AACN News—October 2002—Association News

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Vol. 19, No. 10, OCTOBER 2009

Membership Campaign Nears 1,000 Mark Top Recruiters Receive Valuable Rewards

From one coast to the other and at points in between, AACN�s Critical Links membership recruitment campaign continues to pick up steam. In fact, a total of 301 new members were recruited during August, bringing the total since the campaign began May 1 to 922 new members.

Recruitment is being carried on by both individuals and chapters, all eligible for valuable rewards. And, just four months into the campaign, the competition is mounting.
Kathleen M. Richuso, RN, MSN, of Chapel Hill, N.C., soared into the lead in August by recruiting 10 more new members, bringing her cumulative total to 20. Close behind were Caroline Axt, RN, MS, of Oakland, Calif., and Beverly C. Maloney, RN, CNS, MSN, AA, of Bay Village, Ohio. Axt came out of the chute in August with her 16 new members. Maloney�s 15 new members led the campaign from the previous month.

Victoria L. Robinson, RN, BSN, CCRN, of Tyler, Texas, and Kathryn A. Steinke, RNC, MS, of Moorhead, Minn., both jumped into the campaign in August to add 13 new members each to the roster, and Elaine B. Boseman, RNC, CCRN, CLNC, of Williamsburg, Va., added 12.

Chapters were also jockeying for position, though the Greater Miami Area Chapter continued to lead the pack with 25 new members recruited. The Peninsula Chapter in the Williamsburg, Va., area and the Triangle Chapter in the Durham, N.C., area both added substantial numbers to their recruitment coffers to move ahead of the Lake Erie Chapter in the Cleveland, Ohio, area. The Peninsula Chapter had recruited a total of

20 new members as of August; the Triangle Chapter had recruited a total of 19; and the Lake Erie Chapter had recruited a total of 18. Among the other chapters that had moved into high gear was the Greater East Texas Chapter, which recruited 13 new members in August.

The individual recruiting the most new members by the time the campaign ends April 30 will receive a $500 American Express gift certificate. The chapters reporting the largest increase in membership numbers or the largest percentage increase will receive a $250 gift certificate toward the purchase of AACN resources.

Following are some of the other rewards that await Critical Links member recruiters:

Individual Rewards
All individual campaign participants receive an AACN pocket reference when

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

The individual winner in the monthly drawing for August was Sharon McSorley, RN, BSN.

All the recruiters need to do is make certain that their name and AACN member number are included on the new members� application forms.
In addition to the $500 American Express gift certificate, the top individual recruiter is eligible for the first-, second- and third-place prize drawings for (1st prize) round-trip tickets for two to anywhere in the continental U.S., including a five-day, four-night hotel stay; (2nd prize) round-trip tickets for two to anywhere in the continental U.S.; and (3rd prize) four-day, three-night hotel accommodations at a Marriott Hotel.

Chapter Rewards
In addition to the $250 gift certificate, 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.

The North Central Florida Chapter won the complimentary NTI 2003 registration in the drawing for August.

Who Recruited New Members During August?

Following are the individuals who recruited new AACN members during August in AACN�s Critical Links campaign:
Caroline Axt, RN, MS
M. Connie Barden, RN, MSN, CCRN, CCNS
Lydia C. Bautista, RN, BSN, CCRN
Michael F. Beshel, RN, BSN, CCRN, CEN
Philicia J. Bianco, RN
Elaine B. Boseman, RN-C, CCRN, CLNC
Shirley A. Bratrud, RN, MSN, EdD, CCRN
Marylee R. Bressie, RN, CNS, MSN,
Frances E. Brown, RN, MSNc, CCRN
Rheta S. Campbell, RN, BSN, CCRN
Daniel Carman, RN, ADN, CCRN
Jesus M. Casida, RN, CNS, MS, CCRN
L. Renea Dellinger, RN, ADN, AA
Karen A. Doran, RN, MSN, CCNS
Linda S. Dune, RN, MSN, PhD, CCRN, CEN
Margaret M. Ecklund, RN, MS, CCRN, CS, APRN
Marie A. Eidam, RN, MS
Vincent Roberto J. Encarnacion, RN, BSN
Kevin R. George, RN, BSN, MBA, CCRN, CEN
Lisa Gingerich, RN, BSN, BS
Lissa Anne Harrison, RN, MSN, BA, CCRN
Eileen Hellwig Stoll, RN, MSN, CCRN
Joni S. Herman, RN
Carol M. Hinkle, RN, MSN, BA, CCRN
Rebecca J. Hultgren, RN, BSN
Ginnie Ingram, RN
John H. Jeffries, RN, BSN, CCRN
Louisa K. Kamatuka, RN, MSN, CCRN, CS
Kathy J. Keefover, RN, DNS
Beryl E. Keegan, RN, BSN, CCRN
Elaine Corbett Killough, RN, MSN, BA, CCRN
Paul T. Ladwig, BSN, EMT-P
Mary A. Lake, RN, BSN, CCRN
Eunice F. Lasala, RN, MS, MSN, CCRN
Geneva D. Llewellyn, RN, CNS, MSN, CCRN
Julia A. MacMillan, RN, BSN
Lyndy May Malaluan, RN, BS, BSN, CCRN
Jason A. Martin, RN, CCRN
Elaine D. Mayo, RN, MSN
Julie A. McCorkle, RN, BSN, MS, ACNP
Paz Z. McDonald, RN, ADN, AA, CCRN
Sharon McSorley, RN, BSN
Marla A. Meaux, RN, CCRN
Sandra Mejia, RN
Alice B. Moulton, RN
Bettina S. Moxley, RN, BS, BSN, CCRN
Paulita D. Narag, RN, ADN, CCRN
Amy S. Nash, RN, BSN, CCRN
Wendi Nopper, RN
Mariben L. Obispo, RN, ADN
Ann M. Peterson, RN, MS, CCRN
Myra K. Porthouse, RN, ADN, CCRN, TNS
Pete Procci
Carol A. Puz, RN, BSN, CCRN
Victoria A. Ramik, RN, MS, CCRN, CS, APRN
Jennifer L. Randolph
Celeste B. Richards, RN, MS, CCRN
Kathleen M. Richuso, RN, MSN
Margaret Riley, RN, BSN, CCRN
Susan M. Roberti, RN
Victoria L. Robinson, RN, BSN, CCRN
Kelly K. Rooker, RN, ADN, CCRN
Donna B. Sabash, RN, BSN, CCRN
Marlene A. Schoettle, RN, MSN, CCRN
Quanda M. Singleton, RN, ADN, BSN
Gregory L. Smith, RN, ADN, AA, CCRN
Lynn Smith Schnautz, RN, MSN, CCRN, CCNS
Janis Smith-Love, RN, MSN, CCRN, ACNP,
Nan Spawr-Seaton, RN, BSN, CCRN
Kathryn A. Steinke, RNC, MS
Michelle Stelzig, RN, BSN, BS
Mary Stephens, RN, MSN, CS
Theresa Stevens, RN, MS, CCRN, CCNS
Mary C. Stewart, RN, BSN, MBA, MHA, CCRN
Doris J. Strother, RN, MSN, CRNP
Nancy Tankel, RN, MN
Patricia M. Tanzi, RN
Lydia B. Tesoro, RN
Patricia M. Tgibedes, RN, MSN, CCRN
Renee Twibell, RN, DSN
Linda J. Vivian, RN, BS, BSN
Sandra J. Wakai, RN, BSN, CCRN
Naomi R. Watson, RN, BSN, CCRN
Cynthia M. Williamson, RN, ADN, CCRN
Elizabeth A. Willis, RN, CCRN
Georgeanna L. Wilson, RN, BSN, CCRN
Margaret S. Wood, RN, MS, CCRN, CCNS
Mary Jane Zellinger, RN, MN, MS, CCRN, NP
Pam Zinnecker, RN, CCRN

