AACN News—November 2007—Association News

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Vol. 24, No. 11, NOVEMBER 2007

Campaign Brings in More Than 8,700 New Members

The 2006-07 Member-Get-A-Member campaign, “Share the Joy,” has come to a close with a record number of individual members and chapters recruiting the largest number of new members in any other membership campaign in AACN history.

During the campaign, 1,439 individuals recruited 4,286 new members and 242 chapters recruited 4,492 new members for a total of 8,778 acute and critical care professionals added to the AACN family. Congratulations to all those who participated (see page 15 for a complete listing).

The top individual recruiter, for the second year in a row, was Ann J. Brorsen, RN, MSN, CCRN, CEN, from Sun City, Calif. Brorsen was responsible for 150 new members joining AACN. “I have to again thank all the people who put faith in me and the organization and congratulate all those who achieved certification,” Brorsen said. “Last year, the gift certificate was used to purchase books as a reference library for nursing students and to provide free classes, such as EKG interpretation and ACLS, to help them succeed in the job market. This year, funds will be used to purchase updated texts and provide education for students and new grads.”

The top-recruiting chapter for the campaign was the Greater Richmond Area Chapter with a total of 170 new members joining AACN. “We made expansion of our membership part of our strategic plan for the year, involved people on our board from multiple hospitals in the area, and started a real grassroots campaign to promote the association,” said Kelly Carter, RN, BSN, CNA-BC, membership committee chair for the chapter. “By combining the AACN bulk membership discounts with reduced rates to join our chapter, we were able to offer a membership special that we promoted, along with various discounts to our chapter programs and events. It was a real group effort by many people to reach out to the Richmond area.”

There were some notable performances in the month of August, the final month of the campaign. Denise Stewart, RN, MNEd., MS, PCCN, RN-BC, of Tampa, Fla., had a great month, bringing in 28 new members. Jean Bollinger, RN, BS, BSN, CCRN, of Waynesville, N.C. recruited 26 new members during the month. Also, Nenita Rattanopas, RN, BS, BSN, CCRN, of North Las Vegas, Nev. added 18 to her total and Brorsen added 14 to her campaign-winning total. Kathleen Richuso, RN, MSN, RN-BC, of Chapel Hill, N.C. and Shelly Gallo, RN, of Florence, S.C. each recruited 12 new members.

In chapter recruiting for the month, the Greater Richmond Area Chapter recruited 39 members, cementing its winning campaign total. Coming in with double figures for the month were the Southeastern Pennsylvania Chapter with 13, the Greater Birmingham Chapter with 11, the Houston Gulf Coast Chapter also with 11, and the Atlanta Area Chapter with 10.

A new Member-Get-A-Member campaign, titled “I Can Make a Difference,” began in September. For the results of the first month of this campaign, see page 11.

AACN Celebrates Another Year of Successes

The fiscal year that ended June 30, 2007 marked the completion of another successful year of enhancing and enriching programs and resources to support the personal and professional needs of acute and critical care nurses. With more than 100,000 constituents, the association’s voice has become even stronger in advocating for work environments where nurses are recognized and appreciated as knowledgeable partners in delivering safe, quality care.

Volunteer Contributions
AACN is fortunate to partner with volunteers who give generously of their time and expertise toward carrying out work that is vital to meeting the changing needs of acute and critical care nurses, their patients and their patients’ families. Following is a brief summary of the work completed by some of these groups in the past year:

Advanced Practice Work Group
The Advanced Practice Work Group met to evaluate the learning needs of advanced practice members and identified gaps that could be filled by programming at the Advanced Practice Institute for 2007:
• Selected abstracts from those submitted that matched an identified API content need
• Determined essential topics for API 2007 that were not represented
• Sought speakers with expertise to fill underrepresented content areas
• Integrated a multidisciplinary faculty for API
• Identified appropriate content for pharmacology CNE credit

Ethics Work Group
The Ethics Work Group identified strategies to provide the bedside clinician with education on palliative care in the acute and critical care setting:
• Systematically reviewed external and internal palliative care education resources
• Determined content for online palliative care education resources for acute and critical care beside nurses
• Developed education content for the online resource, including a palliative care self-assessment resource; families and palliative care critical care nurse talking points; and a symptom management education resource, which included a self-assessment quiz, frequently asked questions and a management algorithm for delirium, pain, dyspnea and anxiety, and provided links to appropriate online resources

Healthy Work Environment Standards Work Group
The Healthy Standards Work Environment Work Group identified leading strategies to make nurse leaders aware of the AACN Standards for Establishing and Sustaining Healthy Work Environments and to engage nurse leaders in guiding implementation of the Standards in their organizations. Identified priority strategies are:
• Provide development resources to teach nurse leaders to effectively lead change in a turbulent environment
• Provide clear steps on how to begin implementing the Standards, including examples and best practices of how others have done this
• Create the case, including talking points, to help nurse leaders influence colleagues at all levels-–from the executive rungs to peers, to the bedside nursing staff

NTI Work Group
The experienced and diverse NTI Work Group selected the most appropriate program topics for a robust, innovative program to enrich the educational experience of all NTI attendees:
• Analyzed the program evaluation from the previous year’s NTI and reviewed newly submitted abstracts to ensure cutting-edge, relevant information and program enhancement
• Systematically reviewed issues, different perspectives and unexpected events that can be opportunities for additional program content need
• Provided a direct link to AACN Web site visitors who wanted to ask questions about the NTI, offer recommendations or make comments directly to a group member
• Attended NTI 2007 as a member of the on-site staff, including presenting at the “NTI First-Timers Orientation” and “How to be an AACN Speaker” sessions

Research Work Group
The Research Work Group focused its attention on the AACN Practice Alerts, including strengthening the current Alerts:
• Reviewed and developed a plan to update current Practice Alerts
• Prepared a template to ensure consistency in Practice Alert format and content
• Identified a process for identifying and inviting authors to address age-specific content
• Identified contents for a Tool Kit, including a Practice Alert Implementation Checklist
• Published an “Ask the Experts” article in the April 2007 issue of Critical Care Nurse, clearly differentiating among Practice Alerts, Protocols for Practice and the Procedure

Strengths and Accomplishments
Healthy Work Environments
• Enhanced Web space to provide richer, more interactive resources, including a Speakers Bureau, implementation consultants and a discussion forum
• Released Critical Care Environment Survey in partnership with Nursing Spectrum and Bernard Hodes; landmark survey was first to provide data specific to critical care units and the environments in which critical care nurses work
• Continued partnerships for development of resources and educational programs to assist healthcare professionals in implementing the AACN Standards for Establishing and Sustaining Healthy Work Environments

Practice, Education and E-Learning
• Launched Nurses in Healthcare Management and Business Leaders (NIHMBL) listserv for nurse managers to connect and share information; nearly 500 members to date
• Released two new AACN Protocols for Practice - 2nd edition of Creating Healing Environments and Palliative Care and End-of-Life Issues in Critical Care
• Launched Essentials of Nurse Manager Orientation (ENMO) in partnership with the American Organization of Nurse Executives (AONE); first comprehensive, Web-based program for new frontline managers, assistant managers, charge nurses and aspiring managers
• Released updated Practice Alerts to include life span-appropriate research and practice recommendations
• Awarded $76,357 in evidence-based grants to help advance and promote the science of acute and critical care nursing
• Awarded 39 units the Beacon Award for Critical Care Excellence, bringing the total number of units achieving Beacon status to 80; launched Beacon Award categories for progressive care units and for pediatric critical care units offered; 353 concurrent, mastery and general sessions at NTI/API 2007, as well as 42 preconferences; more than 100 exhibit CE sessions and 12 sunrise sessions ensured that the voice of acute and critical care nurses was prominent on a number of levels through liaison activities, collaboration and the sharing of expertise; examples available online at www.aacn.org > public policy > liaison activities published Acute Care Nurse Practitioner Scope and Standards of Practice

• Hired Peter Morris as new physician co-editor for the American Journal of Critical Care (AJCC) to succeed Christopher Bryan-Brown, now founding co-editor
• Introduced redesigned AJCC, including new and enhanced features
• More than tripled subscriptions to AACN Advanced Critical Care launched last spring; now more than 4,000 subscribers
• Increased subscribers to Critical Care Newsline e-newsletter to more than 90,000

• Conducted a job analysis to better understand the emerging and evolving practice of nurses working in the remote ICU environment; subsequently created the CCRN-E renewal status for nurses working exclusively in these remote units
• Completed pilot testing for new ACNPC certification program for acute care nurse practitioners
• Launched Renewal by Synergy CERPs program to integrate the AACN Synergy Model for Patient Care into AACN Certification Corporation renewal programs; changes aimed at making certification and recertification requirements more consistent in framework and emphasis, and better prepare certificants for the future
• Experienced double-digit growth in CCRN and PCCN certificants; CCRN renewal rate at record level
• Launched online exam registration
• Obtained VA approval for exam reimbursementa

Learn How to Become an Influencer With the Power to Change Anything

From AACN strategic partner VitalSmarts, source of the Crucial Conversations and Crucial Confrontations series, comes a much-anticipated new book, “Influencer: The Power to Change Anything,” and AACN members are being offered a unique opportunity to attend live training events by the authors in cities nationwide.

