AACN News—May 2002—Association News

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Vol. 19, No. 5, MAY 2002


Critical Links Campaign Recruits 2,625 New Members; New Member-Get-A-Member Drive Under Way

Get ready for another round of rewards, just for sharing the benefits of membership in AACN with your colleagues. The second year of AACN�s Critical Links member-get-a-member campaign is now under way.

In the first year of the campaign, which ended April 1, 636 individuals and 87 chapter recruiters welcomed a total of 2,625 new members. Peggy Lynn Ennis, RN, of Central Point, Ore., was the top individual recruiter with 49, and the Atlanta Area Chapter led the chapter recruitment effort with 74 new members.

Ennis receives a $500 American Express gift certificate. The Atlanta Chapter receives a $250 gift certificate toward the purchase of AACN resources.

The new campaign, which runs through April 30, 2003, was being ceremoniously kicked off at AACN�s National Teaching Institute and Critical Care Exposition in Atlanta, Ga, where top individual and chapter recruiters were being recognized.

All campaign participants receive an AACN pocket reference when they enter the campaign with their first recruited member. But that�s not all. Individual recruiters receive a $25 gift certificate toward the purchase of AACN resources when they recruit five new members and a $50 AACN gift certificate when they recruit 10 new members. Each month, members who have recruited at least one new member in the month will also be entered into a monthly drawing for a $100 American Express gift certificate.

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

Following are the rewards that await the top recruiters:

Individual Rewards

In addition to the $500 American Express gift certificate, the top individual recruiter is 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.

Receiving these prizes for the 2001-02 campaign are Mary Kathryn Graham, RN, BSN, of Lawrenceville, Ga., (1st prize); Jennifer McFarlane, RN, MSN, CCRN, of Pasadena, Calif., (2nd prize); and Margaret Riley, RN, BSN, CCRN, of Lake City, Fla., (3rd prize).

Chapter Rewards
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 2003 in San Antonio, Texas. Each month, chapters that recruit new members will also be entered into a drawing for a complimentary registration for NTI 2003.

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.


AACN-CCRN Ambassadors Helping to Spread the Word

A plan to establish a strong, grassroots network of liaisons in every institution and nursing school in the country is in place, as AACN-CCRN ambassadors help spread the word about AACN and AACN Certification Corporation.

These ambassadors are 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 is developing an array of resources for recruiting new members and promoting the value of certification.

AACN-CCRN ambassadors also receive and relay information to their coworkers, managers, administrators and units. They receive regular communication regarding AACN resources, services, positions and goals.

In addition, these volunteers are 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. As the �eyes and ears� of critical care nursing, AACN-CCRN ambassadors can communicate to the national leadership the common questions or challenges they hear from their colleagues.

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

Who Recruited New Members?

Who recruited new members in the Critical Links member-get-a-member campaign that ended April 1? Following are the final tallies for individuals who participated in the campaign.

Peggy Lynn Ennis, RN 49
Darlene M. Legge, RN, BSN, CCRN 36
Margaret Riley, RN, BSN, CCRN 33
Melissa L. Drain, RN, CCRN 31
Carol Guyette, RN, BSN, CCRN 28
Michele Quinlan, RN, BSN 27
Lynn Smith Schnautz, RN, MSN, CCRN 26
Ann Marie Carpenter, RN, MSN, 24
CCRN, CNS
Nancy D. King, RN, MSN, CCRN, 22
ANP, NP
Yvonne Thelwell, RN 22
Annette M. Mtangi, RN, ADN, CCRN 21
Lorraine T. Micheletti, RN, MA, CCRN 20
Michael Beshel, RN, BSN, CCRN, CEN 19
Lauretta M. Joseph, RN, MSN, CCRN, NP18
Colleen O. Planchon, RN, BSN, BS, CCRN 16
Beverly Ann Carlson, RN, PhD, CCRN 15
Kathleen M. Burton, RN, BSN 14
Donna B. Sabash, RN, BSN, CCRN 14
Jackie Grigg, RN, ADN, CCRN 14
Mary C. Stewart, RN, BSN, MBA 13
Helen M. Camp, RN, CCRN 12

11 Recruits
Barbara G. Wiles, RN, BSN, CCRN 11
Susan D. Cline, RN, BSN 11
Carla J. Freeman, RN, BSN, CCRN 11
Holly L. Weber-Johnson, RN, BSN 11

10 Recruits
Marylee R. Bressie, RN, CNS, MSN, 10
CCRN, CEN
Michele L. Manning, RN, MSN, 10
CCRN, CS
Carolyn Carter, RN, ADN, BA 10
Lindsey Shank, RN, BSN, CCRN 10
Katherine H. Miller, RN, ADN 10
Jana Woller Hough, RN, BSN 10
Tammy McGuire, RNC, ADN, CCRN 10

9 Recruits
Dorothy Rose Phelps, RN, BS, CCRN
Beryl E. Keegan, RN, BSN, CCRN
Eva M. Crosby, RN
Ashlee T. Mattutini, RN

8 Recruits
Kathleen Quattrocchi, RN, BSN
Polly Ann Marinelli, RN, ADN
Perrilynn A. Baldelli, RN, MSN, CCRN
Sue Ann Crisp, RN, BSN, BS
Ruth G. Melvin, RN, BSN, CCRN
Irma N. Richardson, RN, BS, CCRN
Linda C. Thomas, RN, MSN, CCRN
Paula Murray, RN, BSN, BS
Mary Kathryn Graham, RN, BSN
Paulita D. Narag, RN, ADN, CCRN
Michael Chalot, RN, ADN, CCRN
Sasipa Charnchaichujit, RN

7 Recruits
Kathleen M. Richuso, RN, MSN
Martie C. Mattson, RN, CNS, MSN, CCRN
Anne C. Dunn, RN, BSN, CCRN
Lori E. Kennedy, RN, BSN, CCRN
Rosario P. Marasigan, RN, BSN, CCRN
Ismael J. Abregonde, RN, BSN
Rena Sivills, RN, BSN
Cynthia G. Cox, RN, BSN, CCRN, FNP
Bonnie J. Cerrato, RN, ADN, AA
Zondra Hull, RN
Jeff Reece, RN, BSN

6 Recruits
Joanne M. Kuszaj, RN, MSN, CCRN
Betty Nash Blevins, RN, MSN, CCRN, CS
Donna M. O�Neill, RN, ADN, CCRN
Lillian Aguirre, RN, BSN, CCRN
Michael L. Williams, RN, MSN, CCRN
Susan R. Oakley, RN, ADN, AA
Melanie K. Williamson, RN, CCRN
Pam Zinnecker, RN, CCRN
Teresa Lee Martin, RN, BSN, CCRN
Carolyn A. Fernandez, RN, MSN, CCRN, CS,
ACNP, CEN
Lita T. Gorman, RN, BSN, CCRN, CEN
Myrna F. Fontillas-Boehm, RN, BS, BSN, CCRN
Anita M. Siscoe-Hapshie, RN, CCRN
Judith A. Ascenzi, RN, MSN
Mary E. Holtschneider, RN, BSN, MPA
Lisa C. Gregory, RN, BSN
Katherine Colbert, RN, ADN, CCRN
Arlene N. Messina, RN, ADN, CCRN
Michael C. Blanchard, RN
James Mears, RN

5 Recruits
Mary H. Phares, RN, BSN, CCRN
Janice L. Stevens, RN, BSN, CCRN, CNRN
Kathleen J. Corban, RN, BSN, CCRN
Victoria A. Ramik, RN, MS, CCRN, CS, APRN
Kathleen Klein Peavy, RN, MS, CCRN
Marjorie A. Stock, RN, ADN, CCRN
Charlene A. Haley-Moyer, RN, MS, CCRN
Robin K. Selbach, RN, BSN, MBA, CCRN
Patricia Dianne Jennings, RN, ADN, CCRN
Carol Reitz-Barlow, RN, CCRN
Louisa K. Kamatuka, RN, MSN, CCRN, CS
Cynthia L. Steinbach, RN, BSN, CCRN
Barbara Ann Schnakenberg, RN, MSN
John H. Jeffries, RN, BSN, CCRN
Philip T. Newis, RN
Michelle L. Henrickson, RN, BSN
Lisa M. Rudolph, RN, BS, BA, CCRN
Lisa M. Boldrighini
Amanda L. Newman
Pamela Mahan

4 Recruits
Janis L. Watts, RN, BSN, CCRN
Theresa Stevens, RN, MS, CCRN, CCNS
Elizabeth T. McDaniel, RN, BS, BSN, CCRN
Sharon L. Holcombe, RN, MS, CCRN, CS
Carol A. Puz, RN, BSN, CCRN
Mary F. Tracy, RN, PhD, CCRN
Angela J. Bentley, RN, MS, BA, CCRN
Lindsay L. Hyland, RN, BS, BSN, CCRN
Elizabeth A. Randazzo, RN, BSN, CCRN
Michelle L. Collins, RN, BSN
Kathy F. Boulier, RN, ADN
Cherie L. Wright, RN, BSN, CCRN
Anthony E. Farmer, RN, MSN
Liana M. Hain, RN, MS, CCRN
Janet R. Silke, RN
Susan Chamness, RN, BSN
Connie R. Barbour, RN
Betty Louise Anderson, RNC
Claire A. Collins, RN, BSN, BS
Amy Daniels
Marie A. Eidam, RN, MS
Therisa B. Davis, RN
Heather J. Greenwell, RN
Marlene Merdes, RN
Orlando Scott, RN, ADN, CCRN
Christine A. Offerman
Kelly A. Knickerbocker, RN
Jennifer Yun-Doung Do, RN
Leidagrace D. Zarza
Lynne P. Holliman, RN
Judith C. Dobke
Mary H. Jansson, RN
Kathy Hagains

