AACN News—September 2007—Association News

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Vol. 24, No. 9, SEPTEMBER 2007

Scholarships Advance Education for Nurses Awards Support BSN Completion and Graduate Programs

Sixty-six AACN members are pursuing academic degrees with the assistance of AACN Educational Advancement Scholarships awarded for the 2007-08 academic year. The scholarships of $1,500 each were presented to nurses at 40 schools in 22 states (see page 8 for the list of recipients).

The named scholarships listed to the right represent tribute or memorial contributions of $1,500 or more to the AACN Scholarship Endowment. This year, 10 scholarships have been awarded in memory of Linda J. and Thomas A. Krausz, honoring their committment to AACN and to nursing education. The Krauszs, who were both nurses, were killed in a motorcycle accident. Linda Krausz was an advanced practice nurse and a longtime, active member of AACN.

Commitment to Education
The Educational Advancement Scholarship program continues AACN’s more than 20-year history of supporting registered nurse members in their professional development. Since the first educational advancement scholarships were awarded in 1984, AACN has been at the forefront of supporting critical care nurses in continuing their academic and professional education. AACN also supports individuals entering nursing as a major contributor to the National Student Nurses Association scholarship program.

Funds for scholarship support are allocated in the association’s operating budget each year and offset in part by gifts from individual donors and industry. Since 2001, AACN has been growing a Scholarship Endowment to ensure the program’s existence for the future. Thanks to gifts from generous donors and other fundraising initiatives, the endowment fund now exceeds $1 million.

For more information or to contribute to the Scholarship Endowment to help reach its $2 million goal, call Wayne Goebel at (800) 394-5995, ext. 333; e-mail development@aacn.org, or write AACN Development Office, 101 Columbia, Aliso Viejo, CA 92656.

Legacy Contributions
Recognizing a generous gift of $148,000 from the Estate of Linda J. and Thomas A. Krausz, AACN has created the Linda J. and Thomas A. Krausz Legacy Circle. A legacy circle is a giving group honoring those who make provisions to support AACN through bequests in their wills, trusts and other financial planning vehicles. Donors confirming their bequest intention by Dec. 31, 2007, will be designated as charter members of the Legacy Circle whenever its members are listed. For more information, call Ramon Lavandero; (800) 394-5995, ext. 505 or e-mail ramon@aacn.org.

The Recruitment Momentum Continues in MGAM Campaign

The AACN Member-Get-A-Member campaign saw some outstanding performances in the month of July.

Ann Brorsen, RN, MSN, CCRN, CEN, of Sun City, Calif. continues her overall lead in the campaign with 140 new members recruited. Kathleen Richuso, RN, MSN, RN-BC, of Chapel Hill, N.C. inched a little closer, adding seven new members in July to bring her second place total to 83. Moving into a tie for third place by adding nine new members in July was Nenita Rattanopas, RN, BS, BSN, CCRN, of North Las Vegas, Nev. Rattanopas and Susan Rogers, RN, DNS, MSN, of Vienna, Va. have recruited 64 new members each in the campaign.

Other notable individual performances during July were Jessica Fuller, RN, BSN, CCRN, of Glenside, Pa., who tied for the most new members recruited in the month (11) with Amanda Newman, RN, BS, BSN, CCRN, of Louisville, Ky. Also having a good month were Cristine Kramer, RN, of Elizabeth City, N.C. and Joan Marie Montgomery, RN, TNCC, of Norwich, Conn. Each recruited ten new AACN members.

In chapter recruiting, the battle continues for the overall campaign lead between the Greater Richmond Area Chapter (131) and the Houston Gulf Coast Chapter (125). In third place with 111 is the Southeastern Pennsylvania Chapter. During July, the Greater East Texas Chapter added 12 new members and the Greater Birmingham Chapter added 11.

They are among the 1,585 individuals and chapters that have recruited 7,929 new members since the campaign began May 1, 2006. The campaign ended Aug. 31, 2007 and the final results will be published in the October issue of AACN News.

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 in the drawing.

