AACN News—June 2002—Association News

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Vol. 19, No. 6, JUNE 2002

AACN Details Crisis in Nursing Shortage for News Media at NTI

Participating in a news conference regarding the nursing shortage were (from left)
AACN CEO Wanda L. Johanson, AACN President-elect Dorrie K. Fontaine, critical
care nurse Jeanette Mills, Johnson & Johnson representative Melissa Cheeks and
Clayton College and State University Associate Dean Lydia McAllister.

AACN stepped up its efforts to combat the nursing shortage at a news conference scheduled in conjunction with its National Teaching Institute and Critical Care Exposition in May in Atlanta, Ga. Association representatives were joined by a spokesperson for Johnson & Johnson's Campaign for Nursing's Future in stressing the urgency of the crisis facing the healthcare system.

�The growing nursing shortage poses a significant threat to society's most vulnerable populations and, if not corrected, it will have adverse implications on quality of care,� incoming AACN President-elect Dorrie Fontaine, RN, DNSc, FAAN, told the gathering of print and electronic media.

�Today's shortage is real. Our hospitals are becoming large intensive care units, and sicker patients are creating an increasing demand for experienced, highly skilled nurses,� she continued. �As the population ages, this demand will far outreach the supply of trained nurses.�

CEO Wanda Johanson, RN, MN, emphasized that AACN is working collaboratively to solve the problem.

�AACN is committed to working with our colleagues across disciplines and geographies to solve not only this current staffing crisis, but also to ensure that there is a long-term supply of critical care nurses to care for all of us when we are most in need,� she said.

Jeanette Marie Mills, RN, a new critical care nurse practicing at Southern Regional Medical Center in Riverdale, Ga., also addressed the media, sharing her experience entering critical care and her inspiration for becoming a nurse.

AACN has been closely aligned with other organizations concerned about the nursing shortage and is heading the �nursing and professional culture� action domain for the Call to the Profession: Nursing's Agenda for the Future. In addition, AACN has been active in the Nurses for a Healthier Tomorrow coalition, which has developed a series of print ads and public service announcements to showcase nursing.

As a long-standing supporter of the nursing profession, Johnson & Johnson cosponsored NTI events, including the opening session, recognition activities related to Nurses Week and a visit by more than 50 Atlanta area middle school students interested in nursing as a career.

�Johnson and Johnson applauds the efforts of the American Association of Critical-Care Nurses to bring attention to the nursing shortage and help recruit people into the profession,� said Melissa Cheeks, RN, manager of professional services at Ethicon-Endo Surgery, Inc., a Johnson & Johnson company. �Educating our young children to the many opportunities of this rewarding profession is one step toward addressing this challenge.�

Creative Touch Is a Winner at NTI 2002

Debbie Hess of Erie, Pa., nabbed first-place
honors in the annual Mail Home Box Decorating
Contest, held in conjunction with NTI 2002 in
Atlanta, Ga. The creative touch she added to
her shipping box won her complimentary
registration for NTI 2003, May 17 through 22
in San Antonio, Texas. Other winners were
second place, Jennifer Beezley of Indianapolis,
Ind., who receives a $50 gift certificate good
toward purchases from the AACN Resource
Catalog; third place, Elizabeth Myrick of
Memphis, Tenn., who received complimentary
shipping of one Mail Home box; and honorable
mention, Angela Barnett of Norfolk, Va.

Arkansas Nurse Wins Hyundai SUV at NTI

Who said �close only counts in horseshoes�? For Philip Faughn, RN, of Jonesboro, Ark., close meant winning a 2002 Hyundai Santa Fe SUV. Faughn's guess that there were 6,760 balls filling the rear compartment of the SUV on display at NTI 2002 was only 12 off the actual number of 6,772.

In its second year, the contest, sponsored by Hyundai Motor America, attracted 1,056 entries and raised more than $8,000 for the AACN Scholarship Endowment Fund. NurseZone.com supplied the orange balls that filled the compartment.

Faughn is patient care manager in the CVICU and CCU at St. Bernard's Regional Medical Center, Jonesboro.

Critical Care Course Scheduled for August

AACN has endorsed the fourth annual Combined Critical Care Course, sponsored by the Society of Critical Care Medicine and the American College of Chest Physicians. The course is scheduled for Aug. 16 through 20, 2002, in Chicago, Ill.

Although the course is offered as a review in preparation for the Critical Care Board Exam, it is also an excellent refresher course in critical care medicine for practitioners who care for acutely and critically ill patients. AACN members can register at a reduced tuition fee.

For more information or to register, call (847) 827-6888; Web site, http://www.sccm.org.

National Leadership Highlights Accomplishments for Year

Initiatives to maintain AACN's position as the undisputed leader in critical care and provide critical care nurses with the support and resources needed to provide quality care were highlighted at the Annual Meeting May 7 in Atlanta, Ga.

Scheduled in conjunction with AACN's National Teaching Institute and Critical Care Exposition, the meeting focused on the association's strategic goals to:
� Develop the highest quality education and practice resources.
� Contribute to the advancement of critical care nursing science.
� Address and protect the interests of members and make positive contributions to the advancement of the nursing profession.
� Provide high-quality programs and services responsive to member needs.
� Provide opportunities to volunteer and contribute to the association and the profession.
� Establish a comprehensive and dynamic resource development program to support the mission and vision of the association.
� Ensure effective organizational infrastructure and operating systems.
� Develop and effectively manage financial resources.

AACN President Michael L. Williams, RN, MSN, CCRN, President-elect Connie Barden, RN, MSN, CCNS, CCRN, and CEO Wanda Johanson, RN, MN, outlined the association's accomplishments during the past year:

ICU Survey
AACN launched phase I of the ICU Survey, a comprehensive profile of critical care units across the country. The survey will provide foundational knowledge for AACN to add weight to the Value of Nursing initiative and to efforts to secure a role in decision making.

�Many doors will not open without facts and data,� said Johanson, who noted that the phase one data are expected this summer.

Barden discussed the strategic partnerships that the association has developed and the benefits these partnerships have provided. AACN is on the steering committee of A Call to the Profession: Nursing's Agenda for the Future, an initiative designed to bring nursing leaders and organizations together to implement a strategic action plan to address current nursing challenges, including work environments, the nursing shortage, diversity, retention of nurses and reimbursement issues.

In addition, based on a partnership to discuss workforce issues and educational programs, the American College of Chest Physicians invited AACN to attend its Capitol Hill Caucus. AACN also has been involved in Johnson & Johnson's Campaign for Nursing's Future, and has promoted its efforts to recruit people into the nursing profession.

Looking ahead, AACN has been invited to join the JCAHO Development of the Critical Care Core Measures Set.

