AACN News—May 2001—Association News

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Vol. 18, No. 5, MAY 2001

Congratulations to Circle of Excellence Award Recipients: Nominations for 2002 Awards Due July 15

The AACN Circle of Excellence recognition program honors individuals who have made a difference in healthcare, and the lives of patients and their families. Sponsored by AACN and its Partners With Industry companies, the awards applaud excellence, honor leadership and show appreciation for the dedication of nurses whose contributions and achievements exemplify AACN’s mission and vision.

The winners will be honored at AACN’s National Teaching Institute™ and Critical Care Exposition, May 19 through 24, 2001, in Anaheim, Calif.

July 15, 2001, is the deadline to nominate yourself or a colleague for a 2002 Circle of Excellence award. Following are the Circle of Excellence award recipients for 2001, as well as information about each award:

Ross Products-AACN Pioneering Spirit Award

Cosponsored by the Ross Products Division of Abbott Laboratories, this award recognizes significant contributions that influence acute and critical care nursing. The contributions must be far-reaching and exemplify a pioneering spirit. Recipients are presented a plaque and $500 honorarium as well as complimentary registration, airfare and hotel accommodations for the NTI.

The recipients of the Ross Products-AACN Pioneering Spirit Award for 2001 are:

Carla C. Joliat, RN, BSN, MSN
Amesbury, Mass.

Cynda Hylton Rushton, RN, DNSc, FAAN
Baltimore, Md.

Wanda Salas
San Juan Capistrano, Calif.

AACN-Marguerite Rodgers Kinney Award for a Distinguished Career

This award recognizes individuals who are completing or have completed an extraordinary and distinguished professional career, which has had a significant impact on fulfilling the mission and vision of AACN and enhanced the care of acute and critically ill patients and their families. In recognition of the selfless contributions recipients of this award have made throughout their careers, a gift of $1,000 is made to a charitable cause of their choice. Recipients are also given lifetime membership in the association and a replica of the crystal AACN presidential Vision icon.

The recipient of this award for 2001 is:

Marie Manthey
Minneapolis, Minn.

AACN Honorary Member Award

This award honors those who have achieved national recognition for contributions in clinical practice, administration, education, research or legislation, and who have fostered and promoted a positive image for nursing. In addition to honorary AACN membership, recipients are presented a personalized plaque as well as complimentary registration, airfare and hotel accommodations for the NTI.

There is no recipient of the 2001 award.

AACN Lifetime Member Award

This award recognizes AACN members who have rendered distinguished service to the association and demonstrated potential for continuing contributions to acute and critical care nursing through AACN. In addition to lifetime AACN membership, recipients are presented a personalized plaque as well as complimentary registration, airfare and hotel accommodations for the NTI.

The AACN Lifetime Member Award recipients for 2001 are:

Patricia A. McGaffigan, RN, MS
Groten, Mass.

Denise Thornby, RN, MS
Midlothian, Va.

AACN Mentoring Award

This award recognizes individuals or groups who develop and enhance another’s intellectual and technical skills, acculturating them to the professional community, and modeling a way of life and professional achievement. Recipients are presented a personalized plaque.

Recipients of the AACN Mentoring Award for 2001 are:

Marsha Fecht, RN
Indianapolis, Ind.
Methodist Hospital-Clarian Health Partners

Heidi Radke, RN, ADN
Albuquerque, N.M.
University Hospital

Cathy Dichter, RN, PhD, FCCM
Yorktown, Ind.
Riley Hospital for Children

Lynn Schallom, RN, MSN, CCRN, CS
Ballwin, Mo.
Barnes Jewish Hospital

Millie Swan, RN, CCRN
Raleigh, N.C.
Wake Medical Center

AACN Excellence in Caring Practices Award

Presented in honor of John Wilson Rodgers, this award recognizes nurses whose caring practices embody AACN’s vision of creating a healthcare system driven by the needs of patients and families. Successful applicants empower patients and families by helping patients and families understand and cope with illness; offering avenues or possibilities of understanding; increasing control and acceptance of a difficult experience; and demonstrating vigilance, persistence and commitment to the patient and family’s life or well-being. They also make the patient’s problem approachable and manageable through his or her own ability to face and cope with the problem. These applicants will demonstrate how they have encompassed the AACN Values and Ethic of Care in their work. Recipients receive complimentary registration, airfare and hotel accommodations for the NTI.

The recipients of the AACN Excellence in Caring Practices Award for 2001 are:

Elizabeth Chelette, RN, BSN
Hildebran, N.C.
Carolinas Medical Center

Venita Dasch, RN, BSN, CCRN
Dallas, Texas
Zale Lipshy University Hospital

Amy L. Prielipp, RN, BSN
Ann Arbor, Mich.
University of Michigan Health System

Juan “Ray” Quintero, RN, MSN, CCRN
Yorktown, Va.
Virginia Commonwealth University Health Systems

Sally A. Urban, RN, ADN, AA, CCRN
Freshwater, Calif.
Mad River Community Hospital

Oridion-AACN Excellent Advanced Practice Nurse Award

Sponsored by Oridion Medical, this award recognizes acute and critical care advanced practice nurses who function as advanced practitioners. For 2002, this award is being replaced by the AACN Excellent Clinical Nurse Specialist Award and the AACN Excellent Nurse Practitioner Award.

