AACN News—December 2002—Association News

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Vol. 19, No. 12, DECEMBER 2002

AACN to Launch First Critical Care Survey

Participation Will Help Effect Needed Change

What percentage of hospitals in the U.S. has policies on end-of-life care or on open visitation? Do hospitals that financially support and recognize certification have higher JCAHO scores or a lower rate of central line infections? How many hospitals offer self-scheduling? Are you curious about the answers to these questions? So are we.

For the first time, we will be able to answer some of the most important questions about the environment in which critical care nurses practice. No group�including AACN�has done such comprehensive research on what the nation�s critical care settings look like. Yet, having and utilizing this data are essential for all of us in critical care to effect the change we need to make our environments healing and humane for both patients and nurses.

Chief nursing officers in every hospital in America will receive an invitation to participate in this landmark survey. In appreciation of the effort, each participating hospital will receive a free copy of the key findings. These findings will provide important national benchmarks to which single units can compare themselves. Such benchmarks will help units identify areas where they significantly differ from the norm. This differentiation may strongly indicate an area for improvement or one in which the unit excels.

The survey, which will be repeated every six months, will feed a growing, permanent database that has more than 100 measurement variables. This database will not only inform AACN of the unmet needs present in critical care units, but also provide AACN with the data necessary to have a bold voice to influence change in the workplace, in clinical practice and in the regulations that impact critical care nurses and their patients.

If you are serious about the need for positive change in the factors that impact your workplace environment and the care of your patients, be bold and work with your CNO or nurse manager to ensure that your institution participates in this unprecedented project. We hope you will take the time to contribute to creating the future that we all envision.

Nurses Must Be Heard on Issues Related to Quality of Care, Patient Outcomes

Study Cites Impact of Nurse Staffing

Recently published research that links nurse staffing levels not only to saving lives and money, but also to staff retention makes significant headway toward compiling the types of evidence-based data that AACN believes are needed to address the myriad issues facing healthcare today.

The research was published in the Oct. 23-30 issue of the Journal of the American Medical Association in an article titled �Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction.�

The study, which involved approximately 10,000 nurses and more than 232,000 surgical patients at 168 Pennsylvania hospitals, correlates nurses� patient loads with increased risk of death among patients. The researchers found that, for surgical patients, the risk of death increases by 7% with each additional patient over four in a nurse�s workload. On a national scale, staffing differences of this magnitude could result in as many as 20,000 unnecessary deaths annually.

Another finding indicates that each additional patient per nurse translates to a 23% increased risk of nurse burnout and a 15% increased risk of job dissatisfaction. Among nurses expressing high burnout and dissatisfaction, 43% said they intend to leave their jobs within the next year, compared to 11% who said they plan to leave, but do not feel burned out or dissatisfied.

With the cost of replacing a hospital specialty nurse estimated at approximately $64,000, retention has a significant impact on increasing hospital costs.

�AACN believes strongly that nurses must be at the forefront in addressing these and other issues related to the quality of care and patient outcomes,� said AACN President Connie Barden, RN, MSN, CCNS, CCRN. �However, nurses� knowledge is too often underrecognized and underutilized.�

�Meeting patient and family needs must be the driving force in determining staffing, and the key to determining appropriate staffing levels is to match nurses� competencies and skills to the specific needs of patients. Unfortunately, minimum staffing ratios, such as those mandated in California, oversimplify the complexity of nursing care and fail to consider the vital interplay between patient needs and nurse competencies,� said AACN CEO Wanda Johanson, RN, MN.

As part of its strategies to address nurse retention and protect quality patient care, AACN encourages research into the relationship of nurse practice, patient care outcomes and staffing issues. In fact, AACN believes that requiring healthcare facilities to use reliable tools to determine staffing based on each patient�s acuity and the skills required to deliver the care to meet each patient�s needs should be a priority in addressing these types of workplace issues.

AACN�s full position on staffing issues can be found online in a statement titled �Maintaining Patient-Focused Care in an Environment of Nursing Staff Shortages and Financial Constraints.� The AACN Staffing Blueprint (Item #300117) is another valuable resource for dealing with these types of issues.

Number of Sites Using Essentials of Critical Care Orientation Program Continues to Grow

AACN�s online Essentials of Critical Care Orientation education program continues to gain momentum in the marketplace, with more than a dozen sites now actively using the program.

According to Wendy Berke, AACN�s director of professional practice, ECCO was built to offer the broadest applicability across institutions. Although specific treatment protocols may vary by site and geographical region, the fundamental elements of treating critically ill patients remain constant, she noted.

�A thorough understanding of anatomy and physiology and the most common disorders that cause a patient to present to a critical care unit are foundational to patient care,� Berke said. �That�s what this program provides in an easy-to-use format that accommodates various learning styles.�

The strength of this strategy to focus on the fundamentals of caring for critically ill patients is evident as hospitals across the country implement ECCO. Following are the latest hospitals to secure access to the program:
� Atlantic City Medical Center, Atlantic City, N.J.
� DuBois Regional Medical Center, DuBois, Pa. (one of the beta test sites)
� Lee Memorial Health System, Ft. Myers, Fla.
� NorthWest MedStar, Spokane, Wash.
� Regional Health Occupations Resource Center-Butte College, Chico, Calif.
� St. Claire Hospital in Tacoma, Wash.
� Stanford University Medical Center, Stanford, Calif.
� VA Hospital, Miami, Fla.

The other hospitals that have purchased ECCO are Denton Regional Medical Center, Denton, Texas; Harris Methodist Ft. Worth, Ft. Worth, Texas; Sherman Hospital, Elgin, Ill.; U.S. Naval Hospital, Yokosuka, Japan; and VA Hospital, West Palm Beach, Fla.

To find out if ECCO is right for your institution�s critical care orientation needs, check out AACN�s Web site at http://www.aacn.org, or contact AACN at (800) 394-5995, ext. 8870; e-mail ecco@aacn.org.

Why Choose ECCO?

Paul St. Laurent, RN, BSN, CCRN, critical care educator at Denton Regional Medical Center, said he was looking for a program with flexibility when he chose ECCO.

