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Members Present at International Cardiac Care Meeting
By Debra Lynn-McHale,
RN, MSN, CCRN, CS
AACN members were among more than 500 cardiac nurses and physicians from 25 countries who participated in the first International Meeting on Intensive Cardiac Care, June 28 through July 3, 1998, in Jerusalem, Israel.
The conference was cosponsored by the Israel Heart Society and the Working Group for Intensive Cardiac Care, the International Society and Federation of Cardiology, the European Society of Cardiology, the Society for the Advancement of Cardiac Nursing in Israel, the Council of Cardiovascular Nursing for the American Heart Association, and the Society for the Advancement of Critical Care Nursing in Israel.
Nearly 100 state-of-the-art presentations were given by both nurses and physicians. Panel discussions and question and answer periods offered an opportunity for interactive dialogue related to advances in the care of the cardiac patient.
AACN members Barbara Drew, RN, PhD, FAAN; Martha N. Hill, RN, PhD; Kathleen B. King, RN, PhD; Debra Lynn-McHale, RN, MSN, CCRN, CS; Kathy McCauley, RN, BSN, CCRN; Rose Shaffer, RN, MSN, CCRN; and Joan Vitello-Cicciu, RN, MSN, CCRN, CS, FAAN; were presenters. Their topics included cardiac emergencies, hemodynamic monitoring, research-based postprocedural nursing care related to cardiac interventional procedures, women and coronary heart disease, gender issues in recovery from cardiac surgery, advances in monitoring patients with wide QRS complex tachycardia, family-centered care, challenges and rewards of conducting research in the ICU, detection of acute ischemia in patients with unstable coronary syndromes, prediction of survival after cardiopulmonary arrest, making resuscitation efforts more effective, and ethical issues in the CCU.
Additional presentations included advances in thrombolytic therapy, the role of telecardiology in prehospital cardiac emergencies, the use of epidural analgesia in patients with ischemic heart disease, and why nurses should independently administer thrombolysis prior to the myocardial infarction patient being seen by a physician.
Hill, who is president of the American Heart Association, delivered the keynote address at the closing session. She discussed current and future interdisciplinary outcomes and research in intensive cardiac care settings.
Nurses and physicians also had opportunities to tour the Hadassah Medical Center in downtown Jerusalem, where they were able to learn from each other and share strategies to improve patient care.
Attendees not only gained professionally but personally as they had the opportunity to enjoy Jerusalem. Conference participants enjoyed an evening tour of the Old City of Jerusalem and the New Western Wall Tunnels as well as the vibrant modern sections of Jerusalem. All participants had the opportunity to tour and attend a gala banquet at the Israel Museum.
After the conference, participants traveled to Bethlehem, Tel Aviv, the Dead Sea, Galilee and Tiberias, and the beach resort of Elath.
1999 Wyeth-Ayerst Class of Mentors and Fellows Announced
The 1999 class of mentors and fellows in the AACN Wyeth-Ayerst Fellowship Program have been selected.
Funded by Wyeth-Ayerst Laboratories, the program is designed to develop clinical leaders and promote professional writing abilities. During the 9-month fellowship, which is in its seventh year, mentors and fellows collaborate on individualized projects and culminate by writing an article for a supplement to the American Journal of Nursing. In addition, mentors and fellows are recognized at AACN’s annual National Teaching Institute,™ which is scheduled in 1999 for May 16 through 20 in New Orleans, La.
Following are the mentors and fellows in the 1999 class:
CE Program Approval Is Easy
Having your continuing education programs approved by the AACN Certification Corporation assures participants that the program meets professional continuing education (CE) standards.
Participants also earn CE credit toward license renewal, certification or recertification requirements, and institutional CE requirements.
Two types of approval options are available:
• Program approval, providing accreditation of a single program for 1 year
• Provider approval, providing accreditation of unlimited programs within a 3-year period
Program approval is easy! In addition to the processing fee, the following documentation is required:
• Program description and objectives
• Participant learning objectives
• Program outline and schedule
• Reference list
• Speaker list
• Learning and program evaluations
• Processing fee
Submit your CE program at least 1 month prior to the course date. Your program’s approval notice can be provided quickly by phone, fax, mail, or e-mail! The service is available for last-minute processing at an additional fee.
To obtain the AACN Certification Corporation program approval handbook, call (800) 809-2273, ext. 8961; e-mail,
program firstname.lastname@example.org. For more information, contact Program Associates Lisa Valencia at ext. 332 or Cheri Weiss at ext. 417.
