AACN News—August 2005—Association News

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Vol. 22, No. 8, AUGUST 2005

AACN Members Tackle Tobacco Cessation at Summer Institute

A group of AACN members recently gathered in Washington, D.C., to address how nurses can improve tobacco cessation practices in acute and critical care settings.

The two-day planning meeting and Capitol Hill Caucus was part of the Georgetown University Summer Institute Fellows for Tobacco Control Practices program, which was funded by a grant from the Smoking Cessation Leadership Center at the University of California, San Francisco to Janie Heath, RN, PhD, APRN, BC, ANP, ACNP. Heath, an assistant professor at Georgetown University, is an immediate past director of the national AACN board.

Last year, AACN was one of 30 nursing specialty organizations invited to participate in the first national Nursing Leadership Task Force for Tobacco Control. This task force, under the direction of Linda Sarna, RN, DNSc, FAAN, from the University of California, Los Angeles, and principal investigator for the Tobacco Free Nurses Project, was charged with developing action plans to orchestrate tobacco control initiatives in nursing specialty organizations. Heath represented AACN on the task force.

The grant Heath received was to expand this momentum in acute and critical care nursing practice, providing for 10 AACN members to become institute fellows.

The action plans developed by the fellows targeted their influence on tobacco cessation initiatives at the local, state and national levels. Adding impetus to the effort is the fact that JCAHO now requires hospitals to provide tobacco cessation counseling to all patients admitted with pneumonia, heart failure or myocardial infarction and the lack of FDA regulation of tobacco products. The fellows believe that, one by one, through their clinical practice sites and their AACN state and national reach in their communities, chapters, regional conferences and national presentations, they can help reduce morbidity and mortality from tobacco use.

The AACN members who attended the Summer Institute Fellows Program for Tobacco Control Practices were Kim Astroth, RN, MS, MSN, Normal, Ill.; Claudia Barone, RN, MSN, EdD, Little Rock, Ark.; Dolores Bradley, RN, MSN, East Norwich, N.Y.; Cynthia Dakin, RN, DSN, PhD, Andover, Conn.; Mary Ann Dale, RN, CNS, MN, MS, ACNP-C, Wimberlyn, Texas; Melanie Kalman, RN, PhD, Trumansburg, N.Y.; AACN Certification Corporation Chair-elect Rebecca Long, RN, MS, CCRN, CMSRN, San Diego, Calif.; Past AACN Certification Corporation Chair Suzanne Prevost, RN, PhD, Murfreesboro, Tenn.; Dan Roberts, PhD, CS, NP, Bellport, N.Y.; and Cheryl Zymbroski, RN, PhD, Louisville, Ky. AACN Clinical Practice Specialist Teresa Wavra, RN, MSN, CCRN, CCNS, was the staff liaison for the program and past AACN board member Nancy Munro, RN, MN, MS, CCRN, ACNP APRN, of the Public Policy Special Interest Group for the Greater Washington Area Chapter of AACN, was the Capitol Hill Caucus facilitator.

For more information about this initiative, contact Heath at (202) 687-7321 or ejh@georgetown.edu, or visit the Georgetown University Web site at http://snhs.georgetown.edu.

Among those participating in the Georgetown University
Summer Institute Fellows for Tobacco Control Practices
program were (from left) Janie Heath, Mary Ann Dale,
Rebecca Long, Nancy Munro, Kim Astroth and Teresa Wavra.
See Scene and Heard for related photo.

Critical Links 642 New Members Recruited in First 2 Months of Campaign

AACN’s Critical Links membership drive continued at a steady pace as it completed its second full month in June. As of the end of June, a total of 642 new members had been recruited by 280 individuals and chapters. (See Chapters.)

Leading the individual totals were Ann J. Brorsen, RN, MSN, AAS, CCRN, of Sun City, Calif., and Matthew Choate, BS, BSN, CEN, EMT, of Saint Johnsbury, Vt. Brorsen’s total of 15 and Choate’s total of 12 were all the results of efforts put forth in June.

Others who have recruited five or more new members since the campaign began May 1 are Leslie A. Swadener-Culpepper (9), Faith Y. Young-Gouda (8), Maria Amor Wild (8), Betty Nash Blevins (7), Paula A. Lusardi (7), Charlene Schwinne (7), Linda S. Thomas (6), Ariana G. Gross (6) Maria A. Laxina (5), Pam Zinnecker (5) Iveline J. Pennie (5) and Deborah H Brown (5).

The Rewards
Recruiters receive a $25 AACN gift certificate when they reach the five-new-member level and a $50 AACN gift certificate when they reach the 10-new-member level. They are also eligible for a monthly drawing to receive a $100 American Express gift check in any month they recruit even one new member. The gift check in the drawing for June went to Betty Nash Blevins, RN, MS, MSN, CCRN, Bluefield, W.Va.

The top recruiter at the end of the campaign, which ends March 31, receives a $1,000 American Express gift check. But that’s not all. He or she is also eligible for the Grand Prize drawing for a $500 American Express gift check. A total of three Grand Prizes will be drawn, with anyone recruiting five or more new members during the campaign entered into all three drawings.

Note: For the recruiter to qualify for prizes and drawings, new members must include either the recruiter’s name or chapter name on the “referred by” line of the application.