�In the past, we have had critical care internships geared toward new graduates entering critical care for the first time,� St. Laurent explained. �These were held twice a year to coordinate with nursing school graduation. The problem was what to do during the �in between� times.�

St. Laurent said an applicant with little or no ICU experience usually would be asked to wait for the next internship and offered a position on a medical-surgical unit in the meantime.
�Many times, these nurses would go elsewhere, and we would lose a potentially valuable employee,� he said.

�ECCO allows us to hire at any time, whether or not an internship is scheduled. Each nurse can work on the assigned modules at his or her own pace. The need for formal classes is greatly reduced, and the educator can work with each nurse on an individual basis to provide the instruction needed.

�Computer-assisted instruction is very cost effective when compared to formal classes,� he added. �It would be cost-prohibitive to have a 16-week internship for two to three people.�

In addition, ECCO answered the need to provide a refresher course for experienced applicants who had been away from the bedside for an extended period of time, St. Laurent said.
�We can assign them certain modules which pertain to those areas that need improvement,� St. Laurent said.

ECCO is also a great recruiting tool for either new or experienced nurses, he said.

�What I like most about it is the flexibility it gives us as a facility and the fact that it allows us to hire potentially exceptional nurses who we may have lost in the past.�

St. Laurent noted that the multimedia aspects of ECCO make it very interactive for the learner. He said he also likes the tracking features, which allow the educator to monitor the nurse�s individual progress and to identify which areas need further attention.

Scholarships Help to Defray Expenses of Attending the NTI

Are you headed for San Antonio, Texas, and AACN�s National Teaching Institute and Critical Care Exposition in May? Why not apply for an NTI continuing education scholarship? Applications are due by Feb. 1.

The NTI is scheduled for May 17 through 22. Following is information that is available about these scholarships.

Vision Partners
The AACN Vision Partners program grants $1,000 each to 10 pairs of NTI participants. One partner must be an AACN member, who will share the NTI experience and benefits of AACN membership with the other partner, a nonmember who has not previously attended the NTI. The nonmember also receives a one-year AACN membership.

The nonmember partner should be able to share a different perspective with his or her partner, such as a different cultural or ethnic viewpoint or another discipline or clinical practice along the continuum.
The Vision Partners scholarship application asks the partners to describe how they expect to benefit from the learning experience and networking at NTI. They will also commit to continuing to develop the partnership after they return to their workplaces.

Dale Medical Products Scholarships

Dale Medical Products, Inc., continues to support education scholarships for AACN members who are striving to balance their professional lives with family obligations. Applicants must demonstrate that
without the scholarship assistance they would be unable to attend the conference. Applicants describe how attending the NTI or API will assist them in reaching their professional goals.

RN.com Scholarships

RN.com will support a new series of continuing education scholarship for nurses from groups that are underrepresented in nursing, including ethnic minorities, and for nurses who have developed successful programs involving underrepresented groups.

Applicants must describe how attending the NTI or API will help further their professional goals and demonstrate that they would not be able to attend the conference without the assistance.

To obtain an application (Item #1099), call (800) 899-2226; Fax on Demand at (800) 222-6329; online at at http://www.aacn.org.

Make Note of the Deadlines

Please remember that print publications, such as AACN News, require greater production and distribution turnaround time than the fast-paced electronic media. As a result, the deadline to submit information to AACN News is approximately 30 days prior to the month of publication. Each issue is printed before the end of the prior month, and the mailing cycle can take up to two weeks. In the meantime, information that warrants more immediate distribution is posted on our Web site at http://www.aacn.org.

Scene and Heard

AACN continues to seek visibility for our profession and the organization. Following is an update on recent outreach efforts:

Our Voice in the Media
� A letter to the editor and a response were posted in the Oct. 29 online issue of nursinghands.com. The letter concerned the difficulty in attaining the proper nurse-patient ratio in the ICU and the challenges of being a floating nurse. The nursing hands.com response by Nancy Mooney, RN. MA, ONC, addressed the benefits of becoming certified as a CCRN and of joining a professional organization like AACN. She also referred to AACN�s position statement titled �Maintaining Patient-Focused Care in an Environment of Nursing Staff Shortages and Financial Constraints,� which is available online at http://www.aacn.org.

� Janice Weber, RN, MSN, AACN public policy specialist, was quoted in an article titled �Nursing Shortage Can Have Deadly Consequences� that appeared in the Oct. 22 issue of HealthScout News. The article reported on research recently published in the Journal of the American Medical Association that patients whose nurses are overworked are more likely to die from postoperative complications.

� The Oct. 14 issue of Advance for Nurses, Greater Philadelphia, announced AACN�s launch of the Essentials of Critical Care Orientation, a Web-based educational tool for novice nurses. The issue also included information about Marie Boland, RN. BSN, CCRN, treasurer-elect of the Lehigh Valley Chapter of AACN, speaking on advanced directives and living wills at an event at a shopping mall in Bethlehem, Pa.

� The October issue of RN magazine featured excerpts from AACN News, including the �President�s Note� column by AACN President Connie Barden, RN, MSN, CCNS, CCRN, in which she discussed how to craft an effective message about nursing. Also included in the AACN Update was information on ECCO, the online PDA Center and the new Philips Medical Systems-AACN Outcomes for Clinical Excellence Research Grant.

� An article in the October issue of ED Nursing noted that AACN offers scholarships for staff to attend educational meetings. The information was included in an article titled �Update on New Law to Combat Nursing Shortage,� which was in regard to the Nurse Reinvestment Act.

� The October issue of Nursing Management featured the fifth article in the Progressive Care Series, which is endorsed exclusively by AACN. The article, titled �Follow the Rules to Safer Care Delivery,� was written by Karen Toby Haghenbeck, RNC, PhD, CCRN. She discussed using regulations and standards as a checklist for the care of PCU patients. AACN was cited as a source for guidelines and position statements.

� The October issue of Nursing Management also featured an editorial titled �Delve Deep Into the Heart of Leadership� by Editor in Chief Melissa A. Fitzpatrick, RN, MSN, FAAN, a past president of AACN. In the editorial, Fitzpatrick encouraged Nursing Management 2002 participants to attend programs and networking sessions sponsored by AACN. The issue also included a �Guide to Specialty Certifications,� with contact information for AACN Certification Corporation, and �Peer Watch,� which listed AACN�s 2002-03 board members.

