AACN News—March 2002—Association News

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Vol. 19, No. 3, MARCH 2002

Staffing Standards Proposed: California First to Mandate Ratios

Attention is on California as the state moves through the precedent-setting process of establishing minimum nurse-to-patient staffing ratios mandated by legislation enacted late in 1999. The ratios proposed by Gov. Gray Davis (see chart, page 18) were released in January, following delays caused by the continued controversy that surrounded the issue.

The regulations, which are to be phased in, are scheduled to take effect in July 2003. Initially hospitals must provide no less than one licensed nurse for every two to six patients, depending on the unit. The state’s Department of Health Services supported nurse-to-patient ratios of 1 to 2 in critical care units and 1 to 5 in medical-surgical units. The proposed standards also limit nurses in emergency rooms to one trauma patient, pediatric nurses to four patients and obstetrics nurses to two mothers in labor.

The proposal could be amended following statewide public hearings and a public comment period.

Nurses unions and consumer advocates applauded the proposal as a step toward promoting patient safety and reducing the nursing shortage. In the meantime, nurses and legislators nationwide are closely following the developments in California.

In the meantime, a bill that would establish even more stringent nurse-to-patient ratios has been introduced in the Florida Senate. The bill would also ban mandatory overtime for direct-care nurses. The Florida Hospital Association is opposing the legislation on the grounds that hospitals need the flexibility to determine staffing based on the condition and needs of patients, and the experience and education mix of the patient care team.

The important link between nurse staffing and positive patient outcomes is becoming clearly delineated in nursing and medical literature. Although specific ratios can potentially impact patient safety, enhance positive patient outcomes and contribute toward safe nursing practice, AACN cautions that ratios alone are not the answer.

AACN’s concern is 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.

The proposed rules also face practical barriers, most significantly a statewide shortage of nurses. According to the U.S. Department of Health and Human Services, California, with 544 nurses per 100,000 residents, ranks 49th among states in its share of registered nurses. To meet the new requirements, several thousand new nurses will be needed, which poses a challenge on both the recruitment and financial fronts.

Although Davis has announced plans to allocate $60 million to train 5,100 nurses in the next three years, other issues also must be addressed. For example, hospitals must improve the workplace environment through strategies that build a culture of value and support for nurses. AACN believes that recruitment and retention efforts will fail unless issues such as appropriate staffing and support; mandatory overtime; competitive salaries; and lack of recognition of value, expertise and autonomy are addressed.

AACN is currently working with other national nursing organizations and congressional leaders to support legislation that will address the nursing shortage and improve workplace conditions. AACN supports the Nurse Reinvestment Act (S. 1864), the Registered Nurses and Patients Protection Act (HR 1289) and the Safe Nursing and Patient Care Act of 2001 (S. 1686).

AACN is also a member of the steering committee for a Call to the Profession collaboration involving nearly 100 nursing organizations to implement a strategic plan to address nursing shortages and staffing.
In addition, as a member of the Nurses for a Healthier Tomorrow coalition, AACN is contributing to a national campaign to promote the profession of nursing.

AACN’s Staffing Blueprint: Constructing Your Staffing Solutions provides a comprehensive look at the association’s recommendations with regard to staffing. To obtain a copy, visit the AACN Web site at www.aacn.org > Bookstore or call (800) 899-2226. Request Item #300117. The price is $26 ($35 nonmembers), plus shipping and handling. In addition, the AACN “Nursing Shortage Backgrounder” is available online.

Mandatory Overtime
On another front, nurses will no longer be forced to work overtime at New Jersey healthcare facilities except during emergencies, under legislation signed into law by Gov. Donald DiFrancesco. New Jersey joins Maine and Oregon in banning mandatory overtime for nurses, though similar legislation has been introduced in 16 other states.

“This signed legislation will give nurses an opportunity to make the decision as to whether they can safely deliver quality patient care,” commented Andrea Aughenbaugh, RN, CEO of the New Jersey State Nurses Association, which, with other groups, had pushed for the new legislation since 1998.

AACN believes that mandatory overtime is not an acceptable practice and that nurses should have the right to refuse an overtime assignment if it is beyond their capacity to provide optimal care.

California Proposed Nurse-to-Patient Ratios

Hospital Unit Ratio
ICU 1:2*
Operating room 1:1*
Neonatal ICU 1:2*
Intermediate care nursery 1:4*
Well-baby nursery 1:8*
(When multiple births, the number of newborns and number of mothers shall never exceed 8 per nurse)
(1:4 couplets; 1:6 mothers only)
Labor & delivery 1:2
Postanesthesia care unit 1:2
Emergency departments
(Not including triage, radio or other specialty nurse)
(1:2 critical care; 1:1 trauma)
Burn unit 1:2
Pediatrics 1:4
Step-down/telemetry 1:4
Specialty care (oncology) 1:5
Telemetry unit 1:5
General medical-surgical 1:6 (initially)
1:5 (phased in)
Behavioral health psychiatric units 1:6
Mixed units 1:6 (initially)
1:5 (phased in)
*These units currently have minimum nurse-to-patient ratios in statute and/or regulations.

Recruitment Effort Tops 1,700 New AACN Members

Campaign Ends April 1

Inspired by a chapter session she attended at AACN’s 2001 National Teaching Institute and Critical Care Exposition, Melissa L. Drain, RN, CCRN, began a personal crusade to encourage her staff to become involved as members of AACN. In the process, she found herself among those leading in AACN’s Critical Links member-get-a-member recruitment campaign. In fact, as of the end of January, Drain had single-handedly recruited 29 new members—and was ready to add more.

Overall, a total of 1,724 new members have been recruited between May 1, 2001, and Jan. 31, 2002—1172 by individual recruiters and 552 by chapters.

With the campaign set to end April 1, several participants had recruited 20 new members or more. Leading the charge at the end of January was Darlene Legge, RN, BSN, CCRN, whose total stood at 31. Others were Peggy Lynn Ennis, RN, with 26 new members; Michele Quinlan, RN, BSN, with 25 new members; Margaret Riley, RN, BSN, CCRN, with 23 new members; and Carol Guyette, RN, BSN, CCRN, Nancy D. King, RN, MSN, CCRN, NP, and Annette M. Mtangi, RN, ADN, CCRN, with 21 new members each.