3 Recruits
Pam Pleiter, RN, BSN, CCRN
Susan K. Rossetti, RN, BSN, CCRN
Julie B. Kruithof, RN, MSN, CCRN
Mary Beth F. Bobyarchick, RN, BSN, CCRN
Bonita L. Moore, RN, BS, BSN, CCRN
Hurd Alton Pittman, RN, MSN, CCRN
Debbie Karen Jessell, RN, CCRN
Nancy T. Blake, RN, MN, CCRN, CNAA
Valerie S. Vogeler, RN, BSN, CCRN
Loretta A. Marcantonio, RN, ADN, BA
Karen Ann Campbell, RN, MSN
Bettina S. Moxley, RN, BS, BSN, CCRN
Kathleen Arnold, RN, MS, CNA
Marla A. Meaux, RN, CCRN
Geneva D. Llewellyn, RN, CNS, MSN, CCRN
Kathy Hay, RN, BSN
Elizabeth J. Brady-Avis, RN, MSN, CCRN, CRNP
Leilani Grace T. Quimpo, RN, BSN
Yolanda W. Carilimdiliman, RN, BSN, BS
Felecia S. Williams, RN, BSN, CCRN
Mary Merdan, RN, BSN
Rosa G. Jaranilla, RN, BSN, BS
Sandra A. Thomas, RN, ADN
Tammy L. Gillham, RN, CCRN
Lori L. Beauregard, RN, ADN
Tracy J. Deno-Buechlein, RN, MSN, CCRN
Kathleen R. Bybee, RN, ADN, CCRN
Joyce Brown, RN
Wendy J. Franklin, RN, BSN, CCRN
Rachel E. Monday, RN
Jeannine Davis. RN
Maranda L. Meyer, RN, ADN
Janet A. Henderson, RN, ADN
Renee N. Perkins, RN
Ray Quintero, RN, MSN, CCRN

2 Recruits
Mary Lou Sole, RN, PhD, CCRN, FAAN
Diane E. Fritsch, RN, MSN, CCRN, CS
Deborah A. Fischer, RN, MSN, CCRN, CNRN
Patricia M. Juarez, RN, MS, CCRN
Lucinda S. Harmon, RN, BSN, CCRN
Carol M. Hinkle, RN, MSN, BA, CCRN
Dorrie K. Fontaine, RN, DNSc, FAAN
Margaret R. Rollins, RN, MSN, CCRN
Mildred S. Swan, RN, CCRN
Donna M. Williams, RN, MS, CCRN
Deborah J. Laughlin, RN, MSN
Maggie D. Carriker, RN, MSN
Mary E. Hillberg, RN, BSN, CCRN, CEN
Julie S. Miller, RN, BSN, CCRN
Justine L. Medina, RN, MS
Elizabeth L. McGarr, RN, ADN, BA, CCRN
Lori D. Hendrickx, RN, EdD, CCRN
Michael T. McEvoy, RN, ADN, PhD, CCRN
Bonnie J. Corcoran, RN, MS, CCRN
Michael G. Merrick, RN, BSN, CCRN
Beth Hammer, RN, MSN, NP
Evelyn Bertram, RN, BSN
Sheryl A. Burke, RN, ADN, AA, CCRN
Sharon H. Murff, RN, MSN, CCRN
Evelyn K. Goldberg, RN, BSN, MS
Laura L. Madden, RN, BSN, CCRN
Anneita Kay Minor, RN, BS, BSN, CCRN
Linda I. Ball, RN, BSN, CCRN, CEN
Jacqueline Ann Morgan, RN, BS, MSN, CCRN, CS
Pamela J. Chapman, RN, BSN, CCRN
Pat D. Stanton, RN, MS, CCRN
Deborah L. Erickson, RN, MA, CCRN
Anne H. Brown, RN, BSN
Wanda Johnson, RN, BSN, CCRN
Pameula S. Johnson, RN, BSN, BA, CCRN
Mary Frances D. Pate, RN, DSN
Gayle A. Lucas, RN, BS, CCRN
Lisa G. Duncan, RN, BSN
Anne F. Brock, RN, BSN, MS, CCRN
Sandra L. Smith PhD, APRN
Ann L. Mercer, RN, ADN, CCRN
Lori Ann Cox, RN, MSN, CCRN, ACNP, NP
Maren Ortmeier, RN, BSN
Greg R. Grainger
Carol D. Fountain, RN, CCRN
Marsha K. Kadner, RN, BSN, CEN
Deborah L. Ritter
Stephanie R. Sanderson, RN, BSN, CCRN
Kimberly L. Barrett, RN, BSN, CCRN
Diane M. Casperson, RN, BSN, CCRN
Colleen Kowalchuk, RN, CCRN
Elaine D. Mayo, RN, MSN
Robin A. Hines-Williams, RN
Vicky Willis, RN
Laurie A. Dean, RN, CCRN
Karen Selman, RN
Margaret B. Harvey, RN, ACNP, CS
Jan Teal, RN, BSN, CCRN
Damon B. Cottrell, RN, MS, CCRN, CCNS, CEN
Mamoona R. Arif, RN, MS
Mary Jo Streeter, RN
Anesia W. Deal, LVN
Pamela S. Li, RN
Alexis Victoria Reeves, RN
Mary E. Davis, RN
Maria B. Greaney, RN, MSN
Julie Valasek, RN
Laura Bratcher, RN
Wanda Allman, RN