Another new resource being developed by AACN is the Essentials of Critical Care Orientation, which teaches the basics of critical care in a standardized, efficient, computer-based manner. The interactive program will allow users to learn at their own pace. Johanson also touted enhanced interest in the AACN Web site, which experienced 1 million more hits in 2001 than in the previous year.

Volunteer Committees
Williams applauded all members who volunteered to serve on work groups, think tanks and advisory committees for their efforts and contributions to a successful year. Each reported on the outcomes:
Advanced Practice�The Advanced Practice Work Group expanded the educational resources available through the Advanced Practice Institute and made recommendations regarding the API's marketing, content and speakers. The group also reviewed the recently released 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.

Education�The Education Work Group developed a quality improvement plan for continuing education activities in accordance with accreditation standards and laid the groundwork for significantly streamlining the Program Planning Guide.

Ethics�The Ethics Work Group contributed monthly articles to AACN News, developed the Family Conference pocket reference, reviewed and updated the Ethics Committee Handbook, created a poster presentation for the NTI, and reviewed new books and resources.

Leadership�Several NTI sessions presented by the Leadership Development Work Group were intended to develop the ability of critical care nurses to influence decisions at the bedside. The ideas will be packaged into a resource titled It's All About You: A Blueprint to Influence Practice, which is scheduled for completion later this year. The work group also presented the core content at the Nursing Management Congress.

Nominations�The Nominating Committee reviewed the qualifications for AACN and AACN Certification Corporation leadership positions and, following interviews, presented six candidates for election to the AACN Board of Directors, five for the AACN Nominating Committee and two for the AACN Certification Board of Directors. The group also updated the AACN Nominee Handbook and Application.
NTI Program�The NTI Work Group reviewed abstracts and developed the educational program for NTI 2002, for which the �Ask the NTI Work Group� question and answer forum was developed for the NTI Web site. Nurses are encouraged to evaluate the NTI 2002 program online.

Nurse Managers�A new group, the Nurse Manager Think Tank, was formed to articulate strategies to address the role and needs of nurse managers and the role of AACN in meeting these needs.
Progressive Care�Another new committee, the Progressive Care Task Force, was established to examine the changes in critical care nursing and the continuum of care beyond the critical care unit. The group plans to publish a series of articles on progressive care in AACN News and to examine the needs of nurses practicing in progressive care areas. In addition, an NTI Sunrise Session on progressive care was offered.

Public Policy�The Public Policy Work Group drafted three new fact sheets: �Nurse Advocacy,� �Prescription Drug Coverage� and �Medical Errors.� The group also outlined a tool kit for chapters and members to use to promote the value of nursing, recruitment and retention.

Research�The Research Work Group continued the �Myths and Realities� series in AACN News, selected the 2003 distinguished research lecturer and awarded seven research grant totaling $43,500.

AACN Certification Corporation has begun a comprehensive study of practice for critical care nursing that will assist in ensuring the relevance of the current certification examinations and future test development by the corporation. The corporation also partnered with a new testing service, Applied Measurement Professionals, to administer the CCRN and CCNS exams. The improved services this new partner offers includes providing official, final scores the day of the exam.

On the Agenda

Following is a report by AACN board member Bertie Chuong, RN, MS, CCRN, on discussions and actions that took place during the April 2002 AACN Board of Directors meeting.

Agenda Item: Certification Presentation
At a joint meeting with the AACN Certification Corporation Board of Directors, Gary Smith, chief executive officer of Applied Measurement Professionals, Inc., Lenexa, Kan., discussed �Future Trends in Certification.� AMP provides the testing service for the CCRN and CCNS exams administered by AACN Certification Corporation.

It is important that the AACN and AACN Certification Corporation boards understand the techniques and technology applied to certification testing so they can determine if the current process is sound and reliable and achieves what is intended in representing competent clinical safe practice.

Agenda Item: Education
� Among the regular updates on AACN initiatives was a progress report on AACN's new, electronic-based Essentials of Critical Care Orientation program, which is scheduled for completion this summer. The excitement around this project continues to build, with positive feedback from a variety of sources. The development of this resource exemplifies AACN's role as the undisputed leader in critical care by providing a state of the art resource for nurses in practice and education who need efficient methods for quality education. (For a demonstration of the Essentials of Critical Care Orientation, visit the AACN Web site at http://www.sccm.org.)

Agenda Item: FY03 Strategic and Operating Plans
The board reviewed and approved both the Strategic Plan and the 2003 Operating Plan for AACN. The Strategic Plan, which is based on the current environmental scan and data about trends in the profession, healthcare and society, provides the overall vision and direction for the association to meet the needs of members in a variety of ways into the future. The board continually refers to this plan in discussing and approving association initiatives.

As always, the board was impressed with how much is included in the Operating Plan for members, with the focus on expanding education and practice resources, alliances and partnerships with key influencers, and awards, scholarships and research grants. Supporting improvement of the environment of care for nurses and patients is a focus throughout all of AACN's objectives.

Agenda Item: FY03 Budget
Before approving the budget for Fiscal Year 2003, the board spent considerable time reviewing it in relation to the Strategic Plan and Operating Plan. One of the key responsibilities of the board is to ensure the association has sufficient resources and that resources are allocated appropriately to achieve the plans over time. The association is financially strong and has appropriate accounting procedures and protections in place. The budget was unanimously approved.

Agenda Item: Election of Board Secretary and Treasurer
The board elected Mary Fran Tracy, RN, PhD, CCRN, as secretary of the board for 2002-03 and M. Dave Hanson, RN, BSN, CCRN, EMT-P, as board treasurer.

Agenda Item: AACN as the Voice of Critical Care Nursing
The board continued discussions to determine key strategies that the association must undertake to strengthen and expand its voice on behalf of members and critical care nursing. Proactive and nimble systems are needed so that AACN can more effectively respond and influence needed changes in the work environment, clinical practice and healthcare. It is also important that the association has essential data and knowledge to drive the highest standards and shape critical care nursing practice and the care provided to patients and families.

Thank You Volunteers! You Have Made a Difference

AACN appreciates the commitment and dedication its national volunteers demonstrate each year and extends a sincere thank you for their year of service to our organization. The following individuals are those whose current volunteer terms will expire June 30, 2002.