This new book teaches you the secrets of the world’s most successful influencers, including specific guidelines for motivating yourself and others, and important strategies for making change inevitable. No matter who you are or what you do, you’ll never learn a more valuable, important set of principles and skills.

Thanks to VitalSmarts, AACN members receive a special admission price of $57 to the Influencer LIVE training events. This is a 40 percent discount from the regular $95 admission. The book, a $24.95 value, is included with the training.
To sign up for one of these events, go to www.influencerbook.com. Use the code member07 to receive the AACN member discount.

Sample NTI 2007 Online

GE Healthcare is again this year sponsoring videos online from several NTI 2007 sessions. The NTI e-sampler will feature four sessions. In addition to Mary Fran Tracy’s Opening Session and President-elect Dave Hanson’s speech, two clinical sessions that were sponsored by GE Healthcare are offered. They are “What’s the Hyper About Hyperacute Stroke?” presented by Mary Kay Bader and Melody Davidson, and “Case Studies in Hemodynamics,” presented by Leanna Miller.

To access the presentations, visit:


New AJCC Column Highlights Evidence for Common Clinical Practices


Nursing care is increasingly complex and demanding. New equipment, new procedures and new science all vie for attention. How can nurses quickly assess the latest research on a particular topic? Nursing practice must be based on the best available evidence, and all members of the critical care team must be cognizant of the latest science if they are to provide the best, most effective and safest-possible patient care.

A new, regular feature in the American Journal of Critical Care, “Clinical Evidence Review,” seeks to unveil available scientific evidence to answer common questions faced in contemporary clinical practice. Is normal saline instillation prior to endotracheal suctioning helpful or harmful? How important is lead positioning in ST segment monitoring? What is the best way to manage intracranial hypertension? Are the results of blood pressure measurements at sites other than the forearm reliable?

These and other practical clinical questions are the focus of the new feature, written by Margo A. Halm, RN, PhD, CCRN, a clinical nurse specialist and director of nursing research and quality at United Hospital in St. Paul, Minn., where she leads and mentors staff in principles of clinical research and evidence-based practice.

According to co-editor Kathy Dracup, RN, DNSc, the idea for this feature came from AJCC’s readers themselves. “In our readership surveys, nurses consistently ask for evidence-based practice recommendations that are easy to access. Everyone recognizes that the days of basing nursing care on tradition, tenure and tenacity are over, but how can clinicians quickly find the answers to their clinical questions? Halm’s feature is designed to provide those answers.”

In her first column, Halm discusses chest tube manipulation, offering an overview of the evidence dealing with whether milking or stripping chest tubes increases patency and prevents cardiac compression in postoperative cardiac surgery patients. Based on current evidence, she notes that “stripping chest tubes may significantly increase negative intrathoracic pressures that could cause harm,” thereby impairing patients’ postoperative recovery.

The article, “To Strip or Not to Strip? Physiological Effects of Chest Tube Manipulation,” appears in the November 2007 issue of AJCC.

AJCC is a peer-reviewed scientific journal published six times a year (January, March, May, July, September and November) by the American Association of Critical-Care Nurses. The journal offers evidence-based interdisciplinary knowledge to advance the science and art of high-acuity and critical care practice. AACN members receive AJCC as a membership benefit. To read Clinical Evidence Review and other valuable AJCC content online, visit www.ajcconline.org.

Members on the Move

Schulz, Lower, Kirchhoff, Powers, Bautista

Betsy McDowell, RN, PhD, CCRN, was appointed chair of the proposed BSN program at Newberry College, Newberry, S.C. She will be responsible for developing the curriculum, working with clinical partners, setting up classes and hiring faculty.

Jeff Schultz, RN, BSN, BC, CCRN, CFRN, CEN, NREMT-P, is the new clinical educator for CareFlight Air and Mobile at Miami Valley Hospital in Dayton, Ohio.

Kathy Rapala, RN, JD, has been appointed executive director of the Indianapolis Coalition for Patient Safety. She also was appointed to the board of directors of the National Patient Safety Foundation, and serves on the Community Health Network Quality and Safety Board of Directors Committee. She is completing her doctor of nursing practice at the Purdue School of Nursing.

Amy Wasdin, RN, BS, BSN, was promoted to director of risk management at Southeast Georgia Health System, Brunswick, Ga.

J. “Ski” Lower, RN, MSN, CCRN, CNRN, AACN board member, wrote an article titled “Brace Yourself – Here Comes Generation Y” for the August 2007 issue of American Nurse Today.
Mary Bielski, RN, BSN, MSN, EdD, completed her doctorate in education with her dissertation “Critical Thinking: What It Is, How We Measure It, How We Foster It.”

Judy Duvall, RN, MSN, CCRN, earned a master of science in nursing education from the University of Central Florida. She was also hired as an instructor for undergraduate nursing students at the university’s Daytona Beach campus.

Karin Kirchhoff, RN, PhD, FAAN, was selected to receive the 2008 Distinguished Researcher Award from the Hospice and Palliative Nurses Association.
Jan Powers, RN, PhD, FCCM, CCRN, CCNS, CWCN, president of AACN’s Central Indiana Chapter, was inducted as a fellow of the American College of Critical Care Medicine. She also earned a PhD from the Indiana University School of Nursing.

Kathleen McCarthy, RN, BS, MEd, CCRN, CRN, received the Excellence in Education Technology Award from the National Nursing Staff Development Organization.
Lydia Bautista, RN, BSN, CCRN, president of AACN’s First Coast Chapter (Fla.), was recognized as one of the “2007 Great 100 Nurses” in Northeast Florida.
Lynelle Pierce, RN, MS, CCRN, published the second edition of her book, “Management of the Mechanically Ventilated Patient,” Elsevier Saunders. .

Are You a Member on the Move?

Tell us about your recent promotion, honor, accomplishment, volunteer activity or academic achievement.
Please include your name, credentials, address and phone number with your submission. Photos are welcome (in jpeg format).

E-mail us at aacnnews@aacn.org
or write to us AACN News, 101 Columbia, Aliso Viejo, CA 926569

Scene and Heard

Our Voice in the Media
RN (June 2007) – “Professional Update: Global Campaign Champions Nursing” noted that AACN sponsors the “Nightingale Declaration Campaign to urge the United Nations to designate 2010 as the International Year of the Nurse and 2011-2020 as the U.N. Decade for a Healthy World.”

AP Alert - Medical (July 2, 2007) – “AACN in Landmark Move to Enrich Membership: Unlimited Free CE Credits Available for Offerings in AACN Print Journals and Online Center.” The news release noted that “AACN is the first professional nursing association to offer its members free continuing CE credit at this level.”

Nursing Economics (July 1, 2007) – “Moral Distress: Recognizing It to Retain Nurses.” “Increasing the proportion of worksites that provide stress-reduction programs is an objective of Healthy People 2010 … Promoting healthy work environments is also a priority initiative of AACN (2006). AACN has issued a position statement recognizing moral distress as a serious, but often ignored problem in nursing … Resources are available from AACN; individuals may download a free handbook about moral distress while facilities may be interested in the 4A’s to Rise Above Moral Distress Facilitator Toolkit.”

Vital Signs (June 2007) – “ICU Earns Beacon Award for Critical Care Excellence.” The Cardiac-Vascular Intensive Care Unit at Strong Memorial Hospital, Rochester, N.Y., received AACN’s Beacon Award. “Since its inception in 1998, the CVICU’s multidisciplinary team has been committed to providing service excellence in every aspect of patient care,” said Nurse Manager Larry Stalica, RN, BSN. “We have relied on the latest evidence-based practices to ensure the highest quality of healthcare possible, and the Beacon Award recognizes those efforts.”
Doctors Hospital News (June 4, 2007) – “Doctors Hospital Critical Care Team Receives National Recognition.” The hospital received the Circle of Excellence, Excellence in Collaboration Nurse to Administration Award. “We are extremely proud of this skilled team,” said Marcy Conti, RN, CNO. “This award affirms our commitment to bring administration and our nursing staff together to find ways to best meet the needs of patients in the ICU.”