Proposals Sought for Symposium
Paper, projects, and case studies are being sought for “ICU 2010: A Critical Care Design Symposium,” which is scheduled for April 1999 at Texas A&M University, College Station, Tex. December 1, 1998, is the deadline for submissions.
An interdisciplinary panel will select research reports and case studies for presentation and roundtable discussion. Suggested topics include clinical context, treatment protocols, nursing models/staffing, monitoring decisions, communications, point of care, medical equipment, pharmacy, environmental research, healing environments, postoccupancy evaluations, and nosocomial infection.
Sponsored by the Center for Health Systems and Design at Texas A&M University, the interdisciplinary conference is jointly presented by AACN, the AIA Academy of Architecture for Health, and the Society for Critical Care Medicine.
For more information, contact Mary McDonald, American Institute of Architects, Academy of Architecture for Health PIA, 1735 New York Avenue, NW, Washington, DC 20006-5292.
Long-Term Care Insurance Added to Member Benefits
How much are you willing to pay for peace of mind? For the price of a cup of coffee each day, you may be able to obtain protection against the high costs of long-term care, should you need it.
Although needing long-term care is not a prospect most of us like to think about, the time may come when you cannot care for yourself. Expenses associated with this type of care can be very high.
The new AACN Long-Term Care Insurance Plan helps to cover these costs in a variety of settings including at home, in an adult day care, in a residential care facility, or in a nursing home. Services from nurses, home healthcare aides, therapists, and other types of caregivers are covered. This coverage offers flexibility and freedom of choice.
By earmarking a portion of your monthly retirement savings for long-term care insurance, you can help protect yourself from escalating costs of long-term care. In addition, choosing long-term care insurance can help avoid placing an undue burden on those you love.
Additional information about this new member benefit will be mailed soon to you.
1997-1998 Financial Report to the Membership
Out 'N' About: Chapter Meetings, Hospital Visits Fill Inaugural Time
By Mary McKinley, RN, MSN, CCRN
I began my year as president of AACN at the American Nurses Association (ANA) convention in San Diego. Calif., where I was the AACN organizational affiliate representative. An inspirational highlight of the meeting was the keynote address by country music star Naomi Judd, who is a former critical care nurse.
During the Organizational Affiliate Breakfast where projects and progress are reviewed, several of our Best Practice Network partners spoke positively of the work of this important initiative.
In addition to Bev Malone being elected president of ANA, several AACN members, including Mary Chaffee, Patricia Holloman, and Linda L. Olson, were elected to positions with the ANA.
I was on the road again in August for the annual AACN Board Launch and New Board Orientation in Southern California. The 2 meetings have been combined to reduce the amount of time and travel that is required of our volunteer board members and of our staff.
President-elect Anne Wojner and I as well as AACN Certification Corporation Board Chairperson Barbara Gill and Chairperson-elect Kimmith Jones joined the new members of both boards for 2 days full of learning. We also had time for a little fun at Disneyland.
The 2-day Board Launch that followed helped us set the framework for the year. Included in the meeting was a report by consultant Tim Kight, who examined the association and its role with the Foundation for Critical Care. This enlightening assessment will give the AACN Board, AACN Certification Corporation Board, and staff of the National Office food for thought for future planning meetings.
Next, I was pleased to be invited to address the Greater Memphis (Tenn.) Area Chapter of AACN as it celebrated its 25th anniversary. As part of my preparations, I asked the chapter if it could provide me information on its history. The group discovered that the information they had was sketchy, and is now looking to preserve more of its history for the future. All chapters may want to consider this type of effort. It’s easy to pass along the “box” that contains all the “old” stuff, but over time, things get lost.
While I was in Memphis, I asked my “tour guide,” Janet Mulroy, about visiting a local hospital. The whirlwind tour of the 6 critical care units at Baptist Memorial Hospital that she arranged was a great learning experience. You can’t help but realize that we all deal with similar, if not the same, problems.
The chapter graciously gave me a “goody” basket filled with wonderful products from the local area. A particular favorite was Memphis’s world famous Corky’s barbecue sauce, which quickly became a favorite of my family after I returned home.
In September I spoke at the annual meeting of the National Association of Neonatal Nurses in Cincinnati, Ohio. With more than 1100 nurses in attendance, the opportunities to network were interesting, because it is always helpful to see things from other perspectives.