� An article titled �Enhancing the Accuracy of Hemodynamic Monitoring,� which appeared in the October issue of the Journal of Nursing Care Quality, noted that a performance improvement project at St. Francis Hospital, Milwaukee, Wis., began with an assessment of its nursing practice. The test questions reflected current standards as identified by AACN, research and the bedside monitor manufacturer.

Our Voice at the Table
� Justine Medina, RN, MS, AACN practice and research director, attended the ICU Clinical Advisory Panel Meeting of the Joint Commission on Accreditation of Healthcare Organizations, in Rosemont, Ill., on Sept. 20. The objective of the meeting was to identify the initial set of ICU core measures. The panel focused on identifying interrelated measures that will provide a comprehensive assessment of the quality of care provided to the ICU patient. The selected measures are scheduled to be available for public comment and revision by JCAHO this winter.

� AACN President Connie Barden, RN, MSN, CCNS, CCRN, visited the �electronic ICU� at Sentara Hospitals, Norfolk, Va., on Sept. 25. In addition to visiting with staff, many of whom are AACN members and CCRNs, she was given a tour and explanation of how the electronic ICU can monitor up to 50 patients in hospitals 25 miles away.

� Linda Bell, RN, MSN, AACN clinical practice specialist, and AACN Board Treasurer Dave Hanson, RN, BSN, CCRN, EMT-P, represented AACN at the Hill-Rom �Patient Room of the Future Panel Discussion,� in Cincinnati, Ohio, Sept. 26 through 28. The purpose of the meeting was to discuss the present and future state of inpatient care models, including universal care, transitional critical care and acuity adaptability. The panel brought together nurse and physician leaders from across the country who already have or who are currently redesigning their patient care environments.

� Medina attended the Interagency Collaborative on Nursing Statistics meeting in Washington, D.C., on Oct. 3 and 4. At the meeting, participants focused on the role of ICONS in the National Nursing Sample Survey, discussed the 2000 survey and reviewed the next survey scheduled for 2004. In addition, the ICONS group conducted a gap analysis regarding statistics in the domain of nursing, nurses, nursing education, and the nursing workplace and workforce. The analysis will drive the work of the group to influence those gathering nursing data in the United States.

� Barden spoke at the biannual �Wealth of Knowledge,� three-chapter symposium on Oct. 3 and 4 in Ft. Lauderdale, Fla. Her topics were �Bold Voices: Our Future, Let�s Talk� and �IABP: Tricks and Troubleshooting.� Approximately 400 area critical care nurses attended the seminar, which is in its 12th year. Program committee members presented a special tribute to Barden, who is one of the founders of this seminar.

� CEO Wanda Johanson, RN, MSN, and Certification Director Carol Hartigan, RN, MA, represented AACN Certification Corporation at the Alliance for Nursing Accreditation meeting in Washington, D.C. Oct. 24. The meeting was cohosted by the American Association of Colleges of Nursing and the National Certification Board for Pediatric Nurse Practitioners and Nurses. This group of advanced practice certifying bodies, faculty organizations and accreditors met to discuss trends and issues involving advanced practice education, regulation and practice. Topics included an updated statement on distance education policies, the newly released Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women�s Health, and revision of the 1997 Criteria for Evaluation of Nurse Practitioner Programs.

� AACN board member Rebecca Long, RN, MS, CCRN, CNS, spoke at the Southern California Clinical Nurse Specialists Clinical and Legal Updates Conference on Nov. 1 at Children�s Hospital of Orange County, Calif. Her topic was �Public Policy From Home to the Hill: What Inquiring Minds Want to Know!� Long presented an overview of recent activity at the state and federal level regarding CNS practice and discussed the pros and cons of the California staffing law and the federal response to the nursing shortage.

If you or your chapter is planning to reach out to the media or other groups to promote critical care nursing, we�d like to know. E-mail your information to aacnnews@aacn.org.

Watch for NTI Registration Brochure

The registration brochure for NTI 2003, May 17 through 22 in San Antonio, Texas, will be mailed in January. In the meantime, visit the AACN Web site at http://www.aacn.org.

Member Recruitment Campaign Hits 1,802 Mark in October

AACN�s Critical Links membership recruitment campaign continues at a brisk pace, with a total of 1,802 new members recruited as of the end of October. The number includes 572 new members recruited during October, 393 by individual recruiters and 179 by chapters.

Substantially boosting the totals was Cynthia A. Noe, RN, BSN, of Albany, Ga., who recruited 38 new members during October to soar into the lead with a total of 50 new members recruited since the campaign began May 1.

Two other recruiters, Caroline Axt, RN, MS, of Oakland, Calif., and Julie N. Liberio, RN, MSN, CCRN, of Naperville, Ill., also added significant numbers to their totals during October. Axt recruited 15 new members to bring her total to 31 and Liberio recruited 14 new members to bring her total to 25.

In addition, two recruiters made their debut in the campaign with impressive numbers. Terri A. Madden, RN, BSN, CCRN, of Rantoul, Kan., recruited 14 new members during October, and Ngozi I. Moneke, RNC, BSN, CCRN, of Freeport, N.Y., recruited 11.

The Rewards
The individual recruiting the most new members by the time the campaign ends April 30 will receive a $500 American Express gift certificate.

All individual campaign participants receive an AACN pocket reference when they recruit their first new member. After that, individual recruiters receive $25 gift certificates toward the purchase of AACN resources when they recruit five new members and $50 AACN gift certificates when they recruit 10 new members. Each month, members who have recruited at least one new member during the month are also entered into a monthly drawing for a $100 American Express gift certificate.

The individual winner in the monthly drawing for October was Kristin Ruud, RN.

In addition to the $500 American Express gift certificate, the top individual recruiter is eligible for the first-, second- and third-place prize drawings for (1st prize) round-trip tickets for two to anywhere in the continental U.S., including a five-day, four-night hotel stay; (2nd prize) round-trip tickets for two to anywhere in the continental U.S.; and (3rd prize) four-day, three-night hotel accommodations at a Marriott Hotel.

All the recruiters need to do is make certain that their name and AACN member number are included on the new members� application forms.

Who Recruited New Members During October?