Katherine Abriam-Yago, RN, EdD
Ferne Alderfer, RN, BSN
Marian Altman, RN, MS, CCRN, ANP
Nancy Ames, RN, MSN, CCRN
Lillian Ananian, RN, MSN
Michelle Anastasi, RN, MS, CCRN
Eugene Anderson, RN, MSN, BA, CCRN
LeAnn Ash, RN, BSN, CCRN
Kathleen Ashton, RN, PhD, CS
Denise Ayers, RN, MSN, BS
Cindy Baggott, RN, MS, CCRN
Margaret Bagnardi, RN, MSN, CCRN, NP
Connie Barden, RN, MSN, CCRN, CCNS
Thomas Barkley, RN, DSN, ACNP, CS
Susan Barnason, RN, PhD, CCRN, CS
Linda Batts, RN, CCRN
L. Christine Baxter, RN, CCRN
Elizabeth Bayley, RN, PhD
Kathryn Beauchamp, RN, MSN, CCRN, PNP, CPNP
Candace Becker, RN, BSN
Marilyn Belli, RN, MSN
Melinda Bender, RN, MSN, CCRN
Elizabeth Benson, RN, BSN, MA, MBA, CCRN
Judy Bezanson, RN, DSN
Jane Bircheat, RN, MSN, CCRN
Karen Bird, RN, ADN, BS, CCRN
Carol Bishop, RN, MSN, BA, CCRN
Marcia Bixby, RN, MS, CCRN, CS
Donna Blackburn, RN, MSN, CCRN
Nancy Blake, RN, MN, CCRN, CNAA
Dawn Blake-Holmes, RN, MSN, CCRN, CCNS
Piper Bodkin, RN
Benny Bolin, RN, ADN, MS
Karin Bowman, RN, CCRN
Jeanne Braby, RN, MSN, CCRN
Darlene Bradley, RN, CNS, MSN, PhD, CCRN, CEN
Patricia Bradshaw, RN, BSN, CCRN
Steven Branham, RN, MSN, CCRN, CS, ACNP
Carol Braund, RN, MA, CCRN
Marylee Bressie, RN, CNS, MSN, CCRN, CEN
Eileen Briening, RN, MSN, CCRN, CRNP
Debra Brinker, RN, MSN, CCRN, CCNS
Barbara Brockway, RN
Frances Brown, RN, MSN, CCRN
Steven Brown, RN, BSN
Kimberly Brown, RN, MSN, FNP, CS, CEN
Lynn Browning, RN, MSN
Jayne Brundage, RN, BSN, PHN
Ruth Bryan, RN, MSN, CCRN
Linda Bucher, RN, DNSc
Madeleine Burke, RN, BSN, CCRN
Carolyn Byrum, RN, MSN, CCRN, CCNS
Sandra Cagle, RN, MSN, CCRN, ACNP
Stephanie Calcasola, RN, MSN
Stephen Campbell, RN, MSN, AA, CCRN, CEN
Suzette Cardin, RN, DNSc, CNAA, FAAN
Glenn Carlson, RN, BSN, CCRN
Ronna Carlton, RN, BSN, CCRN
Margaret-Ann Carno, RN, MS, MBA, CCRN
Maggie Carriker, RN, MSN
Paula Carson, RN, PhD, CCRN
Elizabeth Carson, RN, MS
Donna Charlebois, RN, MSN, CCRN, ACNP
Marcia Chorba, RN, MSN
Stephanie Christian, RN, MS, CCRN
Bertie Chuong, RN, MS, CCRN
Terry Cicero, RN, BS, MN, CCRN
Wendy Clark, RN, MSN, CCRN
Carol Cleek, RN, MSN, CS
Ellen Clifton, RN, BSN, CCRN
Katherine Comello, RN
Jeffrey Conner, RN, BSN
Diana Contino, RN, BSN, MBA, CCRN, CEN
Randeen Cordier, RN, MSN, CS
Cheryl Corish, RN, MSN
Natalie Correll-Yoder, RN, CNS, MN, CCRN
Damon Cottrell, RN, MS, CCRN, CCNS, CEN
Colleen Counsell, RN, MSN, CCRN
Jo Ellen Craghead, RN, MSN, CCRN
Sherill Cronin, RN, PhD
Elsie Croom, RN, BSN, CCRN
Maryanne Crowther, RN, MSN, CCRN, CS
Christine Cutugno, RN, PhD, CCRN
Luann Daggett, RN, DSN
Rebecca Dahlen, RN, MSN, EdD, CCRN, CS
Barbara Daly, RN, MSN, PhD, FAAN
Juli Daniels, RN, MSN, CCRN
Becki Daniels, RN, MS, CNAA
Janet Davies, RN, CNS, MSN
Alice Davis, RN, PhD, CNRN
Michael Day, RN, MSN, CCRN
Marla De Jong, RN, MS, CCRN, CCNS, CEN
Janet Denmark, RN, MSN
Mary Dent, RN, MA, CCRN
Sandy DeSalvo, RN, BS, MSN, CCRN, CS
Theresa DeVeaux, RN, BSN, CCRN
Louise Diehl-Oplinger, RN, MSN, CCRN, CS
John Dixon, RN, MSN
Deri Dority, RN, BS, BSN, CCRN
Diane Dressler, RN, MSN, CCRN
Susan Dukes, RN, MA, CCRN
Diana Eisnaugle, RN, CCRN
Marcia Elliott, RN, BSN, CCRN
Kathleen Farrell, RN, MS, CCRN
Anne Ferguson, RN
Jill Fernandes, RN-C, MSN, NP
Carmen Ferrell, RN, BSN, AA, CCRN
Shelly Fields-Ryan, RN, MS, CCRN, FNP
Melissa Fitzpatrick, RN, MSN, FAAN
Hatice Foell, RN, MSN
Dorrie Fontaine, RN, DNSc, FAAN
Susan Fowler, RN, MS, CCRN, CS, CNRN
Michael Frakes, RN, BSN, BA, CCRN, CFRN
Mary Franklin, RN, MS, CS, ACNP
Rita Free, RN, MS
Coleen Fritsche, RN, MS, CCRN, ACNP
Roberta Fruth, RN, MS, PhD, CCRN
Angela Fuhlman, RN, BSN, CCRN
Karen Gaertner, RN, MSN, CCRN
Barbara Garabedian, RN, BSN
Lisa Garcia, RN, BSN, BA, CCRN
Cecilia Garrison, RN, MS, CCRN
Kathleen Geib, RN, MSN
Betsy George, RN, PhD, CCRN
Beverly George-Gay, RN, MSN, BA, CCRN
Imelda Gerard, RN, BSN, CCRN
Barbara Goldberg-Chamberlain, RN, MSN, BA,
Helen Gonzales-Kranzel, RN, MSN, MBA,
Caryl Goodyear-Bruch, RN, MSN, CCRN
Phyllis Gordon, RN, MSN, CS
Mary Kathryn Graham, RN, BSN
Nancy Grant, RN, MSN, CCRN, CCNS
Angela Green, RN, MSN, CRNP
Deborah Greenlaw, RN, MS, CCRN
Madelyn Gries, RN, MS, CCRN
Jane Grimberg, RN, MS, CCRN
Todd Grivetti, RN, BS, CCRN
Tracy Grogan, RN, MEd, CCRN
Sheila Grossman, RN, PhD, APRN
Denise Guaglianone-Buonocore, RN, MSN,
Donna Gullette, RN, DSN
Debra Hall, RNC, MSN, CCRN
Kevin Hannon, RN, ADN, BA
Lisa Hansen, RN, MSN, CCRN
Michael David Hanson, RN, BSN, CCRN
Brenda Hardin-Wike, RN, MSN, CCRN, CCNS
John Harper, RN, MSN
Yevette Harrell, RN, BSN
Tonya Harter, RN, MSN
Jane Hartman, RN, MS, CCRN
Mary Hartung, RN, BSN, BA, CCRN