1 Recruit
Jonette Devlin, RN, MSN
Mary T. Hendrick, RN, BS, CCRN
Patricia A. Fischer, RN, BSN, CCRN
Doris V. Levin, RN, MS, CNA
David Ralph Schmidt, RN, MSN, CCRN, CPNP
Patricia A. Bishop, RN, MSN, CCRN, ARNP
Mary Kay Jiricka, RN, MSN, CCRN, CS
Elizabeth Bayley, RN, PhD
Barbara Ann Magrew, RN, MSN, CCRN
Kathryn M. Kater, RN, MSN, NP
Phyllis W. DeMaine, RN, BSN
Mary Jane Zellinger, RN, MN, MS, CCRN, NP
Donna L. Hall, RN, MSN
Phyllis Q. Quinlan, RNC, MS, CCRN, CEN
Catherine P. Rodgers, RN, ADN, CCRN
Marjorie B. Wheeler, RN, MS
Lynn M. Simko, RN, PhD, CCRN
Deborah J. Tuggle, RN, MN, CCNS
Annette R. Dematio, RN, BSN, CCRN
Glenna L. Traiger, RN, MSN, CCRN
Marie S. Michaud, RN, ADN, MA, CCRN
Melissa A. Warthen, RN, MSN
Linda L. Weston Kramer, RN, BSN, CCRN
Teresa M. Yee, RN, MSN, MBA, CCRN
Elsie B. Croom, RN, BSN, CCRN
Sue A. Williams, RN, BSN, CCRN
Katherine Hardin, RN, BSN
Barbara A. Cox, RN, ADN, AA
Steven Mooney, RN, MSN, CCRN, RCIS
Amy L. Shields, RN, BSN, CCRN
Rosalinda L. Rienstra, RN, MSN, CCRN
Diane L. Pemberton, RN, BS, CCRN
Kristine J. Peterson, RN, MS, CCRN, CCNS
Marcia C. Talluto, RN, ADN, CCRN
Deborah A. Glenn, RN, MSN
Maryanne E. McMahon, RN, CCRN
Linda T. Meyer, RN, MSN, CCRN
Barbara P. Marshall, RN, MSN, CCRN
Eileen M. Kelly, RN, MSN, CCRN
Robin Ondrusek, RN
Barbara E. McGurgan, RN, MSN, CCRN
Terry L. Tucker, RN, MS, CCRN, CEN
Rachelle D. Lyons, RN, CCRN
Julia A. McAvoy, RN, MSN, CCRN
Susan D. Parsons, RN, MN, PhD
Eileen Caulfield, RN, MA
Deborah J. Duncan, RN, MSN
Katherine Ann Kleinow, RN, BSN
Teresa A. Long, RN, MSN, CCRN, CNA
Christine C. Morrison, RN, MSN, AA
Mary P. Edwards, RN, MS, CCRN
Betty Thornell, RN, MS, CCRN
Linda J. Hampton, RN, MS, CCRN
Patricia Gail Maynor, RN, BSN, MS, MSHA
Frances Ann Kenney, RN, BSN
Saralyn Prickett Austin, RN, MSN, CCRN, CS, CLNC
Rosemary B. Dixon, RN, MSN, CCRN
Rose M. Allen, RN, BS, BSN, CCRN
Linda A. Benson, RN, MS, CCRN, CS
Jonathan O. Gross, RN, MS, BA, CCRN
Barbara K. Sampson, RN, BSN
Yvonne L. McKenna, RN, BSN, CCRN
Michael T. Marsh, RN, BSN, CCRN
RuthAnne Kuiper, RN, MN, CCRN
Linnea A. Johnson, RN, MSN, BA
Eileen Hellwig Stoll, RN, MSN, CCRN
Luisa Michelle Janosik, RN, MN, CCRN
Nicolette C. Mininni, RN, MEd, CCRN
Linda Risso, RN, BSN, AA, CCRN
Stephanie Christian, RN, MS, CCRN
Kimmith M. Jones, RN, MS, CCRN
Holly Macklay, RN, MA, CCRN
Mary Kearney, RN, BS
Sara E. Carnes, RN, BSN, CCRN, CEN
Eileen A. Ravert, RN, BS, BSN, CCRN
Carol A. Hughes, RN, MS, AA, CCRN
Linda L. Egan, RN, BSN
Karen A. Gaertner, RN, MSN, CCRN
Debra L. Wolfgram, RN, ADN, BA, CCRN
Beth Carrico, RN, ADN, AA, CCRN
Eileen K. Fry-Bowers, RN, MS, CCNS, CPNP
Sharon L. Stewart, RN, MSN, CCRN
Carol Ann Deeney, RN, BSN
Elizabeth A. Voelker, RN, ADN, AA, CCRN
Barbara B. Pope, RN, MSN, CCRN
Mary L. Surgalski, RN, BSN, CCRN
Annette M. Focht, RN, BSN, CCRN
Theresa Hudak, RN
Edith J. Hart, RN, CCRN
Cindy Ripka, RN, BSN, BA
Deborah K. Braxton, RN, MSN
Diane J. Hamilton, RN, MN, CCRN
Kim B. Bernhardt-Tindal, RN, MSN, CCRN
Susan G. Swanson, RN, MS, CCRN, CCNS
Irma G. Williams, RN, CCRN
Rhonda L. Conley, RN, BSN, CCRN
Linda L. Nesheim, RN, ADN, BS, CCRN
Elizabeth Brown-Milan, RN, BSN, CCRN
Cherry Schilling, RN, BSN, CCRN
Sonia M. Astle, RN, MS, CCRN
Kathleen F. Kane, RN, ADN, BS, CCRN
Mark A. McKeown, RN, BA, CCRN
Eileen Briening, RN, MSN, CCRN, NP
Nancy M. Cenedella, RN, BSN
Jane L. Hartman, RN, MS, CCRN
Leanna R. Miller, RN, MN, CCRN, PNP, CEN
Deanna Jones, RN, BSN, BA, CCRN
Catherine Ann Blair, RN, BS, BSN, CCRN
Kathryn A. Beauchamp, RN, MSN, CCRN, PNP, CPNP
Kathy Hayes, RN, BSN, CCRN
Cynthia J. Green, RN, BSN, BA, CCRN
Rosemarie Juergensen, RN, CNS, MS
Julia K. Garrison, RN, MSN, CCRN
Sharon N. Kearney, RN, BS, BSN, CCRN
Carlen Abernethy, RN, BSN
Judith M. Fabrizio, RN, BSN, CCRN
Janis E. Boterf, RN, ADN, BA, CCRN
Kenneth R. Thompson, RN, ADN
Marla J. De Jong, RN, MS, CCRN, CCNS, CEN
Carol Samsel, RN, BSN
Ruth M. Martinez, RN, BSN
Pamela J. Kelly, RN, BSN
Janet L. Barney, RN, BS
Linda K. Cook, RN, MS, CCRN, CCNS
Trinidad A. Weaver, RN, BSN, CCRN, ARNP
Robert A. Hammond, RN, ADN, AA, CCRN, CEN
Paula Marie Tost, RN, BS, CCRN
Marcia L. Johnson, RN, ADN, CCRN
B. Yvonne Fankhanel, RN, BSN
Donna L. Sellars, RN, BSN, CCRN
Hilda M. Ivey, RN, ADN, CCRN CRNI
Mary P. Aust, RN, BSN
Marlene A. Schoettle, RN, MSN, CCRN
Anne M. Branley, RN, ADN, CCRN, CPAN
Janis Smith-Love, RN, MSN, CCRN, ACNP, ARNP, CEN
Dorothea S. Murphy, RN, CCRN, CNRN
Frances E. Gedell, RN, MA, CCRN
Patricia Forsyth, RN, MSN
Elaine T. Stevens, RN, BS, MSN, CCRN, CCNS
Virginia Ledbetter, RN, MSN
Karon M. Wold, RN, ADN, CCRN
Susan E. White, RN, MSN
Kathleen M. Hetcko, RN, CCRN
Eva Mae Francis, RN, ADN, CCRN
Mona P. Ternus, RN, MSN, BA, CCRN
Jacqueline N. Smith, RN
Connie T. Bolton, RN, BSN, BS
Fran E. Myers, RN, PhD, CCRN
Lois Hamill, RN, BSN
Cheryl D. Nava, RN, BSN
Mary Beth Reid, RN, MS, CCRN
Dinah Mullinax High, RN, BSN, BS
Veronica O. Lawrence, RN, AA, CCRN
Debra L. Knight, RN, BSN
L. Jennifer McFarlane, RN, MSN, CCRN
Doris Kennedy, RN, BSN, BA, CCRN
Donna Jane Robinson, RN, BSN, CCRN
Kannagi Gayapershad, RN, BS, BSN, CCRN
Jenneine A. Lambert, RN, MN
Tabby W. Tsuei, RNC, BSN, CCRN
Claire H. Curran, RN, BSN, CCRN, EMT
Jeanne Faughnan, RN, BSN, CCRN
Amy J. Pelleg, RN, MSN, CCRN
Gina Montagnino, RN, MSN, CCRN, CPNP
Belinda Wallbank, RN, BSN
Mary Elizabeth Leffard, RN, BSN, CCRN, CNOR, OCN
Lee Ann Haygood, RN, BSN, CCRN, CNA
Lenora M. Maze, RN, BSN, CNRN
Cheryl A. English, RN, ADN, CCRN
Beckie L. Arnold, RN, BSN, CCRN
Karen A. Droter, RN, BSN, CCRN
Mary E. Schneiderhahn, RN, MSN, CS
Lauren Maleski, RN, BSN, CCRN
Tracy A. Grogan, RN, MEd, CCRN
Tracy Unertl, RN, BSN
Kathryn E. Roberts, RN, MSN, CCRN
Carrie A. Boom, RN, BSN, CCRN
Penny Stepp, RN, BSN, AA, CCRN
Susan E. Wright, RNC, BSN, AA
Alisa R. Caple, RN, BSN
Eileen M. Patterson, RN, ADN, CCRN
Nanda Lerchbaum-Nwokocha, RN, ADN, AA,
CCRN, CEN
V. Dean Benner, RN, ADN
Lynn A. Scott, RN, BSN, BA, CCRN
Mary Lee Hanemann, RN, MSN, CCRN
Tina I. Zito, RN, BSN
Sheila D. Lyon, RN, ADN
Wendy S. Clark, RN, MSN, CCRN
Ma. Cristy G. Pinuela, RN, BSN, BA
Louise M. Lowe, RN, ADN, AA
Alethea A. Sment, RN, BSN, CCRN
Michele R. Haselhuhn, RN, BSN, BA,
CCRN
Cheryl F. Devillier, RN, ADN
Susan Lynn Donston, RN, BSN
Judy A. Parker, RN, ADN, CCRN
Patricia L. Quynn, RN, BS, CCRN
Pamela J. Carlson, RN, MS, CCRN
Lisa Wentworth Smith, RN, BS, MSN, CCRN
Jean A. Yavorski, RN, BSN, CCRN
Carol A. Kridler, RN, BSN, CCRN
Mary J. Roe, RN, BSN, CCRN
Robin M. Ballew, RN, BSN, CCRN
Susan M. Hollowell, RN, BSN
Mary C. Bressler, RN, BSN, BA
Laurie L. Flowers, RN, MSN, CCRN, CCNS
Anita A. Campbell, RN, BSN, CCRN
Doris G. Coney, RN, BSN, CCRN
Mary Adams, RNC, BS
Patricia L. Bellamy, RN, ADN, BS, CCRN
Anne Marie Pondevida, RN, BSN, CCRN
Donna Bright, RN, BA, CCRN
Janet Staab, RN, MSN, CCRN
Jan Jeffery, RN, CCRN
Kristine M. Chaisson, RN, BSN, CCRN
Anna Marie Bucior, RN
Kaye Grubaugh, RN, MSN
Michele Wilgis, RN, ADN
Lynne M. Chevoya, RN, MSN, CCRN, CS
Marilyn C. Callegari, RN, BSN, CCRN
Eufemia O. Mora, RN, BSN, CCRN
Kathy M. Kabobel, RN, BSN
Mary Ann Bell
Cynthia A. Craven, RN, BSN
Barbara J. Martindale, RN, BS, CCRN
Jeannine C. Brennan, RN, MS, BA, CCRN
Elizabeth K. Ruso, RN, BS, BSN, CCRN
Lorna F. Benton, RN, BSN, CCRN
Colbert W. White, RN, CCRN
Drenda J. Hall, RN, CCRN
Maria M. Morgan
Kimberly S. Hodge, RN, ADN, CCRN
Gina Santucci, RN, BSN
Javier E. Daley, RN, BSN, CCRN
Patty L. Bumgarner
Gail R. Wheeler, RN, BSN, CCRN,TNS
Hilarie C. Larson, RN, BSN, CCRN
Kelly Pallazza, RN, MSN, CCRN
Steven P. Ashley
Kimberly Bartholomew, RN, ADN, CCRN
Patricia L. Bowen, RN, BSN
Michealene M. Redemske, RN, BS, CCRN
Kimberly D. Curtin, RN, BSN, CEN
Norma C. Peralta, RN, BSN, CCRN
Michele Angela Dudley, RN, ADN, CCRN
Madeleine M. Burke, RN, BSN, CCRN
Sonja E. Guilda
Mary Beth Simon, RN, MSN, CCRN
Kathleen Stacey
Kathleen P. Lane, RN, ADN, CCRN
Vevyette Batson, RN, BSN, CCRN
Dorothy Muskovin, RN
Kerry C. Helbert, RN, CCRN
Annette M. Montoya, RN, BS
Elizabeth A. Masters
Suzanne L. Price, RN, BSN
Lavon Klahr, RN, ADN
Connie Trowbridge
Karen Clary, RN, BSN, CCRN
Jean M. Lindenberger, RN, BSN, CCRN
Tara F. Beebout, RN, BSN, CCRN
Patricia Joy Thompson, RN, MSN, CCRN, CNP
Mary Ann Conner, RN, ADN, CCRN
Jon E. Jordan, RN, ADN, CCRN
Ellen B. Clifton, RN, BSN, CCRN
Christiana U. Jackai, RN, BSN
Amy L. Herrig, RN, ADN
Michelle S. Bond-Spandiary, RN, ADN, CCRN
Dorothy J. Flowers, RN, BSN
Rochelle L. Pelachick, RN, ADN
Susan K. Feeney, RN, ADN, CCRN
Judi Hensley, RN
Julie Dutton, RN, BSN
Sue Button, RN, ADN
Anne B. Ewers
Karen L. Cullinane, RN, ADN
Grace H. Pitts, RN, ADN, AA
Trudy M. Neiderer, RN, BSN
Kimberly Thomas, RN, BSN
Becky L. Braddock
Cathy Campbell, RN, MSN
Rose C. Cardin, RN
Beatrice L. Davis, RN, BS, CCRN
Caroline Pfaff, RN
Dianna L. Lape, RN, MS, CEN
Marcia Kent, RN, BSN
Shirley A. Baymiller, RN, ADN, CCRN
Marcy Zoller, RN, BSN
Kirsten Hillman, RN, ADN, AA
Beth Macioce-Quinn, RN, BSN, CCRN
Rachelle M. King, RN, BSN
P. Jo Ann Harmon, RN
Patricia Leach, RN, BSN
Virginia Blaize
Pamela K. Popplewell, RN, BSN, CCRN
Heidi A. Wagner, RN, BSN, CCRN
Philip W. Larson, RN, BSN, CCRN
Anna L. Easter, RN, PhD, CS
Maribel F. Nieva, RN, BSN
Sandra Daugherty, RN, BSN
Karen Elizabeth Cabezudo, RN, BSN, CCRN
Amanda M. Ronk, RN, BSN, CCRN
Theresa L. Cole, RN, CCRN
Mary Vanderbeek
Kimberly D. Herold, RN, BSN, CCRN
Delbert J. Slowik, RN, BSN
Marcia L. Chorba, RN, MSN
Marsha M. Lee-Anderson
Julie C Lau, RN, BSN, CCRN
Isabelle A. McCool, RN
Diane M. Walsh, RN
Theresa O. Brasler, RN, BS
Mary W. Altman, RN, ADN
Dawn Kregel, RN
Melissa K. Lane, RN, ADN
Kent W. Haythorn, RN
Danielle M. Enes, RN, CNOR
Molly Berkowitz, RN
Karen J. London, RN, ADN
Jodi Hamel, RN, ADN, AA
Monique Lambert, RN
Deedra Harrington, RN
Joan M. Tome, RN, BSN
Agnes Stewart, RN
Sheree L. Collins, RN, ADN
Jamie Dee Fitzpatrick, RN, BSN
Margaret Stackpoole
Beverly Czerniak
Lily May V. Marifosque, RN, BSN, CCRN
Patricia G. Fuller, RN, BS, BSN, MEd
Gina M. Simoneaux, RN
Hector Murillo, RN, BSN
Grace B. Talic, RN, BSN
Karen P. Balyeat, RN
Kristan G. Byrd, RN, ADN
Kathy L. Yeates, RN, BSN, BA
B.J. Hopkins
Michelle D. Sommers, RN, BSN, CCRN
Bradley J. Prior, RN, BSN, AA
Laura L. Lipp, RN
Joyce V. Colobong, RN, BSN
Carole Faircloth, RN
Dorcas O. Giwa, RN
Eric C. Stewart, RN
Darlene Washington, RN
Susan K. Goebel, RN, ADN, CNOR
Wendi S. Haller, RN, BSN
Cynthia Nowicki
Claudette J. Dion, RN
Janice E. Dudley, RN
Dana K. Woods
Courtney L. Maxie
Georgia Lawrence
Jeraldine P. Laope, RN, BSN, CCRN
Michelle L. Cushman, RN, ADN, CCRN
Lisa Gerbic, RN, BSN, MBA
Angela Foran, RN, ADN, CCRN
Marlette S. Williams, RN, BSN
Elizabeth Keller Siferd
Debra A. Kruk
Maria Lisa Maquiling, RN
Peter Babcock, RN, ADN, CCRN
Christy Baginski, RN
Susan M. Burhans, RN-C, BSN
Heather M. Frame, RN, BSN
Theresa J. Bowman, RN
Kimberli L. Sandberg, RN, BSN, CCRN
Julie J. Lee, RN, BS, CCRN
Wanda Lynn Caldwell Urban, RN
Mark G. Griffith
Tracey Lee, RN
Rosalyn K. Cranston, RN
Angela B. Raquepo, RN, BSN
Stephanie Mason, RN
Natacha Jean-Noel, RN
Jan-Erik R. Zeller, RN, BSN
Rebecca M. Hellard, RN, BSN, MICN
Tiffany Andrews
Josephine Corcega Delgado, RN
Virginia Forshee, RN
Marie Aue
Aimee S. Babiera, RN
Ryan M. Vincenzo, RN
Marcia Lorraine Simmonds, RN
Tina R. O'Neal, RN
Karen Gravley
Alice Dean
Inez Belinda Withers
Wendell D. Verhage, RN
Rachel E. Shelby, RN, BSN, CCRN
Cynthia L. Egly
Sheila M. Palmer, RN, BSN
Deborah A. Yaddow, RN, MSN
J. D. Sharma, RN, BSN
K. Gail Coordsen, RN
Maria C. Antonio, RN
Pauline Graham, RN, BSN
Eugenia D. Macalald
Carlotta J. Martinez, RN, BSN

