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Vol. 23, No. 11, NOVEMBER 2006


Students Learn About Teamwork During Interprofessional Education Day


Dorrie Fontaine, associate dean of the UCSF School of Nursing, addresses students at the event.
Photo by Christine Jegan

Editor’s note: The following article appeared in the Sept. 27, 2006 issue of UCSF Today, a news service of the University of California, San Francisco. Featured are past AACN President Dorrie Fontaine, RN, DNScRN, DNSc, and American Journal of Critical Care Editor Kathy Dracup, RN, DNSc.

By Lisa Cisneros

In the first event of its kind, students and deans from all four schools came together recently for an afternoon lesson focusing on patient safety and the importance of teamwork among healthcare professionals.

The day was designed as a new part of the regular curriculum. Up until now, UCSF has offered few opportunities for students from each school to learn together.
Students from the schools of dentistry, medicine, nursing and pharmacy as well as the physical therapy program participated in the First Annual Interprofessional Education Day on Sept. 20. Deans from all four schools offered words of wisdom at the event.

For his part, Charles Bertolami, DDS, dean of the UCSF School of Dentistry, challenged the students to be true to themselves during their academic experience at UCSF.
“So you’re here to fulfill your potential, and that involves change,” he said. “But I also would like to suggest that you hold o to some of who you are right now. Change, yes. Improve, yes. But hold onto that something that brought you here in the first place.”

Kathy Dracup, RN, DNSc, dean of the UCSF School of Nursing, shared her experiences from her 40-year nursing career that started in the intensive care units, which she described as “high-drama places that are suffused with excellent teamwork.” That teamwork is learned on the job, she said, rather than in school.

“What I have come to realize as I became dean here is that teamwork is accidental,” Dracup said. “We don’t help you as you are preparing to be physicians, nurses, physical therapists, dentists, or pharmacists. We don’t help you in any way. You can potentially get through four years at this school and this campus and not talk to a person from a different profession. Well, how can we expect you to be at the bedside and effective communicators and know what each other knows and know each other’s perception, if we don’t do that? So this is just the beginning of what we hope is far more interdisciplinary educational experiences on this campus.”

Dracup told the students that those drawn to the health professions want to make a positive difference in people’s lives. She voiced her concerns about what she calls a “broken” health care system, encouraging the students to be part of the solution to provide a new model of care.

From left, deans David Kessler, Mary Anne Koda-Kimble, nursing student Aubrey Wade, Kathy Dracup and Charles Bertolami discuss issues raised in a skit during the First Annual Interprofessional Education Day.
Photo by Christine Jegan



‘Share Our Dream’
“Training places, particularly the hospital, where most of your time will be spent, will be very difficult,” Dracup explained. “Unfortunately, hospitals are traditional, they’re bureaucratic and they are hierarchical. The regulatory burden has just grown exponentially over the last decade. All of these factors erode patient safety and they also erode career satisfaction in each of you. I think the antidote to that is interdisciplinary teamwork and collaboration. But that antidote depends on you all not taking on stereotypes—being willing at times to be followers and at times to be leaders no matter what it says on your name badge.

“At the end of the day, we’re really asking you this afternoon to share our dream. It’s a dream where patients are at the center of care, family members are included, and interdisciplinary and interprofessional collaboration is the norm, not the exception.”

The day was a product of three years of work by a committee of faculty, staff and students, led by Dorrie Fontaine, RN, DNSc, associate dean of the UCSF School of Nursing. Fontaine noted that when she got together with associate deans from the other schools to discuss interprofessional education, it was the first time that they had met.

To emphasize the point of teamwork among healthcare professionals, the event featured a skit with the deans and nursing student Aubrey Wade each playing a part. The skit depicted a real-life scenario of a UCSF patient who developed a hematoma on her neck after undergoing surgery to remove a cancerous thyroid gland. The outcome did not go well.

Students discussed the issues raised in the skit during several breaks—learning from the mistakes. They also heard from medical errors expert Robert Wachter, MD, professor and associate chair of medicine, who shared his insight about the state of healthcare today.

Wachter said that though the U.S. works to find the remedy to better prevent medical mistakes, he believes improved human interaction among patients, family members and practitioners will make the difference.

“I think we can fix this,” Wachter said. “I don’t think we’ll ever prevent all errors in medicine or dentistry... We’re never going to bring the error rate to zero. But I think we can cut it by 70 or 80 percent, and some of that is going to be computers and checklists, but a lot of that is going to be you teaching us what a different style of interacting with each other is.”