Other Recruiters
Other individuals who have recruited members to date are:

Susan Marie Allison, Shirley Ambutas, Betty L. Anderson, Donna Lee Attar, Lydia C. Bautista, Angela J. Bentley, Arlene Bernardino, Debra L. Berry, Zenaida D. Blanco, Marylee R. Bressie, Linda E. Brown, Rose C. Cardin, Belinda C. Casey, Cristina L. Chan, Shelly M. Cole, Annette E. Cole, Lori A. Cox, Drew T. Creger, Sue Ann Crisp, Susan A. Cuddy, Denise C. D’Avella, Melody K. Davidson, Rosanna De Las Alas, Mary Ann Degges, Michele L. Deiterich, Frances Dennis, William M. Donnelly, Barbara A. Economou-Morris, Arturo A. Eijansantos, Anthony E. Farmer, Dorothy J. Flowers, Frances M. Flynn, Denise M. Fochesto, Deslin Francois, Barbara S. Frey, Thelma V. Garcia, Susan F. Garner, Peggy A. Gawenda, Patrick D. Givens, Patricia E. Goetz, Bernadette M. Gorman, Diane D. Gorman, Lita T. Gorman, Sheryl K. Hasper, Jeanne M. Heatlie, Marianne E. Hess, Carol M. Hinkle, Susan M. Huber, Mary A. Ingram, Accamma D. Kallel, Robert J. Kelly, Kathleen J. King, Tarcela A. Koban, Christine M. Kutcher, Tracy R. Land, Brenda G. Lewis, Lorrie A. Lewis, Gayle A. Lucas, Beverly C. Maloney, Lily May V. Marifosque, Kimberly S. Martin, Debra C. McDaniel, Pauline J. McNeece, Carla M. Menge, Debra A. Moroney, Cynthia K. Neubauer, Theresa Nino, Margaret E. O’Neill, Editha R. Ong, Phillip Y. Parcon, Cathleen J. Paton, Karen Y. Petersen, Elizabeth L. Pono, Daniel R. Rioux, Elin Roberts, Cindy L. Robertson, Donna Jane Robinson, Anne W. Rorapaugh, Rosemarie D. Rosales, Julie A. Rossie, Lynn S. Schnautz, Catherine A. Schneider, Petronella Stoltz, Doris J. Strother, Yvonne L. Thelwell, Sandra S. Thornhill-Alvarez, Mary Frances Tierney, Charlene T. Trimeloni, Wendy J. Vaughn, June A. Watson, Eileen V. Weatherby, Sharman L. Weaver, Sonia H. Wisdom, Barbara S. Wolfe, Cynthia L. Zaletel, Carol L. Moore, Sharon Elaine Watson, Megan E. Brunson, Diane L. McLean, Donna A. Mirenda, Carole S. McFadden, Kelly I. Carter, Kathleen P. Fava, Cyndie J. Hampton, Kawaniee R. Flowe, Linda M. Ross, Mary A. Simonsen, Brenda Bracey, Merle G. Swoope, John A. Forrant, Denise Michele Broomhall, Emily Kathryn Goerke, Florabel E. Ocampo, Marlyn Deborah Rodriguez, Regina Villalobos, Tanja E Boyd, Kim Brady, Danah M. Grice, Alma S. Alina, Mary Anastasia Harper, Kristi McNeal Harrison, Joan K Sacerio, Diane Marie Zuelke.

To obtain Critical Links Member-Get-A-Member Program forms, call (800) 899-2226 or visit the AACN Web site.

AACN’s Electronic Newsletter Delivered Weekly

Each week, Critical Care Newsline delivers updates on the latest news and important information via e-mail. You’ll find links to articles and Web sites on a variety of topics to keep you informed on issues that affect nurses and the nursing profession.

If you are not receiving Critical Care Newsline, simply e-mail your name, street address and e-mail address to enewsletter@aacn.org. Please indicate whether the street address is for home or work and, if for work, the name of the business.

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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

University of Washington Connections (Spring 2005)—An article titled “Solver-in-Chief—Nursing CEO Uses Listening, Lifelong Learning to Guide Leadership” focused on CEO Wanda Johanson, RN, MN, and her “prescription for leadership success.” The article noted that, “whether she’s dealing with large groups or two individuals, Johanson believes it’s critical that everyone feels heard and that people look closely at the assumptions they’ve made.” She was quoted as saying, “Leadership is about doing what others need you to do so that they can reach their greatest potential—it can never be about only what you want yourself.”

Healthcare Management Review (April-June 2005)—In an editorial titled “Healthy Work Environments: Are They Possible?” Editor in Chief SueEllen Pinkerton, RN, PhD, FAAN, commented that the AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence provide a framework to “promote core competencies such as communication and collaboration, that will ensure patient safety, enhance staff recruitment and retention, and maintain an organization’s financial viability.” She applauded AACN for taking this leap and identifying standards. “It is not an easy task, but the challenge has been made by AACN. Let’s see who steps forward to embrace this effort to improve the work environment,” she wrote.

Journal for Nurses in Staff Development (May/June 2005)—An article titled “Creation of a Stepdown Nurse Internship Program” presented the nurse recruitment strategy for stepdown nurses at Christiana Care Health System, Newark, Del. “To further recognize the successful completion of the SNIP (Stepdown Nurse Internship Program), each intern received a complimentary membership to AACN. This membership was funded by the hospital system for the first year. Along with the national membership, the interns were encouraged to join the local chapter of this organization.”

