AACN News—September 2004—Association News

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Vol. 21, No. 9, SEPTEMBER 2004

Commit to Addressing Moral Distress: A Call to Action

Noting that moral distress restricts nurses’ ability to provide optimal patient care and to find job satisfaction, AACN has issued a call to action to help nurses and employers address this critical but frequently ignored problem.

In asking nurses to affirm their professional obligation to act and commit to addressing moral distress, AACN asserts that they, as well as employers, are responsible for implementing programs to address and mitigate the harmful effects of moral distress in the pursuit of creating a healthy work environment.

According to AACN, moral distress occurs when:
• You know the ethically appropriate action to take, but are unable to act upon it.
• You act in a manner contrary to your personal and professional values, which undermines your integrity and authenticity.

Actions for Nurses
AACN asks nurses to:
• Recognize and name the experience of moral distress (moral sensitivity).
• Affirm the professional obligation to act and commit to addressing moral distress.
• Be knowledgeable about and use professional and institutional resources to address moral distress.
• Actively participate in professional activities to expand knowledge and understanding of the impact of moral distress.
• Develop skills through the use of mentoring and resources to decrease moral distress.
• Implement strategies to accomplish desired changes in the work environment while preserving personal integrity and authenticity.

Actions for Employers
AACN asks employers to:
• Implement interdisciplinary strategies to recognize and name the experience of moral distress.
• Establish mechanisms to monitor the clinical and organizational climate to identify recurring situations that result in moral distress.
• Develop a systematic process for reviewing and analyzing the system issues enabling situations that cause moral distress to occur and for taking corrective action.
• Create support systems that include employee assistance programs, protocols for end-of-life care, ethics committees, critical stress debriefings and grief counseling.
• Create interdisciplinary forums to discuss goals of care for patient and divergent opinions in an open, respectful environment.
• Develop policies that support unobstructed access to resources
• Ensure nurses’ representation on institutional ethics committees and full participation in decision making.
• Provide education and tools to manage and decrease moral distress in the work environment.

The moral distress position paper is part of AACN’s Healthy Work Environment initiative. The Moral Distress Position Statement and other resources, including backgrounder and position statements on zero tolerance and workplace violence prevention, are available online. Also available is 4 A’s to Rise Above Moral Distress, a booklet designed to be a guide through difficult decisions and times. To order (Product #140332), call (800) 899-2226 or visit the Website.

Students in the Accelerated 2nd Degree BSN Program
at the University of Central Florida, Orlando, learn
about the latest in medical technology during a visit
to the Critical Care Exposition at the NTI. From left
are Agnes Malawa, Casey Meddock and Rebecca Welker.

Nursing Students Get a Peek at Critical Care

Nursing students from the University of Central Florida in Orlando, Fla., were guests of AACN as they partnered with nurse mentors to hear about critical care nursing and visit the Critical Care Exposition at AACN’s National Teaching Institute in May.

Eighteen undergraduate students participated in the experience. Two of them are already registered nurses who are interested in critical care. One, Thomas Mulligan, BS, is already a member of AACN and received an AACN-funded National Student Nurses Association scholarship.

Mary Lou Sole, RN, DNSc, PhD, CCNS, FAAN, professor of critical care nursing at the university, said she believes that it is critical for experienced and veteran nurses to welcome students, along with other young nurses and those in training, into AACN’s family.

“We must continue to grow our young,” Sole said. “Mentoring incoming nurses is crucial to the success of our specialty. They are the critical care leaders of tomorrow.”

Sole added that connecting students to the association early is also important. A member of AACN for 29 years, she herself joined the association when she was a
nursing student.

“As a member of AACN, I have had a very fulfilling career as a volunteer,” Sole said. “The association has appreciated many of my efforts but given me back so much more. I want these students to benefit from the same experiences.”

The student visit was funded in part by a grant from the Dallas County Chapter of AACN.

Call for PCCN Review Course Proposals

The NTI Work Group is inviting speaker proposals for a two-day, progressive care certified nurse (PCCN) review course at AACN’s National Teaching Institute and Critical Care Exposition in May in New Orleans, La. The submission deadline is Nov. 1.

Computer-based testing for the exam is now available at AMP testing centers nationwide.

Additional information and instructions for submitting review course proposals are available online at www.aacn.org.

Annual Campaign Brings in Nearly 1,000 New Members
Links Are Critical

Barbara S. Frey, RN, ADN, AA, of Corpus Christi, Texas, extended her lead in AACN’s Critical Links Member-Get-A-Member campaign during July, recruiting eight new members to bring her total to 31 since the campaign began May 1.

Becki L. Fuzi, RN, CNS, MSN, CCRN, of Warrenton, Va., and Charlene J. Cin, RN, BSN, BA, CCRN, of Richardson, Texas, remained tied for second, each with 18 new members recruited. However, Kerin A. Da Cruz, RN, of West Kingstown, R.I., was close behind, with 17 new members recruited during July.