Book Your Room Now for NTI 2007

Reserve your hotel room for NTI 2007 early! The list of available hotels as well as rates and descriptions of properties is available online at www.aacn.org/NTI. NTI 2007 is scheduled for May 19 through 24 in Atlanta, Ga. Additional information is posted on the Web site and continually updated.

Recruiters Continue to Light Up the MGAM Scoreboard


At the close of September, the fifth month of the current AACN Member-Get-A-Member program, Diane Lane, RN, MSN, of Hermitage, Tenn., continued to hold a commanding overall lead with 46 new members recruited. Diana Pryer, RN, MS, MSN, CCRN, of St. Louis, Mo., vaulted into second place with an impressive 21 new members recruited in September. Another strong performer during the month was Alison Scheflow, RN, BSN, MA, of Hollywood, Fla. who successfully recruited 15 new AACN members.

The Greater Richmond Area Chapter added nine new members to its overall lead of 39, but the Southeastern Pennsylvania Chapter matched that with nine new members of its own for a total of 34. The Houston Gulf Coast Chapter tied for third place with the Greater Cincinnati Chapter at 24 new members recruited since May 1. They are followed by the Greater Portland Chapter with 20. Both the New York City and River City chapters had solid figures for September, each with six new members recruited.

These leaders are among the 681 individuals and chapters that have recruited 2,228 new members since the campaign began May 1. The campaign ends Aug. 31, 2007. The recruitment period was extended for this year’s campaign to move the program to a 12-month cycle in the future.

Participation in the Member-Get-A-Member drive offers the opportunity for recruiters to receive valuable rewards, including a $1,000 American Express gift check that will be awarded to the top individual recruiter. The top recruiter is also eligible for three grand prize drawings for $500 gift certificates. Every recruiter who enrolls five new members during the program will be entered into the drawing.

In addition, as individuals recruit new members, they are entered into a drawing for a $100 American Express gift check each month they recruit. Marianne Hess, RN, BS, BSN, CCRN, from Arlington, Va., won the gift certificate in September.

After recruiting their first five new members, participants will receive a $25 gift certificate toward AACN products and services, and $50 after recruiting a total of 10 new members.
The chapter recruiting the most new members during the campaign will receive a $1,000 honorarium check. The winning chapter is also eligible for grand prize drawings for three $500 honorarium checks. In addition, chapters are eligible for monthly drawings for a free NTI registration any month they recruit a new member. The winner for September was the Pioneer Valley Chapter.

To see the entire list of recruiters and their totals through July, visit the AACN Web site at www.aacn.org > Membership.

Audio Conferences Wrap Up Dec. 14

AACN and Joint Commission Resources will wrap up a series of audio conferences on patient safety and quality of care on Dec. 14 with a discussion of Intensivists, Hospitalists and Advanced Practice Nurses. The presentation, which includes time for questions, is scheduled from 12:30 to 2 p.m. (EST).

Representing AACN is Denise Buonocore, RN, MSN, CCRN, APRN-BC, acute care nurse practitioner at the Heart Institute at Bridgeport Hospital in Connecticut and treasurer of the AACN Board of Directors.
The price is $249 per connection.
For more information, call (877) 223-6866 or visit the JCR Web site at www.jcrinc.com > Education > Audio Conferences/Web Conferences.

Edwards Lifesciences Partners With AACN to Establish New Grant

AACN has announced a new research grant sponsored by Edwards Lifesciences. The AACN-Edwards Lifesciences Nurse-Driven Clinical Practice Outcomes Grant is intended to support a nurse experienced in research who is conducting a clearly articulated research study that relates to use of protocol-based care driven by nurses.
The research team may be interdisciplinary or an experienced researcher mentoring a novice. The funds may be used for original research or replication of existing research.
Qualified proposals will seek to obtain evidence relevant to the use of nurse-driven, protocol-based care for acute or critically ill individuals. Especially desirable are proposals that focus on the following at any point in the continuum of acute and critical care:
• Implementation of nurse-driven protocols using technology, including minimally invasive devices, with evaluation of patient outcomes and nurses’ role in implementing the protocols
• Development and clinical evaluation of nurse-driven protocols

AACN recognizes Edwards Lifesciences as a Bronze Member of the AACN Corporate Circle for their many valuable contributions. For more information on AACN’s Corporate Circle, e-mail development@aacn.org.

AACN Strengthens Its Position as Undisputed Leader


From Voice to Resources, Association Efforts Find Success

Inspired by a yearlong theme of “Engage and Transform,” AACN continued to strengthen its position as the undisputed leader in critical care nursing.

