Not Just a Matter of Pride

Diana Gallagher, MS RN CWOCN CFCN

Every wound, ostomy, continence, or foot care nurse has experienced bad days. Days that simply don’t have enough hours to personally address everything that everyone wants. Days when everyone else seems to think that they are the boss. Days that make even the most dedicated nurses question what they are doing and why in a world of other opportunities that they still want to do it. The role IS challenging, and part of successfully surviving the challenges that are a part of the daily job is to understand how to navigate those challenges, allow the challenge to foster growth, and direct the continual growth into sustainability.

Our role is challenging, and that challenge rarely fades into the background. There are days when administrators want special projects, or reports, or your expert opinion and they want it today and not tomorrow. There are days when the regulatory changes challenge common sense. Days when the sheer number of patients or the complexity of a patient demands every bit of creativity, knowledge and critical thinking that you can muster. In our professional lives, there are days and then there are simply even more challenging days.

For someone who is not living (and loving) the role, it is difficult to understand why anyone would choose these specialties. It is equally difficult to understand why anyone would choose to remain in the role in light of easier, less demanding and less stressful jobs in nursing. These are questions that each of us WOCNCB certified nurses answer on a regular basis as we explain what we do and why we do it. As we look at why we gravitate to such a challenging and demanding job, and then why we embrace it as a chosen career, we need to look at the question from a business perspective.

In the business world, one of the new “buzz words” is sustainability. As we look at the average age of a certified wound, ostomy, continence, or foot care nurse and the average tenure of nurses within these specialties, it is clear that the role lends itself to sustainability. Perhaps those who gravitate toward this profession are simply stubborn or perhaps there is a much deeper complexity to consider. Sometimes individuals in challenging careers stay in the role because of a lack of other opportunities. That is clearly not the situation here. We highly specialized WOCNCB certified nurses could easily succeed in any number of nursing, management, or completely different roles. Yet, we do not leave. Sometimes individuals in difficult roles stay because the monetary compensation is so high that they can not afford to leave. That is sadly not the situation for most of us. So, the question remains, what makes us stay committed to our role?

There are a number of reasons that I can cite that show how WOCNCB certification supports the concept of sustainability in our profession. Pride in being one of the best, satisfaction in being one of the most proficient, security in knowing the value of the role to patients and administrators and confidence in knowing the difference that we can make in mentoring other nurses are all great reasons. The ability to give our best, be truly appreciated by patients for our gifts, and accept their simple thanks for a job well done can go a long way in overcoming those challenging days.

For each of us, however, there is a much more personal answer to the question that is posed. I believe that a lot of those personal answers have names and faces and memories attached to them. We love our role because we truly care about the patients, families and facilities that we serve. We love the challenges that demand the highest levels of critical thinking and engineering skills.

To use another business buzz word, the bottom line is WOCNCB certified nurses recognize and appreciate that the lives we touch are better because of our presence.

Diana Gallagher, MS, RN, CWOCN, CFCN, CHT
WOCNCB President

Important Exam and PGP News

New Exam Provider: Castle Worldwide, Inc.
WOCNCB is pleased to announce a new testing services partnership with Castle Worldwide, Inc. (CASTLE). We selected CASTLE because of their focus on candidate customer service. We were also impressed by their user-friendly technology that includes online applications and credentialing status information.

CASTLE began processing exam applications* as of July 6, 2010. You can apply online at www.castleworldwide.com/wocncb/. Or, download and print applications from the Exam Handbooks on www.wocncb.org and mail the completed application with all appropriate fees and documentation to:

Castle Worldwide, Inc.
WOCNCB Exam Application
900 Perimeter Park Drive, Suite G
Morrisville, NC 27560
Phone: 919.572.6880
Email: ibt@castleworldwide.com

Upon application approval, you will receive a Notice To Schedule (NTS) from Castle’s online test scheduling system. Your exam dates can be no sooner than October 1, 2010. Examinations will be offered through Castle’s computer-based testing network of more than 450 domestic (U.S. and Canada) test centers and over 200 international testing centers. For a list of testing centers visit: www.castleworldwide.com/mainsite/ibtsites/default.aspx.

* If you applied for your exam before June 16, 2010, AMP (Applied Measurement Professionals) will administer your exam. You must schedule and sit for the AMP exam(s) on or before September 30, 2010.

Watch for e-mail announcements and updates to our website as we continue our transition to Castle’s online tools. If you have any questions about the exam application process, please do not hesitate to contact the WOCNCB office.

Introducing the NEW Online PGP Portfolio

Last month, the WOCNCB proudly premiered the New Online PGP Portfolio, a secure, Web-based portfolio system. Now you can complete, archive and submit your Wound, Ostomy or Continence Professional Growth Program (PGP) portfolios quickly and easily.

Online PGP makes the PGP process faster and simpler. System features include helpful drop-down boxes, automatic point assignments and point tracking plus a simple electronic submission process. Portfolios are accessible throughout the 5 year recertification period and are permanently stored by the WOCNCB.

Six Simple Steps to use the Online PGP Portfolio

  1. Confirm you are eligible to recertify via PGP
  2. Locate the Online PGP Portfolio at www.wocncb.org/pgp
  3. Register or log in and complete the profile tab. You will need your certification number.
  4. Complete a portfolio tab for each specialty you wish to recertify
  5. Complete the payment information tab
  6. Submit your portfolio by the appropriate deadline - no sooner than 6 months prior to credential(s) expiration

For more information click here or contact the WOCNCB office.

WOCNCB News & Updates

Alternative Pathway for Certification

After several years of serious consideration and research into the possibility of creating a certification pathway for LPNs/LVNs or non-bachelor’s prepared nurses, the WOCNCB decided not to offer this pathway to the specialty nursing population.

Factors affecting the Board’s unanimous decision include:

The WOCNCB board of directors supports the education for the LPN, but at this time cannot move forward with certification.

In the near future, the WOCNCB will develop and distribute a position statement supporting its position of patient safety and education provided for the LPN/LVN in the specialty.