Stanley Hatcher, RN, BSN, CCRN
Harriet Hawkins, RN, CCRN
Anne Hawkins, RN, MS
Lee Ann Haygood, RN, BSN, CCRN, CNA
Susan Helms, RN, MSN, CCRN
Karin Henderson, RN, MSN, CCRN
Lori Hendrickx, RN, EdD, CCRN
Sharon Hershman, RN
Cheryl Hettman, RN, PhD
Linda Hidalgo, RN, CNA, CCRN
Margaret Hodge
Mary Holtschneider, RN, BSN, MPA
Linda Holzhueter, RN, BSN, BS
LouAnn Honek, RN
Kevin Hook, RN, MA, BSN
Patricia Hoppman, RN, MS, CCRN
Mary House-Fancher, RN, MSN, ARNP
Lian Huang, RN, MSN, CCRN
Melissa Hutchinson, RN, CCRN
Fran Iacobellis, RN, MS, MSN, CCRN
Linda Ireland, RN, MS
Lori Jackson, RN-C, CCRN, NP
Brenda Jeffers, RN, PhD
Jo Ann Jenkins, RN, MSN, CCRN
Peggy Jenkins, RN, MS, CCRN
Karen Johnson-Brennan, RN, PhD
Louisa Kamatuka, RN, MSN, CCRN, CS
Roberta Kaplow, RN, PhD, CCRN, CCNS
Patricia Kelly, RN, BSN, CCRN
Catherine Kelly, RN, PhD, CCRN, CEN, NP
Lori Kennedy, RN, BSN, CCRN
Joan King, RN, MSN, PhD
Andrea Kline, RN, MS, CCRN, NP
Gregory Knutzen, RN, MSN, BA, CCRN
Renee Koehler, RN, BSN, CCRN
Ina Koerner, RN, MSN
Lisa Kohr, RN, MSN, CCRN, PNP
Margaret Kraft, RN, MSN, CCRN, NP
Kathryn Krayk, RN, ADN, AA, TNCC
Carolyn Kreamer, RN, PhD
Barbara Krumbach, RN, MSN, CCRN
Christine Kruskamp, RN, MS, CCRN
Jane Kurz, RN, PhD
Joan LaBarr, RN, BSN, CCRN
Margaret LaBeur, RN, BSN
Tujuana Land, RN, ADN, CCRN
Judith Lang, RN, BS, CCRN
Linda Lapointe, RN, BS, MS
Deborah Laughon, RN, BSN, MS, CCRN
Nantawadee Lee, RN, MN, CCRN
Sylvia Lenart, RN, MSN, CCRN
Rebecca Long, RN, CNS, MS, CCRN
Rita Lopez, RN, MSN, CCRN, ARNP
Thomas Lowndes, RN, ADN, BS, CCRN
Michael Lucrezio, RN, MS, ANP
Kay Luft, RN, MN, CCRN, TNCC
Paula Lusardi, RN, PhD, CCRN, CCNS
Kelly Machuca, RN, MSN, CCRN, CS, ACNP
Mary Macklin, RN, MSN, CCRN, ARNP
Jeanne Maiden, RN, MS, CCRN
Margaret Malone, RN, MN, CCRN
Karen March, RN, MSN, CCRN, CS
Gail Marchigiano, RN, MSN
Julie Marcum, RN, MS, CCRN, CS
Mary Martin, RN, MSN, CCNS, CS, CNRN
Sarah Martin, RN, MS, CCRN, CPNP
D. Martin, RN, BSN, CEN
Mary Mason Wyckoff, RN, MSN, ARNP, NNP
Cathy Mawdsley, RN, MSN
Dorothy Mayer, RN, MSN, CS
Lisa Mayerhofer, RN, BSN
Diane Mayes, RN, MSN, CCRN
Jill Mayo, RN, MSN
Kathleen McCauley, RN, PhD, CS, FAAN
Cynthia McCoy, RN, MSN, CCRN
Catherine McCoy-Hill, RN, MSN, CCRN
Katherine McEwen, RN, BSN,RT(R)
Cheryl McGaffic, RN, PhD, CCRN
Claire McGowan, RN, MS, CCRN, CS, NP
Jacqueline McGrath, RN, PhD, CCNS, NNP
Patricia McGurl, RN, BS, BSN, CCRN
Cheryl McKay, RN, MSN, CCNS
Mary McKinley, RN, MSN, CCRN
Rhonda McLain, RN, MN
Sara McMannus, RN, BS, BSN, CCRN
Julie McNulty, RN, BSN, CCRN
Sheila Melander, RN, DSN, ACNP, FCCM
Kathleen Miller, RN, EdD, ACNP, CS
Sally Miller, RN, PhD, CS, NP
Lisa Milonovich, RN, BSN, CCRN
Nicolette Mininni, RN, MEd, CCRN
Katerina Moklak, RN, BS, BSN, CCRN
Barbara Monroe, RN, MS, CCRN
Lou Ann Montgomery, RN, PhD, CCRN, CCNS
Winfred Moore, RN, ADN, CCRN
Kate Moore, RN, MS, MSN, CCRN, CCNS, NP
Linda Morris, RN, PhD
Joann Morris, RN, BS
Katherine Morrison, RN, MSN, CCRN
Patricia Morton, RN, PhD, NP, ACNP, FAAN
Ann Moylan, RN, MA
Janet Mulroy, RN, MSN, CCNS, CCRN
Martha Musielak, RN, MSN, NP
Sheila Myer, RN, MSN
Charlene Myers, RN, MS, MSN, CCRN, NP
Susan Nelmark, RN, BA, CCRN
Angela Nelson, RN, MSN, CCRN, ACNP
Jennifer Nitschmann, RN, MSN, CNA
Christine Nordin, RN, BSN, CCRN
La Donna Northington, RNC, DSN, MSN, CCRN
Kathy Noyes, RN, MSN, ACNP, FNP
Susan Oakes, RN, MS, JD, CCRN
Barbara Ogden
Dee Oliveri, RN
Mary Olson, RN, BSN, CCRN
Patricia O'Malley, RN, PhD, CCRN
Christine O'Shaugnessy, RN, PhD, CCRN, CS
Jill Overman, RN, ADN
Mary Palazzo, RN, MS, CCRN
Jackie Palmer, RN, CEN
Jessica Palmer, RN, MSN
Joann Panno, RN, MSN
Mae Pasquale, RN, MSN, CCRN
Mary Frances Pate, RN, DSN
Cheryl Paul, RN, CCRN
Kristine Peterson, RN, MS, CCRN, CCNS
Pamala Pethtel, RN, MSN, CCRN
Lisa Pettrey, RN, MS
Barbara Phelan, RN, DNSc, CCRN, CS
Deborah Pool, RN, MS, CCRN
Lori Popkes, RN, BAN, CCRN
Pamela Popplewell, RN, BSN, CCRN
Theresa Posani, RN, CNS, MS, CCRN, CCNS,
Janice Powers, RN, MSN, CCRN
John Pozar, RN, BS, BA, CCRN, CEN
Nora Protokowicz, RN, MSN
Carol Puz, RN, BSN, CCRN
Juan Quintero, RN, MSN, CCRN
Patricia Rabbett, RN, MSN, CCRN
Deborah Raley, RN, MSN
Rosanne Raso, RN, MS, CNAA
Timothy Rausch, RN, BS, CCRN
Diana Reid, RN, BSN, CCRN
Deanna Reising, RN, PhD, CS
Virginia Rickards, RN, MEd, CCRN
Kathleen Risa, RN, MSN, CCRN, CS,
Audrey Roberson, RN, MS
Kathryn Roberts, RN, MSN, CCRN
Jodi Rogers, RN, MS, CCRN, CCNS
Robert Rose, RN, BSN, CCRN
Elaine Rose, RN, BN
Patricia Rosier, RN, MS, MSN, CS
Joyce Roth, RN, MSN, CCRN, CNA
Maureen Roussel, RN, MSN, CCRN, CS