March Rewards
Congratulations to Damon B. Cottrell, RN, MS, CCRN, CCNS, CEN, the March reward recipient in our monthly membership campaign drawing. Cottrell received a $100 American Express gift certificate, which was awarded each month in a random drawing.


Who recruited new members in the Critical Links member-get-a-member campaign that ended April 1? Following are the final tallies for chapters that participated in the campaign.

Atlanta Area Chapter 74
Pacific Crest Regional Chapter 53
Greater Evansville Chapter 47
Heart of the Piedmont Chapter 36
Brooklyn Chapter 34
North Central Florida Chapter 34
Greater Miami Area Chapter 33
Greater Tulsa Area Chapter 29
Vermont Green Mountain Chapter 28
Broward County Chapter 23
Greater Raleigh Area Chapter 23
Greater Milwaukee Area Chapter 22
Southeastern Pennsylvania Chapter 21
Greater Louisville Chapter 21
Northwest Georgia Chapter 19
Foot of the Blue Ridge Chapter 17
Greater East Texas Chapter 16
Mobile Bay Area Chapter 14
Piedmont Carolinas Chapter 12
Greater Austin Area Chapter 12
Peninsula Chapter 12
Carolina Dogwood Chapter 11
Minot Roughrider Chapter 11
North Central Wisconsin Chapter 10
South Carolina Mid State Chapter 10
Greater Phoenix Area Chapter  9
Greater St. Louis Chapter  9
Northeast Indiana Chapter  8
Brevard Chapter  8
Greater Flint Area Chapter  8
Palmetto Chapter  8
New York City Chapter  7
Greater Richmond Area Chapter  7
Ocean State Chapter  7
Montana Big Sky Chapter  6
Metropolitan Orlando Chapter  6
East River Mountain Chapter  6
Albemarle Area Chapter  6
Southern Arizona Chapter  5
Anchorage Chapter  5
Northern Arizona Chapter  5
Heart of Acadiana Chapter  5
Spokane Chapter  5
Head of the Lakes Chapter  5
Siouxland Chapter  5
Greater Akron Area Chapter                          5
Central Savannah River Chapter  4
Coastal Plain Chapter  4
Southern Maine Chapter  4
New Jersey Capital Chapter  4
Central Minnesota Area Chapter  3
Greater Birmingham Chapter  3
West Michigan Chapter  3
Tennessee Valley Chapter  3
Fairbanks North Star Chapter  3
First Coast Chapter  3
Greater Kansas City Chapter  3
Smoky Mountain Chapter  3
White River Chapter  3
Coastal Chapter  3
Lake Erie Chapter  2
Puget Sound Chapter  2
Greater New Orleans Chapter  2
Greater Chicago Area Chapter  2
Southside Chicago Area Chapter  2
Chesapeake Bay Chapter  1
Greater Twin Cities Area Chapter  1
Northwest Chicago Area Chapter  1
North Valley Chapter  1
Southeast Michigan Chapter                          1
Southeast Missouri Chapter  1
Washtenaw County Chapter  1
Smoky Hill Chapter  1
Triangle Chapter  1
Gate City Chapter  1
Missouri Valley Chapter  1
Columbia Wheatland Chapter  1
Big Bend Chapter  1
Jersey Shoreline Chapter  1
Central New York Chapter  1
Central Pennsylvania Chapter  1
South Bay Chapter  1
South Central Connecticut Chapter  1
Greater Memphis Area Chapter  1
Greater Mid Cities Chapter  1
Hill City Chapter  1
Gulf Coast Magnolia Chapter  1

Congratulations to the March reward recipient in our monthly membership campaign drawing. Each month, one chapter received a complimentary registration to NTI 2002. The recipients were randomly selected from those who recruited at least one new member during the month.

The recipient in March was the Coastal Chapter.

AACN Seeks Leaders: Nominations Are Due June 14 for 2003-04 AACN and AACN Certification Corporation Positions

AACN is seeking nominations of individuals to serve on the national AACN Board of Directors and the AACN Nominating Committee for terms that begin July 1, 2003, as well as on the AACN Certification Corporation Board of Directors. Available AACN positions are for the office of president-elect, for four director positions on the AACN board and for three AACN Nominating Committee positions.

Nominations must be received or postmarked by June 14, 2002. The nomination form accompanies this article. Forms can also be obtained by calling (800) 394-5995, ext. 307, or via the AACN Web site.

Nominees for AACN positions must be AACN national members. Time commitments and support services for each position may differ. Travel and other expenses are reimbursed for all of these national volunteer positions.

Following are brief descriptions of these positions:

AACN Board of Directors
President-elect (one, 1-Year Term)�Nominees must have served at least two years on the AACN Board of Directors. During the term, the president-elect works to become familiar with the duties of the president and consults with the president to prepare for continuity and a smooth transition of leadership.

The president-elect also assumes presidential accountability in the absence or inability of the president to act. From the nominations submitted, the Board of Directors selects the candidate who is placed on the ballot.