In addition, as individuals recruit new members, they are entered in a drawing for a $100 American Express gift check each month they recruit. Mary O’Flaherty, RN, BSN, of Western Springs, Ill. won the gift certificate in July.

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 for their chapter treasuries. In addition, chapters are eligible for monthly drawings for a free NTI registration any month they recruit a new member. The winner for July was the Greater Long Beach/Orange County Chapter.

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

Scene and Heard

Our Voice in the Media

Atlanta Journal-Constitution (May 14, 2007) – “6,500 Critical Care Nurses Convene to Address Healthy Work Environments and Other Leading Healthcare Issues” announced that AACN was making healthy work environments the focus of its National Teaching Institute in Atlanta. The release, which also highlighted some of the sessions, appeared in many other outlets including the Atlanta Business Chronicle, Seattle Post-Intelligencer and Hospital Business Week.

Nursing2007 (May 2007) – “Should Families Be Present During Resuscitation?” noted that “many professional organizations including the American Heart Association, the Emergency Nurses Association and AACN support family presence in their publications, resuscitation guidelines and position statements. Because these organizations exert significant influence on facility standards for patient management, acceptance of family presence appears to be growing.”

Nursing Management eNews (May 15, 2007) – “May is National Critical Care Awareness and Recognition Month” included a link to AACN’s announcement honoring nurses who care for acutely and critically ill patients.

Sierra Vista Regional Health Center Newsletter (March/April 2007) – “Sapping the VAP” addressed ventilator-associated pneumonia, “the leading cause of death among hospital-acquired infections according to the Institute for Healthcare Improvement (IHI).” Dia Madden, RN, said, “We learned that a big recommendation to reduce VAPs is to improve mouth care, so we turned to AACN guidelines.” She then established a protocol for the ICU staff using AACN’s guidelines for intubated patients.

RN (May 2007) – “Most RNs Say They’ll Stay Despite the Abuse” discussed AACN’s survey of 4,000 critical care RNs, which showed that “88% would probably recommend a nursing career to others.”

RN (May 2007) – “Should the Family Stay?” referenced AACN’s position statement and several other resources, including AACN’s Practice Resource Network and ENA’s “Presenting the Option of Family Presence,” which is available through ACCN’s online bookstore. “To ensure there are no disruptions in care, AACN and others recommend that a designated family facilitator prepare family members for the event and guide them through the experience (of medical interventions).”

Notes on Nursing at Lahey (May/June 2007) – “Program Changes for 2007” included recommendations from 66 nurses at Lahey Clinic, Burlington, Mass., who participated in ECCO. Among their ideas: “Begin a Welcome to Critical Care luncheon to help with socialization and knowledge of how to navigate the ECCO program; and begin a CCRN review program. All orientees can access ECCO for one year, making it a perfect tool for certification review.”

West Sherburne Tribune (May 5, 2007) – “St. Cloud Hospital ICU Receives National Award” included a quote from Roberta Basol, director of the Intensive Care Unit. “The multidisciplinary team has contributed to achieving this (Beacon) award including nurses, physicians, respiratory therapists, pharmacists, social workers, dietitians and chaplains. We are proud to work in the ICU at St. Cloud Hospital (St. Cloud, Minn.) where we have such good patient outcomes.”

Citizen-Times (May 8, 2007) – “Clarke Receives Certification From AACN” noted that “Research studies have specifically linked CCRN certification to higher levels of clinical knowledge, experience and skill. These studies have found that CCRN-certified nurses were motivated to maintain clinical excellence, even in rapidly changing critical care environments.”

Advance for Nurses (May 7, 2007) – “2007 Best Nursing Team.” Advance chose the Critical Care Unit at Atlantic General Hospital, Berlin, Md. as “Best in Initiative.” Monica French, BSN, CCRN, said, “We use AACN’s policy and procedure manual as our reference for all procedures … We have two recent graduates; both received a 6-month one-on-one orientation with the same experienced RN, who utilized AACN’s Essentials of Critical Care Orientation.”
CHEST Physician (May 2007) – “Healthy Work Environments: True Collaboration,” by Debra Gerardi, RN, MPH, JD, is the fifth in a series of articles about AACN’s standards for a healthy work environment. In part, she wrote, “Collaboration is our means for working better together and not just working side-by-side.”