Recipients of the 2001 award were provided complimentary registration, airfare and hotel accommodations for the NTI. They are:

Mary Kay Bader, RN, MSN, CCRN, CNRN
Rancho Santa Margarita, Calfi.
Mission Hospital Regional Medical Center

Sonja D. Brune, RN, MSN, CCNS, CCRN, CEN
San Antonio, Texas
Central Cardiovascular Institute of San Antonio

Laurie L. Flowers, RN, MSN, CCNS, CCRN
Youngstown, Ohio
St. Elizabeth Health Center

Oridion-AACN Excellent Clinical Nurse Specialist Award

Sponsored by Oridion Medical, this award recognizes acute and critical care nurses who function as clinical nurse specialists. Applicants must be CCNS certified. Successful applicants will demonstrate the key components of advanced practice nursing, including: leadership, advanced practice clinical skills, research application, evidence-based practice, outcome-focused practice, cost containment, quality assurance, mentoring, problem solving and communication with patients, families, staff and systems. In addition, they will illustrate how they have been a catalyst for successful change. Recipients will receive complimentary registration, airfare and hotel accommodations for the NTI, which features the Advanced Practice Institute (API).

AACN Excellent Nurse Practitioner Award
This award recognizes acute and critical care nurses who function as nurse practitioners. Applicants must be ACNP certified. Successful applicants will demonstrate the key components of advanced practice nursing. including leadership, advanced practice clinical skills, research application, evidence-based practice, outcome-focused practice, cost containment, quality assurance, mentoring, problem solving and communication with patients, families, staff and systems. In addition, they will illustrate how they have served as a catalyst for successful change. Recipients will receive complimentary registration, airfare and hotel accommodations for the NTI, which features the API.

Eli Lilly-AACN Excellent Preceptor Award

Sponsored by Eli Lilly & Company, this award recognizes preceptors who demonstrate the key components of the preceptor role including teacher, clinical role model, consultant and friend/advocate. Recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

The recipients of the AACN Excellent Preceptor Award for 2001 are:

Marilyn Meredith, RN
Mission Viejo, Calif.
Mission Hospital

Lynn Orser, RN, BSN
Hamden, Conn.
Hospital of St. Raphael

Heidi Radke, RN, ADN
Albuquerque, N.M.
University Hospital

3M Health Care-AACN Excellence in Clinical Practice Award

Sponsored by 3M Health Care, this award recognizes acute and critical care nurses who embody, exemplify and excel at the clinical skills and principles that are required in their practice. Successful applicants will address how they have successfully integrated the following into their practice: standards of care; patient advocac;, holistic care; collaboration and coordination of care; leadership; inquiry and critical thinking; values; and ethics. The recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

The recipients of the 3M Health Care-AACN Excellence in Clinical Practice Award for 2001 are:

Lorna Garrison Benton, RN, BSN, CCRN
High Point, N.C.
High Point Regional Health Systems

Marcia A. DePolo, RN, CCRN, ONC, TNCC
Springfield, Va.
Inova Fairfax Hospital

Teresa Foulke, RN, CCRN, CNRN
Laguna Hills, Calif.
Mission Hospital Regional Medical Center

Anna E. Lambert, RN, ADN, CCRN
Rochester, N.Y.
University of Rochester
Strong Memorial Hospital

M. Constance Roy, RN, BS, CCRN
Edgewood, N.M.
University of New Mexico Hospital

AACN Excellence in Clinical Practice—Non-Traditional Setting

This award is designed to recognize excellence in the care of critically ill patients in environments outside of the traditional ICU/CCU setting. Successful applicants will demonstrate that their patients were acutely or critically ill and address how they have successfully integrated the following into their practice: standards of care; patient advocacy; holistic care; collaboration and coordination of care; leadership; inquiry and critical thinking; ethics; and values. Eligible applicants include, but are not limited to nurses working in, home healthcare, progressive care, telemetry, step-down, catheter lab and emergency departments. Recipients will receive complimentary registration, airfare and hotel accommodations for the NTI.

AACN Excellence in Research Award

This award recognizes nurse researchers who through their research are furthering the mission, vision and research priorities of AACN. Successful applicants will describe their study and how the results will influence the practice of critical care nursing, specifically its impact on patients and families. Research projects must have been completed within the year that the application is submitted. Recipients of AACN research grants or NTI research abstract award recipients are not eligible for the award. Recipients will receive complimentary registration, airfare and hotel accommodations for the NTI.

Bard-AACN Excellence in Education Award

Sponsored by Bard Medical Division, this award recognizes nurse educators who facilitate the acquisition and advancement of the knowledge and skills required for competent practice and positive patient outcomes in the care of acute and critically ill patients and their families. Recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

Recipients of the AACN Excellence in Education Award for 2001 are:

Linda Littlejohns, RN, MSN, CCRN,CNRN
San Juan Capistrano, Calif.
Integra Neurosciences

Cpt. Michael Schlicher, RN, BA, BSN, PHN
San Antonio, Texas
Brooke Army Medical Center

Nancy Seymour, RN, BSN, CCRN
Minooka, Ill.
Ingalls Memorial Hospital

AACN InnoVision Award

This award recognizes initiatives and programs that innovatively and collaboratively meet the needs of families of the acute and critically ill. Up to three awards, with $2,500 earmarked to fund projects, are granted to partnerships that include an AACN member, a healthcare provider organization and a community group. In addition, individual recipients are given public recognition and a personalized plaque.

Recipients of the AACN InnoVision Award for 2001 are:

Surgical Trauma ICU and TBI Team 2000
Mission Viejo, Calif.
Mission Hospital Regional Medical Center

Spinal Cord Injury Team
Indianapolis, Ind.
Clarian Health Partners-Methodist Hospital

Clinical Ethics Center
Dearborn, Mich.
Oakwood Healthcare Systems

AACN Excellence in Leadership Award

This award recognizes nurses who demonstrate the key leadership competencies of empowerment, effective communication and continuous learning, and the effective management of change. Recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

Recipients of the AACN Excellence in Leadership Award for 2001 are:

Cheryl Duran, RN, BSN, CCRN
Albuquerque, N.M.
University of New Mexico Health Sciences Center.