Directors (four, 3-Year Terms)�In addition to representing the needs of the members, board directors establish priorities for AACN, based on its mission and vision. They help to ensure general and financial viability and growth of the association, and the maintenance of successful relationships between AACN and AACN Certification Corporation. The position also affords numerous opportunities to network with professional colleagues, consumers and healthcare policymakers.

AACN Nominating Committee
(Three, 1-Year Terms)�In collaboration with appointed members from the AACN Board of Directors and representatives of AACN Certification Corporation, Nominating Committee members develop and submit the slate of AACN candidates for election by the AACN membership at large. A process based on the AACN Leadership Framework is used to assess the nominees� competencies before submitting the slate of candidates to a vote by the membership.

AACN Certification Corporation

AACN Certification Corporation is seeking nominations of individuals to serve on the Board of Directors for terms that begin July 1, 2003. Invited are nominations for the offices of chair-elect and three directors.

Nominations must be received or postmarked by June 14, 2002.Nomination forms can be obtained by calling (800) 899-2226 or online at http://www.aacn.org.

The board is made up of individuals from the disciplines being certified and consumer representatives. These board members are accountable for ensuring sound certification programs that address the competencies required of critical care nurses for excellence in practice and for fulfilling the professional obligation to patients.

Reimbursement for travel as well as for other expenses is provided for all of these national volunteer positions. Following are brief descriptions of the AACN Certification Corporation positions for which nominations are invited:

Chair-elect (One, 1-Year Term)�The chair-elect works to become familiar with the duties of the chair and consults with the chair to prepare for continuity and a smooth transition of leadership. He or she performs all duties of that position in the chair�s absence. The Board of Directors selects the chair-elect candidate from the submitted nominations.

Director (Three, 2-Year Terms)�A director actively participates in governance to ensure the corporation�s financial viability and growth; evaluates organizational outcomes based on established priorities and action plans; monitors the impact of corporation initiatives on patient care and healthcare delivery systems; articulates positions and policies to key stakeholders; and ensures a successful relationship between AACN and AACN Certification Corporation. Nominations for both nurse leaders and consumer representatives are being accepted for these positions.

For more information about the Call for Nominations, contact Jan Buffington at (800) 394-5995, ext. 307 or visit the AACN Web site at http://www.aacn.org.

Viewpoint: Getting to Best Practice on Visiting Time�Yes, but ...

Many of the issues we face in clinical practice require our best problem-solving abilities. Particularly challenging is when the evidence clearly directs practice in one way, but the reality of life at the bedside makes implementation in that direction difficult. �Viewpoint� is a new AACN News feature created to address such issues. The goal is to stimulate thinking about practice challenges and to tap the resources of AACN leaders in looking at ways to overcome some of the barriers to achieving best practices.

The issue of visiting hours remains a challenging topic in many critical care units. Although debated and studied for years, the implementation of workable visiting hours continues to be an area of frustration and controversy. Visitation policies, procedures, perceptions, communication, and patient and family satisfaction have been researched as far back as the 1970s.

Molter first studied the needs of the relatives of critically ill patients and Leske, in follow-up research, found that families felt a need to be near the patient during the critical illness. Being present helped them to validate the seriousness of the illness and to more realistically face the challenges that arose.
In the ensuing two decades, studies have focused on many variations of the issue, including family needs, visiting hours, visitation by children, physiological and psychological effects, and pet visitation. In general, there is consensus in the literature that flexible visiting hours that are tailored to meet individual needs are not physiologically harmful to the patient and, in most instances, are beneficial to both the patient and the family. Pet visitation programs are becoming commonplace and policies for allowing families to be present during emergency procedures are found in many units across the country.

Despite this strong evidence about the impact of liberal visiting, nurses at the bedside often relate difficulties in putting this research into practice. We asked AACN board members Carol Puz, RN, BSN, CCRN, and Mary Fran Tracy, RN, PhD, CCRN, to discuss the challenges and to identify strategies for bridging this gap between research findings and actual practice.

AACN News: Nurses have said, �I know what the literature says, but I can�t get my work done if I have visitors in the way all the time.� Are you aware of or have you used any strategies to help nurses work through this reality?

Puz and Tracy: Communication is the key to a successful relationship between most nurses and families. Through communication, nurses and families can learn about each other. As families and nurses talk, nurses better understand the group dynamics and families better understand the type and extent of care the patient needs. Communication also shows families that the staff really does care about the well-being of the patient. Having the sense that people care is one of the needs that families have ranked consistently high over time in the literature.
�Family Visitation and Partnership in the Critical Care Unit,� part of the AACN Protocols for Practice: Creating a Healing Environment, outlines the many forms that effective visiting hours can take. These include:
� Open visitation
� Flexible visiting, which is based on mutual agreement between the nurse and the family
� Contracted visiting, which involves written agreements
� Patient-controlled visitation
� Structured-but-liberal visitation, which limits the numbers of visitors but under less restrictive hours
� Inclusive visiting, which is open except for specified times during the shift

Regardless of the type of visiting arrangement agreed to, flexibility is a key element. By talking with families, nurses learn individual nuances that allow for individualization of visiting times. In this challenge, one size definitely does not fit all.

Try standing back and viewing your ICU�s environment from the perspective of a family member. Better yet, conduct family satisfaction surveys and ask them which aspects of the ICU experience work and which don�t for their needs. Is sufficient information being given to family members to help alleviate their stress? Are meditation areas or consult rooms available for families to use instead of the large waiting areas? Could pagers be provided so that families would feel comfortable about leaving to eat or rest and still feel they could be contacted easily? Are visiting hours flexible enough to accommodate work or other family responsibilities?

When possible, use family members to help with patient care. This may help them feel they are providing support to the patient while, perhaps, easing some of the nurse�s workload. For example, allow family members to assist in oral care or bathing, if appropriate. Encourage them to gently massage the patient�s feet, which may reduce anxiety for the patient and the family member while allowing the nurse to concentrate on other care needs.

AACN News:We have also heard our members say, �Yes, but you don�t know the families we deal with. They have no limits and want five or six people to visit at one time. The patient gets no rest, and there�s just not enough room for them and me, too.� How can nurses implement liberal visiting hours if they are practicing with these challenges?

Puz and Tracy: Flexible visiting hours do not equate to accommodating all visitors at all times. Use unit councils or staff meetings to reach consensus on what your unit�s visiting policy will be based on, including patient types, unit needs and layout, and research findings. Communicate the visitation plan to the rest of the healthcare team. This provides consistency and reduces the risk and confusion that results from families receiving differing messages about visiting. In addition, units should have plans in place to deal with verbally or physically abusive visitors. Doing so may alleviate nurses� anxiety about feeling safe in their work environments amid the many strangers who come and go.

Develop a brochure that describes your unit�s visiting policy. Give it to the family early in the admission process. Be clear that families will have different needs at different times and that there is room for renegotiation as the patient�s condition changes. Explain the rationale underlying the visiting policy, such as why the number of visitors may be limited or why confidentiality issues may require that family members step out of the room during report. Encourage the family to select a spokesperson who can help to ease frustration for the nurse in relaying information to multiple family members throughout the day. Check out the new AACN booklet For Those Who Wait, which includes information about visiting the patient and the need for a family spokesperson. The booklet is available from AACN�s online Bookstore at www.aacn.org.

AACN News: Referring to other types of challenges, nurses often say, �Yes, but I get tired of answering family members� questions and, frankly, I feel a little paranoid, like they�re watching everything I do. I don�t understand why we have to do this.�

Puz and Tracy: Patients and families are entering the healthcare system with an increasing level of distrust. Remember that many are more informed about medical practice than ever. They challenge us as healthcare providers to earn their trust and respect and to validate the information they have obtained. Families may ask multiple questions because they have difficulty comprehending in a stressful, overwhelming situation. This challenge can be addressed in several ways:
� Explain the care you provide as you do it.
� When you need to be able to concentrate on a certain task, be honest with the family and ask for the time to totally focus on caring for the patient.
� Ask the family to keep a list of questions and then set aside uninterrupted time when you will sit down with them and review the questions.
� Use other healthcare providers to help answer questions and give families time to debrief and discuss. Chaplains, social workers, managers, advanced practice nurses and patient representatives can be excellent resources to ease family anxiety.

As AACN President Michael L. Williams noted in his �President�s Note� column in February 2002: No visiting policy will alleviate all issues that can arise with families who are in the midst of a crisis. Yet, family members need to be near the patient, have answers to their questions and feel that their loved one is receiving the best possible care. Through honest communication and negotiation, families and healthcare providers can work in synergy to provide the optimal care for the patient and the family during this time of crisis.

AACN�s Protocol for Practice on Family Visitation and Partnership in the Critical Care Unit can be purchased by calling (800) 899-2226 (Item #170712) or online at http://www.aacn.org


With Appreciation: AACN Thanks Its Industry Partners and Sponsors


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


Partners With Industry

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

$500,000 and more
Eli Lilly & Company


$100,000-$499,999
Wyeth Pharmaceuticals
(formerly Wyeth-Ayerst Laboratories)
 

$30,000-$99,999
AACN Certification Corporation
Philips Medical Systems
(formerly Agilent Technologies)
 

$10,000-$29,999
AMN Healthcare
Nellcor/Tyco Healthcare
Ross Products
Division of Abbott Laboratories
Siemens Medical Solutions*
Stryker Medical
3M Health Care

$4,500-$9,999
Atrium Medical Corp.
Bard Medical
Dale Medical
Datex-Ohmeda
Genzyme Biosurgery
Honor Society of Nursing
Sigma Theta Tau International
Nabi Biopharmaceuticals
Oridion Medical Inc.

