AACN News—July 2004—Association News

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Vol. 21, No. 6, JUNE 2004

McCauley Accepts AACN Leadership Reins
‘Live Your Contribution’ Theme Underscores Year’s Plans

Building on the past year’s theme of “Rising Above,” 2004-05 AACN President Kathy McCauley, RN, PhD, CS, FAAN, unveiled her plans for the coming year, urging nurses to “Live Your Contribution.”

As she accepted the AACN “vision” from outgoing President Dorrie Fontaine, RN, DNSc, FAAN, during the General Session on the final day of AACN’s National Teaching Institute and Critical Care Exposition in Orlando, Fla., in May, McCauley explained.

“If ‘Rising Above’ represents reaching beyond personal and professional barriers to excellence, then ‘Live Your Contribution’ urges us to translate those insights into positive actions, both individual and collective,” she said.

“As your AACN president, I pledge to live my contribution to each of you. And through you to each of our patients and their families.” (See “President’s Note,” page 2.)

The NTI attracted more than 6,800 participants.

Leadership Transition
Earlier in the week, newly elected board members were announced at the AACN Annual Meeting and Forum. They are President-elect Debbie Brinker, RN, MS, MSN, CCNS, CCRN, and Directors Denise Buonocore, RN, APRN-BC, CCRN, Roberta Kaplow, RN, PhD, CCNS, CCRN, and Jodi Mullen, RNC, MS, CCNS, CCRN.
Completing their terms on the board were M. Dave Hanson, RN, MSN, CCRN, EMT-P, Mary Fran Tracy, RN, PhD, CCNS, CCRN, and Susan Yeager, RN, MS, CCRN, ACNP, EMT.

Following is information about the new AACN leadership team members:

Kathy McCauley
McCauley is interim associate dean and director of undergraduate studies at the University of Pennsylvania School of Nursing, Philadelphia, where she is also associate professor of cardiovascular nursing and cardiovascular clinical specialist. She has been affiliated with the hospital and school since 1979.

A member of AACN since 1975, McCauley joined the national Board of Directors in 2000. She has served on numerous volunteer committees, including the Advanced Practice Work Group, the Resource Development Work Group, the Organizational Ethics Committee and the Nominating Committee. She has also been liaison to the Chapter Advisory Team. She is a past president and member since 1978 of the Southeastern Pennsylvania Chapter of AACN.

Debbie Brinker
Brinker is an instructor of pediatrics on the Child Health faculty at Intercollegiate College of Nursing at Washington State University and a clinical nurse specialist in the pediatric ICU at Deaconess Medical Center. She is also a nurse consultant for Inland Northwest Health Services.

A member of AACN since 1985, she served on the AACN Board of Directors from 2000 to 2003 and on the AACN Certification Corporation Board of Directors from 2001 to 2003. Also at the national level, she has been a member of the FIPSE Grant Project Advisory Board. Education Work Group, Board Advisory Team, Nominating Committee, NTI Work Group, Research Work Group, Professional Development Work Group, Pediatric Advisory Team, CCNS Exam Development Committee, Pediatric CCRN Item Writer Committee, and Pediatric CCNS Item Writer Committee.

Brinker is a member and past president of the Spokane Chapter of AACN.

Denise Buonocore
Buonocore is a faculty/lecturer and clinical preceptor at Yale University School of Nursing, New Haven, Conn., and the acute care nurse practitioner in the Department of Cardiology, Diabetes at Bridgeport Hospital.

A member of AACN since 1989, she has served in a variety of volunteer capacities at the national level. She served as a member of the Research Abstract Review Panel, Advanced Practice Advisory Team, Program Advisory Panel, CE Article Review Panel, Advanced Practice Work Group and Board Advisory Team.

She has been ECG page editor for Critical Care Nurse and a presenter at the NTI.

She is a member and past president of the South Central Connecticut Chapter of AACN.

Roberta Kaplow
Kaplow is a clinical professor at Emory University, Atlanta, Ga.

A member of AACN since 1981, she has served the past two years as a member of the AACN Certification Corporation Board of Directors. As a volunteer at the national level, Kaplow has also served on the Practice Analysis Task Force, Research Grants Review Panel, Chapter Advisory Team, Chapter/Membership Award Review Panel, Adult CCRN Exam Development Committee and Adult CCRN Examination Item Writers Service.