Advanced Practice Exam Status Update

In April, 2010, the WOCNCB and the testing company AMP, Inc. conducted a job analysis survey of NPs, CNSs and RNs who have master’s and higher degrees. Over 430 surveys were completed, and the data is currently being analyzed. In October 2010, the WOCNCB’s Advanced Practice Committee will begin the important process of writing over 200 exam questions that will reflect the greater knowledge and experience of an Advanced Practice nurse. The exam will be available sometime in 2011.


AP and Foot Care Fee Discounts Still Available!

Special fee discounts are available for current certificants who apply for their initial certification as an Advanced Practice (AP) or Certified Foot Care Nurse (CFCN®) between January 1, 2010 and December 31, 2010. The AP discount is 25% and the CFCN discount is 50%. For more information click here or contact the WOCNCB office at info@wocncb.org.


Congratulations Award and Grants Winners


Iowa Home Health Care employees Barb Rozenboom, CWOCN, Liz Brecht, CWOCN, and Mary Mahoney, CWON.

2010 Employer Recognition Award
Iowa Health Home Care of Urbandale, Iowa, is the recipient of the 2010 WOCNCB Employer Recognition Award. The award is given annually to honor an organization that demonstrates exceptional value and support of certification for wound, ostomy or continence (WOC) nurses.

Iowa Health Home Care stood out in an era when all health care organizations are faced with multiple challenges regarding patient care. The organization has recognized the value of WOCNCB certification for enhanced patient outcomes and safety by

Iowa Home Health Care, an affiliate of the Iowa Health System, provides care to patients with a variety of needs and functions as an extension of a physician's practice in the comfort of the patient’s home. For more information please visit www.iowahealthhomecare.org


2011 Election Results

The WOCNCB election results are in and Leanne Richbourg MSN APRN-BC CWON-AP is the newest member of our Board of Directors. Leanne’s term of service will begin in January of 2011.

Congratulations to Leanne and many thanks to all the candidates for demonstrating both their passion for the specialty and their willingness to serve by running for the WOCNCB board.


2010 Certification Grant Winners

The WOCNCB awards up to three WOCNCB certified nurses with financial reimbursement up to $450.00 USD toward their recertification fees.

All three winners clearly articulated and demonstrated their clinical strengths and how certification by the WOCNCB helped them meet the challenges of daily clinical practice. The winners are:

Joanne Burtner, BSN, RN, CWCN, CCCN, of Sylva, North Carolina,
Argelia Welber, RN, BSN, CWOCN, CMSRN, Coral Springs, Florida, and
Melissa Lewis, BS, RN, CWOCN, of Springfield, Oregon.

For more information about applying for a Certification Grant or nominating your employer for the 2011 Employer Recognition Award, visit http://www.wocncb.org/awards-and-grants/.


Annual Report of Exam Pass / Fail Rates

The following statistics reflect the percentage of test-takers who passed the wound, ostomy, and continence exams in 2009. These numbers reflect pass rates of all exams taken, that is, the number of passing scores divided by the number of tests administered. Candidates taking the test on their second attempt (i.e., repeat candidates) tend to pass at rates around 50%. Testing company Applied Measurement Professionals recently prepared these statistics. As of today, more than 5,900 WOC nurses are currently certified by the WOCNCB.

Examination Pass Rate
Foot Care (CFCN®) 76%
Wound Care (CWCN®) 71.5%
Ostomy Care (COCN®) 74%
Continence Care (CCCN®) 76%

Speakers Bureau

Need a speaker for your next regional meeting? The WOCNCB has a speakers bureau of experienced WOCNCB-certified nurses who can speak about the value of WOCNCB certification, answer questions about the certification process or walk you through the new Online PGP Portfolio.

Please contact WOCNCB’s marketing manager, Marsha Berenson, for more information at 1-888-496-2622 or mberenson@wocncb.org.


Marketing Your Value

In today’s economic environment WOC and foot care nurses are increasingly asked to demonstrate their value. The WOCNCB understands the added value our certificates bring to patient care. To help communicate that value to healthcare facility administrators and other healthcare stakeholders, we have developed marketing materials that outline how WOCNCB certified nurses improve patient satisfaction and provide cost-effective care.

Click here for more information and an order form. Most materials are FREE.

Wear Your Credentials with Pride!

Wearing an attractive enameled pin with your WOCNCB credentials will identify you as part of The Gold Standard for Certification®, Credential pins are only $10. To order a pin, call the WOCNCB office at (888)496-2622 or click here to access the order form.


FAQs

Have questions? Go to FAQs or Ask the Board


Important Dates

Click here to check your credential expiration date.

Special Report: WOCNCB in Washington

By Heidi Cross, RN, MSN, FNP-BC, CWOCN, WOCNCB’s Public Policy Sub-committee Chair

“Congratulations, Heidi, you have received the WOCNCB scholarship to go to NIWI.” For me, this was a dream come true. NIWI, Nurse In Washington Internship, is an annual project of the Nursing Organization Alliance designed to inform nurses about the legislative process.

As a wound and ostomy nurse practitioner at Upstate Hospital in Syracuse, New York, and a strong advocate for ostomy patients, I have been frustrated by lack of insurance coverage and reimbursement for ostomy supplies. Attending NIWI seemed like a great opportunity to put advocacy into action.

Linda Aukett, from the United Ostomy Associations of America (UOAA), informed me about a resolution to Congress called the House of Congress Concurrent Resolution 245. It advocates for ostomy products being “categorized and reimbursed as ‘prosthetic supplies’” instead of medical equipment such as gauze and bandages. It still needed introduction into the Senate. This was just what I was looking for, and I eagerly printed it out and resolved to “storm” Washington with this request.

The first two days at NIWI were spent in sessions to prepare us for visits on Capitol Hill. Discussions centered around health care reform, and we heard from expert nursing advocates in public policy and government relations. One was Judith Leavitt, author of “Policy and Politics in Nursing and Health Care”, a must-read book for any nurse interested in public policy. Other sessions included, “Advocacy 101: Overview of Public Policy Process” and “Review of the ‘Asks’”.

