AACN News—March 2003—Association News

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Vol. 20, No. 3, MARCH 2003

Learning Drives NTI Experience
Early-Bird Deadline Is April 8

With education at the heart of the experience, AACN's National Teaching Institute and Critical Care Exposition provides participants a range of opportunities to learn and earn not only nursing continuing education credits, but also this year pharmacology credits through the Advanced Practice Institute. (See page 6.)

This year's NTI is scheduled for May 17 through 22 in San Antonio, Texas. The discounted early-bird deadline to register is April 8.

Whether you are a bedside nurse, a manager, a nurse practitioner, a clinical nurse specialist, an administrator or a nurse educator, you will find plenty of ways at the NTI to expand your knowledge of current practice, examine issues and trends that impact care delivery, refine your clinical judgment and critical thinking skills, and develop your professional network of colleagues.

Not only are the topics varied and tailored to individual needs and interests, but unique settings are available to suit individual learning styles. In addition to sessions geared to adult critical care, advanced practice, and pediatric/neonatal and progressive care nurses, participants can pursue study independently. Preconferences and sunrise and sunset breakout sessions, as well as interactive roundtable discussions and Exhibit CE sessions, also accommodate a range of interests.

Typically, NTI participants earn between 25 and 30 nursing CE credits. However, up to 80 contact hours are available to those who avail themselves of all educational opportunities, including exhibit/CE and independent study.

For additional information about or to register for NTI 2003, call (800) 899-2226 or visit the NTI Web site.

Toxic Work Environments Impede Care
AACN Submits Testimony to IOM Committee

Stressing that a toxic work environment can be a lethal obstacle to providing optimal care for critically ill patients and their families, AACN submitted written testimony in January to the Institute of Medicine's Committee on Work Environment for Nurses and Patient Safety.

Optimal care for critically ill patients and their families requires not only sufficient numbers of expert clinicians but also a work environment that is safe, healing, humane and respectful of the rights, responsibilities, needs and contributions of everyone involved, AACN wrote to the interdisciplinary committee.

"Today's nurses are confronted with the challenge of providing a safe environment where patients can trust caregivers who attempt to deliver care despite a multitude of interfering forces that include personnel shortages, increased work hours, new therapies and technology, reimbursement structures and the ever-changing transformation of systems and processes."

However, although AACN agrees that deficient systems and processes must be corrected, it reminded the committee that solutions are developed and implemented by people who are "often held hostage by the complexity of human relationships."

"Whether nurse to nurse, experienced nurse to new nurse, physician to nurse or even when a nurse isn't involved, the disrespectful and noncollaborative behaviors which make the workplace toxic create negative, even unsafe, conditions. Their negative impact on job satisfaction and morale directly and adversely jeopardize patient outcomes."

AACN pointed to the irony that an organization assumes no financial burden when it chooses to foster healthy work environments. "A zero tolerance environment characterized by mutual respect and collaboration will save untold millions in direct and indirect expense," the testimony affirmed. "It is a question of establishing an organizational and personal commitment anchored in the inherent and unarguable values of quality healthcare."

Highlighting how AACN already supports the committee's charge of bringing forward potential improvements in healthcare working conditions, AACN pledged continued leadership in creating cultures of safety that benefit both critically ill patients and their caregivers.

Following is some of the other information that AACN shared with the committee:
• The AACN Synergy Model for Patient Care, which matches a patient's needs with a caregiver's competencies, provides a practical organizational framework that leaders can use to organize the work and create an environment of safety. It is being adopted by hospitals across the country, including Indianapolis-based Clarian Health Partners where AACN is collaborating on a demonstration implementation project, as a framework for care delivery and professional advancement.
• AACN has been a leader in the development of practice standards and guidelines for acute and critical care nursing practice. AACN also has produced seven evidence-based practice protocol series, which help establish consistency of performance expectations across multiple individuals and organizations.
• AACN recognizes not only that the components of staffing a clinical area are intertwined and complex, but also that consistent, easily accessible core nursing knowledge is needed to care for critically ill patients and their families. Among AACN's resources to assist in addressing these issues are the Staffing Blueprint: Constructing Your Staffing Solutions and ECCO, the Internet-based Essentials of Critical Care Orientation program for novice nurses.
• CCRN and CCNS certification, provided by AACN Certification Corporation for critical care staff nurses and advanced practice nurses, is the gold standard in specialty certification, satisfying IOM's concerns about the divergent re-licensure requirements that exist among state boards of nursing. The AACN white paper on the value of certification titled "Safeguarding the Patient and the Profession" accompanied the written testimony.
• The testimony highlights two nurse-led pilot projects that seek to develop a culture of safety across healthcare systems. At Stanford Hospital & Clinics, AACN member Debra Gerardi, RN, JD, MPH, a mediation consultant, is reframing the patient safety program from a non-punitive, mediation-based perspective. At Clarian Health Partners, risk manager Kathy Rapala, RN, JD, and chief nursing officer Karlene Kerfoot, RN, PhD, CNAA, FAAN, are piloting an innovative program designating an experienced practicing clinician as "safe passage nurse" for each patient care area.

Your Voice Is Essential in Choosing Future AACN Leaders

Cast Your Vote in AACN Election

Candidates for the FY04 AACN Board of Directors and AACN Nominating Committee have been announced and ballots mailed to AACN members, along with additional information about the candidates. If you have not received a ballot, call Donna Anderson at (800) 394-5995, ext. 331.

Members can return the paper ballot or vote online at www.aacn.org > Election. However, to use the online voting process, you will need your AACN membership number and your election validation number, both of which are printed on the paper ballot you receive. Returned ballots must be received and online voting completed by midnight (EDT) on April 20. Only regular AACN members are eligible to vote. All terms begin July 1, 2003.

The president-elect will serve a one-year term before assuming the presidency July 1, 2004. The three-year terms of the directors run through June 30, 2006. The Nominating Committee members serve one year, through June 30, 2004.