Next, I traveled to Fort Lauderdale, Fla., to attend the South Florida Gold Coast Chapter’s Wealth of Knowledge Symposium. The conference involves a consortium of 4 AACN chapters (Treasure Coast—president, Shannon Green; Palm Beach County—president, Heather Scott; Broward County—president, Kandy Major; and Greater Miami—president, Linda Lever), which sponsor this symposium every 2 years. Joining the conference this year was the Greater Fort Lauderdale Emergency Nurses Association (ENA) Chapter, whose president is Edna Franson. Two of the participants, one from Iceland and the other from Australia, said they were on vacation in the area and learned of the symposium via the Internet.
I was pleased to be able to speak to this lively group of more than 200 and to follow with a “sunset” (not fireside) chat. President-elect Wojner also attended, so the group of more than 50 nurses at the chat were “double teamed.” It is always great to talk with members and share information on what AACN is doing as well as hear from members about their needs.
From Florida, I flew to Charlotte, N.C., for the Region 5 Fall Chapter Meeting. I was fortunate to have conducted the Region 5 meeting last year, and be invited back through the efforts of Genny Cobrda, Chapter Advisory Team (CAT) representative for the region. We had some great discussions with the more than 45 members who attended about issues they face and what types of resources could best help them.
Following the meeting, I visited Presbyterian Hospital in Charlotte. My able tour guides, Sydney Lange and Carol Monson, took me to all the hospital areas that care for critically ill patients. Included were the neonatal ICU, where the nurses are caring for a census of more than 50 critically ill neonates. I also met an advanced practice nurse, Sharon Mack, who is in the Heart Failure Clinic. This was truly a look at the continuum of care!
My next few weeks promise to be busy as I will be attending more chapters and regional meetings as well as Leadership Connections and the November board meeting. I hope to see you somewhere in my travels as I am “ out and about.”
Congratulations 1998-99 Volunteer Appointees
The following volunteers have been appointed to AACN committees for 1998-99. Earlier appointments appeared in the September issue of AACN News. Additional appointments will be published in future issues.
Interfacility Critical Care Transport Issues Addressed
Seventeen organizations including AACN participated in a recent meeting to identify issues and recommend future collaborative strategies for interfacility and critical care transport.
The meeting was coordinated by the Emergency Nurses Association (ENA), with guidance from the National Highway Traffic Safety Administration. The participating organizations agreed to pursue development of a resource document, based on the EMS Agenda for the Future.
Several aspects of the issue were discussed including the need for a common definition of critical care, reimbursement, team composition, education, credentialing, and the responsibilities of sending and receiving physicians and hospitals as well as the role of the Consolidated Omnibus Budget Reconciliation Act (COBRA) and the Emergency Medical Treatment and Labor Act (EMTLA). Eight states currently have regulatory standards for interfacility critical care transport, but several others are developing them.
Other organizations participating in the meeting were Air Medical Physician Association, American Academy of Pediatrics, American Ambulance Association, American Association of Respiratory Care, American College of Emergency Physicians, American Nurses Association, Association of Air Medical Services, Commission on Accreditation of Medical Transport Systems, Health Care Financing Administration, Maternal Child Health Bureau, National Association of State EMS Directors, National Flight Nurses Association, National Flight Paramedics Association, and Society of Critical Care Medicine.
Music Therapy and Medicine Topic of Teleconference
The practice of music therapy in medical settings is the topic of a program that will be broadcast via satellite to more than 100 locations throughout the United States and Canada on April 27, 1999.
Titled “Music Therapy & Medicine, A National Satellite Broadcast,” the 2-hour teleconference will air from 1 to 3 pm (EST). It is jointly sponsored by AACN, the Department of Veterans Affairs, and the American Music Therapy Association (AMTA).
Included in the broadcast is a live discussion by a panel consisting of representatives from critical care nursing, music therapy, research, case management, and healthcare administration as well as interaction from in-studio and downlink site audiences. Continuing education credit for nurses will be offered.
For more information about “Music Therapy & Medicine, A National Satellite Broadcast,” visit the AMTA Web site at
http://www.musictherapy.org, or contact Tamara Zavislan, AMTA director of development, at (301) 589-3300; fax, (301) 589-5175; e-mail,
NTI Exhibit Prospectus Available
The NTI Exhibit Prospectus for the 1999 National Teaching Institute™ and Critical Care Exposition, scheduled May 16 through 20 in New Orleans, is now available. The exposition will be open May 18 through 20.
Previous and prospective exhibitors will receive a copy of the prospectus this month.
The deadline for exhibit space applications to receive “priority points” consideration is January 7, 1999. Exhibitors submitting applications by that date will receive priority space assignments.
Applications submitted after January 7 will be accepted on a space available, first-come, first-served basis.
To request an Exhibit Prospectus or to find out more about exhibiting opportunities, call (949) 362-2000.