Bonnie Sakallaris, RN, MSN
Diane Salipante, RN, MS, MSN, CCRN
Sarah Samick, RN, BS, CCRN
Katherine Samon, RN, CNS, MS, CCRN
Sharon Sauer, RN, MSN, CCRN
Deborah Scheele-Minanov, RN, MSN
Susan Schindler, RN, BSN, CCRN
Rebecca Schlanger, RN, BSN, AA,
Christa Schorr, RN, ADN, CCRN
Amy Schueler, RN, MS, CCRN, CNP
Dawn Seery, RN, BS, CCRN
Steve Senecal, RN, ADN, MS, CCRN
Karen Setti, RN, MSN, ACNP
Nancy Seymour, RN, BSN, CCRN
Alisa Shackelford, RN, CCRN
Heather Sharp-Keys, RN, BSN
Kathryn Sheehan, RN, MSN, CCRN,
Pamela Shellner, RN, BSN
Deborah Shields, RN, MS, CCRN
Bridget Shoulders-Odom, RN, MS,
Lynn Simko, RN, PhD, CCRN
Shari Simone, RN, MS, CCRN, CRNP
Celeste Smith, RN, BSN, CCRN
Sandra Smith, RN, PhD, APRN
Carla Smith, RN, MS, CNOR
Nan Smith-Blair, RN, MSN
Paulette Snoby, RN, BSN, MPA, CCRN
Brenda Snyder, RN, MS, CCRN
Connie Sobon Sensor, RN, MSN, CCRN
Teresa Solberg, RN, MSN, CCRN
Mary Sole, RN, PhD, CCRN, FAAN
Rhonda Somnitz, RN, ADN, CCRN
Leslie Beth Sossoman, RN, MSN,
Wanda Staab, RN, MSN, CCRN
Julie Stanik-Hutt, RN, PhD, CCRN,
Mickey Stanley, RN, PhD, CS, CNA
Elaine Steinke, RN, MN, PhD
Elliot Stetson, RNC, MSN, CCRN
Mary Stewart, RN, BSN, MBA
Tracey Stover, RN, BSN, CCRN, CEN
Kate Sullivan Collopy, RN, PhD,
Leslie Swadener-Culpepper, RN,
Sandra Swoboda, RN, MS
Clare Tack, RN, MSN, CCRN
Maria Tackett, RN, MSN, CCRN, CEN
Linda Tamburri, RN, MS, CCRN
Joyce Taylor, RN, BSN, MA, CCRN
Mona Ternus, RN, MSN, BA, CCRN
Cathy Thompson, RN, PhD
Mary Tierney, RN, MSN, CCRN, ANP
Mary Tracy, RN, PhD, CCRN
Brenda Truman, RN, MSN, ACNP
Renee Twibell, RN, DSN
Stephanie Van Arsdale, RN, MSN,
Kimberly Vander Heuvel, RN, MS,
Judy Verger, RN, MSN, CCRN, CS, NP
M. Verklan, RNC, PhD, CCNS
Kathleen Vitthuhn, RN-C, BSN, MS
Christine Vittum, RN, BSN, MS, CCRN
Kittie Wagner, RN, BSN
Mary Walker, RN, MSN, CCRN
Cynthia Wall, RN, MSN, CCRN
Brandy Wallace, RN, BSN
Julie Warren, RN, MSN, BA, CCRN
Arlyn Wasco, RN, MSN, NP
Barbara Washington-Knight, RN, BS,
Mary Watkins, RN
Janis Watts, RN, BSN, CCRN
Janice Weber, RN, MSN
Holly Weber-Johnson, RN, BSN
Kathy Weller, RNC, PhD, CCRN,
M. Cecilia Wendler, RN, PhD, CCRN
Christine Westphal, RN, MSN, CCRN
Cindy Wetzel, RN, MSN, CCRN, CS
Barbara White, RN, BSN, CCRN
Steve Widmar, RN, ADN, CCRN
Michael Williams, RN, MSN, CCRN
Mechelle Williams, RN, MSN, AA,
Bruce Williams, RN, MSN, CCRN,
Maria Williams, RN, BSN, CCRN
Laurie Willmitch, RN, BSN, CCRN
Joan Wilson, RN, BSN, CCRN
Charlene Winters, RN, DNSc, CS
Janice Wojcik, RN, MS, CCRN, CS
Mary Wood, RN, MSN, EdD, CCRN
Susan Woods, RN, PhD
Patricia Worster, RN, MS
Diane Wrobleski, RN, MS, CEN
Susan Yeager, RN, MS, CCRN
Larraine Yeager, RN, BSN
Marilyn Yergler, RN, BS, BA, CCRN
Eden Zabat, RN, MSN
Polly Zahrt, RN, BSN
Jenny Zaker, RN, CNS
Beth Zimmerman, RN, BSN