Following are the 2003-04 candidates for the AACN Board of Directors and the AACN Nominating Committee:

AACN Board of Directors

1-Year Term
Kathleen McCauley, RN, PhD, CS, FAAN
Philadelphia, Pa.

3-Year Term (4 Positions Open)

Caryl Goodyear-Bruch, RN, MSN, CCRN
Independence, Mo.

John Dixon, RN, MSN
Dallas, Texas

Nancy Blake, RN, MN, CCRN, CNAA
Valencia, Calif.

Karen Stutzer-Treimel, RN, MS, CCRN
Pequannock, N.J.

Mary Holtschneider, RN, BSN, MPA
Durham, N.C.

Victoria Boyce, RN, MSN
Grosse Point, Mich.

When the newly elected members of the AACN Board of Directors take office July 1, 2003, they will join incoming President Dorrie Fontaine, RN, DNSc, FAAN, and returning directors Suzanne M. Burns, RN, MSN, RRT, ACNP, FAAN, FCCM, Dave Hanson, RN, BSN, CCRN, EMT-P, Janie Heath, RN, MS, CS, CCRN, ANP, ACNP, Deborah B. Laughon, RN, BSN, MS, DBA, CCRN, Carol Ann Puz, RN, BSN, CCRN, Mary Fran Tracy, RN, PhD, CCRN, and Susan Yeager, RN, MS, CCRN, ACNP.

Completing their terms on the AACN Board of Directors are President Connie Barden, RN, MSN, CCNS, CCRN, and Directors Debbie Brinker, RN, MSN, CCNS, CCRN, Bertie Chuong, RN, MS, CCRN, and Rebecca E. Long, RN, MS, CCRN, CNS.

AACN Nominating Committee
1-Year Term (3 Positions Open)

Stephanie Calcasola, RN, MSN
Somers, Conn.

Julie Miller, RN, BSN, CCRN
Whitehouse, Texas

Carolyn Diane Byrum, RN, MSN, CCRN
Denver, N.C.

Janice Wojcik, RN, MS, CCRN, CS, APH
Hackensack, N.J.

John Whitcomb, RN, MSN, CCRN
Chula Vista, Calif.

Participating in AACN Election Is One Way to Make Your Voice Heard

Members of the AACN Nominating Committee for 2002-03
were (from left) Janet Mulroy, Carol A. Puz, Elizabeth Nolan,
Roberta Kaplow, Celeste B. Smith, Jodi E. Mullen, Michael L.
Williams, Linda M. Tamburri, Mary Fran Tracy, Tracey M. Kane,
Rebecca E. Long and Wanda L. Johanson. Committee member
Charlene Winters is not pictured.

By Jodi Mullen, RNC, MS, CCRN, CNS
AACN Nominating Committee

How have you raised your "Bold Voice" this year? When AACN President Connie Barden, RN, MSN, CCNS, CCRN, unveiled her theme of "Bold Voices: Fearless and Essential" at AACN's 2002 National Teaching Institute, she stressed that "the time has come to steer healthcare in the direction it must go."

Now, you have the opportunity to express your essential voice about who should lead our association and steer it where it needs to go, guide and influence our association in the future by participating in the election of new members of the AACN Board of Directors and the AACN Nominating Committee.

Participating in this election will afford you the opportunity to speak up by using a strong, bold voice for critical care nursing and the future leadership of AACN.

The AACN Nominating Committee has put forth a slate of candidates its members believe represent highly qualified individuals who possess the intellectual and ambassador skills to be effective in leadership positions.

Because you may not know these candidates personally, you will want to review the candidate information provided with your ballot. This informational booklet describes the candidates' professional roles and volunteer experiences with AACN. In addition, each candidate has provided a statement about a key issue affecting critical care nursing today.

And, to help you identify individuals with whom you may have interacted, candidate photos are included for the first time.

By voting for candidates who reflect your views about critical care nursing and healthcare, you ensure that AACN has strong leaders representing our members' diverse values, beliefs and needs.

Chairing the AACN Nominating Committee for 2002-03 is Michael L. Williams, RN, MSN, CCRN, immediate past president of AACN. The members who were elected to the committee by the membership are Jodi E. Mullen, RNC, MS, CCRN, CCNS, Celeste B. Smith, RN, BSN, CCRN, and Linda M. Tamburri, RN, MS, CCRN. AACN board members appointed to the committee are Rebecca E. Long, RN, CNS, MS, CCRN, Carol A. Puz, RN, MS, CCRN, and Mary F. Tracy, RN, PhD, CCNS, CCRN.

Representing the AACN Certification Corporation Board of Directors are immediate past Chair Elizabeth Nolan, RN, MS, CS, current Director Roberta Kaplow, RN, PhD, CCNS, CCRN, and appointed members Janet Mulroy, RN, MSN, CCNS, CCRN, and Charlene Winters, RN, DNSc, CS.

CEO Wanda L. Johanson, RN, MN, and Member Relations and Services Director Tracey M. Kane, MA, served as staff liaisons.

Action Center Tracks Legislation

Track legislation and contact your elected representatives through AACN's online Legislative Action Center at www.aacn.org > Public Policy. This tool to enhance grassroots activism features an "action alert" regarding key legislation, such as enactment of the Nurse Reinvestment Act. Download or view the status and a brief summary of pertinent nursing legislation, with information posted within 24 hours of public availability. E-mail members of Congress, the president and other government officials. Compose your own messages or send messages prewritten by AACN.

Annual Meeting Set for May 20

The AACN Annual Meeting and Forum is scheduled from noon to 1:15 p.m. Tuesday, May 20, in conjunction with the National Teaching Institute and Critical Care Exposition in San Antonio, Texas.

AACN's strategic plan for the future, which includes important initiatives and efforts to meet the needs of our members will be presented. In addition, AACN committee chairs will report the accomplishments of their volunteer groups. Members will have the opportunity to ask questions, present ideas and share comments directly with AACN President Connie Barden, RN, MSN, CCNS, CCRN, and CEO Wanda Johanson, RN, MN.