Norma Hess, RN, BSN
Fishers, Ind.
Clarian Health

Karen Stutzer-Treimel, RN, MS, CCRN
Pequannock, N.J.
Valley Hospital Ridgewood

AACN Excellent Student Nurse Award

This award recognizes nursing students whose activities during nursing school have promoted the value of nursing and reflect the AACN vision of creating a healthcare system driven by the needs of patients and families, where critical care nurses can make their optimal contribution. Successful applicants will show how their leadership has transformed thinking, structures or process to address opportunities and challenges, as well as how they collaborated with key stakeholders to create synergistic relationships to promote common interests and shared values. Individual students or groups of students are eligible to apply. Recipients will receive a complimentary three-year AACN membership.

AACN Multidisciplinary Team Award

This award recognizes a multidisciplinary team that clearly practices key principles of collaboration and multidisciplinary practice. Up to three awards are given multidisciplinary teams, with $2,500 earmarked to fund projects. In addition, individual recipients are given public recognition and a personalized plaque.

The recipients of the AACN Multidisciplinary Team Award for 2001 are:

Heart Failure Intervention Team
University of Texas Medical Branch
Houston, Texas

Cath/PCI Quality Support Team
University of Virginia Health System
Charlottesville, Va.

Prevention First, Special Kids Team
Charleston Area Medical Center
Charleston, W.Va.

Seabury& Smith-AACN Community Service Award

Cosponsored by Seabury & Smith, this award recognizes significant service by acute and critical care nurses, as individuals or in groups, who make a contribution to their community. Individuals or groups selected receive a complimentary registration to the NTI, or they may choose up to $500 toward speaker fees for an educational symposium.

Recipients of the award for 2001 are:

Ruby Jensen, RN ,BSN, CNA
Texas City, Texas
University of Texas Medical Branch, Galveston

Marcella L. Rogan, RN, BSN
Indianapolis, Ind.
Clarian Health Partners

Siouxland Chapter AACN
Sioux Falls, S.D.

AACN Excellence in Management Award

This award recognizes nurse managers who demonstrate excellence in coordination of available resources to efficiently and effectively care for acute or critically ill patients and families. Successful applicants will address how they promote an environment of professional involvement, development and accountability; collaborative problem solving; empowerment; leadership to transform thinking; structures and processes to address opportunities and challenges; and communication, as well as how they serve as a catalyst for successful change. Recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

Recipients of the AACN Excellent Nurse Manager Award for 2001 are:

Judy E. Davidson, RN, MS
San Diego, Calif.
Pomerado Hospital

Karin Henderson, RN, MSN, CCRN, CS
High Point, N.C.
High Point Regional Health System

Karen Wyble, RN, BSN, CCRN
Arnaudville, La.
Lafayette General Medical Center

AACN Research Abstract Award

This award recognizes research abstracts that have outstanding scientific merit and particular relevance to critical care nursing. Up to three research abstract awards and one research utilization abstract award are selected each year. The presenters receive $1,000 toward NTI expenses. The recipients for 2001 were selected from among the research and research utilization abstracts submitted for the NTI in Anaheim, Calif. Sept. 1, 2000, is the deadline to submit abstracts for 2002 awards.

Kathleen Ellstrom, RN, CS, PhD, CNS
Grand Terrace, Calif.
Relationship of psychoneurologic, physiologic, and environmental constructs to risk of unplanned extubation and outcomes in medical intensive care unit patients

Kathleen Puntillo, RN, DNSC, FAAN
San Anselmo, Calif.
Chest tube removal pain is minimal when analgesics are used correctly

Shari Simone, RN, MSN, CCRN, CRNP
Bel Air, Md.
Transpyloric feeding tube placement in children with or without the use of metoclorpramide

Sandra Swoboda, RN, MS
Baltimore, Md.
ICU nurse staffing related to postoperative pulmonary complications and resource use after high-risk surgery

AACN Distinguished Research Lecturer Award

This award honors a nationally known researcher, who presents the annual Distinguished Research Lecture at the NTI. The lecturer receives an honorarium of $1,000, as well as $1,000 toward NTI expenses.

The recipient of the award for 2001, who is presenting the lecture at the 2001 NTI in Anaheim, Calif., is:

Barbara J. Daily, RN, PhD, FAAN
University Heights, Ohio

Media Award
This award recognizes print, broadcast and Web-based media excellence in the portrayal of healthcare providers, especially acute and critical care nurses contributing to a healthcare system driven by the needs of patients and families. Successful entries will present relevant nursing and healthcare topics to large audiences of consumers, including the general public, patients and families. Accuracy, realism and technical qualities are important factors in the selection of entries.

AACN members and chapters, as well as editors, publishers, producers, marketing and public relations specialists, universities and institutional communications departments are eligible to apply. Entries must have been published or broadcast between Nov. 1 of the previous year and the time of submission. Entries must include documentation verifying the publication/broadcast and size of audience.

A personalized plaque is presented to winning entries. Awards are announced in AACN publications and at the NTI. The deadline to submit Media Award materials is Nov. 1, 2001.

For more information about the Circle of Excellence awards program or to obtain an awards guide, call (800) 899-2226 (Item #1011), or visit the AACN Web site at http://www.aacn.org.

Critical Care Nursing in the Spotlight: Media Coverage Enhances Awareness

When a critical care nurse is in the news, critical care nursing is in the spotlight. Whether exposure is the result of a brief mention or an in-depth report, media coverage gives critical care nurses an opportunity to increase awareness of who they are, what they do and the healthcare contributions they make on behalf of their patients and families.

Even controversial media attention can be an opportunity for critical care nurses to promote important issues, such as the nursing shortage, staffing and other challenges of today’s healthcare environment.

Recognizing this potential, AACN has stepped up its efforts to be visible, accessible and proactive to the media on a variety of fronts. Working with its perception management agency, Burson-Marsteller, AACN continues to seek out ways to make the voice of critical care nursing heard at all levels of influence.

Part of this effort involves preparing critical care nurses to deal with the media and arming them with the facts they need when approached for an interview or background information. Several AACN members already have been identified as key spokespersons for critical care nursing in strategic locations throughout the country.