Maxine Elaine Alabi, RN, BS, BSN
Gladys B. Alarva, RN, MS, CCRN
Kristine A. Albanese, RN, ADN
Judith R. Alleyne-Atherly, RN, BSN, CCRN
Debra Alvarez, RN, ADN
Paula Jeanne Anderson, RN, ADN
Jean Arrants, RN, BS, BSN, CCRN
Deborah Nell Ashton, RN, BS, BSN, CS
Natalie Auerbach, RN, ADN, BS
Caroline Axt, RN, MS
Nicole Bailey, RN, BSN
Earvin L. Baker, RN, BS, BSN
Stephanie A. Baker, RN
Linda I. Ball, RN, BSN, CCRN, CEN
David Banahan, RN, BS, BSN
Linda C Barton, RN, ADN
Lydia C. Bautista, RN, BSN, CCRN
Annarhiza S. Bautista
Editha A. Bendico, RN, BS, BSN, CCRN
Kathleen S. Bennett, RN, CCRN
Angela J. Bentley, RN, MS, BA, CCRN
Michael F. Beshel, RN, BSN, CCRN, CEN
Susan T. Borglund, RN, MSN
Elaine B. Boseman, RNC, CCRN, CLNC
Marylee R. Bressie, RN, CNS, MSN, CCRN, CEN
Cheryl Brewer, RN, ADN
Angela D. Brewin, RN, BSN, CCRN
Tina Marie Brown, RN, ADN, AA
Kathleen M. Burton, RN, BSN
Nancy L. Busby, RN, ADN
Paula Bussard, RN, ADN
Nancy Cabrera, RN, ADN, AA
Annette I. Calcote, RN, MS, CEN
Julie Ann Callison, RN, ADN
Kathy Campbell, RN, ADN, AA
Jo Ann Carr, RN, BSN, CCRN
Nancy M. Case, RN
Annabel E. Chi-Esmero, RN
Charlene Y. Chua, RN, BS, BSN
Carol Ann Compton, RN, BS, BSN
Pamela H Cook, RN, ADN, BS
Bobbie Cooley, RN
Karen L. Cullinane, RN, ADN
Denise Cherie Danigelis, RN, ADN, AA
Brad Danks, RN, BS, BSN
Lori A. Daughenbaugh, RN, BSN, CCRN
Diane B. Davis, RN
Laurie A. Dean, RN, CCRN
Patricia Carol DeBusk, RN, BSN, MA
Jean Marie Deffner, RN, MSN, BA
Edmond A. Dube, RN, ADN, AA
Miriam Edouard, RN, BS, BSN
Peggy Lynn Ennis, RN
Joanna Fesler, RN, BS, BSN
Deborah A. Fischer, RN, MSN, CCRN, CNRN
Camilla Dawn Fisher, RN, BSN, MSN, CCRN
Dorothy J. Flowers, RN, BSN
Laura Ford, RN
Franklin Robert Frazier, RN, BS, BSN
Anna E. Gabriel, RN, MA
Arthur H. Gillaspy, RN, ADN
Sylvia Gomez, RNC, BSN, CCRN
Brent M. Grady, RN, ADN, BS, BSN, CEN
Kathryn Marie Green, RN, ADN, BA
Jill Green, RN, CCRN
Jackie Grigg, RN, ADN, CCRN
Tarja Hamalainen, RN, MN, MS, MSN
Karen Lee Hammond, RN, BS, BSN
Maria Molar Haque, RN, BS, BSN, CCRN
Angelyn J. Harper, RN, ADN, AA, CCRN
Jane L. Hartman, RN, MS, CCRN
Carmalina Camper Hembrey, RN, BS, BSN
Michelle Hensley, RN, ADN
Carol M. Hinkle, RN, MSN, BA, CCRN
Thom N. Hipp, RN, BSN
Elizabeth J. Hobbs, RN, ADN, AA
Annette Margaret Hoffman, RN, ADN
L. Nicolle Holtke, RN, ADN
Jana W. Hough, RN, BSN, CCRN
Patricia A Jaidane, RN, ADN, AA
Karen L. Johnson, RN, CCRN
Cynthia R. Johnson, RN, BSN, MBA
Jimmy L. Jones, RN
Lauretta M. Joseph, RN, MSN, CCRN, NP
Rachel A. Joseph, RN, BSN, CCRN
Patricia M. Juarez, RN, MS, CCRN, CCNS
Allison L. Kaiser, RN
Louisa K. Kamatuka, RN, MSN, CCRN, CS
Janine M. Kaufman Schindler, RN
Patricia Anne Kelly, RN, BSN, CCRN
Laura A. Kemmet, RN, ADN, AA
Lori E. Kennedy, RN, BSN, CCRN
Elizabeth A. Kenyon, RN, BSN, CCRN
Kathleen J. King, RN, MSN, CCRN
Farahangiz Z. Kirkland, RN, BSN, MEd, CCRN
Debra L. Knight, RN, BSN
Marcia Ann Kummer, RN, AA, CCRN
Joanne M. Kuszaj, RN, MSN, CCRN
Lori Ms. LaLonde-Wade, RN, MN, MS, ACNP, NP
Jennifer S. Lanham, RN, BS, BSN, CCRN
Marie Elena Larosa, RN, ADN
Eunice F. Lasala, RN, MS, MSN, CCRN
Sherry L. Lea, RN, ADN
Doris V. Levin, RN, MS, CNA
Margaret E. Lewis, RN, BSN
Julie N. Liberio, RN, MSN, CCRN
Lynda C. Liles, RN, MBA, CCRN
Danielle Louise Lillis, RN, BS, BSN
Cynthia A. Lockhart, RN, MS, CCRN
Judith Ski Lower, RN, MSN, CCRN, CNRN
Diana MacCaskie
Terri A. Madden, RN, BSN, CCRN
Jacqueline D. Maillet, RN, ADN, CEN
Lily May V. Marifosque, RN, BSN, CCRN
Jason A. Martin, RN, CCRN
Lourdes M. Maulit, RN, BSN
Deidra McCorkle, RN, ADN
Gina J. McGinn, RN, BSN, CCRN
Carla M. Menge, RN, CCRN
Shirlien A. Metersky, RN, MSN, CCRN
Paula A. Miller, RN, ADN, CCRN
Katerina Moklak, RN, BS, BSN, CCRN
Ngozi I. Moneke, RNC, BSN, CCRN
Laura Frances Monette, RN, MS, MSN
Carolyn A. Mooney, RN, ADN, CCRN
Bonita L. Moore, RN, BS, BSN, CCRN
Pamela W. Morgan, RN, MSN, CS
Jennifer Renee Morris, RN
Janette K. Moss, RN, MSN
Roe Mulvihill, RN, MN, MBA
Deborah Murdell, RN, MN, MS, NP
Annette M. Nelson, RN, BS, CCRN
Linda J. Nicholson, RN, BSN, AA, CCRN
Cynthia A. Noe, RN, BSN
Lena J. Norris, RN, BSN, CCRN
Mary I. O'Connor, RN, MSN
Trisha Ofstad, RN, BS, BSN
Mike Oleszczuk, RN, BS, BSN
Terri L. Oster, RN, BS, BSN
Angeles A. Otradovec, RN, ADN
William L. Owens, RN, ADN, AA, CCRN
Kathleen Klein Peavy, RN, MS, CCRN
Dorothy Rose Phelps, RN, BS, CCRN
Michele Quinlan, RN, BSN
Jennifer L. Randolph
Evelyn L. Rash, RN, ADN, CCRN
Norma M. Rivera, RN, BSN
Elin Roberts, RN, MSN, CCRN
Edward Rodriguez, RN, LPN, BS, BSN
Barbara C. Rogers, RN, BSN
Susan K. Rossetti, RN, BSN, CCRN
Kristin Ruud, RN
Deborah Sauer, RN, MN, MS, CS
Rodora R. Sayles, RN, BSN
Elizabeth C. Schaefer, RN, BSN
Leslie Ann Schubert, RN, ADN, AA
Camille R. Sheldon, RN, ADN, CCRN
Monica Conroy Simpson, RN, MSN, CCRN
Jodi Snyder, RN, BSN, CCRN
Sheila B. Sobretodo, RN, BSN, CCRN
Stephanie Spees, RN, MSN, CCRN
Sonia G. Springer, RN, BS, BSN
Anna Marie Starostovic, RN, ADN
Mary Stephens, RN, MSN, CS
Theresa Stevens, RN, MS, CCRN, CCNS
Doris J. Strother, RN, MSN, CRNP
Shannon L. Strouse, RN, BSN
Margaret M. Sullivan, RN
Brenda L. Swant, RN, BSN
Jessica Erin Tadlock, RN, ADN, BS
Patricia M. Tanzi, RN
Yvonne Thelwell, RN
Beverly B. Tidwell, RN, DSN, CCNS
Beth Tremblay, RN, BS, BSN
Jane L. Valdez, RN, BS
Barbara J. Van Horn, RN, BSN, CCRN
Diana L. Vance, RN, BSN, CCRN
Laurie Vincent
Greta Vladinov, RN, BS, BSN
Jon Weaver, RN
Karen R. Willard, RN, BSN
Sue A. Williams, RN, BSN, CCRN
Felecia S. Williams, RN, BSN, CCRN
Pamela G. Willingham, RN, MS, CCRN
Jack G. Wilson, RN, BSN
Susan M Wolka, RN, RT, ADN
Joy L. Yglecias, RN, BSN, AA, CCRN
Polly Zahrt, RN, BSN

