AACN News—September 2003—Association News

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Vol. 20, No. 9, SEPTEMBER 2003

Nursing Schools Receive Pulse Oximeter Donations
AACN-AONE-Nellcor Collaboration

The clinical skills laboratories for nurses at approximately 125 institutions have received a donation of state-of-the-art oxygen monitoring equipment and additional educational resources valued at more than $5,000, thanks to a national collaboration of two nursing associations and a leading healthcare technology manufacturer.
AACN and the American Organization of Nurse Executives have partnered with Nellcor/Tyco Healthcare to donate advanced-technology Nellcor pulse oximeters and educational resources to 125 schools of nursing in 48 states, the District of Columbia and U.S. Virgin Islands.

The donation provides Nellcor N-395 Pulse Oximeters and educational materials to schools selected by AACN and AONE. Each selected school will also have access to the expertise of Nellcor's field-based team of hospital clinical consultants. Pulse oximeters, which are used routinely in critical care units and increasingly in many other patient care areas, offer a cost-effective way to noninvasively measure a patient's heart rate and the amount of oxygen in the blood.

"In these days of very limited budgets for education, the purchase of expensive state-of-the-art equipment is a luxury," said Barbara Nubile, RN, MSN, division assistant dean at Yavapai College, Prescott, Ariz., one of the schools benefiting from the donation. "We are most grateful for the generosity and partnership of Nellcor, AACN and AONE."

"At a time when the entire healthcare continuum is strapped for resources, generosity like Nellcor's is sorely needed," said AACN President Dorrie Fontaine, RN, DNSc, FAAN. "We were frankly overwhelmed by requests for technology and training materials and are pleased to accommodate nursing programs with this initial donation. Incorporating sophisticated technology into the core education of new nurses will help ensure the safety and efficacy of nursing care."

"This program is a classic demonstration of how professional organizations and industry can work together to create a lasting impact," commented AONE President Rita Turley, RN, MS. "Nellcor's generous support of education and technology will impact an entire generation of nurses and the countless patients for whom they care over the course of their careers."

"We are very pleased at the reception to our partnership with the American Association of Critical-Care Nurses and the American Organization of Nurse Executives," said Chris Jones, Nellcor's vice president of marketing. "Clinical education has been a cornerstone of our company for over 20 years. We are proud to support the nurses in every stage of their careers-from education to clinical practice."

Schools Receiving Pulse Oximeters

Partial list of schools. Additional schools will be listed in September and October.

Alabama-Auburn University-Montgomery
Alaska-University of Alaska-Anchorage
Arizona-Grand Canyon University
Arkansas-University of Arkansas for Medical Sciences
California-Sacramento City College, Saddleback College
Colorado-Colorado State University
Connecticut-Naugatuck Valley Community College
Delaware-University of Delaware
District of Columbia-Catholic University of America
Florida-Florida Agricultural & Mechanical University
Georgia-Clayton College & State University
Hawaii-Hawaii Pacific University
Idaho-Boise State University
Illinois-Governors State University
Indiana-Indiana University
Iowa-Mount Mercy College
Kansas-Kansas Wesleyan University
Kentucky-Bellarmine University
Louisiana-Grambling State University
Maine-Husson College
Maryland-Johns Hopkins University
Massachusetts-Boston College
Michigan-Calvin College
Minnesota-College of St. Scholastica
Mississippi-Delta State University
Missouri-Jewish Hospital
Montana-Montana State University
Nebraska-University of Nebraska Medical Center
Nevada-Great Basin College
New Hampshire-New Hampshire Community Technical College-Claremont
New Jersey-Rutgers-Camden College of Arts & Sciences
New Mexico-New Mexico State University
New York-Herbert H. Lehman College of CUNY
North Carolina-Haywood Community College-Southwest Community College-Tri-County Community College Consortium
North Carolina-A&T State University
North Dakota-University of Mary
Ohio-Ohio State University
Oregon-Mount Hood Community College
Pennsylvania-Duquesne University, Edinboro University of Pennsylvania, Harrisburg Area Community College
Rhode Island-Rhode Island College
South Dakota-Augustana College
Tennessee-Middle Tennessee State University
Texas-Texas Christian University
Utah-Brigham Young University
Vermont-Castleton State College
Virgin Islands-University of the Virgin Islands
Virginia-University of Virginia
Washington-Northwest College
West Virginia-Marshall University
Wisconsin-Bellin College of Nursing
Wyoming-University of Wyoming

Membership Drive Nears 1,000 Mark
Individuals, Chapters Earn Rewards

AACN's Critical Links membership campaign neared the 1,000 new-member mark in its third month as individual and chapter recruiters welcomed 380 of their colleagues during July. The number brings the total recruited since the campaign began May 1 to 908, with 379 individuals and 53 chapters participating to date.