Others bringing in double-digit results are Fredda Kermes, RN, BSN, of Lakeside, Ariz., Cheryl S. Duran, RN, BSN, CCRN, of Tijieras, N.M. and Nancy Seskes, RN, ADN, of Nashua, N.H. (all with 12 new members), and Dinah L. Cooper, RN, CCRN, of Vanceburg, Ky., Sandra J. Cornish, RN, BSN, CCRN, of Concord, Calif., and Kathryn V. Clark, RN, CCRN, of AuSable Forks, N.Y. (all with 10 new members).

Others who have recruited five or more members in the campaign are:

Betty Nash Blevins, RN, MSN, CCRN, CS, Kenneth R. Thompson, RN, ADN, Laura E. Dolloff, RN, ADN, CCRN, and Cindy D. Kamara, RN (all 9), Pauline J. McNeece, RN, MS, MSN, CCRN, CCNS (8), Jill E. Barrow, RN, CNS, BS, MN, CCRN, Robin E. Blauser, RN, BN, BS, Elin Roberts, RN, MSN, CCRN, Pam Zinnecker, RN, BSN, BA, CCRN, Catherine L. Maurer, RN, BSN, CCRN, Camilla Dawn Fisher, RN, MS, MSN, CCRN, Dawn Kregel, RN, BSN, Katherine A. Green, RN, MS, MSN, CCRN, Amy L. Bandy, RN, and Ruth M. Norrell, RN (all 7), Mary Beth F. Bobyarchick, RN, BS, BSN, CCRN, Paula A. Lusardi, RN, DNS, PhD, CCRN, CCNS, Doris J. Strother, RN, MN, MS, NP, L. Jennifer McFarlane, RN, CNS, MS, MSN, CCRN, Laura J. Tucco, RN, CNS, MS, MSN, APRN, CEN, Valerie Grossman, RN, BSN, CEN, Lorraine D. Boehm, RN, Peggy Lynn Ennis, RN, and Romulo B. Co, RN (all 6), Janice L. Gasaway, RN, MA, CCRN, Caroline Axt, RN, MS, MSN, Kathleen M. Richuso, RN, MS, MSN, Margaret R. Rollins, RN, MSN, Sue Ann Crisp, RN, BS, BSN, Deslin Francois, RN, BSN, MS, CCRN, Holly L. Weber-Johnson, RN, BSN, Sandra J. Cox, RN, ADN, Shelia D. La Point, RN, ADN, and Erica Burket, RN (all 5).

A total of 964 new members have been recruited by 386 individuals and chapters since the campaign began. (See chapter results, below.) The campaign ends March 31.

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. Kenneth Thompson, RN, ADN, of St. George, Kan., won the gift certificate for July.

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 about the Critical Links membership campaign and a complete list of recruiters, visit the AACN Website.

Conference Focuses on Leadership

AACN is among professional nursing associations that support the Nursing Management Congress 2004, scheduled for Oct. 3 through 6 in Chicago, Ill.
AACN is the sponsor of a session titled “Using PDAs in Nursing Practice.” AACN Education Resources Specialist Marianne Martineau will present the session.

Participants can earn up to 30.9 contact hours of Category O continuing education recognition points.

Additional information and the conference brochure are available online at www.nmcongress.com.

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

Advance for Nurses (June 7, 2004)—“Above the Crowd: ‘Rising Above’ theme of 31st AACN NTI & Critical Care Expo in Orlando” was the headline of an article quoting Dorrie Fontaine, RN, DNSc, FAAN, AACN’s immediate past president. In part, Fontaine said, “Becoming certified is another essential way to confirm our value as a precious resource.” She noted that, in addition to the 40,000 critical care nurses who are CCRN- and CCNS-certified, 400 nurses had taken the new PCCN exam for progressive care nurses at the NTI.

Washington Post (June 18, 2004)—Fontaine was quoted in an article titled “Nursing: A Myriad of Career Paths to Consider.” She noted that, in light of the current nationwide shortage of critical care nurses, more hospitals have been offering critical care internships and fellowships. “In addition to hospitals, experienced critical care nurses increasingly work in outpatient surgery centers and clinics, managed care organizations and home care,” she said.

American Journal of Nursing (July 2004)—In an editorial titled “That’s Nursing!” Editor in Chief Diana Mason, RN, PhD, FAAN, wrote, “I know from personal experience that many hospital trustees have little or no knowledge of the data linking nurse staffing with improved outcomes and finances.” She went on to quote past AACN President Connie Barden, RN, MSN, CCNS, CCRN, as saying, “It’s immoral not to act (when nurses know about unsafe staffing).”