She has been a member of the New York City Chapter of AACN since 1982 and is now a member of the Atlanta Area Chapter.

Jodi Mullen
Mullen is a clinical nurse specialist in the pediatric ICU at Children’s Medical Center, Dayton, Ohio.

A member of AACN since 1992, she served on the AACN Nominating Committee for 2002-03. Her other volunteer activities at the national level have included serving as a member of the NTI Review Panel, NTI Work Group and Pediatric Advisory Team.

She is a member of the Central Ohio Chapter of AACN and is a cofounder of the Ohio Chapter of the Society of Pediatric Nurses.

Nominating Committee
Elected to the AACN Nominating Committee were Natalie Correll-Yoder, RN, CNS, MN, CCRN, Kathleen Stephens, RN, BS, BSN, and Robin Watson, RNC, MN, CCRN.

NTI Draws More Than 6,800 Critical Care Nurses
You Can Still ‘Sample’ This Premier Conference Online

More than 6,800 critical care nurses and more than 450 companies came together in Orlando, Fla., in May for AACN’s annual National Teaching Institute and Critical Care Exposition.

The weeklong conference provided a range of opportunities for participants to learn, network and celebrate their profession. It was also the place where more than 400 progressive care nurses took the first PCCN certification exam.

If you weren’t able to attend the NTI, you can still sample some of the rich knowledge sharing that took place.

Posters Online
The Research and Creative Solutions Posters that were on display at the NTI are now online at www.aacn.org > Clinical Practice > Research. The posters are organized by category. Information relates to a variety of topics, including administration, cardiology, education, end of life, pulmonary, grants, direct patient care management, healthy and healing work environments, management, multidisciplinary rounds, orientation, patient satisfaction, precepting and mentoring, recruitment and retention, research awareness, and nursing students.

Maybe you are interested in submitting a poster abstract for NTI 2005 in New Orleans, La. If so, Sept. 1 is the submission deadline.

‘Taste of NTI’
GE Healthcare worked with AACN to provide a “Taste of the NTI,” two videotaped sessions that are now available for viewing online. The two sessions that were videotaped for this unique offering were the “Rising Above'” opening session address by 2003-04 AACN President Dorrie Fontaine, RN, DNSc, FAAN, and a concurrent session GE Healthcare sponsored, titled “Believe in the Power of Nursing” and presented by past AACN President Mary G. McKinley, RN, MS, MSN, CCRN. Viewing will be available for 12 months.

Leadership Addresses
Printed copies of Fontaine’s address and of the President-elect’s Address delivered by then incoming President Kathy McCauley, RN, PhD, CS, FAAN, are also available online.

Support for Scholarships
A popular NTI event, in its fourth year, the Silent Auction raised more than $30,000 for the AACN Scholarship Endowment, established three years ago with the goal to become a self-sustaining funding source. AACN currently provides scholarships to members completing a college degree, a graduate degree or obtaining continuing education. Included are Vision Partners scholarships that pair first-time NTI attendees with experienced NTI participants. In addition, AACN is the National Student Nurses Association Foundation’s largest single scholarship sponsor, funding 10 of its entry-into-nursing scholarships.

In addition, $100,000 in chapter pledges for the endowment was announced at the Chapter Presidents Luncheon during the NTI. The funds resulted from a challenge by the Southeastern Pennsylvania Chapter of AACN.

Mail Home Box Decorators
Joy Espejo, RN, BSN, CCRN, of Englewood, N.J. won first place in the annual Mail Home Service box-decorating contest. Her artistic talent won her a complimentary registration to NTI 2005.

Winning second place and a $200 gift certificate to the GE Healthcare Corporate Store was Carol Smith, of Scotts Valley, Calif. Winning third place and a $50 gift certificate good toward purchases from the AACN Resource Catalog was Marites E. Welch, RN, MS, MEd, CCRN, of Englewood, N.J.

Lost and Found

Did you lose an item at the NTI? We may have it. Please, e-mail a detailed description of the item and your contact information to info@aacn.org. All unclaimed items will be donated to charity at the end of August 2004.

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
Window (April 2004)—An interview with CEO Wanda Johanson, RN, MN, was published in this Finland-based, GE Healthcare magazine. In a two-page article titled “GE Meets AACN’s Johanson,” a wide range of issues were discussed, including the nursing shortage and AACN’s role in addressing it, AACN’s new Beacon Award for Critical Care Excellence, and the value of certification.