Ngozi I. Moneke, RN-BC, BSN, CCRN, of Freeport, N.Y., continued to lead the campaign with 24 new members recruited, but Caroline Axt, RN, MS, of Oakland, Calif., was close behind with 21 new members recruited. Both added 11 new members to their recruited totals during July.

Four members jumped into the campaign for the first time in July by recruiting 10 new members each. They are Lori Ann Cox, RN, MSN, CCRN, ACNP, NP, of Johnstown, Pa.; Maureen Wood, RN, BSN, of Newport, R.I.; Kirsten F. Fritz, RN, of New York, N.Y.; and Kathleen L. Finn, RN, MS, EdD, of North Easton, Mass.

Others who had recruited five or more new members by the end of July are:
15 Kathleen M. Richuso, RN, MS, MSN, of Chapel Hill, N.C.
13 Catherine P. Rodgers, RN, ADN, CCRN, of South Daytona, Fla.
11 Lori Ann Cox, RN, MSN, CCRN, ACNP, NP, of Johnstown, Pa., and Linda J. Lopazanski, RN, CCRN, of Fords, N.J.
9 Jean A. Endryck, RN, BS, BSN, MN, MS, FNP, NP, of Valatie, N.Y.; Julie S. Miller, RN, BSN, CCRN, of Tyler, Texas; and Barbara M. Eachus, RN, BSN, CCRN, of Philadelphia, Pa.
8 Victor A. Duarte, RN, of Fort Collins, Colo.
7 Christina McCarter Cantey, RN, BSN, of Huntsville, Ala.; Maria A. Laxina, RN, MA, MS, CCRN, of Nutley, N.J.; Dawn Kregel, RN, BS, BSN, of Denton, Texas; Teresa J. Seright, RN, ADN, CCRN, of Minot, S.D.; and Dawn LeQuatte, RN, of Denver, Colo.
6 Betty C. King, RN, MSN, AA, of Encino, Calif.; Cathy L. Blonski, RN, of Danbury, Conn.; Marisue Rowe, RN, ADN, of Jacksonville, Ark.; and Cynthia L. Bond, RN, of Biloxi, Miss.
5 Jeanne Ann Bolton, RN, BS, BSN, CCRN, of Westland, Mich.; Barbara M. Bundage, RN, MSN, of Long Beach, Calif.; Ann L. Mercer, RN, CCRN, of Lake Worth, Fla.; Diane M. Casperson, RN, BSN, CCRN, of Beresford, S.D.; Joseph R. Newsome, RN, MN, MS, CCNS, of Steger, Ill.; and Rachel Banks, RN, of Miramar, Fla.

The top individual recruiter when the campaign ends March 31 will receive a $500 American Express gift certificate. 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.
Receiving the American Express gift certificate in the drawing for July was Louisa P. Olmo, RN, ADN, of Baldwin Park, Calif.

In addition, all recruiters are eligible for prize drawings that offer round-trip tickets for two to anywhere in the continental United States, including a five-day, four-nights hotel stay; round-trip tickets for two to anywhere in the continental United States; and four-day-three-night hotel accommodations in the continental U.S.

To participate, recruiters must include their membership numbers on the referral line of the membership application. Individuals who also want their chapters to receive credit must include the chapter name.

Academically Based Online Critical Care Courses Available

Adult, neonatal and pediatric Web-based courses are now available to individual students and nursing programs. Developed through the collaboration of AACN, Indiana University School of Nursing and Clarian Health Partners, each instructor-facilitated course offers comprehensive content, clinical practicum with an onsite preceptor and a virtual center of best practices.