Critical Links

The second year of AACN's Critical Links member-get-a-member campaign is now under way. To obtain Critical Links Member-Get-A-Member recruitment campaign forms, call (800) 899-2226. Request Item #1316, or visit the AACN Web site at http://www.aacn.org.

Circle of Excellence Honors Those Who Make a Difference

Awards Deadline Is July 15, 2002

The AACN Circle of Excellence recognition program honors individuals who have made a difference in healthcare and in 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 recipients will be recognized at AACN's 2003 National Teaching Institute and Critical Care Exposition, May 18 through 22 in San Antonio, Texas.

July 15, 2002, is the deadline to nominate yourself or a colleague for a 2003 Circle of Excellence award. Following is information about these awards.

AACN-Marguerite Rodgers Kinney Award for a Distinguished Career
Named in honor of AACN Past President Marguerite R. Kinney, the AACN award recognizes individuals who are completing or have completed an extraordinary and distinguished professional career that has enhanced the care of acute and critically ill patients and their families by furthering the mission and vision of AACN. To recognize 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.

Ross Products-AACN Pioneering Spirit Award
Cosponsored by the Ross Products Division of Abbott Laboratories, this award recognizes timely and far-reaching contributions that exemplify a pioneering spirit and influence the direction of acute and critical care nursing. These contributions support the mission, vision and values of AACN and have a regional or national impact. Recipients are presented a plaque and $500 honorarium as well as complimentary registration, airfare and hotel accommodations for the NTI.

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.

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.

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 them to understand and cope with illness; offering them avenues or possibilities of understanding; increasing their control and acceptance of a difficult experience; and demonstrating vigilance, persistence and commitment to their well-being. They also make the patient's challenges approachable and manageable through his or her own ability to face and cope with the problem. Recipients demonstrate how they have encompassed the AACN Values and Ethic of Care in their work. They receive complimentary registration, airfare and hotel accommodations for the NTI.

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. Recipients 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 illustrate how they have been a catalyst for successful change. Recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

AACN Excellent Nurse Practitioner Award
This award recognizes acute and critical care nurses who function as nurse practitioners. These practitioners 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 illustrate how they have served as a catalyst for successful change. Recipients 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.

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. Recipients address how they have successfully integrated standards of care; patient advocacy; holistic care; collaboration and coordination of care; leadership; inquiry and critical thinking; values; and ethics into their practice. The recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

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. These recipients demonstrate 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, as they care for critically ill patients in settings outside the walls of traditional critical care units. Eligible applicants include, but are not limited to, nurses working in home healthcare, progressive care, telemetry, step-down, catheterization labs and emergency departments. Recipients are given 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.

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.

AACN Excellence in Leadership Award
This award recognizes nurses who demonstrate the 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.

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. Recipients 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 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 to multidisciplinary teams, with $2,500 earmarked to fund projects. In addition, individual recipients are given public recognition and a personalized plaque.

Marsh-AACN Community Service Award
Cosponsored by Marsh, 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.

AACN Excellent Nurse Manager Award
This award recognizes nurse managers who demonstrate excellence in coordination of available resources to efficiently and effectively care for acutely or critically ill

In the Circle: Award Cites Exceptional ICU Design

The following is an excerpt from the exemplar submitted in connection with the ICU Design Citation, sponsored by AACN, the Society of Critical Care Medicine and the American Institute of Architects Academy on Architecture for Health. Part of the AACN Circle of Excellence recognition program, this award is presented to a critical care unit that combines functional ICU design with the humanitarian delivery of critical care. Recipients are awarded $500 by each of the sponsoring organizations, as well as registration for one person to attend each of the organization's annual meetings or conferences. In addition, a plaque is presented to display in the unit and to the architects.

Members of the ICU design team at Saint Joseph Health Center
are (from left) Juanela Hamilton, ICU staff nurse; Timothy Smith,
ICU co-medical director; Twila Buckner, critical care director;
architect Scott Corbin, vice president, Hart Freeland Roberts;
and Barbara Miller, ICU coordinator. Other members of the team
who are not pictured were Barbara Wyand, marketing and planning;
Robert Reinhardt, ICU co-medical director; Lili Arvesen; Margaret
Oaks; Lisa Riggs; Louisa Kamatuka; Sally Schneider; and Kelly McLaughlin.

Saint Joseph Health Center ICU
Kansas City, Mo.
Saint Joseph Health Center
The 16-bed, adult ICU at Saint Joseph Health Center is designed around pods, with a skylight in each pod allowing in additional natural lighting. Two of the pods contain six beds each, and the third pod contains four beds. To enhance staff proximity to the patients, the traditional central nursing stations were eliminated, and nurse servers with desks were designed immediately outside each pod.

Each patient room is approximately 300 square feet, with a sliding-glass, breakaway door; large outside windows; moveable power columns; a wall, desk computer; a television, VCR and CD player; and a sleeper chair. The sliding glass doors reduce the noise level in the patient rooms, and the moveable power columns allow the staff to place a patient's bed anywhere in the room.

The ICU also has a large, adjoining waiting room, which contains a kitchen, children's playroom, serenity room and education room. In addition, the ICU has a large staff lounge and staff education room.