Health Affairs (July 2004)—An article titled “The Working Hours of Hospital Staff Nurses and Patient Safety” stated that 28.7% of 393 hospital staff nurses who maintained logbooks reported working mandatory overtime at least once during the data-gathering period. The article noted that the percentage is similar to that reported in two surveys of more than 47,000 nurses and in a 2000 Quick Poll conducted on the AACN Web site at www.aacn.org.

Register-Guard (June 15, 2004)—The Eugene, Ore., publication reported that Sandra Clarke, RN, ADN, CCRN, received the Multidisciplinary Team Collaboration Award from AACN for her role in creating Sacred Heart Medical Center’s No One Dies Alone program. Clarke, a nursing supervisor and former critical care nurse, launched the program in 2001 to ensure that a volunteer companion is stationed at the bedside of every terminally ill hospital patient who otherwise could die alone.

Houston Chronicle (June 9, 2004)—“Methodist Hospital Gets Beacon Award” was the title of an article that announced the selection of Methodist Hospital in Houston, Texas, to receive the AACN Beacon Award for Critical Care Excellence, which recognizes the nation’s top hospital critical care units.

Tradeshow Week (June 7, 2004)—Randy Bauler, AACN exhibits and sponsorships director, was quoted in an article titled “Medical Shows Face Online Rivals.” Discussing AACN’s National Teaching Institute and Critical Care Exposition, Bauler said, “There are certain topics we discuss that you can’t get elsewhere.” He also noted the benefits of live interaction with other people. “There are many questions you can ask, probe, get a different perspective on,” he said.

Healthcare Purchasing News (June 2004)—An article titled “To Latex or Not to Latex, That Is the Question” noted that the issue of infectious diseases has assumed prominence in healthcare workers’ daily lives during recent years. The article quoted AACN Clinical Practice Specialist Linda Bell, RN, MSN, as saying, “I remember the year we first started using full protection when caring for HIV patients. Latex gloves were as good as gold because they were so scarce. The worldwide demand went up, and makers couldn’t keep up.”

Modern Health (June 7, 2004)—“Pet Care” was the title of an article about Oakwood Healthcare System in Dearborn, Mich., which is “trying something different: allowing patients to receive visits from their own pets.” Christine Westphal, clinical nurse specialist for ethics and family support, said these visits are “part of the way we create a healing environment, and there’s a lot more to healing than medication.” In addition, the pets “must adhere to strict pet visitation protocols published by AACN,” the article noted.

Times-Standard (June 15, 2004)—This Eureka, Calif., publication included an article congratulating ACCN’s Redwood Empire Chapter for receiving the AACN Circle of Excellence President’s Award for Chapters. “Critical care nurses treat the sickest patients in diverse settings, such as hospital emergency rooms, surgery units and hospital units designed particularly for critical care,” the article noted. Chapter President Sally Urban, RN, BS, BSN, CCRN, said these nurses must get extra
training because of the particular medications and technology, such as ECG equipment, they must use.

NurseWeek (July 12, 2004)—The “Faces & Places” column noted that the University of California at Davis Medical Center received one of the first Beacon Awards for Critical Care Excellence from AACN.

Associated Press (July 21, 2004)—An article picked up from the July 19, 2004, Fairbanks Daily News-Miner, titled “Longtime Nurse Says She Was Born to Care for Others,” highlighted the career of Teri Lynn Kiss, a veteran ICU nurse, flight nurse and nursing instructor. Kiss was a recipient of the AACN Excellence in Leadership Award for 2004.

Ledger-Inquirer (June 13, 2004)—An announcement that Maggie Monahan, RN, MN, MS, MSN, CCRN, was named Nurse of the Year was made in an article titled “St. Francis Names Nurse of the Year Monahan, a 37-year Veteran, Clinical Nurse Specialist.” The article noted that Monahan was president of the Chattahoochee Valley Chapter of AACN.

AONE E-News Update (June 4, 2004)—An announcement was included that AONE, AACN and Nellcor had renewed their partnership to donate pulse oximeters to nursing schools.

Our Voice at the Table

AACN President Kathy McCauley, RN, PhD, FAAN, attended an invitational meeting for representatives of nursing organizations, which was held at the headquarters of Democratic presidential and vice presidential candidates John Kerry and John Edwards in Washington, D.C. McCauley discussed AACN priorities with the campaign’s policy and nursing leadership staff and learned about the Kerry/Edwards positions.

CEO Wanda Johanson, RN, MN, McCauley and Fontaine attended the American Nurses Association House of Delegates meeting and biennial convention in Minneapolis, Minn. AACN is one of 10 specialty nursing organizations that is an organizational affiliate member of ANA. As an organizational liaison, AACN’s goal is to foster a collaborative approach within the nursing profession to address critical issues of concern, including the nursing shortage, inadequate staffing and unhealthy work environments.

