AACN News—April 2008—Association News

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Vol. 25, No. 4, APRIL 2008

Circle of Excellence Awards to Encompass Society of Experts

The Circle of Excellence Awards program is undergoing a renovation that is designed to increase the program’s relevance to current trends in the nursing profession and in the environments in which nurses work. The revised program will also better align with AACN’s mission and vision. Elements of the program will be phased in over the next two years.

Under the new program, up to 25 individuals who exemplify excellence in the care of acutely and critically ill patients and their families will be chosen for recognition each year. These individuals will be joined by past Circle of Excellence Award recipients to form a new Circle of Excellence Society. It is envisioned that the society will permanently connect award recipients to one another and to AACN, providing a network of experts who will be a source of continuing ideas for innovation and excellence in nursing practice. It is also expected that, over the course of the next two years, society members will help to shape the future activities of the society including their participation in selecting future recipients.

In a later phase of implementation, up to three individuals will be chosen each year for the Circle of Excellence Flame Award that will recognize the highest level of sustained contributions at the regional and national levels. Recipients will come from the society membership. Until this society is fully formed, the AACN Board of Directors will select the Flame Award recipients, the first of whom will be recognized at this year’s NTI May 3 through 8 in Chicago.

The Visionary Leader Awards – Lifetime Achievement, Distinguished Career and Pioneering Spirit – as well as the Distinguished Research Lecture Award will continue as a distinct part of the Circle of Excellence Awards. The Circle of Excellence Awards for chapters will also remain unchanged.
The deadline to submit nominations for the 2009 awards is July 1, 2008.
The main change from the previous awards structure is that nominees must be nominated by a colleague; there will no longer be a self-nomination process. The revised nurse-to-nurse nomination structure provides acute and critical care nurses an opportunity to participate in meaningfully recognizing their peers and colleagues by nominating them for this prestigious honor. With the exception of chapter awards, group and team awards that are recognized in other ways, such as by the Beacon Award, will no longer be part of the Circle of Excellence program.

As in the past, Circle of Excellence nominees must be members of AACN. Recipients will be honored at NTI and receive an honorarium to cover their registration, travel and lodging costs.
Nomination submissions should clearly show how the Circle of Excellence Award nominees consistently meet excellence criteria. They are those who:

• Relentlessly promote patient-driven excellence
• Model skilled communication, true collaboration, effective decision making and meaningful recognition
• Transform thinking, structures and processes to address challenges and remove barriers to advance patient-driven excellence
• Further AACN’s mission and key initiatives at influential forums
• Enrich their own and other organizations by influencing and mentoring others in achieving excellence
• Achieve visible results that validate the impact of individual leadership contribution to organizational excellence
Additional information about the Circle of Excellence Awards program is available at www.aacn.org > Awards, Grants & Scholarships.

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Membership Recruitment Leaps Forward in February

Members and chapters took advantage of the extra day in February this year to significantly increase AACN membership in the “I Can Make a Difference” Member-Get-A-Member campaign. A total of 270 individuals and chapters recruited 703 new members in February. This brings the campaign total to 3,231 new members recruited by 799 individuals and chapters.

February Totals:
313 new members recruited by 119 individuals
390 new members recruited by 151 chapters

In individual recruiting for the month, several new participants joined the campaign: Beverly Ann Carlson, RN, MS, CCRN, of El Cajon, Calif. recruited 17 new members; Mariusz Kosla, RN, BS, CCRN-CMC, RN-BC, FACC, of Hoffman Estates, Ill. came in with 15; Julie Miller, RN, BSN, CCRN, TNCC, of Whitehouse, Texas had 12; Julie Ann Navarro, RN, BS, BSN, of Everett, Wash. recruited 12; and Donna Sabash, RN, BSN, CCRN, of Clarksville, Tenn. also had 12. Each month, more and more members are contributing to recruitment efforts.
Still with a commanding lead in the campaign to date with 62 new members recruited is Lorraine Fields, RN, CNS, MSN, BSc, CCRN, CNRN, APN, of Uniontown, Ohio. Taking second place overall is Kathleen Richuso, RN-BC, MSN, of Chapel Hill, N.C. with 28. Myra Sanders, RN, ADN, CCRN, of Bowling Green, Ky. is in third place with 22, and Paula Lusardi, RN, PhD, CCRN, CCNS, of Longmeadow, Mass. is fourth with 21.