The top individual recruiter will receive $500 or an American Express gift certificate and is also eligible for the first-, second- and third-place prize drawings:
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.
3rd Prize—Four-days, three-nights hotel accommodations at a Marriott Hotel

In addition, each recruiter receives a pocket reference. Those who recruit five or more members receive a $25 AACN gift certificate good toward the purchase of AACN resources or, for recruiting 10 or more new members, a $50 AACN gift certificate. Several members have already received a $100 American Express gift certificate in the monthly drawing among members who recruited new members during the month.

Drain said her motivation has nothing to do with the rewards that recruiters are eligible to receive. Instead, she said she was simply convinced that more nurses need to be involved professionally.
As the nurse manager for critical care, emergency room and acute care services at Wellstar Paulding Hospital in Dallas, Ga., Drain attributes her success to a one-on-one approach with her staff.

“My personal goal is to get everyone involved,” she said. “We shouldn’t keep everything inside our institution and not share the good things that are going on with others. We can also learn about what others are doing.”

She said she doesn’t plan to discontinue her recruitment efforts just because the campaign is over.

Drain is also president of the newly formed Northwest Georgia Chapter of AACN, which has added 19 new members since the Critical Links campaign began in May 2001. In the chapter campaign, the neighboring Atlanta Area Chapter had taken a substantial lead, with 59 new members reported at the end of January. Coincidentally, the Atlanta chapter is the host chapter for the 2002 National Teaching Institute and Critical Care Exposition.

In addition to a $250 gift certificate toward the purchase of AACN resources, chapters reporting the largest increase in membership numbers or the largest percentage increase will receive special recognition at NTI 2002 in Atlanta, Ga. Each month, chapters that recruit new members are also entered into a drawing for one complimentary registration for NTI 2002.

Below are the cumulative totals for members recruiting new members during January, as well as those who have accumulated five or more new members and cumulative totals for chapters since the campaign began.

Who Has Recruited New Members?
Recruiter # Recruited
Ismael J. Abregonde, RN, BSN 7
Lillian Aguirre, RN, ADN, CCRN 4
Beckie Arnold, RN, BS, CCRN 1
Kathleen Arnold, RN, MS, CNA 3
Judith Ascenzi, RN, MSN 6
Perrilynn A. Baldelli, RN, MSN, CCRN 8
Christy Baginski, RN, BSN, CCRN 1
Karen Balyeat, RN, BSN, CCRN 1
Janet Barney, RN, BSN, CCRN 1
Shirley Baymiller, RN, MA 1
Mary Bell, RN, BSN, CCRN 1
Michael Beshel, RN, BSN, CCRN, CEN 15
Catherine Blair, RN, MS, CCRN 1
Michael C. Blanchard, RN 6
Lisa M. Boldrighini 5
Laura Bratcher, RN, MSN 2
Eileen Briening, RN, MS, CCRN, CCNS 1
Kathleen M. Burton, RN, BSN 5
Karen Cabezudo, RN, EdD, CCRN 1
Ann Marie Carpenter, RN, BSN, CCRN 17
Maggie Carriker, RN, MN, CCRN, 2
Eileen Caulfield, RN, BS, BSN, CCRN 1
Michael Chalot, RN, ADN, CCRN 6
Sasipa Charnchaichujit, RN 8
Marcia Chorba, RN, CCRN 1
Stephanie Christian, RN, MS, CNA 1
Susan Cline, RN, BSN, CCRN 2
Katherine Colbert, RN, ADN, CCRN 5
Michelle Collins, RN, CNS, MSN, CCRN 1
K. Gail Coordsen, RN, MS 1
Kathleen Corban, RN, BSN, CCRN 5
Cynthia G. Cox, RN, BSN 7
Sue Ann Crisp, RN, BSN, BS 8
Eva M. Crosby, RN 9
Karen Cullinane, RN, BSN, CCRN 1
Kimberly Curtin, RN, PhD, CCRN 1
Melissa L. Drain, RN, CCRN 29
Anne C. Dunn, RN, BSN, CCRN 7
Julie Dutton, RN, ADN, AA, CCRN, CEN 1
Peggy Lynn Ennis, RN 26
Anthony Farmer, RN, ADN 4
Jamie Fitzpatrick, RN, BSN, CCRN 1
Myrna Fontillas-Boehm 6
Patricia Forsyth, RN, MSN, CCRN, 1
Carla J. Freeman, RN, BSN, CCRN 11
Frances Gedell, RN, MA, CCRN 1
Lita T. Gorman, RN, BSN, CCRN, CEN 6
Mary Kathryn Graham, RN, BSN 5
Jackie Grigg, RN, ADN, CCRN 8
Recruiter # Recruited
Carol Guyette, RN, BSN, CCRN 21
Charlene A. Haley-Moyer,
Robert Hammond, RN, BSN,
Lucinda Harmon, RN, AA, CCRN 1
Kathy Hayes, RN, BSN 1
Lori Hendrickx, RN, BSN, CNRN 1
Michelle L. Henrickson, RN, BSN 5
Susan Hollowell, RN, BSN, CCRN 1
Mary Holtschneider, RN, BSN, MPA 6
Zondra Hull, RN 6
Jan Jeffery, RN, BS, MSN, CCRN, CS 1
Patricia Jennings, RN, ADN, CCRN 5
Lauretta M. Joseph, RN, CCRN 13
Rosemarie Juergensen,
Louisa K. Kamatuka,
Beryle E. Keegan, RN, BSN, CCRN 9
Lori E. Kennedy, RN, BSN, CCRN 7
Nancy D. King, RN, MSN, CCRN, NP 21
Debra Kruk, RNC, BSN, AA 1
Veronica Lawrence, RN, ADN, BA 1
Virginia Ledbetter, RN, MSN 1
Darlene Legge, RN, BSN, CCRN 31
Geneva Llewellyn, RN, MSN, 3
Louise Lowe, RN, BSN 1
Barbara Magrew, RN, CCRN 1
Michele L. Manning,
Polly Marinelli, RN, CCRN 8
Martie C. Mattson 7
Lenora Maze 1
James Mears, RN 6
Ruth Melvin, RN, BSN, CEN 8
Michael Merrick, RN 1
Arlene Messina, RN, ADN 5
Katherine H. Miller, RN, ADN 10
Leanna Miller 1
Jacqueline Morgan, RN, CNS,
Annette M. Mtangi, RN, ADN, CCRN 21
Dorothy Muskovin, RN, BSN 1
Paulita D. Narag, RN, ADN, CCRN 8
Amanda L. Newman 5
Donna O’Neill, RN, ADN 2
Rochelle Pelachick, RN, BSN 1
Diane Pemberton, RN, ADN 1
Dorothy Rose Phelps, RN, BS, CCRN 9
Recruiter # Recruited
Michele Quinlan, RN, BSN 25
Elizabeth Randazzo, RN, ADN, CCRN 4
Jeff Reece, RN, BSN 7
Carol Reitz-Barlow 5
Margaret Riley, RN, BSN, CCRN 23
Catherine Rodgers, RN, MSN 1
Barbara Schnakenberg, RN 5
Lynn Schnautz, RN, MSN, CCRN 16
Lindsey Shank, RN, BSN, CCRN 9
Janis Smith-Love, RN, BSN 1
Cynthia Steinbach, RN, BSN, CCRN 5
Janice Stevens,
Theresa Stevens, RN 2
Eric Stewart, RN 1
Mary C. Stewart, RN, BSN, MBA 13
Marjorie A. Stock, RN, ADN, CCRN 5
Yvonne Thelwell, RN 19
Linda S. Thomas, RN, MSN, CCRN 6
Mary Fran Tracy, RN, PhD, CCRN 2
Connie Trowbridge, RN 1
Julie Valasek, RN 2
Holly L. Weber-Johnson, RN, BSN 11
Barbara Wiles, RN, BSN, CCRN 5
Felecia Williams 1
Jana Woller Hough, RN, BSN 9
Susan Wright, RN 1
Pam Zinnecker, RN, CCRN 6