Who Is Leading the Campaign?

Following are the individuals who have recruited five or more new members since the campaign began May 1:
15-20 New Members
Kathleen M. Richuso, RN, MSN 20
Caroline Axt, RN, MS 16
Beverly C. Maloney, RN, CNS, MSN, AA 15

10-15 New Members
Cynthia A. Phelps, RN, BSN, CCRN 13
Victoria L. Robinson, RN, BSN, CCRN 13
Kathryn A. Steinke, RNC, MS 13
Elaine B. Boseman, RNC, CCRN, CLNC 12
Paulita D. Narag, RN, ADN, CCRN 12
Diane M. Casperson, RN, BSN, CCRN 12
Pam Zinnecker, RN, CCRN 11
Lauretta M. Joseph, RN, MSN, CCRN, NP 11
Donna B. Sabash, RN, BSN, CCRN 11
Yvonne Thelwell, RN 11
Michael F. Beshel, RN, BSN, CCRN, CEN 10
5-10 New Members
Anne M. Klahre, RN, BS, BSN 9
Nancy D. King, RN, MSN, CCRN, ANP, NP 8
Susan M. Roberti, RN 8
Sharon McSorley, RN, BSN 8
Pauline J. McNeece, RN, MSN, CCRN 7
Joni S. Herman, RN 7
Erin Irene Hutchison, RN 7
Carol M. Hinkle, RN, MSN, BA, CCRN 6
Theresa Stevens, RN, MS, CCRN, CCNS 6
Denise Marie Buonocore, RN, MSN, CCRN , CS,

Dorothea S. Murphy, RN, CCRN, CNRN 6
Lindsey Shank, RN, BSN, CCRN 6
Patricia E. Casey, RN, MSN, MS 5
Geneva D. Llewellyn, RN, CNS, MSN, CCRN 5
Jacqueline J. Johnson, RN, MA 5
Joan F. Baker, RN, MSN, CCRN, CNRN 5
Lynn Smith Schnautz, RN, MSN, CCRN, CCNS 5
Sandra Mejia, RN 5
Wendi Nopper, RN 5

Which Chapters Have Recruited New Members?

Following are the cumulative totals for chapters that have recruited new AACN members since the Critical Links campaign began May 1:
Greater Miami Area Chapter 25
Peninsula Chapter 20
Triangle Chapter 19
Lake Erie Chapter 18
Greater East Texas Chapter 15
Brooklyn Chapter 11
Montana Big Sky Chapter 11
Greater Birmingham Chapter 10
Atlanta Area Chapter 9
Southeastern Pennsylvania Chapter 9
Broward County Chapter 7
Greater Washington Area Chapter 7
Central Pennsylvania Chapter 6
Greater Evansville Chapter 6
Mobile Bay Area Chapter 6
Southern Maine Chapter 6
Northwest Georgia Chapter 5
Rochester Chapter 5
Tennessee Valley Chapter 5
Heart of the Piedmont Chapter 2
South Central Connecticut Chapter 2
Chesapeake Bay Chapter 1
Denver Chapter 1
Dallas County Chapter 1
Emerald Coast Chapter 1
Greater Birmingham Chapter 1
Indiana Hoosier South Central Chapter 1
Jacksonville Chapter 1
Lake Superior Chapter 1
Los Angeles Chapter 1
North Central Florida Chapter 1
Piedmont Carolinas Chapter 1
San Antonio Chapter 1
San Francisco Chapter 1
Southeast Missouri Chapter 1
Three Rivers Chapter 1
West Michigan Chapter 1
West Texas Chapter 1
White River Chapter 1

Influence Practice Through Self-Awareness

Practical Approach Uses 4-Step Process

By Stephanie Calcasola, RN, MSN
Leadership Development Work Group

After identifying dialogue, navigating change, managing conflict and self-awareness as the skills nurses need to influence and lead clinical practice, the Leadership Development Work Group wanted to offer practical methods for incorporating these skills into practice.

This article uses a case study involving family presence during resuscitation to illustrate how integrating self-awareness as a foundational skill for clinical decision making can help put the needs of critically ill patients and families first.

Ultimately, becoming more self-aware supports your patient advocacy role. It also provides you the opportunity to reflect and begin to understand differing or opposing views. As a result, not only your nursing practice will grow, but so will you.