Healthcare Purchasing News (May 2004)—AACN Clinical Practice Specialist Linda Bell, RN, MSN, was quoted in an article titled “Vendors, Materials Managers, and Critical Care Nurses: Communication Is the Key.” “The best relationship to build is a bridge to practicing nurses,” said Bell, who practices one weekend each month at a hospital in her area. “The best part of nursing is the interaction you have with the patients and their families.”

Nursing Spectrum (May 13, 2004)—A Daily News item announced AACN’s launch of the first certification exam for progressive care nurses. Johanson was quoted as saying, “The PCCN credential mirrors a hospital landscape where higher acuity patients continue to migrate outside the traditional walls of intensive care units.” The first PCCN exam was administered in May at AACN’s National Teaching Institute and Critical Care Exposition in Orlando, Fla.

Kansas City Nursing News (April 19, 2004)—An article titled “Shawnee Mission Medical Center Nurses Work Toward a NOBLE Goal” congratulated nurses who had completed the Nursing Outcomes Building Leadership Excellence program, a voluntary, in-house program based on beliefs expressed in the AACN Synergy Model for Patient Care.

Nellcor News Release (May 20, 2004)—“Nellcor Continues Its Commitment to Education Through 2004 U.S. Nursing School Donations” was the title of a news release picked up by a variety of news outlets, including CBS MarketWatch, Hoover’s Online, Yahoo Finance, the Press Democrat and Quote.com. In addition, several television outlets featured the announcement, including Fox 12 Oregon, WKYT 27 (Kentucky), KTVO TV3 (Missouri), WFIE 14 (Indiana) and KLTV (Texas).

Baxter News Release (May 17, 2004)— “Baxter Healthcare and American Association of Critical-Care Nurses Announce New Patient Safety Award” was the title of a news release featured by several news outlets, including WorldNews Network, FindLaw.com, CBS MarketWatch, FinanceJournal.com, Financials.com, Hoover’s Online, Yahoo Finance, CNN.com, ETrade.com, and SSMOnline.org. Baxter Medication Delivery is sponsoring the award to recognize patient-care teams that make significant contributions toward patient and caregiver safety in acute and critical care. Recipients will be recognized for innovative approaches and processes that improve the safety and quality of care based on evidence-based outcomes.

ADVANCE for Nurses (April 12, 2004)—An article featured the Lehigh Valley Chapter’s NurseFest 2004, where then President-elect Kathleen McCauley, RN, PhD, CS, FAAN, gave the keynote on “Rising Above: We Can All Make a Difference.” McCauley encouraged nurses to be proactive and to speak out sooner and with more force about inhumane work environments.

ADVANCE for Nurses (April 26, 2004)—An article titled “Trending the Trends” featured the annual Trends in Trauma and Cardiovascular Nursing conference, cosponsored by the Southeastern Pennsylvania Chapter in Philadelphia. Debbie Fischer, RN, MSN, CCRN, chapter president, noted that attendance at the conference has increased. McCauley also delivered the “Rising Above: We Can All Make a Difference” keynote address, in which she urged nurses “to work together to create a healthier work environment and build stronger collaborative relationships.”

Our Voice at the Table
Certification Director Carol Hartigan, RN, represented AACN Certification Corporation at the National Council of State Boards of Nursing annual Advanced Practice Roundtable in Chicago, Ill. Issues discussed included the mutual recognition model of nurse licensure, a request for feedback by the American Association of Colleges of Nursing on the Clinical Nurse Leader program and implementation of the new NCSBN criteria for approving advanced practice certification programs.
Immediate Past President Dorrie Fontaine, RN, DNSc, FAAN, toured the ICUs at Barnes Jewish Hospital and St. John’s Mercy Hospital in St. Louis, Mo. with Tom Ahrens and former Society of Critical Care Medicine Presidents Rob Taylor and Tim Buchman.

Fontaine attended a ceremony with staff and the vice president of nursing at the University of California-San Francisco Medical Center, where plaques recognizing CCRNs were dedicated in three of the ICUs.