In chapter recruiting, the Houston Gulf Coast Chapter had a very successful month, bringing in 33 new members. This pushes their overall campaign-leading total to 74. Also having a big month was the North Central Florida Chapter with 21 new members recruited. The Greater Birmingham Chapter added eight in the month of February to move into second place overall with 42, and the San Diego Chapter added six during the month, good for third place overall with 40. Adding 12 in February was the Southeastern Pennsylvania Chapter, which moved them into fourth place overall with 35.

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 that will be awarded to the top individual recruiter. Members who recruit more than 20 new members by campaign end will be entered into a random drawing for a $1,000 American Express gift check, those who recruit 10-19 new members by campaign end will be entered into a random drawing for a $750 American Express gift check, and anyone who recruits 1-9 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. Marie Eidam, RN, MS, CCRN, from Orlando, Fla. won the gift check in February.

The overall top-recruiting chapter by campaign end 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 toward their chapter treasury: If they recruit more than 20 new members by campaign end, chapters are eligible for a $1,000 honorarium check, 10-19 new members recruited by campaign end, they are eligible for a $750 honorarium check, and with 1-9 new members recruited by campaign end, chapters 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 February was the Greater Johnstown Chapter.

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

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Nurse Accepts Healthy Living Challenge

Debbi Waters, RN, a critical care cardiac surgery nurse, was chosen to compete in the American Heart Association’s first National Start! Challenge to inspire Americans to live a healthier lifestyle. Six competitors were chosen from across the U.S., and Waters was the only nurse. She has been a registered nurse for 19 years, and is also a member of AACN’s Fall Board Community Liaison Program. She will graduate in May with a BSN from McKendree University, and plans to start an MSN/MBA dual-degree program in the fall.

“As a critical care nurse, I know what I should be doing to lead a healthier lifestyle; however, up until now I haven’t been very successfully motivated to do so,” said Waters, when she began the program in January. “The Start! Challenge will be a great way for me to shed about 20 pounds, start eating a healthier diet and get moving more.”

Waters (third from left in photo) and her co-challengers went to New York to kick off the challenge with spokesman and entertainer Donnie Osmond. The program encourages simple steps, such as walking every day, to improve heart health. MyStart!, the Web-based program that Waters is using, is free for everyone. Visit www.heart.org/start to learn more.

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Meet the Candidates

Dear Fellow AACN Members:

We encourage each of you to make your voice heard and VOTE in the annual AACN election for the 2008-09 Board of Directors and Nominating Committee. By casting your ballot, you have a unique opportunity to influence the future direction of AACN.

Voting means more than simply checking the ballot boxes. It is a fundamental membership benefit that allows you to help choose AACN’s future leaders. These individuals will be responsible for setting the strategic direction of the organization and will speak on your behalf in a wide range of settings to ensure that acute and critical care nurses have an influential voice in the healthcare industry.

You already know how important it is to secure strong future leadership for AACN. Today, we ask you—our most committed AACN colleagues—to exercise your leadership by evaluating the candidates and using your voice to vote in the election.

Please take the time to review the candidate information presented here and participate in this important process. Additional candidate information can be accessed directly from the online ballot.
Thank you in advance for your participation. Your vote will make a difference.

Dave Hanson
AACN President

Mary Fran Tracy
AACN Nominating Committee

Candidate for President-Elect

Beth Hammer, RN, MSN, APRN-BC
Nurse Practitioner, Cardiology
Zablocki VA Medical Center
Milwaukee, WI

Experience and Activities

Chapter Membership

• Greater Milwaukee Area Chapter, 1989-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Member, 1989-Present
• Greater Milwaukee Area Chapter, Education Circle Program Committee Member, 1997-2006
• Greater Milwaukee Area Chapter, Membership Committee Co-Chair, 2002-2004
• Chapter Adviser, Region 8, 2002-2004
• Awards Review Panel, 2004-2005
• Scholarship Review Panel, 2004-2005
• Director, AACN Board of Directors, 2005-Present
• Secretary, AACN Board of Directors, 2007-Present

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Member, Metro Milwaukee Nurse Practitioners, 1997-2006
• Member, Sigma Theta Tau International, Delta Gamma, 1995-Present
• “Introduction to atrial tachyarrhythmias,” Medical College of Wisconsin, Electrophysiology Conference (October 2007)
• “Reclaiming priorities to create healthier work environments,” Cardiovascular Teaching Day, Rochester General Hospital, Rochester, NY (October 2007)
• Adjunct faculty, Concordia University of Wisconsin, for Advanced Health Assessment and Advanced Nursing Practice I graduate courses, 2002-Present
• Hammer, B., Speiser, B., Mathewson-Chapman, M. (2005, March). ACS Provider Education Toolkit Development. Veterans Administration Time is Life Conference. Arlington, VA

Issues Statement
For the past six years AACN has urged acute and critical care nurses to use our keen insight and bold voices to engage and transform our work environments. Bombarded by multiple initiatives, we are learning to prioritize how we spend our most valuable resources. Yet even with these accomplishments and the far-reaching impact of AACN’s Standards for Establishing and Sustaining Healthy Work Environments, I believe we continue to be hampered by limited understanding of our powerful individual and collective influence to change healthcare systems that are truly driven by the needs of patients and families.