McCauley represented AACN at an invitational state-of-the-science symposium on medication administration safety. The symposium, which was at the University of Pennsylvania, Philadelphia, was sponsored by the University of Pennsylvania School of Nursing, the American Journal of Nursing and the Infusion Nurses Society.

AACN board member Janie Heath, RN, MS, CCRN, ANP, ACNP, made a presentation on “Simulation in Critical Care” to approximately 65 students in the National Native American Youth Initiative in Washington D.C. Through simulation, the students observed critical care nursing in action for management of ventricular fibrillation, pneumothorax and shock. The NNAYI, which is sponsored by the Association of American Indian Physicians, is a program for high-achieving Native American students between 16 and 18 years of age. The goal of the program is to encourage Native American students to remain in school and to pursue a career in the health profession or biomedical research area.

Ramón Lavandero, RN, MSN, MA, FAAN, AACN director of development and strategic alliances, attended the 2004 health policy panel and annual meeting of the Yale School of Nursing Alumnae/i Association in New Haven, Conn. At the meeting, he was elected to serve a one-year term as the association’s president-elect.

Lavandero was a panelist to discuss successful ways to increase member giving, during the summer meeting of the Medical Society Fund Raising Network in Toronto, Canada.

AACN Certification Corporation director Kevin Reed, RN-BC, MSN, CAN, gave a presentation at Union Hospital, Terra Haute, Ind., titled “An Introduction to the Synergy Model.”

AACN board member Denise Buonocore, RN, MSN, CCRN, APRN, BC, spoke to the Infusion Nurses Society of Connecticut on “Current Treatment in Acute Heart Failure.”

AACN Certification Corporation Chair Jan Foster, RN, CNS, CCRN, PhD, presented a program titled “Merging AACN and Certification Corporation Strategic Initiatives With Chapter Ingenuity” at the Houston Gulf Coast Chapter Board Transition meeting.

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.

Board Advisers, Learning Partners Appointed

Appointments have been announced for volunteers who work closely with the AACN Board of Directors in various capacities.
The appointees were selected from the pool of volunteers registering in AACN’s just-in-time Volunteer Profile Database online.

Following are the volunteers who have participated or will participate as members of these groups in the coming year:

Board Advisory Team
Board advisers provide feedback on specific issues and related strategies regarding AACN initiatives. They take part in discussions via conference calls or online.
Victoria Ann Ainsworth, RN, MSN, MBA,
Jane N. Allen, RN, MS, MSN, CCRN, APRN,
Marian S. Altman, RN, CNS, MS, MSN,
Alyce S. Ashcraft, RN, PhD, CCRN, CS
Kathleen H. Baker, RN, BSN, MBA, CCRN,
Cheryl L. Boehner, RN, BS
Marylee R. Bressie, RN, CNS, MN, MS,
Jonathon A. Brown, RN, MSN, MBA, CEN
Michele M. Burke, RN, MN, MS, CCRN
Mary A. Bylone, RN, ADN, BS, CCRN,
Ronna J. Carlton, RN, BS, BSN, CCRN
Kelly I. Carter, RN, BN, BS
Denise Cole-Ouzounian, RN, BSN, MS,
Sandra J. Cornish, RN, BSN, CCRN
Jo Ellen Craghead, RN, MN, MS, CCRN
Alvin Duncan, RN
Debborah J. Duncan, RN, ADN, CCRN
Diana Eisnaugle, RN, CCRN
Lynnette Flynn, RN, BS
Kristine Gaisford, RN, BS, BSN
Julia K. Garrison, RN, MS, MSN, CCRN,
Henry B. Geiter Jr., RN, ADN, CCRN
Barbara Goldberg-Chamberlain, RN, CNS,
Gerard B. Hannibal, RN, BS, BSN, CCRN
Sonya R. Hardin, RN, MSN, PhD, CCRN
Brenda K. Hardin-Wike, RN, MNSc, CCRN,
Susan V. Helms, RN, MN, MS, CCRN
Delmar Imperial-Aubin, RN, BS, BSN
Lori E. Kennedy, RN, EdD, CCRN
Larissa Lynn Knippers, RN, CNS, MS, MSN,
Sharon K. Kumm, RN, MN, MS, CCRN
Barbara L. Leeper, RN, CNS, MA, MN,
Wanda F. Lewis, RN, MS, MSN, CCRN
Lori A. Lupe, RNC, CNS, MS, MSN
Jason M. Lynch, RN, BSN, BHA
Michele L. Manning, RN, CNS, MN, MS,
Jason A. Martin, RN, ADN, CCRN
Kathryn Mccloskey, RN, BS, BSN
Debra A. Moroney, RN, MS, MSN
Patricia Morton, RN, ND, PhD, APRN, NP,
Janet F. Mulroy, RN, MS, ND, CCRN, CCNS
Michelle L. Murray, RN, MS, MSN
Jeanne M. Papa, RN, RT, MN, MS, CCRN
Kathleen Klein Peavy, RN, MS, MSN,
Janet D. Pierce, RN, CNS, DSN, CCRN,
Lori Louise Popkes, RN, BS, BSN, CCRN
Suzan L. Reynolds, RN, ADN, MBA, CCRN
Kathleen M. Richuso, RN, MS, MSN
Lisa A. Riggs, RN, MSN, APRN, BC, CCRN,
Lisa A. Robinson, RN
Patricia Rosier, RN, MS, MSN, CS,
Linda F. Samson, RN, DNSc, PhD, CNAA
Maureen A. Seckel, RN, CNS, MSN, CCRN,
Sue E. Sendelbach, RN, ND, PhD, CCNS,
Heidi J. Skeppstrom, RN, MS, MSN, APRN,
Alethea A. Sment, RN, BS, BSN, CCRN
Christine L. Sommers, RN, MN, CCRN,
Joy M. Speciale, RN, MBA, CCRN
Michelle A. Speicher, RN, BSN, MS, CCRN
Joan M. Spitrey, RN, BSN, CCRN
Cynthia L. Steinbach, RN, BS, BSN, CCRN
Leslie A. Swadener-Culpepper, RN, MSN,
Jan H. Teal, RN, MN, MS, CCRN
Linda C. Thomas, RN, MS, MSN, CCRN
Mary F. Tierney, RN, BS, MSN, CCRN,
M. Terese Verklan, RN, CNS, MSN, PhD,
Susan A. Walsh, RN, MN, CCRN
Susan Ward, RN, BN, BS, CCRN
Marlot A. Wigginton, RN, MN, MS, CCRN
Chris Winkelman, RN, MN, PhD, CCRN,