Mercy Reflections (March/April 2007) – “Appointments/Achievements” stated that “CCRN designation is highly regarded as recognition of advanced knowledge and clinical expertise in the care of critically ill patients and their families. Research studies have specifically linked CCRN certification to higher levels of clinical knowledge, experience and skill.”

Atlanta Daily World (May 31, 2007) – “Critical Care Nurses Address Healthy Environments, Healthcare Issues in Exposition Here.” Justine Medina, RN, MS, AACN director of professional practice & programs, said, “The exposition (NTI) serves as the world’s largest educational conference for nurses who care for patients who are acutely and critically ill, and offers sessions on the future and best practices of healthcare.”

Business Wire (May 22, 2007) – Many companies introduced new products at NTI. Titles of articles included “Draeger Medical Highlights SmartCare Technology, Infinity TeleSmart and Infinity Omega Solution;” “B Braun Expands Medication Safety Offerings With New Suite of Infusion Therapy Products and Services;” “CAS Medical Systems, Inc. Launches LIFEGARD Family of Patient Monitors;” Hospital Ramps Up With Philips Clinical Decision Support to Help Detect and Treat Sepsis Earlier;” “New Welch Allyn Remote Clinical Notification System Sends Clinicians Real-Time Patient Data via Hand-Held Device;” and “Hill-Rom Takes Comprehensive Approach to Patient Safety.”

Our Voice at the Table

Connie Barden, RN, MSN, CCRN, CCNS, past AACN president, represented AACN at the Georgetown University Healthcare Leadership Institute, in Washington, D.C. The annual executive development program was jointly presented by Georgetown’s McDonough School of Business and the School of Nursing and Health Studies. Barden was recently appointed director of clinical safety and innovation at Mercy Hospital in Miami.

Dave Hanson, RN, MSN, CCRN, CNS, then AACN president-elect, presented the keynote address, “Powered by Insight: The Unique Contributions of Acute & Critical Care Nurses,” and celebrated National Nurses Week at the 17th annual Certification Celebration Luncheon hosted by AACN’s Palm Beach County Chapter in Boynton Beach, Fla.

Janice Wojcik, RN, MSN, CCRN, APRN-BC, AACN board member, presented an Association Update at Morristown Memorial Hospital’s 10th Annual Critical Care Fair and Update in Morristown, N.J.

Maria Shirey, RN, MS, MBA, CNAA, BC, FACHE, AACN Certification Corporation board member, presented “Stress and Coping in Nurse Managers: Translating Research Into Practice” at the 18th International Nursing Research Congress Focusing on Evidence-Based Practice in Vienna, Austria.

Julia Garrison, RN, MSN, CCRN, PCCN-CMC, director of Critical Care Fellowship at Christ Hospital in Cincinnati, Ohio, spoke on behalf of AACN at HealthStream’s 7th Annual Summit in Nashville, Tenn. Her presentation was titled “Critical Care and Basic ECG Training From AACN: Enhance Quality of Care Based on Standard Practices.”

Kay Clevenger, RN, MSN, presented “Creative Retention Strategies That Work!” at the Nursing Management Recruitment & Retention Conference in Chicago. She referenced and discussed AACN’s standards for a healthy work environment. Clevenger, a retention specialist at Clarian Health/Indiana University Hospital, served on the initial HWE Work Group and was a contributing author to the standards.

Denise Buonocore, RN, MSN, CCRN, APRN-BC, immediate past AACN board member, presented “HWE: Leading the Way to Excellence” in Manchester, N.H. at the Pediatric Nurse Management Meeting. The participants presented many ideas for meeting the challenges of instituting AACN’s standards for a healthy work environment.

Caryl Goodyear-Bruch, RN, PhD, CCRN, AACN president-elect, represented AACN at a meeting called by the Emergency Nurses Association (ENA), in Washington, D.C. The goal was to develop a consensus statement for procedural sedation in the emergency department and critical care settings that was evidence-based and included safe patient practice. Other organizations in attendance included the American Nurses Association, American Organization of Nurse Executives and National Council of State Boards of Nursing.