In addition to this organized effort to raise the visibility of critical care nurses and the profile of AACN as a leader in this arena, avenues are available for critical care nurses to make inroads in helping to educate policymakers and the public.

Chapters as Springboards
For example, seeking out coverage of chapter events and programs can be fruitful. In fact, in connection with a recent report on the impact of the nursing shortage, television station WLOX in Biloxi, Miss., aired comments by AACN President Denise Thornby, RN, MS, and Patricia Fuller, RN, president of the Gulf Coast Magnolia Chapter of AACN. Thornby was in the area as the keynote speaker at a daylong workshop, cosponsored by the Greater New Orleans Chapter of AACN and the Gulf Coast Magnolia Chapter of AACN, to examine innovative ways to help patients and to entice people into choosing nursing as a career.

When the Palm Beach County Chapter of AACN released a survey of ICU and emergency department nurses regarding the factors that affect the quality of nursing care, the South Florida Sun-Sentinel, the Palm Beach Post and the local television news took notice. In researching an article titled “Survey: Overworked, Frustrated Nurses Say Patient Care Has Slipped,” a Florida Sun-Sentinel reporter chronicled a night in the ICU with chapter President-elect Ann Mercer, RN, ADN, CCRN. The article also goes on to detail improvements for which the chapter is advocating, including safe staffing; mandatory overtime; outcomes for specific procedures and diagnoses; protection for nurses who report their concerns about unsafe patient conditions; and accountability for healthcare administrators when their decisions adversely affect patient care.

Letters in Print
Letters to the Editor columns in local newspapers are another well-read conduit for disseminating information. Recent letters by AACN CEO Wanda Johanson, RN, MN, and AACN board member Connie Barden, RN, MSN, CCNS, CCRN, were published in the Dallas Morning News and the Miami Herald. The letter commended the newspaper for its coverage of the nursing shortage and how it might affect the lives of many people in the future. However, it also elaborated on the issue and how AACN is seeking to address the problem.

"Nurses, physicians, administrators, educators and legislators must work together toward solutions that will not only recruit qualified students into nursing as a career, but keep them by constructing practice environments which create interdisciplinary partnerships and foster an organizational culture that values RNs’ contributions to the healthcare system. In addition, problems in the work environment such as staffing, workload and mandatory overtime individually impact the issue of supply and demand for RN services and must be addressed or other strategies to increase the supply of nurses are unlikely to be successful,” Johanson wrote.

Seizing Opportunities
With increased exposure has come increased awareness that critical care nurses are knowledgeable, insightful sources for interviews. With the assistance of Burson-Marsteller, newspapers from throughout the country have contacted not only the AACN National Office, but also individual members in their workplaces to comment on a range of topics related to healthcare. Among these are the Philadelphia Inquirer and the Orange County Register. In addition, WGBH Radio in Boston recently interviewed Johanson about innovative solutions and creative remedies for the nursing shortage and MedStar television in Allentown, Pa., has requested an interview about where all the nurses have gone.

If your chapter or hospital is planning to bring a critical care story to the media, we urge you to contact us. AACN has excellent resources for building, disseminating and tracking successful media campaigns. We want to help you make your voice heard and celebrate your success in AACN News. For more information, contact Dana Woods at (800) 394-5995, ext. 516.

Leadership Lessons Learned: Concentrate on Problem-Solving—Not Blame

Editor’s note: Following is the eighth in a series of articles by members of the AACN Board of Directors on leadership lessons they have learned from their experiences.

By Kathleen McCauley, RN, PhD, CS, FAAN

I have learned leadership in many ways—through formal classes, by watching and modeling myself after some truly inspirational leaders and by having to rise to the behaviors myself. Yet, one series of experiences stands out for me.

For many years, I have worked with a succession of physician colleagues to oversee the cardiac resuscitation efforts at my hospital. Often referred to as the “Queen of Codes,” I have worked with every clinical department and most operations and support departments to make certain we are prepared to handle these life-threatening emergencies. In the process, it is clear that, when it comes to saving a life, everyone tries to do his or her best. If a mistake is made, there is usually a reason, whether it is a need for more staff education, better equipment or a revision or streamlining of the systems that support them.

Recently, I was working with a new department head, who had inherited some significant problems. From my first meeting with him, it was clear that he was truly motivated to make improvements, though the challenges he faced were enormous. We had had a few codes where worrisome problems were seen in the system he oversees.

As we talked about these problems and what needed to be done to improve our care, he said, “I like working with you because you don’t focus on blame; you move right to solving the problem.” I realized that this beleaguered, but committed man had had to deal with a tremendous amount of anger and blame as he tried to sort through the myriad problems that his department’s inadequacies presented for clinicians.

I had not realized that moving quickly away from blame and toward solutions was part of my leadership style. I began to think about how empowering and effective this approach is. We still need to identify the root cause of the problem and to accept accountability for our mistakes and our inadequacies. However, doing so is different than placing blame. Blame stems from anger, frustration and misunderstanding. In a system that embraces accountability and creative problem solving, blame is unnecessary. With the increasing focus of healthcare providers and consumers on medical errors, shifting from an atmosphere of blame and to an environment of problem analysis, solution and prevention is critical.

How often are we tempted to blame another shift, another department or another discipline for the problems we are facing? How often is that blame born out of frustration and lack of understanding? Do we jump to conclusions about the motivation behind the behavior? Perhaps, if we try to shift our thinking to a belief that everyone is trying to do his or her best and that inadequate performance does not equate to an inadequate person, we might be able to solve our problems more quickly.

I wish I could say that sidestepping blame and moving to problem solving is a conscious leadership strategy on my part. However, I suspect that I simply learned somewhere along the way that I could get people to work together better if we did not need to resolve conflict first.