Scene and Heard

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

Media Highlights
� AACN Marketing Director Dana Woods wrote a series of three articles for the Journal of Nursing Administration. The first in the series, �Realizing Your Marketing Influence, Part 1: Meeting Patient Needs Through Collaboration,� was published in the April issue. It addressed healthcare marketing basics and the importance of communication and collaboration among administrators, nurses and marketing staff. The second article was to be published in the June issue and the third article is scheduled for the July/August issues.
� The April 2002 issue of RN magazine featured an AACN Update that included excerpts from the AACN News �President's Note� column by AACN President Michael L. Williams, RN, MSN, CCRN, information on an NTI session on bioterrorism, the AACN-CCRN ambassador program and application deadlines for AACN grants and awards.
� An article by Williams, titled �A Team Effort,� appeared in the spring issue of Minority Nurse. In the article, Williams addressed the importance of welcoming men into the nursing profession. His suggestions included supporting scholarship programs for men, mentoring by male nurses, including men in promotional/recruitment materials and highlighting nursing as a profession. Williams also noted that, ultimately, �it's the quality of the work that matters, not the nurse's gender.�
� A �Letter to the Editor� by AACN President-Elect Connie Barden, RN, MSN, CCNS, CCRN, was published in the Miami Herald on April 16, 2002. The letter was submitted in response to an article on the nursing shortage in Florida. Although Barden applauded the article in general, she countered a statement that labeled nursing �a horrible profession.� �Only by working together to improve the healthcare system and to promote nursing as a viable career choice for young people can nurses continue to make a profound difference in people's lives,� she wrote.
� AACN is sponsoring a six-part series of articles on progressive care in Nursing Management. The series began with an article titled �Keep Pace With Step-Down Care,� by Wendy Berke, RN, BSN, MHA, director of professional practice at AACN, and Margaret Ecklund, RN, MS, CCRN, CS, chair-elect of the AACN Certification Corporation Board and a past member of the AACN Board. The second article, which appeared in the April issue, was titled �Achieve Cost Benefits With Innovative Care Management.� The author was Juan R. Quintero, RN, MSN, CCRN, a member of AACN's Progressive Care Task Force. In the article, Quintero noted that �new literature suggests progressive care units decrease costs, generate revenue and help healthcare leaders better manage utilization of scarce ICU beds.�

Our Voice at the Table
� Williams was the keynote speaker on �Challenges & Opportunities in the 21st Century� and the breakout speaker on �Family Crisis & Dysfunction� at Horizons 2002 in Boston, Mass., in April.
� AACN CEO Wanda Johanson, RN, MN, attended the first day of the Association of PeriOperative Registered Nurses' 49th Annual Congress in Anaheim, Calif., in April. More than 6,000 AORN members and others attended business sessions, exhibits, educational offerings and networking events.

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.

Public Policy Update

Work Environment
Background: Legislation unveiled in May by U.S. Rep. Carolyn McCarthy (D-N.Y.) takes aim at the nurse staffing problems that are plaguing healthcare facilities nationwide. The Nurse Retention and Quality of Care Act of 2002 proposes grants for healthcare facilities to develop and implement strategies to make the workplace more attractive to nurses. The legislation specifically points to strategies the American Nurses Credentialing Center, a subsidiary of the American Nurses Association, promotes through its Magnet Nursing Services Recognition Program.

AACN Position: AACN supports this legislation and believes that addressing the issues of workplace dissatisfaction is an essential part of solving the nursing shortage. AACN priorities for addressing workplace issues and promoting retention include developing collaborative care environments that provide a satisfying working environment and recognize nurses' professional status and expertise, apply standards focusing on outcomes based on the actual delivery of patient care and provide nurses sufficient autonomy over their practice and the responsibility for decision making, policy setting and financial management of their units. Additional information on AACN's strategies for increasing the supply of nurses can be found in AACN's �Nursing Shortage Backgrounder� at www.aacn.org > Public Policy > Position Statements.

Nursing Shortage
Background: A report recently released by the Robert Wood Johnson Foundation found that the current shortage of nurses is fundamentally different from past shortages in the United States because it reflects nurses' dissatisfaction with the profession and competition with other career opportunities for women.

Titled �Health Care's Human Crisis: The American Nursing Shortage,� the report found that sustainable solutions to the nursing shortage will require collective efforts by groups concerned about the nursing shortage, including nurses and nursing profession leaders, nurse educators, healthcare industry leaders, labor organizations, policymakers, philanthropies and consumer groups. The report also offers five recommendations for re-envisioning the nursing profession and helping it establish a full partnership with the profession of medicine.

Nursing Careers
Background: Health and Human Services Secretary Tommy Thompson recently urged Americans to promote nursing careers. In a statement promoting National Nurses Week in May, Thompson called on Americans to do more to encourage students to choose careers in nursing. He said President Bush is asking for $15 million to expand the Nursing Education Loan Repayment program in fiscal year 2003, $5 million more than this year, to increase the number of nurses in critical shortage areas.

Nurse Reinvestment Act
Status: In recognition of National Nurses Week, more than 100 nursing students from Johns Hopkins School of Nursing and members of Congress gathered on Capitol Hill to rally support for passage of the Nurse Reinvestment Act (H.R. 3487/S. 1864). Under the act, federal funding for scholarships and loan repayments would be provided for nursing students. The bill would also include funding for public service announcements aimed at promoting nursing as a career and recruiting new nurses. Hutchinson said the Bureau of Labor Statistics indicates the aging baby-boomer population will create 560,000 nursing jobs in the next 10 years. Another 440,000 jobs will be created when older nurses begin to retire, he said.

Nurse Licensure Compact
Status: Indiana and Tennessee recently passed legislation to implement the Nurse Licensure Compact, bringing to 18 the number of states that have enacted the mutual recognition model of nursing regulation endorsed by the National Council of State Boards of Nursing Delegate Assembly in 1997. Under the model, nurses who hold a license in one state could practice in another compact state, provided that they follow the laws and regulations in the state of practice. Each individual board of nursing decides whether to pursue adoption of mutual recognition in their respective states. Other states in the compact are Arizona, Arkansas, Delaware, Idaho, Iowa, Maine, Maryland, Mississippi, Nebraska, New Jersey, North Carolina, North Dakota, South Dakota, Texas, Utah and Wisconsin.

Advanced Practice
Background: Fifty individuals representing the leading nursing certification programs, accrediting agencies and advanced practice nursing organizations attended the National Council of State Boards of Nursing's annual Advanced Practice Registered Nurse Roundtable in April 25. Participants discussed activities related to the NCSBN's 61 state and territorial boards of nursing and the advanced practice community. This year's meeting focused primarily on three important NCSBN initiatives:
� Development of an APRN interstate compact for mutual recognition of advanced practice nurse licenses across states, which is to be considered by the NCSBN Delegate Assembly at its annual meeting in August
� A review of criteria for accreditation of advanced practice certification programs
� Changes to the Uniform Advanced Practice Registered Nurse Licensure/Authority to Practice Requirements

A Healthier Tomorrow
Status: In honor of National Nurses Week, Nurses for a Healthier Tomorrow kicked off a new component of its multimedia campaign with on-screen advertisements in movie theaters. The ads featured real-life nurses from the coalition's print ad campaign, showcase the tagline �Nursing. It's Real. It's Life.� and direct movie-goers to the www.nursesource.org Web site. Reaching more than 2.5 million movie-goers, the on-screen ad appeared throughout the month of May on 436 screens nationwide in major markets, including Los Angeles, New York, Miami, Baltimore, Dallas, Washington, D.C., Atlanta, Detroit, Seattle, Chicago, Philadelphia, San Francisco and Boston.