An “Ask” is a term for a request when constituents visit their representatives in Washington. The NIWI “Asks” were for funding for the Nurse Workforce and Development programs and for the National Institute of Nursing Research. The WOCN Society also had an Ask folder for us, and our main assignment was to familiarize Congress with WOC nurses and our function in health care.

The WOCN Society coordinated most of the activities for our day on the Hill. Thirteen WOC nurses were divided into three groups, with five meetings each. NIWI had arranged for visits to state Senate offices for nurses from each state. Some legislative aides were familiar with nurse issues and some were not; some more supportive and proactive than others. None of the aides knew what a WOC nurse is, or the issues facing wound, ostomy, and continence patients. All accepted a copy of H. Con. Res. 245 and promised to follow-up.

These are some of the main points I learned while in Washington:

Attending NIWI is inspirational. Mingling with and learning from the experts, coupled with the exciting milieu of Washington, gave me the knowledge, the tools, and the “fire in the belly” to participate and effect needed change.

Preparing for Exam Success

Always start your exam preparation with these three steps:

Step 1. Read the Content Outline.
Step 2. Study the Proper Materials.
Step 3. Understand the Exam Format: Multiple choice with Recall questions, Application questions and Analysis questions

Top Five Test Taking Tips and Techniques!

#1 Study to your weaknesses – often areas you do not like!
Ask yourself “What is NOT part of my everyday practice? What are the rare but important complications I must remember?”

#2 Trust your intuition.
Your first choice of the correct answer is usually the right one! NEVER change an answer unless you are absolutely sure that you made the wrong choice!

#3 Look for key words.
Words like first, initial, highest, essential, best, most and least are qualifiers that tell you one answer is more correct than another.

#4 Answer the question.
Avoid reading into the question. Remember, this is an entry level test!

#5 Relax.
Remember – a test is a sampling of your knowledge - it's not what you KNOW.

For more helpful tips, visit the WOCNCB Text Preparation page.


Sample Exam Questions: Focus on Ostomy

1. A person with an ileostomy comes to the clinic complaining of frequent leakage under the wafer of the flexible one-piece pouch. The person has a soft abdomen with a shallow crease on either side of a flush stoma. The peristomal skin is reddened but remains intact. Which of the following would MOST likely allow improved wear time and reliability?

A. Two-piece flat wafer and pouch with adhesive coupling.
B. One-piece nonadhesive pouching system.
C. Two-piece firm convex wafer and pouch.
D. One-piece pouch with a flexible barrier ring.


2. The most appropriate surgical treatment for a young person with active ulcerative colitis is

A. protocolectomy with ileal pouch anal anastomosis.
B. subtotal colectomy with permanent colostomy.
C. low anterior resection with temporary ileostomy.
D. total colectomy with an ileoanal anastomosis.


3. A patient with a feeding gastrostomy tube has occasional leakage of stomach contents around the tube and hypertrophic granulation at the tube insertion site. Which of the following interventions would be appropriate for this patient?

A. Irrigate the tube and apply antibiotic ointment at the insertion site.
B. Remove the tube and replace it with a larger one.
C. Stabilize the tube and apply silver nitrate to the granulation tissue.
D. Stop the feeding for 2 days and resume feeding slowly.


1. (C) A two-piece firm convex wafer and pouch.
Convexity will apply pressure against the soft abdominal wall, push the stoma into the opening in the wafer, and flatten the creases around the stoma. A two-piece flat wafer and pouch with adhesive coupling (A) is flat and flexible, but will provide little advantage over the system currently in use. A one-piece nonadhesive pouching system (B) would be indicated for a person with chronic peristomal skin breakdown or a serious adverse reaction to adhesive products. A one-piece pouch with a flexible barrier ring (D) might possibly help this person, but it is more likely that the convex wafer will solve the problem and be simpler for the person to use.

This is an ANALYSIS question. Analysis questions present several facts you must consider when selecting the best answer. This type of question requires you to integrate concepts to determine the correct answer.

Reference
Colwell J. Principles of stoma management. In: Colwell J, Goldberg M, Carmel J, eds. Fecal and Urinary Diversions Management Principles. St Louis, MO:Mosby; 2004:251.


2. (A) Proctocolectomy with ileal pouch anal anastomosis.
This procedure is the preferred treatment for ulcerative colitis and allows the person to resume life without a permanent ostomy. Subtotal colectomy with permanent colostomy (B) would not be the recommended treatment, as the disease may recur in another portion of the colon and the risk of colon cancer would continue to be greater than normal if a portion of the colon is retained. Low anterior resection with temporary ileostomy (C) would only be effective as an emergency treatment for ulcerative colitis if toxic colitis or toxic megacolon were present in the lower portion of the colon. Total colectomy with an ileoanal anastomosis (D) is a possible surgical treatment, but due to the common occurrence of fecal urgency and frequency, it is no longer a treatment of choice.

This is an APPLICATION question. Application questions require you to directly apply your knowledge to a situation described in the question. This type of question involves understanding relationships between concepts but is not overly complex.

Reference
Kiran R, Fazio V. Inflammatory bowel disease. In: Colwell J, Goldberg M, Carmel J, eds. Fecal and Urinary Diversions Management Principles. St Louis, MO:Mosby; 2004:92–94.


3. (C) Stabilize the tube and apply silver nitrate to the granulation tissue.
Hypergranulation is frequently caused by movement of the gastrostomy tube in the tract from the skin opening into the stomach. Silver nitrate cautery is a treatment to remove this overgrowth of tissue, and stabilization of the tube will help keep it from recurring. It would not be helpful to irrigate the tube unless it was obstructed and antibiotic ointment at the insertion site (A) could promote the growth of hypergranulation. Removing the tube and replacing it with a larger one would increase the size of the tract that may cause more leakage. (B) Stopping the feeding for 2 days and resuming feeding slowly (D) would not address either problem, as the leakage of gastric effluent can still occur without feeding.