AORN Journal (June 1, 2007) – “Developing a Healthy OR Workplace.” This article discussed the elements of a healthy working environment including AACN’s standards. “Components of a healthy OR workplace identified by staff members of three surgical departments are quality practice standards, excellence in patient care systems, a functional physical environment, effective staff systems, meaningful role definition and clarity, and identified guidelines for teamwork.”

Salem Hospital News (June 8, 2007) – “Salem Hospital Is First in Oregon to Receive Coveted ICU Award.” The Intensive Care Unit at Salem Hospital, Salem Oregon, received AACN’s Beacon Award. “The entire ICU healthcare team – nurses, physicians, pharmacists, respiratory therapists, chaplains and many more – work together every day to provide the best care for our patients,” said Ginny Posey, interim CNO and vice president. “This award is recognition of their lifesaving work and their commitment to continuous quality improvement.”

Statesman Journal (June 9, 2007) – “Salem’s ICU Earns Top Recognition.” This article also featured the hospital unit’s receipt of the Beacon Award. “In recent years, especially in its three-year process in preparation for the Beacon application, the unit has changed in size and philosophy. One adjustment has been how the ICU handles immediate family members visiting patients. In years past, the ICU allowed only two family members to visit during certain hours. Now they can visit virtually 24 hours a day.”

The Synergist (June 29, 2007) – “Reclaiming Our Priorities.” Dave Hanson, RN, MSN, CCRN, CNS, AACN president, delivered his president-elect speech during the National Teaching Institute & Critical Care Exposition in Atlanta. Excerpts were reprinted in Clarian’s newsletter “as an example of the kind of leadership Dave will inspire among colleagues.”

Meetings South (June 2007) – “Prescription for Success: Southern Cities Market Medical Resources to Attract Meetings.” “One of our principal site selection criteria [for NTI] concerns drivability,” said Randy Bauler, CEM, AACN corporate relations and exhibits director. “A hospital will send two people on a plane, but they can send four in a car, so geography near a lot of nurses is a factor.” Bauler also said that “if nurses are based within a six-hour drive of the city, they’ll receive conference invitations.”

The Point (July 2007) – “People in the News” announced that Dr. Nancy Molter, a former AACN president, received the AACN Pioneering Spirit Award at NTI in Atlanta. “Her scholarship and passion for family needs framed what has become a cornerstone of AACN’s professional and public agendas …

Molter and another Pioneering Spirit Award winner developed a no-cost Critical Care Family Needs Inventory that is available online and in textbooks. The tool measures family satisfaction and prepares multidisciplinary team members to meet the needs of family members whose loved ones are in a critical care unit of a hospital.”

Inside the Santa Ynez Valley (Summer 2007) – “Our Resident Band of Angels,” the magazine’s cover story, featured an in-depth profile of valley residents who are critical care nurses at Santa Barbara College Hospital, Santa Barbara, Calif. The hospital’s ICU and CCU units received the Beacon Award.

Our Voice at the Table
Marian Altman, RN, MS, CCRN, ANP, AACN board member, presented “NTI 2007” at the Greater Richmond (Va.) Area Chapter’s Semiannual Membership meeting. Altman presented a recap and showed photos of this year’s NTI in Atlanta for chapter members who were unable to attend. She also shared information for the upcoming NTI 2008 in Chicago.
Beth Martin, RN, MSN, CCNS, ACNP, AACN Certification Corporation chair-elect, spoke at the Region 5 Chapter Collaborative meeting in Charleston, S.C. Her topic was “Managing Communication Between Board Members.” Connie Barden, RN, MSN, CCRN, CCNS, past AACN president, spoke on “Healthy Work Environments.”
Ramón Lavandero, RN, MSN, MA, FAAN, AACN director of development and strategic alliances, participated in a conference call with the Massachusetts Association of Registered Nurses (MARN) Committee to consult on MARNs development of a mentoring program for its members.

Hanson and Kevin Reed, RN, MSN, CNA-BC, CPHQ, AACN Certification Corporation chair, attended the Central Indiana Chapter Certification Celebration. Reed began the evening with a “Certification Update” and a presentation on “Renewal by Synergy CERPs.” Hanson spoke on “AACN’s Standards for a Healthy Work Environment.”
J. “Ski” Lower, RN, MSN, CCRN, CNRN, AACN board member, lectured on “Civility in the Workplace” at the annual AORN Ambulatory Conference: Keys to Clinical, Management and Staff Education Success, in Louisville, Ky.

Julie Miller, RN, BSN, CCRN, AACN board member, gave a National Board Update and spoke on “Abdominal Compartment Syndrome” and “Analyzing Clinical Lab Values” at AACN’s Greater Austin (Texas) Chapter’s Hot Summer Topics Symposium.

Miller presented “Titrating Vasoactive Medications,” “12 Lead ECG Interpretation,” “Surviving Sepsis,” “Analyzing Clinical Lab Values” and a National Board Update at Critical Care Cram, a two-day seminar sponsored by Fairbanks (Alaska) Memorial Hospital and AACN’s Fairbanks North Star Chapter.

Monthly Super Savers

These Super Saver prices are valid through Dec. 31, 2007. All orders must be received or postmarked by Dec. 31 to be eligible for the Super Saver price.

4 A's to Rise Above Moral Distress (#140332)
This tool kit created on CD was developed to support the instructor in presenting the 4 A's to Rise Above Moral Distress framework. The CD includes:
1. Facilitator handbook, which includes learning objectives, preparation suggestions, outline of the PowerPoint slides with facilitator notes with activities and questions to help facilitate discussion.
2. PowerPoint presentation with facilitator notes.
3. Facilitator guide to the case studies, and three hypothetical case studies with facilitator questions to aid the participant in applying the 4A's to Moral Distress framework to their practice.
4. Participant handouts:
a. The 4A's to Rise Above Moral Distress handbook
b. General participant handout
The goal of the facilitation guide and PowerPoint is to provide the facilitator with interesting activities and questions that will actively engage participants in the learning process.
Regular Price
Member $40, Nonmember $50
Super Saver Price
Member $36, Nonmember $47

To Care Always: Quality Care at the End-of-Life (#120633)
This full-color DVD and study guide provide caregivers at the acute level an understanding of the many aspects of caring for the dying patient in order to ensure quality care and a peaceful death. Upon completion of this program, participants will be able to:
• Demonstrate competencies in the assessment and care of physical, psychosocial, cultural and spiritual needs of patients and families during end-of-life care
• Develop communication skills, interpersonal skills and attitudes
• Identify appropriate legal and regulatory issues surrounding palliative care
• Discuss ethical and professional principles
The package includes an 18-minute DVD presentation plus study guide and 10 prepaid CE certificates for 1.5 contact hours. Additional CE certificates are available.
Regular Price
Member $295, Nonmember $325
Super Saver Price
Member $289, Nonmember $319

AACN Protocols for Practice: Palliative Care and
End-of-Life Issues in Critical Care (#170900)
This protocol is introduced by case studies, followed by general information, competencies, ethical considerations, occupational hazards, summaries of current research, future research needs and practice recommendations. Recommendations are rated according to the level of evidence that is available to support the statement. Annotated bibliographies, suggested readings and cross references provide guidance for learning more about the specific patient care issue. This protocol is a great resource for advanced practice nurses, educators, researchers and bedside clinicians when reviewing and developing practice standards in end-of-life and palliative care issues in critical care setting.
Regular Price
Member $66.45, Nonmember $69.95
Super Saver Price
Member $63, Nonmember $67

This Month’s Featured Product
Taking the Mystery Out of 12-Lead ECG Interpretation (#100135)
This 8-hour DVD program presents basic concepts about the flow of electrical activity through the heart and how it is recorded by the 12-leads in normal and abnormal ECG waves, anatomy of a 12-lead ECG, how to block, and identification of myocardial ischemia, injury and infarction. Prerequisite knowledge of cardiac arrhythmias is recommended.
Price: Member $79, Nonmember $89

New Member-Get-A-Member Campaign Starts Strong

At the close of September, the first month of the 2007-08 “I Can Make a Difference” Member-Get-A-Member campaign, 78 individuals recruited 126 new members and 106 chapters recruited 192 new members. After only one month, 184 individuals and chapters were responsible for 318 nurses joining the AACN family.

Theresa Nino, RN, BSN, AA, of Denver, Colo., led the way in the individual recruiting category; she was responsible for 11 new members joining AACN. Following close behind were Mary Perrecone, RN, MS, CCRN, CNN, CRN, of Rexford, N.Y., and Kelly Wells, RN, AD, of Medford, Ore., each with eight new members recruited.