Who Is Leading the Campaign?

20 Plus New Members
Cynthia A. Noe, RN, BSN 50
Caroline Axt, RN, MS 31
Julie N. Liberio, RN, MSN, CCRN 25
Kathleen M. Richuso, RN, MSN 20

15-20 New Members
Jackie Grigg, RN, ADN, CCRN 16
Lauretta M. Joseph, RN, MSN, CCRN, NP 15
Beverly C. Maloney, RN, CNS, MSN, AA, CCRN 15

10-15 New Members
Terri A. Madden, RN, BSN, CCRN 14
Sharon McSorley, RN, BSN 14
Victoria L. Robinson, RN, BSN, CCRN 14
Michael F. Beshel, RN, BSN, CCRN, CEN13
Elaine B. Boseman, RN, CCRN, CLNC 13
Cynthia A. Phelps, RN, BSN, CCRN 13
Kathryn A. Steinke, RNC, MS 13
Doris J. Strother, RN, MSN, CRNP 13
Diane M. Casperson, RN, BSN, CCRN 12
Peggy Lynn Ennis, RN 12
Paulita D. Narag, RN, ADN, CCRN 12
Yvonne Thelwell, RN 12
Mary A. Bryant, RN, MSN, MBA, CCRN 11
Ngozi I. Moneke, RNC, BSN, CCRN 11
Donna B. Sabash, RN, BSN, CCRN 11
Pam Zinnecker, RN, CCRN 11
Lydia C. Bautista, RN, BSN, CCRN 10
Anne M. Klahre, RN, BS, BSN 10
Sylvia B. Naldoza, RN, BSN, CCRN 10
Teresa T. Solberg, RN, MS, MSN, CCRN 10

5-10 New Members
Maria Molar Haque, RN, BS, BSN, CCRN 9
Susan M. Roberti, RN 9
Theresa Stevens, RN, MS, CCRN, CCNS 9
Annarhiza S. Bautista 8
Carol M. Hinkle, RN, MSN, BA, CCRN 8
Nancy D. King, RN, MSN, CCRN, ANP, NP 8
Joni S. Herman, RN 7
Erin Irene Hutchison, RN 7
Allison L. Kaiser, RN 7
Marcia Ann Kummer, RN, AA, CCRN 7
Pauline J. McNeece, RN, MSN, CCRN 7
Lindsey Shank, RN, BSN, CCRN 7
Stephanie A. Baker, RN 6
Marylee R. Bressie, RN, CNS, MSN, CCRN, CEN 6
Denise Guaglianone-Buonocore, RN, MSN, CCRN,