Up to $2,500
GE Medical Systems
Information Technologies
Marsh Affinity Group Services
A Service of Seabury & Smith, Inc.
Medtronic Physio-Control

Gifts In-Kind
Clarian Health
Datex-Ohmeda
The Freeman Companies
Hyundai Motor America
Indiana University
School of Nursing
NurseZone.com
Siemens Medical Solutions


NTI Sponsors

Sponsors of educational sessions, events and select participant items at the 2002 National Teaching Institute and Critical Care Exposition in Atlanta, Ga.

NTI Champions
Valued at $100,000 and more
Philips Medical Systems
(formerly Agilent Technologies)

NTI Heroes
Valued between $50,000 and $99,999
GE Medical Systems
Information Technologies
GlaxoSmithKline
KCI
Ortho Biotech Inc.
Wyeth Pharmaceuticals
(formerly Wyeth-Ayerst Laboratories)

NTI Advocates
Valued between $30,000 and $49,999
Abbott Laboratories
Aspect Medical Systems
Atrium Medical Corporation
Eli Lilly & Company
Hill-Rom
Johnson & Johnson
Texas Health Resources

NTI Benefactors
Valued between $15,000 and $29,999
ALARIS Medical Systems
AstraZeneca
Aventis Pharmaceuticals
Baxter Healthcare Infusion Systems
Bayer Diagnostics
Berlex Laboratories
CardioDynamics International
Cross Country TravCorps
Datex-Ohmeda
Edwards Lifesciences
Genentech
Healthcare Purchasing News
The Medicines Company
Medtronic Physio-Control
Nellcor/Tyco Healthcare
NurseWeek Publishing
Oridion Medical Inc.
Scios Inc.
Siemens Medical Solutions
ZOLL Corp.

NTI Contributors
Valued between $7,500 and $14,999
Spacelabs Medical
Stryker Medical
University of Texas Medical Branch

NTI Supporters
Valued at $7,500 and less
3M Healthcare
ADVANCE Newsmagazines
Arrow International
Bard Medical
BD Medical Systems
Biosite Inc.
Bridge Medical
Clarian Health
Dale Medical
Emtel, Inc.
Fain & Company
The Freeman Companies
Gambro Renal Products
Integra NeuroSciences
Kendall/Tyco Healthcare
Lippincott Williams & Wilkins
McKesson Corporation
Nabi Biopharmaceuticals
NextRx
NurseZone.com
R. Adams Cowley
Shock Trauma Center
Marsh Affinity Group Services
A Service of Seabury & Smith, Inc.
SLACK Incorporated
wThoratec Corp.
University of Rochester
Medical Center

All NTI Exhibitors
Participant-Exhibitor Event


Affinity Partners
Alamo Rent-a-Car
First USA Bank
John Hancock Mutual Life Insurance Company
Marsh Affinity Group Services, A Service of Seabury & Smith, Inc.
Merrill Lynch


Dale Scholars Attend NTI 2002 in Atlanta, Ga.


Three AACN members were attending AACN�s National Teaching Institute and Critical Care Exposition this month in Atlanta, Ga., thanks to a $4,500 contribution to the AACN Scholarship Endowment Fund by Dale Medical Products, Inc.

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

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

The recipients of the Dale Medical Products scholarships for 2002 are: Sylvia Valeriano, RN, BSN, Los Angeles, Calif.; Rita Harel-Collins, RN, BSN, CCRN, Nash, Texas.; and Lori T. Barbera, RN, BSN, Woodstown, N.J.


Vision Partners Share Their Perspectives at NTI in Atlanta, Ga.: NTI Scholarship Program Offsets Expenses

Ten pairs of participants at AACN�s National Teaching Institute and Critical Care Exposition in Atlanta, Ga., this month are building special relationships as AACN Vision Partners. Each was awarded a $1,000 scholarship to offset the expenses of attending the NTI, where the pairs are sharing their experiences and perspectives.

Unique in this arrangement is the fact that one partner was already a member of AACN, but the other partner was not and had not previously attended the NTI. The nonmember partner receives a one-year AACN membership as part of the program.

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

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

Recipients of the Vision Partners scholarships for 2002 are:

AACN Member Partner


Jean A. Clark, RNC, MS, CCRN, ARNP Michelle E. Aube, RN
White River Junction, Vt. Quechee, Vt.
Dartmouth-Hitchcock Medical Center Dartmouth-Hitchcock Medical Center


John Pozar, RN, BSN, CEN, CCRN Yolanda Burke-Dee, RN, BSN
Winslow, Ariz. Tuba City, Ariz.
Native American Air Ambulance, Inc. Tuba City Indian Medical Center


Mary Lou Sole, RN, PhD, CCRN, FAAN Michael Tran
Winter Park, Fla. Orlando, Fla.
University of Central Florida Student, University of Central Florida
School of Nursing


Sofia Puerto, RN, PhD, CCRN, FNP Maximina Contreras, RN, MS
Loma Linda, Calif. Nana, Lima, Peru
Loma Linda VA Hospital Peru Union Hospital
and Loma Linda University School of Nursing


Therese S. Richmond, RN, PhD, CRNP, CS, FAAN Salimah H. Meghani, RN
Bryn Mawr, Pa. Philadelphia, Pa.
University of Philadelphia School of Nursing Doctoral Student, University of Pennsylvania


Cynthia A. Picarsic, RN, BSN, CCRN Toya Eubank, RN
Jeannette, Pa. Greensburg, Pa.
Monsour Medical Center Monsour Medical Center


Karen Gaertner, RN, MSN, CCRN Nancy J. Maher, MSW, LSW
Philadelphia, Pa. Pittsburgh, Pa.
VA Pittsburgh Healthcare System VA Pittsburgh Healthcare System


Nancy D. King, RN, CCRN, MSN,ANP Loretta Jackson Brown, RN, MSN, CNN
Lilburn, Ga. Lawrenceville, Ga.
Dekalb Medical Center Dekalb Medical Center


Denise (Guaglianone) Buonocore, RN, APRN-BC, CCRN Kathleen Dillon, RN, BSN
Milford, Conn. West Haven, Conn.
Bridgeport Hospital Yale New Haven Hospital


Michelle Murray, RN, MSN, BS Alix Bryon, RN, BS
San Francisco, Calif. San Francisco, Calif.
California Pacific Medical Center California Pacific Medical Center


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 this month, board member Jessica P. Palmer, RN, MSN, interviewed Ann Evans, RN, MS, CNAA, FAAN, a past president of the AACN Board of Directors.

Ann Evans� affiliation with AACN at the national level began in 1981, when she was elected to the AACN Nominating Committee. In 1985, she was elected secretary of the AACN Board of Directors. Her term as president was 1990-91.

Evans is currently senior vice president of nursing at Tallahassee Memorial HealthCare, Tallahassee, Fla., a 770-bed, private, not-for-profit, community hospital. In addition, she was instrumental in obtaining the "Pursuing Perfection�Raising the Bar for Health Care Performance� grant from the Robert Woods Johnson Foundation for Tallahassee Memorial HealthCare, which recently was notified that it will receive an additional $1.9 million for Phase II of same grant.

Evans describes herself as someone who likes going �mach 5 with my hair on fire.� Despite her busy career, it is not all work and no play for Evans. In fact, she finds time for two Mustangs, Mahogany and Smokey, who were unbroken when she adopted them as colts. Many weekends, she can be found competing in 25- and 30-mile endurance rides. Sometimes, though, her weekends might include traveling to New York to attend a Broadway play or flying to Australia for an international nursing conference, where she also gets to horseback ride in the Snowy River country. Then, in her �spare� time, she is filming a project with a friend, Emmy Award-winning producer Ginger Kathrens. The film is a sequel to �Cloud�Wild Stallion of the Rockies,� which aired earlier this year on the PBS Nature program. Evans� Mustangs are Cloud�s half sisters.

The Interview
Palmer: Have you remained active with AACN and critical care nursing?
Evans: Yes, I served on the CEO search committee for AACN in 1999 and regularly attend the NTI. I also continue to maintain my connection by helping in the clinical areas. I have been steadfast in refusing to give up my area of expertise. I want my nursing practice to reflect both administrative and clinical expertise.

Palmer: What comes to mind as �lessons learned� from your experience as president of AACN?
Evans: There are so many tremendous things you learn whenever you are associated with AACN. Facilitation skills, how to work with the media and learning to understand nursing from a more global perspective were only a few of the lessons I learned. People often ask why I give so much time and energy to volunteer efforts. Yet, I actually got more from AACN than I ever I gave. I was the recipient of so many wonderful experiences and learning opportunities. I have lifelong friends and colleagues all over the world who I met during my tenure. These are people I might never have known had it not been for my experience with AACN. It was an honor to represent so many wonderful critical care nurses and the work that we do.

Palmer: What was the most exciting aspect of serving in the role of president?
Evans: Again, so many things come to mind. I had the opportunity to travel on behalf of AACN to Canada, Holland and Japan. The organization was hosting and cosponsoring international meetings then. As the AACN representative, I gained a greater understanding of the global perspective of nursing. The opportunity to interact with nurses from other countries and to try to understand their challenges was very exciting.

Palmer: What was the most challenging aspect of serving in this role?
Evans: As president of AACN, I was also president of AACN Certification Corporation. During that year, we made the decision to separate the two. They were really two separate but similar business systems, and the board wrestled with how to give both the attention they deserved. That was one of my major challenges�to work with both boards and create the structure that exists now. The negotiations and consensus building were important but sometimes difficult. We represented about 80,000 members then, and we wanted to be sure we created the best systems for AACN and AACN Certification Corporation.

I also did a lot of writing and public speaking that year. I wrote articles or editorials for ACCN News, Heart and Lung and Focus on Critical Care. That meant something like 20 or 25 articles. A real challenge! It�s amazing what you can do when, at first, you don�t think it is humanly possible.

Palmer: How did you find balance between your AACN leadership activities and the rest of your life?
Evans: I�ve never had any balance. I�m more afraid of being bored and boring than having balance. I still don�t have balance. I have a short attention span and constantly want to be challenged professionally and personally. I�m not sure I know what balance looks like. Balance for me means having a full plate at work and at home. I think that AACN activities add so much to support your work life.