Albemarkle Area Chapter 6
Anchorage Chapter 5
Atlanta Area Chapter 59
Brooklyn Chapter 24
Broward County Chapter 11
Carolina Dogwood Chapter 7
Central New York Chapter 1
Fairbanks North Star Chapter 3
First Coast Chapter 3
Chesapeake Bay Chapter 1
Greater Akron Area Chapter 2
Greater Birmingham Chapter 5
Greater Austin Area Chapter 12
Greater Chicago Area Chapter 1
Greater East Texas Chapter 13
Greater Evansville Chapter 28
Greater Flint Area Chapter 8
Greater Louisville Chapter 21
Greater Miami Area Chapter 21
Greater Mid Cities Chapter 1
Greater Milwaukee Area Chapter 22
Greater Phoenix Area Chapter 5
Greater Raleigh Area Chapter 5
Greater Tulsa Area Chapter 21
Head of the Lakes Chapter 5
Heart of Acadiana Chapter 8
Heart of the Piedmont Chapter 35
Metropolitan Orlando Chapter 3
Minot Roughrider Chapter 11
Mobile Bay Area Chapter 6
Montana Big Sky Chapter 6
North Central Florida Chapter 33
North Central Wisconsin Chapter 5
North Valley Chapter 1
Northeast Indiana Chapter 7
Northwest Chicago Area Chapter 1
Northwest Georgia Chapter 19
Pacific Crest Regional Chapter 34
Palmetto Chapter 8
Pennisula Chapter 12
Piedmont Carolinas Chapter 2
Siouxland Chapter 5
Smoky Hill Chapter 5
South Carolina Mid State Chapter 10
Southeastern Pennsylvania Chapter 15
Southern Maine Chapter 2
Spokane Chapter 5
Tennessee Valley Chapter 3
Triangle Chapter 1
Vermont Green Mountain 21
West Michigan Chapter 3
White River Chapter 2

December Rewards
Congratulations to the reward recipients in our monthly membership campaign drawings for January. Each month, one chapter receives a complimentary registration to NTI 2002, and one individual receives a $100 American Express gift certificate. The recipients are randomly selected from those who recruited at least one new member during the month.
The recipients in January were:
• Chapter—West Michigan Chapter
• Individual—Dorothy Muskovin, RN

To obtain Critical Links recruitment forms, call (800) 899-2226. Request Item #1316. Or, visit the AACN Web site

Cast Your Vote in AACN Election

Candidates for the FY03 AACN Board of Directors and AACN Nominating Committee have been announced. Ballots are being mailed to AACN members this month, along with additional information about the candidates. If you have not received a ballot by March 8, call Jan Buffington at (800) 394-5995, ext. 307.

Members can return the paper ballot or vote online at www.aacn.org/election. Click on the “Vote” icon and follow the instructions. However, to use the online voting process, you will need your AACN membership number and your election validation number, both of which are printed on the paper ballot you receive. Returned ballots must be received and online voting completed by midnight on April 8. Only regular AACN members are eligible to vote. All terms begin July 1, 2002.

The president-elect will serve a one-year term before assuming the presidency July 1, 2003. The three-year terms of the directors run through June 30, 2005. The Nominating Committee members serve one year, through June 30, 2003.

Following are the 2002-03 candidates for the AACN Board of Directors and the AACN Nominating Committee:

AACN Board of Directors

1-Year Term
Dorrie Fontaine, RN, DNSc, FAAN
Washington, D.C.

3-Year Term
(Vote for 4)
Nancy T. Blake, RN, MN, CCRN, CNAA
Valencia, Calif.

Suzanne M. Burns, RN, MSN, CCRN, ACNP, FAAN
Ruckersville, Va.

Janie Heath, RN, MSN, CCRN, ACNP, ANP
Alexandra, Va.

Deborah B. Laughon, RN, BSN, MS, CCRN
Lakeland, Fla.

Sheila Melander, RN, DSN, ACNP-CS, FCCM
Owensboro, Ky.

Carol Ann Puz, RN, BSN, CCRN
Pittsburgh, Pa.

When the newly elected members of the AACN Board of Directors take office July 1, 2002, they will join incoming President Connie Barden, RN, MSN, CCNS, CCRN, and returning directors Debbie Brinker, RN, MSN, CCNS, CCRN, Bertie Chuong, RN, MS, CCRN, M. Dave Hanson, RN, BSN, CCRN, EMT-P, Rebecca E. Long, RN, MS, CNS, Kathleen McCauley, RN, PhD, CS, FAAN, Mary Fran Tracy, RN, PhD, CCRN, and Susan Yeager, RN, MS, CCRN.

Completing their terms on the AACN Board of Directors will be President Michael L. Williams, RN, MSN, CCRN, Treasurer Jessica P. Palmer, RN, MSN, and Secretary Lori Hedrickx, RN, EdD, CCRN. Carol Puz, who was elected last year, has served one year on the board.