Kathleen M. Burton, RN, BSN 6
Patricia E. Casey, RN, MSN, MS 6
Therisa B. Davis, RN 6
Dorothea S. Murphy, RN, CCRN, CNRN 6
Kathleen Klein Peavy, RN, MS, CCRN 6
Jennifer L. Randolph 6
Susan K. Rossetti, RN, BSN, CCRN 6
Kristin Ruud, RN 6
Elizabeth C. Schaefer, RN, BSN 6
Holly L. Weber-Johnson, RN, BSN 6
Joan F. Baker, RN, MSN, CCRN, CNRN 5
Philicia J. Bianco, RN 5
Laurie A. Dean, RN, CCRN 5
Anthony E. Farmer, RN, MSN 5
Dorothy J. Flowers, RN, BSN 5
Jana W. Hough, RN, BSN, CCRN 5
Jacqueline J. Johnson, RN, MA 5
Lori E. Kennedy, RN, BSN, CCRN 5
Geneva D. Llewellyn, RN, CNS, MSN, CCRN 5
Julie A. McCorkle, RN, BSN, MS, ACNP 5
Sandra Mejia, RN 5
Inocencia G. Mendoza, RN, BSN 5
Wendi Nopper, RN 5
Elin Roberts, RN, MSN, CCRN 5
Lynn Smith Schnautz, RN, MSN, CCRN, CCNS 5
Marcia J. Stahovich, RN, ADN, CCRN 5
Pamela G. Willingham, RN, MS, CCRN 5

Procedure Manual Now Available on CD-ROM

The AACN Procedure Manual for Critical Care is now available on CD-ROM. This comprehensive manual encompasses 135 of today�s key critical care nursing procedures, including 22 performed by advanced practice nurses.

The CD-ROM includes the full text of the book and follows its organization for easy navigation. Each procedure features a consistent, step-by-step format that provides up-to-date, research-based information and supporting rationales.

The electronic format enables users to customize critical care procedures to their institution�s unique needs. Headers and footers can also be customized with an institution�s information, logo or disclaimer. In addition, users can save different versions of each procedure and print all or part of each procedure.

For more information, contact Karen Lieb at (215) 238-2223; e-mail, k.lieb@elsevier.com.

On the Road

AACN frequently takes its show on the road, as representatives of the AACN National Office exhibit at conferences throughout the country. Following is an upcoming exhibit:

Jan. 30-Feb. 3 Society of Critical Care Medicine, San Antonio, Texas

If you are attending this conference, stop by the AACN exhibit to visit with your National Office team. AACN exhibits to promote the association�s presence, increase professional visibility and service our constituents through products and services.

For the Record

Heidi Gilroy of Houston, Texas, was pictured in a photograph in the October 2002 issue of AACN News that depicted some of the recipients of the AACN-sponsored National Student Nurses Association scholarships. The person pictured was misidentified.

Myth Versus Fact: Setting the Record Straight

Myth: I don�t need professional liability protection because only those who are already insured are sued.

Fact: A charge of negligence could render you penniless and damage your career. A lawsuit can be brought against anyone.

Do you supervise others? Follow doctors� orders? Administer medicine? If so, you are at risk of being sued for malpractice.

As a professional provider, you have devoted years to study and training. Your skills and experience are constantly being tested�by emergency decisions, stress conditions and difficult patients or clients. How you respond can determine your professional reputation and your future.

Under such circumstances, it is easy for something to go wrong. A malpractice suit or a charge of negligence, regardless of whether justified, could mean an end to your career. That is why it is advisable for you to carry your own insurance.

AACN sponsors a professional liability insurance plan for its members. For additional information, contact Marsh Affinity Group Services, a service of Seabury & Smith, 1440 Renaissance Dr., Park Ridge, Ill. 60068-1400; phone, (800) 503-9230.

Scholarship Appreciation

Each year, AACN awards approximately $150,000 in academic and continuing education scholarships. The recipients represent diverse needs and backgrounds. Following are excerpts from just some of the many communications AACN received from recipients of 2001-02 scholarships.

AACN has been an important part of my nursing career. The scholarship will ease the financial burden of my academic pursuits.
Renee Rosiek, RN, MSN
Durham, N.C.

I truly appreciate not only the great financial help, but also the moral support and encouragement to succeed and strive for excellence as I advance in my nursing career.
Gina M. Jamero, RN, BSN
Boston, Mass.

Please know how honored I am to receive this scholarship. I hope my critical care nursing experience and future endeavors will reflect my commitment to AACN.
Emily Timmreck
Charlottesville, Va.


Make your voice�and the voice of critical care nursing�heard by participating in the Voice Project, an effort by AACN to amplify the voice of nursing in public forums. This initiative is tied to the theme of AACN President Connie Barden, RN, MSN, CCNS, CCRN, �Bold Voices�Fearless and Essential.�

Q. If you had the opportunity to communicate to the world why critical care nurses are essential, what would you say?

There are times when the split second level of experience and intuition of an experienced critical care nurse is essential for good clinical outcomes and patient safety.
Glennese T. Harper, RN, BSN
Birmingham, Ala.

Q. What do you do to continually renew your passion for nursing?

Attend educational conferences and seeing the difference I make in my patient�s condition or observing a smile on my patient�s face because of something I said or did.
Kathryn M. Kater, RN, MSN, NP
Pembroke Pines, Fla.

To participate in the Voice Project, visit the AACN Web site at http://www.aacn.org.


Critical Care, Trauma and Emergency Medicine
The 41st annual Symposium on Critical Care, Trauma, and Emergency Medicine will be presented by the Institute of Critical Care Medicine and The Keck School of Medicine, University of Southern California, on Feb. 24 and 28 at the Riviera Hotel, Las Vegas, Nev. To register or request additional information, contact Medical Media Communications, Inc., Attn: Daphne Pantaleon-Project Coordinator, 15951 Los Gatos Blvd., Suite 15, Los Gatos, CA 95032 ; phone, (888) 788-7820 or (408) 356-8320; fax, (408) 356-8392; e-mail, dpantaleon@boronlepore.com; Web site; http://www.medicalmedia.net.

Leadership Excellence
A forum titled �Leadership Excellence: Challenges in Neonatal, Obstetric, and Pediatric Nursing Management� is scheduled for Feb. 20 through 22 in Miami, Fla. Additional information is available online at forums.com or by e-mailing info@cforums.com.

Neuroscience Symposium
The 2003 Northwest Neuroscience Symposium for Nurses and Other Allied Health Care Professionals will be presented by Northwest Health Care Symposiums and Oregon Neurosurgery Specialists on March 6 and 7 in Eugene, Ore. For more information, contact Northwest Health Care Symposiums, P.O. Box 71263, Eugene, Oregon 97401, or Sara Rhudy, RN, BSN, CCRN, at (541) 554-9555; e-mail, NWNeuro@aol.com.