Those attending the meeting will be entered into a drawing to win prizes, including free registration for NTI 2004 in Orlando, Fla.

Apply Online for Advancement Scholarships; Deadline April 1

Did you know you can apply online for AACN Educational Advancement Scholarships for the 2003-04 academic year? Simply visit the AACN Web site at http://www.aacn.org > Membership > Awards, Grants, Scholarships. The application deadline is April 1.

These scholarships are available to members who are completing baccalaureate or graduate degree programs in nursing. Recipients of these BSN Completion and Graduate Completion Educational Advancement Scholarships are awarded $1,500 per academic year.

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

For more information or to obtain a print application, call (800) 899-2226 and request Item #1017. You can also complete and print the application from the AACN Web site.

Gifts, Fund-Raising Support Scholarship Fund

Opportunities to contribute support to AACN scholarships in a variety of ways are available throughout the year. However, AACN's annual National Teaching Institute and Critical Care Exposition has become one of the most popular and fun venues for getting involved in this cause to raise funds for the AACN Scholarship Endowment Fund.
Both a Silent Auction and a contest to win an automobile have been part of the fund-raising efforts at the NTI the past two years. These events continue at NTI 2003, May 17 through 22 in San Antonio, Texas. Silent Auction items will be on display and bidding will take place in the NTI Resource and Registration area. Hyundai Motor America will again provide the vehicle for the fund-raising contest.

In addition, individual and corporate gifts are helping AACN achieve its goal of establishing a $2 million Scholarship Fund that would be fully sustained by investment revenue and thus protected from economic fluctuations.

The funds provide not only academic scholarships for nursing students who are not yet licensed and for undergraduate and graduate nursing students, but also continuing education scholarships for nurses to attend the NTI.

For more information about or to donate to the Silent Auction, call (800) 394-5995, ext. 8994; e-mail, silentauction@aacn.org.

Your Survey Response Will Benefit Scholarships

The AACN Scholarship Endowment Fund stands to benefit from a medication error survey being conducted by Cardinal Health. In fact, Cardinal Health will donate $25 for every survey respondent who designates AACN to receive the money.

The survey is being sent to 10,000 nurse executives. In addition, it can be completed at both the Association of periOperative Registered Nurses conference and the Association of Nurse Executives meeting. If you received an invitation to participate in the survey, remember to select AACN as the nursing organization to receive the donation in your honor.

Early ECCO User Cites Program's Flexibility

Growing Number of Institutions Adopt Strategy

AACN's Internet-based Essentials of Critical Care Orientation program has been implemented successfully at approximately 30 institutions around the country, ranging from health systems to various-sized single sites and colleges. Two sites within the Lee Memorial Health System, the largest, community-owned healthcare system in southwest Florida, were among the first to implement the ECCO program.

Mary Pat Aust, RN, BSN, director of intensive care units for one of the sites, HealthPark Medical Center, Fort Myers, recently discussed her institution's experience with the program. In identifying advantages and challenges associated with an e-learning strategy, she highlighted some of the benefits of using ECCO.

AACN: What attracted your interest in the ECCO program?

Aust: I had a large number of vacancies in my ICUs. Although the Lee Memorial Health System provides a wonderful critical care course, it was held once a year. This limited me to bringing in only experienced critical care nurses or hiring inexperienced nurses only when the course was offered. ECCO provided me with a quality tool that increased my flexibility. I also felt that this has the potential to be a great recruitment tool.

AACN: What were your goals in implementing the ECCO program?

Aust: My main goal was to provide a high-quality, easily accessible tool that would be available to the staff at their convenience. Because we are part of a large system that has many interests, we needed to have all the right people at the table to determine our approach as a system and what our outcomes would be. Other goals, such as compatability with our current information systems processes and connectivity to our emerging e-learning strategy, were also added.

AACN: What process did you go through to integrate the ECCO program into your orientation program?

Aust: The ICU directors, unit-based clinical educators, internship program coordinator, critical care course instructor and staff member preceptors met to discuss this issue. We recognized that we needed to address how to integrate the clinical knowledge the participants would obtain with ECCO with the critical thinking the participants would obtain in a live classroom setting. After identifying the order in which we wanted the modules completed, we created a schedule and allotted computer time to facilitate their completion. To assist in bridging the gap to bedside nursing, the participants spend time with the clinical educator, clinical nurse specialist or clinical learning specialist after each section of modules. We also integrated Performance Based Development System vignettes to help assimilate the didactic content to the practical application of critical thinking. In addition, the CNS or clinical learning specialist plans to conduct "Grand Rounds" at regular intervals.When performance problems are identified, a clinical learning specialist will validate the issues and provide appropriate remediation.

AACN: Have you had to revisit or change any expectations since using the ECCO program?

Aust: What has been the most difficult is trying to work around the time management issues. The difference between a traditional class and e-learning is that when a person is in a traditional class, they are off the unit for a dedicated amount of time and focused on the class. In our situation, access to computers on the nursing unit is an issue. For the staff to "get away" while at work, they must go to the medical library. We have had a challenge getting our preceptors and staff to understand that the expectation is that the participant will need to have the time to do the program.

AACN: Have you realized outcomes you expected?

Aust: We are beginning to see the results we expected. One of the components that I have found to be crucial to the participants' success is to have a clinical educator who can follow up with the staff member on a regular basis to check on his or her progress and needs. We definitely have more flexibility with our hiring practices.

AACN: What benefits would you identify with using the ECCO program?

Aust: Again, the flexibility the program allows us to have is the main benefit. Other benefits include access to the "gold standard" of critical care nursing knowledge. Another benefit to the program is the fact that the content is continually reviewed and updated.

AACN: Is there a particular feature of the program that you like most?