Appropriate for Generic BSN and Degree Completion
The new courses are especially appropriate as elective or core courses in both generic and degree-completion BSN programs. Nurses preparing for graduate study also will find them valuable. They are currently offered by Indiana University for academic credit or continuing education contact hours. Participants who successfully complete the clinical practicum receive a certificate upon completion.

Each course consists of two three-credit components that can be taken separately or together. A three-credit didactic course facilitated by faculty offers 10 online modules of comprehensive critical care content that includes critical thinking vignettes, learning activities, and modular and comprehensive exams. A three-credit clinical practicum with a local preceptor is backed by resources from the virtual center of best practices with links to Web sites and nurse researchers. Online preceptor orientation is also available.

Available to Other Schools
Through an institutional pricing option, nursing schools also can offer the courses. "We know that collegiate schools of nursing have very high demand for this content," explained Diane Billings, RN, EdD, FAAN, co-project director and Indiana University associate dean for teaching, learning and information resources. "The extensive resources needed to develop online courses of this quality aren't often available, so we're offering schools the ability of presenting the courses using their own faculty and distance learning services."

The project is funded in part by a grant of nearly $1 million from the Learning Anytime Anywhere Partnership, a project of FIPSE, the U.S. Department of Education Fund for the Improvement of Postsecondary Education. Clarian, IUSON and AACN have provided additional support for the $2.1 million project. Courses were developed by national content experts directed by IUSON.

For individual student enrollment, visit . To inquire about offering the courses in your nursing school, contact Karen Wagner, Center for Teaching and Lifelong Learning, at (317) 274-4274; e-mail, critcare@iupui.edu.

NTI Rates High Among Attendees in San Antonio

The best NTI ever? That's what many people are saying after AACN's 30th annual National Teaching Institute and Critical Care Exposition in May in San Antonio, Texas.
More than 6,300, an increase of 14% from the 2002 conference, attended the event, held for the first time in San Antonio. Those in attendance had the chance to hear keynote speeches from then AACN President Connie Barden, RN, MSN, CCNS, CCRN, and then President-elect Dorrie Fontaine, RN, DNSc, FAAN, as well as Robert David Hall, star of the hit TV show CSI, and speaker/author Amanda Gore. Attendees at NTI also were entertained by comedian/actor Dana Carvey and many danced to the tunes of Neil Diamond, performed by tribute band Super Diamond.

Of course, education was at the heart of NTI, with participants earning CE credits on a wide variety of topics. They also had the chance to tour the exhibitor hall to check out the latest in medical innovations while exploring numerous career opportunities. Perhaps most importantly, more than 3,000 of the attendees took up Barden's challenge to use their "Bold Voices" and sign AACN's commitment card, pledging to stand up and be heard in the noble profession of nursing.

This year's NTI also enjoyed strong media coverage, with Fontaine being interviewed by National Public Radio.

Participant evaluations indicated that 99% of the attendees rated the program as "good" or "excellent," with 99.6% stating that they would recommend NTI to a colleague. Those who didn't have the chance to attend this year will want to check out the opportunities for NTI 2004, scheduled May 15 through 20 in Orlando, Fla.

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 newly 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.

Cost Saving Cited in Decision to Implement ECCO Program
SICU Piloted Approach at UCSD Medical Center

Taking a break from orientation with ECCO at UCSD Medical Center
are (from left, seated) Geraldine Sarte, Diane Gaeta and Michelle
McCoy and (from left, standing) Deborah Snyder and Laura Dibsie.

UCSD Medical Center is the primary hospital for the University of California, San Diego School of Medicine. The region's only academic medical center offers both primary care and specialized services, and serves as San Diego County's only Level I Trauma Center. The surgical ICU has pioneered the implementation of the Essentials of Critical Care Orientation (ECCO) program within this institution. Deborah Snyder, RN, MSN, CCRN, was the manager of the SICU at the time the program was implemented (she now serves as the trauma program manager) and spearheaded the effort to win approval to pilot the program within this unit.

Snyder and colleague Laura Dibsie, RN, MSN, CCRN, clinical nurse specialist for the SICU, heard about ECCO from various sources, including through articles that have appeared in AACN News. They began investigating the program and discussing ways in which utilizing ECCO could benefit the entire organization.