Focus on Research
The �Health Insurance Portability and Accountability Act: Implications for Research, Education and Clinical Practice� is the title of a program that will be presented by the Acute Care Research Section of the Midwest Nursing Research Society on April 4 in Grand Rapids, Mich. For more information, contact Susan Hickey, MNRS Administrator, 10200 W. 44th Ave., Suite #304, Wheat Ridge, CO 80033; phone, (720) 898-4831; e-mail, shickey@resourcenter.com, or Renee Twibell, section chair, at rtwibell@bsu.edu.

Information printed in �Currents� is provided as a service to interested readers and does not imply endorsement by AACN or AACN Certification Corporation.

Coming in the January Issue of the American Journal of Critical Care

� Factors to Consider When Analyzing 12-Lead Electrocardiograms for Evidence of Acute Myocardial Ischemia

� Heart Period Variability of Intubated Very-Low-Birth-Weight Infants During Incubator Care and Maternal Holding

� Comparing Basic Knowledge in Critical Care Nursing Between Nurses From the United States and Nurses From Other Countries

� Use of Heliox to Avoid Intubation in a Child With Acute Severe Asthma and Hypercapnia

Subscriptions to Critical Care Nurse and the American Journal of Critical Care are included in AACN membership dues.

New AJCC Associate Editor to Add Commentary on Research

Beginning with the January 2003 issue, commentary to help readers understand the clinical relevance and applicability of research presented will be added to selected articles published in the American Journal of Critical Care.

Providing the insight is new Associate Editor Mary Jo Grap, RN, PhD, ACNP, from Virginia Commonwealth University School of Nursing, Richmond, Va. Grap has extensive expertise as a critical care clinician, clinical and academic teaching experience, effective nursing research skills, a commitment to the profession, and a passion for mentoring students and clinicians.

AACN and the editors of AJCC are eager for feedback on whether these commentaries are helpful. Please share your responses via e-mail at either ajcc@aacn.org or AJCC@sonnet.ucla.edu, fax at (949) 362-2049 or mail to AJCC, 101 Columbia, Aliso Viejo, CA 92656.

Looking Ahead

December 2002

Dec. 31 Deadline to apply for the 3-Person Discount to take the CCRN certification exam. To be eligible for the discount, applications must be accompanied by the �3-Person Discount
Flyer,� which is included with the application materials. The flyer can also be printed from the AACN Certification Corporation Web site at www.certcorp.org, or requested by
calling (800) 899-2226 or e-mailing

January 2003

Jan. 15 Deadline to apply for the Philips Medical Systems-AACN Outcomes for Clinical Excellence Research Grant. To obtain a grants handbook, visit the AACN Web site at
http://www.aacn.org > Clinical Practice > Research or call AACN Fax on Demand at (800) 222-6329. Request Document #1013.

Jan. 15 Deadline to apply for the AACN Clinical Inquiry Grant. To obtain a grants handbook, visit the AACN Web site at http://www.aacn.org or call
AACN Fax on Demand at (800) 222-6329. Request Document #1013.

February 2003

Feb. 1 Deadline to apply for NTI continuing education scholarships. To receive an application, call (800) 899-2226 or AACN Fax on Demand at (800) 222-6329. Request Item #1099. The
application is also available online at

Feb. 1 Deadline to apply for the Datex-Ohmeda-AACN Research Grant. To obtain a grants handbook, visit the AACN Web site at http://www.aacn.org
or call AACN Fax on Demand at (800) 222-6329. Request Document #1013.

Feb. 1 Deadline to apply for the AACN Critical Care Grant. To obtain a grants handbook, visit the AACN Web site at http://www.aacn.org or call
AACN Fax on Demand at (800) 222-6329. Request Document #1013.

Feb. 1 Deadline to apply for the AACN Mentorship Grant. To obtain a grants handbook, visit the AACN Web site at http://www.aacn.org or call AACN
Fax on Demand at (800) 222-6329. Request Document #1013.

Feb. 1 Deadline to apply for the AACN Certification Corporation Research Grant. To obtain a grants handbook, visit the AACN Web site at http://www.aacn.org or call AACN Fax on Demand at (800) 222-6329. Request Document #1013.

What Mark Will You Leave on the World?

One of the most valuable contributions that you can make to the profession of critical care nursing is volunteering to participate on a national volunteer group of the American Association of Critical-Care Nurses. As a member of a national volunteer group, you have the opportunity to share your perspective, knowledge and expertise, while directly influencing, shaping and defining the practice of critical care nursing and the healthcare profession. Compelled by its vision�a vision of a healthcare system driven by the needs of patients and families where critical care nurses make their optimal contribution�AACN is committed to providing comprehensive resources for the development of nurses as leaders in both their volunteer and clinical settings, further optimizing the contributions nurses make to patient well-being in an increasingly complex healthcare environment. As a member of AACN, you help influence the future practice of critical care nursing every day. Why not take the next step and volunteer? What mark do you want to leave on the world of critical care nursing?


Are you interested in becoming a national volunteer for AACN? Would you like to have a hand in shaping the way in which colleagues and the general public understand our healthcare system and the critical care nursing profession? Would you like to contribute to ensuring excellence in education, research and practice for critical care nurses? By contributing your time and expertise to a volunteer group, you assist the association in remaining one of the boldest voices in the healthcare arena, further realizing our vision of a healthcare system driven by the needs of patients and their families in which critical care nurses make their optimal contribution. Become an inspiration to other nurses and healthcare professionals. Make a difference and volunteer with AACN today!

Volunteers are asked to uphold a commitment to AACN�s mission, vision, values and ethic of care and to provide skill and accountability for achieving their group outcomes. Volunteers should be knowledgeable in the area of specialty of the volunteer group to which they are applying, and demonstrate currency in acute and critical care nursing practice, as well as a keen awareness of emerging trends.
To volunteer, obtain an application online at http://www.aacn.org.

The deadline to apply for these volunteer opportunities is March 1. These volunteer terms are effective from July 1, 2003, through June 30, 2004.

If none of the volunteer opportunities listed here appeal to you, be assured that there are more to come. Watch AACN News and the volunteer area of the AACN Web site for more information on forthcoming opportunities.

For additional information, call (800) 899-2226 or visit the AACN Web site.