AACN Nominating Committee
1-Year Term (Vote for 3)

Jodi Rogers, RNC, MS, CCRN, CNS
Dayton, Ohio

Joyce Marie Simones, RN, MS
St. Cloud, Minn.

Celeste Smith, RN, BSN, CCRN
Katy, Texas

Linda Tamburri, RNC, MS, CCRN, CNS
Long Valley, N.J.

Charlene (Charlie) Winters, RN, DNSc, CS
Missoula, Mont.

Extensive Evaluation Process Goes Into Developing AACN Slates of Candidates

Members of the AACN Nominating Committee for 2001-02 were (from left, seated)
Mary Holtschneider, Patricia A. McGaffigan and Lillian V. Ananian and (from left, standing)
Dave Hanson, Denise Thornby, Beth Glassford, Sandra Cunningham, Lori D. Hendrickx,
Debbie Brinker, Michael Day and MaryLou Warren.

By Mary Holtschneider, RN, BSN, MPA
2001-02 AACN Nominating Committee

In this issue of AACN News, you will find the list of candidates for positions on the AACN Board of Directors and AACN Nominating Committee for 2002-03. These candidates are presented after extensive review and evaluation by the 2001-02 AACN Nominating Committee, chaired by immediate past President Denise C. Thornby, RN, MS.

The AACN Nominating Committee is comprised of elected and appointed members, as well as representatives of the AACN and AACN Certification Corporation boards of directors. It is charged with evaluating nominees for national AACN leadership positions and creating a ballot of candidates that will best meet the needs of the organization at this time. Positions to be elected this year are four directors of the AACN board and three members of the Nominating Committee. In addition, two candidates to fill open positions on the AACN Certification Corporation Board of Directors have been recommended to the AACN Board of Directors. These appointments will be announced in the June issue of AACN News.

Once the ballot is presented, the responsibility lies with you, the members of AACN, to vote for the candidates you believe will best represent you and critical care nursing in these leadership positions. Why should you vote, and what should you look for when considering a candidate’s qualifications?

All the candidates are highly qualified. The Nominating Committee is confident that each has the leadership skills and knowledge and experience with the organization to be effective in these positions. Before casting your vote, closely review the essays that the candidates wrote, their involvement with AACN at the local and national levels, their workplace experiences and their areas of practice.

You may not know these candidates personally. That’s why they are asked to write the essay on a current nursing issue that is important to them. These essays can give you insight into their individual beliefs and ideas. In addition, their AACN-related knowledge and experience will be evident as you read about their volunteer activities.

We are all aware of the many difficult issues that face nursing today. As a leader in critical care nursing, AACN’s position at the forefront of these issues continues to strengthen. To maintain this position, AACN must have strong leaders with diverse backgrounds, who are able to represent the issues of importance to the members. This can be accomplished if our members thoughtfully consider the candidates and make informed voting choices.

AACN is your professional association. This is your opportunity to have a voice and influence in making it the best it can be! As we have clearly seen in recent history, every vote counts!

Members of the AACN Nominating Committee for 2001-02 are Denise Thornby, RN, MS (chair), Sandra Cunningham, RN, MS, CCNS, CCRN, CS, Michael Day, RN, MSN, CCRN, and Mary Holtschneider, RN, BSN, MPA. Debbie Brinker, RN, MSN, CCNS, CCRN, Dave Hanson, RN, BSN, CCRN, EMT-P, and Lori D. Hendrickx, RN, EdD, CCRN. Brinker, Hanson and Hedrickx represent the AACN Board of Directors.

Representing the AACN Certification Corporation Board of Directors are immediate past Chair Patricia A. McGaffigan, RN, MS, current Director Beth Glassford, RN, MSHA, and appointed members Lillian V. Ananian, RN, MSN, and MaryLou Warren, RN, MSN, CCRN.

Weapons of Mass Destruction: Session Focuses on What Nurses Must Know to Respond

The best defense in reducing casualties brought on by weapons of mass destruction is the ability of community leaders and healthcare professionals to mount a prompt, focused and effective response. As the largest group of healthcare professionals in the country, nurses play an important role in responding to and managing these events and their casualties.

Weapons of mass destruction are biological and chemical agents that pose a threat to health, safety, food supply, property or the environment. The terrorist attacks on the World Trade Center and the Pentagon and subsequent events demonstrate the lethality of these weapons.

To help critical care nurses prepare for their role in such tragic events, AACN’s 2002 National Teaching Institute and Critical Care Exposition will offer a concurrent session titled “Biological and Chemical Weapons of Mass Destruction—Medical Issues and Response.” This session will focus on what nurses need to know before and during a WMD event, how to respond within their local communities, and how to care for contaminated casualties.

NTI 2002 is scheduled for May 4 through 9 in Atlanta, Ga. The WMD sessions are scheduled for the afternoon of Monday, May 6.

For more information, contact AACN Program Development Specialist Bonnie Baker, RN, at (800) 809-2273, ext. 537; e-mail, bonnie.baker@aacn.org.

Help Spread the Word: AACN-CCRN Ambassadors to Network Across the Country

An envoy of critical care nurses will spread the word about AACN and AACN Certification Corporation under a newly launched program that seeks to establish a strong, grassroots network of liaisons in every institution and nursing school in the country.

Called AACN-CCRN ambassadors, this corps will be made up of AACN members, CCRNs and CCNSs who want to strengthen their connection to AACN and certification at the national level and to help connect their local communities with the important work of the association. To assist in this effort, AACN will develop an array of resources for recruiting new members and promoting the value of certification.

AACN-CCRN ambassadors will also serve as conduits for receiving and relaying up-to-date information to their coworkers, managers, administrators and units. They will receive regular communication regarding AACN resources, services, positions and goals.

In addition, these volunteers will be a valuable link in furthering AACN’s mission and vision by connecting with other critical care nurses in their communities and promoting the value of nursing in a range of settings, including community and school health and career fairs. They can also play a role in coordinating visits to their areas by representatives of AACN’s national leadership team.

As the “eyes and ears” of critical care nursing, AACN-CCRN ambassadors can communicate to the national leadership the common questions, misperceptions or challenges they hear from their colleagues.

If you are interested in becoming an AACN-CCRN ambassador, you can sign up online at http://www.aacn.org > Membership > Volunteer Opportunities.