I also had an incredibly supportive family. I could not have managed those years without a supportive boss and institution at work and incredible support at home. My son wasn�t even one year old during my first experience on the Nominating Committee. He traveled to the meeting with me and had a sitter while I worked on the committee.

Palmer: In these unsettled times in healthcare, do you think it is important for nurses to belong to organizations such as AACN?
Evans: AACN continues to be highly relevant to nurses today. It continues to support the education and professional development of the nurse. Our critical care publications, orientation materials, practice protocols and the NTI are incredible resources for nurses. AACN also supports and leads collaborations with other organizations to improve healthcare. Our leadership role with other nursing organizations during this difficult time of the nursing shortage is crucial to our future success. Our association with SCCM and ACCP helps us understand the importance of collaborative roles with medicine. The organization continues to evaluate systems� impact on the nurse and offers out-of-the-box thinking to help with work processes. AACN Certification Corporation continues to provide a yardstick to measure knowledge and promote certification of nurses as a standard of safe practice.

I believe I will be associated with AACN for the remainder of my career and longer. I have so many fabulous memories and personal associations from my experiences. I can�t imagine not being involved with AACN in some way.

Past AACN President Ann Evans
finds time in her busy schedule to
enjoy a ride with Mahogany, one of
her two Mustangs.


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.

Li 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 mTeam 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 acute or critically ill patients and families. Recipients address how they promote an environment of professional involvement, development and accountability; collaborative problem solving; empowerment; leadership to transform thinking; structures and processes to address opportunities and challenges; and communication, as well as how they serve as a catalyst for successful change. Recipients are provided complimentary registration, airfare and hotel accommodations for the NTI.

Media Award
This award recognizes print, broadcast and Web-based media excellence in the portrayal of healthcare providers, especially acute and critical care nurses contributing to a healthcare system driven by the needs of patients and families. Successful entries present relevant nursing and healthcare topics to large audiences of consumers, including the general public, patients and families. Accuracy, realism and technical qualities are important factors in the selection of entries.
AACN members and chapters, as well as editors, publishers, producers, marketing and public relations specialists, universities and institutional communications departments are eligible to apply. Entries must have been published or broadcast between Nov. 1 of the previous year and the time of submission. Entries must include documentation verifying the publication/broadcast and size of audience.
A personalized plaque is presented to winning entries. Awards are announced in AACN publications and at the NTI. The deadline to submit Media Award materials is Nov. 1, 2002.

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

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


Link to the Latest Product News

Are you looking for the latest products? Do you have questions to ask a specific manufacturer? Visit the �Industry Link & Product News� area of the AACN Web site . l find brief company descriptions and information on specific products, as well as a direct link to industry Web sites.

For more information about how a company can be included in this area, contact Kathy Huntley at (800) 257-8290, ext. 249; e-mail, khuntley@slackinc.com.

Public Policy Update

Issue: Shortage Solutions
Background: The American Hospital Association�s Commission on Workforce for Hospitals and Health Systems recently provided hospital leaders strategies for how they can help reverse the nation�s deepening shortage of healthcare professionals and develop a thriving workforce. The report addresses challenges in five key areas: fostering meaningful work, improving workplace partnerships, broadening the healthcare worker base, working with others and building societal support. �Building a qualified and dedicated workforce is the No. 1 challenge facing hospitals� leaders,� said Gary Mecklenburg, commission chairman and immediate past AHA chairman. �Our success really depends on cooperation between hospital leaders and workers, policymakers, business and others. Hospital leaders can be the impetus for positive change in the workplace and for building a strong workforce.� The report, titled �In Our Hands: How Hospital Leaders Can Build a Thriving Workforce,� provides tactics for carrying out the strategies and examples of hospitals already implementing them.

Researchers at the University of North Carolina at Chapel Hill have received a $2.5 million grant from the National Institute of Nursing Research to study nurse staffing and its contribution to healthcare quality and patient safety at 160 U.S. hospitals. The goal is to better understand how nurses contribute to patient care quality in light of the growing nursing shortage, said Barbara Mark, a nursing professor who will conduct the study. Medication errors, patient falls, nursing staff turnover and patient satisfaction are among the subjects that the five-year study will investigate. The team will collect information on patient experiences and examine how nursing staff are organized to care for patients, how registered nurses feel about their jobs, decision-making responsibilities and relationships with physicians and others involved in patient care.

Issue: Job Satisfaction
Background: Most registered nurses remain satisfied in their jobs and would recommend the profession as a career choice, but say an improved working environment would help to resolve the growing nurse shortage, according to a new survey by Harris Interactive for NurseWeek magazine and the American Hospital Association�s American Organization of Nurse Executives. The survey queried a nationally representative sample of RNs about their perceptions of the nurse shortage, their work environments and career plans. Roughly 77% of the nurses indicated they were satisfied in their current position, with just 21% saying they planned to change professions. However, the nurses also reported increased patient loads and overtime in the past year. They suggested RN stress could be reduced by giving nurses more say in workplace decisions, more opportunities for professional development, more recognition, and a safer and more accommodating workplace.

Issue: Loan Repayment
Status: Approximately $10.2 million was appropriated for HRSA�s Nursing Education Loan Repayment Program for FY02, reflecting an increase of about $8 million over the last two years. The program offers registered nurses assistance to repay educational loans in exchange for service in eligible facilities located in areas experiencing a shortage of nurses. Authorized by amended Section 846 of the Public Health Service Act, the purpose of the program is to assist in the recruitment and retention of professional nurses dedicated to providing healthcare to underserved populations.

All Nursing Education Loan Repayment Program participants must agree to provide full-time employment in an approved eligible health facility for two to three years. In return, 60% of the participant�s total qualifying loan balance will be paid for a two-year commitment or 85% for a three-year commitment.

Issue: Health Privacy
Status: The Department of Health and Human Services recently unveiled changes to health privacy regulations �to ensure strong privacy protections while correcting unintended consequences that threatened patients� access to quality care.� The revisions remove consent requirements hindering access to care; address concerns that protections would impede routine conversations between doctors, patients, and nurses; ensure appropriate parental access to their children�s records; and bar use of records for marketing, while allowing �appropriate communications,� HHS said. Most facilities have until April 14, 2003, to comply with the patient privacy rule.

HHS proposed federal privacy standards in 1999 and, after reviewing and considering more than 52,000 public comments, published final standards in December 2000. In March 2001, HHS received more than 11,000 comments after HHS Secretary Tommy Thompson requested additional public input on the rule. Those comments and other public input were used to develop the proposed changes, which were published in the Federal Register in March. HHS will consider public comments on the proposed changes before issuing a final rule. To help people prepare for and meet the rule�s requirements, HHS�s Office for Civil Rights will conduct outreach and education for healthcare providers, consumers and others affected by the privacy regulation.

AACN�s Position: AACN is committed to protecting the confidentiality of individually identifiable information used to provide healthcare services and supports the establishment of federal standards providing nationally uniform confidentiality protections. We advocate for standards that promote appropriate use of patient information used for treatment, research, healthcare operations and payment of claims. AACN is in the process of reviewing the proposed changes before commenting.

Issue: New Leadership
Background: Richard Carmona, MD, was nominated by the White House to become the next U.S. surgeon general. A Green Beret medic in Vietnam, Carmona is a trauma surgeon in Tucson, Ariz., and a professor of surgery, public health and family and community medicine at the University of Arizona.

HHS Secretary Thompson lauded Carmona as a physician qualified to provide strong leadership against bioterrorism. �As a medical school professor at the University of Arizona, he was responsible for developing and implementing the weapons of mass destruction, anti-terrorism, preparedness and consequences management for the university and the community at large. He knows the challenges that not only our nation faces in preparing for bioterrorism but that our communities face.�

Also nominated was Elias Zerhouni, MD, to head the National Institutes of Health. Zerhouni came to the U.S. from Algeria 27 years ago. After earning his medical degree from the University of Algiers in 1975, Zerhouni went on to Johns Hopkins University in Baltimore, Md., where he became a professor at the School of Medicine, then head of the radiology department, and then executive vice dean in 1996.
Thompson said has a clear understanding of the relationship between science, academia, and industry that will serve NIH and its institutes well. It does not appear that Zerhouni will oppose President Bush on the issue of embryonic stem cell funding and therapeutic cloning, a stance that puts Zerhouni out of step with a number of leading scientists.

Issue: Palliative Care
Status: The Center to Advance Palliative Care has released a new report focusing on regulatory and administrative changes that could be made by the Centers for Medicare and Medicaid Services to improve the delivery of palliative care services. Titled �Palliative Care: An Opportunity for Medicare,� the report emphasizes low-cost solutions that would lead to improvements in Medicare reimbursement for palliative care services.

AACN�s Position: AACN supports efforts to improve the delivery and increase the availability of quality palliative care services in hospitals and other healthcare settings for people with life-threatening illnesses, their families and caregivers. AACN is a partner in the Last Acts Coalition, a national effort to raise awareness of the need to improve care of the dying and share issues and ideas at the national, state and local level and is participating in the Nursing Leadership Academy on End-of-Life Care to develop practice protocols for end-of-life care.

Issue: Foreign Nurses
Background: The International Council of Nurses has issued a position statement that presents principles to guide the ethical recruitment of nurses worldwide. The current situation, characterized by an increasing demand and a decreasing supply of nurses, results in heightened competition for the nursing human resources available, both within and among countries. As a short-term strategy, countries or healthcare facilities have regarded international migration as a possible solution.

�We recognize the right of individual nurses to migrate for both professional development and economic reasons,� said Christine Hancock, ICN president. �However, ICN denounces unethical recruitment practices that exploit nurses or mislead them into accepting job responsibilities and working conditions that are incompatible with their qualifications, skills and experience.�

In the statement, ICN condemns the recruitment of nurses to countries where authorities have failed to implement sound human resource planning or to seriously address problems that cause nurses to leave the profession and discourage them from returning to nursing. The council acknowledged the adverse effect that international migration may have on healthcare quality in countries seriously depleted of their nursing workforce.