Aust: I like that I can track an individual's progress through the program. One of the best features for me is the ability to review each individual's test results and discuss the questions with him or her. When a participant challenges a test question, AACN has either provided further explanation or changed the question to reflect the most correct information. AACN staff has been very responsive.

AACN: Would you recommend this program to other institutions?

Aust: Absolutely, especially because of ECCO's ability to provide a quality education program to any critical care nurse anywhere in the country. I appreciate the opportunity to partner with AACN on this project. AACN has been very responsive to the needs of my participants as well as to our health system.

For more information about ECCO, visit the AACN Web site; call (800) 394-5995, ext. 8870 or e-mail ecco@aacn.org.

Who Is Using ECCO?

Naval Medical Center San Diego
Regional Health Occupations Resource Center-Butte College
Stanford University Hospital

Broward Community College
Lee Memorial Health System
VA Hospital, Miami
VA Hospital, West Palm Beach

Rush-Presbyterian-St. Luke's Medical Center
Sherman Hospital

VA Hospital, Indianapolis

University of Kentucky

Good Samaritan Medical Center

Allina Hospitals & Clinics

CoxHealth System

Benefis Healthcare

New Hampshire
Mary Hitchcock Memorial Hospital

New Jersey
Atlantic City Medical Center

Dubois Regional Medical Center

Denton Regional Medical Center
Harris Methodist Fort Worth
Presbyterian Hospital
University Hospital

St. Mark's Hospital

Northern Virginia Community College

Kadlec Medical Center
Northwest MedStar

Campbell County Memorial Hospital

Queen Elizabeth II Hospital, Grand Prarie, Alberta

U.S. Naval Hospital, Yokosuka, Japan

Scene and Heard

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

Our Voice in the Media
- The December 2002 issue of News Watch, an online newsletter published by the American Association of Colleges of Nursing, announced AACN's release of a white paper on the benefits that specialty certification for nurses brings to the public, employers and nurses. The article noted that the paper, titled "Safeguarding the Patient and the Profession: The Value of Critical Care Nurse Certification," puts forth a call to action for anyone who can influence and will benefit from certified nurses' contribution to patient care. The report goes on to say that the data support the growing body of evidence that proves having the right skill mix and number of qualified nurses is necessary for good patient care.

- "Achieve Best Practice with an Evidence-Based Approach" is the title of the final article in a six-part progressive care series endorsed exclusively by the AACN. The article, by Patricia S. Lewis, RN, MS, CNAA, and Cynthia Latney, RN, MSN, CCRN, appeared in the December 2002 issue of Nursing Management.

- The inaugural, Winter 2002 issue of the Clinical Connection, a GE Medical Systems Information Technologies newsletter, included an article about the AACN Progressive Care Task Force to study and identify the characteristics of patients admitted to progressive care units. Titled "Progressive Care Defined by Patient Needs, Not Geography," the article noted that the task force is seeking resources to further educate and support nurses who work in these units. In addition, the newsletter highlighted its sponsorship of AACN's Web-based, Essentials of Critical Care Orientation for novice nurses.

- Randy Bauler, AACN's exhibits and sponsorships director, was quoted in the Fall 2002 edition of Association Alert, the Healthcare Convention & Exhibitors Association newsletter. The article noted that the association enjoys an 85% renewal rate by its exhibitors from year to year.

- The theme of AACN President Connie Barden, RN, MSN, CCNS, CCRN, "Bold Voices-Fearless and Essential," was featured on the cover of the Jan. 14 issue of Vital Signs, and in the accompanying article, which also appeared in the Jan. 21 issue. The magazine "proudly supports the "Bold Voices" initiative and impels nurses and other healthcare professionals to be active participants and influence change in America's healthcare system." The magazine also publicized AACN's first critical care survey in an article titled "Critical Care Survey Launched: Urge Your Hospital to Participate," which also appeared in both issues.

- A letter to the editor by CEO Wanda Johanson, RN, MN, was reprinted in the January/February 2003 issue of Health Affairs. She wrote, "Optimal nurse staffing is of serious concern to our 65,000 members … Minimum staffing ratios for ICUs … are of concern because they could create a staffing ceiling that oversimplifies the complexity of nursing care and fails to consider the vital interplay between patients' needs and nurses' competencies. The solution to nursing staff allocation problems should include a comprehensive strategic plan-driven by nurses-that links patients' needs, cost delivery, competency of providers, and staff mix with patient outcomes."

Our Voice at the Table
- AACN Certification Corporation Chairperson Margaret M. Ecklund, RN, MS, CCRN, APRN-BC, was the keynote speaker for the acute care track at the Evidence-Based Practice Conference, sponsored by the University of Rochester School of Nursing, Rochester, N.Y. Her topic was "Reflections on the Bold Voice of Nursing With Certification."

- Johanson, Barden and President-Elect Dorrie Fontaine, RN, DNSc, FAAN, attended the Society of Critical Care Medicine Conference in San Antonio, Texas.

- Fontaine and Ramon Lavandero, RN, MA, MSN, FAAN, AACN's director of development and strategic alliances, attended "Conversations on the Nursing Workforce," an invitational, interdisciplinary think tank meeting seeking "out of the box" responses to the nursing shortage. The Washington, D.C., meeting was hosted by Georgetown University School of Nursing and Health Studies and sponsored in part by a grant from AMN Healthcare.

- AACN board member Janie Heath, RN, MS, CCRN, ANP, ACNP, participated in a national panel discussion about the Nurse Reinvestment Act, presented by the Health Resources & Services Administration Division of Nursing in Washington, D.C. Also "at the table" were representatives of the American Nurses Association, the American Association of Colleges of Nursing, the American Organization of Nurse Executives and the American Academy of Nurse Practitioners. Discussions involved grant opportunities for improving recruitment and retention of nurses through career ladder programs, enhancing patient care delivery systems, and internship and residency programs.

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.