Many of our colleagues still seem to be waiting for someone else to change things. Staff nurses turn to managers and executives to dictate solutions, then are disappointed because the solutions fail to provide the future that the nurses envisioned. Very likely the required system-wide changes seem too big for already overwhelmed nurses to tackle. It might take years to change the culture in some healthcare organizations. But we have the knowledge, skills and influence to make incremental changes now. Acute and critical care nurses, advanced practice nurses and managers possess the most intimate knowledge of what patients and families need. AACN has boldly embraced its distinctive position as nursing’s leading influencer in healthcare today. It has become the preeminent guide for nurses seeking to develop their individual and collective circles of influence in order to create the healthcare systems they envision. AACN provides the knowledge and resources nurses need to tear down barriers that block us from achieving our preferred future. As leaders at the bedside, we have no choice but to embrace our responsibility and accountability to drive the necessary changes within our organizations.

Candidates for AACN Board of Directors (Vote for 4)

Vicki S. Good, MSN, RN, CCRN, CCNS
Patient Safety Clinical Operations Director
Baylor Health Care System
Dallas, TX

Experience and Activities

Chapter Membership
• Greater Fort Worth Chapter, 2002-Present
• Puget Sound Chapter, 1995-1999

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• AACN Advanced Critical Care Textbook, Section Editor. Target audience – critical care bedside nurses with 5+ years’ experience
• AACN Advanced Critical Care Textbook, Chapter Author (The Critical Care Environment) co-author, (Improving Outcomes Through Prophylaxis)
• AACN Procedure Manual, Chapter author, (End Tidal CO2 Monitoring) and Reviewer
• AACN Ambassador, 1999-Present
• Implemented Healthy Work Environment Standards with facility and health system

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Completed Institute for Healthcare Improvement (IHI) Patient Safety Executive Training, March 2007
• Texas Christian University, Adjunct Faculty
• Completed University of Michigan, Lean Healthcare Certificate Program, June 2007
• Preventing Generational Collisions at the Bedside (2007 Texas Christian University Faculty, 2007 AACN Greater Fort Worth Chapter, 2003 NTI)
• Standardized Communication, Role in Patient Safety (2007 Quality North Texas Association Regional Seminar)

Issues Statement
One of the greatest challenges facing critical care nursing today is the continued pressure to “do more with less.” Acute care facilities must confront the facts that healthcare reimbursements are declining, leading to lower and, in some cases, negative contribution margins, patient acuity is rising, and the nursing shortage continues to intensify. Each of these contributing factors results in declining availability of resources at the bedside to care for some of our most vulnerable patients. Therefore, critical care nurses must be equipped to embark upon this challenge by developing new processes to efficiently care for patients.

Regrettably, nurses have had the view that fewer physical resources are utilized in the care of critical care patients, and then “poor” quality or “bad” care results. This is simply untrue, but nurses and other practitioners must be given tools and educated on methodologies to improve processes in order to provide safe, efficient, effective, timely, equitable and patient-centered care with fewer resources.

AACN continues to lead efforts surrounding defining “appropriate” staffing levels and the necessary qualifications for nurses at the critical care patient’s bedside. The next step in the journey must be directed at effectively managing the few resources we have at the critical care bedside. As leaders in healthcare, AACN and the Board of Directors must be involved in the development of strategies and resources to address these challenges. Evidence-based practice alerts must challenge the status quo, and research must determine both the most effective and efficient mechanisms for caring for critically ill patients.

As decisions are made that affect bedside nurses, critical care leaders must ensure those very nurses are actively involved in discussions and decisions about how to restructure critical care nursing practice at the point of patient care.