Because e-learning was a new concept within the UCSD Medical Center, they proposed piloting the program within their unit to evaluate its effectiveness and determine whether efficiencies could be gained. Snyder created a cost-benefit analysis to compare the cost of purchasing ECCO to the cost of the current training method, based on the number of nurses hired each year. She also looked at nonproductive versus productive time, overall orientation and training time, and the amount of money lost when a nurse is released before the end of the probationary period.

Determining the Savings
Using 20 people as the benchmark to complete the initial comparison figures, she determined that using ECCO in the initial orientation would save $503, including costs such as books, licensing agreement, headsets and salaries. Over a year, the savings accrued per orientation would be approximately $20,000 if no employees left.

"Cost savings is one of the most important aspects in the current environment of healthcare," said Snyder. "Showing that we would be able to save money by using this high quality program garnered a lot of agreement and interest. The senior management team, including the CEO, said to go for it and do it as a pilot in the SICU."

Snyder and Dibsie also believed that a change was needed to facilitate the learning style of younger and less experienced critical care nurses, to conserve the time of the CNS in presenting didactic lectures, to allow flexibility in the learning format offered new hires, and to provide the orientee the ability to repeatedly use the modules when additional learning needs arose.

Snyder and Dibsie expressed concern about the initial time commitment required to successfully implement the ECCO program. Dibsie created a schedule that can now be used with each orientation rotation, thus reducing the time investment for each subsequent orientation.

"The schedule reflects the order of content acquisition. Students know which modules should be completed on certain days and when the module exams are due," she explained.

Because students must learn certain concepts right away, the cardiovascular module was divided into several sections.

"Initial concepts include the basics of cardiovascular, pulmonary and PACEP. The next thing they see is every system is connected so the multisystem module comes next and the content of the other modules follows thereafter to coincide with the students' experience at the bedside," said Dibsie.

Balancing With Clinical Time
Because of limited computer training space, the focus of the six-week orientation was staggered between the e-learning program and clinical time. The first two weeks are focused solely on working through modules of the ECCO program, with subsequent weeks rotating between clinical and ECCO.

"With this model, we have seen evidence of learning taking place," Dibsie said. "For instance, one student who spent two 24-hour weeks working through the ECCO program then spent three days in a row with the sickest patient on the unit and was readily pulling up concepts from her learning experience."

The pre- and post-test mechanisms are a way to measure learning. Students average between 30% and 50% on the pre-test and in the 80% range on the post-test. They are encouraged to write notes about which questions they missed on the post-test and why, and print copies of the test results for use as a reference for discussions with their educator as well as for their personal use.

Dibsie and Snyder agreed that the flexibility offered by ECCO allowed them to fill vacancies sooner and eliminate contract labor, which costs more than hiring new graduates.

"I also think this method of education will be similar to what they're just leaving in the school environment, so they're comfortable and encouraged by this kind of learning," said Dibsie.

Human resources staff were also incorporated into implementing the program.

"The interview process was changed to look at independent learners and determine those candidates who are self-accountable, so the quality of our hires may be getting better," said Snyder.

Setting aside time to work within the ECCO program prior to students using it helped Snyder and Dibsie master the program before introducing it to the first group of students. In addition, they said that starting with a small group of students is ideal, because it allows time to modify the implementation plan if warranted.

Enhancing With Resources
Their students are scheduled to access the program at the hospital primarily when the CNS or one of the key program administrators is working. This gives the students access to a resource if they have questions. Although formal classroom time is not scheduled, the CNS meets with the students for approximately two hours each day to determine if they are on track with their learning and to offer various blended learning opportunities to apply the information. Dibsie indicated this proximity to the learners has allowed her to intervene sooner, which may help to cut losses in staff down the road.

Dibsie also recommended purchasing AACN's Case Studies in Critical Care Nursing, 2nd Ed. by S. Drake Melander. The review of case studies reinforces the pathophysiology and theory learned from the modules and allows the learners to see how concepts will apply to direct patient care activities. It also fosters the beginnings of critical thinking.

Dedicating one person to thoroughly knowing the ECCO program has also helped to ensure smooth implementation. At UCSD Medical Center, a dedicated informatics nurse has acted as technical liaison for the program, freeing the educators to focus on concept acquisition.