In chapter recruiting after one month, the Southeastern Pennsylvania Chapter led with eight new members, followed by the Greater Phoenix Area Chapter with six.
The “I Can Make a Difference” MGAM campaign began Sept. 1, 2007 and will continue through Aug. 31, 2008. Participation in the Member-Get-A-Member drive offers the opportunity for recruiters to receive valuable rewards, including a $1,500 American Express gift check awarded to the top individual recruiter. Members who recruit over 20 new members by campaign end will be entered into a random drawing for a $1,000 American Express gift check; those who recruit 10 to 19 new members by campaign end will be entered into a random drawing for a $750 American Express gift check, and anyone who recruits one to nine new members by campaign end will be entered into a random drawing for a $500 American Express gift check.
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.
In addition, individuals who recruit at least one new member in a campaign month will be entered into a drawing for a $100 American Express gift check. Carmelia Lee, RN, BS, BSN, CCRN, from San Diego, Calif., won the gift check in September.

The overall top-recruiting chapter at the end of the campaign will be awarded a $1,500 honorarium check toward the chapter treasury. Recruiting chapters will also be entered into a random drawing at campaign end for an honorarium check added to their chapter treasury: Chapters recruiting over 20 new members by campaign end are eligible for a $1,000 honorarium check, those recruiting 10 to 19 new members by campaign end are eligible for a $750 honorarium check, and those adding one to nine new members by campaign end are eligible for a $500 honorarium check.

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 Wabash Valley Chapter.
To see the full list of recruiters and their totals, go to www.aacn.org > Membership.

Thank You, Chapters, for Extending the Benefits of Membership
A total of 242 chapters participated in the 2006-07 Share the Joy Member-Get-A-Member campaign. They are:
30 and More Recruited

Houston Gulf Coast Chapter
Metropolitan Orlando Chapter
New York City Chapter
North Central Florida Chapter
Northern New Jersey Chapter
Northwest Chicago Area Chapter
Oklahoma City Area Chapter
Palm Beach County Chapter
Puget Sound Chapter
Sacramento Area Chapter
San Antonio Chapter
San Diego Area Chapter
San Fernando Valley Chapter
San Francisco Chapter
Southeastern Pennsylvania Chapter
Southern Arizona Chapter
Three Rivers Chapter
Triangle Chapter
West Michigan Chapter

20 to 29 Recruited
Albuquerque Chapter
Ancient City Chapter
Baton Rouge Chapter
Central Arkansas Chapter
Central Pennsylvania Chapter
Chattanooga Scenic City Chapter
Emerald Coast Chapter
First Coast Chapter
Greater Austin Area Chapter
Greater Boston Chapter
Greater Memphis Area Chapter
Greater Raleigh Area Chapter
Greater Rochester Finger Lakes Chapter
Heart of the Piedmont Chapter
Inland Empire Chapter
Lake Erie Chapter
Northwest Georgia Chapter
Piedmont Carolinas Chapter
Pioneer Valley Chapter
Smoky Mountain Chapter
South Bay Chapter
South Central Connecticut Chapter
Southeast Michigan Chapter
Spindletop Chapter
Suffolk County Chapter
Tidewater Chapter
West Texas Chapter
White River Chapter

10 to 19 Recruited
Alameda Contra Costa Chapter
Athens Classic City Area Chapter
Bluegrass Chapter
Brevard Chapter
Brooklyn Chapter
Central Iowa Chapter
Central Minnesota Area Chapter
Central New Jersey Chapter
Central New York Chapter
Central Savannah River Chapter
Charlestowne Chapter
Chattahoochee Valley Chapter
Coastal Bend Chapter
Coastal Chapter
Diamond State Chapter
Galveston Island Chapter
Gate City Chapter
Grapevine Area Chapter
Greater Akron Area Chapter
Greater Chicago Area Chapter
Greater Fredericksburg Area Chapter
Greater Mid Cities Chapter
Greater New Orleans Chapter
Greater North Texas Chapter
Greater Reading Chapter
Greater Tulsa Area Chapter
Hawaiian Islands Chapter
Heart of Acadiana Chapter
Heart of Florida Chapter
Heart of Georgia Chapter
High Sierra Chapter
Hill City Chapter
Inland Northwest Chapter
Jersey Shoreline Chapter
Lake Champlain Chapter
Las Vegas Chapter
Lehigh Valley Chapter
Middle Tennessee Chapter
Mobile Bay Area Chapter
Monticello Chapter
Napa Valley Chapter
Nashville Regional Chapter
Nassau County Chapter
North Central West Virginia Chapter
Northeast Georgia Chapter
Northeast Indiana Chapter
Northern Colorado Chapter
Northwest Florida Chapter
Old Salem Chapter
Pacific Crest Regional Chapter
Palmetto Chapter
Pee Dee Chapter
Peninsula Chapter
Red River Chapter
Red River Valley Chapter
Rochester Chapter
Rum River Chapter
Santa Barbara County Chapter
South Carolina Mid State Chapter
South Central Kentucky Chapter
South Central Wisconsin Chapter
Southeast Nebraska Chapter
Southern Maine Chapter
Southern New Hampshire Chapter
Southern Shore Chapter
Southwest Georgia Chapter
Suncoast Chapter
Treasure Valley Centennial Chapter
Tri-Valley Chapter
Ventura County Chapter
Volusia Flagler Chapter
Wabash Valley Chapter
Wasatch Chapter

1 to 9 Recruited
Abilene Area Chapter
Adirondack Regional Chapter
Albemarle Area Chapter
Big Bend Chapter
Big Island Chapter
Bitterroot Chapter
Blue Ridge Chapter
Carolina Dogwood Chapter
Central Carolina Chapter
Central Illinois Chapter
Central Massachusetts Chapter
Central Missouri Chapter
Chicago West Suburban Chapter
Coast to Coast Chapter
Columbia Wheatland Chapter
Cumberland Valley Chapter
Delmarva Chapter
East Carolina Chapter
East Central Illinois Chapter
East River Mountain Chapter
Eastern Iowa Chapter
Essex County Chapter
European Chapter
Fairbanks North Star Chapter
Foothills Chapter
Greater Berkshire County Chapter
Greater Charleston Area Chapter
Greater Evansville Chapter
Greater Flint Area Chapter
Greater Fox Valley Chapter
Greater Johnstown Chapter
Greater Joliet Area Chapter
Greater Toledo Area Chapter
Green Country Chapter
Heart of Illinois Chapter
Heart of Vermont Chapter
Heartland Chapter
Indiana Hoosier South Central Chapter
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Regions 8, 10 & 13
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Western Kentucky Chapter
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Thank You, Recruiters! Your Efforts Make Our Voice Stronger

The following individuals participated in the 2006-07 Share the Joy Member-Get-A-Member campaign:

30 and More Recruited
Ann Brorsen, Deborah Erickson, Adolfo Famas, Diana Lane, Paula Lusardi, Ellen Peller, Nenita Rattanopas, Kathleen Richuso, Susan Rogers, Alison Scheflow, Jackie Yon.

20 to 29 Recruited
Kara Bader, Jean Bollinger, Kathleen Burton, Eun Goldstein, Mary Holtschneider, Mariusz Kosla, Ngozi Moneke, Kathryn Pettett, Diana Pryer, Barbara Rogers, Linda Ross, Debra Skrajewski, Krystal VanBuren, Cynthia Zaletel.

10 to 19 Recruited
Fredrecker Adams, Christopher Ader, Cannon Allen, Natasha Banoub, Lydia Bautista, Jennifer Berntson, Virginia Blaize, Betty Blevins, Toni Boldy, Debra Bradshaw, Kelly Carter, Diane Casperson, Matthew Choate, Sandra Cornish, Judy Davidson, Sherry Elmore, Frances Flynn, Carla Freeman, Jessica Fuller, Lori Geisler, Timothy Goedvolk, Jane Hartman, Carol Hinkle, Kevin Hronek, Tanya Huff, Zondra Hull, Karen Jeffries, Judith Jones, Lisa Karbon, Kimberly Kotora, Cristine Kramer, Anna Krupp, Marcia Kummer, Maria Laxina, Kathryn Leake, Rosalena Livers, Kim Lucas, Myrna Lucas-Fleming, M Camille Maceren, Katherine MacKey, Veronica Macko, Beverly Maloney, Migdalia Mason, Linda May, Desiree McCue, Katherine McElderry, Vicki McKimmey, Tara Miller, Magdalena Monahan, Thelma Monterroso, Joan Montgomery, Paulita Narag, Nancy Neal, Amanda Newman, Mandy O'Brien, Phillip Parcon, Elizabeth Pecson, Maria Podmore, Madelene Ramos, Sheila Marie Remandaban, Irma Richardson, Leah Sanchez, Lee Ann Schulz, Cathy Schuster, Gina Simoneaux, Sean Smith, Alexandra Spencer, Jan Teal, Linda Thomas, Lisa Underwood, Moehika Watson, June Watson, Melanie Williamson, Adoracion Yap, Debra Young.