The fiscal year that ended June 30, 2006, showed that the association’s efforts to become even more relevant to nurses who care for acutely and critically ill patients have been successful. Approximately 100,000 nurses are now affiliated with AACN.

In January, AACN released the groundbreaking National Critical Care Survey Report, the first survey focusing specifically on critical care units and critical care nurses. The association was also among the highest scoring companies in the California state Baldrige program.

Following are highlights of some of the other accomplishments of the fiscal year:

Voice
• The Healthy Work Environment Standards Work Group developed the guiding principles and priority strategies for building awareness and promoting implementation of the AACN Standards for Establishing and Sustaining Healthy Work Environments.
• More than 120,000 copies of the Standards documents have been downloaded from the AACN Web site (www.aacn.org/HWE).
• A series of audio conferences—including one on the AACN Healthy Work Environment Standards and another on patient safety and quality of care in the critical care environment—were cosponsored with Joint Commission Resources.
• AACN partnered with VitalSmarts to develop a seminar on Crucial Conversations in Healthcare.

Practice
• A total of 22 units have now achieved the Beacon Award for Critical Care Excellence.
• In developing the program for the 2006 Advanced Practice Institute, the Advanced Practice Work Group conducted a gap analysis and review of the Call for Abstracts to provide advanced clinical topics focusing on patient management and pharmacology. Members also wrote articles for AACN News.
• The Nurses in Healthcare Management and Business Leadership (NIHMBL) listserv launched.
• The Ethics Work Group evaluated the National Consensus Project for Quality and Palliative Care: Clinical Practice Guidelines for Quality Palliative Care and for translation to acute and critical care nurses working at the bedside. Work group members also wrote articles for AACN News and authored an NTI 2006 Creative Solutions Poster.
• More than $50,000 in research grants were awarded.
• The Research Work Group increased the number of Practice Alerts to seven and added the evidence-grading system.
• The AACN Advanced Critical Care journal was launched, replacing the former AACN Clinical Issues.
• The Scope and Standards of Practice for the Acute Care Nurse Practitioner was released.
• The Practice Protocol for Palliative Care & End-of-Life Issues in Critical Care was published.

Certification
• AACN helped celebrate the 30th anniversary of CCRN certification.
• The number of new CCRN candidates increased 49%, and new PCCN candidates 280%. The CCRN renewal rate was a record 82%.

NTI
• More than 6,700 nurses attended NTI 2006 in Anaheim, Calif.

In the Circle: Excellent Nurse Manager Award


Editor’s note: 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 2006.

Kimberly Clark, RN, BSN, CCRN
Charlottesville, Va.
UVA Division of Nursing
One of the greatest challenges for a new manager is to get to know the staff and develop trust. I faced this challenge when I merged the burn wound care unit with the surgical trauma ICU. I believed that if I involved the staff in the process and empowered them to make decisions, the merger would be successful.

With staff from both areas participating in monthly meetings, timelines were developed. I met regularly with them to learn their concerns and help them move forward. We now look back at our merger in Fall 2004 as a seamless and successful process.

My philosophy is that unit leadership and staff are responsible for creating an environment where people want to work. It was with great excitement that the unit leadership and I embraced AACN’s Healthy Work Environments initiative. We developed a written pledge to improve unit communication, specifically via appropriate and healthy feedback “in the moment.” Once we designed our written pledge and educated our staff, we asked for a commitment to the pledge.

To keep the commitment foremost in the staff’s minds, we posted the pledge in the unit. We have seen progress in communication, specifically feedback, and a decrease in negativity. Although we have more work to accomplish, we are committed to making a difference. In the two years I have been the manager of the merged unit, I have empowered staff to embrace and be accountable for change and have led the development of a collaborative, healthy work environment. I am extremely proud of the unit’s accomplishments and look forward to a healthy and challenging future.

Rita Fowler, RN, MSN, CCRN, CNA, BC
Rowlett, Texas
Baylor University Medical Center
Rita has practiced critical care nursing at Baylor University Medical Center for 22 years, 17 of them as a clinical manager. She manages the transplant ICU, hemodialysis and medical ICU.

In the MICU, we were notified that a young woman who had collapsed on her honeymoon was arriving from Thailand. She had experienced a massive stroke, probably from deep vein thrombosis, and was unresponsive and on a ventilator. Rita met with the family while the patient was admitted. She always rounds with families and patients, ensuring their needs are met.

When Rita discovered that the patient’s distraught husband exercised to deal with stress, she arranged a temporary membership at our fitness center. She checked on the family frequently and, as with all our patients, promoted continuity of care through consistency of nursing assignments.