Work Groups

Serving on Work Groups requires travel for face-to-face meetings, conference call participation and e-mail correspondence.

Advanced Practice Work Group
Members of the Advanced Practice Work Group will review and make recommendations regarding resources to support advanced nursing practice, including Web pages, journals and catalog products. Members will also help evaluate topics and speakers for the Advanced Practice Institute at the National Teaching Institute and write advanced practice articles for AACN News. Members will continue to develop the Advanced Practice Institute based on a gap analysis and review the Call for Abstracts to provide advanced clinical topics with patient management and pharmacology focus.

As an example of the important work this group does, last year�s group reviewed the Scope of Practice and Standards of Professional Performance for the Acute and Critical Care Clinical Nurse Specialist and supporting documentation and made recommendations for the development of an advanced practice mentoring database.

Ethics Work Group
Members of the Ethics Work Group will identify or produce resources related to the top ethical issues consistently identified by previous groups:
� Informed consent, advanced directives and advocacy
� End-of-life care and decision making and symptom management at the end of life.
� Moral distress (caregiver stress versus environmental stressors)

As an example of the important work this group does, last year�s group developed the Family Conference pocket reference and reviewed and updated the Ethics Committee Handbook.

National Teaching Institute Work Group
Members of the NTI Work Group will review and analyze evaluation and program data from NTI 2003 in San Antonio, Texas, and review NTI abstract submissions to make recommendations for program topics and sessions for NTI 2004 in Orlando, Fla. In addition, members will be part of the onsite staff for NTI 2004, where they will present an orientation for NTI first-timers and a session on how to become an AACN NTI speaker.

Public Policy Work Group
Members of the Public Policy Work Group will help assess, develop and disseminate legislative and regulatory resources for priority issues, including:
� The nursing shortage
� Patient safety and rights
� Work and practice environment

In addition, members will assist in identifying and analyzing legislative trends related to critical care nursing and the nursing profession and assist with NTI Public Policy sessions and activities.
As an example of the important work this group does, last year�s group assisted in the drafting of three new fact sheets��Nurse Advocacy,� �Prescription Drug Coverage� and �Medical Errors��and outlined a tool kit for chapters and members to use to promote the value of nursing, recruitment and retention.

Research Work Group
Members of the Research Work Group will identify, prioritize and produce evidence-based practice alerts, position statements, fact sheets and other materials regarding AACN�s platforms:
� Excellence in critical care nursing practice is driven by the needs of the patients and their families.
� Critical care work environments must be safe, healing, humane and respectful to promote the creation of cultures of inquiry, broad sharing and evidence-based practice.

Review Panels
Members of AACN Review Panels will review, evaluate and assist in the selection of AACN awards, grants and scholarship recipients. In addition, they will critique articles and develop questions for continuing education units. Members will also review appeals to certification and recertification regulatory processes. Members of these groups are selected based on professional interests and specific expertise related to content. Members will be asked to respond to written materials, participate in conference calls and correspond via email. The following Review Panels are available:

� Awards
� Distinguished Research Lecturer
� NTI Abstracts
� Research & Creative Solutions Abstract
� Research Grants
� Scholarship

Learning Partners
Serving as a Learning Partner requires travel for face-to-face meetings, conference call participation and e-mail correspondence.

Board Learning Partners
The Board Learning Partners Program consists of sponsorship by AACN for four selected members to attend AACN board meetings in November and April. In addition to the opportunity to attend and participate in the board meetings, Learning Partners may be asked to gather data prior to the meeting to inform discussions and strategic agendas. Members will be expected to provide feedback and communicate to the membership regarding their experiences, including providing information to their constituents from these meetings.

Advisory Teams
Serving on advisory teams requires conference call participation and e-mail correspondence.

AACN Board Advisory Team
Members of the Board Advisory Team are engaged in an ongoing process of systematically collecting and validating data to identify trends, issues, different perspectives and unexpected events that may prove opportunistic or challenging to the future of the Association. The Board Advisory Team is a critical vehicle for collecting data and assisting the board in keeping a finger on the pulse of AACN membership and the practice environment. Before each board meeting, the Board Advisory Team will be asked to survey their constituents regarding key strategic questions and report their findings in a series of conference calls and e-mails.

Education Advisory Team:
Members of the Education Advisory Team will oversee the Process Improvement Plan for the AACN Provider Unit for nursing continuing education activities, including reviewing the needs assessment and evaluations for compliance with process, structure and outcomes as defined in the AACN Education Standards. In addition, members will make recommendations for improvement as needed.

Chapter Advisory Team
Members of the Chapter Advisory Team support and advocate AACN�s mission, vision and values, in turn, fostering the development of new chapter leaders. Chapter Advisers work to assist chapters in making their optimal contribution and respond to requests from the association for input on chapter operations and regional issues. In addition, members ensure effective communication among the AACN Board of Directors, the National Office and the chapters. The AACN board and National Office will rely on the Chapter Advisers to annually assess, evaluate and communicate the changing environments of chapters within their assigned regions. Chapter Advisers will be expected to:
� Serve as AACN liaison and spokesperson to AACN chapters and leaders in their regions.
� Establish an ongoing mechanism for communication with chapter presidents and other chapter leaders as deemed appropriate and necessary. Chapter Advisers will communicate with chapters on a quarterly basis.
� Work in partnership with AACN staff to identify individual chapter strengths and needs so that the National Office and Chapter Advisers can effectively support and service new and existing chapters.
� Develop and mentor local chapter leaders for future chapter and national leadership roles.

Chapter Adviser positions require travel, conference call participation and e-mail correspondence. To be considered for this position, candidates must have served as a chapter president. Chapter Advisers are needed in the following regions:
� Region 4 (Washington, D.C., Maryland, Virginia and West Virginia)
� Region 5 (North and South Carolina)
� Region 6 (Alabama and Georgia)
� Region 10 (Illinois)
� Region 15 (Oklahoma and Texas)
� Region 17 (Arizona, Colorado, Nevada, New Mexico and Utah)
� Region 19 (California)

AACN Certification Corporation Appeals Panels
AACN Certification Corporation offers volunteer opportunities for both CCRN (adult, neonatal, or pediatric) and CCNS certification examination appeals panels. Members will be asked to review and deliberate all appeals, primarily through written, electronic and conference call correspondence

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