Board Learning Partners
Board Learning Partners attend an AACN board meeting and provide information regarding strategic agenda items. Their work is an extension of that done by the AACN Board Advisory Team.
Deborah L. Greenlaw, RN, MS, MSN,
Julene B. Kruithof, RN, MS, MSN, CCRN

For more information about volunteer opportunities, visit the AACN Website.

75 Educational Advancement Scholarships Awarded
BSN and Graduate Programs Included

Congratulations to the recipients of AACN Educational Advancement Scholarships for the 2004-05 academic year. The 75 scholarships of $1,500 each have been awarded to nurses at 54 schools in 27 states and the District of Columbia. The program continues AACN’s more than 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 Student Nurses Association.

Congratulations to the Graduate Recipients
Claudia Barros, University of Phoenix, Jaime Bauer, Oakland University, Theresa Bautista, Georgetown University, Jamie Besel, Montana State University-Bozeman College of Nursing, Jennifer Bevacqua, Oregon Health & Science University, Alyssa Brookmeyer, Columbia University School of Nursing, Kathryn Carlovsky, University of Illinois at Chicago, Thilsa-Ibal DeBoarts, University of Phoenix, Susan Deckers, Georgetown University School of Nursing, Brandi Dingler, Wake Forest University Baptist Medical Center and University of North Carolina at Greensboro, Irene Forrest, Ball State University, Julia Freeman, Felician College

Meg Gambrell, University of North Carolina at Chapel Hill, Sandra Goblirsch, Minnesota State University, Mankato, Maureen Greene, University of Wisconsin-Milwaukee, Margo Halm, University of Minnesota, Karla Hanson, South Dakota State University, Ann Harding-Isidore, Regis University, Annette Haynes, University of California, San Francisco School of Nursing, Stacy Healy, University of California, San Francisco, Kiersten Henry, University of Maryland Baltimore, Alisa Hilinski, San Diego State University, Cherie Hunt, Rush University, Jennifer Ippolito, University of Rochester, Brandi Jefferson, University of Pittsburgh, Alexander Johnson, Rush University

Abigail Kaufer, University of Pittsburgh, Geraldine Kenny, State University of New York, Laura Kenny, University of California, San Francisco, Jennifer King, Duke University, Tari Kovacs, Catholic University of America, Kathleen Kuznar, University of Wisconsin-Stout, Salima Manjee, University of Alabama at Birmingham, Maria McCormick, Bellarmine University, Karen McMahon, University of New Mexico, Ona O'Donohoe, University of Pittsburgh, Matt Oliver, University of Kansas Medical Center College of Nurse Anesthesia, Maria Pe, Monmouth University, Melissa Peterson, Gannon University-Villa Maria School of Nursing, Lisa Proctor, Case Western Reserve University, Sherese Pruss University of Illinois at Chicago, Wendy Robb, Widener University, Benjamin Roberts, Duke University, Rose Rodriguez, Columbia University School of Nursing, Jeffrey Rowe, University of Alabama at Birmingham, Tonya Ryan, University of Pittsburgh College of Nurse Anesthesia, Melissa Salerno, University of North Carolina at Charlotte, Gail Scalese, Northeastern University, Olinda Spitzer, Duquesne University School of Nursing, Mary Thelen, University of Wisconsin-Eau Claire, Elisabeth Thoma, University of New England, Kelly Thompson-Brazill, Case Western Reserve University, Julie Waters, University of California, San Francisco, Jacqueline Weaver, Widener University, Marjorie Wilson, Michigan State University, Kristin Wittersheim, Emory University, Cary Wolfe, University of Pennsylvania, Colleen Wooldridge, University of Kansas.