The Scenario
You are caring for an 80-year-old man who, a few hours after aortic valve replacement surgery, becomes unstable. The surgeon is with you at the bedside. You receive a call from the unit secretary that the patient�s spouse is waiting and wants to see him. This is the second time she has called within the last half hour. You have been working in critical care for about a year, but have not had an experience with families being present when a patient is �crashing.� Although you have read about the intervention and support it, you feel nervous and anxious. The surgeon responds to your suggestion that the spouse be allowed to enter by saying, �Absolutely not! The patient is the important one here.� You know that your approach to families in crisis is generally calming. What do you do? Here�s how the four-step process would work:

Step 1: Evaluate Your Feelings
You realize you are nervous and anxious about having the spouse in the room. You are also aware that the patient is not doing well and is rapidly becoming more unstable. You believe the patient may not recover from this insult. You realize the patient may die without the opportunity to see his spouse again.

Step 2: Seek and Interpret Feedback From Others
The surgeon is definitely opposed to having any family in the room. The patient�s spouse is demanding to see her husband. You have received feedback in the past that your style is calming to families in distress.

Step 3: Incorporate the Information Into a Decision
You recognize that you are uncomfortable with the spouse in the room and that, though the surgeon is adamantly opposed to the idea, the wife is insistent on seeing her husband. You decide to invite the wife into the room. Aware of the conflict with the surgeon, you decide you can work it out afterward. You tell the surgeon that you are letting the wife in and that you have the situation under control. At least you hope you will.

Step 4: Evaluate the Outcome
The wife was with the patient when he died. You were able to help her say �good-bye.� A few weeks later, the wife sent a note to your nurse manager to thank the team for doing everything possible to save her husband. Her note was a validation that you had done the right thing for this patient and family. As you evaluate the outcome of your decision, you realize that having family in the room with a crashing patient will never be easy or routine. You also recognize that feeling anxious and nervous about a new situation is common. Regardless of how experienced you are, you are bound to face new or stressful situations that require immediate self-assessment and action.

Self-awareness is a dynamic process. By challenging yourself to continually evaluate who you are, how you feel and how others feel will ultimately positively influence you personally and professionally.

How to Become More Self-Aware

Becoming more self-aware is a four-step process that models the nursing process of assessing, collecting data, and formulating, implementing and evaluating a plan. As part of the evolution of self-discovery, self-awareness is a lifelong journey that has no end points.

Step 1 Come to terms with how you feel regarding a situation or problem. This is your self-evaluation. Once you understand your point of view, which is influenced by emotions, values
and experiences, you can move on to step 2.

Step 2 Seek and interpret feedback from others. Learning how to receive input and exposing yourself to evaluation by others can be uncomfortable. The process involves being open to
, suggestions and understanding differing points of view. During this stage, take a deep breath, relax and realize that in the end your clinical practice will be positively influenced.

Step 3 Incorporate information from your self-evaluation and the feedback of others. Informed decision making can be attained at this stage. Recognize that getting everyone to agree on a
decision or result is not the intended goal. Even if consensus is not achieved, you will gain an appreciation for differing points of view, a crucial step in the process of learning how
to be more self-aware.

Step 4 Evaluate. Evaluation will lead you back to Step 1 and self-assessment. Evaluation should be a continuous process because how you influence practice today may not be how you
, influence practice in the future. As you become more self-aware, your practice will change to reflect your growth on the learning continuum of self-awareness.

Sepsis Education Program Now Available: Eli Lilly Grant Underwrites Purchase Fee for CD-ROM

Identification and Management of the Patient with Severe Sepsis,� AACN�s national sepsis education program for nurses, is now available in a self-paced CD-ROM format. Funded by an unrestricted educational grant from Eli Lilly and Company, this program is sponsored by AACN and is accredited for 5.0 contact hours of CE credit for single users.

Narrated by clinical expert Barbara McLean, RN, MN, CCRN, CCNS-NP, FCCM, the new program offers clinicians a comprehensive view of the latest information on the diagnosis and care of patients with severe sepsis.

The 170-page, audio/slide CD-ROM study guide includes: pathophysiology of severe sepsis; identification of acute organ system dysfunction; antibiotics, source control and monitoring in severe sepsis including investigational and new approved therapies; hemodynamic, ventilatory, renal and other aspects of care; and nursing care of patients with severe sepsis. Case studies are also included in the presentation.

To order this cutting-edge learning program for only the $7.50 shipping and handling fee, call (800) 899-2226 and request Item #004060. Quantities are limited.

Core Curriculum Instructor�s Manual Is a Valuable Tool

The Instructor�s Resource Manual for the AACN Core Curriculum for Critical Care, 5th edition, is now available through AACN.

Written by JoAnn Grif Alspach, RN, MSN, EdD, FAAN, this valuable teaching tool offers a comprehensive overview of critical care nursing. It can be used in a variety of ways, including for orientation, ongoing training, specialized courses and CCRN exam review. The comprehensive package includes the teaching manual, handouts, LectureView CD-ROM and slides or transparencies.

To order, call (800) 899-2226 or visit the AACN online Bookstore at http://www.aacn.org > Bookstore. Order Item #128805 for the slide package or item #128815 for the transparency package. The price for either package is $805 ($850 for nonmembers).

In the Circle: Award Recognizes Excellence in Education

The following are excerpts from exemplars submitted in connection with the 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. The recipients were provided complimentary registration, airfare and hotel accommodations for NTI 2002

Jenny Hamner, RN, DSN, CCRN
Roanoke, Ala.
Auburn University School of Nursing

As an academic discipline and practice profession, nursing is concerned with all of the variables that influence human health. As a nurse educator, I believe my greatest responsibility is to provide students with classroom and clinical opportunities that promote creativity, critical thinking and independent decision making.

One of the most challenging experiences of my 16-year career has been serving as a course leader of a required, senior-level critical care nursing course, where students apply advanced critical care concepts to the care of individuals experiencing complex multisystem health alterations. Recognizing the anxiety that caring for this patient population can cause, I structure the course to encourage students to master these concepts through the use of interactive video programs and case studies.

I have also had the opportunity to engage in research as a nurse educator. Centering my research program on critical care nursing has enhanced my knowledge base and my ability to teach content related to this specialty area.