1 to 9 Recruited
Samantha Abate, Amanda Abbas, Rebecca Abell, Philip Abenojar, Ma Luthgarda Abuda, Rachel Accomando, Sylvia Acevedo, Timothy Joan Agarrado, Linda Aguilar, Jeanne Ahern, Diane Aho, Christopher Albritton, Amy Aldridge, Ardyth Alexander, Nicolas Alexander, Jonathan Alleckson, Roy Allen, Sharon Alley, Susan Allison, Elizabeth Almengor, Cathy Ammons, Penny Amornvut, Elmer Amparo, Sherry Ancarrow, Marcia Anderson, Betty Anderson, Cheryl Anderson, JoAnn Anderson, Angel Angeles, Hildegard Angus, Elizabeth Anness, Judy Antonioni, Tammy Arango, Kenneth Artery, Judith Ascenzi, Lynda Ashley, Lori Ashworth, K. Anna Ashworth, James Askew, Christina Atzbach, Ela Azcueta, Wael Azer, Tisha Babcock, Susan Babineaux, Claudia Bachmann, Emma Baczuk, Adebimpe Badru, Justin Baecht, David Bahia, Wendi Bailey, Valerie Bailey, Micah Baker, Stephanie Baker, Lorna Baker, Elizabeth Baker, Kimar Baker, Marietta Balaan, Julia Baldwin, Bonnie Ball, Karla Baning, Wendy Bantz, P. Carol Banzon, Harry Baquial, Corazon Barbon, Connie Barbour, Ruzziel Barcial, Connie Barden, Karen Barnes, Wonder Barratt, Joanne Bartelmo, Christopher Basnett, Damiun Bassandeh, Jody Baum, Arlene Bautista, Linda Bay, Julia Beaver, Robert Beck, Daniel Beckett, Winifred Bell, Deborah Bell, Karen Benavides, Nicole Bennett, Angela Bentley, Catherine Bereza, Dianne Berggren, Leslie Berry, Evelyn Bertram, Brandy Bethune, Karen Beyer, James Bigley, Corazon Biley, Lisa Billings, Nikki Bitonti, Ericka Bjorken, Levi Black, Launa Blackmore, Melissa Blackwood, Catherine Blair, Janis Blakely, Shelley Bloom, Angela Bloom, Jeanne Boespflug, Pamela Bolton, Carolyn Book, Darlene Booth, Cheryl Borden, Candice Bortz, Janis Boterf, Alana Boudreaux, Brenda Bowen, Kathleen Bowman, Lori Boyle, Donna Bradford-Wilson, Darla Bradle, DianeBradley, Laura Bratcher, Paul Brattan, Rosemary Bray, Cheryl Breaux, Morella Breckenridge, Marylee Bressie, Monica Bridges, Eileen Briening, Karen Briggs, Raquel Brillante, Evelyn Brish-Tolli, Jennifer Bristley, Carol Broderick, Denise Broomhall, Scott Broughton, Jennifer Broussard, Cindi Brown, Linda Brown, Terry Brown, Mary Catherine Brown, ShellyBrown, Pearlie Brown, Megan Brunson, Kris Bryan, Carol Bryant, Philip Buckman, Juliana Buensalida, Lisa Bugglin, Chana Burnette, Jacquelyn Burton, Barbara Butler, Doris Butler, Paul Buttes, Donald Buzbee, Debbie Byrd, Marilyn Byrne, Diane Byrum, Rachel Bywalec
Sandra Cabrera, Kristine Caldwell, Donna Camp, Carol Campbell, Melody Campbell, Marlene Campbell-Smith, Kelly Capan, Steve Carbone, Shannon Carefoot, Yolanda Carilimdiliman, Yvonne Carroccino, Linda Carver, Nancy Case, Rebecca Casey, Domeka Casey, Linda Castano, Lydia Casteel, Eloise Catrett, Nancy Causing, Sally Caviness, Matthew Cazier, Daisy Cerdena, Jennifer Chambers, Karen Chandler, Brenda Charles, Robin Chase, Patricia Chesmore, Hazel Chin, Julita Ching, Mary Chitwood, Stephanie Christensen, Christine Christenssen, Rita Christie, Rexline Christy-Aloysious, Herminia Chua, Cathleen Churbock, Victoria Church, Patricia Clancy, Kimberl Clark, Sara Clark, Randy Claxton, Sheri Cleaves, Tim Cleeton, Lucy Clevenger, Gary Closas, Deborah Cochran, Sara Coe, Virginia Coe, Sheri Coffen, Patricia Coffey, Esther Cohen, Mary Colanero, Katherine Colbert, Shelly Cole, Angela Collins, Julie Collins, Sharon Colombo, Joan Comer, Bettielou Conerly, Lake Conlee, Raynette Connelly, Karen Conover, David Conrad, Linda Cook, Lesley Coots, Tom Coppler, Teresa Corbitt, Bonnie Corcoran, Nancy Corda, Happy Coronel, Diane Corrie, Damon Cottrell, Kara Coullard, Robert Coxwell, Priscilla Crabbe, Aine Craddock, Jennifer Crawford, Rita Crawford, Sue Crisp, Lacie Crone, Jeanette Crosbie, M. Angelica Cruz, June Curran, Kimberly Curtin, Caroline Cyr
Patricia Daansen, Anne Dahnke, Aissa Dalogdog, Ariadne Danz, Christine Darulla, Melody Davidson, Shannon Davis, Gail Davis, Melinda Davis, Beatrice Davis, Deidra Davis, Shannon Davis, Sheila Dawson, Angela Day, Mary Day, Juliana De Borba, Stephanie De La Torre, Rosanna De Las Alas, Gilbert De Sotto, Mary Estelle De Vera, Erica DeBoer, Marylee DeFrain, Mary Degges, Michele Deiterich, Andreah Del Mundo, Maria Gloria Dela Merced, Janice Delgiorno, Michelle Dellavalle, Connie Deloach, Laura Delp, Karen Demlow, Michelle Denny, Marcia DePolo, Judy Derozier, Daisy Descartin Cerdena, Laura Desmond, Scott Detiveaux, Geoffrey Dewerff, Elizabeth Dexter, Teresa Diaz, Luverne Diaz, Dawn DiBenedetto, Claire Dibiase, Jayson Dick, Haydee Dimaano, Richard Dingwall, Julia DiReinzo, Kristin Disandro, Janet DiSilvestro, Dawn Dollarhide, Laura Dolloff, Fe Dominguez, Rosario Dominguez, Michael Donathan, Denise Doneghy, Tracy Donoghue, Michael Doty, Kathleen Dougherty, Amy Down-Maul, Margaret Doyle, Amy Drayton, Sandra Dreher, Karen Droter, Karen Ducharme, Michele Dudley, Edna Dukes, Shelia Duncan, Angela Duncan, Summer Duncan, Anne Dunn, Nancy Duran, Kathleen Durkan, Jennifer Dyer
Barbara Economou-Morris, Dawn Eden, Pauline Edwards, Raquel Edwards, Marie Eidam, Nona Eidelberg, Ingrid Ekstrom-Patton, Deborah Ellis, Agnes Enge, Kathryn Ensign, Michelle Ernzen, Teresa Eubanks, Karen Evans, Gretchen Evans, Robyn Evans, Colleen Evans, Rachel Evason, Adriane Fain, Linda Fallen, Ann Fama, Zaida Farin, Anthony Farmer, Elizabeth Faught, Beth Feldman, Kathryn Felter, Teresa Ferguson, Veronica Fernandez, Aldercy Fernandez, Diane Ferrarotti, Elaine Fetzer, Cathryn Finlayson, Kiar First, Diane Fisher, Roberta Fismer, Nathalie Fleureau, Lisa Fleury, Jacqueline Flint, Judith Flood, Elizabeth Florendo, Salome Florida, Katherine Flowers, Diane Floyd, Lynnette Flynn, Patricia Flynn, Joyce Folkerth, Julie Fomenko, Patricia Fonder, Dorrie Fontaine, John Forrant, Brenda Forrest, Bonnie Forshner, Velma Forte, Virley Fortner, Stephanie Foss, Melinda Foster, Barbara Franco, Deslin Francois, Dora Frank, Nancy Franklin, Jill Franklin, Susan Fraser, Denise Frederick, Carey Freeland, Kelly Fresquez, Tonya Fritchen, Sally Fung, Jennifer Furry
Rachel Gabaldon, Tanya Gaczkowski, Bethany Gallant, Maria Linda Gallardo, Manuel Gallegos, Jessica Gallinaro, Narcisa Galsim, Sandra Galura, Stephen Gamble, Theodore Ganiron, Jeanelle Garcia, Fatima Garcia, Essie Gardner, Susan Garner, Marie Garrido, Cecilia Garrison, Michelle Garson, Bruce Garwood, Rolyn Gatti, Nancy Gattuso, Donna Gause, Kannagi Gayapershad, Julie George, Fanika George, Lynn Gerber Smith, Cynthia Gerdik, Emma Gerio, Lorraine Giarraffa, Billy Gilliland, Maria Ginger-Wiley, Kipper Gingrich, Karen Gittings, Vickie Gloeckner, Smita Glosson, Rebekah Goering, Paula Gonzalez, Rana Gooden, Dianna Goodwin, Caryl Goodyear-Bruch, Toni Gordon, Haley Gordon, Dawn Gosnell, Kathy Grafe, Nicole Graney, Tina Gray, Debora Green, Katherine Green, Lisa Green, Tracy Gregoire, Robin Gregory, James Gregory, Brandi Griggs, Christina Grooms, Rhonda Grose, Ariana Gross, Barbara Grote, Christine Gryglik, California Guadiz, Kathleen Guimond, Mackenzie Guizio, Cynthia Gumm, Sharon Gunn, Jan Gustafson, David Gustin, Donna Guthrie, Lisa Guy