IAEM News & Industry Report (May 23, 2005)— “AACN Reports Rise in Attendance” was the headline for an article about the attendance increase at the 2005 National Teaching Institute. “In addition to New Orleans being a popular destination for nurses, the 14% attendance increase is a testament to an expanded educational program that appealed to a wide variety of critical care nurses and to ongoing marketing efforts which target and invite nurses who treat critically ill patients in a variety of healthcare settings,” said Randy Bauler, CEM, corporate relations and exhibits director.

Clinical Nurse Specialist (May/June 2005)—An article titled “Making the Right Choice: Family Presence and the CNS” noted that several national organizations, including AACN, Emergency Nurses Association and American Heart Association have adopted formal guidelines and practice statements advocating for family presence. Contact information was also listed.

Advance for Nurses (April 25, 2005)—“Healthy Work Environment: AACN is tackling the many aspects of a healthy work environment and empowering more nurses” was the headline quoting then-AACN President Kathy McCauley, RN, PhD, BC, FAAN. “Nurses need to be powerful and work together to find solutions for a healthy work environment,” she said. “We’re not going to solve the problems of the nursing shortage by just recruiting new nurses; we must retain nurses.” Kay Bensing, RN, MA, who wrote the article, said, “Needless to say I was delighted to see AACN had selected collaboration as one of the standards to promote a healthy work environment. In fact, 90% of AACN members (surveyed) reported that collaboration with physicians and administrators is among the most important elements in creating a healthy work environment,” she noted.

Advance for Nurses (April 25, 2005)—The AACN Standards for Establishing and Sustaining Healthy Work Environments was cited in an article titled “Collaboration in Healthcare: Teamwork among disciplines is essential to deliver quality, seamless, cost-effective care.” “Although the 2003 National Committee for Quality Assurance report noted collaboration in healthcare agencies is still not the norm, an increasing number of examples demonstrates organizations and accrediting agencies are stepping up efforts to require evidence of interdisciplinary teams in practice,” the article stated. “In the recently released AACN Standards for Establishing and Sustaining Healthy Work Environments, standard No. 2 describes the critical elements of the collaborative process.” The article went on to describe AACN’s position on collaboration, as further explained in the standards.

NurseWeek (May 9, 2005)—AACN Clinical Practice Specialist Linda Bell, RN, MSN, was quoted in an article titled “Pets Come to Visit: The comforts of furry friends.” “In addition to the benefits of a regular pet visitation program, there is a level of anxiety reduction and relaxation that takes place when a patient is allowed time with their pet,” she said. “For many patients, especially the elderly, their pets are like their children. Allowing the patient to actually see the pet rather than just getting reports from a third party can help to allay some of their concerns and fears.”

Healthcare Traveler (May 2005)—AACN was mentioned in three sidebars to an article titled “Critical Care Perspectives—Travelers share high-touch stories from high-tech settings.” One included AACN’s definition of critically ill as those patients “at high risk for actual or potentially life-threatening health problems.” Another, titled “New Certifications,” reviewed the PCCN credential for progressive care nurses and the CMC (cardiac medicine) and CSC (cardiac surgery) subspecialty certifications. The third listed contact information for AACN.

Nursing Spectrum (May 2005)—“Guidelines Promote ‘Least Restrictive’ Care” was the headline of an article proposing that “restraints should be used only to maintain patient safety in the ICU.” Listed were nine “Clinical Practice Guidelines for the Use of Restraints,” which are recommendations provided by AACN, the American College of Critical Care Medicine and the Society of Critical Care Medicine. The development of these guidelines was also reviewed.
Richmond Times-Dispatch (May 29, 2005)—The “Honors” section noted that “the Greater Richmond Area Chapter of AACN recognized the following individuals: Phyllis Turner won the Critical Care Educator of the Year; Janet Johnson is Preceptor of the Year.”

News Tribune (May 25, 2005)—“People in Business” included an announcement that “Jennifer Gleason, a registered nurse and clinical manager of critical care services at St. Clare Hospital, received the 2005 Circle of Excellence Award from AACN. The award recognizes nurse managers who show excellence in coordinating available resources in order to efficiently and effectively care for acutely and critically ill patients.”

Our Voice at the Table
Bell attended JCAHO’s 13th annual Invitational Liaison Forum in Oakbrook Terrace, Ill. At the opening plenary session, Dennis O’Leary, MD, spoke about the evolving healthcare environment, and current and future Joint Commission directions and priorities. The forum featured an overview of patient safety initiatives, an exploration of the current state of healthcare quality, and a report on federal government activities and initiatives concerning healthcare.

Rebecca Long, RN, MS, CCRN, CMSRN, chair-elect of the AACN Certification Corporation Board of Directors, spoke at the “Celebration of Certification” luncheon at Sharp Memorial Hospital, San Diego, Calif. More than 40 staff nurses and nursing executives attended to hear recent information regarding certification. Ways to support achievement and maintenance of certification were also reviewed.

McCauley met with the Society of Hospital Medicine in Chicago and represented AACN on an advisory board for the society’s heart failure initiative. The goal was to develop clinical guideline implementation tools, a comprehensive patient and provider tool kit to optimize care and self-management in a variety of postdischarge settings and Web-based continuing education modules. The advisory board also recommended leading heart failure nurse members to serve on the development groups.

AACN board member Caryl Goodyear-Bruch, RN, PhD, presented the Doctorate of Nursing Practice to advanced practice nurses at the University of Kansas Medical Center, Kansas City. She covered aspects of the new doctorate and discussed the issues surrounding education, practice and certification.