I am certain that my role as an educator helps prepare nurses who are competent, compassionate healthcare professionals. About a year after her graduation, one student sent me a note. It read, �Thank you so much for all you taught me. Your critical care course was difficult, but I was inspired to do my best because I saw you gave yours. I am now practicing in critical care and think of you often. I believe I am making the world a better place, one patient at a time.�

Jenny Sandoval, RN, MSN, PhD
Greensboro, N.C.
University of North Carolina at Greensboro

A new graduate said, �Jenny is truly an educator. Not only does she teach her students nursing concepts, she ensures they master the concept and can apply it in practice. She does a terrific job of bringing the real world and the classroom together with case studies, concept maps, speakers and group discussions, as well as the traditional lecture. For example, when learning about caring for patients on ventilators, she handed out straws for us to 'breathe' through during a portion of the class. The concept? Breathing through a straw was not easy for a healthy student who understood why they were being ventilated; imagine how difficult it is for the critically ill patient. Not only do these methods creatively reinforce the concepts, they take into account students' different learning styles.�

As an educator, I hope to bring to my students, whether they are interested in critical care or not, the idea that all opinions are of value and if, as nurses, we can't see the value in someone else's ideas, we just aren't looking deeply enough. I see this as my main professional role.

When a student says, �Jenny Sandoval is the reason I am in critical care right now. She had faith in me and gave me faith in myself.� I know that nursing has brought out the best in me.

Deanna L. Reising, RN, PhD, CS
Bloomington, Ind.
Indiana University School of Nursing
The patient was admitted to the cardiovascular unit after sustaining a devastating head injury from a fall off a lawn mower. He was not the type of patient my nursing student, David, expected in the cardiovascular unit. But he was the type of patient with whom David was familiar, because he had been an intern in the emergency department the past two years. Although he intended to work there after graduation, he wanted to know what happened to patients after they left the emergency department.

David told me that the family was concerned about the patient�s breathing pattern and comfort. Although he understood that the pattern was of an agonal nature and part of the natural course of dying, he also knew intervention was needed. He promptly prepared and administered the morphine.

In the early afternoon, the patient died with his family, his nurse and his nursing student at the bedside. David had already demonstrated the ability to shift focus from maintaining vital life functions and controlling intracranial pressure to comfort measures for the dying patient and the family. The central linking concept that was needed to explore the issue was morphine. We explored how morphine affects the physiology of an acute head injury and how it also has the ability to suppress sympathetic output that is beneficial in subduing some of the jerky body movements and easing respiratory efforts in the patient (and discomfort in family members).

Although we could not convert David from an emergency department nurse to a critical care nurse, we probably did better than that. By providing David with this educational opportunity, he became a valuable, informal liaison between the emergency department and the critical care units.

In the Circle: Award Cites Outstanding Nursing Student

Following are excerpts from the exemplary submitted in connection with the 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.

Paul Ladwig, RN, BSN, EMT-P
Livermore, Calif.
California State University, Hayward

Paul Ladwig has been a model nursing student since he entered into the baccalaureate program at California State University, Hayward. After his first year in nursing school, he became president of the Hayward Student Nursing Association. He was instrumental in initiating many new programs and revamping some of the existing ones.

One program that Paul established was an auction to help raise money to assist nursing students in the program and defer various costs for students with financial need. He also began making changes in the operation of the university skills lab. Many of his classmates had questioned the fact that the skills were not being demonstrated in the lab and had expressed that they felt the videos available to demonstrate the skills were outdated. In response, Paul set into motion a plan for current nursing students to film the skills and demonstrate them as part of the school�s grading criteria.

In addition to his creativity and problem-solving abilities, Paul is constantly trying to increase his classmates' awareness of the profession of nursing and some of the various specialties available for them. Paul invited nurses from various specialties to speak at the monthly HSNA meetings about their fields and experiences.

Although Paul�s term as HSNA president ended in May 2001, he remained active in the welfare of his classmates by teaching and arranging ACLS, PALS and NALS classes for them. In addition, he helped his classmates prepare for these certifications by preparing and teaching a two-and-a-half hour ECG class.

Scholarships Advance Educational Opportunities

Congratulations to the recipients of AACN BSN Completion and Graduate Completion Educational Advancement Scholarships for 2002-03. These scholarships of $1,500 per academic year are financed by contributions to the AACN Scholarship Endowment Fund, which assists nurses in pursuing education in the practice of critical care.

In addition, AACN supports scholarships awarded through the National Student Nurses Association to beginning nursing students.

For more information about or to obtain an application for an Educational Advancement Scholarship, call (800) 899-AACN (2226), or visit the AACN Web site athttp://www.aacn.org. Applications are also available from Fax on Demand at (800) 222-6329. Request Document #1017.