Michael Day, RN, MSN, CCRN, AACN Certification Corporation director, presented the keynote address at the 2004 Inland Northwest Nursing Research Symposium, sponsored by Washington State University/Intercollegiate College of Nursing, Spokane, Wash. The title of his presentation was “Research: Relevance to Practice.”
Mary Fran Tracy, RN, PhD, CCRN, CCNS, former AACN board member, spoke at Geisinger Healthcare, Danville, Pa., for the third annual “Lessons From the Heart” conference. She presented the keynote, titled “Passion and Compassion: Contributions of Critical Care Nurses,” and also spoke on “CATs in the ICU: Critical Care Nurses’ Perspectives and Practice.”

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.

On the Agenda

Following is a report by AACN Board Member Caryl Goodyear-Bruch, RN, MSN, CCRN, on discussions and actions that took place at the April 2004 board meeting.

Agenda Item: Strategic Plan and Operating Plan
The board reviewed and approved both the Strategic Plan and the 2005 Operating Plan for AACN.

The Strategic Plan, which incorporates data about trends in the profession, healthcare and society, provides the overall vision and direction for the association to meet the needs of members in a variety of ways over the next three to five years. The board used a scenario planning process to help envision the future and evaluate its Strategic Plan. Breaking into groups, board and staff members examined the mega forces that are expected to drive the association and influence the future—advances in technology, the nursing shortage and work environment, healthcare financing, and competition. The Strategic Plan, which is then translated into the operational plan, helps the board ensure that its thinking about the future and AACN’s mission and vision propel the association where it needs to go to best address and represent the needs of nurses and of patients and their families.

In reviewing the association’s Operating Plan, the board considered whether tactics are appropriately focused and robust enough to facilitate progress toward achieving the Strategic Plan. The plan is reviewed and adjusted throughout the year according to changes in the environment.

Agenda Item: FY05 Budget
One of the key responsibilities of the board is to ensure the association has sufficient resources and that resources are allocated appropriately to achieve desired outcomes. Before unanimously approving the budget for fiscal year 2005, which is based on a detailed Operating Plan, the board reviewed it in relation to long-term strategic goals and objectives. Chief Financial Officer Michael Willett emphasized that the budget is developed to ensure not only that initiatives are pursued in a financially efficient and responsible manner, but also that resources and services maintain the quality expected from AACN.

Agenda Item: Election of Board Secretary and Treasurer
The board elected Mary E. Holtschneider, RN, BSN, MPA, EMT, as secretary and Deborah B. Laughon, RN, BSN, MS, PhD, CCRN, as treasurer for 2004-05. The positions have previously been filled by Secretary Mary Fran Tracy, RN, PhD, CCRN, and Treasurer M. Dave Hanson, RN, BSN, CCRN, EMT-P, who completed their terms on the board June 30.

Agenda Item: President’s Report
Dorrie Fontaine, RN, DNSc, FAAN, 2003-04 president, reported on what she has seen and heard as she traveled around the country. The information the president and others bring back from these interactions is important to the board in assessing the work environment in relation to association initiatives.

Agenda Item: AACN Certification Corporation Membership Meeting
Suzanne Prevost, RN, PhD, 2003-04 AACN Certification Corporation chair, reported to the AACN Board of Directors on the activities, strategic direction and financial position of the corporation. Among the highlights of the report were the fact that the more than 400 progressive care nurses registered to take the new PCCN exam during the NTI had far exceeded projections. Prevost also advised the board on plans to offer new certification exams for medical cardiology and cardiovascular surgery nurses.

In the Circle
Award Cites ICU Designs That Enhance Care Environment

Editor’s note: Part of AACN’s Circle of Excellence recognition program, the ICU Design Award is cosponsored by the Society of Critical Care Medicine and the American Institute of Architects Committee on Architecture for Health to recognize ICU designs that enhance the critical care environment for patients, families and clinicians. Aug. 15 is the deadline to submit applications for the 2004 award. For more information, contact SCCM at (847) 827-7659. Following is the exemplar submitted in connection with the award presented this year.

McMaster Children’s Hospital Neonatal ICU
Hamilton, Ontario, Canada
Hamilton Health Sciences
McMaster Children’s Hospital

The NICU at McMaster Children’s Hospital, Hamilton Health Sciences, began planning for expansion of its 33-bed, level III nursery in 1999. These plans, summarized in a Functional Plan Document for the Government of Ontario, allowed for 14 additional beds to adequately accommodate regional perinatal needs.