Don’t Miss Out on Silent Auction; Proceeds Benefit Scholarship Fund

Plan to be a part of the fun-filled Silent Auction to raise money for the AACN Scholarship Fund. The auction is scheduled during AACN’s National Teaching Institute and Critical Care Exposition, May 4 through 9, 2002, in Atlanta, Ga.

In addition to bidding on the unique array of auction items, you may want to donate a product, service or special item yourself. If you are uncertain about what you could donate, consider simply making a financial contribution, and AACN will purchase a distinctive auction gift on your behalf.

Because AACN is a 501(c)3 tax-exempt charitable organization, contributions to the Silent Auction may be tax deductible to the extent provided by law. All donations are recognized in the auction catalog, which is distributed to NTI participants.

For more information, contact Darval Bonelli at (800) 394-5995, ext. 531; e-mail, development@aacn.org. The donation form can be obtained online at http://www.aacn.org > NTI > Silent Auction.

Apply for an AACN Educational Advancement Scholarship Award: Applications Due by April 1

April 1 is the deadline to apply for BSN and Graduate Completion Educational Advancement Scholarships of $1,500 per academic year.

The funds may be applied toward tuition, fees, books and supplies, as long as the recipient is continuously enrolled in a baccalaureate or graduate program accredited by the state board of nursing in the recipient’s state.

Applicants for these scholarships must be RNs, be members of AACN and have a cumulative GPA of 3.0 or better. They must be currently working in critical care or have worked in critical care for at least one year in the last three years. At least 20% of the awards are allocated to qualified ethnic minority applicants.

Applicants for the BSN Completion Scholarship must have junior- or upper-division status for the fall semester. Applicants for the Graduate Completion Scholarship must be currently enrolled in a planned course of graduate study that leads to a master’s or doctoral degree.

For more information or to obtain an application for an Educational Advancement Scholarship, call (800) 899-2226 and request Item #1017, or visit the AACN Web site at http://www.aacn.org > Membership > Awards, Grants, Scholarships.

March 14 Deadline to Submit Speaker Proposals for NTI 2003

March 14, 2002, is the deadline to submit speaker proposal abstracts for AACN’s National Teaching Institute in 2003 in San Antonio, Texas. In addition to clinical and other educational topics, proposals that address the skills critical care nurses need to influence their practice and the care of critically ill patients are encouraged. NTI 2003 is scheduled for May 17 through 22, 2003.

Speaker proposal packets, including Learning Connection forms, can be obtained by calling AACN Fax on Demand at (800) 222-6329 (Request Document #6019) or by visiting the AACN Web site.

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 the schedule of upcoming exhibits:

April 3-7, 2002 National Student Nurses Convention, Association 50th Anniversary
Philadelphia, Pa.

April 7-10, 2002 Southeastern Pennsylvania Chapter
Trends Conference
Philadelphia, Pa.

If you are attending these conferences, stop by the AACN exhibit to visit with your National Office team.

The Janus View

Editor’s note: All that we do is rooted in our past, and we have much to learn from the leaders who have gone before us, paved the way and laid the foundation. To strengthen this connection, current members of the AACN Board of Directors are interviewing some of our past leaders for a series of articles that will appear in AACN News. This month, board member Carol Puz, RN, BSN, CCRN, interviews Nancie Urban, RN, MSN, a past member of the AACN Board of Directors. Urban, who was a board member from 1989 to 1992, is director of care coordination for United Healthcare of Wisconsin.

Puz: What lessons did you learn from your experience as a member of the AACN Board of Directors?

Urban: The lessons I learned actually were rooted at the local level in involvement and leadership roles with my local AACN chapter. I learned early that leading volunteers is a unique challenge that demands respect for people’s time and talents. At the national level, I developed the skills and strength to step back and look beyond a specific issue or personal view and consider how each decision contributes to the larger goal of meeting the needs of critically ill patients and serving the needs of critical care nurses. I also learned that we all have something to contribute, and that our various experiences and skills enable us to make a difference. As a first-year board member, I had the opportunity to be a member of the Strategic Planning Committee. Surrounded by many of my AACN “heroes,” including Suzanne White, Chris Breu, Linda Serle, Joanne Disch, Sarah Sanford and Ann Evans, I thought, “What can I possibly contribute to this group?” I felt tremendously unworthy in such incredible company. However

, I found that my relative naiveté with respect to the politics of a large organization like AACN allowed me to see some issues in a less complicated way—a way that was more “real” in some respects to the membership but still in line with the mission of the organization. With the encouragement of my heroes, I realized that, to help achieve a better outcome, I could and should challenge the thinking of others and that my perspective had value as well.

Puz: What do you consider to be the most significant accomplishments during your tenure on the board?

Urban: As an AACN liaison to the American Nurses Association initiative to develop the Standards of Clinical Practice, I was privileged to serve on the task force that authored these standards. This charge to establish the standards that would serve as the professional expectation for any nurse in any specialty was a humbling experience. I was proud that I could help shift the thinking from standards as goals to which a nurse should aspire to standards as minimum expectations for which all nurses should be accountable. Years later, I discovered that this experience transcended professional boundaries, when I used the ANA standards as the framework for creating practice standards for a group of cardiologists and cardiac surgeons. I also had the opportunity to vote wholeheartedly for approval of the current AACN vision statement: a healthcare system driven by the needs of patients and families where critical care nurses can make their optimal contribution. This simple and succinct statement clearly articulates
a profound belief of mine and captures the cornerstone of our practice. I have used this vision statement throughout my career and have found many ways to make it come alive.

Puz: What issue did you address in your statement as a candidate for the AACN Board of Directors?

Urban: I wrote about change, not just the speed of change but the need to embrace instead of resist it. I believe that you must get in front and lead change instead of reacting to it, whether in your personal or professional lives. I find this to be as critically important today as it was then.

Puz: How were you able to balance your volunteer and leadership activities with the rest of your life?

Urban: The name of the game is substituting one major time commitment for another, prioritizing and judiciously applying the word “no.” You have to decide what is really important in your life at the time and be clear about what you are doing and why. I had to find ways to help others help me. At work, I had to be forthright about developing the people around me and make certain they would be able to handle things when I was gone. The plus was that this helped me to focus on ways to contribute toward the development of others, which has always brought me great joy. I also have an extremely supportive family that has always taken pride in my professional efforts and been eager to offer me loving support.

Puz: In these unsettled times in healthcare, do you still think that belonging to a professional organization such as AACN is important for nurses?