Campaign Tops 3,000 New Members Recruited

With AACN's Critical Links member recruitment campaign scheduled to end April 30, the number of new members recruited has topped 3,000.

Contributing to the total of 3,046 new members were 265 recruited by individual campaigners during January.

Continuing to lead the campaign with 50 new members is Cynthia A. Noe, RN, BSN, of Albany, Ga. Others who have recruited 20 new members or more are Julie N. Liberio, RN, MSN, CCRN (36), Caroline Axt, RN, MS (34), Kathleen M. Richuso (31), RN, MSN, Diane M. Casperson (23), RN, BSN, CCRN, Elaine B. Boseman (22), RN, CCRN, CLNC, and Lydia C. Bautista (20), RN, BSN, CCRN.

The individual recruiting the most new members in the campaign will receive a $500 American Express gift certificate.

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

All 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 December was Billie Crane, RN, BSN, JD.

All 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 individuals who recruited new members during January:
James L. Askew, RN, BSN, CCRN, EMT-P, Stephanie A. Baker, RN, Sean G. Barclay, RN, BSN, CCRN, Jennifer A. Basler, RN, MSN, CCRN, Maria E. Black, RN, MSN, CCRN, APRN, Laura B. Boehm, RN, BSN, CCRN, Elaine B. Boseman, RN, CCRN, CLNC, Carole A. Boucher, RN, MSN, CCRN, Janiece Brooks, RN, Michael Shane Bryan, RN, BS, BSN, David H. Bryant, RN, BSN, Kathleen M. Burton, RN, BSN, Barbara K. Buss, RN, ADN, CCRN, Diane M. Casperson, RN, BSN, CCRN, Michael Chalot, RN, ADN, CCRN, Garrett Chan, RN, MS, CEN, Pamela J. Chapman, RN, MSN, CCRN, Leanne T. Cimato, RN, BSN, Cristiana Ortolani Clark, RN, BS, BSN, Tammy L Coffee, RN, BSN, Katherine Colbert, RN, ADN, BS, CCRN, Heather Lynnette Coleman, RN, BSN, Lesma Colquhoun, RN, ADN, Sue Ann Crisp, RN, BS, BSN, Kanika N. Cunningham, RN, Bonnie L. Curtis, RN, ADN, CCRN, Michael W. Day, RN, MSN, CCRN, J. Suzanne Deaton, RN, BSN, AA, CCRN, Josi N. Dehaven, RN, BS, BSN, Mary T. Demana, RN, CCRN, Lori L. Desmond, Amy L. Donnellan, RN, BSN, Amy Dzur, RN, BS, BSN, Bev Farmer, RNC, MSN, CCRN, Janet M. Forrest, RN, ADN, CCRN, Wendy Karan Franzino, RN, BS, BSN, Robert Welch Galbreath, RN, ADN, BS, Cathy Mary Gallo, RN, BSN, MBA, CNA, Fidel Muncal Gonzales, RN, ADN, Dean L. Grisham, RN, BSN, AA, Janis Marie Hammond, RN, ADN, Lynette B Hartley, RN, BS, BSN, Sheryl K. Hasper, RN, BS, BSN, Katie C Hengstenberg, RN, BS, BSN, D.Scott Hennard, RN, Janice L. Hickman, RN, MSN, CS, Lucille Hicks, RN, BS, CCRN, Mary P. Hicks, RN, BSN, CCRN, Carol M. Hinkle, RN, MSN, BA, CCRN, Kathleen Holdeman, RN, Matt Holicky, RN, Lynne P. Holliman, RN, BSN, CCRN, Mari L. Hoover-McGarry, RN, CEN, Gretchen L. Hunt, RN, ADN, CCRN, Natacha Jean-Noel, RN, BSN, Lucy Ha Yon Joo-Castro, RN, BS, BSN, Louisa K. Kamatuka, RN, MSN, CCRN, CS, Kathy M. Ketchum, RN, MS, Nancy D. King, RN, MSN, CCRN, ANP, NP, Colleen M. Kipina, RN, BSN, Becky J. Koenigs, RN, ADN, CCRN, Jayne M. Korevec, RN, MSN, CCRN, ARNP, Jenneine A. Lambert, RN, MN, Doris V. Levin, RN, MS, CNA, Julie N. Liberio, RN, MSN, CCRN, Susan Lincoln, RN, Sandra Loose, RN, BSN, BA, Elizabeth Lopez, RN, BSN, Lee A. Ludwigson, RN, ADN, CCRN, Chad Jay Lueders, RN, BS, BSN, Theresa Roxanne Macfarlan, RN, BS, BSN, Teresa Maly, RN, ADN, AA, Annamarie Mandacina, RN, BS, BSN, Kimberly S. Martin, RN, MSN, CCRN, Nuria M. Martinez, RN, BSN, CCRN, Julie A. McCorkle, RN, BSN, MS, ACNP, Elizabeth L. McGarr, RN, ADN, BA, CCRN, Margaret B. McHenry, RN, ADN, Mary G. McKinley, RN, MSN, CCRN, Padab Mcwhorter, RN, BS, BSN, Eugenia I. Millender, RN, BS, BSN, Patricia Miller, RN, BS, CCRN, Wanda Joyce Murphy, RN, MN, MS, Martha L. Musielak, RN, MSN, NP, Sylvia B. Naldoza, RN, BSN, CCRN, Laurie A. Nickles Mack, RN, ADN, CCRN, Marvin C. Nufable, RN, BS, BSN, Mandy B. O'Brien, RN, BSN, AA, Glenn Patrick O'Connor, RN, BS, BSN, Mary Ellen O'Donnell, RN, BS, BSN, Patricia G. O'Leary, RN, Marilyn Waleska O'malley, RN, ADN, Donna M. O'Neill, RN, ADN, CCRN, Joanna R. Olson, RN, Akshat Patel, RN, BS, BSN, Lori Pawlow, RN, ADN, Myra K. Porthouse, RN, ADN, CCRN, TNS, Whitney A. Pratt, RN, BS, CCRN, Georgiana L. Przybylek, RN, BS, BSN, CCRN, Jennifer L. Randolph, Romeo Resurreccion, RN, Bonnie Anne Rice, RN, MSN, CCRN, CCNS, ARNP, Kathleen M. Richuso, RN, MSN, Marni D. Robbins, RN, BSN, Kelly Ann Roy, RN, BS, BSN, Kathryn Ann Ryan, RN, BS, MN, NP, Donna B. Sabash, RN, BSN, CCRN, Annette Marie Samame, RN, BS, BSN, Julia Ann Schrage, BS, BSN, Dee D. Schultz, RN, BSN, BA, CCRN, Lindsey Shank, RN, BSN, CCRN, Earlene W. Shealy, RN, ADN, Thelma Anne Smith, RN, Lynn Smith Schnautz, RN, MSN, CCRN, CCNS, Theresa Stevens, RN, MS, CCRN, CCNS, Carlette H. Stewart, RN, BSN, Doris J. Strother, RN, MSN, CRNP, Jan H. Teal, RN, BSN, CCRN, Carolyn Terrell, RN, Richard Kelly Thompson, RN, ADN, AA, Patricia J. Tompkins, RN, MN, MS, NP, Stephanie M. Vaccaro, RN, BSN, CCRN, Mary R. Vaders, RN, ADN, AA, Valerie S. Vogeler, RN, BSN, CCRN, Alina Vorobeychik, RN, ADN, Gregory B. Webb, RN, BA, CCRN, Betheen M. Weed, RN, Patricia R. Wells, RN, Paul H. Williams, RN, ADN, BA, Irma G. Williams, RN, CCRN, Robert Aaron Worden, RN, BS, BSN, Jackie
S. Yon, RN, MS, CCRN, CCNS, NP, Pam Zinnecker, RN, CCRN.