Managed Care/HMO Reform
Managed care legislation has been a dominant issue in the second half of the 105th Congress, as consumers push for protection against mistreatment.
All the bills that have been introduced include privacy protections, cover emergency services based on the “prudent lay person” standard, allow women to obtain obstetrical and gynecological services without a referral from a primary care provider, and provide a ban on the gag rule clause. However, they differ significantly in how they address the patient’s right to sue.
The following bills to improve patient protection and ensure quality care have been introduced:
• Democrats—S. 1890, Patients’ Bill of Rights Act of 1998, introduced by Sen. Tom Daschle (N.D.) and endorsed by President Clinton: would allow patients to hold their health plans liable for decisions regarding care.
• Republicans—S. 2330, the Patient’s Bill of Rights Act, introduced by Sen. Don Nickles (Okla.): does not include a provision for the patient to sue.
• Bipartisan—S. 2416, Promoting Responsible Managed Care Act, introduced by Sen. John Chafee (R-R.I.): would bar patients from suing their health plans for noneconomic damages.
Economic analysis by the Congressional Budget Office projects that the Republican bill would result in lower medical insurance premiums and the Democrat bill would result in increased premiums.
The managed care debate escalated when H.R. 4250, the Patient Protection Act of 1998, which was introduced by Rep. Newt Gingrich (Ga.) on behalf of the Republican Health Care Task Force, passed the House and was placed on the Senate calendar.
Health Privacy Rules
Several pieces of legislation to protect the privacy of a patient’s health information are working their way through the Congress.
Title V of the Patient Protection Act of 1998 addresses confidentiality of health information. It specifies requirements for inspection and copying of protected health information, notice of confidentiality practices, establishment of safeguards, and availability of protected health information.
In addition, the Department of Health and Human Services has made recommendations on standards to ensure that individual health records are secure. Covered are administrative procedures, physical safeguards, technical security services, and technical security mechanisms.
The recommendations follow the Health Insurance and Portability Act of 1996, which called for new electronic data and security standards to protect the privacy of health information. Included were instructions for the development of a standard health identifier for individuals.
Other privacy protection bills introduced in the 105th Congress include H.R. 52, the Fair Health Information Practices Act; H.R. 1815, the Medical Privacy in the New Age of Technology Act; S. 1368, the Medical Information Privacy Act; S. 1921, the Health Care Personal Information Nondisclosure Act; and H.R. 3900, the Consumer Health and Research Technology Act.
Grants and contracts to enhance advanced practice nursing education as well as practice and traineeships for individuals in advanced practice nursing programs are authorized under changes to Title VIII of the Public Health Service Act.
S. 1754, the Health Professions Education Partnership Act of 1998, was passed by the Senate in July. This bill amends the Public Health Service Act to replace provisions related to the training of health personnel from disadvantaged backgrounds with provisions mandating grants for programs of excellence in health professions education for underrepresented minority individuals.
Subtitle B, the Nursing Workforce Development: Nursing Education and Practice Improvement Act of 1998, replaces most of the Public Health Service Act Title VIII on nurse education. However, provisions related to student loans, loan repayment program, and sex discrimination remain intact.
In addition to the advanced practice provisions, the new act authorizes grants and contracts to increase nursing education opportunities for individuals from disadvantaged backgrounds by providing scholarships or stipends, pre-entry preparation, and retention activities, and to strengthen capacity for basic nursing education and practice. These grants and contracts must be awarded competitively. This act also establishes the National Advisory Council on Nurse Education and Practice.
For more information about these and other issues, contact Public Policy Specialist Janice Weber, (800) 394-5995, ext. 508;
Author or Review CE Articles
AACN is seeking nurses interested in submitting articles for publication as continuing education offerings.
Topics of interest include respiratory care, renal care, hemodynamics, gastrointestinal, endocrinology, sedation, pediatrics, telemetry/progressive care, advanced practice, pharmacology, and procedures and protocols. To request guidelines for submission and for more information, call Program Development Specialist Susan Simpson, RN, MSN, (800) 394-5995, ext. 338.
Experienced content reviewers are also sought. If interested, send a curricula vitae detailing your experiences and content areas of expertise to: Susan Simpson, AACN, 101 Columbia, Aliso Viejo, CA 92656.
Watch for the Resource Catalog
AACN Resource Catalog, featuring both AACN and AACN Certification Corporation products and professional resources, is scheduled to be distributed later this month.
In the meantime, you can preview a list of items included in the catalog by calling Fax on Demand at (800) AACN-FAX (222-6329). Request Document #1001.
For a directory of all documents available on Fax on Demand, request Document #1000.
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