It took the husband several days to agree to a brain flow study for his wife. Rita developed a level of trust that helped him to consent. The results confirmed brain death. The patient was taken off life support and died peacefully with her husband by her side. Later, the husband brought wedding pictures and expressed his gratitude for the help he had received. He and his wife’s parents nominated every caregiver for recognition, with a special mention for Rita, whose kindness meant so much to the family.

Rita often deals with these types of situations and provides excellence through patient-centered care. Her excellent management also shines; the years of service that many staff have with her are further testimony.

Mary Lou Moore, RN, MSN, CCRN
Wenham, Mass.
Brigham and Women’s Hospital
Mary Lou is most deserving of this award because of her ability to recognize a problem, develop a plan and serve as a catalyst for change, thereby providing a positive outcome for her staff, patients and patients’ families. Many of the situations in our cardiac care unit are sad, even tragic. The stress of providing compassionate care to critically ill patients can take an emotional toll on the nursing staff.

Because there was no outlet for the staff to express their emotions, Mary Lou recognized the need for a forum to discuss clinical situations and ethical dilemmas. She collaborated with the unit chaplain and the nurse ethicist to create compassionate care rounds. Staff participation is voluntary and all members are invited.

CCRs are held once a month, or more frequently if needed. Any member of the nursing staff can request one. It is an opportunity for the team to debrief after an emotional case, before too much time has passed. CCR meetings not only have helped foster the staff’s professional development, but also have met the staff’s personal needs.

Over the last three years, two staff members died unexpectedly, and being able to meet in these rounds has helped the staff work through their losses. Without an outlet to express themselves, the stress can be overwhelming. Mary Lou showed leadership and foresight in creatçing the CCR meetings. They have become “care for the caregiver,” which is often overlooked. Mary Lou is highly respected by her fellow RNs, MDs and most importantly, our patients and their families.

Seen and Heard


Our Voice in the Media
American Journal of Nursing (July 2006)—“Certification and Magnet Hospitals.” William Cory Wall, RN, CCRN, who works in the surgical ICU at North Carolina Baptist Hospital, said that he “became certified in critical care nursing to increase his knowledge in this field and to provide better patient care. Moreover, he feels that if nurses are able to pass the certification exam, they will feel better equipped to handle critical care patients. He added that being certified made him more astute and more aware of potential complications. When asked how he would encourage nurses to become certified, Wall said, ‘It’s a great opportunity to learn and is viewed by others as a status symbol.’”

Nursing Economics (July 1, 2006)—“Human Capital Management: Implications for Health Care Leaders” noted that AACN and the Bernard Hodes Group Health Care division were collaborating on an RN work environment survey. “Initial analysis promises a wealth of findings health care leaders will view as essential.”

Advance for Nurses (July 17, 2006)—“Delegation Defined: Examining the Principles of This Tool as Both an Art and a Science.” “AACN outlines five issues affecting the decision to delegate, which include the task and patient assessment in terms of potential for harm, complexity of task, problem solving and innovation required, unpredictability of outcome and level of patient interaction.”

Debbie Brinker
Advance for Nurses (July 10, 2006)—“Constant Change: Critical Care Nurses Encouraged During Annual Gathering to Have Their Voices Heard in Decision Making at Their Facilities” was the title of an article about NTI 2006 in Anaheim, Calif. Then AACN President Debbie Brinker, RN, MSN, CCRN, CCNS, was quoted as saying, “The preferred future we are driving toward is ripe with mutual respect and professional recognition that cannot be achieved in systems rife with hierarchy, traditions and power struggles. The days of not questioning our colleagues, including physicians and administrators, cannot continue if we are to be committed to an error-free, safe environment.”

RN (July 2006)—“Professional Update: Research Shows Pressing Need for Critical Care Skills.” In part, the article noted that “AACN and other leading critical care organizations are working with the government on ways to relieve the shortage of clinicians with critical care skills.” Statistics from AACN’s Critical Care Survey were also included.

Dallas Morning News (July 17, 2006)—“Niche for Nurses: Cardiac Telemetry.” Mary Pat Aust, RN, MS, clinical practice specialist at AACN, was quoted as saying, “As technology has become more advanced and sophisticated, the need for continuous training is greater.” The article also included information from AACN’s Web site: “Progressive care nursing has expanded beyond the basic cardiac telemetry that marked its beginning and now encompasses many of the same technologies and therapies that were once limited to critical care units.”