Issue: Pain Policies
Status: The Pain and Policy Studies Group recently released its annual review of new state pain policies that were adopted in 2001. According to the report, a total of six new policies were adopted in five different states: Texas, Missouri, Kentucky, Tennessee and West Virginia. The new policies included an Intractable Pain Treatment Act, three sets of medical board guidelines, a pharmacy board policy statement and a joint policy statement from four boards emphasizing the need for interdisciplinary collaboration on end-of-life care.

Issue: Pain and End-of-Life Legislation
Maryland�Two measures addressing pain management and end-of-life care recently passed the General Assembly of the Maryland State Legislature. The first bill (H.B. 423), introduced by Democrat Delegate Joan Pitkin, would require healthcare facilities to monitor pain as a vital sign in patients, develop pain management training programs and include the right to have pain assessed and managed as part of the state patients bill of rights. A second bill (H.B. 1141), sponsored by Democrat Delegate Barbara Frush, would create a state advisory council on quality care at the end of life. Both measures passed by wide margins in the General Assembly and have been referred to the Senate Committee on Education, Health, and Environmental Affairs.

Ohio�In March, the Ohio General Assembly�s Committee on Human Resources received a measure that would prohibit physician-assisted suicide in the state and establish the Compassionate Care Task Force. The task force will issue recommendations on the treatment and care of persons with terminal illness or severe chronic pain. The bill (H.B. 474) was introduced by Republican Rep. Merle Kearns.
Hawaii�In early March, the Hawaii House of Representatives passed two measures (H.B. 2491 and H.B. 2487) to give terminally ill, competent adults the ability to obtain prescriptions for medications to end their lives. The legislation was referred to the Senate Health Committee, where Chairman David Matsuura, a Democrat, prevented it from moving out of the committee by a mandated deadline, effectively blocking further consideration this session. Matsuura has said he wants to focus on ways to encourage death with comfort and without pain. Hawaii�s Democrat governor, Ben Cayetano, supports the House-passed measures and had publicly asked Matsuura to allow for a vote in the Senate.

Issue: CRNA Supervision
Background: Nebraska Gov. Mike Johanns (R) has announced that certified registered nurse anesthetists in his state would be able to administer anesthesia to Medicare and Medicaid beneficiaries without physician supervision. Nebraska is the second state to use the governor�s �opt-out� provision in the CMS rule, which requires CRNAs to be physician-supervised. Iowa Gov. Thomas Vilsack (D) opted out in December 2001. Johanns said that CRNAs �are the sole staff for administration of anesthetics in 69 of 85 hospitals� in his state. Before announcing the ruling, Johanns consulted with Nebraska�s board of medicine and nursing, determining that the change would be in the best interest of the citizens of his state.

AACN�s Position: AACN supports the �opt-out� provision, because it will help to ensure access to safe, high-quality anesthesia care, particularly in rural and inner-city hospitals where CRNAs are often the sole anesthesia providers.

Issue: Mandatory Overtime
Minnesota�Minnesota Gov. Jesse Ventura has signed into law a bill that limits mandatory overtime for nurses. S.F. 2463 allows registered nurses and licensed practical nurses to refuse to work more than 12 hours in a shift unless needed to maintain continuity of care and patient safety. It also requires the state Board of Nursing to recognize nursing licenses issued from bordering states as valid for practicing in Minnesota, a provision aimed at relieving the state�s nursing shortage. The Minnesota Hospital and Healthcare Partnership supported the union-backed measure after provisions were added to ensure that no patient was ever left without care, an MHHP spokesperson said.

Washington�Washington Gov. Gary Locke has signed into law SB 6675, a bill that prohibits mandatory overtime and protects nurses from dismissal and discipline when refusing overtime work. Washington is the fourth state to pass legislation on mandatory overtime.

The measure, in part:
� Prohibits healthcare facilities from requiring an employee who provides direct patient care or clinical services to work overtime in excess of an agreed upon, predetermined, regularly scheduled shift not to exceed 12 hours in a 24-hour period or 80 hours in a 14-day period.
� Provides protection to nurses who refuse overtime by prohibiting employers from using the refusal as grounds for discrimination, dismissal, discharge, threat of report for discipline or any other penalty.
� Includes an exception in the case of any unforeseen declared emergencies when a healthcare facility�s disaster plan is activated or any other disaster or catastrophic event that increases the need for healthcare services.
� Includes an exception for when the employer has exercised reasonable efforts in finding volunteers or temporary staff to work overtime. This does not apply in addressing chronic staff shortages.

AACN Position: AACN believes that mandatory overtime is not an acceptable way to meet staffing needs. Mandatory overtime is neither an accepted practice in the nursing community nor a �standard� of the industry, and nurses should not be forced into working beyond their capacity to provide optimal care.

Issue: Staffing Ratios
Members of the Massachusetts Nurses Association recently urged lawmakers to support a bill mandating nurse-to-patient staffing ratios. HB 1186 would establish staffing ratios for all healthcare settings, similar to mandated staffing ratios in California. Rep. Christine Canavan, RN, and Sen. Robert Creedon, cochairs of the state�s legislative nursing commission, introduced the measure in January. MNA says the bill would create a commission to work with the state Department of Public Health to develop the ratios within one year. It also would create specialty nursing positions that would evaluate nurse staffing in relation to medical errors and patient outcomes. Facilities would be required to provide patients or families with a toll-free number for reporting potential violations of staffing plans to DPH for investigation.

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 ratio.

For more information about these and other issues, visit the AACN Web site.

Scene and Heard

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

Media Highlights
� The March 2002 issue of RN magazine featured an �AACN Update,� including excerpts from a column by AACN President Michael Williams, RN, MSN, CCRN, and information on NTI speakers, AACN membership categories and the upcoming AACN Study Tour to Europe.
� The Feb. 11, 2002, issue of Legislative Network for Nurses included an article on how AACN and its partners are addressing the workforce shortage and its strain on ICUs. AACN, the Society of Critical Care Medicine, the American Thoracic Society and the American College of Chest Physicians have jointly written �The Critical Care Workforce Partnership Position Statement: The Aging of the U.S. Population and Increased Need for Critical Care Services.�

Our Voice at the Table
� In February 2002, CEO Wanda Johanson, RN, MN, attended the steering committee meeting for the Call to the Profession in Washington, D.C. The committee addressed nursing�s strategic plan to address staffing issues and nursing shortages. It also reviewed the action plans that nursing organizations submitted, and developed ideas to publicize Nursing�s Agenda for the Future. As a co-champion of the nursing/professional culture area of the strategic plan, AACN will conduct regular conference calls with organizations that have plans in this area to check their progress and facilitate future efforts.
� In March 2002, Johanson attended the second meeting of the Nursing Leadership Academy for End-of-Life Care, in Baltimore, Md. The meeting was a follow-up to a meeting a year ago, when representatives from 23 nursing organizations developed plans for integrating EOL care content into the fabric of their organizations. At this second meeting, the group shared their accomplishments to date and discussed strategies to sustain the momentum.
� Debra Byram, RN, MSN, a nurse consultant with the National Institutes of Health, Bethesda, Md., and a former AACN board member, represented AACN at the American College of Chest Physicians� 9th annual Capitol Hill Caucus, in April 2002 in Washington, D.C. The caucus discussed various areas of concern, including FDA control over tobacco; Medicare reform and physician reimbursement; and medical team workforce issues.
� President Williams was the keynote speaker at the Greater Rochester (N.Y.) Chapter of AACN�s Linkages symposium in March 2002. His speech was titled �Celebrating Nursing�s Greatness Today and Every Day.� Williams also was the closing speaker, speaking on �Chronicity: Changing the Face of Health Care.�
� AACN President-elect Connie Barden, RN, MSN, CCNS, CCRN, gave the keynote speech, titled �Nursing in La Vida Loca,� at the Greater Tulsa Area Chapter�s 28th annual Critical Care Symposium on March 1, 2002. On March 8, she also spoke about �Nursing in La Vida Loca� to the Central Ohio Chapter at its 13th annual Heart to Mind Talk: Making the Neuro-Cardiac Connection. Barden also delivered the keynote address at the Chesapeake Bay Chapter meeting on March 13 and spoke on �Pacers and ICDs� at the Miami Teaching Institute on March 22.

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.

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:

June 18-23, 2002� American Association of Nurse Practitioners, Reno, Nev.

July 23-28, 2002� National Conference of State Legislatures, Denver, Colo.

July 25-28, 200� National Nursing Staff Development Organization , ndianapolis, Ind.

Sept. 18-22, 2002� Emergency Nurses Association, New Orleans, La.

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

Coming in the June Issue of Critical Care Nurse

� Assessing Tissue Oxygenation

� Reteplase: Catheter-Directed Thrombolytic Therapy for Peripheral Vascular Occlusions

� Capping Arterial Sheaths in Patients Undergoing Percutaneous Coronary Intervention

� Prone Positioning of Trauma Patients With ARDS and Open Abdominal Incisions

� Telemetry to Home: Successful Discharge of Patients With VADs


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


Looking Ahead

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
http://www.imprintmall.com/criticalcare online or call (800) 822-1923.

May 6 National Nurses Day.

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. Forms can be obtained by calling (800) 394-5995, ext. 307, or via the AACN Web site.


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
http://www.aacn.org.


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.


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 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 or is available from Fax on Demand at (800) 2226-329 (Document #1013).

July 1 Deadline to apply for Medtronics Physio-Control AACN Small Projects Grant. The grants application book can be downloaded from the AACN Web site 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. The grants application book can be downloaded from the AACN Web site or is available from Fax on Demand at (800) 2226-329 (Document #1013)

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