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

61 Educational Advancement Scholarships Awarded

Congratulations to the recipients of AACN Educational Advancement Scholarships for the 2003-04 academic year. The 61 scholarships of $1,500 each have been awarded to nurses at 53 schools in 23 states and the District of Columbia. The program continues AACN's 20-year history of supporting registered nurse members enrolled in a baccalaureate or graduate degree program in nursing. These scholarships are in addition to the 10 entry into nursing scholarships AACN awards each year through the National Students Nurses Association.

Congratulations to the Graduate Recipients
Kathleen A. Ahern-Gould, RN, MSN, BA, CCRN, Boston College, Connell School of Nursing; Michael D. Aldridge, RN, CCRN, University of Texas, Austin; John Louis Arbour, RN, ADN, CCRN, University of Texas Health Science Center; Beth A. Bednarz Pruski, RN, BS, BSN, Catholic University of America; Christine A. Boev, RN, BSN, CCRN, Georgia College and State University, Macon, Ga.; Nicole R. Borem, RN, BSN, Evanston Northwestern-DePaul University; Kristina G. Bowen, RN, BS, BSN, University of South Carolina; Kathryn R. Carlovsky, RN, BS, BSN, University of Illinois; Mara L. Carpenter, RN, BSN, CCRN, CHE, University of Scranton; Laurie K. Carson, RN, BSN, AA, Azusa Pacific University; Patricia A. Daansen, RN, BSN, CCRN, St. John Fisher College

Lisa G. Elles-Borrson, RN, BSN, CCRN, University of Missouri-St. Louis; Valerie S. Eschiti, RN, MS, MSN, CS, Texas Woman's University; Susan Ford, MS, MSN, APRN, University of Illinois-Chicago; Julia J. Freeman, RN, BSN, CCRN, Felician College; Timothy B. Guin, RN, East Carolina University; Kimberly A. Guth, RN, BSN, CCRN, Northeastern University; Karla J. Hanson, RN, BSN, South Dakota State University; Amy Hart, RN, BSN, University of Phoenix; Susan Henry, RN, ADN, CCRN, University of San Diego; Cecile Jimenez, RN, CCRN, Georgetown University; Lucy Ha Yon Joo-Castro, RN, BS, BSN, Ball State University- School of Nursing; Jennifer Kawi, RN, BS, BSN, CCRN, University of Nevada-Las Vegas; Laura E. Kenny, RN, BSN, University of California, San Francisco; Yolanda G. Keys, RN, BSN University of Texas Health Services Center; Tari Kovacs, RN, BS, BSN, CNRN, Catholic University of America; Jennifer B. Kremer, RN, BSN, CCRN, EMT-P, Indiana University; Jennifer E. Lows, RN, BSN, CCRN, Oregon Health & Science University; Karen Martin, RN, Medical College of Ohio; Staci D. Martin, RN, BSN, CCRN, Akron University; Jennifer L. Moran, RN, BSN, University of Maryland

Tina R. O'Neal, RN, ADN, CCRN, University of Texas Health Science Center; DaiWai M. Olson, RN, BS, BSN, University of North Carolina; Elizabeth Hange Paul, RN, University of Akron; Kim M. Reiser, RN, BSN, Northeastern University; Tricia I. Roesch, RN, BSN, University of Pittsburgh; Christopher M. Scovil, RN, BSN, Mayo School of Health Related Sciences; Julie K. Shaw, RN, ADN, CCRN, University of Iowa; Sarah K. Shingleton, RN, BSN, CCRN, University of Colorado Health Science Center; Kathryn R. Small, RN, BS, CCRN, University of Massachusetts-Worcester; Randy Turnacliff, RN, ADN, BA, CCRN, St. Mary's University; Cynthia Tobin Walsh, RN, BSN, CCRN, University of Phoenix; Jacqueline A. Weaver, RN, BSN, CCRN, Widener University; Kelly L. Wiltse, RN, BSN, University of Pittsburgh; Kristin Wittersheim, RN, BS, BSN, Emory University; Daniel Takeo Wong, RN, BSN Samuel Merritt College Hayward CA; Diane Yorke, RN, MSN, MBA, University of North Carolina; Penny P. Zimmerman, RN, BSN, University of South Carolina