Graduate Completion

Applicants for the Graduate Completion Scholarship must be currently enrolled in a planned course that leads to a master�s or doctoral degree in nursing. Following are the recipients of this scholarship for 2002-03 and the institutions they are attending:
Karen J. Ayers, RN, BSN, CCRN, Eureka, Calif., University of California, San Francisco
Wendy Johnson Baker, RN, Greenville. N.C., East Carolina University
Michele C. Balas, RN, MSN, BA, CCRN, NP, Hamilton, N.J., University of Pennsylvania, School of Nursing
John Bass, RN, MSN, FNP, Fort Lauderdale, Fla., Florida International University
Michele Belushko, RN, BSN, Goffstown, N.H., University of New England
Christine A. Boev, RN, Macon, Ga., Georgia College & State University
Kristina G. Bowen, RN, Inman, S.C., University of South Carolina
Suzanne M. Brungs, RN, BSN, CCRN, Cincinnati, Ohio, Xavier University,
Diana M. Canady, RN, BSN, CCRN, Fairmont, N.C., Duke University School of Nursing
Emily A. Cantor, RN, Washington, D.C., Georgetown University, School of Nursing
Judy A. Carrico, RN, BSN, CCRN, Owensboro. Ky., University of Southern Indiana
Laurie K. Carson, RN, BSN, AA, San Clemente, Calif., Azusa Pacific University
Kathy J. Cleveland, RN, BS, BSN, CCRN, Pacifica, Calif., California State University, Dominguez Hills
Cheryl E. Cummings, RN, BSN, CCRN, Gastonia, N.C., University of North Carolina, Charlotte & Carolinas Healthcare
Claire H. Curran, RN, BSN, CCRN, EMT, Chapel Hill, N.C., University of North Carolina, Greensboro
Melinda L. Darrigo, RN, BSN, CCRN, Leominster, Mass., University of Massachusetts, Worcester Graduate School of Nursing
Janice J. Dykstra, RN, BSN, Minooka, Ill., Governor�s State University
Shaun Evans, RN, BSN, CCRN, San Dimas, Calif., California State University, Fullerton
Cynthia R. Fowler, RN, BSN, BS, CNA, Riverside, Calif., University of Phoenix
Charlene Friedrich, RN, CCRN, Scottsdale, Ariz., University of Phoenix
Miladys A. Friesen, RN, ADN, CCRN, Plano, Texas, Texas Woman�s University
Betsy M. Gaffney, RN, BS, BSN, CCRN, Trucksville, Pa., College Misericordia
Kathie A. Galias, RN, BSN, Cary, Ill., University of St Francis, St Joseph College of Nursing
Nicole R. Gendron-Trainer, RN, BSN, CCRN, Ashburn, Va., Marymount University
Karen K. Giuliano, RN, MSN, CCRN, Atkinson, N.H., Boston College
Katherine A. Green, RN, BSN, Berlin, Md., Wilmington College, Georgetown Campus
Donna M. Greene, RN, BSN, CCRN, Hyde Park, Mass., Northeastern University
Lenee M. Greer, RN, BSN, CCRN, Fairview, Tenn., Middle Tennessee School of Anesthesia
Margo Anne Halm, RN, MA, CCRN, CS, St. Paul, Minn., University of Minnesota
Jill A. Hancock, RN, BSN, Lawrenceville, Ga., Georgetown University
Marygrace C. Hernandez, Carrollton, Texas, University of Texas at Austin
Mary P. Hicks, RN, BSN, CCRN, Harrison Township, Mich., Wayne State University
Tracy A. Hines, RN, MSN, CCRN, FNP, Abilene, Texas, University of Texas Health Science Center
Brenda J. Hoffner, RN, CCRN, Traverse City, Mich., Grand Valley State University
Connie M. Jaenicke, RN, Burnsville, Minn., Winona State University
Jennifer M. Jagiela, RN, BSN, Brisbane, Calif., University of California, San Francisco
Jennifer Kawi, RN, BS, BSN, CCRN, Henderson, Nev., University of Nevada, Las Vegas
Margarite H. Kirk, RN, BSN, CCRN, Falcon, N.C., University of Phoenix
Kathleen A. Kunis, RN, AS, BA, CCRN, Petaluma, Calif., University of California, San Francisco
Nancy Kwan, RN, BSN, Sugar Land, Texas, University of Texas, Houston Health Science Center
Susan Lysaght, RN, BSN, CCRN, Brighton, Mass., Boston College
Beth McLellan, RN, BSN, Tecumseh, Ontario, University of Windsor
Kathryn Marie Millen, RN, BSN, CCRN, W. Yarmouth, Mass., Northeastern University
Melissa Mruzik, RN, BSN, Dearborn, Mich., University of Michigan
Sheylyn Padilla, RN, Grand Forks, N.D., University of North Dakota
Loan M. Pham, RN, San Francisco, Calif., University of California, San Francisco
Leah Press, RN, BSN, CCRN, Philadelphia, Pa., Pennsylvania Hospital, Temple University
Wende Prince, RN, Orem, Utah, University of Utah
Regina P. Robinson, RN, Chicago, Ill., DePaul University
Ruthie L. Robinson, RN, MSN, CCRN, CEN, Beaumont, Texas, Texas Woman�s University
Therese M. Russell, RN, BSN, BA, CCRN, Washington, D.C., University of Maryland at Baltimore
Nancy C. Shaffer, RN, BS, Sebastopol, Calif., University of California, San Francisco
Pamela R. Sircar, Colton, Calif., Azusa Pacific University
Delbert J. Slowik, RN, BSN, Milwaukee, Wisc., University of Wisconsin, Milwaukee
Patricia A. Soriano, RN, MSN, CCRN, Lagrangeville, N.Y., Western Connecticut State University
Melody M. Stenrose, RN, BSN, AA, CCRN, Fremont, Calif., University of Phoenix
Melissa A.L. Thorson, RN, BSN, CCRN, Saint Louis Park, Minn., University of Minnesota
Emily Timmreck, Charlottesville, Va., University of Virginia, School of Nursing
Darlene M. Tomlinson, RN, BSN, CCRN, Brooklyn, N.Y., New York University
Sylvia A. Valeriano, RN, Buena Park, Calif., UCLA School of Nursing
Brian B. Walker, RN, BSN, CCRN, Beaumont, Texas, Texas Wesleyan University
Brenda Gail Wallis, RN, MSN, CCRN, Longview, Texas, University of North Carolina-Greensboro
Gregory S. Wallis, RN, ADN, CCRN, Longview Texas, University of North Carolina, Greensboro
Gina M. Webb, RN, BSN, Granger, Ind., University of Tennessee, Memphis
Sheryll A. Weidman, RN, ADN, CCRN, Brownsburg, Ind., Ball State University
Rhonda B. White, RN, MSN, Fayetteville, N.C., University of Nebraska Medical Center

BSN Completion

Applicants for the BSN Completion Scholarship must have junior or upper division status for the fall semester. The Eli Lilly Company, a member of AACN�s Partners with Industry corporate giving circle, contributed $5,000 to fund and administer three of these scholarships., Following are the recipients of the BSN Completion Educational Advancement Scholarship and the institutions they are attending:

Megan K. Andrew, RN, Northbrook, Ill., Lewis University
Shelley A. Austin, RN, AA, CCRN, Hot Springs National Park, Ark., University of Arkansas
Ruth A. Bossler, RN, Blandon, Pa., Alvernia College
Debra M. Jadick, RN, CCRN, Tunkhannock, Pa., College Misericordia
Ruth A. Lindhagen, RN, ADN, CCRN, Rochester Hills, Mich., Oakland University
Barbara A. Liptak, RN, CCRN, Yukon, Pa., Carlow College
Melanie D. Mobley, RN, ADN, CCRN, Doniphan, Mo., Jacksonville University
Tina R. O�Neal, RN, ADN, Lufkin, Texas, Stephen F. Austin State University
Patricia Ohajazu, RN, Kansas City, Kan., Webster University
Donna M. Proulx, RN, ADN, CCRN, Manchester, N.H., Rivier College
Kathryn N. Ussery, RN, Manassas, Va., University of Phoenix