Marian Altman, RN, MS, CCRN, ANP, AACN board member, attended Creating Nursing’s Action Agenda, an invitational meeting held in Richmond for Virginia’s nursing leaders, which was sponsored by the Virginia Partnership for Nursing and the Virginia Nurses Association. The attendees shared organizational priorities and issues, and identified areas for collaboration as well as possible solutions to the state’s nursing shortage.

Members on the Move


Morton, Shirey, McKenzie, Gasaway

Patricia Gonce Morton, RN, PhD, ACNP, FAAN, AACN board member, was appointed associate dean for academic affairs at the University of Maryland School of Nursing.

Maria Shirey, RN, MS, MBA, CNAA, BC, FACHE, AACN Certification Corporation board member, served on the Editorial Review Board of the Journal of Nursing Administration’s (JONA) May issue, which was dedicated to research in nursing administration. She has also been selected as a peer reviewer for Nursing Management.

Deborah Campbell, RN, BC, CCRN, BSN, is one of two RNs in the U.S. named to the national faculty for the NACHRI (National Association of Children’s Hospitals & Related Institutions) Bloodstream Collaborative. She was also named to the national faculty for Pediatric Advanced Life Support (American Heart Association).

Alison McKenzie, RN, MA, was recently promoted to the rank of major in the United States Army Reserve. She also became nurse manager of the Surgical ICU at New York University Medical Center, New York City.

Francine Thomas, RN, BSN, PCCN, was promoted to clinical team leader on 8 South CCPCU at Carilion Roanoke Memorial, Roanoke, Va.

Janice Gasaway, RN, MN, CCRN-Alumnus, was promoted to director of the Quality Resource Center at Wake Forest University Baptist Medical Center, Winston-Salem, N.C. She was also recently certified as a Six Sigma Black Belt.

Evelyn Francisco, RN, BSN, CCRN, was promoted to RN III on the clinical ladder at Kaiser Permanente Hospital, S. Sacramento, Calif. She also volunteered for a medical mission to Davao City in the Philippines.

Cheryl Keser Peterson, RN, MSN, CCRN, earned her master of science in nursing, with a specialization in nursing education, from Walden University.

Ann Evans, RN, MS, MBA, FAAN, was elected to the Board of Directors for the Daisy (Diseases Attacking the Immune System) Foundation, Sonoma, Calif.

Linda Juretschke, PhD, RNC, APN/NNP, CCNS, graduated with a PhD in nursing from Loyola University in Chicago.

Arlene Keeling, RN, PhD, wrote “Nursing and the Privilege of Prescription, 1893-2000.” The research for her book was funded by the National Library of Medicine, National Institutes of Health.


Shirey received the Outstanding PhD Graduate Award presented at the Indiana University School of Nursing’s Award Program in Indianapolis.

Kathryn Sapnas, PhD, RN, CCRN, CNOR, was the recipient of the 2007 Sharon Coleman Award for the Most Influential Paper in the Field at the University of Maryland School of Nursing, 17th Summer Institute of Nursing Information. She also received the Veterans Administration’s QUERI Research Grant.

Marcia Roenfeld, RN, CCRN, who works in the Coronary Care Unit at Creighton University Medical Center, Omaha, Neb., was named Nurse of the Year 2007.

Kay Luft, RN, BSN, MN, PhD, AACN Region 14 CAT (chapter advisory team leader), received the Professional Achievement Award, and Tracy Rogers, RN, BSN, MSN, was the recipient of the Isabel Curdy Teaching Excellence Award from Saint Luke’s College of Nursing, Kansas City, Mo.

Donna Garbacz Bader, MA, MSN, RN, BC, D-ABMDI, won the American Academy of Forensic Sciences’ General Achievement Award for her research paper.

Gloria J. McNeal, PhD, APRN, BC, FAAN, was named a 2007 fellow of the Robert Wood Johnson Executive Nurse Program and was honored with the Governor’s Nursing Merit Award from the New Jersey Department of Health and Senior Services.