This is an ANALYSIS question. Analysis questions present several facts you must consider when selecting the best answer. This type of question requires you to integrate concepts to determine the correct answer.

Reference
Carmel J, Scardillo J. Tube management. In: Colwell J, Goldberg M, Carmel J, eds. Fecal and Urinary Diversions Management Principles. St Louis, MO:Mosby; 2004:362–363.


All questions and answers are taken from:
J Wound Ostomy Continence Nurs. 2008;35(2):229-230.
Published by Lippincott Williams & Wilkins
Copyright © 2008 by the Wound, Ostomy and Continence Nurses Society J WOCN. March/April 2008. 229
Used with permission.

Demystifying the PGP

The WOCNCB established the Professional Growth Program (PGP) in 1997 as an alternative to taking an exam for recertification. The PGP lets you demonstrate your knowledge in a portfolio, which is a record of your continual learning and professional growth. Be sure to refer to the PGP Handbook for complete information and instructions.

WOCNCB Streamlines the PGP Process!

Introducing the New PGP Online - a faster, easier and smarter way for you to document and submit your PGP portfolio.

www.wocncb.org/pgp

The WOCNCB's New PGP Online system is

Faster. You can login from any browser, document your portfolio activities immediately, save your portfolio in a secure, password-protected file and submit it with a click.

Easier. You can elect projects and activities from drop-down boxes. The system automatically assigns point values and updates your point log. And - more CEs are allowed – up to 40 per specialty.

Smarter – just like you. The system helps you demonstrate your teaching expertise, document your project development and research skills, identify your service activities and showcase your writing.

Getting Started:

  1. Go to www.wocncb.org/pgp
  2. Create your own secure password – you’ll need your certification number
  3. Set up your profile
  4. Add real or sample activities – you can easily edit or delete them

For a helpful tutorial, click here.


PGP: Spotlight on Ostomy

Here are some examples of actual approved ostomy activities and their point values. Be sure to refer to the PGP Handbook for complete information and instructions.

Continuing Education – 1 point each

Program/Project Development – 3 points
Revised a hospital procedure for sterile catheterization of a urinary diversion stoma. Worked with multidisciplinary team. (Project also earned Self Assessment points – see below.)

Research Activities – 20 points
Collected and analyzed data for research study concerning managing procedural pain in ostomy care. (Also earned Publication points – see below.)

Publication – 25 points
Co-authored research paper concerning managing procedural pain in ostomy care. (Also earned Research Activity points – see above.)

Teaching Activities – 6 points
(Development of program – 4 points; Presentation of program – 2 points)
Developed and presented session at facility discussing ostomy appliances (size, flat vs. convex, closed-end vs. drainable), how to pouch a stoma, and complications requiring referral to a physician. Audience: home care nurses; presentation time: 30 minutes.

Professional Organizations – 5 points
Volunteer at local UOAA support group.

Academic Education Activities – 20 points
Spanish for Health Related Professions. University of Wisconsin. 4 credit hours per semester.

Self Assessment of PGP Process – 5 points
Reflected on role as part of team project to revise sterile catheterization procedure mentioned above. His strengths as a WOCN allowed him to serve as team leader. Challenges included finding current evidence for procedure change. The two goals related to the project are 1) continue to offer expertise to multi-disciplinary teams and 2) continue to review most current ostomy resources.

Pre-approval (of activities not defined in handbook) Some activities for pre-approval are applicable to one of the eight defined activities but are submitted because of some unusual feature:


More PGP HELP

Ask the Board

About the Professional Growth Program

Welcome to Our New Certificants!

Welcome to our new certificantsWelcome and congratulations to all of you for earning your WOCNCB credentials, The Gold Standard for Certification®. You are part of more than 5800 nurses certified by the WOCNCB in wound, ostomy, continence and foot care.

These nurses have certified between September and December, 2009.