Nursing Management (July 2006)—“No Time to Lose.” The article indicated that “it’s clear that work environment is a worthwhile investment. One survey found that RNs believed the most important factor in solving the nursing shortage was to improve the work environment. One resource for standards in this area is the AACN Standards for Establishing and Sustaining Healthy Work Environments.”

FirstHealth of the Carolinas (Summer 2006)—“MRH Nurses Nationally Recognized for Patient/Family Care.” Phyllis Hergenhahn, RN, and Sandra Jones, RN, received AACN’s Circle of Excellence in Collaboration Award for Nurse to Family Collaboration. “To have Sandy and Phyllis recognized by the AACN is truly an honor for them and for FirstHealth,” said Linda Wallace, chief nursing officer at Moore Regional Hospital, Pinehurst, N.C. “We are proud of the excellence they represent every day in their practice.”

PHD Nurse (Summer 2006)—“Healthy Work Environments: Critical to Safe, Effective Care” was the title of an article that discussed the AACN Standards for Establishing and Sustaining Healthy Work Environments. The writer concluded, “Healthy work environments will improve patient care and outcomes, nurse recruitment and retention, and the bottom line. This benefits everyone. What will you do today to promote a healthy work environment where you work?”

Shreveport Times (Aug. 4, 2006)—“LSUHSC Nursing Unit Is First in Louisiana to Earn National Award.” The medical intensive care unit at LSU Health Sciences Center in Shreveport received AACN’s Beacon Award. “This award is an extraordinary accomplishment for our nurses and our hospital,” said Dr. John McDonald, LSUHSC chancellor and dean.

Kristine Peterson
Critical Care Nursing Quarterly (July-September 2006)—“Essentials of Critical Care Orientation: One Hospital’s Experience With an Online Critical Care Course” was co-written by Kristine Peterson, RN, MS, CCRN, CCNS, AACN board member. “Feedback from members in the ECCO community listserv includes, ‘ECCO is more flexible than a traditional course … more cost-effective than the traditional course … is updated by the AACN on a regular basis and meets our desire to teach staff the latest evidence-based practice … the AACN’s curriculum is validated and students get consistent instruction.’”

Critical Care Nursing Quarterly (July-September 2006)—“Mentoring – A Staff Retention Tool.” This article began by stating “Staff retention presents a common challenge for hospitals nationwide. Mentorship programs have been explored as one method of creating environments that promote staff retention. Successful achievement of nurse competencies identified in (AACN’s) Synergy Model for Patient Care can best be achieved in an environment that encourages and facilitates mentioning.” Three other AACN-related articles also appeared in this issue, including “Using the Synergy of Online Education and Simulation to Inspire a New Model for a Community Critical Care Course,” “Critical Care Education: Experience With a Community-Based Consortium Approach” and “ICU Nursing Orientation and Post-Orientation Practices: A National Survey.”

Our Voice at the Table

Kevin Reed, RN-BC, MSN, CNA, AACN Certification Corporation chair-elect, presented the keynote address, “The Five Principles of Effective Teams,” at the statewide Organ Donation Collaborative meeting in Indianapolis, Ind. For the first principle, Authentic Leadership, Reed referenced and discussed AACN’s Healthy Work Environment Standards.

Mary Fran Tracy, RN, PhD, CCRN, CCNS, FAAN, AACN board president, gave the keynote, “Powered by Insight,” and a breakout session, “Evidence-Based Practice at the Bedside: From Nightingale to Today” at Wealth of Knowledge 2006, sponsored by the South Florida Gold Coast Chapters, a multichapter group. Tracy also presented an update on current AACN initiatives at a sunset chat. There were approximately 250 attendees at this conference, which was held in Ft. Lauderdale, Fla.

Teal, Holts chneider, Helms & Martin

Tracy gave a keynote at the Region 5 conference in High Point, N.C. In attendance were approximately 65 AACN members and chapter leaders representing eight of the 17 chapters in the North and South Carolina region. Additional speakers were Jan Teal, RN, MS, MSN, CCRN, RN-BC, Region 5 Chapter Advisory Team representative, Mary Holtschneider, RN, BSN, MPA, former AACN board member, Susan Helms, RN, MSN, CCRN, PCCN, AACN Certification Corporation board member, and Beth Martin, RN, MSN, CCNS, CCRN, former AACN Certification Corporation board member. Holtschneider spoke about AACN’s Healthy Work Environment Standards at a Carolina Dogwood Chapter meeting held at Cape Fear Valley Medical Center in Fayetteville, N.C.