Goodyear-Bruch presented AACN’s Healthy Work Environment Standards to St. Luke’s Nurse Practice Council, Kansas City, Mo. In her presentation, titled “Standing Tall: A Call to Live
Your Contribution and Speak in a Bold Voice,” she discussed the challenges
of safety, nurse recruitment and retention, the cost of unhealthy work environments and the need for nurses to contribute by adopting and living AACN’s Standards.

Mary Holtschneider, RN, BSN, MPA, AACN board member, spoke with students enrolled in the Duke University School of Nursing’s accelerated BSN program. She
discussed professional development, the role
of AACN and other organizations in advancing the profession, and certification as it relates to professional development and protection of the public.

Marge Samsel, RN, MSN, president of the Susquehanna Valley Chapter of AACN, spoke to members of the South Central Pennsylvania Organization of Nurse Leaders about the AACN Standards for Creating and Sustaining Healthy Work Environments. An article in the group’s June 2005 newsletter noted that nursing's agenda for the future includes the American Organization of Nurse Executive’s charge of patient safety, and retention of nurses in the workplace. “The development of the six standards by the AACN has challenged SCPONL membership to develop a plan to educate and initiate actions that will help our nurse leaders to create healthy work environments in their organizations,” the article noted.

Jan Foster, RN, CNS, CCRN, PhD, immediate past-chair of the AACN Certification Corporation board, gave a presentation to the Houston Gulf Coast Chapter on “What Does Certified Practice Look Like?”

Denise Buonocore, RN, MSN, APRN-BC, CCRN, AACN board member, attended the 20th anniversary celebration of the Western Connecticut Chapter of AACN. She congratulated them for 20 years of “living their contribution” to patients, families and the critical care nursing community in Western Connecticut.

Institute Fellows

A grant from the Smoking Cessation Leadership Center at the University of California, San Francisco, allowed a group of AACN members to attend the Georgetown University Summer Institute Fellows for Tobacco Control Practices program in Washington, D.C. Pictured (from left) are Suzanne Prevost, Claudia Barone, Cheryl Zambroski, Jean Kellye, Janie Heath, Nancy Munro, Cynthia Dakin, Dolores Bradley and Melanie Kalman. See related story, page 1.

Enhancements Accompany ECG Module

The new ECCO (Essentials of Critical Care Orientation) Basic ECG Interpretation Module was launched last month amid positive feedback and Web site enhancements.

Following is a sampling of the comments from pilot and beta testers:

Very well done. I thought that this was an excellent way to complete an ECG class. The convenience of being able to repeat information and go through a particular section without worrying about finishing up by 5 p.m., as in an actual classroom setting, is a positive reward from your module. Thank you.

Overall, a very extensive and thorough overview and testing. The format allows each individual user to go at his or her own pace and take time to review specific areas of concern or interest.

The ECG module is an excellent addition to the current ECCO. Great reviewing tool for experienced staff and 24/7 accessibility.

Web Site Enhanced
In conjunction with the launch of this new product, sold exclusively by AACN, the ECCO Web site was enhanced. Following are some of the new features:
• Information regarding the Basic ECG Interpretation Module, including an overview, the module outline and “frequently asked questions”
• A self-service online form for ECCO and ECG products for those who are ready to start the purchasing process
• Pricing information with “frequently asked questions” in a PDF format
• A full text, downloadable PDF that addresses the top 10 “frequently asked questions” about ECCO and the ECG module.