Susan Habrat, Keisha Hackley, Bonnie Haedicke, Donna Hagen, Karen Haigh, Holly Hall, Heidi Hall, Laura Hall, Yvette Hall, Erin Hallinan, Mary Halstead, Frank Halter, Michael Halupa, Jennifer Hamilton, Diane Hamilton, Deborah Hammond, Jonathan Hancock, Joy Hansel, Eileen Harden, Linda Hardison, Valarie Harmon, Melanie Harris, Kelly Jane Harris, Theresa Harris, Crystal Harris, Stacy Harrison, Joan Harvey, Lynn Hatta, Patricia Haugh, Amy Hayes, Doris Hayes, Joseph Haymore, Jane Hays, Jeanne Heatlie, Karl Heeke, Antoinette Heidenfelder, Stephen Heim, Deborah-Ann Heinz, Cynthia Heise, Elizabeth Helm, Kimberly Helmick, Teresa Hembree, Kristina Hemphill, Lori Hendrickx, Patricia Henry, Martin Henson, April Henson, Cora Hernandez, Melissa Hernandez, Kelly Herninko, Ma. Thelma Herrera, Janet Herring, Cheryl Herrmann, Marianne Hess, Susan Hession, Mark Hetherington, Lucille Hicks, Allyson Hildebrand, Kathleen Hill, Bretton Hill, Dawna Hilton, Stephanie Hiltz, Kim Hines, Delia Hipos, Rachael Hipple, Kimberly Hodge, Marion Hodge, Bernadette Hoffman, Shannon Holland, Brett Holliday, Robin Holt, Kimberly Honan, Diana Hood, Marian Horikawa-Barth, Kin-Lai Horn, Sandra Horner, Christine Hornung, Susan Horton, Andrea Hough, Charles Howard, Susan Huber, Nadine Hubert, Nancy Hudnall, Susan Huffer, Rosanne Hughes, Cordie Hughes, Lori Hughes, Karen Hulley, Kathleen Hundley Morrissey, John Hunt, Linda Hunter, Ann Huntley, Lagrimas Hurd, Cindy Huston, Nancy Hutcheson, Melissa Hutchinson, Rhonda Hutchison, Kathleen Hutt, Stacey Hutzell, Paula Hyde, Christina Hyder, Robin Hyslop
Eden Ibay, Janeena Ieraci, Nalini Inbaraj, Allison Insley, Marie Elaine Iral, Johnny Isenberger, Brian Ismagil, Deborah Iulianelli, Tina Jackson, Crystal Jackson, Jennifer Jackson, Carolyn Jacobs, Jack Jaeger, Teresa Jahn, Grace Jallorina, Nerie Jamison, Michelle Jans, Lourdes Januszewicz, Cherie Jarolimek, Jeannette Jefferies, Kelly Jernigan, Debbie Jessell, Erni Jimenez, Rebecca Johnson, Nancy Johnson, Cindy Johnson, Ayodele Johnson, Linnea Johnson, Thomas Johnson, Valerie Johnson, Tracy Johnson, Gale Johnson, Stacie Johnson, Terry Jonas, Amy Jones, Sharon Jones, Alison Jones, Chavon Jones, Mary Jones Johnson, Belinda Jones-Hill, Melanie Jopio, Elizabeth Jordan, Shinymol Joseph, Angela Jourdain, Patricia Juarez, Michelle Jurgensen, Victoria Kaczkos, Louisa Kamatuka, Julie Kamerman, Carrie Karle, Javdaneh Kasravi, James Keel, Tami Keeton, Dawn Keller, Laura Kelley, Dolores Kemp, Carol Kendrick, Lori Kennedy, Kathleen Kennedy, Elizabeth Kennedy, Rachelle Kershaw, Jennifer Kesey, Laura Kesler, Susan Kiernan, Kris Killius, Sybil Kinard, Sue Ellen King, Betty King, Kelly King, Cindy Kinney, Michael Kinshella, Farahangiz Kirkland, Natalie Kitamura, Jennifer Kittel, Stephanie Kleinheinz, Martin Klesh, Misty Kline, Vicky Knapp, Jennifer Knepper, Stephen Knippa, April Knish, Jocelyn Knop, Maricela Kolbeson, Bobbette Koshorek, Michele Kosinski, Colleen Kowalchuk, Patrica Kraayenbrink, Mark Krabiel, Susan Kramer, Jennifer Krause, Nichole Kraynick, Diane Krieger, Carrie Krumtum, Donna Kruse, Julie Krysiak, Laurie Kuehl, Sandra Kuehn, Sharon Kumm, Nicole Kupchik, Kimberly Kuphal, Mini Kuruvilla
Jennifer Lafferty, Catalina Lagrimas, Stephanie Lambert, Araceli Lamberth, Deborah Lammers, Judy Land, Mary Lane, Kelly Lang, Martha Langdon, Julie Langdon, Wilhelmina Lao, Derek Lasher, Michelle Lasiter, Julie Lau, Connie Lauffer, Philip Lavoie, Terri Lawhon, Lorna Lawler, Barbara Lawrence, Carolyn Lawson, Patricia Lawson, Beverly Lawton, Roseanne Lazio, Amalia Lazo, Sheryl Leary, Ruth Lebet, Elizabeth LeClair, Kris Lecuyer, Kristine L'Ecuyer, Wendy Lee, Arlene Lee, Alice Lensbower, Jacquelyn Leonard, Linda Lever, Margaret Lewis, Wanda Lewis, Susan Librich, Amy Lightsey, Linda Lillard, Jayne Lilley, Laura Lillich, Kelly Lilly, Duke Lim, Laura Lind, Lynda Lindemann, John Lindsay, Jean Little, Geneva Llewellyn, Shauna Lobre, Hollynn Lobsiger, L. Sheryl Loehr, Marie-Helene Lofland, Christine Logan, Kari Logan, Jeanne Logue-Hunter, Mary Lombardo, Sally Lombardo, Christi Longnecker, Laura Lopez, Lorraine Lopez, Bea Lopez, Molly Lopez, Angela Lorenze, Pres Lorenzo, Richard Loughran, Maryanne Lovallo, Wannetta Love, Janet Lowry, Cathy Lucafo, Gayle Lucas, Sandra Lucia, Naomi Lungstrom, Corrine Lunt, Karen Lutter, Annette Lyons
Dianne Mackert, Laura Madden, Marilyn Maddox, Weva Magluyan, Janice Mahan, Loronda Mahon, Victoria Maixner, Judith Malague, Carolyn Malin, Elizabeth Malmstrom, Marcia Malone-Tedder, Sherly Manait, Brian Manaog, Jeanne Manavizadeh, Reshma Maniar, Bonnie Mann, Angela Mann, Michele Manning, Rosario Marasigan, Loretta Marcantonio, Patricia Marcelle, Julie Marcum, Terri Marinelli, Gabriele Martin, Israel Martinez, Laura Martucci, Karen Marzlin, Joan Mast, Pennie Mathewson, Bernadette Matrisciano, Heather Maude, Rizalina Mauricio, Elaine Mayo, Nancy Mayville, Maureen Mazurowski, Julie McAllister, Laura McCall, Debra McCann, Kathleen McCarthy, Patti McCluskey-Andre, Michelle McCrary, Sharon McDade, Debra McDonald, Jayne McElhaney, Michael McEvoy, Beth McFadden-Cabiad, Ruth McFarland, Annette McFarland, Amy McGlaughn, Sharon McHale-Cowher, Laurie Mckee, Susan McKinstry, Diane McLean, Sandra McLean, Teresa McLean, Patricia McLellan, Linda McLoughlin, Sara McMannus, Elizabeth McNamara-Aslin, Pauline McNeece
Mary Medford, Lucrecia Megano, Tracey Melhuish, Tamara Melsheimer, Tami Meltsch, Elizabeth Mencel, Angela Mentzer, Richard Meyer, Katherine Meyer, Christine Meyers, Sumy Michael, Cynthia Mihay, Estrella Mijares, Julie Miller, Leanna Miller, Andre Miller, Susan Miller, Linda Miller, Michael Miller, Latrice Miller, Renee Mills, Cecelia Mills, Kara Mills, Mark Mimnaugh, Hanna Minehart, Stacy Mitchell, Victor Molina, Carolyn Moncrief, Gina Montagnino, Bonita Moore, Ruth Moore, Sara Moran, Hazel Morfe, Josslyn Morgan, Sharon Morley, Elizabeth Morris, Matthew Morris, Patricia Morton, Amber Moser, Lori Moss, Kathleen Mosser, Alice Moulton, Madeline Moyer, Rita Moyer, Laurey Munch, Brenda Muransky, Michelle Murphy, Arlene Murphy, Jacqueline Murphy, Shirley Musa, Wayland Mutter, Mary Myers, Maura Nadeau, Joy Nagy, William Nagy, Julia Nale, Kathleen Naliwajko, Julie Navarro, Susan Nelson, Amando Nera, Jill Newcomer, Joseph Newsome, Nancy Newsome, Linda Nicholson, Eileen Nicolo, Theresa Nino, Denise Noel, James Noel, Scot Nolan, Vivian Norman, Elizabeth Norris, Debra Nowak, Laura Nugteren, Violet Nyaosi, Bai Nyonly