Christine Aaron, BSN RN CWCN
Jennifer K. Agosti, RN CFCN
Ferne D. Alderfer, MSN RN CWON
Lori Allatto, BSN RN CWOCN
Margaret Molloy Arndt, BSN RN CWCN
Naomi Bach, BS RN CWOCN
Emily S. Baker, BSN RN CWOCN
Shawn K. Baker, BSN RN CWOCN
Mary Baldetti, BS RN CWCN
Rosalyn Barnabee, BSN RN CWON
Cynthia G. Barney, BSN RN CWOCN
Rosalyn Baumann, MS NP APRN-BC CWOCN
Rita C. Bergevin, MSN RN CWCN
Joyce Berkowitz, BSN RN CWCN
Anne M. Blevins, BSN RN CWOCN
Christy L. Bosch, BSN RN CWOCN
Cheryl A. Bowling, BSN RN CWON
Joann Bowser, RN BSN CWOCN
Linda J. Bowser, RN CWON
Kathryn Jane Brand, MSN RN CWCN
Renata Brill, RN CWCN
Katrina Brooks, BSN RN CFCN
Donna Green Burgmayer, MSN RN CWOCN
Mary Kelly Caouette, MSN RN CWOCN
Alice Carr, BSN RN CWCN CCCN
Elizabeth K. Carrasco, BSN RN CWCN
Wendy Chen, BS RN CFCN
Karen A. Chraska, BSN RN CWOCN
Rebecca Collis, MSN RN CWON
Valerie Corbett, BSN RN CWOCN
Diana M. Coster, BSN RN CWCN
Dawn S. Cotter, BSN RN CFCN
Laura A. Crawford, BSN RN CWOCN
Carolyn H. Cuttino, BSN RN CWCN
Barbara D'Amore, BSN RN CWOCN
Carol Davis, BSN RN CWOCN
Natalie Deleasky, RN CWOCN
Jeanean M. Desrochers, BSN RN CWOCN
Deborah J. Diaz, RN CWON
Judith A. Diperri, MSN RN BC CWOCN
Marilyn Donaldson, MSN RN CWOCN
Cary Pavnick Dowdy, BSN RN CWCN
Margaret M. Drake, BSN RN CWON
Shauna L. Elleman, BSN RN CWCN
Brenda R. Emmerth, BSN RN CWCN
Lisa Escorsio, BSN RN CFCN
Michelle Eslick, BS RN CWCN
Gail Figueroa, BSN RN CWCN
Amie Flint, BSN RN CWCN CCCN
Kathleen A. Foley, BSN RN CCCN
Melinda Sue Gangloff, RN COCN
Teresa Gentry, MSN RN CWCN
Nancy L. Graupner, BSN RN CWCN
Cecilia Gray, RN CWON
Carrie Hahn, BSN RN CFCN
Joy Hall, BSN RN CWCN
Tara Hester, RN CWON
Kimberly S. Holliday, BSN RN CWON
Stephanie E. Holmes, BSN RN CWOCN
Jessica Hoover, MSN RN CWON
Kimberly Jackson, BSN RN CWCN
Carolee A. Johnson, BSN RN CWOCN
Cheree Johnson, BSN RN CWOCN
Donna Kay Johnson, RN CFCN
Taheera Khalilah Johnson, BSN RN COCN CCCN
Stacie A. Jones, BSN RN CWOCN
Julie Ann Kane, BSN RN CWON
Marilee Johnson Katz, BSN RN CWOCN CFCN
Judith Ann Kelly, BSN RN COCN
Susan A. Kelly, BSN RN COCN CCCN
Shirley K. Kenney, BSN RN CWCN
Jane King, RN CWCN
Ma Dolor King, BSN RN CWON
Alice Kinjerski, BSN RN CWON
Jessica R. Kitterman, BSN RN CWOCN
Deborah Ann Knutsen, BSN RN CWOCN
Autumn Ladd, BSN RN CWOCN
Maricel O. Liboro, BSN RN CWCN
Elizabeth Bermudez Licon, BSN RN CWCN CCCN
Patricia S. Lisk, MSN RN CWOCN
Judie A. Lizewski, BSN RN CWCN
Rebecca Mackintosh, BS RN CWCN
Barbara Maguire, BSN RN CWCN
Patricia Catherine Manavbasi, BSN RN CWOCN
Leslie C. Martin, BSN RN CWON
Diane M. Maya, BSN RN CWCN
Marie McCann, BSN RN CWCN
Julie McColm, BA RN CWOCN
Heather McEntarffer, BSN RN CWOCN
Ellen M. McKinnon, RN CWCN
Lora McMichael, BSN RN CWOCN
Rosalind Melnicoff, MSN RN CWCN
Rachel Michel-Donovan, BSN RN CWOCN CFCN
Melissa Migal, BSN RN CWOCN
Lindsay R P Moll, BSN RN CWON
Margaret Morrison, BSN RN CWOCN
Debbie Murray, BSN RN CWCN
Michelle Murray, BSN RN CWON
Lauren M. Myers, BSN RN CWOCN
Gloriajean Nelson, RN CWOCN
Evangela J. Nichols-Gordon, RN CFCN
Amy Hollis Norcross, BSN RN CWCN
Jennifer J. O'Connor, BSN RN CFCN
Martha Obando, BSN RN CWOCN
Terri A. Olinger, BSN RN CFCN
Tina M. Olinyk, BS RN CWOCN CFCN
Lynda A. Parton, MSN RN CWCN
Ava Jean Passino, RN CFCN
Amanda Pennington, BSN RN CWOCN
Rosalita Perez, BSN RN CWOCN
Amy L. Pickering, BSN RN CWCN
Jamie Pingle, BSN RN CWOCN
Sharon L. Prime, RN CWCN
Tommy Jean Psillos, BSN RN CWCN
Pamela Rahmann, BSN RN CWOCN
Angela Rebottaro, BSN RN COCN
Ashley Rodenbach, BSN RN CWOCN
Thureiyya Rodriguez, BS RN CWOCN
Sandy W. Rushing, BA RN CFCN
Carla Irene Ryan, MSN RN CWOCN
Kimberly A. Sawallisch, BSN RN CWOCN CFCN
Tabatha Schroeder, BSN RN CWOCN
Lisa Schwartz, RN CFCN
Sheila M. Shelley, BSN RN CWCN
Brenda B. Simpson, BS RN CWOCN
Debra Sisson, BSN RN CWON
Wendy Slabodnick, RN CWCN
Rebecca E. Smith, BSN RN CWCN
Debora Solensky, BSN RN CWOCN
Jennifer Starnes, BSN RN CWON
Sally M. Studer, BSN RN CWCN
Sandy Sweeney, BSN RN CWON
Billinda J. Tatum, BS RN CFCN
Tammy J. Tatum, BS RN CWON
Olivia Taveras-Koranda, BSN RN CWOCN CFCN
Vivian L. Taylor, BSN RN CWOCN
Amanda Thurston, BSN RN CWOCN
Denise D. Trottier, MSN RN CWOCN
Kelly Van, BSN RN CWCN
Eugenia Vinyar, RN CWCN
Dale Walsh, BSN RN CWOCN
William Wax, MSN RN CFCN
Christine K. Wea, MSN RN COCN
Lisa Irene Webb, RN CWON
Barbara Weber, BSN RN CWCN
Rita Louise Whitney, BSN RN CWOCN
Susan M. Wiggin, BSN RN CWCN
Susan Wilson, BSN RN CWOCN
Jessica A. Winning, BS RN CWCN
Celesta L. Young, BSN RN CWCN
Joanne Yow, BSN RN CWON

Congratulations to Our Recertified Nurses

Welcome to our new certificantsCongratulations and thanks to you all for maintaining your WOCNCB credentials. We are proud of your achievement and that you have chosen to continue supporting The Gold Standard for Certification®.

These nurses have recertified between September and December, 2009.