Members Named to Continuing Education Articles Review Panel

AACN appreciates the time and expertise its volunteer force provides toward meeting the needs of critical care nurses. Included are the members of the Continuing Education Articles Review Panel who help maintain a quality line of continuing education offerings.
The following individuals were selected from AACN’s online Volunteer Profile Database (www.aacn.org > About AACN > Volunteer Opportunities):
Karla S. Ahrns, RN, BS, BSN
Eugene F. Anderson, RN, MS, MSN, CCRN
Mary Jane Ante, RN, BSN, MS, CCRN, CRN
Laura A. Barry, RN, BS, BSN
Judith Bartz, RN, RN-BC, MN
Lynda Beth Beck, RN, ADN
Marcia E. Belcher, RN, MSN, BA, CCRN
Karen S. Bird, RN, BS, AD, CCRN
Nancy T. Blake, RN, MN, MS, CCRN
Dawn Blake-Holmes, RN, CNS, MS, MSN,
Carol C. Boswell, RN, BS, MSN, CCRN
Jeanne E. Braby, RN, MN, MS, CCRN
Patricia N. Bradshaw, RN, CNS, MS, MSN,
Marylee R. Bressie, RN, CNS, MS, MSN,
Eileen Briening, RN, MS, MSN, CCRN,
Paula Cassidy Broussard, RN, DNS, PhD
Lori A. Brown, RN, MN, CCRN, CCNS
Denise Buonocore, RN, APRN-BC, CCRN
Michele M. Burke, RN, MN, CCRN, CRN
Carolyn Diane Byrum, RN, CNS, MS, MSN,
Stephanie L. Calcasola, RN, MS, MSN
Helen M. Camp, RN, CCRN, PCCN
Christina McCarter Cantey
Patricia Cardin, MSN, CCNS, APRN
Donna M. Caretti, RN, CNS, MN, MS
Glenn G. Carlson, RN, MS, MSN, CCRN
Ronna J. Carlton, RN, BSN, BHS, CCRN
Paula F. Coe, RN, MSN
Linda K. Cook, RN, CNS, BSN, PhD, CCRN,
Louise R. Cook, RN, CNS, MSN, CCRN
Mary E. Cordes, RN, CNS, MS, APRN-BC
Natalie J. Correll-Yoder, RN, CNS, MN, MS,
Damon Cottrell, RN, CNS, MSN, CCRN,
Jo Ellen Craghead, RN, MN, MS, CCRN
Maryanne Crowther, CNS, MSN, CCRN,
Teresa Scott Davis, RN, BSN
Michael W. Day, RN, CNS, MSN, CCRN
Mary Ann Degges, RN, CNS, MS, MSN, CCNS
Louise M. Diehl-Oplinger, RN, MS, MSN
Joni L. Dirks, RN, MS, CCRN
Diane M. Dorsch, RN, CNS, MS, MSN, CCRN
Susan F. Dukes, RN, CNS, MA, MSN, CCRN,
Marcia Z. Elliott, RN, BS, BSN, CCRN
Cynthia H. Elmido, RN, MS, MSN, CCRN
Daniel J. Emborsky Jr., RN, BN, BS
Nancy L. Erman, RN, BSN
Valerie S. Eschiti, RN, MSN
Lisa A. Falcon, RN, BS, BSN, CCRN
Marci Farquhar-Snow, RN, CNS, BS, MN,
Maria I. Filamor-Robinson, RN, BN, BS,
Laurie S. Finger, RN, MN, CCRN, CCNS,
Jeannie Finlay-Kochanowski, RN, BN
Annette M. Fleck, RN, BS, BSN, CCRN
Michael Frakes, RN, MS, CCRN, CFRN, EMT-P
Mary M. Franklin, RN, MS, MSN, APRN,
Rita D. Free, RN, MS
Jennifer A. Frost, RN, BS, BSN, CCRN
Karen A. Gaertner, RN, MS, MSN, CCRN
Chris Garber, RN, BS, BSN
Stacy Riley Garcia, RN, BSN
Julia K. Garrison, RN, MS, MSN, CCRN,
Priscilla Gazarian, RN, CNS, MS, MSN, CCNS
Henry B. Geiter Jr., RN, ADN, CCRN
Elizabeth L. George, RN, ND, PhD, CCRN
Diane M. Glowacki, RN, CNS, MSN,
Barbara Goldberg-Chamberlain, RN, CNS,
Helen Gonzales-Kranzel, RN, MN, MS,
Rebecca Greenwood, RN, MSN, PhD
Madelyn L. Gries, RN, MN, MS, CCRN
Jane M. Grimberg, RN, CNS, MN, MS,
Todd M. Grivetti, RN, BS, BSN, CCRN
Sheila C. Grossman, RN, PhD, APRN
Christine A. Gryglik, MS, CS, APRN
Marci A. Handley, RN, BS, BSN, CCRN
Brenda K. Hardin-Wike, RN, MSN, CCRN,
John P. Harper, RN, MSN, BC
Bonnie A. Harvey, RN, BSN, CCRN
Colleen A. Heafey, RN, MSN, CCRN-CMC,
Cheryl A. Hettman, RN, MSN, PhD
Linda C. Hidalgo, RN, BS, BSN, CCRN
Linda Arline Holzhueter, RN, BS, BSN
Patricia A. Hoppman, RN, MS, CCRN
Carrie M. Horton, RN, CNS, MN, MS, CCRN,
Melissa L. Hutchinson, RN, CNS, MN, BA,
Lori J. Jackson, RN, BS, DNSc, CCRN, NP
Cynthia A. Janacek, RN, BS, BSN, CCRN
Peggy J. Jenkins, RN, MS, MSN, CCRN
Scott A. Jessie, RN, BS, BSN, CCRN
Linda J. Josephson, RN, BS, BSN, CCRN
Melanie M. Katz, RN, BS, BSN, CCRN
Rebecca Anna Katz, RN, BN, MA
Lori B. Kei, RN, BS, BSN, CEN
Melanie R. Keiffer, RN, MSN, CCRN
Mary V. Kennedy, RN, MSN, CCRN
Mary Kilgore, RN, RN-BC, MN, MS, CNAA