Kathleen McCauley is associate professor of cardiovascular nursing at the University of Pennsylvania School of Nursing and a cardiovascular clinical specialist at the Hospital of the University of Pennsylvania, Philadelphia, Pa.

AACN Seeks Leaders to Assume Positions on National Board and Nominating Committee: Nominations Due June 15

AACN is seeking nominations for individuals to serve on the national Board of Directors and on the AACN Nominating Committee for FY2003. Terms begin July 1, 2002. Available positions are for the office of president-elect (one-year term) and for four positions on the Board of Directors (three-year terms), as well as for three Nominating Committee positions (one-year terms).

Nominations must be received or postmarked by June 15, 2001.

Nomination forms can also be obtained by calling (800) 899-2226 (Item #1540) or via the AACN Web site at http://www.aacn.org. Click on “Membership,” then “Volunteer Opportunities.”
Nominees for all AACN positions must be AACN national members. Time commitments and support services for each position may differ. Travel and other expenses are reimbursed for all of these national volunteer positions.

Gear Up for New Member Campaign

Strength in numbers has new meaning in today’s healthcare environment, where critical care nurses have the opportunity to make their collective voice heard in influencing their workplaces and, thus, the quality of care provided for patients and families. In response, AACN will announce a new membership campaign at its National Teaching Institute™ and Critical Care Exposition this month in Anaheim, Calif.

Watch for more information about this campaign in the June issue of AACN News. Member recruiters will both receive valuable rewards for helping to recruit new members and share in the pride and excitement of connecting their colleagues with valuable resources and a way to make a difference in their profession.

Vision Partners Share Perspectives: NTI Scholarship Program Offsets Expenses

Ten pairs of participants at AACN’s National Teaching Institute™ and Critical Care Exposition in Anaheim, Calif., this month are building special relationships as AACN Vision Partners.
Each of these Vision Partners was awarded a $1,000 scholarship to offset the expenses of attending the NTI, where the pairs are sharing their experiences and perspectives. Unique in this arrangement is the fact that one partner was already a member of AACN, but the other partner was a nonmember who had not previously attended the NTI. The nonmember partner receives a one-year AACN membership as part of the program.

The nonmember recipient was chosen because he or she could bring a different perspective to the partnership, such as a different cultural or ethnic viewpoint or another discipline or clinical practice elsewhere along the continuum.

In applying for the Vision Partners scholarships, the recipients explained how they expected to benefit from the shared learning experience and networking opportunities at the NTI. Both partners also commit to continuing to develop the relationship after they return to their workplaces.

Recipients of the Vision Partners scholarships for 2001 are:

AACN Member Partner

Pattie Leonard, RN, CCRN April Merrill, RN, BSN
Integris Baptist Medical Center, Oklahoma City, Okla.

Maureen Edwards, RN, MSN, CNS Demita Bennett, RN
Methodist Healthcare Central, Memphis, Tenn.

Ronna Carlton, RN, ADN, CCRN Rebecca Dew, RN, ADN
Methodist Medical Center, Oak Ridge, Tenn.

DaiWai M. Olson, RN, BSN, CCRN Marel Avila
Duke University Health Systems, Durham, N.C.

Teresa Solberg, RN, MSN, CCRN Sarah Conway
Avera Sacred Heart Hospital, Yankton, S.D.

Gloria Lawton, RN, CCRN Alicia O. Saffe, SR, PT
Mercy Hospital, Miami, Fla.

Mary Altman, RN Charlotte Hepler, RN, BSN
Conway Hospital, Inc., Conway, S.C.

Kathy Gordon, RN, CNS Debi Lammert, RN, MSN, CCRN
Saint Francis Hospital, Tulsa, Okla.

Wanda Bride, RN Susan L. Bonifield, MHA
Duke Heart Center, Havana Neurology and Neurosurgery Institute
Duke University Medical Center Havana, Cuba
Durham, N.C.

Melody Priestley, RN Sara Ford, RN
Duke University Health Systems St. Michaels Hospital
Durham, N.C. Toronto, Ontario, Canada

Scholarships Give Members Their First Experience at NTI

Scholarships of $2,000 each were awarded to 30 AACN members to attend AACN’s National Teaching Institute™ and Critical Care Exposition in Anaheim, Calif., this month.

These scholarships, which were awarded to members who have not previously attended the NTI, were funded by a $60,000 contribution by Aventis Pharmaceuticals. To be eligible, the recipients could not have been in critical care nursing for more than two years. AACN chapters nominated individuals to receive the scholarships.

The scholarship recipients are being recognized at a Sunrise Session sponsored by Aventis Pharmaceuticals at the NTI.

This is the second year that Aventis, a member of AACN’s Partners With Industry corporate giving circle, has contributed funds for these scholarships.

Following are the members who are attending their first NTI as a result of this generous gift:

Alexis Reeves, RN
Carolina Dogwood Chapter
North Carolina

Nancy T. Roberts, RN, BSN
Houston Gulf Coast Chapter

Kathy Auman, RN, ADN
Gate City Chapter
North Carolina

Aubrey Perkins, RN, BSN
Space Coast Chapter

Christine Fisher, RN
Oklahoma City Area Chapter

Sara Galloway, RN
Big Sky Chapter

Melissa A. Helmin, RN
Central Minnesota Area Chapter

Silvia Lederer
Sacramento Chapter

Jennifer Formolo, RN
Pacific Crest Regional Chapter

James Randal Holbrook, RN
Foothills Chapter
North Carolina

Andrew Somers, RN
Heart of the Piedmont Chapter
North Carolina

Paul Roberts, RN
Central Iowa Chapter

Tony Contreras, RN, BSN, CCRN
Inland Empire Chapter

Lori Kay Bacon, RN
North Valley Chapter
North Dakota

Mary A. Barrette, RN, ADN
Northeast Wisconsin Chapter

Lara Spiker,
South Central Wisconsin Chapter

Sandra Woodring, RN, BSN
Colorado West Chapter

Kathleen Marable, RN
Central Ohio Chapter

Marianna DiCesare, RN
Suspension Bridge Chapter
West Virginia

Kathy E. Pacheco, RN, ADN
Greater Chicago Area Chapter

Sharon Davis
Hill City Chapter

Christopher M. Ader, RN
Northeastern Michigan Chapter

Marie M. Frey, RN
Greater Raleigh Area Chapter
North Carolina

Karen Schell, RN
Greater Miami Area Chapter

Amy Henry, RN
Greater Toledo Area Chapter

Marianne Borlie, RN
Central Pennsylvania Chapter

Debra Santisteven, RN
Alameda Contra Costa Chapter

Summer Beausoleil, RN
Vermont Green Mountain Chapter

Thomas A. Billiard, RN
Lehigh Valley Chapter

Ceira Lawrence, RN
Triangle Chapter
North Carolina

Scholarships Awarded to Graduate Students

Three AACN members are attending AACN’s National Teaching Institute™ and Critical Care Exposition or Advanced Practice Institute this month in Anaheim, Calif., thanks to a $4,500 contribution to the AACN scholarship fund by Dale Medical Products, Inc.

Continuing education scholarships of $1,500 each were awarded to these members to offset the expenses of attending the NTI. All are pursuing graduate education to further their careers in critical care nursing.

The Dale scholarships are directed specifically at assisting nurses who are striving to balance their professional life with family obligations. Each applicant was asked to describe how attending the NTI or API will assist them in reaching their professional goals.

The recipients of the Dale Medical Products scholarships for 2001 are: Nancy M. Cook, RN, BSN, CCRN, Nancy M Carbone, RN, BSN, and Nancy C. Rosales, RN, BSN.

With Appreciation: AACN Thanks Its Industry Partners and Sponsors

The support of our sponsors and industry partners is a valued source of continued success for the American Association of Critical-Care Nurses. We thank them for their continued generosity and collaboration.

Partners With Industry

Partners with Industry is the corporate giving circle of companies that are committed to year-round support of the association’s work. Partner companies support a wide range of special initiatives not associated with product promotion. These include scholarships, awards, research grants, fellowships and many customized projects.

$100,000 and more
Wyeth-Ayerst Laboratories

Aventis Pharmaceuticals
Bard Medical

AACN Certification Corporation
Agilent Technologies

Atrium Medical Corporation
Ross Products–Division of
Abbott Laboratories
Siemens Medical Systems*
3M Health Care

Dale Medical
The Freeman Companies
Genzyme Biosurgery
Eli Lilly & Company
Lotus Development Corporation
Oridion Medical
Ortho Biotech Worldwide
Sigma Theta Tau International,
Honor Society of Nursing

$2,000 and less
Cross Country TravCorps
Seabury & Smith
Medtronic PhysioControl, Inc

Gifts In-Kind
The Freeman Companies
Hyundai Motor America
Siemens Medical Systems

* Funding support of AACN Fall meetings
includes direct product promotion.

NTI Sponsors

Sponsors of educational sessions, events and select participant items at the 2001 National Teaching Institute™ and Critical Care Exposition in Anaheim, Calif.

NTI Champions
Valued $100,000 and more
Agilent Technologies

NTI Heroes
Valued between $50,000-$99,999

NTI Advocates
Valued between $30,000-$49,999
Atrium Medical Corporation
Aventis Pharmaceuticals
Genzyme Biosurgery
Siemens Medical Systems
Texas Health Resources
Wyeth-Ayerst Laboratories

NTI Benefactors
Valued between $15,000-$29,999
ALARIS Medical Systems
Aspect Medical Systems
Baxter Healthcare Infusion Systems
CardioDynamics International
Cross Country TravCorps
GE Medical Systems Information Technologies
Eli Lilly & Company
Merck & Co.
Merrill Lynch
NurseWeek Publishing
Oridion Medical
Ortho Biotech Worldwide
ZOLL Medical Corp.

NTI Contributors
Valued between $7,500-$14,999
Bayer Diagnostics
Edwards Life Sciences
Lippincott Williams & Wilkins
Society of Critical Care Medicine
Spacelabs Medical
Stryker Medical

NTI Supporters
Valued $7,500 and less
3M Healthcare
AACN Research Department
Bard Medical
Baxter Healthcare Corp.
Bridge Medical
Clarian Health
Dale Medical
DuPont Pharmaceuticals Co.
Fain & Company
The Freeman Companies
Integra NeuroCare
The John A. Hartford Foundation
Lake Norman Regional Medical Center
Masimo Corporation
Poretta & Orr
Pyxis Corporation
R. Adams Cowley Shock Trauma Center
Seabury & Smith

All NTI Exhibitors
Exhibitor-Participant Event at Knott’s Berry Farm

Affinity Partners
Alamo Rent-a-Car
John Hancock Mutual Life Insurance Company
First USA
Merrill Lynch
Seabury & Smith

Take time to thank these partners and sponsors when you visit the Critical Care Exposition or when they visit your chapter or workplace.

Consider the Realities of Long-Term Care Insurance

Many myths surround long-term care (LTC) insurance plans, which are available to AACN members as a member benefit through John Hancock Financial Services, Inc. This insurance offers members a tax qualified comprehensive program, which includes survivor benefits, home health coverage and complete care coordination.

Following are clarifications regarding some of the common misconceptions about this type of plan:

Myth 1: It Won’tHappen to Me
When caught up with day-to-day routines, we typically do not think about the long term—whether we might at some time need help with such tasks as dressing or eating meals. However, consider this:
• Approximately 50% of home care recipients are younger than age 65.1
• More than half of all women may enter a nursing home.2

Although we protect ourselves against fires and collisions that might destroy our homes or cars, most of us are not prepared for disabling injuries and illnesses. The fact is that your chances of needing LTC service are much greater than having your home destroyed by fire or having a major car accident.3 Yet, most health plans do not generally cover LTC expenses.