Chapter Totals at 315
The Southwest Georgia Chapter was leading AACN's Critical Care member recruitment campaign among chapters at the end of January with 53 new members recruited since the campaign began May 1. Not far behind, however, were the Chattanooga-Scenic City Chapter with 45 new members recruited and the Atlanta Area Chapter with 44.
The 315 new members recruited by chapters have helped boost the overall campaign totals to 3,046. The chapters reporting the largest increase in membership numbers and the largest percentage increase when the campaign ends April 30 will receive a $250 gift certificate toward the purchase of AACN resources and receive special recognition at NTI 2003 in San Antonio, Texas.

Each month, chapters that recruit new members are entered into a drawing for a complimentary registration for NTI 2003. The Greater Miami Area Chapter won the complimentary NTI 2003 registration in the drawing for January.

The following chapters have recruited 10 or more new members since Jan. 31:

Greater Miami Area Chapter (36), Peninsula Chapter (34), First Coast Chapter (32), Triangle Chapter, (30), Siouxland Chapter (30), Greater East Texas Chapter (29), Greater Birmingham Chapter (28), Greater Evansville Chapter (26), Southeastern Pennsylvania Chapter (25), Broward County Chapter, (21), Greater Raleigh Area Chapter (21), Greater Twin Cities Area Chapter (20), Lake Erie Chapter (19), Greater Washington Area Chapter (16), Palmetto Chapter, (16), Brooklyn Chapter (16), Heartland Chapter (15), Mobile Bay Area Chapter (15), South Central Connecticut Chapter (14), Montana Big Sky Chapter (12), Vermont Green Mountain Chapter (12), Greater Joliet Area Chapter (12), Pacific Crest Regional Chapter (12), White River Chapter (11) and Southern Maine Chapter (10).

The following chapters have recruited between one and nine new members:
Abilene Area Chapter, Adirondack Regional Chapter, Alameda Contra Costa Chapter, Albemarle Area Chapter, Ancient City Chapter, Big Bend Chapter, Blue Ridge Chapter, Brevard Chapter, Carolina Dogwood Chapter, Central Indiana Chapter, Central Louisiana Chapter, Central Minnesota Area Chapter, Central Pennsylvania Chapter, Central Savannah River Chapter, Chattahoochee Valley Chapter, Chesapeake Bay Chapter, Coastal Chapter, Coastal Plain Chapter, Dallas County Chapter, Denver Chapter, East River Mountain Chapter, Eastern Iowa Chapter, Emerald Coast Chapter, Fairbanks North Star Chapter, Foot of the Blue Ridge Chapter, Fox River Valley Chapter, Gate City Chapter, Greater Akron Area Chapter, Greater Austin Area Chapter, Greater Boston Chapter, Greater Flint Area Chapter, Greater Fort Worth Area Chapter, Greater Fredericksburg Area Chapter, Greater Jackson Chapter, Greater Long Beach Orange County Chapter, Greater Louisville Chapter, Greater Milwaukee Area Chapter, Greater New Orleans Chapter, Greater Portland Chapter, Greater Reading Chapter, Greater Richmond Area Chapter, Greater Rochester Finger Lakes Chapter, Greater St. Louis Chapter, Green Country Chapter, Gulf Coast Magnolia Chapter, Hangzhou China Chapter, Heart of Acadiana Chapter, Heart of the Piedmont Chapter, High Sierra Chapter, Houston Gulf Coast Chapter, Indiana Hoosier South Central Chapter, Jacksonville Chapter, Jersey Shoreline Chapter, Lake Superior Chapter, Lehigh Valley Chapter, Los Angeles Chapter, Merrimack Valley Chapter, Mid Cumberland Chapter, Minot Roughrider Chapter, Mohawk Valley Chapter, Nassau County Chapter, North Central Florida Chapter, North Central Wisconsin Chapter, North Valley Chapter, Northeast Indiana Chapter, Northeastern Wisconsin Chapter, Northern New Jersey Chapter, Northwest Georgia Chapter, Palm Beach County Chapter, Piedmont Carolinas Chapter, Pioneer Valley Chapter, Puget Sound Chapter, Redwood Empire Chapter, Rochester Chapter, San Antonio Chapter, San Diego Area Chapter, San Fernando Valley Chapter, San Francisco Chapter, Smoky Mountain Chapter, South Carolina Mid State Chapter, South Central Kentucky Chapter, South Central Wisconsin Chapter, Southeast Michigan Chapter, Southeast Missouri Chapter, Southern Arizona Chapter, Southern New Hampshire Chapter, Spokane Chapter, Suncoast Chapter, Tennessee Valley Chapter, Three Rivers Chapter, Volusia Flagler Chapter, West Michigan Chapter, West Texas Chapter, Western Connecticut Chapter.