Nancy D. King, MS, MSN, CCRN, APRN, NP
Deborah G. Klein, RN, MSN, CCRN, CS
Ruth M. Kleinpell, RN, DNS, PhD, CCRN,
Andrea M. Kline, RN, RN-BC, MS, MSN,
Cynthia E. Kociszewski, RN, MS, MSN,
Lisa M. Kohr, MN, MS, CCRN, APRN, NP
Susan M. Koos, RN, MS
Michele Kosinski, RN, MN, MS, CCRN,
Barbara J. Krumbach, RN, CNS, MS, MSN,
Christine Kruskamp, RN, MS
Jolynn M. Kuehr, RN, CNS, MN, MS, CCRN, CS
Jane Kurz, RN, MSN, PhD
Kristine M. L’Ecuyer, RN, MSN, CCNS
Pam J. LaBorde, RN, MS, MSN
Michele L. Lanza, RN, BS, BSN, CCRN
Deborah B. Laughon, RN, BSN, PhD, CCRN
Nantawadee Lee, RN, DNS, CCRN
Lynda C. Liles, RN, BSN, MS, CCRN
Joanne M. Liptock, RN, CCRN
Mary K. Macklin, RN, MSN, CCRN, ARNP
Dea Mahanes, RN, MS, MSN, CCRN, CCNS,
Margaret J. Malone, RN, MN, MS, CCRN
Lisa A. Manni, RN, MS, MSN, CCRN, CRN
Karen S. March, RN, MSN, CCRN, CS
Kelly Keefe Marcoux, RN, RN-BC, BS, MN,
Beth Martin, RN, MSN, CCNS, CNRN
Sarah A. Martin, RN, MS, MSN, CCRN, APRN
Dorothy Murphy Mayer, RN, MSN, CS
Diane L. Mayes , RN, MSN, CCRN
Betsy M. McDowell, RN, MSN, PhD, CCRN
Arthur P. McIntosh, MA, MSN, CCRN,
Cheryl Ann McKay, RN, CNS, MS, MSN,
Norma D. McNair, RN, CNS, MS, MSN,
Margaret M. McNeill, RN, MS, MSN,
Joni M. Meiter, RN, MSN, CCRN
Lisa M. Milonovich, RN, RNP, MS, MSN,
Nicolette C. Mininni, RN, BSN, CCRN
Laura Frances Monette, RN, MS, MSN
Lou Ann Montgomery, RN, MA, PhD,
Carole Moore, RN, BS, BSN, CEN
Kathleen M. Myerowitz, RN, MS, MSN
Colleen M. O’Leary-Kelley, RN, MSN,
Barbara L. Ogden, RN, MN, MS, CCRN
Dee Oliveri, RN, MS, MSN
Marie Therese T. Padriga, RN, BSN
Lucy R. Paskus, BSN, MS, APRN, NP
Evelyn Perez, RN-BC, MN, MS, APRN
Kristine J. Peterson, RN, MS, MSN, CCRN,
Jose Mapalad M. Planillo, RN, BS, BSN,
Deborah J. Pool, RN, MS, MSN, CCRN
Theresa A. Lacy Posani
Deborah M. Posey, RN, ADN, CCRN
Nora J. Protokowicz, RN, LPN, RT, CNS,
Cindy Pu, RN, CNS, MS, MSN
Leeann J. Putney, RN, BSN, CCRN
Patricia M. Rabbett, RN, MSN, CCRN
Mary Beth Reid, RN, CNS, RN-BC, MN, MS,
Carolyn A. Reif, RN-BC, MN, CCRN-CMC,
Virginia E. Rickards, RN, BSN, CCRN
Kathryn E. Roberts, RN, MS, MSN, CCRN,
Ruthie L. Robinson, RN, CNS, BS, MNSc,
Marcheta L. Rodgers, RN, RN-BC, MS,
Patricia Rosier, RN, CNS, RN-BC, MS, MSN
Joyce W. Roth, RN, MS, MSN, CCRN, CNA
Maureen G. Roussel, RN, MS, MSN, CCRN,
Jill S. Sanko, RN-BC, MS, MSN, APRN
Marilyn E. Schallom, RN, CNS, MN, MS,
Amy L. Schueler, RN, CNS, RN-BC, MS,
Lori B. Schumacher, RN, MS, CCRN
Nancy L. Seymour , RN, BSN, CCRN
Deborah A. Shields, RN, MNSc, MS, CCRN
Arkadi Shuman, RN, BN, BA, CNCC(C)
Florence M. Simmons, RN, MN, CCRN
Monica C. Simpson, RN, MSN, CCRN,
Susan K. Smith, RN, RN-BC, BS, MN, MS,
Paulette B. Snoby, RN, BSN, MPA, CCRN
Murray J. Speers, RN, BS, BSN, CCRN
Angela R. Starkweather, RN-BC, ND, PhD,
Cynthia L. Steinbach, RN, BN, BA, CCRN
Tracey A. Stover-Wall, RN, BSN, AA,
Leslie A. Swadener-Culpepper, RN, MS,
Sandra Swoboda, RN, MS
Joyce M. Taylor, RN, BN, MBA, CCRN
Elizabeth J. Thompson, RN, BS, BSN, CCRN
Kelly A. Thompson-Brazill, RN, MSN,
Melissa A.L. Thorson, RN, MS, MSN,
Nelson C. Tuazon, RN, MS, MSN, CNAA
Dorothy L. Tullmann, RN, PhD, CCRN
Sally A. Urban, RN, BS, BSN, CCRN
Christine R. Vittum, RN, MS, MSN
Mark G. Vojtko, RN, BS, BSN, CCRN
Kittie Wagner, RN, BS, BSN
Jennifer M Wagner, RN, CNS, MN, MS, CCNS
Mary E. Walker, RN, CNS, MS, MSN, CCRN,
Susan A. Walsh, RN, MN, CCRN
Laurie F. Walsh, RN, MSN, CCRN, NP
Robin L. Watson, RN, MN, CCRN
H. Joanne Weiss, RN, ADN
Ruby A. Weller, RN, MSN, CCRN
Christine G. Westphal, RN, MS, MSN, CCRN
Cindy L. Wetzel, RN, CNS, MS, MSN, CCRN,
Steve Brian Widmar, RN, MSN, CCRN
Sally E. Williford, RN, MS, MSN, CCRN
Joan M. Wilson, RN, BS, BSN, CCRN
Charlene A. Winters, RN, RN-BC, CNS,
David W. Woodruff, RN, CNS, MS, MSN,
Larraine A. Yeager, RN, BSN
Karol A. Zsarnay, RN, MN, MS, CCRN,