Congratulations to the RN-to-BSN Recipients
Kristine Albanese, University of Phoenix, Michele Baker, Oklahoma Wesleyan University, Karen Campano, University of Pittsburgh School of Nursing, Michaelynn Carmody, University of South Florida, Cynthia Jensen, Sonoma State University, Angela Kinmann, Wright State University, Janet Krebbs, Indiana Wesleyan University, Summer LaSalle, Humboldt State University, Monica Malt, University of Phoenix, Lauren Michaels, Thomas Edison State College, Madelaine Miller, Stockton State College, Debbie Monaghan, University of Phoenix, Johnny Payne, Oregon Health Sciences University, Myra Popernack, Immaculata University, Jill Price, University of Phoenix, Brenda Rollins, University of Phoenix, Mariellena Sudak, University of Phoenix.

Named Scholarships Honor 9 Individuals

Educational advancement scholarships for the 2004-05 academic year include 18 named scholarships, 11 more than last year. Named scholarships represent contributions to the AACN Scholarship Endowment totaling $1,500 or more by an individual or as memorial or tribute gifts in someone’s name. Following are the named scholarships and the individuals receiving them:

In Honor of Connie Barden, RN, MSN, CCNS, CCRN
Past President, AACN
Meg Gambrell, University of North Carolina at Chapel Hill

In Honor of Suzanne M. Burns, RN, MSN, CCRN, RRT, ACNP,
Director, AACN Board of Directors
Johnny P. Payne, Oregon Health & Science University
Lisa Proctor, Case Western Reserve University

In Memory of Neldon Colton
Summer LaSalle, Humboldt State University
Brenda Rollins, University of Phoenix
Jeffrey Rowe, University of Alabama at Birmingham

In Honor of Dorrie Fontaine, RN, DNSc, FAAN
Immediate Past President, AACN
Theresa Bautista, Georgetown University
Susan Deckers, Georgetown University
Stacy Healy, University of California, San Francisco

In Honor of Barbara Gill-MacArthur, RN, MN, MS, FAAN
Past Chair, AACN Certification Corporation Board
Michaelynn Carmody, University of South Florida

In Honor of Wanda L. Johanson, RN, MN
Chief Executive Officer, AACN
Julie Waters, University of California, San Francisco

In Memory of Josephine B. Lavandero
Rose Rodriguez, Columbia University

In Honor of Kathy McCauley, RN, PhD, FAAN
President, AACN
Cary Wolfe, University of Pennsylvania
Myra Popernack, Immaculata University
Olinda Pando-Spitzer, Duquesne University
Alexander Johnson, Rush University

In Honor of Mary Fran Tracy, RN, PhD, CCNS, CCRN
Director, AACN and AACN Certification Corporation Boards
Sandra Goblirsch, Minnesota State University-Mankato
Margo Halm, University of Minnesota

Contributions Sustain Commitment to Education
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 silent auction at the NTI, have contributed more than $387,000 toward the endowment’s $2 million goal. A scholarship is named during the year of donation for gifts to the Scholarship Endowment totaling $1,500 or more by an individual or as memorial or tribute gifts.

For more information about tax deductible gifts and named scholarships to support the AACN Scholarship Endowment, call (800) 394-5995, ext. 333; e-mail, development@aacn.org, or write to AACN Development Office, 101 Columbia, Aliso Viejo, CA 92656.

2004 Scholarships
26 States and
the District of Columbia and Virgin Islands

New Products for Your PDA!

AHA/AACN ACLS Arrhythmias & Their Treatment e-Reference for Palm OS
This Palm OS version of the ACLS Arrhythmias & Their Treatment Pocket Reference Card provides algorithms for bradycardia, narrow-complex tachycardia, stable ventricular tachycardia, atrial fibrillation and flutter, WPW Syndrome and electrical cardioversion, and an Antiarrhythmic Drugs table. This product, the second in a series of four, is a joint project of AACN and the American Heart Association. The Arrhythmias & Their Treatment eReference is an alternative way for healthcare providers to quickly access information for management of arrhythmias.
Price: $12.50
Also available for purchase is the AHA/AACN ACLS Cardiac Arrest e-reference.