Kathy Dracup, RN, DNSc, FNP, FAAN, and Barbara Drew, RN, PhD, FAAN, were selected for the Wall of Fame as part of the University of California, San Francisco, School of Nursing’s centennial celebration.

Dawn Zimmerman, RN, ADN, and her friend were the five-millionth guests at the Georgia Aquarium and won annual passes and other prizes. They visited the aquarium when they were in Atlanta for NTI.

Captain Was First Army Nurse Killed in Iraq War

U.S. Army Capt. Maria I. Ortiz, RN, a nurse who worked at a combat support hospital in Iraq, died from injuries she suffered in a mortar attack in Baghdad. She was the first Army nurse casualty of the war and the first since Vietnam.

Ortiz, 40, was born in New Jersey and raised in Puerto Rico. She graduated from the University of Puerto Rico, where she earned a degree in nursing. She also received a master’s degree in quality management from the Massachusetts National Graduate School.

In 1993, Ortiz went on active military duty, which took her to countries such as Honduras and South Korea. Before heading to Iraq, she was chief nurse of general medicine at Kirk U.S. Army Health Clinic at the Aberdeen Proving Ground, Md. and was previously stationed at Walter Reed Medical Center in Washington, D.C. She earned several commendations, including a Bronze Star.

“She was very popular and very highly thought of,” said George Mercer, a spokesman at Aberdeen. “It’s just a terrible loss.”
“Nursing was her calling,” said Juan Casiano, her fiancĂ©. “I saw in her what everyone else sees, a beautiful person who brings joy to everyone she touches. She always carried a smile.”

Ortiz is survived by her parents, fiancé and four sisters from New Jersey and Florida. There was a memorial service in Aberdeen, Md. on July 18, which was attended by family members, friends and her fellow soldiers.

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.

Announcing AACN Scholarship Recipients for the 2007-08 Academic Year

Thank You to All the 2007 Volunteer Scholarship Reviewers

Helene Anderson
Wesley Anderson
Iris Boehnke
Susan Brown
Stephanie Calcasola
Ronna Carlton
Paula Coe
William Donnelly
Sharon Drummeter
Jo-Ann Eastwood
Michelle Emzen
Brandee Fetherman
Charles Fisher
Katherine Green
Debra Hagler
Patricia Harris
Nancy Haynes
Rosemarie Hirsch
Janell Huskey
Tina Jackson
Lisa Kinder
Ina Koemer
Cynthia Kottke
Margaret Lambert
Janice Lanham
Deborah Lilly
Maureen Madden
Elizabeth Malane
Margaret McNeill
Sherry McCrank
Diane Mick
Ferra Moayyadi
Karen Nave
Julie Nelson
Lisa Ochoa
Kathleen Peavy
Carol Puz
Elizabeth Rogan
Joyce Roth
Catherine Ryan
Bianca Salvetti
Doug Schlichting
Monica Simpson
Sharon Smith
Connie Sobon Sensor
Joy Speciale
Michelle Speicher
Joan Spitrey
Melissa Thorson
Michele Trinka
Rebecca Unruh
M. Cecilia Wendler
Diane Wrobleski

AACN Excellence in Leadership Award

Vicky Orto, MS, RN, CNAA, BC
Rochester General Hospital, Rochester, N..Y.

Vicky Orto has been the director of Medical Nursing at Rochester General Hospital since 2000. She has received the Excellence in Leadership Award for two primary reasons. The first is for her role in seeking a solution for the care of unstable patients on her general medical units. The second is for her role in grooming a novice clinical nurse specialist (CNS) to develop a critical care outreach program to address the first objective. Her version of a rapid response team has resulted in multiple benefits to the hospital. The program is known as the Early Nursing Intervention Team, or ENIT.