Bonnie K. Alvey, BSN RN CWON
Melissa J. Anders, BSN RN CWOCN
Joyce M. Antos, BSN RN CWON
Lou Ann Ary, BSN RN CWOCN
Susan R. Ashworth, BSN RN CWON
Courtney D'anne Atwood, BS RN CWCN COCN
Joyce L. Avery, BSN RN CWCN COCN
Elizabeth A. Ayello, PhD RN CS CWON
Elaine S. Aylward, BS RN CWCN COCN
Peggy J. Bailey, RN CWCN
Chris L. Baker, BSN RN COCN
Christine P. Baker, MSN RN CWOCN
Amelia S. Bandelier, BSN RN CWON CCCN
Sharon K. Baranoski, MSN RN CWCN
Alison M. Barna, MSN RN CWON
Aimee Barshay, BSN RN CWON
Donna I. Bateman, BSN RN CWCN
Kathryn M. Baxter, MS RNC FNP CWOCN
Cheryl A. Bealer, BSN RN CWOCN
Dawn R. Beals, MSN RN CWOCN CFCN
Kelli A. Beck, RN COCN
Susan A. Bell, MSN RN CWOCN
Sherlyn A. Benham, BSN RN CWCN
Susan M. Berns, BSN RN CWOCN
Jill Bick, BSN RN CWOCN
Stephanie M. Bixler, MSN RN CANP CWCN
Bonnie K. Black, RN CWOCN
Dyanne L. Black, RN CWCN
Katherine S. Blake, BSN RN CWCN COCN
Harriet Blau, BS RN CWCN COCN CCCN
Robert D. Bledsoe, MSN RN CWCN
Pamela M. Blinder, BSN RN CWCN CCCN
Deanna K. Boyd, MS RN CNS CWOCN
Kathy M. Boyle, BSNRN CWCN CCCN COCN
Kerry E. Braverman, BSN RN CWCN
Dawn S. Breakiron, BSN RN CWOCN
Debra L. Brewer, BSN RN CWOCN
Jennifer L. Brinkman, BSN RN CWON CCCN
Carolyn Brogdon-Caneda, BSN RN CWOCN
Janel L. Brown, BSN RN CWCN COCN
Kathleen A. Brown, MN RN CWOCN
Susan E. Burdine, BSN RN CWOCN
Patricia A. Burnham, BSN RN CWOCN
Donna D. Burroughs, MSN RN CWCN
Madeline R. Cafiero, MSN NP CWOCN
Carmen M. Capriole, CWCN
LuAnn Carlson, BSN RN CWOCN
Cynthia A. Carman, RN CWON
Jane E. Carmel, MSN RN CWOCN
Jean E. Cefalu, BSNRN CWCN COCN CCCN
Suzan Cengiz, BS RN CWON
Nancy Chaiken, ANP-C CWOCN
Timothy B. Chilson, BSN RN CWOCN
Karen E. Chmiel, BSN RN CWOCN
Susan Clayton, BSN RN CWCN COCN
Kirsten D. Clougherty, MSN RN CWCN
Martha D. Cobb, MS RN MED CWOCN
Mary S. Coffey, BSN RN CWON
Helene A. Cohen, MSN RN CWON
Julie A. Coulson, MSN RN CWCN CFCN
Michelle A. Crocker, RN CWOCN
Donna L. Crossland, MSN RN CWOCN
Joan M. Culley, MS MPH PHD RN CWOCN
Hilda Curet, MSN RN CWCN
Susan M. Currence, BSN RN CWON
Donna S. Czapiga, BS RN CWOCN
Nicole M. Daniel, BSN RN CWON
Laura A. Darr, BSN RN COCN
Movelle I. Das, BSN RN CWCN
Allyn A. Davies, BSN RN CWON
Kathy M. Davis, BSN RN CWOCN
Marcia J. Davis, MS CNS RN CWOCN
Myrissa G. De Vera, RN CWCN COCN
Linda M. Demarest, BSN RN CWOCN CCCN
Mary M. Dionson, BSNRN CWCN COCN CCCN
Mary Ellen Dobson, BA RN CWoCN
Maria Corazon C. Dominico, BSN RN CWCN
Jackie E. Doubleman, BSN RN CWOCN
Cynthia A. Dowd, BSN RN CWOCN
Nancy A. Drange, MSN RN CWON
Colleen M. Drolshagen, RN CWOCN
Linda R. Droste, MSNRN CWCN COCN CCCN
Debra L. Dubuc, MSN APRN CWON
Julia A. Dvorak, MSN RN CWON
Carolyn W. Eddins, MSN RN CWOCN
Rebecca S. Eichler, BS RN CWOCN CFCN
Cynthia Ellman, BSNRN CWCN CCCN COCN
Flordeliza J. Escudero Navelgas, BSN RN CWON
Verena M. Esparza, BSN RN CWOCN
Debra Farnsworth, BSN RN CWCN COCN
Alicia D. Ferguson, BSN RN CWON
Lennis B. Floyd, RN COCN
Laurie E. Force, BSN RN CWON
Christianne Fowler, MSN RN NP CWCN
Roxann C. Frain, BSN RN CWOCN
Ann Franck, BSN RN CWON
Shanna Fraser, BSN RN CWOCN
Karol Lynne Friend, BA RN CWCN COCN
Elizabeth R. Fudge, MSN RN CWON
Geraldine A. Gadwa, RN CWCN
Juli M. Gage Macdonald, RN CWON
Diana L. Gallagher, MS RN CWOCN CFCN
Linda N. Gamboa, MSN RN CWCN-AP CCCN
Elizabeth A. George, RN CWON CFCN
Lucretia M. German, BA RN CWOCN
Pamela J. Gerwin, BSN RN CWON
Linda F. Geurin, RN CWON
Angela B. Gilbert, BSN RN CWOCN
Shannon Glavaz, BSN RN CWOCN
Deborah M. Gonzalez, RN CWCN
Benita D. Gooden, BSNRN CWCN COCN CCCN
David L. Gordon, BSN RN CFCN CWOCN