Congratulations to the BSN Recipients
Linda C Barton, RN, ADN, Curry College; Tamara Capik, RN, ADN, CCRN, Humboldt State University; Natasha R. DeHosse, RN, ADN, University of Southern Indiana; Cynthia J. Gallant, RN, ADN, CCRN, Framingham State College; Debbie L. Geibel, RN, ADN, CCRN, Creighton University School of Nursing; Anne M. Maihofer, RN, ADN, University of Michigan School of Nursing; Karen L. Napikoski, RN, AA, CCRN, Mount Aloysius College; Myra L. Popernack, RN, CCRN, Immaculata University; Barbara A. Roll, RN, BA, Ashland University; Mary G. Sayler, RN, ADN, CCRN, University of Detroit Mercy; Michele M. Teresko, RN, CCRN, DeSales University; Elisabeth K. Thoma, RN, ADN, CCRN, University of New England; Michael Alan Torn, RN, ADN, CCRN, University of Phoenix.

Applications for the next round of Educational Advancement Scholarships are due April 1. The application is available online.

Named Scholarships Honor 6 AACN Leaders
Contributions Sustain Commitment to Education

Eleven of the educational advancement scholarships awarded for the 2003-04 academic year are named to honor five of the association's national leaders. Each scholarship represents a contribution to the AACN Scholarship Endowment of $1,500 or more by the individual or gifts received in their honor. Following are the named scholarships and the individuals receiving them:

In Honor of Connie Barden, RN, MSN, CCNS CCRN
Immediate Past President, AACN
DaiWai M. Olson, University of North Carolina-Chapel Hill
Diane Yorke, University of North Carolina-Chapel Hill

In Honor of Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM
Director, AACN Board of Directors
Beth A. Bednarz Pruski, Catholic University of America
Christine A. Boev, Georgia College & State University
Cecile Jimenez, Georgetown University
Tari Kovacs, Catholic University of America

In Honor of M. Dave Hanson, RN MSN, CCRN, EMT-P
Treasurer, AACN Board of Directors
Jennifer B. Kremer, Indiana University School of Nursing
Michael Alan Torn, University of Phoenix

In Honor of Wanda L. Johanson, RN, MN
Chief Executive Officer, AACN
Lucy Ha Yon Yoo-Castro, Ball State University

In Honor of Roberta Kaplow, RN, PhD
Director, AACN Certification Corporation Board of Directors
Kristin Wittersheim, Emory University

In Honor of Barbara Gill-MacArthur, RN, MN, MS, FAAN
Past Chair, AACN Certification Corporation Board
Kristina G. Bowen, University of South Carolina

Since the first educational advancement scholarships were awarded in 1984, AACN has been in the forefront of supporting critical care nurses to continue their academic education. The Scholarship Endowment also supports continuing education scholarships for nurses to attend AACN's annual National Teaching Institute and Critical Care Exposition.

Funds to support these scholarships are allocated in the association's operating budget each year and offset in part by gifts from individual donors and industry. In 2001, the AACN Board of Directors established a separate scholarship reserve fund to ensure the program's existence for the future. In time, it will become a self-sustaining fund that supports the association's scholarships each year.

To date, individual gifts and fund-raising events, including the NTI silent auction, have contributed more than $215,000 toward the endowment's $2 million goal. A scholarship is named during the year of donation for each gift to the Scholarship Endowment of $1,500 or more contributed by an individual or in their honor.

To support the AACN Scholarship Endowment, contact the AACN Development Office, 101 Columbia, Aliso Viejo, CA 92656. Donations are tax deductible. For additional information, call (800) 394-5995, ext. 333; e-mail, development@aacn.org.

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
Roll Call (July 14, 2003)-Roll Call carried an ad urging Congress to fund the Nurse Reinvestment Act. The ad was sponsored by the American Hospital Association and nine other healthcare associations, including AACN. In urging Congress to "act today," the ad emphasizes, "Patients need nurses ... but the nursing shortage continues." The ad can be viewed online at www.aha.org > 2003 Advocacy Agenda > Key Issues > Workforce Shortage > What's New > News Items > Fund the Nurse Reinvestment Act Ad.