Caryl Goodyear-Bruch, RN, PhD, immediate past board member of both the AACN Board of Directors and the AACN Certification Corporation Board of Directors, represented the corporation at a viability study for a new credentialing program for respiratory therapists in adult critical care, held in Kansas City, Mo. The study was conducted by the National Board for Respiratory Care, Inc. (NBRC) and Applied Measurement Professionals, Inc. (AMP) to consider whether development of a new credential is desirable and feasible.

Connie Barden, RN, MNS, CCNS, CCRN, former AACN board president, spoke on “Creating Healthy Work Environments” and “Keeping Patients Safe” at Safety Matters in Critical Care, a conference for North Shore-Long Island Jewish Health System, Long Island, N.Y. Barden spoke to leaders at Virginia Commonwealth University HealthSystem in Richmond, Va. about creating healthy work environments. Barden spoke at the Julie Louis-Walin Memorial Conference at Methodist Medical Center in Peoria, Ill. on a variety of clinical topics as well as healthy work environments and patient safety.

Beth Hammer, RN, MSN, APRN-BC, AACN board member, attended a multi-region Collaborative Workshop for Regions 8, 9 and 10, in Cary, Ill. Sage Products offered its corporate office to host the event. Maggie Carriker, RN, MSN, Chapter Advisory Team representative for Region 8, Pam Bolton, RN, MS, CCNS, PCCN, ACNP, Chapter Advisory Team representative for Region 9, and Karen Wood, RN, DNS, CCRN, Chapter Advisory Team representative for Region 10, led the discussions, and Hammer presented key AACN initiativ

Carriker, Bolton, & Wood

Thank You to Continuing Education Review Panel Volunteers


Terrie Adams-Beck, Karla Ahrns, Susan Allison, Eugene Anderson, Mary Jane Ante, Christie Artuso, Tracey Ash, Laura Barry, Lynda Beck, Renea Beckstrand, Marcia Belcher, Jodi Berndt, Karen Bird, Nancy Blake, Dawn Blake-Holmes, Patricia Blissitt, Iris Boehnke, Jack Bogart, Carol Boswell, Teresa Bowers, Jeanne Braby, Patricia Bradshaw, Marylee Bressie, Shelly Brewster, Eileen Briening, Susan Brown, Denise Buonocore, Michele Burke, Diane Byrum Stephanie Calcasola, Lisa Call, Tamara Capik, Glenn Carlson, Angela Cathey, Kristina Cervantes, Kristine Chaisson, Paula Coe, Katherine Colbert, Leslie Collins, Linda Cook, Louise Cook, Jennifer Cook, Randeen Cordier, Sandra Cornish, Natalie Correll-Yoder, Damon Cottrell, Jo Ellen Craghead, Maryanne Crowther, Michael Day, Nancy Denke, Louise Diehl-Oplinger, Joni Dirks, William Donnelly, Susan Dresser, Susan Dukes, Judy Duvall
Marcia Elliott, Cynthia Elmido, Daniel Emborsky, Nancy Erman, Michelle Ernzen, Valerie Eschiti, Linda Esposito, RoseMarie Faber, Lisa Falcon, Marci Farquhar-Snow, Linda Felton, Maria Filamor-Robinson, Laurie Finger, Jeannie Finlay-Kochanowski, Annette Fleck, George Flores, Lozay Foots, Ruth Foster, Denise Foy, Michael Frakes, Rita Free, Jennifer Frost, Karen Gaertner, Kristine Gaisford, Chris Garber, Lisa Garcia, Stacy Garcia, Essie Gardner, Julia Garrison, Priscilla Gazarian, Kathleen Geib, Henry Geiter, Pam George, Elisabeth George, Diane Glowacki, Barbara Goldberg-Chamberlain, Helen Gonzales-Kranzel, Katherine Green, Rebecca Greenwood, Cheryl Grieco, Madelyn Gries, Jane Grimberg, Todd Grivetti, Sheila Grossman, Christine Gryglik, Jodi Gunther Marci Handley, Gerard Hannibal, Brenda Hardin-Wike, John Harper, Patricia Harris, Bonnie Harvey, Colleen Heafey, Kiersten Henry, Cynthia Hess, Cheryl Hettman, Courtney Hood, Patricia Hoppman, Janell Huskey, Melissa Hutchinson, Janeena Ieraci, Lori Jackson, Cynthia Janacek, Peggy Jenkins, Scott Jessie, Maren Johnson, Sherrie Jones, Linda Josephson, M.Teresa Julich, Melanie Katz, Rebecca Katz, Lori Kei, Melanie Keiffer, Mary Kennedy, Deborah Klein, Carol Knauff, Cynthia Kociszewski, Ina Koerner, Lisa Kohr, Susan Koos, Michele Kosinski, Julene Kruithof, Barbara Krumbach, Donna Kruse, Christine Kruskamp, Jolynn Kuehr Beth LaVelle, Celia Laird, Michele Lanza, Deborah Laughon, Nantawadee Lee, Lynda Liles, Joanne Liptock, Glenda Lister, Susan Lynch, Sandra Mahanes, Margaret Malone, Lisa Manni, Karen March, Kelly Marcoux, Rhonda Marshall, Beth Martin, Lori Massaro, Dorothy Mayer, Betsy McDowell, Arthur McIntosh, Cheryl McKay, Norma McNair, Margaret McNeill, Susan Meyer-Callahan, Helen Michalopoulos, Lisa Milonovich, Nicolette Mininni, Vickie Miracle, Laura Monette, Lou Ann Montgomery, Carole Moore, Vivian Morrow, Kathleen Myerowitz, Amy Newlin Colleen O’Leary-Kelley, Barbara Ogden, Dee Oliveri, Marie Therese Padriga, Lucy Paskus, Oliver Pelayo, Evelyn Perez, Kristine Peterson, Jose Planillo, Deborah Pool, Cindy Pu, Leeann Putney, Patricia Rabbett, Susan Ramsey, Mary Beth Reid, Peggy Reu, Don Richards, Virginia Rickards, Cindy Rivet, Kathryn Roberts, Ruthie Robinson, Judi Robinson, Patriciaf Rosier, Joyce Roth, Maureen Roussel Celestine Samuel-Blalock, Jill Sanko, Michelle Scannell, Amy Schueler, Lori Schumacher, Sigrid Sexton, Beth Sherfy, Deborah Shields, Jean Shinners, LuAnn Shoaf, Lisa Marie Shostrand, Arkadi Shuman, Pamela Shumate, Monica Simpson, Susan Smith, Karen Smith, Joy Speciale, Joan Spitrey, Nancy Stark, Angela Starkweather, Cynthia Steinbach, Blythe Strickland, Holly Stromberg, Karen Stutzer-Treimel, Donna Sutton, Leslie Swadener-Culpepper, Dawn Swiderski, Sandra Swoboda, Joyce Taylor, Kathryn Terlinsky, Anecia Thibodeau, Laura Thompson, Elizabeth Thompson, Kelly Thompson-Brazill, Melissa Thorson, Terri Townsend, Dorothy Tullmann, Elizabeth Twiss, Sally Urban, Joni Vaughn, Barbara Vickers
Kittie Wagner, Mary Walker, Susan Walsh, Laurie Walsh, Rhona Wang, Robin Watson, Christine Watson, H. Joanne Weiss, Ruby Weller, Christine Westphal, Cindy Wetzel, Rose Whalen, Kimberly Whiteman, Teddy Joe Whitmer, Steve Widmar, Michael Williams, Sally Williford, Joan Wilson, Charlene Winters, David Woodruff, Jennifer Woods, Demetra Zalman, Beth Zimmerman, Karol Zsarnay.