Mandatory Overtime
Maryland Gov. Glendening has signed into law mandatory overtime legislation that would prohibit an employer from requiring a nurse to work more than the regularly scheduled hours according to the predetermined work schedule. However, a nurse may be required to work overtime under certain conditions:
� If the work is a consequence of an emergency situation that could not have been reasonably anticipated
� If the emergency situation is nonrecurring and is not caused by or aggravated by the employer's inattention or lack of reasonable contingency planning
� If the employer has exhausted all good faith, reasonable attempts to obtain voluntary workers during the succeeding shifts
� If the nurse has critical skills and expertise that are required for the work
� If the standard of care for a patient assignment requires continuity of care through completion of a case, treatment or procedure

AACN Position: AACN does not believe that mandatory overtime is an acceptable means of staffing a hospital because it may place nurses and their patients at increased risk of being involved in medical errors. Instead, nurses should be able to decide whether working overtime will affect their ability to care safely and effectively for patients. They should have the option of refusing overtime assignments and not be forced into working beyond their capacity to provide optimal care. AACN supports this legislation and will continue to work to educate the public on the negative impact that mandatory overtime can have on patient safety.

Staffing Ratios
Approximately 200 nurses from New Jersey hospitals used National Nurses Day in May to lobby assembly members for limits on how many hospital patients a nurse must treat. Citing concerns about patient safety, the nurses urged support for legislation setting nurse-to-patient ratios in all hospital departments. The state set limits of two patients per nurse in intensive care, but no ratios for the emergency room, medical-surgical wards and some other departments.

Wearing red-and-white T-shirts reading, �Set limits; save lives,� nurses and other healthcare workers from the 8,500-member Health Professionals and Allied Employees union packed the assembly gallery for the afternoon session.

Earlier, nurses picketed at the headquarters of the New Jersey Hospital Association in West Windsor, Mercer County. They delivered a giant greeting card, signed by about 1,000 nurses, bearing the message �Ratios, not roses,� a reference to the hospital tradition of giving each nurse a red rose on National Nurses Day.

In a statement, the hospital association said that it �supports the goal of optimal nurse-to-patient staffing levels,� but that �strict and inflexible ratios will only exacerbate� the nursing shortage.
AACN Position: AACN is concerned that fixed numerical ratios do not capture the complexity of patient needs and the skills of the caregivers. The nurse-to-patient ratio should recognize patient acuity and the required intensity of nursing care. Staffing decisions must be based on the specific needs of patients, provider competencies and organizational priorities. AACN is also concerned that mandated minimum ratios could become staffing ceilings, which do not allow for flexibility when patient acuity demands higher nurse-to-patient ratios.

For more information about these and other issues, visit the AACN Web site at For more information about these and other issues, visit the AACN Web site at www.aacn.org. > Clinical Practice > Public Policy.. > Clinical Practice > Public Policy.

New Online Resources Make Public Policy Information Readily Available

Two new public policy resources debuted this month on the AACN Web site: the State Net database and the CapWiz Legislative Action Center.

State Net allows AACN members to download or view the status and a brief summary of pertinent nursing legislation. The database collects information on actions related to bills in Congress, as well as in all 50 states. Because the information is posted within 24 hours of public availability, members can get reliable information quickly.

The CapWiz Legislative Action Center, powered by Capitol Advantage, will allow AACN members to connect with elected officials, agencies and organizations. Users may e-mail members of Congress, the president and other government officials; find their legislators by a ZIP code or name search; and find out how their legislators voted on identified issues. Members may compose their own messages or send messages prewritten by AACN.

Searchable by ZIP code, state and name, this tool also provides an easy way to find out who is running for federal and state offices in a specific area. As primaries pass, the information will be updated to reflect the general election candidates. The system also includes information on registering to vote, election dates and more.

To access this new public policy resource, visit the AACN Web site at http://www.aacn.org.

Save on Catalog and Online Bookstore Orders

Order an AACN Resource Catalog or online Bookstore product or resource during June and save! All orders will be discounted 10%. Shipping and handling charges still apply.
This offer does not apply to products ordered from the AACN PDA Center.

To order and receive your 10% discount, call (800) 899-2226 or visit the AACN Web site

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

� Celebrating the 100th Birthday of the Electrocardiogram: Lessons Learned From Cardiac Monitoring Research

� Vasopressin in the Cardiac Surgery Intensive Care Unit

� Weaning Older Adults From Long-Term Mechanical Ventilation

� Predicters of Quality of Life at 1 Month After Implantation of a Left Ventricular Assist Device

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

Looking Ahead

June 2002

June 14 Deadline to submit nominations for positions on the AACN Board of Directors, AACN Certification Corporation Board of Directors and AACN Nominating Committee for
2002-03. The nomination form is included in this issue of AACN News. Forms can also be obtained by calling (800) 394-5995, ext. 307, or via the AACN Web site at

http://www.aacn.org > Call for Nominations.

June 21 Deadline to apply for the AACN Wyeth Nursing Fellows Program. To obtain an application, call (800) 899-2226 and request Item #2005 or AACN Fax on Demand at
(800) 222-6329 and request Document #2005. Applications are also available online at

June 30 3-Person Discount program for CCRN exam ends. The discount flyer is available by calling (800) 899-2226 or e-mailing certcorp@aacn.org. The flyer can also be
downloaded from the AACN Certification Corporation Web site at
http://www.certcorp.org > CCRN.

July 2002

July 1 Deadline to apply for End-of-Life Palliative Care research grants. The grants application book can be downloaded from the AACN Web site at http://www.aacn.org > Clinical
Practice > Research > Grants or is available from Fax on Demand at (800) 2226-329 (Document #1013).

July 1 Deadline to apply for Clinical Inquiry Grant. The grants application book can be downloaded from the AACN Web site at http://www.aacn.org > Clinical Practice > Research >
Grants or is available from Fax on Demand at (800) 2226-329 (Document #1013).

July 1 Deadline to apply for Medtronic Physio-Control AACN Small Projects Grant. The grants application book can be downloaded from the AACN Web site at http://www.aacn.org
> Clinical Practice > Research > Grants or is available from Fax on Demand at (800) 2226-329 (Document #1013).

July 15 Deadline to apply for the AACN Circle of Excellence Award program for 2002. To obtain an awards guide, call (800) 899-2226 (request Item #1011), or visit the AACN Web site
at http://www.aacn.org > Membership > Awards.

September 2002

Sept. 1 Deadline to submit research and creative solutions abstracts for NTI 2003, May 17 through 22 in San Antonio, Texas. To obtain abstract forms, call (800) 899-AACN (2226) and
request Item #6007, or visit the AACN Web site at

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