Urban: There is a certain sense of confidence that comes with aligning yourself with a professional organization that has its mission, vision and values in order. Nurses today often feel powerless and victimized by the system. Professional organizations can give nursing issues a powerful voice and help the individual nurse find the courage to speak up and even take a risk that results in a positive change for her, for her patients or for her organization. AACN has that voice and the ability to help nurses grow in skills and confidence to add their voice to the chorus.

Puz: Have you stayed connected with AACN since you left the board?

Urban: Although being as active as I was in the past has been difficult the past five years, I still try to contribute at both the local and national levels. The last few years I have focused a great deal of time on finding ways to weave AACN’s vision into my various jobs. I also try to stay tuned into information from AACN.

Puz: One of AACN’s major initiatives is to promote the image of nursing and encourage nurses to be the “voice” of critical care. How do you think we are doing?

Urban: I think that the images presented by AACN around this initiative are characteristic of the association’s talent for taking its message to the membership in a multisensory way. These graphics subtly add to and bring texture to the messages. The theme related to giving voice is critically important. Nurses must be encouraged to tell their stories, and AACN plays a pivotal role in ensuring that they are heard. In light of the worsening nursing shortage and the fact that many nurses are aging and likely to need access to good nursing care sooner than they think, any effort to give voice to the unique and noble work of nurses is extremely important.

Puz: How have you related what you learned from your AACN experiences to other aspects of your career?

Urban: I have had many interesting and rewarding opportunities since my term on the board of directors, including the chance to design care delivery systems in hospitals and with a physician group that demonstrate the AACN vision. Ironically, my current role as director of care coordination for United Healthcare of Wisconsin has been my most successful opportunity to truly make the AACN vision come alive. Our entire focus is to drive the healthcare system to meet the needs of the patient, using the entire continuum of care to do so. This is why I believe that it is important for AACN to stretch beyond the traditional definition of critical care. There are critically ill patients at all points along the continuum of care, and tremendous opportunity for critical care nurses at each point as well. There is a reason why home-care agencies, clinics, skilled facilities and an HMO like UnitedHealthcare are eager to hire nurses with critical care experience. Critical care nursing is provided just about everywhere—in
emergency departments, traditional ICUs, step-down areas, progressive care areas, long-term acute care facilities, clinics, physicians’ offices and even patients’ own living rooms. Who except AACN can reach out to critical care nurses no matter where they work? AACN has a unique perspective to embrace the bigger mission, including the continuum of care and to support nurses throughout the continuum. The core skills of critical care nursing must never be discounted or dismissed, though expansion beyond the traditional walls of the ICU is necessary.

AACN Annual Meeting

You are invited to join the American Association of Critical-Care Nurses National Leadership Team at the Annual Meeting and Forum

Tuesday, May 7, 2002
Noon - 1:15 p.m.
Georgia World Congress Center
Atlanta, Ga.

In this informative hour, you will learn about AACN’s strategic plan for the future, which includes important initiatives and efforts to meet the needs of our members. AACN committee chairs will also relate the accomplishments of their volunteer groups.

As a valued member, we hope you’ll take this opportunity to ask questions, present ideas and share comments directly with AACN President Michael Williams, RN, MSN, CCRN, and CEO Wanda Johanson, RN, MS.

You may also submit questions and comments in writing and place them in one of the special drop boxes located throughout the Georgia World Congress Center no later than 6 p.m. on Monday, May 6.

By attending the Annual Meeting, you will be entered into a drawing to win these valuable prizes:
• Free registration for NTI 2003 in San Antonio, Texas
• Practice Resources
• Free Membership
• AACN Recognition products

In the Circle: Award Recognizes Outstanding Community Service

Editor’s note: The following excerpts are from exemplars submitted in connection with the Seabury & Smith Community Service Award, a part of AACN’s Circle of Excellence recognition program. Cosponsored by Marsh Affinity Group Services, a service of Seabury & Smith, this award recognizes significant service by acute and critical care nurses, as individuals or in groups, who make a contribution to their community. The recipients could choose between a complimentary registration to NTI 2001 in Anaheim, Calif., or up to $500 toward speaker fees for an educational symposium.

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

The “Heart to Heart” Galveston Island Cardiac Support Group, led by Ruby Jensen and sponsored by the University of Texas Medical Branch, was formed in 1996 to fill a need for psychosocial and educational support of patients with heart disease, their families and friends. The group’s purpose is both to promote heart-healthy lifestyles and to share fellowship with other heart patients.

The group membership has grown steadily over the last five years. The monthly meetings, which are free and easily accessible, include heart-healthy snacks. Meetings are structured around a speaker presentation that is followed by open discussion and an exchange of ideas. These presentations have included programs on diet, stress reduction, exercise and medication compliance, as well as diverse subjects such as herbal essence therapy, supplemental health insurance, legal issues and the Patient Self-determination Act. Each year before Thanksgiving and Christmas, members are treated to a cooking demonstration and luncheon that stress the importance of healthy eating during the holidays.

The success of this group relies on the exchange of ideas among members. The group supports itself by offering practical ideas and advice about the challenges of adhering to the self-discipline needed to control heart disease. This one-on-one support is the strength of the program and keeps the participants coming back.

Marcella L. Rogan, RN, BSN
Indianapolis, Ind.
Clarion Health Partners
Opportunities to provide health education to members of the community are present in many situations.

As a care coordinator, I meet families who have questions about the problems their loved ones are experiencing. However, they don't necessarily think about their own health. Many people fail to seek medical care because they are resigned to suffering from an ailment that they believe “runs in the family.” Economics or apathy may be the reasons others do not seek care. Inquiry and interview can often provide the opportunity to provide information.

The same is true in the church community. As a parish nurse, I am able to provide health education and information to my church family. It is important to be aware of the top killers and concerns in the community. For example, African-Americans are more prone to heart disease, cancer, stroke and diabetes. By focusing on those diseases, educational programs and screenings can be made available to disseminate information about preventative care. Many national organizations have developed special programs and are willing to provide brochures and other information to support these efforts. Helping individuals have a clear understanding of the importance of preventing illness and seeking early treatment is an essential step toward becoming better stewards of our bodies, God’s masterpiece.

Parish nursing allows me to share God’s blessing of knowledge and ability with the community.