In the Circle: Excellence in Education Recognized

Editor’s note: Part of the AACN Circle of Excellence recognition program, the Excellence in Education Award honors nurse educators who facilitate the acquisition and advancement of the knowledge and skills required for competent practice and positive patient outcomes in the care of acutely and critically ill patients and their families. Following are excerpts from the exemplars submitted in connection with this award for 2005.

Linda Baas, RN, PhD, CCNS, ACNP
Cincinnati, Ohio
University of Cincinnati College of Nursing
When my niece announced that she was going to nursing school instead of medical school, she said she could practice in many settings, like her Aunt Linda. She said she could perhaps become a nurse practitioner, teach patients or become a nursing professor and do research. I was touched.

Before I became an educator, I had years of strong clinical experience working in critical care and coronary care while completing my BSN. When I heard about the role of the clinical nurse specialist, I applied to the University of Alabama in Birmingham, where I met Dr. Marguerite Kinney. She instilled a love of writing in many of her protégées and emphasized that it was one of many ways to teach. I have always tried to model Dr. Kinney as an educator.

It is difficult to identify a single exemplar to illustrate my work as an educator. There are so many patient-related, staff-related and student-related examples from which to choose. Fond memories surround my most cherished thank you letters. I could talk about the time I taught the nursing staff how to incorporate cardiac rehabilitation into their care of patients. One nurse refused to let a patient go home to his third floor apartment until he could walk steps in the hospital setting.

It is always a proud moment when graduate students present their research at the NTI or clinical topics at conferences, win awards or funding, publish their first manuscript or come back to teach a class for current students. They have served as presidents of our local AACN chapter and have changed the face of advanced critical care practice in our region by serving as nurse practitioners, nurse managers and nurse educators. It has been my privilege to work with them.
Ruth Kleinpell, RN, PhD, CCRN, ACNP, FAAN, FCCM
Chicago, Ill.
Rush University College of Nursing
I have been an associate professor at a university school of nursing for more than 15 years. I also provide continuing education on a variety of critical care topics to the nursing staff at our hospital and to various other nursing groups, including AACN chapters and at nursing conferences. I enjoy being a nursing educator. It is challenging, but always fun.

Advancing the knowledge and skills of critical care nurses requires the ability to explain complex concepts in an understandable way. I often integrate pathophysiology and recent research findings into my teaching to promote a high level of nursing education.

I have found that creating a learning environment is important in the educational process. This involves making learners feel comfortable to ask questions, express their learning needs and value the opinions of other learners in the group.

Promoting positive patient outcomes in the care of acute and critically ill patients and their families is also an essential aspect of providing nursing education. One recent experience helped to highlight the impact that education can have. After presenting an in-service at an area hospital on updates in the management of sepsis, I learned that several of the staff ended up caring for a patient soon afterward. They were able to identify that the patient was showing signs of severe sepsis and take the appropriate actions to positively affect the patient’s outcomes, based in part on the in-service I had given. Hearing the story was a great reminder that nursing educators can have a significant impact on nursing practice and on patient outcomes.

Angela Smith Collins, RN, DSN, CCNS, APRN, BC
Birmingham, Ala.
Capstone College of Nursing
As both an advanced practice nurse in critical care and an instructor in both the clinical and classroom environment, my focus is to bring the patient’s story into the process of teaching. I believe that teachable moments center around entering into experiences with a patient and being changed by that experience.

This exemplar relates to a student who struggled with always wanting to solve all of her patients’ problems. This student’s clinical assignment was a patient in the terminal stages of Parkinson’s disease. His tremors were so profound that the bed rattled with his violent spasms. The physician was concerned that if he increased the patient’s medications, the patient would stop breathing. The patient did not want to have a “breathing tube” inserted if he stopped breathing.

After reviewing the patient’s record, the student said I have “no further way to help this patient.” My reply was, “Medications and technology cannot solve every problem. Nursing is at times about simply being with the patient at moments of powerless and pain. You can still help him by offering him your presence as he goes through these moments.”

The nursing student then sat by the bed, next to the patient, and held his hand. She told the patient, “I am so sorry that I can’t help you more.” He turned, looked at her and said with great effort, “You are helping me right now.” As tears ran down the student’s face, I knew that she had learned a powerful lesson. By holding his hand, she had offered the patient a sense of peace and comfort.

This student has since shared her story with her peers and the experience has changed her perspective as a nurse. Teaching nursing students is about opening up their lives to what a nurse can be.

What’s in the September issue of the American Journal of Critical Care

• Frequency of Oral Care and Positioning of Patients in Critical Care

• Use of Complementary and Alternative Therapies: A National Survey of Critical Care Nurses

• Activities of Home-Based Heart Failure Nurse Specialists

• Providing End-of-Life Care to Patients: Critical Care Nurses’ Perceived Obstacles and Supportive Behaviors

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

Looking Ahead

August 2005

Aug. 15 Deadline to apply for ICU Design Citation Award, cosponsored by AACN, the Society of Critical Care Medicine and the American Institute of Architects. For more information, contact Carol Prendergast at cprendergast@sccm.org or (847) 827-6826.

September 2005

Sept. 1 Deadline to submit Research and Creative Solutions Abstracts for NTI 2006 in Anaheim, Calif.