Thank You to Volunteers Who Serve on Awards Review Panel


Denise Abbott, Helene Anderson, Tracy Arnold, Christie Artuso, Tracey Ash, Michele Avila-Emerson, Renea Beckstrand, Cindy Beltejar, Nancy Blake, Iris Boehnke, Pamela Bradshaw, Marylee Bressie, Maureen Burger, Kathleen Burton, Mary Bylone, Mary Carey, Angela Cathey, Lyne Chamberlain, Kimberly Clark, Linda Cole, Nicholas Collins, Maria Cruz
Michael Day, Janice Delgiorno, Nancy Denke, Marcia D’Oyly, Susan Dresser, Sharon Drummeter, Michelle Ernzen, Brandee Fetherman, Andrea Flannery, John Forrant, Roberta Fruth, Kristine Gaisford, Kathleen Gallichio, Hudson Garrett, Kathleen Geib, Pam George, Barbara Goldberg-Chamberlai, Katrina Greely Debra Hagler, Norma Hall, Gerard Hannibal, Sheila Harms, Patricia Harris, Nancy Haynes, Kiersten Henry, Joyce Holubec, Judith Hupcey, Janeena Ieraci, Michelle Jans, Lori Jentz-Pate, Michael Kingan, Teri Kiss, Karen Knight-Frank, Ina Koerner, Stephen Krau, Michele Lanza, LeAnn Leslie-Larson, Fname Lname, Jason Lynch, Maureen Madden, Marcia Malone-Tedder, Joyce Maly, Lisa Manni, Jimmy Mansfield, Sherry McCrank, Margaret McNeill, Donna Melick Diane Mick, Nicolette Mininni, Kathleen Mitchell, Karen Nave, Julie Nelson, Lisa Ochoa, William Parrish, Kathleen Peavy, Melissa Pollard, Deborah Pool, Debra Potempa, Carol Puz, Cheryl Rader, Carol Ruch, Katherine Samon, Michelle Scannell, Doug Schlichting, Joanne Schultz, Shyang Yun Shiao, Debra Siela, Monica Simpson, Susan Smith, Brenda Snyder, Connie Sobon Sensor, Joy Speciale, Nancy Stark, Angela Starkweather, Karen Stutzer-Treimel, Donna Sutton, Leslie Swadener-Culpepper Kimberly Tauscheck, Dawn Tucker, Joni Vaughn, Bernadette Waldrop, Robin Watson, M. Cecilia Wendler, Kimberly Whiteman, Michael Williams, Diane Wrobleski, Mary Wyckoff, Ruthann Zafian, Demetra Zalman, Beth Zimmerman.

