ONS member: 27 years; Special Interest Group member: 14 years; Chapter member: 4 years
University of California, San Francisco, Post-Master's Adult Nurse Practitioner Certificate, 1995; University of California, San Francisco, Master of Science / Oncology, 1988; West Los Angeles College, Associate Degree / Nursing, 1984; University of California, Los Angeles, Bachelor of Science / Psychology, 1979
ONS PARTICIPATION (national and local):
2013 – Present: California East Bay ONS Chapter President, Preside over monthly chapter meetings and quarterly Board meetings. In conjunction with Board members, direct the activities of the chapter. Advise chapter membership regarding ONS information.
2013: ONS Scholarship Recipient - Nurse in Washington Internship, Attended annual Nurse in Washington Internship training for health policy advocacy. With other Nurse in Washington Internship attendees from California, met with legislative health policy aides for my legislators (Senators Boxer and Feinstein) to discuss budgetary appropriations support for issues impacting the nursing profession. Arranged appointment with the health policy liaison for Congresswoman Barbara Lee and discussed budgetary appropriations funding support for nursing research, nursing education and nurse-managed health clinics.
2012 – 2013: California East Bay ONS Chapter President-elect, Observed and learned the role of the President. Presided over a meeting in the absence of the President. Assisted the Chapter in achieving goals and objectives.
2012: ONS Leadership Competencies, Assessed and provided feedback as Field and Expert Reviewer for 2012 ONS Leadership Competencies document.
2012: Presenter - ONS 37th Annual Congress Pre-Congress session, With Nominating Committee members, assisted in creation of Pre-Congress session, "Designing Your Path to ONS Leadership". Participated as panelist and co-facilitated breakout discussions with attendees regarding development plans for leadership.
2011 – Present: ONS Education Advisory Panel, Review and provide feedback for ONS on-line educational courses as requested by ONS staff (eg. pilot reviewer for ONS Leadership Development course).
2011: Presenter - ONS 36th Annual Congress, Represented the ONS Nominating Committee as presenter and facilitator of the "Preparing for the Future: The Many Paths to ONS Leadership" podium session. Coordinated former ONS leaders as panel speakers to advise session attendees regarding their development and various paths into ONS national leadership.
2009 – 2012: ONS Nominating Committee - Board Appointed Member, Encouraged potential ONS Board and Nominating Committee candidates to consider running. With other Nominating Committee members, presented to future ONS National leaders at annual ONS Leadership Weekends. Contributed to ONS publications regarding candidacy and voting as requested.
WORK RELATED SKILLS AND LEADERSHIP:
2009 –Present: Oncology Nurse Practitioner / Oncology Nurse Consultant, Consult primarily with the Bay Area Tumor Institute as: a) administrator/manager of the patient assistance program at a county medical center. Identify, manage applications, track and procure medications for eligible uninsured or underinsured patients. Realized hundreds of thousands of dollars in cost savings to the County.
b) Core Course Coordinator for biannual ONS Chemotherapy and Biotherapy courses and courses as directed by the Bay Area Tumor Institute's Oncology Nursing Committee. Coordinate and conduct ONS Chemotherapy and Biotherapy courses and ONS Treatment Basics courses in California and Hawaii. As a Healing Conversations Presenter/Facilitator for Novartis Oncology, present strategies to health care professionals to improve communication with patients/caregivers on a variety of oncology topics (e.g. end of life, supportive care, survivorship, adherence and persistency). Facilitate discussion of the use of essential communication skills during these conversations to increase effectiveness and efficiency when talking with patients/caregivers.
2004 – Present: ONS Chemotherapy and Biotherapy Course Trainer, Coordinate and present content in the ONS Chemotherapy and Biotherapy course. Provide attendee nurses with an overview of chemotherapy and biotherapy principles, safe handling strategies for these agents, management of administration concerns, reactions or emergencies during administration, and, toxicities/side effects post-administration. Instruct participants regarding patient education strategies for these medications.
2000 – 2009: Oncology Clinical Nurse Liaison – Amgen, Provided oncology and Amgen product education to nurses and other staff in doctors' practices and hospitals. Educated and provided clinical resource support to Amgen sales staff. Periodically presented programs to ONS chapter members at their meetings or educational events in California and Hawaii. Mentored and assisted in training new Oncology Clinical Nurse Liaisons as requested.
1996 – 2000: Oncology Nurse Practitioner - Alta Bates Cancer Center, As the first oncology nurse practitioner in a seven physician practice, provided follow-up care to oncology and hematology patients undergoing treatment. Monitored and managed side effects as well as urgent care issues.
1992-1997: Oncology / Bone Marrow Transplant Clinical Nurse Specialist - Alta Bates Medical Center, Provided oncology and bone marrow transplant clinical resource support for the in-patient nursing staff. When requested by staff, consulted on complex oncology and bone marrow transplant patients. Managed education for the staff of the medical center regarding oncology and marrow transplant topics.
1988 – 1992: Bone Marrow Transplant Coordinator - Alta Bates Medical Center, Managed and arranged for care of allogeneic, syngeneic, and autologous bone marrow transplant patients at Alta Bates Medical Center. Coordinated and conducted periodic nursing education for staff providing care to these transplant patients.
1984 – 1988: Staff nurse/Relief charge nurse - Daniel Freeman Memorial Hospital (1984 - 86) // Alta Bates Medical Center (1986-88), On the in-patient hematology/oncology unit, provided nursing care to patients including physical and psychosocial assessment, management of physical needs and medications, and, patient/family education. At Alta Bates MedicalCenter, provided similar care with addition of marrow transplant patients on that unit.