Sepsis Education Program Available

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.

Why Wait? Here's What Others Say About the PDA

You probably are hearing about personal digital assistants and how they can benefit your practice. Here are a few "tidbits" of information about this invaluable tool.
• An estimated 11% of nurses in the U.S. and abroad are now using PDAs, up from 1% just over two years ago.
• On average, a nurse uses her PDA as a reference tool at least eight times per day during his or her shift.
• More than 200 nursing-specific PDA software programs, including drug references, drip calculators, clinical texts and electronic pocket references, are currently available.
• You can purchase a high-performance PDA for as little as $179.
• You can use your PDA to manage and chart patient information and safely protect those records to comply with the new Health Insurance Portability and Accountability Act.
• You will save hours and hours of time simply by having hundreds of bytes of data accessible within seconds.
• To date, AACN has converted a dozen of its educational resources into Palm OS PDA software applications, including pocket references and CCRN practice exams.
• In addition to clinical use, your PDA will allow you to read documents at your leisure and manage your appointments and contact information.
If you haven't yet purchased your first PDA, or are looking to upgrade, shop the AACN PDA Center. You will receive a free AACN Palm OS Laboratory Values E-reference with your purchase. And, by mid-March, you will be able to purchase the two latest additions to AACN's PDA Center catalog, the Cardiovascular Assessment and Pulmonary Management E-references for Palm OS.

Get Discounts on NEW AACN PRODUCTS

Substantial introductory discounts are offered on prepackaged CCRN review materials and the new AACN Essentials Library! Introductory prices are valid through April 30, 2003.

AACN Review Packages for CCRN Preparation
Considering taking the CCRN exam? This is your opportunity to purchase a packaged group of study products at a discounted price. Included are a review course, a reference text and sample study questions to help you get started. Choose from the packages below and receive the special introductory price!

Adult CCRN Review Package A #302000
Includes the AACN CCRN videotape review course (10 videotapes with syllabus, 16 hours of CE credit), the AACN Core Curriculum for Critical Care Nursing, 5th ed, and the Practice CCRN Exam Questions-Adult. These resources are intended as study tools only and do not ensure successful completion of the CCRN exam.
Price, if purchased separately: $262.50 ($341.95 nonmembers)
INTRODUCTORY PRICE: $225 ($295 nonmembers)

Adult CCRN Review Package B #302001
Includes the AACN CCRN audiotape review course (8 audiotapes with syllabus, 16 hours of CE credit), the AACN Core Curriculum for Critical Care Nursing, 5th ed, and the Practice CCRN Exam Questions-Adult. These resources are intended as study tools only and do not ensure successful completion of the CCRN exam.
Price, if purchased separately: $161.50 ($195.95 nonmembers)
INTRODUCTORY PRICE: $138 ($168 nonmembers)

Pediatric CCRN Review Package #302002
Includes the AACN CCRN audiotape review course (7 audiotapes with syllabus, 16 hours of CE credit), the AACN Core Curriculum for Pediatric Critical Care Nursing, and the Practice CCRN Exam Questions-Pediatric. These resources are intended as study tools only and do not ensure successful completion of the CCRN exam.
Price, if purchased separately: $159.50 ($193.95 nonmembers)
INTRODUCTORY PRICE: $136 ($165 nonmembers)

Neonatal CCRN Review Package #302003
Includes the AACN CCRN audiotape review course (3 audiotapes with syllabus, 8 hours of CE credit), the AACN Core Review for Neonatal Intensive Care Nursing and the Practice CCRN Exam Questions-Neonatal. These resources are intended as study tools only and do not ensure successful completion of the CCRN exam.
Price, if purchased separately: $149.20 ($173.95 nonmembers)
INTRODUCTORY PRICE: $125 ($146 nonmembers)

NEW! AACN Essentials Resource Library Series
We continually receive inquiries about which products we consider to be the quintessential AACN references. So we reviewed our catalog to give you our top picks. And, to help you get a jumpstart on building your reference library, we are offering this group of products as a bundled set at a discounted price. Check back next month for the release of Part 2 of this Essentials series.

AACN Essentials Resource Library,
Part 1 #302004
Includes a copy of the Standards for Acute and Critical Care Nursing, 3rd Ed; AACN Core Curriculum for Critical Care Nursing, 5th ed; AACN Procedure Manual for Critical Care, 4th ed; Staffing Blueprint: Constructing Your Staffing Solutions; and AACN Clinical Reference for Critical Care Nursing, 4th ed.
We regret that substitutions cannot be accommodated.
Price, if purchased separately: $261 ($295.90
INTRODUCTORY PRICE: $230 ($260 nonmembers)

These special products can be ordered by calling (800) 899-2226 or online.

Looking Ahead

April 2003

April 1 Deadline to apply for BSN Completion and Graduate Completion educational advancement scholarships. To obtain an application, call (800) 899-2226
and request Item #1017, or visit the AACN Web site.

April 8 Early-bird deadline to save on NTI 2003 registration. For more information or to register, call (800) 899-2226 or visit the NTI Web site.

April 20 Voting in the AACN Board of Directors and AACN Nominating Committee election ends at midnight (EDT). If you have not received a ballot, call
Donna Anderson at (800) 394-5995, ext. 331.