Vicky’s vision to provide critical care expertise outside the MICU supported both patients and the “floor” nurses. She assigned the project to her newly hired CNS and guided her through the process. A planning committee began to explore methods to address her mission. A nurse-led team that would provide preemptive rounding on the medical units, as well as respond to calls, was the model chosen. Although the CNS was the designated leader of the project, it was Vicky who anticipated obstacles and eliminated them. She enlisted the support of key stakeholders early in the process by assisting the CNS to present to the attending physicians’ grand rounds. She made the business case for increasing MICU staffing to free the charge nurse to round and respond on the medical floors.

The program has become so successful that it has been expanded throughout the hospital. Vicky has sent her CNS to national conferences with poster presentations to further spread the word. A dramatic change in the MICU staff performing the role of ENIT responder has become evident in their drive to seek baccalaureate education and certification. It is Vicky’s vision and leadership that have made this program a success.

AACN Excellence in Leadership

Kenneth J. Rempher, PhD, RN, MBA, CCRN, APRN, BC
Sinai Hospital of Baltimore, Baltimore, Md.

Dr. Rempher is a dedicated, visionary and inspirational leader who has transformed nursing practice within our critical care arena and throughout our organization.
One of Dr. Rempher’s greatest strengths is his skill in leading and managing change. He has collaborated with and led peers and senior nursing leadership in an endeavor to update and integrate models for both patient care delivery and evidence-informed practice. Additionally, Dr. Rempher is a champion for nursing certification. His encouragement, mentoring and coaching have resulted in increased numbers of nurses with CCRN and PCCN certification. Dr. Rempher is an open, honest and effective communicator who demonstrates congruence in words and actions. He leads by example and consistently “walks the walk.”

Dr. Rempher is passionate about elevating the level of nursing practice in the organization. This is evident in his work to create a culture that embraces nursing as true “knowledge work.” Efforts were undertaken to ensure that this evolution of nursing practice includes creating research classes for nurses, development of an intranet Web site to advance professional practice and development of journal clubs.

Dr. Rempher empowers nurses to grow professionally and engage in calculated risk taking.

A gifted teacher and mentor, Dr. Rempher models the importance of lifelong learning. He has obtained numerous degrees and is certified as a CCRN and an ACNP. He serves as a lecturer at several universities and schools of nursing and precepts graduate and doctoral students. He has published extensively and lectures nationally on a wealth of topics. He participates as a member of AACN and occupies leadership positions in other critical care and nursing specialty organizations.

Datascope AACN Excellence in Collaboration
Nurse To Family Award

Sherry (Sharon) Ninni, RN, BSN, CCRN
Morristown Memorial Hospital, Morristown, N.J.

I have worked to improve family satisfaction in our ICU. Changes were made in our visiting hours based on literature that states families need to be close to their loved ones. The nurses expressed concern about the impact on patient care resulting from the additional needs of families. Our open visiting hours now include short, nonvisiting periods in an effort to enhance patient healing and provide privacy during report. To address the needs of the family during these times, a formal volunteer program was initiated. I developed a unit orientation and collaborated with Volunteer Services to ensure compassionate and diplomatic representatives prepared to deal with family members in crisis. A research study of improved

satisfaction levels related to our volunteer program was presented at the Sigma Theta Tau International Conference in July 2006. I send surveys to the families of our patients, tabulate the results and suggest improvements. Based on returns, I collaborated with the Pastoral Care Department and implemented a well-used prayer box in our family waiting room. I wrote a successful grant proposal to the hospital foundation for funding of the Critical Care Family Enhancement Program. Money is being used to provide complementary therapies in the family waiting room. This includes massage therapy, meditation, relaxation, guided imagery, music and support groups. A computerized kiosk provides information specific to the hospital, as well as access to information about healthcare problems, equipment and testing. In addition, there are Web sites that simplify the family’s ability to communicate with other family members and friends regarding the patient’s condition. A family liaison position was created to provide additional support and guidance to our family members.

I am committed to providing patients with the strength that loving relationships with family members supply and supporting family participation in care and decisions.

Dale Medical Products AACN Excellent Clinical Nurse Specialist Award

Leslie Swadener-Culpepper, RN, MSN, CCRN, CCNS
The Medical Center of Central Georgia, Macon, Ga.