Handbook of Nursing Diagnosis, Tenth Edition
This PDA version of the popular Handbook of Nursing Diagnosis, Tenth Edition, is a quick reference to nursing diagnosis and can be used as a supplement for any nursing diagnosis text. Section I contains all nursing diagnoses, including definitions, characteristics, related factors, outcomes, and interventions. Section II contains Diagnostic Clusters with a collaborative focus. Features include Author’s Notes, key concepts, interventions with rationale, focus assessment and outcome criteria. Available for both Palm OS and Pocket PC devices.
Price: $32.95

Nurses Quick Check: Diseases
Designed for quick reference at the nurses’ station, this reference presents succinct, bulleted information on 450 diseases. It provides a rapid refresher on the key facts a nurse needs to understand the clinical course of a disease and hone in on required care.

Diseases are alphabetically organized, and each disease is presented on an easy-to-scan format. Each disease entry includes pathophysiology, causes, complications, assessment, treatment, nursing interventions, outcomes and patient education. Key information is flagged with logos, such as “Life-Threatening Disorder” and “Age Issue,” citing age-related concerns. Available for Palm OS and Pocket PC devices.
Price: $44.95

Have You Heard About ECCO?
Frequently AskedQuestions

Q: What is ECCO?
A: ECCO is AACN’s internet-based, Essentials of Critical Care Orientation program, which was designed to provide novice nurses the theoretical knowledge required to care for patients in the critical care arena.

Consisting of nine modules organized according to a body-systems approach, this e-learning program presents the standard didactic content of a basic critical care course and can be easily integrated into group discussions, case studies and clinical experiences.

The testing mechanism can be used not only as a pre-assessment to determine the individual learners’ needs, but also as a post-assessment to check concept comprehension.

A suggested skills checklist is included to assist in guiding the learners’ clinical activities. The complete program contains 64 contact hours.

Q: What are the benefits of using ECCO?
A: AACN has received an extremely positive response to the ECCO program. Among the benefits educators are reporting are that ECCO:
• Increases efficiency, because education is standardized among participants and institutions.
• Saves time, because educators are able to spend more time in hands-on portion of training.
• Saves money, because it is cost-effective.
• Increases productivity, because of the flexibility and convenience of just-in-time training.
• Provides a competitive hiring advantage, because it can be used as a recruitment tool.
• Reduces turnover, because it can be used as a retention tool to provide additional advancement opportunities to current employees.

Q: Is there a cap on how many times a student can view the ECCO program?
A: Provided the site license is current, users are allowed unlimited access to the content for a one-year period from the date first assigned.

Q: How often is ECCO content updated?
A: Minor changes are made monthly, with a comprehensive review scheduled annually to ensure that the content remains current with evidence-based practice.

Q: Once we purchase ECCO, how long will it be before we can access the program?
A: Typically, review of the site license agreement by hos-
pital representatives takes about 30 days. Once AACN receives the signed agreement and payment, those choosing the individualized ECCO e-training will have access five business days after the requested training information and expected start date are provided. However, about two weeks will be needed to coordinate schedules if site administrators and managers want to schedule a one-time, two-hour training conference call with one of AACN’s clinical practice specialists. Other requested purchase, contract renewal or manager changes will also require five business days to process.

Q: How is the cost of the program distributed within an organization?
A: Typically, distribution is done in two ways. In some situations, education departments support the entire cost. In others, education departments share the expense with the critical care units. This is often dependent on the number of new employees hired in the respective departments.

Q: Would it be possible to obtain a program demonstration for a presentation?
A: The ECCO team has created online demonstrations of both the program and its management features. These are the best examples to use for those who will have Internet access. You can check them out on the AACN Web site at www.aacn.org > ECCO.

Q: How do we get the purchase process started?
A: To create the site license agreement, AACN needs the following information:
• Whether you are interested in a one- two- or three-year agreement
• The number of students with which you will begin the contract, one of the factors that will determine the fee structure. Students have unlimited access for one year from their start date. Unused seats can be rolled over with renewal.
• The legal hospital name and address to be included on the site license.
• A point of contact for contracting and invoicing, including telephone and fax numbers and e-mail addresses.
• The name of the site administrator, who will be AACN’s primary contact for the program itself, for training and content updates, including telephone and fax numbers and e-mail addresses.

Q: Can individual licenses be purchased?
A: Not at the present time. AACN is considering offering ECCO to individuals, but will not be able to implement the option this year. However, those who are interested in this option can contact the ECCO team to request they be notified when individual licenses are available.

Q: Who is using ECCO?
A: A list of hospitals that already have implemented ECCO can be found online at www.aacn.org > Essentials of Critical Care Orientation > Tell Me More > Program Users. Past AACN News articles in which ECCO users discussed their experiences are also available.