Siouxland Chapter
Sioux Falls, S.D.
The Siouxland Chapter of AACN has been generous in volunteering service to Berakhah House, a residence for people living with AIDS. Following are some examples of these services:
• Providing prepared meals for the residents
• Delivering and preparing food for the residents’ evening meal. Some of the nurses joined the residents for dinner when time permitted.
• Donating food, including nonperishable products, cookies, cakes, bars, pies and snacks
• Devoting time to sit with residents who are very ill or dying. The nurses’ expertise provide comfort to the resident and family, as well as respite to the caregiver.
• Providing back-up call for questions or consultation when the main care provider needed to be away from the residence
• Helping with daily household duties
• Inviting staff from Berakhah to speak at chapter meetings
• Providing monetary support

Scene and Heard

AACN President Michael L. Williams, (right) participated in a news
conference to discuss workplace shortages. Joining Williams at the
event, during the Society of Critical Care Medicine’s annual meeting
were (from left) Sydney Bramen, president of the American College
of Chest Physicians; Peter Angood, an SCCM representative; outgoing
SCCM President Ann Thompson; and Sharon Rounds, secretary-treasurer
of the American Thoracic Society.

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

Media Highlights
• The January 2002 issue of RN Magazine included information about AACN’s NTI scholarships, the call for volunteers to serve on national-level committees and available research grants, as well as excerpts from the AACN News monthly “President’s Note” column by President Michael L. Williams, RN, MSN, CCRN. The December 2001 issue featured information on disaster preparedness sessions being offered at AACN’s National Teaching Institute and Critical Care Exposition, May 4 through 9, 2002, in Atlanta, Ga.

• Randy Bauler, AACN’s director of exhibits and sponsorships, was recognized at International Association for Exhibition Management annual meeting in Chicago in December 2001 and in the December association publication for achieving his certification in exhibition management from the IAEM.

Our Voice at the Table
• AACN President Williams was joined by President-elect Connie Barden, RN, MSN, CCNS, CCRN, immediate Past President Denise Thornby, RN, MS, and CEO Wanda Johanson, RN, MN, in attending the Society of Critical Care Medicine’s 31st Critical Care Congress in San Diego in January 2002. In addition to attending educational and nursing council meetings, they participated in on-site meetings with leaders of SCCM, the American College of Chest Physicians and the American Thoracic Society. The four associations have joined forces to increase awareness of and work toward solutions to the growing shortage of critical care professionals and have coauthored The Critical Care Workforce Partnership Position Statement: the Aging of the US Population and Increased Need for Critical Care Services. At the meeting, Williams, spoke at a session on the nursing shortage and was a panel member for a news conference on the issue.

• Nancy L. Munro, RN, MN, CCRN, ACNP, a past member of the AACN Board of Directors, represented the association at a Department of Labor event in Washington, D.C., that was geared toward attracting displaced workers to the nursing profession.

• Several AACN board and staff members attended Johnson & Johnson’s reception in February 2002 to honor nurses. The reception kicked off Johnson & Johnson’s “Campaign for Nursing’s Future,” which includes a nationwide advertising campaign honoring America’s nursing professionals; a Web site dedicated to nursing recruitment and providing unique scholarship information; a national scholarship fund for nursing students and faculty; and plans to help address retention.

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 so that we can highlight your efforts in future columns. Send your information to aacnnews@aacn.org.

Public Policy Update

Issue: Funding for Nursing Programs
Background: Nursing programs were spared in the Bush administration’s proposed FY02 budget for the Department of Health and Human Services. Proposed are a $5 million increase in the Nursing Education Act to address the nursing shortage and a 13% increase for the National Institutes of Health, including $13 million in additional funding for the National Institute of Nursing Research. However, budget cuts are recommended for the Health Resources and Services Administration that would eliminate $213 million or 60% of HRSA’s current funding for other health professions.

HHS Secretary Tommy G. Thompson noted that the Bush plan includes $191.5 million, $44 million more than last year to strengthen the National Health Service Corps, which supports doctors and clinicians who serve in rural and inner-city areas that lack adequate access to care. The increased funding would cover scholarships or loan assistance to approximately 1,800 physicians, dentists and other clinicians to practice in underserved areas.

The president’s budget also includes $15 million, 50% more, to expand the Nursing Education Loan Repayment program and help address the nation’s growing need for nursing professionals. The increase would support 800 new nursing education loan agreements. The program repays the education loans of nurses who agree to work for two years in designated public or nonprofit health facilities that face a critical shortage of nurses.

“The nursing shortage in our country is severe and as the demand for healthcare grows, it's absolutely critical that we encourage more of our nation’s top students to choose careers in nursing,” Thompson said. “These funds will help ease the emerging shortage of qualified nurses available to provide essential healthcare services in many underserved communities nationwide.”

Issue: Congressional Agenda
Background: Medicare reform and a new prescription drug benefit; the “patients’ bill of rights’’ and helping the uninsured remain at the top of the agenda for the second session of the 107th Congress, according to top staffers who addressed the National Health Policy Conference in Washington, D.C., in January. In addition, business that was put aside in the wake of the Sept. 11 terrorist attacks will be addressed. Congress must also renew the Prescription Drug User Fee Act, which expires this year. And, although both the House and Senate passed sweeping bioterrorism bills at the end of the last session, a conference committee must reconcile those measures.

The Senate will debate a cloning ban bill, while the Health, Education, Labor and Pensions Committee works on legislation to reauthorize and expand the nation’s community health centers and to address the continuing problem of medical errors, said Dean Rosen, top health aide to Sen. Bill Frist (R-Tenn.).

Medicare and the uninsured will be the focus of the congressional “money” committees, according to Democratic and Republican aides to the House Ways and Means and Senate Finance committees. However, both parties continued to disagree about how to address the issues.

Liz Fowler, health staffer for Senate Finance Committee Chairman Max Baucus (D-Mont.), said she expects the Senate to re-start negotiations over the economic stimulus bill that floundered last year when Republicans and Democrats failed to agree on how to help those who have lost their jobs keep their health coverage.

The aides agreed that 2002 will be particularly challenging in light of the fact that the federal budget surplus has evaporated. Budget politics are likely to drive any action taken on the issues of the uninsured and Medicare prescription drug coverage. Rosen added that he is optimistic lawmakers will find common ground.

Issue: Nursing Awareness
Status: Americans are acutely aware of the national nursing shortage and believe it’s a serious problem, according to a national poll released by Vanderbilt University Medical Center’s School of Nursing and Center for Health Services Research. The poll found that more than eight in 10 Americans are aware of the nursing shortage, nearly two-thirds recognize it as a major problem or crisis, and 93% believe it jeopardizes quality of care.