Myth 2: I Am Still Young
Another myth is that only senior citizens need to worry about long-term care. The fact is that millions of Americans of all ages are struck by untimely accidents and illness. Sadly, they often are not prepared to handle the financial and emotional turmoil that such situations bring to them and their families.
What are the chances you will need LTC while you are still working? Of Americans who need long-term care, 40% are younger than 65.4

Myth 3: Costs Are High
Long-term care insurance is more affordable than you may realize. In fact, LTC insurance premiums cost less than what most of us pay for many of our high-tech “necessities,” such as cable television, cellular phones and Internet access. Now, consider how much it would cost to help protect your health and your assets with long-term care insurance.
Your premium is based on your age at the time you enroll. The sooner you apply for coverage, the less you will have to pay.

Myth 4: I Can Save Enough on My Own
Having already noted that LTC is not covered by most health plans, take a look at some other facts:
• Home care can cost between $15 and $50 per hour.5
• The average cost of a nursing home is now more than $40,000 per year and, in some parts of the country, can be much higher–as high as $60,000 or $80,000 per year.5

Even if you have the required assets, would you want to spend them all on long-term care? It might make more sense to invest in a modest LTC insurance premium, because the sum of these premiums would likely be less than one year's worth of private payment for care.
If your independence and financial security are important to you, you may want to seriously consider AACN’s long-term care benefit option.

For more information about long-term care insurance, call John Hancock at (800) 708-0706, Monday through Friday, 8:30 a.m. to 4:30 p.m. (EDT) to request your free enrollment kit.

1. The Risk of Nursing Home Use Later in Life, Medical Care. 28(10):952-62.
2. National Association for Home Care. 1997.
3. Life Association News, 1993.
4. General Accounting Office, Long-Term Care Current Issues and Future Directions, April 1995.
5 United Seniors Health Cooperative, August 1997.

Public Policy Update

Medical Privacy Rules
Despite strong opposition from the healthcare industry, the Bush administration has announced that it would implement the first federal standards to protect the privacy of patients’ medical records. The rules, which establish the first comprehensive federal standards for medical privacy, will affect almost every doctor, patient, hospital, pharmacy and health insurance plan in the country.
Although the Bush administration intends to make some revisions to the rules, which were offered originally in the Clinton administration’s final weeks, the regulations will limit the use and exchange of patient information by healthcare professionals, employers, insurers and others. The rules will also give patients the right to review and seek corrections to their medical records. Improper disclosures of information could draw fines and prison time.
Consumer groups declared the announcement by the Bush administration a victory. However, hospitals, insurers, pharmacists and employers were disappointed that the Bush administration did not delay or drop the patient privacy rules, saying they were burdensome, would compromise care and would cost the industry $18 billion over 10 years.
Health and Human Services Secretary Tommy G. Thompson said, “The new rules, will ensure that private health information doesn’t fall victim to the progress of the information and technology age, in which confidential data are just a keystroke away from being accessed.” Thompson said revisions to the rules would ensure that doctors and hospitals could consult with other physicians and specialists about a patient’s condition. He also promised that patient care would not be hampered. Revisions to the Clinton rules will be considered over the next year and businesses that deal with medical records will have until April 14, 2003 to comply.

For more information on the medical records privacy issue visit http://www.healthprivacy.org/

AACN is committed to protecting the confidentiality of individually identifiable information used to provide healthcare services and supports the establishment of federal standards providing nationally uniform confidentiality protections. AACN advocates for standards that promote appropriate use of patient information for treatment, research, healthcare operations and payment of claims and supports a review of the final regulations to address concerns regarding key provisions that could create barriers for patients to access the health care system.

Nursing Shortage
Bipartisan bills that have been introduced in both the Senate and the House target funding and programs aimed at reversing the expanding nursing shortage.

The Nurse Employment and Education Development (NEED) Act, sponsored by Sens. Tim Hutchinson (R-Ark.) and Barbara Mikulski (D-Md.), would establish a nurse corps offering student loan repayment and scholarships; multimedia campaigns to promote nursing careers; grants for recruitment, retention and training; and loans and scholarships to fast-track the development of nursing faculty.
S706 and H.R. 1436, the Nurse Reinvestment Act, companion bills introduced in the Senate by Sens. John Kerry (D-Mass.), James Jeffords (R-Vt), Tom Daschle (D-S.D.) and Kay Bailey Hutchison (R-Texas) and in the House by Reps. Lois Capps (D-Calif.), Sue Kelly (R-N.Y.) and Rosa DeLauro (D-Conn.), also propose National Nurse Service Corps scholarships; public service announcements; grants for education, recruitment and training; scholarships, loans and stipends to fast-track nursing faculty development; and expanded Medicare and Medicaid funding for nurse education.

AACN supports these congressional efforts to address the current and impending nursing shortage.

Healthcare Budget Cuts
President Bush’s budget plan proposes deep cuts in a variety of health programs for people without health insurance. Budget documents from the Department of Health and Human Services show that programs providing healthcare access for the uninsured would be reduced 86%, from $140 million to $20 million, under the Bush proposal. The programs received $40 million the previous year.
Officials said that, over all, the Department of Health and Human Services budget is proposed to increase 5% next year, to $55.5 billion. However, the net increase goes to the National Institutes of Health to support biomedical research, not for the direct care of patients. Bush’s budget request would also cut federal spending for the training of doctors, dentists, nurses, pharmacists and other health professionals. Money for such training would be reduced to $259 million next year, from $353 million this year. However, White House officials said that, since the documents were prepared a few weeks ago, they had decided to make even deeper cuts. The president, they said, will seek $140 million for training health professionals, a reduction of 60% from this year’s level.
White House officials defended the proposal, saying that the government does not need to subsidize physician training, because there is an oversupply of doctors. However, they noted that the program also pays for the training of nurses, who are in short supply.