Working closely with a planning group composed of staff, patients’ families and community members, Parkin Architects created a design that would guarantee the comfort and privacy of infants and their families, while ensuring staff members have the space and equipment necessary to care for critically ill infants. Once the final blueprint design was approved, demolition of the existing structure occurred, followed by construction from one huge single room into the new design.

The new nursery features several improvements, including a large family lounge with a play area, five “Care by Parent” units, five “bunk rooms,” comfortable chairs, individual lighting and privacy at each bed spot, as well as several multipurpose rooms for meeting with or teaching families within the nursery. A business clerk welcomes all parents and visitors at the front reception desk.

Staff work in a nursery that is one-and-a-half times larger, but definitely much quieter. They relax in a larger staff lounge and have learned to communicate differently through the use of pagers and a new nurse call system. Several new practices were implemented with the move, such as a “code pink” response team, the process of transferring infants from the L&D to the new nursery and creation of an “admission” nurse role. Business activity now occurs at two internal desks; the number of telephones has tripled; new monitors, incubators, ventilators and IV pumps have been introduced; and the number of staff doubled within one year.

Following intensive preparation by two committees, 25 babies were moved. In just over two years, we were caring for 40 to 47 babies on a daily basis. Family and staff feedback has been very positive.

In the Circle
Award Recognizes Excellent Nurse Managers

Editor’s note: Part of AACN’s Circle of Excellence recognition program, the Excellent Nurse Manager Award recognizes nurse managers who demonstrate excellence in coordination of available resources to efficiently and effectively care for acutely or critically ill patients and their families. Following are excerpts from the exemplars submitted in connection with this award for 2004.

Sarah Cohen Kaveney, RN, BSN
Erie, Pa.
Hamot Medical Center
When I interviewed for the position in the medical ICU, I met five nurses who said they were like a little league baseball team that just needed a coach.

The hospital’s step-down unit was closing, and the patients and staff were to be integrated into a new MICU. No resources were allocated for educational transition into an ICU, nor were any environmental resources provided to upgrade the existing physical space or equipment. As a close group of professionals who placed the patient above all else, they quickly became the “farm team.” Without a game plan, they would never win.

Our team agreed to focus on the game (the patient), play hard (becoming clinically competent), play a good game (foster peer accountability) and seek recognition for effort not outcome (foster nursing professionalism). It was challenging, but we all set out to meet our expectations.

Staff turnover my first year was 25%, but positions were always filled as soon as they became available. The energizing team spirit made others want to be drafted. The nurses interviewed each potential candidate to determine their commitment to our goals.

It was amazing how the perception of the underdog farm team could change in such a short time. The quality of care delivered remains at an all-time high. My team focused on the only thing that matters: the patient. They make it easy for me to be proud to be their coach.

Michael T. Luebbehusen, RN, BSN
Indianapolis, Ind.
Clarian Health Partners
Indiana University Hospital

My first day as clinical manager was also the first day of a three-hospital consolidation. Helping the staff negotiate the anxiety of the consolidation would take considerable effort.

Although my high-acuity unit had a strong clinical reputation, it had aesthetically aged and needed some repair. I led a multidisciplinary team charged with designing a state-of-the-art, 30-bed critical care unit.

My involvement in the design team challenged me and taught me valuable lessons. Collaboration, coordination, and commitment to designing a quality ICU were all parts of the responsibility.

One-and-a-half years later, the unit had a very successful grand opening. The consolidation also seemed to be heading in the right direction, and the focus had shifted. Magnet status and remodeling the nursing/patient care services after the AACN Synergy Model for Patient Care was now the vision.

Changing the work environment, focusing on the improvement in clinical care, rewarding and recognizing staff, providing educational opportunities, and integrating research-based care have all contributed to a new unit, literally and figuratively. We have eliminated travelers, morale has improved, and the momentum continues to grow.

The staff was active in every change that occurred. With the change to a more optimistic attitude, positive momentum permeated the staff and created a unit filled with motivated and professional staff. This has been a great opportunity to challenge myself, share my nursing passions, and realize that sometimes an opportunity does not wait for perfect planning and implementation.

Joanne M. Kuszaj, RN, MSN, CCRN
Raleigh, N.C.
Rex Healthcare
My medical surgery ICU is an open unit with no mandatory consults. The care provided can become inconsistent, especially in highly complex cases, which can result in less than optimum patient outcomes and frustration for the staff.