NSNA Scholarships

AACN supports scholarship opportunities through the National Student Nurses Association for nursing students who do not hold an RN license. Scholarship applications are available from NSNA, 45 Main St., Suite 606, Brooklyn, NY 11201; phone, (718) 210-0705. Following are the recipients of the NSNA Scholarships for 2002-03:

Tara Stegall, Charleston, S.C., Medical University of South Carolina
Heidi Gilroy, Houston, Texas, Texas Woman�s University
Tara Rodgers, Wilmington, N.C., University of North Carolina at Wilmington
Shana Marie Saeger, Minneapolis, Minn., University of Minnesota-Twin Cities
Nicole Bellato, San Diego, Calif., Point Loma Nazarene University
Jeffrey J. Hamilton, New Orleans, La., Louisiana State University
Linda Vaunique Kemacheun, Arkadelphia, Ark., Henderson State University
Anne Kiyomi Nishinaga, Long Beach, Calif., California State University, Long Beach
Adrianne Weathers, Greenwood, S.C., Lander University
Jacquie Davidson, Pleasant Grove, Utah, Brigham Young University,

AACN Member and Chapter Relations Specialist Dennis Maggi (right) was
joined by four of the nursing students who received AACN-sponsored
scholarships through the National Student Nurses Association. They are
(from left) Jeffrey J. Hamilton, Jacquie Davidson, Tara Stegall and Nicole Bellato.
The scholarships were awarded at the NSNA 50th anniversary meeting in
Philadelphia. AACN provided funding for 10 of the scholarships.

Scene and Heard

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

Media Highlights
� On Aug. 6, President-elect Dorrie Fontaine, RN, DNSc, FAAN, was the guest on the Tom Clark morning show on Wisconsin Public Radio. She discussed solutions to the nursing shortage and the recently signed Nurse Reinvestment Act. Callers to the program included many nurses who are concerned about the workplace environment in Wisconsin, especially in regard to mandatory overtime, too few nurses and low salaries. Fontaine emphasized what individuals can do to retain nurses and focused on what AACN provides in terms of education and support for critical care nurses.

� The August issue of RN magazine featured the premiere �President�s Note� column by AACN President Connie Barden, RN, MSN, CCNS, CCRN, as well as information on an AACN Web site link to PDA software and hardware.

� An article headlined �Critical Care Nurses Convene in Record Numbers� appeared in the August issue of the American Journal of Nursing. The article featured some of the events at the 2002 NTI in Atlanta, Ga., including photographs of the 2002 class of the AACN Wyeth Nursing Fellows Program, independent study labs, visiting middle school students and Atlanta chapter members selling T-shirts.

� The St. Louis Post-Dispatch published an article titled �Hospital Care Could Suffer From Labor Shortage� in its Aug. 18 edition. The writer noted that according to AACN, one in seven hospitals has reported RN vacancies greater than 20%.

� In August, Nursing Management featured Part 4 in the progressive care series endorsed exclusively by AACN. The article, titled �An Upstream Approach to Selecting Progressive Care Technology,� was written by Mary A. Stahl, RN, APRN, BC, MSN, CCRN, a clinical nurse specialist at St. Luke�s Hospital, Kansas City, Mo., and an active AACN member. The July issue of the same publication featured a letter from a nurse asking about tools for assessing RN clinical competency. The magazine�s response included the AACN Procedure Manual for Critical Care as a source.

� A letter to the editor by AACN volunteer and chapter leader John Dixon, RN, MSN, was published in the July 8 edition of Newsweek magazine. Dixon wrote that �registered nurses are the only healthcare professionals who stay with hospital patients seven days a week, 24 hours a day � all the technology in the world can�t replace what nurses bring to the patient.�

� The third quarter 2002 issue of Reflections on Nursing Leadership featured an in-depth article about nursing leader Luther Christman, RN, PhD, FAAN. Titled �In a Woman�s World,� the feature celebrated his many innovative accomplishments on behalf of nursing and interviewed him about the nursing shortage. The writer also noted that Christman received the 2002 AACN-Marguerite Rodgers Kinney Award for a Distinguished Career. The same issue also featured an article titled �Knowledge-Driven Care: Powerful Medicine,� which referred to Clarian Health Partners� work with AACN in implementing AACN�s Synergy Model.

Our Voice at the Table
� AACN CEO Wanda Johanson, RN, MN, was among 46 representatives of 23 nursing organizations who met in August in Baltimore for the second gathering of the Nursing Leadership Academy for Palliative and End-of-Life Care. Funded by the Project on Death in America, this program focuses on the development of leadership skills for participants to successfully implement short- and long-term initiatives around palliative and end-of-life care within their professional nursing associations. Each organization formulated an action plan for the upcoming year. Academy mentors support participants throughout the year to accomplish their action plans and manage challenges along the way. As faculty for this program, Johanson facilitated activities related to being a change agent in nursing organizations. She serves as a mentor for five associations that were represented at the first Academy in 2000. A combined meeting of the first and second Academy groups is planned for 2004 to discuss ways to ensure leadership and sustaina bility of palliative and end-of-life care activities within all nursing organizations.

� On Aug. 14, Virginia Schoenfeld, director of Member & Constituent Affairs, and Carol Hartigan, RN, certification director, attended the 24th annual Delegate Assembly of the National Council of State Boards of Nursing in Long Beach, Calif. Among the issues considered by the delegates were a recommendation to develop criteria for selecting countries for potential international administration of the NCLEX examination and progress toward requirements for APRN licensure and authority to practice and the Nurse Licensure Compact for advanced practice registered nurses.

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.