The poll also found that 97% of Americans view nurses and the nursing profession favorably, and 83% would encourage a loved one to pursue a career in nursing. However, the study found a general lack of knowledge of the nursing profession and the opportunities it presents.

The telephone poll of 1,005 American adults was commissioned by Johnson & Johnson, which recently launched a $20 million national advertising and recruitment campaign aimed at attracting more people into nursing.

The initiative will include recruitment brochures, posters and videos for 20,000 high schools and 1,500 nursing schools and nursing organizations; scholarship funds for students and nursing faculty; and a multicity scholarship fund-raising campaign. Also included are a Web site (www.discovernursing.com) about the benefits of nursing careers and featuring searchable links to hundreds of nursing scholarships and more than 1,000 accredited nursing programs, and a national advertising campaign to celebrate nurses and their contributions. Future plans include addressing ways to retain nurses in hospitals.

Issue: Workforce Shortage
Background: A recently released report, titled “Acute Care Hospital Survey of RN Vacancies and Turnover Rates in 2000,” by the American Organization of Nurse Executives finds that vacancy rates for registered nurses range from 14.6% in critical care to 6.5% for nurse managers. Nurse executives at nearly 700 hospitals participated in the survey. Respondents said the RN shortage is contributing to emergency department overcrowding (51%), diversions for more than four hours a week (26%), higher costs to deliver care (69%), bed closures (25%), increased waiting time for surgeries (11%), and reduced or eliminated services (6%). They cited increased and competitive salaries, educational opportunities, improvements in staff satisfaction and input, bonuses, and flexible scheduling as the most effective recruitment and retention methods.

Another report, “The Healthcare Workforce Shortage and Its Implications for America’s Hospitals,” indicates that the country’s healthcare workforce shortage is becoming worse, which is increasing staffing costs and affecting access to care. The study, conducted for AHA, Association of American Medical Colleges, Federation of American Hospitals, and National Association of Public Hospitals and Health Systems, found double-digit vacancy rates for registered nurses, imaging technicians, pharmacists, licensed practical nurses and nursing assistants. More than one in seven hospitals reported an RN vacancy rate of more than 20%, and six of 10 hospitals said nurse recruitment had become more difficult in the past two years. More than half the hospitals surveyed said the cost of recruiting and retaining RNs is increasing, with 56% using agency or traveling nurses to fill vacancies and 41% paying sign-on bonuses.

Issue: Patient Safety
Status: The Agency for Health Research Quality is sponsoring research at healthcare facilities and organizations in geographically diverse locations to help develop innovative approaches for improving patient safety. Under the $50 million patient safety research initiative announced by HHS Secretary Thompson in October, several projects will study different aspects of how to improve teamwork among health professionals to reduce harm to patients. For example, a $1.4 million project to create a Center of Excellence in Patient Safety Research at the University of Texas Medical School in Houston will apply lessons from crew resource management in aviation to create stronger teamwork in healthcare. Another $168,000 project at the University of Chicago will examine how to improve communication and other aspects of teamwork.

Issue: End-of-Life Care
Background: A number of states are addressing end-of-life care issues through legislation. In Michigan, Gov. John Engler approved a package of 12 end-of-life care-related bills passed by the state legislature late last year. In Kentucky, the House of Representatives approved a concurrent resolution (HCR 26) to establish a 24-member task force to study barriers to quality, end-of-life care and strategies to improve access to quality care throughout the state. In New Jersey, State Assemblyman Wilfredo Carabello (D-29) introduced two measures to improve hospice and palliative care (A.R.17) and (A.B.351). In Colorado, State Representative Mark Larson (R-59) introduced a joint resolution (H.J.R.1002) that would establish an interim legislative committee to study the quality and availability of palliative care. In Mississippi, State Representative Bobby Moak (D-53) introduced a bill titled the “Pain Relief Act” (HB 553), which has been referred to the House Committee on Public Health and Welfare. In Minnesota, th
e Commission on End of Life Care released a report with guidelines for improving care and recommendations for public policy, education and access to care.

Coming Up in the April Issue of Critical Care Nurse

• The Experience of Clinical Research in One Medical ICU

• Using Ambulatory Electrocardiography After Cardiac Surgery

• Drug-Herb Interactions (CE article)

• Monitoring Arterial Blood Pressure

• Using Carvedilol in Heart Failure

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

Looking Ahead

March 2002

March 11 Deadline to apply to take the paper-and-pencil version of the CCRN or CCNS certification exam on May 6, 2002, in Atlanta, Ga. For more information or to obtain application
materials, call (800) 899-2226.

March 14 Deadline to submit speaker proposal abstracts for NTI 2003 in San Antonio, Texas. To obtain a speaker proposal packet, call AACN Fax on Demand at (800) 222-6329 (Request
Document #6019), or visit the AACN Web site

March 26 Early bird deadline to receive discount on NTI registration. To register, call (800) 899-2226 or visit the AACN Web site.

April 2002

April 1 The Critical Links Member-Get-A-Member campaign ends. To obtain recruitment campaign forms, call (800) 899-2226. Request Item #1316. Or, visit the AACN Web site.

April 1 Deadline to apply for BSN and Graduate Completion Educational Advancement Scholarships. To obtain an application, call (800) 899-2226 and request Item #1017, or visit the
AACN Web site.
April 8 Deadline to vote for AACN Board of Directors and AACN Nominating Committee candidates for 2002-03. Return the paper ballot you received in the mail or cast your ballot
online at http://www.aacn.org.

May 2002

May 1-31 National Critical Care Awareness and Recognition Month. To obtain a catalog, call (800) 899-2226. Request Item #0001. For more information or to order, visit
www.imprintmall.com/criticalcare online or call (800) 822-1923.

May 1 Deadline to apply for AACN-sponsored American Nurses Foundation Research Grant. To obtain an application, contact the American Nurses Foundation/NRG00, 600 Maryland
Avenue, SW, Suite 100W, Washington, DC 20024-2571; phone, (202) 651-7298; e-mail, anf@ana.org; Web site, http://www.nursingworld.org/anf.

May 4-9 National Teaching Institute and Critical Care Exposition, Atlanta, Ga. To register, call (800) 899-2226 or visit the AACN Web site.

May 7 AACN Annual Meeting and Forum, Tuesday, noon to 1:15 p.m., Georgia World Congress Center, Atlanta, Ga.

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