April 30 AACN's Critical Links membership recruitment campaign ends.

May 2003
May 15 Deadline to submit speaker proposal abstracts for NTI 2004 Orlando, Fla. To obtain a speaker proposal packets, calling AACN Fax on Demand at (800)
222-6329 (Request Document #6019) or visit the AACN Web site.

May 17-22 National Teaching Institute and Critical Care Exposition, San Antonio, Texas. For more information, call (800) 899-2226 or visit the NTI Web site.

May 20 AACN Annual Meeting and Forum, noon (EDT) Henry B. Gonzalez Convention Center San Antonio, Texas.

Application Materials Due July 15: Circle of Excellence Embraces Those Who Make a Difference

How have you made a difference in healthcare? In the lives of patients and their families? In your communities? Share your stories, and you might find yourself in AACN's Circle of Excellence, an awards program that recognizes outstanding contributions by critical care nurses and others who exemplify AACN's mission, vision, values and ethic of care.

Nominations and applications for these awards for 2004 are due July 15. Awards will be announced in AACN publications and at AACN's 2004 National Teaching Institute and Critical Care Exposition, May 15-20 in Orlando, Fla.

All recipients are presented a personalized plaque. Some also receive honorariums, monetary awards or complimentary registration, airfare and accommodations to the NTI.
Two new awards have been added to the prestigious list of honors that are available in 2004: Excellence in Collaboration Awards and AACN Certification Corporation-Value of Certification Award.

To obtain a Circle of Excellence awards application, call (800) 899-2226 or visit the AACN Web site. The application is also available on Fax on Demand at (800) 222-6329. Request Document #1011.

Following is information about the awards that are available:

AACN Lifetime Member Award
This award recognizes AACN members who have rendered distinguished service to the association and demonstrated potential for continued contributions to acute and critical care nursing through AACN. In addition to lifetime AACN membership, the recipients are presented a crystal replica of the AACN vision icon.

Honorary Member Award
This award recognizes individuals who have made significant contributions to the advancement of care for acutely and critically ill patients and their families. In addition to honorary membership in AACN, the recipients are presented a crystal replica of the AACN vision icon.

AACN-Marguerite Rodgers Kinney Award for a Distinguished Career
Named in honor of AACN Past President Marguerite R. Kinney, RN, DNSc, FAAN, this award recognizes individuals who are completing or have completed an extraordinary and distinguished professional career that has enhanced the care of acutely and critically ill patients and their families by furthering the mission and vision of AACN. Honorees receive a gift of $1,000 to a charitable cause of their choice, as well as lifetime AACN membership and a replica of the crystal.

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 regionally or nationally. Recipients are presented a $500 honorarium and a crystal replica of the AACN vision icon.

Distinguished Research Lectureship Award
The award honors a nationally known researcher who will present the annual Distinguished Research Lecture at the 2004 NTI. The lecturer receives an honorarium of $1,000, an additional $1,000 toward NTI expenses and a crystal replica of the AACN vision icon, funded by a grant by Philips Medical Systems. Note: The deadline to submit nominations for this award is Dec. 1.

Practice and Research Awards

Excellence in Caring Practices Award
Presented in honor of John Wilson Rodgers, this award recognizes nurses whose caring practices embody AACN's vision of a healthcare system driven by the needs of patients and families. Recipients demonstrate how they have encompassed AACN's values and ethic of care in their practice.

3M Health Care 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.

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. Eligible applicants include, but are not limited to nurses working in home healthcare, progressive care, telemetry, catheterization labs and emergency departments.

Oridion Capnography Excellent Clinical Nurse Specialist Award
Sponsored by Oridion Capnography, this award recognizes acute and critical care nurses who function as clinical nurse specialists. Applicants must be CCNS certified and, in addition to demonstrating the key components of advanced practice nursing, illustrate how they have been a catalyst for successful change.

Excellent Nurse Practitioner Award
This award recognizes acute and critical care nurses who function as nurse practitioners. Applicants must be ACNP certified. In addition to demonstrating the key components of advanced practice nursing, recipients illustrate how they have served as a catalyst for successful change.

Excellent Nursing Student 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. Individual students or groups of students are eligible to apply. Recipients receive a complimentary three-year AACN membership.

Excellence in Research Award
This award recognizes nurse researchers who are furthering the mission, vision and research priorities of AACN. Recipients of AACN research grants or NTI research abstract award recipients are not eligible for this award.

Research Abstract Award
This award recognizes research abstracts that display outstanding merit and particular relevance to critical care nursing. Recipients are selected from among the research and research utilization abstracts submitted for the NTI. Abstract submissions must be received by Sept. 1. Successful applicants receive $1,000 toward NTI expenses.

Leadership Awards

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.

Eli Lilly & Company 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.

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.

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.

Excellence in Education Award
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.

Marsh-AACN Community Service Award
Cosponsored by Marsh Affinity Group Services, a service of Seabury and Smith, this award recognizes significant service by acute and critical care nurses, as individuals or in groups, in making a contribution to their communities that also projects a positive image of critical care nursing. Individuals or groups selected for this award may also choose to receive either one complimentary NTI registration or up to $500 toward speaker fees for an educational symposium.

Media Award
This award recognizes 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.

AACN Certification Corporation-Value of Certification Award
Sponsored by AACN Certification Corporation, this award recognizes contributions that support and foster the advancement of certified nursing practice in critical care. Recipients are also presented a $500 honorarium.

Excellence in Collaboration Awards
These awards honor innovative contributions to collaborative practice by nurses who care for acutely and critically ill patients and their families. Applications can be submitted in four categories:
• Nurse-Physician Collaboration
• Nurse-Administration Collaboration
• Nurse-Family Collaboration
• Multidisciplinary Team Collaboration.
At least one of the collaborators must be an active AACN member. Each recipient will also be presented a $1,500 honorarium.

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