Do you have a question about ECCO? E-mail ecco@aacn.org.

A Community of ECCO Users

With high-acuity patients found throughout hospital facilities, AACN’s Essentials of Critical Care Orientation (ECCO) program is now used in areas outside the ICU, including medical-surgical, telemetry and step down units.

To help connect these users, AACN plans to establish an online forum where ECCO users can share tips and techniques for implementing the program at their institutions and ask questions of one another.

Monthly Super Savers from AACN’s Catalog!

These Super Saver prices are valid through Oct. 31, 2004. All orders must be received or postmarked by Oct. 31 to be eligible for the Super Saver price.

Compatibility of Medications Commonly Administered Via Intravenous Infusion in Children
Poster-sized pediatric drug interaction chart.
Regular Price
Member: $12
Nonmember: $15
Super Saver Price
Member: $7
Nonmember: $8

Cardiovascular Nursing Secrets
Part of the Nursing Secrets Series, this book is designed to be useful for both new and experienced nurses in the cardiovascular field. Chapters focus on basic topics, including history taking and conducting a focused cardiovascular physical exam; diagnostic procedures and interpretation of results; patient preparation instruction; and etiologies of symptoms or disease states. Also covered are current issues, such as family presence during invasive or resuscitative procedures, end-of-life patient care and the role of genetics.
Regular Price
Member: $36.05
Nonmember: $37.95
Super Saver Price
Member: $32
Nonmember: $33.75

Multiple Organ Dysfunction Syndrome: Infants & Children in Crisis
(#NCE3233703A or #NCE3233703C)*
Compares the underlying pathophysiology of MODS and the impact of these pathophysiological mechanisms on individual organ systems. Also presents an analysis of diagnostic findings to determine presence of organ failure and utilizes current research to formulate a multidisciplinary plan of care for a patient with MODS.
Includes study guide and 2.0 contact hours of CE credit.
*Nonreturnable. These products are delivered directly from National Nursing Network. Please allow 7-10 days for delivery.
Regular Price (cassette)
Member: $13
Nonmember: $13
Super Saver Price
Member: $10
Nonmember: $10
Regular Price (CD)
Member: $15
Nonmember: $15
Super Saver Price
Member: $12
Nonmember: $12

Share the NTI! Audios of 2004 Sessions Now Available

You can now purchase all recorded sessions from NTI 2004! More than 250 sessions are available on audio CD, MP3, CD-ROM or audiocassette. For only $399, you will receive EVERY NTI 2004 recorded session on MP3 CD-ROM and all are approved for CE credit (for an additional fee).*
Share this fantastic clinical showcase with coworkers or listen to all the sessions you missed while attending NTI. You can also order individual sessions in any format you wish.

For more information and an order form, visit the AACN Bookstore Specials Page at www.aacn.org > Bookstore > Specials and What's New. Or, call AACN Fax on Demand at (800) 222-6329. Request Item #006069. *Only the MP3 Entire Conference on CD-ROM offers optional CE credit.

New: CCRN Review Courses!
2004 Pediatric and Neonatal CCRN Review Course
This 16-hour review course offers a combined study approach to the CCRN pediatric and neonatal exams, based on the blueprints. Experts cover the eight system categories in the blueprint (cardiovascular, pulmonary, endocrine, hematology/immunology, neurology, gastrointestinal, renal, and multisystem. This course is available in videotape, audiocassette and audio CD formats. A comprehensive syllabus and 16 contact hours of CE credit are included. Check prices online.

2004 Adult CCRN Review Course on Audio CD
You can now purchase this review course in audio CD format. Set includes seven audio CDs, plus a comprehensive syllabus and 16 hours of CE credit. Member price: $109; nonmember: $134.

What’s in Critical Care Nurse for October?

• Intracranial Hypertension

• Determining Brain Death in Adults

• Hypertonic Saline Indications and Implications

• Vasospasm Following Aneurysmal Subarachnoid Hemorrhage

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

Looking Ahead

October 2004

October 1 Deadline to submit applications for Evidence-Based Clinical Practice Grant. Additional information is available online or e-mail research@aacn.org.

October 1 Deadline to submit applications for AACN Clinical Practice Grant. Additional information is available online or e-mail research@aacn.org.

October 1 Deadline to submit applications for AACN-Sigma Theta Tau Critical Care Grant. Additional information is available online or e-mail research@aacn.org.

November 2004

November 1 Deadline to submit speaker proposals for PCCN Review Course at NTI 2005 in New Orleans, La. Additional information and instructions for
submitting proposals are available online at www.aacn.org.

December 2004

December 1 Deadline to apply for 2006 Distinguished Research Lecturer Award. For more information, call (800) 394-5995, ext. 377; e-mail, research@aacn.org.
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