Christine O’Brien, Jennifer Ochs, John O’dell, Mary O’Flaherty, Mary Lou O’Hara, Elizabeth Olivera, Stephen Olomukoro, Michael O’Melia, Donna O’Neill, Beth Ormond, Lori Orr, Sheri Ortiz, Sara Ortiz, Julia Osborne, Deric Outley, Senene Owen, Beth Pack, Maria Victoria Padre Juan, Gail Pagels, Maria Palleschi, Kathryn Palmer, Claudine Palmieri, Trixy Paloger, Editha Pammit, Theresa Pando, Donna Panico, Maricar Parra, Robert Parsley, Mary Frances Pate, Cindy Patrick, Carl Patterson, Oakley Patterson, Nikolette Pazell, Kathleen Peavy, Nanette Pech, Todd Pedretti, Cathy Peebles, John Peeke, Oliver Pelayo, Cynthia Pelley-Johnson, Iveline Pennie, Brenda Perigen, Mary Perrecone, Monica Perry, Terri Perry, Julia Persinger, Dora Peters, Kristine Peterson, Andrea Peterson, Alicia Pettis, Jackie Pfeifer, Amy Phillips, Alisa Phillips, Catherine Phillips, Faith Phillips, Lacy Phillips, Judy Pielhop, Lynelle Pierce, Meagan Pierce, Peggy Piette, Alicia Pike, Judith Pinchalk, Susana Pinet, Alma Pinzon, Joy Plamann, Pamela Pleiter, Deborah Pool, Cynthia Poole, Barbara Pope, Janee Poppinga, Linda Porch, Diane Porter, Shari Posey, Mary Potter, Kirsten Preusse, Janet Prewitt West, Amanda Pribble, Brenda Price, Kimberly Pringle, Deidre Putman, Kathleen Quattrocchi, Mary Frances Quinn, Juan Quintero
Anne Rabert, Cheryl Rader, Sandra Ragland, Christine Ragusa, Lisa Raia, Mary Raible, Polly Rainey, Coleen Rakers, Victoria Ramik, Ely Ramos, Leah Ramos, Shannon Rashad, Martina Ratliff, Eleanor Rawson, Stephanie Ray, Diane Razo, Christina Read, Martha Reed, Amy Reed, Judi Reeves, Shawn Reeves, Lesley Rehak, Lota Relato, Kenneth Rempher, Lori Renaud, Jessymol Reni, Paulette Rex, Angela Reynolds, Daniel Rial, LeAnn Richardson, Maegan Riche, Elizabeth Ridpath, Lisa Riggs, Virginia Ring, Charissa Riojas, Susan Ripper, Marian Risoff, Linda Ritter, Nancy Roach, Judith Roberts, Kathryn Roberts, Judi Robinson, Bobby Robinson, Catherine Rodgers, Robin Rodriguez, Jose Rodriguez, Sheryl Rogers, Nancy Rohde, Lara Roman, Celeste Romp, Janet Rongavilla-Taniguchi, Sarah Rosenlund, Dina Rosenthal, Susan Rossetti, Kimberly Rucker, Edward Ruiz, Carolyn Rumell, Barbara Runk, Debra Russell, Heather Russell, Jennifer Rystrom, Donna Sabash, Richard Sabin, Carol Sadate-Akhavi, Louise Saladino, Pamela Salomone-Martin, Mary Salzman, Josienne Sammut, Amelia Samson, Elizabeth Samuel Rajasekar, Janelle Samuelson, Noemi San Andres, Kristin Sandau, Myra Sanders, Debra Sanner, Sheila Santiago, Sandra Saucier, Steven Savant, Jennifer Savka, Karie Savoy, Kathleen Scalzo, Edna Schambers, Kathleen Schatz, Tammy Schena, Sheryl Schindler, Cindy Schiraldi, Kathleen Schmidt, David Schmidt, Sara Schmidt, Dawn-Marie Schmitz, Frank Schneider, Andrea Scholl, Christine Schreyer, Jeri Schulz, Gail Schummer, Charlene Schwinne, Frances Scott, Eric Scroggin, Elizabeth Scruth
Dianna Seaton, Maureen Seckel, Karen Seidel, Jean Semsch, Rebecca Seok, Stephanie Shafer, Nancy Shaffer, Barbara Shanahan, Kristin Shannon, Lisa Sharot, Jill Sharp, Tori Shawver, Jill Shea, Wanda Shepherd, Frances Sherman, Mary Ann Shinnick, Tamar Shirriell, Maureen Shirtliff, Adriana Shults, Sarah Shultz, Jamie Sicard, Kimberly Sieck, Gayann Sigman, Ida Simard, Lynn Simko, Eunice Simmons, Patricia Simmons, Daniel Simmons, John Simonson, Lisa Sims, Vincent Singh, Divina Sirokie, Anita Siscoe-Hapshie, Tonya Skeen, Kirsten Skillings, Laura Slee, Megan Sloan, Benjamin Smallheer, Victoria Smiles, Linda Smiley, Celeste Smith, Stacy Smith, Gene Smith, Rachel Smith, Michael Smith, Jean Smith, Rebecca Smith, Amy Smith, Amy Smith, Kevin Smith, Shelley Smith, Denise Smith, Julia Smith, Betty Smith, Kimberly Smith, Alison Smith, Jennifer Smith, Heather Smith, Rowena Sneathern, Mary Snouffer, Diane Snyder, Abbye Solis, Jennifer Solovay, Maricel Soriano, Joy Speciale, Megan Spencer, Donna Spino, Melody Spring, Jamie St. Clair, Cheryll St. Onge, Sandy Stahl, Marcia Stahovich, Joel Stanfill, Cynthia Starling, Mary Steding, Elizabeth Steelman, Cordette Steer, Janet Steimel, Kathryn Steinbrecher, Celeste Stevens, Keira Stevens, Carlette Stewart, Jodi Stewart, Barbara Still, Marianna Stoneburner, Eva Storey, Catherine Stover, Doris Strother, Marcia Strow, Arnold Sudario, Cheryl Suffel, Quentin Sukut, Kathleen Sullivan, Vicki Sunderland, Maria Supan, Valerie Sutter, Leslie Swadener-Culpepper, Joanne Swanick, Brenda Swope
Radgie Tablada, Arlene Tabunda, Angelique Tadeo, Gladys Talavera, Karen Talbott, Michael Tantay, Kimberly Tauscheck, Doris Tavares, Amy Taylor, Robert Taylor, Mavalee Taylor, Cristina Te, Roxanne Telford, Linda Terrano, Yvonne Thelwell, Tamekia Thomas, Cathy Thomas, Jennifer Thomas, Vincy Thomas, Bosamma Thomas, Joel Thomas, Ann Thompson, Richard Thompson, Amy Thompson, Jayson Thornhill, Sandra Thornhill-Alvarez, Julie Thornton, Mary Tierney, Robin Tillman, Albert Tinker, Polly Anne Tobin, Tim Tobitt, Tracy Toews, Jeannie Tomcho, Shauna Tonhauser, Terri Townsend, Michele Trachier, Esther Trackwell, MaryJo Tracy, Mitzie Trammel, Christine Tran, Christopher Trapani, Ramona Traverse, Linda Travillion, Maria Trevino, Geralyn Tribble, Jose Tumulak, Phyllis Turner, Adrienne Turner, Angela Turner Konrath, Barbara Turnipseed, Loreitta Tuthill, Marciana Tyler, Sandra Tysinger, Lee Underman, Rebecca Unruh, Mary Urbane
Mary Vaiculevich, Maggie Valdes, Ben Valente, Lisa Van Cleave, Jamie Van Uitert, Shawna Vanwinkle, Denise Vargas, Mini Varghese, Paula Varhol, Jason Varsch, Angelica Vasquez-Caballero, Susan Veazey, Evelyn Velasco, Angelo Venditti, Nafisa Vergara, Audren View, Laura Vinson, Valerie Vogeler, Patricia Vogelsong, Susan Vreeland, Sandra Wakai, Karen Walker, Christopher Walker, Susan Walker, Maredyth Walters, Wendy Walther, Debra Walton, Susan Ward, Jan Ward, Mary Warren, Pamela Washington, Edward Washington, Mary Watkins, Frances Watson, Christine Watson, Sharon Watson, Cheryl Watson, Eric Watson, Monique Way, Carol Wayner, Sharman Weaver, Leah Webb, Donna Weidner, Laura Weigand, Debra Weismiller, Eugenia Welch, Shelley Welch, Megan Wells, Arthur Wensink, Joan Wescott, David Westphal, Robert Wethal, Jane Whalen, Beverly White, Ann Whitehead, Joshua Whitmer, Julie Whitney
Patricia Widman, Kristin Wiederhold, Bonnie Wiggins, Bradley Wilber, Suzanne Wilders, Mary Wilkins, Lisa-Mae Williams, Felecia Williams, Brandy Williams, Irma Williams, Melissa Williams, Robin Williams, Suzanne Williams, Scott Williams, Shelley Williamson, Deona Willis, Charmaine Wilson, Leslie Wilson, Jana Wimer-Kasperowski, Jason Windham, Jennifer Wintz, Sonia Wisdom, Miranda Wisilosky, Janet Withrow, Nichole Wittenberg, William Wohlman, Anne Wojner-Alexandrov, Gretchen Wolf, Barbara Wolfe, Marie Wolfer, Susan Wolling, Shannon Womble, Linda Wonoski, Jennifer Woodcock, Michelle Woodfall, Joy Woodruff, Maxine Woods, Muriel Woods, Lisa Woods, Rebecca Worley, Sheila Wright, Mary Wyckoff, Pa Xiong, Archita Yarra, Joy Yglecias, Oksoon Yim, Carolyn Yoder, Carol Yorkison, Shawna Young, Faith Young, Lynn Zak, Angel Zechman, April Zhuang, Michele Zimmer, Pam Zinnecker.