Submit Abstracts Online for NTI 2008 in Chicago


June 1, 2007, is the deadline to submit education program speaker proposals, including chapter-related proposals, for NTI 2008, May 3 through 8 in Chicago, Ill. Abstracts can be submitted online at www.aacn.org>Education>Speaker Materials/Information.


In the Circle: ICU Design Award


Editor’s note: Part of the AACN Circle of Excellence recognition program, the ICU Design Award is presented in partnership with the Society of Critical Care Medicine and the American Institute of Architects Committee on Architecture for Health to recognizes ICU designs that enhance the critical care environment for patients, families and clinicians. Following are excerpts from an exemplar submitted in connection with this award for 2006.

Intensive Care Unit
Sharp Grossmont Hospital
San Diego, Calif.
Sharp Grossmont Hospital opened a new Emergency/Critical Care Center in September 2004 to provide aggressive treatment and compassionate care for critically ill patients. The new intensive care unit is comprised of 24 beds, designed by the nursing staff, physicians and other hospital staff. The rooms are spacious and bright with large windows to provide natural lighting and outdoor views that promote healing. Special attention was focused on the patient and family to provide a soothing and comforting environment, with consideration for the colors, fabrics and artwork. Some of the unique features for patients and their families include an atrium garden, a private visitor waiting room, a self-service refreshment area and a television room. The intensive care unit is now one of the most technologically advanced facilities in the United States. There are ceiling-mounted booms that allow the beds to be at any angle in the room to support different equipment needs. The decentralized mini-nursing stations include computerized documentation to assist with aggregating the patients’ clinical information.

Do You Receive Critical Care Newsline?


Each week, AACN’s Critical Care Newsline delivers updates on the latest news and important information via e-mail.
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 your employer.

What’s in Critical Care Nurse in December



• The Role of Exogenous Arginine Vasopressin in the Management of Catecholamine-Refractory Septic Shock

• Heparin-Induced Thrombocytopenia: Advances in Diagnosis and Treatment

• Decreasing Vascular Complications Following Percutaneous Coronary Interventions

• An Acute Care Nurse Practitioner Model of Care for the Neurosurgical Patient

• Certification: A Benchmark for Critical Care Nursing Excellence

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

Free CE for Members


AACN members can now receive up to 14 contact hours of CE credit FREE. There are a variety of topics, including audiovisual reproductions of popular NTI sessions! To take advantage of this great member benefit, visit www.aacn.org > Continuing Education.

Looking Ahead


December 2006

Dec. 14 AACN/JCR audio conference on Intensivists, Hospitalists and Advanced Practice Nurses; 12:30 to 2 p.m. (EST). Price is $249. For more information, call (877)
223-6866; or visit www.jcrinc.com > Education > Audio Conferences/Web Conferences.

Dec. 31 Deadline to make up transcripted hours for CCNS exam. For more information, visit the AACN Certification Corporation Web site at www.certcorp.org > What’s New.

January 2007

Jan. 1 Deadline to apply for grants in support of clinical projects and research—Clinical Inquiry Grant, End-of-Life/Palliative Care Grant, Evidence-Based Clinical Practice Grant,
AACN Mentorship Grant and AACN Critical Care Grant. For more information, visit the AACN Web site at www.aacn.org > Research > Grants; research@aacn.org.

May 2007

May 19-24 National Teaching Institute & Critical Care Exposition, Atlanta, Ga. For preliminary information, visit the AACN Web site at www.aacn.org/NTI.