Shelley Gover, BSN RN COCN CCCN
Theresa M. Grace, MSN RN CWOCN
Elizabeth K. Griggs, BS RN CWON
Susan M. Gurney, MSN FNP-C CWOCN
Patricia M. Hall, MS ARNP CWCN
Vicki M. Hammons, MSN RN CWCN COCNCCCN
Joellen G. Hanly, BSN RN CWCN COCN
Mary J. Hansen, BS RN CWCN COCN CCCN
Pamela Sue Harmon, BSN RN CWCN COCN
Shelley A. Harmony, BSN RN CWCN COCN
Deborah E. Hartman, BSN RN CWOCN CFCN
Eileen Heggison, RN CWCN
Cynthia F. Herbst, BSN RNC CWOCN
Jennifer R. Heston, BSN RN CWON
Carolyn Hewett, RN CWOCN
Suzanne M. Hilton, BSN RN CWOCN
Rosalind Hinton, BSN RN CWCN
Tommie L. Hobbs Ii, BSN RN CWOCN
Susan K. Hobson, RN CWCN
Karen J. Hollinger, APRN-NP,CWOCN
Tamra Holloway, RN CWOCN
Barbara R. Holmes, BSN RN CWCN
Reginaldo F. Horwitz, MSN RN CWCN
Linda M. Howard, RN CWCN
Mary C. Howe, BSN RN CWOCN
Lynda A. Huckestein, BSN RN CWOCN
Cathy D. Iekeler, BSN RN CWCN
Maureen L. Ingram, MSN RN CWOCN
Betty S. Jackson, MSN RN CWON
Rachel J. Jackson, BSN RN CWOCN
Elizabeth F. James, MSN RN CWOCN
Molly B. Janovsky, MS RN CWON
Alicia D. Jenkins, BS RN CWCN
Belinda M. Jenkins, BSNRN CWCN COCN CCCN
Miriam G. Jensen, BSN RN CWCN COCN
Kristen E. Jentons, BSN RN CWOCN
Gloria W. Johnson, BSN RN CWON
Jane S. Johnson, BSN RN CWOCN
Kathy Johnson, BS RN CWON
V Caroline D. Jones, BSN RN CWON CCCN
Rosalyn S. Jordan, MS RN CWOCN
Marion M. Kaupas, BS RN CWON CCCN
Lokenani Kealoha, CWCN COCN CCCN CFCN
Sherry D. Keck, MSN RN CWOCN
Gloria J. Keehn, BSN RN CWOCN
Carol Ann Kennedy, BA RN CWCN COCN CCCN
Kathleen E. Kennedy, CWCN
Sue A. Kennedy, BS RN CWOCN
Laura Kenney, MSN RN CWOCN CFCN
Nancy C. Kibbe, BSN RN CWCN
Lou B. Kodish, BA RN CWOCN
Linda Jean Konczyk, BSNRN CWCN COCN CCCN
Bernadette Kozik, BS RN CWON
Wendy Kraft, BSN RN CWOCN
Kathleen M. Kump, BSN RN CWOCN
Marie Desiree Lacandola, BSN RN CWCN COCN
Deborah A. Lamendola, MSN NP CWCN
Sandra J. Lane, BSN RN CWCN COCN
Tracy R. Leavitt, RN CWON
Sarah E. Lebovits, MSN RN NP CWOCN
Sheree L. Lee, BSN RN CWOCN
Elizabeth C. Lemiska, BSN RN CWOCN
Christine F. Lesando, BSN RN CWOCN
Maryanne R. Lewis, BSN RN CWOCN
Michelle Lindsey, BSN RN CWOCN
Kristin M. Linkewich, MSN RN CWOCN
Kathleen K. Liptak, BSN RN CWON
Haiping Liu, MSN RN COCN CCCN
Cheryl B. Lloyd, BSN RN COCN CCCN
Stacy A. Longmire, BSN RN CWCN
Piper L. MacRae-Egan, BSN RN CWOCN
Mary F. Mahoney, BSN RN CWON
Laurie J. Maidl, BSN RN CWOCN
Katherine E. Marchese, BSN RN NP CWOCN
Susan B. Martinez, BS RN CWCN COCNCCCN
Pamela M. Materia, BSN RN CWOCN
Bonnie Mayo, BSN RN CWOCN
Donna B. McClure, BSN RN CWOCN
G. Lindsay McCrea, PhD RN CWOCN FNP-BC
Barbara McCue, BSN RN CWCN CCCN
Ellen McDonald, BSN RN CWCN COCNCCCN
Marie Leilane McElwee, MSN RN CWCN CCCN
Phyllis N. McGalliard, BSN RN CWOCN
Margaret A. McLaughlin, MSN CRNP CWCN
Sean McMahon, MSN RN CWON
Martha Elizabeth Megginson, CWCN COCN CCCN CFCN
Karen A. Merson, BSN RN CWOCN
Valerie J. Messina, BSN RN CWCN
Karen F. Miller, BSN RN CWCN
Kathleen B. Miller, BSN RN CWOCN CFCN
Laura E. Miller, BS RN CWCN
Marquita S. Miller, BSN RN CWOCN
Linda J. Mimnaugh, MSN RN CWON
Roberta Mittelsted, MSN RN CWCN CCCN
Andrea Montgomery-Kylie, BSN RN CWCN COCN
Patricia A. Moore, RN CWCN
Judith A. Morey, BSN RN CWOCN
Clare Marie Morrissey, BSN RN CWCN COCN
Donna J. Morse, BSN RN CWOCN
Dolores N. Mueller, MSN RN CWON CCCN
Ellen P. Murphy, RN CWCN
Karen M. Myers, BSN RN CWON
Cheryl A. Neese, RN CWCN
Kathleen M. Nelson, BSN RN CWCN
Jill T. O'Brien, BSN RN CWCN
Linda J. O'Brien, BSN RN CWOCN
Kim L. Olson Voth, BSN MA RN CWCN
Robin L. Ortega, MS RN CWCN
Lisa Y. Osborne, BSN RN CWCN
Maryann A. Ostrout, BSN RN CWOCN