Los Angeles Times (July 21, 2003)-An article titled "Alone in the ER: People receiving invasive or lifesaving treatment often want loved ones present, but many hospitals limit access" appeared in the Los Angeles Times. This article included information about a study cosponsored by AACN and the Emergency Nurses Association and published in the May issue of the American Journal of Critical Care and the June issue of the Journal of Emergency Medicine. In expanding on the news release, the Los Angeles Times included quotes from other healthcare industry sources. A life-threatening illness or injury is frightening enough; having a loved one present can make the ordeal less terrifying. It can also ensure better care because relatives, partners or close friends frequently provide crucial information and a health history to doctors and nurses, the article noted. AACN President Dorrie Fontaine, RN, DNSc, FAAN, a co-author of the study, was quoted in the article as saying, "Three-quarters or more of the American public wants to be there with their loved one during CPR and invasive procedures … Changing demographics and changing definitions of family make the need for such policies all the greater, say nurses' groups and patients' advocates."

SSM Online (July 7, 2003)-The Association of Operating Room Nurses' SSM Online noted that AACN and nine other nursing associations have urged the U.S. Department of Labor to exempt healthcare professionals from a proposed regulation that would eliminate overtime pay for a large number of nurses. The article, titled "Nation's Top Nursing Groups Urge Labor Department to Exempt Health Care Professionals from Regulation that Would Allow Mandatory Overtime Without Additional Pay," notes that the groups are concerned the regulation would exacerbate an already dangerous shortage of nurses in the United States. "If this occurs, these situations will create extreme dissatisfaction, likely resulting in the loss of more experienced nurses from the healthcare system," the groups are quoted as warning.

Health Care Strategic Management (July 2003)-Health Care Strategic Management included an article on the new Web-based, CCRN adult certification examination self-assessment tool (www.certcorp.org > Products & Courses > CCRN-Adult Self-Assessment Practice Exam). The article explained that the 50-question practice examination is designed to provide timely and essential feedback to candidates pursuing CCRN certification.

ANG Newspapers (July 6, 2003)-An article titled "RX for the Nursing Shortage" was published by newspapers in the ANG group, including the Oakland Tribune, San Mateo County Times, Alameda Times-Star, Argus and Tri-Valley Herald, as well as online at Nurses.com and on the California Nurses Association Web site. Although applicants to nursing schools are at an all-time high, the drop-out rate averages 20%, the article noted. The article quoted AACN Clinical Practice Specialist Linda Bell, RN, MS, MSN, who said, "Strong math and science skills are key to nursing because the profession has evolved into a highly technical and specialized field. Patients rarely come in with just one disease anymore. They are a conglomerate of their medical history."

Baltimore Sun (July 27, 2003)-Justine Medina, RN, MS, AACN practice and research director, was quoted in a Baltimore Sun article titled "Baltimore-Area Hospital Adds Nurse Practitioner Shifts in Intensive Care Unit." Because of the shortage of critical care physicians, Harford Memorial Hospital, Havre de Grace, Md., now uses a nurse practitioner for about half of the evening shifts in the ICU. "Harford Memorial is lucky to have had so much intensivist coverage," Medina said. "There are really good models in which patient care does not suffer if there is clear communication about roles, about expectations. The key thread is the respectful team environment."

Nursing Management (July 2003)-Nursing Management published the results of its "Salary Survey 2003." The survey indicated that certification boosts salary and that the nurse leaders who are CCRN certified (25.8%) earn the highest average salary of all certifications at $74,280.

Advance for Nurses (June 23, 2003)-An article titled "American Association of Critical-Care Nurses Names 2003 Award Recipients" was featured in Advance for Nurses. The article listed the recipients of AACN's 2003 Circle of Excellence Awards, a program that recognizes contributions and achievements related to the association's mission.

Our Voice at the Table
Houston Gulf Coast Chapter Transitional Leadership Retreat-M. Dave Hanson, RN, MSN, CCRN, EMT-P, treasurer of the AACN Board of Directors, updated attendees about the work being done at the national AACN office and challenged participants to make their optimal contribution as chapter members. Hanson's topics were three-fold: "AACN: the Voice of Critical Care," "Working Together as a Team to Create a Realistic and Successful Chapter Budget" and "Rising Above to Create Effective Messages: Using Your Bold Voice to Deliver Those Messages."