AACN Excellence In Clinical Practice Award

Judith M. Rojo, RN, BSN, CCRN
The Valley Hospital, Ridgewood, NJ

When a young woman undergoing surgery developed a major cardiac decompensation, a STAT call was made to the CCU for a nurse to assist the OR staff. There was no question about who should go - Judy Rojo, RN.

Judy ran downstairs, not knowing what challenge she would face. Upon arrival, Judy took charge after comforting the patient. She assisted in hanging multiple vasopressors and cardioverting the patient. Judy assisted in placing an intra-aortic balloon pump (IABP), a procedure never previously performed in the OR. Judy then transported the patient to the cardiac catheter lab and helped prep the patient. Subsequently, Judy brought the patient to the CCU.

On arrival at the CCU, the staff learned that this critically ill patient was one of their own. Barbara was a beloved hospital employee. In the ensuing hours, Judy was a source of calm, providing care and comfort. She never left the patient’s bedside. Judy was the clinician, expertly managing multiple drips, a ventilator and an IABP. She was the compassionate professional, comforting the patient and family. Judy’s shoulders were damp from many tears. As it became clear that Barbara would not survive, Judy supported her in her final moments. Barbara died with dignity, with her family, her doctors and her nurse at her side.

Many traits characterize an excellent critical care nurse. They have excellent clinical skills and are able to apply them in stressful circumstances. They are leaders, willing to take charge of difficult situations. They welcome new challenges. They are compassionate and caring, supporting patients and families through the most dire of circumstances. They are often the patient and family’s greatest advocate. Judy Rojo is the epitome of a critical care nurse: clinician, leader, patient advocate and humanitarian.

Carol Hafer, RN, BSN, CCRN
Mission Hospital Regional Medical Center, Mission Viejo, CA

As a nurse in the CICU, I think my greatest contribution to the unit has been my role in changing the unit to an environment of patient/family-centered care. As we were preparing to move into a new, state-of-the-art unit, my director asked me to look at our visitation policy and determine if changes were needed. I found overwhelming research-based evidence supporting open visitation policies where families are encouraged to play a central role in the care and healing of their loved ones.

My project consisted of gathering the research; identifying the barriers; establishing rapport with doctors, nurses, staff and other stakeholders; developing an educational program; and implementing the changes, which also incorporated the core values of the organization. We found the patients and families embraced the change. Staff, however, experienced mixed feelings and emotions that required ongoing support and education to help them cope with the changes.

I knew from the beginning that this was the right thing to do. But when I began to experience the emotions of my patients and their family members to this close involvement with sickness and healing, and sometimes death, I knew we had crossed an important threshold in patient care. A young husband, whose pregnant wife had been transported to our unit emergently after suffering a cardiac arrest, was grateful to witness the efforts and teamwork of the doctors and nurses as they worked toward a positive outcome. Families now develop trust in the caregivers, and I think trust is the greatest gift you can give your patients and their families.

As I experience the benefits and rewards of a patient/family-centered care environment on a daily basis, I wonder how we could ever have managed our care any other way.

Kelly Walton, RN, BSN, CCRN
Carolinas Medical Center, Charlotte, NC

The headline read, “A beautiful life taken too early.” A 17-year-old made a decision that ended a life full of hope and promise. S.K.’s pupils were fixed and dilated on arrival, and the CT scan revealed a massive closed-head injury. A mother prayed for peace.

Because she was showing no improvement, S.K.’s parents asked questions, exploring the possibility of donation. Was organ donation the right thing to do? What would S.K. have wanted? That night, we cried while the emptiness inside her parents grew ever so large. We knew what S.K.’s sacrifice would mean to the recipients. Her parents were convinced donation was the right thing to do and what S.K. would want.

Showing great love in their decision, her father’s only request was to hug his daughter one last time. Her parents gathered extended family and friends around her bedside to say their final goodbyes. LifeShare bracelets and pins were worn proudly by her classmates and friends as an outward symbol of S.K.’s ultimate sacrifice.

That day S.K.’s mother helped with her last bath. She shared stories, and I felt I had known S.K. all my life. As we started to wash S.K.’s long hair, her mother decided to donate her hair too. Surrounded by her personal things, S.K.’s parents requested to be alone with their daughter. As her ICPs reached 100, both Mom and Dad were at her bedside holding her, praying and singing her favorite songs.

As I hugged her dad goodbye, I remembered his last request and the promise I had made. With help from another nurse we lifted his daughter off the bed so he could give her one last hug. This experience has given me a different perspective on life and the difference I make as a critical care nurse.

Jacqueline Gurnick, MSN, RN, CCRN
Clinical One, Ravenna, OH

It has been said that every journey begins with a small step, but last year I decided to take a giant leap! Having attained my MSN degree years ago, I have functioned in the clinical nurse specialist role and as a clinical educator. I had also served as adjunct faculty for nursing students at a local university. After serious consideration, I decided to become a travel nurse and head back to the bedside on a full-time basis.

My first assignment was in a neuroscience unit at a major teaching facility out of state. I got to experience many new opportunities, learn new skills and meet new people I never would have encountered if I hadn’t ventured along this career path. One of my last patients was a 52-year-old Hispanic woman who had suffered a large subarachnoid hemorrhage. Due to her prolonged recovery, she had a tracheostomy and feeding tube. Although I never got to personally know “Edith,” I got to know her through her family. I arranged meetings with physicians so family members could get answers to their questions. I collaborated with other disciplines to include family members in Edith’s care, based on the long-term needs that were essential to her recovery. I made a difference because I included the family in Edith’s plan of care. Her daughter wrote a thank you note that said: Though my mother could not talk, you could tell how she felt when she gave you a smile. That alone validates why I went back to the bedside. What a great memory of my first road trip!

I find that my past experiences and my CCRN credential provide me with credibility and staying power no matter where my professional nursing career might take me! To me, nursing is a journey, not a destination.
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