Sharryl F. Overdorf, BSN RN CWOCN
Janice R. Owen, BSN RN CWOCN
Melanie F. Palliser, BS RN CWCN
Diana L. Parker, MS RN CWOCN
Diane M. Paskey, BS RN CWCN COCN CCCN
Cathryn L. Pauley, BSN RN CWOCN
Patricia L. Pearson, BS RN CWOCN
Alicia Pellerin, BSN RN CWON CCCN
Linda A. Pelletier, BSNRN CWCN COCN CCCN
Sonya M. Perry, BSN RN CWON
Catherine I. Phillips, RN CWOCN
Jamie B. Pinnock, BSN RN CWCN
Susan A. Piwowarczyk, BSN RN CWOCN
Viola R. Poteete, BSN RN CWON
Pamela R. Potter, BSN RN CWCN
Barbara J. Powell, BSN RN CWCN
Jana D. Props, BSN RN CWOCN
Linda H. Pym, RN CWOCN
Conchita Q. Rader, MSN RN CWCN CFCN
Noreen Reaney, BSN RN CWCN COCN
David J. Recklitis, BSN RN CWON CFCNCCCN
Colleen Reeves, MSN ANP-C RN CWOCN
Myra Reeves, BSN RN CWOCN CFCN
Rita K. Richardson, BSN RN CWOCN
Leanne D. Richbourg, MSN APRN-BC CWON-AP
Barbara M. Righter, MSN RN CWOCN
Evelyn V. Rivera, BSNRN CWCN COCN CCCN
Angela M. Robinson, BSN RN COCN CCCN
Shirl N. Rogers, MSN NP CWOCN
Mary G. Rono, BSN RN CWCN COCN
Donna M. Rositani, BSN PHN RN CWOCN
Beulah F. Rowsey-Rogers, BSN RN CWCN COCN
Cheryl K. Rudolph, BSN RN CWOCN
Dianne M. Rudolph, MSN RN CWOCN
Daniel Ruiz, BSN RN CWON CCCN
Phyllis H. Sage, RN CWON
Barbara C. Salerno, BSN RN CWOCN
Mary C. Saunders, BSN RN CWCN CCCN
Aimee Savage, BSN RN CWON CCCN
Kathryn A. Scarano, BS RN CWOCN
Judith N. Scardillo, MSN RN NP CWOCN
Joy E. Schank, MSN RN NP CWOCN
Bethany A. Schempp, BSN RN CWCN
Velura J. Schmalzried, RN NP CWCN
Rebecca S. Schmidt, BSN RN CRRN CWOCN
Shari A. Schrader, MSN RN NP CWCN
Cynthia L. Schroeder, BSN RN CWON
Anna H. Searing, BSN RN CWOCN
Catherine L. Seddon, BSN RN CWCN
Ann H. Semo, BS RN CWOCN
Deborah A. Serio, MBA RN CWCN
Valerie J. Short, RN CWCN
Brenda A. Shurtleff, MSN RN CWOCN
Jocelyn Sison, BSN RN CWCN COCN
Catherine C. Skinner, BS RN CWOCN
Patricia A. Slachta, PhD APRN BC CWOCN
Alison W. Smith, BSN RN CWOCN
Florence Rae Smith, BSN RN CWOCN CFCN
Juliet E. Smith, BSN RN CWCN
Tina R. Smith, BSN RN CWCN COCN
Sheryl K. Snapp, BSN RN CWON
Cynthia G. Stedman, BS RN CWCN COCN
Tammy R. Steighner, BSNRN CWCN COCN CCCN
Vivian S. Sternweiler, MSN RN CWCN
Linda J. Stevens, BSN RN CWCN
Joann Strang, BSN RN CWCN COCN
Judith K. Stucke, BSN RN CWON
Carolyn S. Summers, BS RN CWON
Roseanne M. Sutter, BSN RN CWON
Angel Sutton, BSN RN CWCN CCCNCFCN
Kristin M. Szczepaniak, MSN RN CWCN COCN
Thomas J. Szopa, MS RN CWON
Rhonda Ann Tack, BSN RN CWOCN
Charlene K. Taylor, RN CWON
Bruce E. Tengblad, BSN RN CWON
Deborah S. Thedford, MSN RN CWOCN
Ing Tioe Tjoa, BSN RN CWCN COCN
Sandra K. Toothaker Attebery, MSN RN CWON
Brenda J. Torres, BSN RN CWON
Vickie Turner, BS RN CWoCN
Shirley A. Tyler, BS MS RN CWOCN
Sarah Vandenberg, BSN RN CFCN CWON
Renee Visser, BSN RN CWON CCCN
Margaret M. Vogel, MSN RN CWON
Carolyn A. Wagner, MSN NP CWOCN
Carolyn R. Walkner, BSN RN CWOCN
Angela Faye Walsh, BSN RN CWCN
Carleen Walsh, RN CWCN
Catherine Walsh, BSN RN CWOCN
Christine Walsh, BS RN CWON
Linda E. Warren, MSN RNC CWON
Carrie Dawn Jennings Weatherford, MSN RN CWOCN
Daphne Weiland, BSN RN CWOCN
Jay L. Wells, RN CWCN
Mary L. Whalen, BSN RN CWOCN
Roberta M. White, MSN RN CWOCN
Cynthia A. Whitehead, RN CWON
Susan R. Wickard, BSN RN CWCN
Tracy G. Widby, RN CWCN
Marilyn K. Wilson-Sherwin, MSN RN CWOCN
Sandra G. Wilusz, MSN RN NP CWOCN CFCN
Ann C. Woodruff, BSN RN CWOCN
Susan V. Worster, BSN RN CWOCN
Kathleen D. Wright, MS RN BC CWOCN APRN
Dawn M. Yim, RN CWCN CFCN
Lois K. Yorgey, RN CWCN

© 2014 WOCNCB Certification e-NEWS is a quarterly publication of the Wound, Ostomy and Continence Nursing Certification Board