Patient Protections
President Bush will endorse limited protections for patients in managed care plans and warned that he would veto any of the bills currently in Congress, because they allow damage awards that will drive up healthcare costs. In a speech to the American College of Cardiologists in Orlando, Fla., in March 2001, the president said his primary objection to the bills before Congress now was that none contained reasonable caps on damage awards against health maintenance organizations or insurers. Advisers say that he intends to increase prospects for legislation that would allow, but limit lawsuits and jury awards for poor healthcare.

Bush’s approach which is being written by Sen. Bill Frist (R-Tenn.), a heart surgeon, embraces the idea of creating independent review boards made up entirely of doctors empowered to order health maintenance organizations to provide care that they has been denied to a patient. Such boards are a major component of a patient protection law Bush signed as governor of Texas. Bush also wants to restrict the lawsuits that patients could file against managed care health plans and health maintenance organizations. He is expected to say that he wants those lawsuits heard in federal rather than state courts, which generally award larger settlements.

A patient-protection bill similar to one sponsored by Sen. John McCain, (R-Ariz.) and Sen. Edward Kennedy, (D-Mass.) cleared the House in 1999. It is intended to give patients greater rights to receive emergency care, visit specialists and have complaints reviewed by medical experts. Patients could sue over poor care or denial of care, a right that is often blocked by federal law.
However, the Senate passed a narrower version that would cover only about one-fourth of the 160 million Americans with health insurance. Legislative aides say the version Bush is embracing could preempt state laws, while McCain’s version would allow state laws to guide court verdicts.
Congress failed to resolve the conflicts. Key differences are that McCain and Kennedy would permit lawsuits for substandard care to be heard in state court, while disputes over what is covered by an insurance policy would go to federal court. Frist’s bill would send all lawsuits to federal court, according to congressional aides.
• McCain and Kennedy want all Americans with insurance covered. Senate Republican leaders want limits so that employers would not be affected. They also want managed care plans to be able to opt out.

Senate Majority Leader Trent Lott, (R-Miss.), has not agreed to permit a Senate vote on the McCain-Kennedy bill. Supporters hope to force one later this year.

Workplace Ergonomics
President Bush approved a Senate measure that revoked the federal regulations on workplace ergonomics issued by the Clinton administration to combat repetitive-motion injuries. The repeal, which was backed by businesses, was the first substantive policy Bush signed into law. A Bush statement contended that the ergonomics rule would have cost both large and small employers billions of dollars and presented employers with overwhelming compliance challenges.
The measure not only rescinds the existing OSHA ergonomics standard, but also bars OSHA from issuing any similar regulations in the future unless new legislation permitting such activity is passed by Congress and signed into law by the president.

The rules could have protected more than 27 million people who work in jobs that require either repetitive motions or heavy lifting, including healthcare workers, and would have required about 1.6 million employers to implement a basic program to identify ergonomic issues, provide information to employees on the risk of injuries, signs and symptoms to watch for and the importance of reporting problems early and set up a system for employees to report signs and symptoms.
According to the American Nurses Association, strong data have revealed the problem of overexertion injuries in hospitals, nursing homes and home care settings for over a decade. For example, 67% of the disabling injuries in nursing were due to sprains and strains, mostly involving overexertion of the back or trunk from lifting patients, according to a 1994 Bureau of Labor Statistics report. In addition, nurses have been found to miss more work from musculoskeletal disorders than workers in any other industry, including construction. A National Academy of Science study, commissioned by Congress, has validated the need for ergonomic protections and cited well-established causal risk factors, which the new standard indicates, should be avoided.
For more information on the OSHA rules visit http://www.osha.gov.

AACN supported the OSHA ergonomics standard that went into effect Jan. 16, 2001, and believes that the lack of an enforceable ergonomics standard is costly not only to nurses, but also to the healthcare industry. AACN supports a comprehensive approach to ergonomics to prevent the disabling injuries that can occur in the work place.

Looking Ahead

May 2001
May 1-31 National Critical Care Awareness and Recognition Month. “Critical Care: Partners in Healing” is the theme.

May 19-24 National Teaching Institute and Critical Care Exposition, Anaheim, Calif. Visit the NTI Web site at www.nti2001.org.

May 22 AACN Annual Meeting, noon to 1 p.m., Anaheim Convention Center.

June 2001
June 15 Deadline to submit nominations for candidates for the AACN Board of Directors, AACN Nominating Committee and AACN Certification Corporation Board of Directors. Forms can be obtained by calling (800) 899-2226 and requesting Item #1540, or via the AACN Web site at www.aacn.org. Click on “Membership,” then “Volunteer Opportunities.”

June 22 Deadline to submit applications for the 2001-02 AACN Wyeth-Ayerst Nursing Fellows Program. To obtain an application call AACN Fax on Demand at (800) 222-6329 and request Document #2005. Applications are also available online at www.aacn.org. Click on “Membership.” then “Awards, Grants, Scholarships.”

June 30 Deadline to take advantage of three-person group discount offer to take the CCRN certification exam. For more information, call (800) 899-2226.

July 2001
July 1 Deadline to submit proposals for AACN Clinical Inquiry Grants. To obtain an application, call AACN Fax on Demand at (800) 222-6329 and request Document #1013, or visit the “Clinical Practice” area of the AACN Web site at www.aacn.org. Click on “Research.”

July 1 Deadline to submit proposals for Medtronic Physio-Control AACN Small Grants Program. To obtain an application, call AACN Fax on Demand at (800) 222-6329 and request Document #1013, or visit the “Clinical Practice” area of the AACN Web site at www.aacn.org. Click on “Research.”

July 15 Deadline to submit nominations for 2002 Circle of Excellence Awards. For more information or to obtain an awards booklet, call (800) 899-2226 and request Item #1011, or visit the AACN Web site at www.aacn.org. Click on “Membership,” then “Awards.”

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