History of NNA

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1920 NNA became the Nevada state affiliate of the American Nurses Association

1923 NNA established the profession of nursing and licensure of nursing in Nevada

1950's - 1980's NNA worked to establish RN education programs at both Nevada Universities and all four community colleges.

1966 NNA negotiated a significant increase in nursing salaries with the Nevada Hospital Association

1973 NNA established Advanced Practice Nursing in Nevada

1983 NNA fought for prescriptive authority for Advanced Practice Nurses in Nevada

1993, 1995, 1996 NNA led the opposition effort to proposals that would have expanded the scope of practice of nursing assistants

1998 NNA led the opposition of regulations that would have required delegation of nursing duties to additional unlicensed assistive personnel

1998 NNA first secured introduction by Nevada Senator Harry Reid of the federal bill for safer needle devices in health care which was ultimately signed by President Clinton in 2000

1999,2000 NNA helped develop and promote regulations requiring staffing by acuity and confidential reporting mechanisms for violations of these regulations

2001: Eliminated the growing practice of replacing registered nurses with lesser-qualified medical assistants in the public school systems. AB 1 required that school nursing be overseen by a registered nurse.

2001: SB 52 provided schedule two prescriptive authority for Advanced Practice Nurses in Nevada. This was a particularly important step to meet the needs of patients in rural settings with limited access to primary care services

2001: Spearheaded successful worker’s compensation reform legislation (AB 279) creating an automatic presumption that any nurse who develops a bloodborne disease after sustaining (and reporting) a workplace exposure is presumed to have acquired that infection from that work exposure.

2003: Participated in the creation of the Nevada Organ and Tissue Donation Task Force, which has since created public awareness and raised considerable funds for organ donation in Nevada. As a result of AB 497, donation rates have risen dramatically since the passage of this important legislation.

2003: Worked with the Nevada Organization of Nurse Leaders and Nevada’s Nursing Labor groups as part of a coalition to enhance criminal penalties for assault on a healthcare worker. As a result of AB 53, assault on a healthcare worker in the course of carrying out his/her job is now a class IV felony in Nevada.

2003: (Special Medical Malpractice Session) Led efforts to introduce whistleblower protection legislation into Nevada statute to protect nurses who report healthcare practice that may harm patients treated in Nevada healthcare facilities.

2003: Worked with a coalition of others to secure funding for doubling of enrollment in Nevada’s schools of nursing to combat Nevada’s growing nursing shortage. A bill directing the doubling plan (AB 378) was passed by the 2001 legislature, but was unfunded at that time.

2005: Spearheaded efforts to pass legislative protections for Nevada nurses who decline to provide nursing care for which the nurse does not possess the knowledge, skill, and/or ability to safely perform. As a result of AB 183 nurses who refuse to engage in such activity cannot be terminated for having done so.

2005: Worked with a coalition of other healthcare stakeholders to amend the healthcare declaration and advanced directive statutes in Nevada to allow Nevadans clearer choices when making end of life decision (SB 206).

2007: Worked with other stakeholders to address educational requirements for nursing faculty in Nevada. SB 412 sought to decrease the requirement to teach nursing from a Master’s degree to a Bachelor’s degree. It ultimately became law that a nurse with a Bachelor’s degree and five years experience can teach nursing in an associate degree program, though the Master’s degree requirement was maintained for Baccalaureate programs.

2007: Actively opposed AB 187 which would have provided for the creation of “certified medication aides” in Nevada. This hard-fought battle was an important one in Nevada to protect the health and safety of patients treated in Nevada healthcare facilities. As a result of the efforts of NNA (and others), AB 187 did not become law.

2007: Sponsored legislation to require medical facilities to provide safe patient handling equipment to prevent musculoskeletal injuries in Nevada nurses. Ultimately, the Nevada Nurses Association decided to withdraw AB 577 when language was amended into it that would have preserved manual lifting in the form of “lift teams.” It was felt that is was preferable to not pursue the legislation with this provision rather than create a situation where healthcare workers would continue to be injured through mechanical lifting practices.

2007: Spearheaded an effort to provide title protection for the title “nurse” to prevent personnel (i.e. medical assistants) from calling themselves nurses without appropriate training, education, and credentialing. This important patient safety legislation allows those treated in Nevada physician’s offices and medical facilities to know when they are, indeed, being treated by a Registered Nurse.

2009: Led efforts to enhance previously legislated whistleblower protections to protect nurses who advocate for patient safety. AB 10 provides protections for nurses who report both internally and externally and reports to various government agencies (including the Nevada State Board of Nursing) are also included in the protection afforded by this law. AB 10 also creates a presumption that a nurse who is fired or subject to any sort of adverse employment action within 60 days of reporting an unsafe practice is the target of a retaliatory action.

2009: Worked with the Nevada Hospital Association to pass AB 121, which requires that each hospital in Clark and Washoe Counties create a staffing committee comprised of at least 50% direct care nurses. The committee recommends staffing procedures at each hospital unique to that hospital. 

2009: Worked with other key stakeholders to pass AB 206, which included an amendment that acted as a companion bill to AB 10’s whistleblower protections by requiring medical facilities that employ nurses to post in each facility the proper procedures that a nurse can follow to report unsafe conditions or processes. 

2011: Worked to pass the requirement of national certification for advanced practice nurses in our state in order for APNs to obtain a certificate of recognition as an advanced practitioner of nursing from the Nevada State Board of Nursing

2012: Worked with other stakeholders to form the State Collaborative on Lateral Violence in Nursing. Launched the NNA Healthy Nevada Nurses Initiative to encourage nurses to pay more attention to their own health and wellness.

2013: Worked with other stakeholders to pass SB362 to strengthen the Staffing Committee laws. Supported and worked to pass: AB170 (APRN autonomous practice), a law requiring schools to have undesignated epi-pens for use in emergencies; CPR training for students 

NNA has accomplished a great deal for Nevada nurses. However, our effectiveness depends on YOU! These efforts require tremendous financial and human resources. We could do SO much more if every nurse in Nevada contributed to our efforts through membership. With one strong voice, WE CAN BE HEARD!

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"We will not - cannot - have an impact if our energy, resources, and influence are dissipated in internal squabbling and blaming. We have a chance to get there - at the table, in the halls of influence - but the only way we can do it is TOGETHER" - Leah Curtin, RN, FAAN

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