For the Record

Suzette Cardin, RN, DNSc, FAAN, adjunct assistant professor in the graduate nursing administration program at the University of California-Los Angeles School of Nursing, was co-author of an article titled �Realizing Your Marketing Influence�Part 2: Marketing from the Inside Out,� which was published in the June 2002 issue of the Journal of Nursing Administration. Her name was omitted from a reference to the article in the August issue of AACN News. The other author was AACN Marketing Director Dana Woods.

On the Agenda

Following is a report by AACN board member Mary Fran Tracy, RN, PhD, CCNS, CCRN, on discussions and actions that took place during the AACN Board of Directors meeting on Aug. 4 and 5 in Newport Beach, Calif.

Agenda Item: ECCO Project
As part of the Operations Report, the board was updated on AACN�s electronic-based, Essentials of Critical Care Orientation, which was launched later in August. Interest in this program has been high, particularly because of the timeliness and quality of the product. Facilities that beta-tested the program in July reported ease of use and praise for the unique learning and tracking features. The program was also demonstrated to critical care educators attending the National Nursing Staff Development Organization annual conference in July.
The Operations Report approved by the board covers information from all areas, including membership, marketing, strategic alliances and professional practice. The August report also included the final evaluation and performance data from AACN�s National Teaching Institute and Critical Care Exposition in May in Atlanta, Ga.

Agenda Item ICU Survey
The board approved funding for an ICU survey and database that will provide for the ongoing collection of trend data. The first phase will involve quantitative data that are essential in describing key aspects of the critical care environment, including staffing, patient acuity, mandatory overtime and other factors that affect the practice of critical care nursing and optimal care of patients.

The goal is to complete collection of phase-one data early next year. The development of a database is seen as a critical strategy for AACN to be able to amplify its voice when speaking on behalf of members about issues that are important to the practice environment.

Agenda Item: Services Agreement
The board reaffirmed the Memorandum of Understanding and extended the Services Agreement between AACN and AACN Certification Corporation for FY03. These legal documents, along with the by-laws, govern the relationship of the two organizations . In addition to reinforcing the necessary legal separateness , the documents were drawn up to ensure that the missions and values of the two organizations are aligned and to document their operational relationship.

Agenda Item: Labor Unions
Because the leadership of AACN is frequently asked about collective bargaining, the board initiated discussions aimed at gaining a shared understanding and becoming better informed about the issues, concerns and questions members have about labor organizations in nursing. The discussions focused on the history of and current data and statistics related to labor unions, as well as the current environment of nursing. Discussions will continue throughout the year in an effort to determine the role of the association in providing education resources and support for members in managing collective bargaining issues in their work settings.

Agenda Item: New Award
The board approved adding the AACN Value of Certification Award to its Circle of Excellence recognition program, beginning in 2004. The award, sponsored by AACN Certification Corporation, will recognize contributions that support and foster the advancement of certified nursing practice in critical care. Up to three individuals or groups will receive the award annually.

Agenda Item: Finance Report
The board reviewed and approved the preliminary finance report for the fiscal year that ended June 30. The report showed that AACN remains financially healthy and achieved a small operating profit during the past year.

As part of its accountabilities, the board continually monitors the association�s budget and progress toward its strategic and operating plans. The operations and finance reports provide the opportunity to assess the association�s direction and to ensure that current and long-term needs can be financed adequately.

Agenda Item: AACN as the Voice for Critical Care Nurses
As part of an ongoing strategic discussion, the board decided on objectives to help AACN achieve two key strategies to position the association as a bold and effective voice for critical care nursing. Following are the major strategies that were given priority:
� Proactively define strategic platforms and issues on which to take a stand and boldly promote these to influence critical care nursing and the environments in which it is practiced, as well as the care of patients and families.
� Create a comprehensive database of critical care practice by conducting an ongoing survey of the critical care practice and environment.

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:

Oct. 13-16 Nursing Management Congress
Dallas, Texas

Nov. 2-7 American College of Chest Physicians
San Diego, Calif.

Nov. 14-17 National Student Nurses Association
Kansas City, Mo.

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

April 13-16 Nursing 2003
Orlando, Fla.

April 23-27 National Student Nurses Association Phoenix, Ariz.

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

Public Policy Update

The Issues

� Key Healthcare Influencers�100 Most Powerful People In Healthcare
� Bioterrorism Preparedness � AHRQ Announces New Tool for Hospitals
� Health Privacy�HHS Issues Final HIPAA Privacy Rule
� Nurse Licensure Compact�APRN Nurse Licensure Compact Approved
� APN Medicare Reimbursement�MedPAC Report Released
� Nurse Salaries�Nurses Lead Hospital Salary Increases Since 2001
� Medical Errors�Medication Errors Observed in 36 Healthcare Facilities

Key Healthcare Influencers
Background: For the first time, Modern Healthcare magazine has published a ranking of the �100 Most Powerful People In Healthcare.� The list features three nursing officials�Barbara Blakeney, president of the American Nurses Association (No. 34), Mary Foley, immediate past ANA president (No. 54) and Rose Ann DeMoro, executive director of the California Nurses Association (No. 81).

The ranking was based on an online poll of the magazine�s readers. A total of 2,174 ballots were cast, with more than 1,000 individuals receiving votes. Participants, who could vote for up to 10 individuals from a list of more than 160 candidates, were given the opportunity to write in up to five candidates.

According to Editor David Burda, the results reflect two ongoing concerns�revenue and regulation�as well as two issues that have come to the fore this year�quality of care and workforce shortages. The ranking was published in the Aug. 26 issue of the magazine. The list is also available online at www.modernhealthcare.com.

Bioterrorism Preparedness
Background: The Agency for Healthcare Research and Quality has posted a needs survey on its Web site that hospitals can download and use as a checklist for assessing their capacity to handle potential victims of bioterrorist attacks or for evaluating existing emergency plans. AHRQ�s Bioterrorism Emergency Planning and Preparedness Questionnaire for Healthcare Facilities covers a range of topics, including biological weapons training for personnel, procedures to permit rapid recognition of credentialed staff from other facilities, on-call nursing policies and designated areas of emergency overflow for patients. To download the survey and access additional information on disaster and bioterrorism preparedness, visit the AACN Web site at www.aacn.org > Public Policy > Resources and Links. In addition, the AHRQ-sponsored Web site at www.bioterrorism.uab.edu at the University of Alabama�s Center for Disaster Preparedness offers free, online continuing education courses for hospital-based physicians, nurses, rad iologists and other medical personnel.