Based on previous experience, I know that changing clinical practice can be a challenge. My leadership approach began with developing sound relationships with the nursing staff, creating a collegial relationship with the medical director and enriching established relationships with the medical staff. My commitment to evidence-based practice began with the development of protocols and educating the multidisciplinary team in how care can be improved through consistency.

After five years of concentrated work on refining protocols and educating the team, the groundwork was laid to begin the next step. Building on communication skills and financial expertise, I was able to purchase software for a national critical care data system to evaluate patient care. Now, with the help of the database, information is available to portray inconsistency among physician groups with actual data.

To create an environment and culture that is evidence-based, posters are strategically located for physician and staff review showing, through the aggregate data, how some patients do better when protocols are used. Data continues to be shared with administration, service line teams, private physician groups and key hospital physician committees with the goal of trying to create more consistency in care.

This process has led to meaningful changes in not only individual patient outcomes, but also in the practice environment for physicians, nurses and other members of the multidisciplinary team. My goal has been to provide an environment that is satisfying for the professionals and promote positive outcomes for our patients and families.

Almost 200 New Members Recruited During May

Some members never lost momentum as they moved into AACN’s Critical Links Member-Get-A-Member campaign for 2004-05. In fact, some of the leaders in the last campaign that ended March 31 continued to be among the top recruiters in the new campaign, which began May 1.

They were among 86 individuals and 12 chapters participating in the new campaign. As a result, a total of 195 new members were recruited.

Leading the campaign in its first month was Ngozi I. Moneke, RN, BC, BSN, CCRN, of Freeport, N.Y. Her total of 13 members recruited during May represented almost one-third of her total of 43 in the past campaign. Caroline Axt, RN, MS, MSN, of Oakland, Calif., the top recruiter with 69 members recruited in the last campaign, added another 10 new members in May.

Other top recruiters in May were Linda J. Lopazanski, RN, CCRN, of Fords, N.J. (9); Barbara M. Eachus, RN, BS, BSN, CCRN, of Philadelphia, Pa. (9); Kathleen M. Richuso, RN, MSN, of Chapel Hill, N.C. (7); Dawn Kregel, RN, BSN, of Denton, Texas (7); Teresa J. Seright, RN, ADN, CCRN, of Minot, N.D. (7); Betty C. King, RN, MSN, of Deer Park, Calif. (6); Cathy L. Blonski, RN, of Danbury, Conn. (6); Marisue Rowe, RN, ADN, of Jacksonville, Ark. (6); Barbara M. Bundage, RN, MSN, of Long Beach, Calif. (5); and Diane M. Casperson, RN, BSN, CCRN, of Beresford, S.D. (5).

The Critical Links campaign offers valuable rewards to participants, including a $1,000 American Express gift check that will go to the top recruiter.

However, anyone who recruits just one new member receives an AACN clinical or practice-related gift. For every five new members recruited, participants receive a $25 gift certificate toward the purchase of AACN products or services. Recruit a total of 10 new members and receive a $50 gift certificate.

In addition, recruiters are eligible for a monthly drawing to receive a $100 American Express gift check in each month that they recruit a new member. Kregel won the gift certificate for May.

At the end of the campaign, every recruiter who enrolls at least five new members will be entered into three drawings for grand prizes of $500 American Express gift certificates.

Note: To qualify for the prizes and drawings, new members must include the recruiter’s name and chapter, when applicable, on the ‘referred by’ line of the application.

For more information and a complete list of recruiters, visit the AACN Website

What’s in the August Issue of Critical Care Nurse?

• Delirium Doulas for Critically Ill Older Adults

• Culturally Competent Nursing Care

• Amniotic Fluid Embolism

• Care of the Critically Ill Obese Patient

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

Looking Ahead

July 2004

July 15 Deadline to submit nominations for AACN Circle of Excellence recognition awards. To obtain a Circle of Excellence awards application, call (800) 899-2226 or visit the AACN Website. The application is also available on Fax on Demand at (800) 222-6329. Request Document #1011.

August 2004

August 15 Deadline to apply for the 2004 ICU Design Citation, cosponsored by AACN, the Society of Critical Care Medicine and the American Institute of
Architects Committee on Architecture for Health For more information, contact SCCM at (847) 827-7659.

September 2004

September 1 Deadline to submit the Research and Creative Solutions abstracts for NTI 2005 in New Orleans, La. The application, guidelines and resources
are available online.
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