I was a new graduate nurse needing guidance when Leslie came to The Medical Center of Central Georgia. One of Leslie’s first projects was to create a Competency Based Orientation program for the many levels of nurses practicing in our ICUs. As an advocate, we can call Leslie anytime we need her. Her problem-solving skills are remarkable. One night, a patient needed CRRT; it was 2 a.m. and all machines were unavailable. I called Leslie, because the patient was in dire need. Within an hour, Leslie arranged to borrow a machine, this while she was on vacation in another state.

Leslie led staff participation in a research project for Continuous Lateral Rotation Therapy (CLRT). The project was a tremendous success, not only as a learning experience, but also because hospital length of stay (LOS) was reduced 6.7 days and the critical care LOS was reduced 5.4 days. Total savings for the CLRT group was an astronomical $900,000.
As a member of our Value Analysis Team, Leslie insists on accountability to patient care when choosing supplies. She reminds us that cheaper is not always better and organizes any product trial affecting nursing practice and patient care. Her efforts contributed to a $3 million savings over three years through clinical oversight of standardization programs, without jeopardizing quality of care.

As co-chair of our Code Blue team, Leslie organized education for Code Blue management attended by over 1,400 RNs and respiratory therapists. This is one reason we have achieved a 40% survival to discharge rate for cardiopulmonary arrest patients.

Leslie pushes herself and the nursing staff to be the best that they can be. She has touched many lives with both her hands and her spiritual being. I hope one day to be able to say that I am as incredible a nurse as I think she is.

AACN Excellence in Clinical Practice –

Non-Traditional Setting

Cory M. Williams, Major, Army Nurse, BSN, MSN, CCNS, CCRN
United States Army, Ft. Sam Houston, Texas

I commanded a U.S. Army forward surgical team (FST) in Iraq. Our team consisted of one critical care nurse and commander (me), one surgeon, one anesthesia nurse, one ER nurse, one practical nurse, three operating room technicians and four medics. None of our results or my accomplishments as a nurse and leader would have been possible without this remarkable team; however, because this is a critical care nurse award I will highlight some of my practice in this nontraditional setting. Our surgical team was assigned to a Forward Base in south central Iraq, and we were present to provide trauma and surgical stabilization to allow patients a greater chance to withstand further evacuation to the larger U.S. Army Combat Support Hospital (CSH) in Baghdad. We provided care for troops, both coalition and Iraqi, and civilians of all age groups. I functioned as a commander, a critical care nurse, trauma nurse, flight nurse, clinic nurse, case manager, staff developer, coalition partner builder and training officer.

Everything the team and I did was based on strong nursing values. Collaboration and coordination were used to conduct evacuation and receiving at the CSH. Standards of care and critical thinking were employed throughout the trauma process from receiving the mission to the after-action review the next day. We provided holistic care every day. The care we gave to the troops and Iraqi civilians was based entirely on patient advocacy. We placed our lives at risk to care for others in harm’s way (the combat zone) and are proud and happy to do so.

Monthly Super Savers

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

Challenges in the Management of Geriatric Trauma (#NCE4303106C – Audio CD or #NCE4303106M – MP3)
This presentation provides key information to ensure appropriate age-related interventions for the geriatric trauma patient.
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Critical Care Family Assistance Program: Replication Tool kit (#120631)
Created from the experiences and observations of seasoned critical care professionals, this innovative tool kit is a practical, step-by-step guide to developing educational and support resources that can help lead to more positive outcomes for critical care patients and their families. It features a manual and CD-ROM to guide you through the four essential development phases. Instead of offering mere advice, each step features proven tools you can use to put your own success plan into action.
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Evidence-Based Advance Directives: A Study Guide for Nurses (#140326)
A practical and necessary training tool, Evidence-Based Advance Directives provides a concise overview of the legal, ethical and cultural aspects of advance directives that affect nursing. Using case studies and role play activities, Evidence-Based Advance Directives will help nurses become more comfortable discussing advance directives with patients. The guide examines the cultural elements that influence advance directives to help nurses learn how to broach this difficult subject, being mindful of the cultural influences and without personal bias.
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