AACN�s Position: AACN recognizes the important role the association must assume in meeting the needs of our members and critical care nurses nationwide by helping them to obtain up-to-date, comprehensive education on preparing for mass casualties and bioterrorist attacks. AACN is committed to ensuring the role of critical care nurses in national disaster and bioterrorism preparedness. AACN�s �Statement of Commitment on Mass Casualty and Bioterrorism Preparedness,� as well as other actions and resources are available online at http://www.aacn.org

Background: Health and Human Services Secretary Tommy Thompson has issued the final privacy regulation mandated by the Health Insurance Portability Act of 1996. The regulation is designed to provide a national base of privacy protections, though stronger state laws concerning medical record privacy will continue to apply.

Under the privacy rule, hospitals and other healthcare providers are required to obtain patient authorization before releasing personal medical information for �nonroutine� purposes. The rule applies to electronic records, but not those kept on paper.

The rule also requires providers to furnish patients with a written notice of their privacy and confidentiality policies, as well as to receive patient consent before using medical information for marketing purposes. However, a section proposing that consent be written was removed. Most healthcare organizations have until April 14 to comply. The final rule is available online at www.hhs.gov/ocr/hipaa/.

AACN�s Position: AACN has advocated for comprehensive standards to protect the confidentiality of individually identifiable information used to provide healthcare services. We are pleased that the Bush administration has established federal standards that provide nationally uniform confidentiality protections. However, like the American Nurses Association, AACN is concerned that removal of the written consent provision has potential for lessening the protection for patients and cautions that efforts to obtain a written acknowledgement of the receipt of notice should be made to safeguard the rights of patients.

Nurse Licensure Compact
Background: The National Council of State Boards of Nursing has approved a nurse licensure compact for advanced practice registered nurses. Similar to the existing compact for recognition of RN and LPN licenses, the APRN compact offers states the mechanism for mutual recognition of APRN licenses or authority to practice. To be eligible to participate, a state must be either a member of the current state nurse licensure compact for RNs and LPNs or enter into both compacts simultaneously. For more information, visit the NCSBN Web site at http://www.ncsbn.org.

APN Medicare Reimbursement
Background: The Medicare Payment Advisory Commission has published its report to Congress on �Medicare Payment to Advanced Practice Nurses (APNs) and Physician Assistants.�
The report states that, given the design of Medicare�s payment system for physician services, the appropriateness of the current 85% payment differential for nurse practitioners, physician assistants and clinical nurse specialists cannot be assessed and that a payment differential is appropriate if NPs and physicians are producing a different product. Therefore, the commission concludes, further study is necessary before the differential is changed. The report can be read at http://www.medpac.gov.

Nurse Salaries
Background: According to a recent report in Hospitals & Health Networks, hospital compensation packages are up 6.6% over last year. Nurses led the way with an 8.1% increase in base salary. Incumbent hospital CEOs checked in with a 7.5% salary increase. Other executives saw a 6.2% base salary jump and the salaries of hospital department heads rose 5.9%.

According to the statistics, base salary levels are higher than ever. In 1999, base salaries rose 3.8%, in 2000 they jumped 3.6% and the 2001 data revealed a 4.1% hike. All data were gathered and analyzed by the Hay Group, in cooperation with the America Society for Healthcare Human Resources Administration. Additional information is available online at http://www.hhnmag.com.

Medical Errors
Status: According to a study of 36 hospitals accredited by the Joint Commission on Accreditation of Healthcare Organizations, nonaccredited hospitals and skilled nursing facilities in Colorado and Georgia, medication errors are common. Nearly one of every five doses in the typical hospital and skilled nursing facility resulted in an error. The percentage of errors rated potentially harmful was 7%, or more than 40 per day in a typical 300-patient facility. Medication errors were witnessed by observation and verified by a research pharmacist. An expert panel of physicians judged clinical significance.

The study, which was published in the Sept. 9 issue of the Archives of Internal Medicine (Vol. 162 No. 16), also found that the most frequent errors by category were wrong time, omission, wrong dose and unauthorized drug. The study noted that defects in medication administration systems are widespread. The authors concluded that the typical patient was subject to about two errors per day and that the problem of defective medication administration systems, though varied, is widespread. Additional information is available online at archinte.ama-assn.org/issues/ current/abs/ioi10605.html.

Keep Up to Date With Online Legislative Tools

Check out the new State Net database and CapWiz Legislative Action Center, available on the AACN Web site at http://www.aacn.org. To access this new public policy resource, click on AACN Public Policy > Legislative Information > State Net or Legislative Action Center.

State Net allows AACN members to download or view the status and a brief summary of pertinent nursing legislation. The database collects information on actions related to bills in Congress, as well as in all 50 states.

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

Experience ECCO Online: Help Orient Your Novice Nurses

You probably have heard about AACN�s new Internet-based, Essentials of Critical Care Orientation educational program. Now you can get a closer look at how the program works by viewing a demonstration online at http://www.aacn.org.

Designed to provide a strong foundation in the fundamentals of critical care nursing to novice nurses, ECCO consists of modules that present a detailed review of each body system�s anatomy and physiology. Each is accompanied by a description of the normal state for each system and a discussion of the most common disorders that would cause a patient to become critically ill.

Built around sound educational principles, the program provides a variety of opportunities to enrich the experience of learning the concepts presented. The program�s management tools enable the nurse manager or educator to track a student�s progress through each module and to review a variety of module test-score reports.

For more information about this program, call (800) 394-5995, ext. 8870, or e-mail ecco@aacn.org.

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

� Wound Healing Effects of Augmented Postoperative Fluid Protocol in Cardiac Surgery Patients

� Oxidative Stress in Critically Ill Patients

� Cognitive Impairment in Heart Failure: Issues of Measurement and Etiology

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

Looking Ahead

December 2002

Dec. 1 Deadline to apply for the AACN Distinguished Research Lecture Award for 2004. For more information, contact Clinical Practice Associate Dolores Curry at (800) 394-5995,
ext. 377; e-mail,

January 2003

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

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

February 2003

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

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

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

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

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