no pediatrics. Terms negotiable. Send letter and CV to S.C. Rice, MD; 1535 116th Ave NE #200, Bellevue, WA 98004.

We have an opening for a Masters prepared NP for the Pediatric HIV Clinic, Department of Pediatrics, Division of Infectious Diseases, Medical University of South Carolina, Charleston, SC. Coordination of clinic and ACTG study protocols. NICHD funded ACTG site for pediatric and perinatal protocols. Nurse practitioner certification through a national association and clinical experience preferred. Competitive salary and benefits. If interested, Email: johnsogm@musc.edu or call 803.792.2385.

Medalia HealthCare is recruiting qualified applicants for a new program within our unique, regional health care network. We are seeking a part-time ARNP or Clinical Nurse Specialist for our Attention Deficit Hyperactivity Disorder clinic, located in Bellevue, WA. Must be licensed in WA state and have a minimum of 3 years clinical experience working with children with behavioral disorders. Please send fax resume and cover letter to: Medalia HealthCare LLC, Human Resources/ARNP, One Union Square - #1200, 600 University Street, Seattle, WA 98101-1169. EOE. Fax: 206.320.4072. Jobline: 206.320.2250.

Nurse Practitioner to provide patient services to four local nursing homes. Position located at Walla Walla Clinic, a 36 physician multispecialty group practice. Located in wonderful family oriented town with three colleges and excellent schools. Excellent salary, benefits, flex time. Please send resume to Administrator, Walla Walla Clinic, 55 West Tietan, Walla Walla, WA 99362 or call 509.525.3720, Extension 264.

Planned Parenthood has p/t Clinician openings in our Bellevue and Totem Lake Clinics and per diem openings with our Everett and Lynnwood clinics. Hours include Saturdays and evenings. Requires at least 2 yrs experience as practicing NP and current WA State RN and ARNP (WHNP, FNP, Adult NP or CNM) licenses. Salary range $20.96-$24.29/hr DOQ. Please mail CV/resume before 2/1/96 to PP/HR, 2211 E Madison, Seattle, WA 98112 EOE.

Endometrial Biopsy, IUD Insertion & Macroscopic Diseases of the Vulva/Vagina

January 22 - 23 1996. Presented by CME Solutions, LLC. (Formerly the Woman's Health Network). CEUs available for all courses. Endometrial biopsy $250, IUD insertion $150 & Macroscopic diseases of the vulva and vagina $75. Special rates for enrollment in more than one course. For more information or to register call Karen Taylor at 206.865.9005. Location Seattle, WA.

Recognizing Head Trauma & Its Differential Diagnosis and Differentiation of Muscular Injury from Skeletal Injury Seminar

February 3, 1996. Washington State Chapter of NAPNAP is offering a seminar presented by Douglas Diekeme, MD, of Children's Hospital and Medical Center on recognizing head trauma and its differential diagnosis and differentiation of muscular injury from skeletal injury. Location: Seattle/King Co. Public Health Center, 14350 SE Eastgate Way, Bellevue, WA. For registration and more information please contact Connie Schwegel at 360.377.5805.

February 9, 1996. A workshop for ARNPs involved with the health care of women from adolescence through senescence in which practice issues and pharacotherapeutics will be addressed. Location: Best Western Tacoma Inn, Tacoma, WA. Contact Pacific Lutheran University, CCNL, Phone 206.535.7683, Fax 206.535.7590, Internet bennettl@PLU.edu.

March 4-8 1996. Presented by CME Solutions, LLC. (Formerly the Woman's Health Network). CEUs available for all courses. Colposcopy $600, Endometrial biopsy $250, & IUD insertion $150. Special rates for enrollment in more than one course. For more information or to register call Karen Taylor at 206.895.9005. Location Las Vegas, NV.

March 18-20, 1996. Presented by CME Solutions, LLC. (Formerly the Woman's Health Network). CEUs available for all courses. Colposcopy $600, Endometrial biopsy $250, & IUD insertion $150. Special rates for enrollment in more than one course. For more information or to register call Karen Taylor at 206.895.9005. Location Seattle, WA.

March 22, 1996. Mukogawa-Fort Wright Conference Center, Spokane, WA. For more information call Susan Norwood at 509.328.4220 Ext 3246 or fax 509.324.5827.

March 27-29, 1996. The Center for Health Training (TCHT) will hold its annual continuing education conference for nurse practitioners, physician assistants, nurse midwives, nurses and physicians involved in women's health at the Red Lion Hotel/Bellevue, Washington. Pharmacology CEs will be offered. For additional information please call TCHT at 206.447.9538.

April 20, 1996. This Saturday seminar for psychsocial/mental health clinical specialists and ARNPs will address a variety of topics related to the use of antidepressants. How do abnormal lab values affect prescriptive decisions? What is the role of polypharmacy in treating depression: Where do antidepressants fit in with hormone replacement therapy for perimenopausal and menopausal women? A panel of practitioners will discuss prescribing for the depressed patient using selected case studies. The panel members will facilitate discussion groups at the luncheon. Contact Pacific Lutheran University CCNL, Phone 206.535.7683, Fax 206.535.7590, Internet bennettl@PLU.edu.

May 17, 1996 Friday. A variety of pharmacotherapeutic topics of interest to all ARNPs specialties will be presented in general and concurrent sessions. Location: Best Western Executive Inn, Tacoma, WA. Contact Pacific Lutheran University CCNL, Phone 206.535.7683, Fax 206.535.7590, Internet bennettl@PLU.edu.

Editorial Information
ARNP Care Office
212 Railroad Ave N, Kent, WA 98032
206.852.9042 Fax 206.480.0002
care@nurse.net

Copy deadline is the second Tuesday of the month prior to publication. Ads may be accepted later then this on a space available basis. Position Available Ads per insertion of less than 66 words are $45, of 66 to 130 words are $75. Continuing Education Announcements per offering for up to three (3) insertions of a BRIEF description are $35, sponsoring organizations of ARNPs United may publish CE announcements at no charge. New Product Announcements per product for one insertion of 130 words or less are $75. Ad Inserts are $480 for one issue. All ads are subject to space limitations and editing. Call for detailed rate information. Mail copy to ARNP Care, 212 Railroad Ave N, Kent, WA 98032. Phone 206.852.9042. Fax 206.480.0002. E-mail care@nurse.net

You may believe that because this newsletter arrives every month you are a member of ARNPs United. That is wrong. Since 1989 ARNP Care has been sent to every ARNP in Washington regardless of membership status. This is in imminent danger of stopping due to a lack of funds. Remember the number of members is what makes an organization strong and credible with the legislature and others. So join us today. Individual memberships are $150 per year. Lifetime memberships are $1000. Student currently enrolled in a ARNP program may join for $50 per year. Make your check out to ARNPs United and mail it to: ARNPs United, 212 Railroad Ave N, Kent WA 98032.

Thank you for being one of the ARNPs in this state who have joined ARNPs United. Without your support it would not have been possible to have hired a lobbyist and had such a successful legislative session in 1995. It is also clear that without your support the organization would not have been capable of moving forward in developing a solid framework to build on the grassroots efforts of the ARNPs in this state. ARNPs who are not members of ARNPs United have received ARNP Care printed on lavender paper to let them know they are not members.

Editors: Susan Caverly, MA, ARNP Robert T. Smithing, MSN, ARNP Madeline D. Wiley, MSN, ARNP	Production Staff: Melanie Finley, Kelly Libby, & Pete Mullin
Contributing Editors: Ted Ritter, MN, ARNP	Publisher: Nurse Practitioner Support Services