Medical Society Fund Raising Network-Ramón Lavandero, RN, MSN, MA, FAAN, director of Development & Strategic Alliances at AACN, and Randy Bauler, AACN's exhibits and sponsorships director, attended the summer meeting in Los Angeles, where AACN was recognized as a prominent leader in the nursing and healthcare association arena. The network is a group of healthcare association executives who are responsible for resource development and industry relations activities. During the meeting, Lavandero participated as a panelist in a presentation on how different organizations coordinate their industry relations agenda.

National Student Leadership Conference-AACN board member Janie Heath, RN, MS, CCRN, ACNP, ANP, spoke in Washington, D.C., to 300 high school students from across the United States. Heath's speech, titled "Critical Care Nursing Rocks," was an overview of nursing and what makes critical care nurses different. She used real-life scenarios to demonstrate how critical care nurses have a 24-hour, 7-day a week responsibility to intervene with the most vulnerable, unstable and complex, critically ill patients.

AACN board member Janie Heath shared her views on
critical care nursing with students participating in the
National Student Leadership Conference.

If you or your chapter has reached out to the media or other groups to promote critical care nursing, we'd like to know. E-mail your information to Judy.Wilkin@aacn.org.

PDA Center
PDA Version of Drug Guide Released

You can now purchase Lippincott Williams and Wilkins' 2003 Nursing Drug Guide through the AACN PDA Center. And, through Sept. 30, you can save 15% when you purchase the latest AACN Clinical Reference/Drug Guide Bundle. In addition to the Nursing Drug Guide, you will receive Griffith's 5-minute Clinical Consult for only $99. This new bundle is available in either Palm OS or Pocket PC formats. To order online, visit www.aacn.org > Bookstore > AACN PDA Center > Special's and What's New.

Fees Discounted for AACN Members Attending Nursing Management Congress

AACN members can take advantage of discounted registration fees for Nursing Management Congress 2003, scheduled for Oct. 26 through 29 in San Diego, Calif.

AACN is one of six professional nursing associations that supports this conference on excellence in nursing leadership. Participants can earn up to 32.2 contact hours of Category O continuing education recognition points.

AACN is the sponsor of two of the sessions. One session, titled "Executive Toolkit for the Procurement of E-Learning Programs," will feature Wendy J. Berke, RN, BSN, MHA, AACN's director of professional practice. "Safeguarding the Patient and the Profession: the Value of Critical Care Nurse Certification" is the title of the other program, which will be presented by Beth A. Glassford, RN, MSHA, CHE, immediate past secretary-treasurer of the AACN Certification Corporation Board of Directors.

The conference brochure is available on the AACN Web site.

What's Coming Up in the October Issue of Critical Care Nurse?

• Chemical Warfare: Toxicity of Nerve Agents

• HIV Disease and Aging

• Resiliency of Accomplished Critical Care Nurses in a Natural Disaster

• New Graduates: A Precious Critical Care Resource

• Pregnancy-Induced Hypertension and Preeclampsia

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

Looking Ahead

October 2003

October 1 Deadline to submit proposals for the AACN Evidence-Based Practice Grant. To find out more about AACN's research priorities and grant
opportunities, visit the AACN Web site. The
grants handbook is also available from AACN Fax on Demand at (800) 222-6329. Request Document #1013.

October 1 Deadline to apply for the AACN Clinical Practice Grant. To find out more about AACN's research priorities and grant opportunities, visit the AACN
Web site. The grants handbook is also available from AACN Fax on Demand at (800) 222-6329. Request Document #1013.

October 1 Deadline to apply for the AACN-Sigma Theta Tau Critical Care Grant. To find out more about AACN's research priorities and grant opportunities, visit the AACN Web site. The grants handbook is also available from AACN Fax on Demand at (800) 222-6329. Request Document #1013.

December 2003

December 1 Deadline to submit nominations for the 2005 AACN Distinguished Research Lecturer Award. For more information, contact Research Associate
Dolores Curry at (800) 394-5995, ext. 377; e-mail,

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