Sept. 2 Deadline to submit applications to take paper-and-pencil versions of the CCRN, PCCN, CMC and CSC certification exams on Oct. 21 during the Fall Trends conference in Philadelphia, Pa. The special Trends exam handbooks are posted on the AACN Certification Corporation Web site at www.certcorp.org > What's New.

October 2005

Oct. 1 Deadline to apply for AACN Evidence-Based Clinical Practice Grant, AACN Clinical Practice Grant and AACN-Sigma Theta Tau Critical Care Grant. For a grant application, visit the AACN Web site.

PDA Center

AACN’s Medicopeia for PDA
Save up to $258! New Palm Devices Now Available

Medicopeia: The PDA That Does It All!
The newest, most advanced PDA solution is now available! Designed exclusively for AACN and bedside nurse clinicians in many areas of practice, AACN Medicopeia, Critical Care Nurse Edition, makes installing, registering, unlocking and managing your PDA and applications a thing of the past! Say goodbye to unlock codes and serial numbers with this exciting program!

With the all-inclusive AACN Medicopeia package, you’ll receive a Palm PDA (choose from the Tungsten T5, the new Tungsten E2 or the powerful, just-released LifeDrive Mobile Manager) pre-loaded with drug monographs on thousands of medications (including integrated weight-based dosing calculators), clinical references, tools, and calculators, all updated and unlocked automatically every time you synchronize your device.

And, as an exclusive for AACN Medicopeia users, you’ll have access to the weekly AACN Critical Care Newsline, providing you up-to-the-minute press releases, alerts and information, simply by synchronizing your device.

If you already have a PDA device, you can still subscribe to AACN Medicopeia. Here is what you will receive for only $129 (annual renewal only $109). AACN’s Medicopeia package includes:

Davis’ Drug Guide with Integrated Calculators
ER ICU Toolbox
Pocket ICU Management
Cardiac Medications E-reference
Critical Care Assessment E-reference
Hemodynamic Management E-reference
Adobe Acrobat Reader for Palm OS
Special AACN Resources for Adobe Reader
AACN Critical Care Newsline
Lifetime Technical Support

The Palm Tungsten T5 device, complete with the above software, is only $439, a savings of $248 (if individually purchased; annual renewal fee is $109).
Medicopeia with the Tungsten E2 is just $309, a savings of $228 (if individually purchased; annual renewal fee is $109) and Medicopeia with the LifeDrive Mobile Manager is just $528, a savings of $258 (if individually purchased; annual renewal fee is $109).

Find out more by visiting the AACN PDA Center. Note: Medicopeia package is not currently recommended for Mac computers.

New Tungsten E2 and LifeDrive Mobile Manager PDA Devices
Tungsten E2
The new, brighter color display of the E2 makes it easy to see your schedule, contacts and nursing software programs, indoors or out. And, with better color saturation, your photos and video clips come to life in rich, dazzling color. 32MB of memory is included, and the new “flash” memory helps protect the information on your handheld—even if you don’t have time to recharge. Also included are Bluetooth Wireless technology and Documents to Go, allowing you to create and edit Word and Excel documents on the fly.

Device alone is $249. Best value when purchased with AACN Medicopeia, Critical Care Nurse Edition.

LifeDrive Mobile Manager PDA
AACN is proud to introduce the LifeDrive Mobile Manager. Experience the future of handheld computing! Take five years worth of appointments, your entire contact database, your to-do list and hundreds of memos with you everywhere, thanks to a 4GB hard drive and built-in personal organization software. And, load all your clinical nursing software or Medicopeia too! The LifeDrive comes equipped with both Bluetooth and WiFi Wireless programs so you can check e-mail or surf the Web.

Device alone is $499. Best value when purchased with AACN Medicopeia, Critical Care Nurse Edition.

For detailed information about these two new Palm products, visit the AACN PDA Center, or call (800) 462-0388.

Monthly Super Savers From AACN’s Catalog Products

These Super Saver prices are valid through Sept. 30, 2005. To qualify, orders must be received or postmarked by Sept. 30, 2005.

Care of the Cardiac Patient Series
(Product #170800)
This series is designed to present the latest knowledge on various aspects of cardiovascular patients. Set includes Care of the Cardiac Patient in Rehabilitation and Recovery, Care of the Patient with Acute Coronary Syndrome, Care of the Patient with an Arrhythmia, Care of the Patient with Heart Failure, Care of the Patient Undergoing Cardiovascular Surgery, Care of the Patient with an Intra-Aortic Balloon Pump and Care of the Patient with a Ventricular Assist Device.
Regular Price
Member: $95
Nonmember: $115
Super Saver Price
Member $87.50
Nonmember $95

Cardiac Surgery Secrets
2nd Edition
(Product #100156)
Fully expanded and updated, this new edition is packed with the latest techniques and technologies as well as the basics of cardiac surgery. It gives you the substantial knowledge base you need in a reader-friendly format you can really use, providing the most important “need to know” questions and answers.
Regular Price
Member: $37.95
Nonmember: $36.05
Super Saver Price
Member: $32
Nonmember: $34.50

Manual of Perioperative Care in Adult Cardiac Surgery, 4th Ed.
(Product #100252)
Extensively revised to cover recent advances in cardiac surgery, the fourth edition of Bojar’s Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients under-
going cardiac surgery.

The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care—perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students and critical care nurses involved in the care of both routine and complex cardiac surgery patients.
Regular Price
Member: $56.95
Nonmember: $59.95
Super Saver Price
Member: $54
Nonmember: $56


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