HEALTH CARE/ CANCER ORGANIZATIONS EXPERIENCE, OTHER PROFESSIONAL NURSING ORGANIZATIONS /Additional experience (community, political etc.):
2013 – Present: Chairperson - Resource Subcommittee of Mission Committee // Leukemia & Lymphoma Society Greater Bay Area Chapter, With Chapter staff, coordinate and assist the Resource Subcommittee members in providing educational opportunities throughout the chapter's geographic territory for patients, professionals and the public.
2013 Present: Delegate - Mission Day // Leukemia & Lymphoma Society, Attended training in Washington, DC on health policy advocacy. Met with legislative health policy aides for Senator Feinstein and Congresswoman Lee to discuss pending legislation supported by the Leukemia & Lymphoma Society. Discussed need for support of this legislation to enable more financially appropriate co-pay fees so that patients might more easily access their out-patient oral treatments.
2006 – 2012: Member - Board of Trustees // Leukemia & Lymphoma Society Greater Bay Area Chapter, In conjunction with other Board members and Chapter staff, endeavored through activities and events to carry out the mission of the Leukemia & Lymphoma Society (to cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families).
2006 – 2009: Chairperson - Patient Services Committee // Leukemia & Lymphoma Society Greater Bay Area Chapter, Presided over Patient Services Committee meetings with Chapter staff. Assisted in patient and health care professional education regarding hematological cancers. Worked with staff and other committee members to increase the hematology patients' awareness of the Leukemia & Lymphoma Society's services. As a member of the Board of Trustees Executive Committee, reported on Committee activities during bi-monthly Board meetings. Participated on every other month conference calls to discuss chapter activities.
1996 – Present: Member - Board of Directors // Bay Area Tumor Institute, Participate in the planning, development, budgeting, and oversight of a community-based non-profit organization dedicated to improving the diagnosis and treatment of cancer patients. Specific program responsibilities include reporting to the Board on the Patient Assistance Program and the Core oncology nursing educational courses conducted by the Bay Area Tumor Institute.
ONS leaders must be knowledgeable of who they represent and the issues facing members striving to operationalize the Vision ("lead the transformation of cancer care") and Mission ("promote excellence in oncology nursing and quality cancer care"). Through my education and work experiences (paid and volunteer), I've been acquiring the background and skills to serve as a Director-at-Large. Having worked in a variety of settings (in-patient oncology/hematology / marrow transplant units, out-patient clinics, hospital infusion centers, bio-pharmaceutical industry) and in a variety of oncology roles (staff nurse, clinical nurse specialist, nurse practitioner, nurse consultant), I have a perspective into the many facets and issues challenging oncology nursing. Working professionally, and as a volunteer, with people from diverse backgrounds on committees and Boards, I've come to understand the value of viewing diversity as a strength. My ONS Nominating Committee work gave me more in-depth perspectives of ONS and taught me that we could make a difference in furthering the mission of ONS by providing the strongest possible slate of leadership candidates. These experiences lead me now to offer my skills, experiences, and, my desire to serve ONS and its members, to work towards fulfillment of its Mission and Vision. Thank you.
Chose two of the ONS Core Values and discuss how you have actualized them in your professional career.
Doing something to make a difference every day is one of the most important things I do. Making a difference for one patient or nurse I interact with is wonderful; but, striving to make a difference for many patients or nurses is even better. In 2013, I decided to try something new and make a difference via health policy advocacy. The Nurse in Washington Internship prepared me for a legislative meeting to successfully advocate for budgetary appropriations for nursing as a profession. The April ONS Hill Day provided me with the opportunity to speak again with legislative aides in my Senators' and Congresswoman’s offices to advocate for ONS legislation to provide one hour of patient education by an oncology staff nurse. In June, I represented the Leukemia & Lymphoma Society during visits with the same Congressional staff members to advocate for improved access to oral therapies by limiting the co-pays the insurance companies place on specialty medications (e.g. oral biotherapy or chemotherapy for cancer). In these endeavors, I utilized the ONS Core Values of Advocacy (for our oncology patients and nursing) and Innovation (using creativity and knowledge to lead the transformation of cancer care) to learn and increase my skills.
Discuss how the ONS core values provide the foundation for addressing an issue relevant to oncology nursing.
Oncology patient care is ever-changing - from newer therapies that offer opportunities for improved outcomes, to practice settings where treatments are administered, and in reimbursement aspects. The ONS Core Values provide us with a foundation for managing these changes and strategically preparing oncology nurses for the future. Therapeutic improvements may be an opportunity for Excellence in clinical care and education but also challenge us to practice with Integrity by asking the hard questions to respond ethically. Advocacy, for our patients and our profession, will be crucial to ensure these changes will not be short term gains and long term losses. Preparing oncology nurses to practice with potentially fewer resources due to reimbursement changes will require good Stewardship in the use of time and finances. To be part of the dialogue regarding the management of these changes, we will need to utilize our knowledge of oncology nursing care and our creativity to propose Innovative solutions. Finally, the diversity of oncology nurses (e.g. cultural, ethnic, and generational) can be a challenge and strength. Focusing on Inclusiveness of all members of ONS will strengthen our preparations for the future. Utilizing these ONS Core Values in the preparation strategy is critical to our success.