Kathleen M. Stephens, RN, MSN, CCRN
RN Educator
St. Anthony’s Medical Center
St. Louis, MO

Experience and Activities

Chapter Membership
• Greater St. Louis Chapter, 1981-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Fall Board Advisory Team, 2005
• AACN Ambassador, 2002-Present
• Greater St. Louis Chapter, Past President, 2004
• Greater St. Louis Chapter, Director, 2005-Present
• Greater St. Louis Chapter, PR Committee Chair, 2002-Present
• Integrated AACN materials including ECCO, Practice Alerts, Protocols and publications in critical care courses
• Integrated the Healthy Work Environment Standards into Team Building and Communications classes
• Conducted research and presented on Healthy Work Environments as part of master’s program coursework

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Society of Critical Care Medicine, Member, 2004-Present
• National Nursing Staff Development Organization, Member, 2006-Present
• Sigma Theta Tau International, Member, 2007-Present
• American Heart Association, BLS Training Center Faculty and ACLS Instructor, 1990-Present

Issues Statement
I believe that End-of-Life Care is a serious issue in critical care nursing today. We have the technology and capability to prolong life more than ever before. Nursing and medicine have traditionally been focused on saving and preserving life at all costs. We now find ourselves in the position of not just asking ourselves “can” we do this, but “should” we do this. More importantly, it is our patients and their families who should be asking this question. We are obligated as critical care nurses to provide optimal care not only in life-saving procedures, but also in end-of-life practices.

There are many differing beliefs medically, ethically, legally, financially and theologically to consider. Educating ourselves on end-of-life issues is important in improving our understanding of the many issues involved. From a clinical standpoint, much research has been done and is ongoing in this area. Keeping ourselves current on evidence-based practice that provides a framework from which to work is important. Our patients expect that we are knowledgeable about all aspects of their care. It is a wonderful privilege to care for our patients at the end of their lives. We have the opportunity to tremendously impact that process for them and their families. It should not be acceptable to expect less than excellent care at this time in their lives.

Many nurses feel ill-equipped to deal with end-of-life care. AACN recognizes this and provides wonderful resources to inform and enrich critical care nurses. It is important for AACN to continue to champion this issue. The critical care community looks to us to take the lead with important issues that impact our delivery of healthcare to our patients. As an organization we should continue to look beyond the walls of the ICU, especially in regard to this issue.

Mary Bylone, RN, MSM, CCRN
Assistant Vice President, Patient Care Services
Patient Safety Officer
The William W. Backus Hospital
Norwich, CT

Experience and Activities

Chapter Membership
• Southeastern Pennsylvania Chapter, 1995-Present
• South Central Connecticut Chapter, 2006-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Southeastern Pennsylvania Chapter, President, 2004-2005
• Southeastern Pennsylvania Chapter, Initiated the Grants for New AACN Chapters Program
• Southeastern Pennsylvania Chapter, with the Board developed Scholarship Matching Fund Challenge for AACN Scholarship Fund
• Chapter Adviser, Region 1, 2006-Present
• Board Advisory Team
• Awards Review Panel
• E-learning Essentials of Nurse Manager Orientation (ENMO), Subject Matter Expert
• Board Community Liaison
• Multiple speaking engagements on topics including Healthy Work Environments and Beacon
• Integrated Healthy Work Environment Standards into hospital performance appraisal system
• AACN Advanced Critical Care, Editorial Board and Column Editor

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Contributing Author, AACN’s e-learning product Essentials of Nurse Manager Orientation (ENMO)
• Frequent lecturer at local, regional and national conferences on topics including Leadership, Human Resource Management, Patient Safety and Regulatory Compliance
• Regional Advisory Board, Advance for Nurses Magazine
• Member, American Organization of Nurse Executives
• Guest lecturer, University of Connecticut and Three Rivers Community College

Issues Statement
The publishing of the “AACN Standards for Establishing and Sustaining Healthy Work Environments” set the stage for every critical care nurse to look closely at their workplace to find evidence of these standards or identify opportunities for improvement. When I read the standards, I realize that having these six standards and the critical elements in place is equal to safe patient outcomes. But long before the standards impact the patient, they impact the nurse. Nurses cannot provide safe patient care or realize their professional worth when they are working in environments that lack any one of the standards. It’s not a matter of which standard is most important. I would argue that a workplace missing any one of the six standards places both the patient and the nurse at risk for harm. What do these units look like? These are units where disruptive behavior is tolerated, where nursing’s professional contribution is not valued, where nurses are not provided adequate resources, where they rarely get recognized for their contributions to positive outcomes, where they are absent at the table when decisions that govern their practice are made and where leadership is non-apparent. Currently, it is still the decision of the organization’s leadership as to whether a unit has the six standards in place. As a professional organization and recognized standard setter, we need to ensure that these important standards are not negotiable. AACN’s work on the Healthy Work Environment must be embraced and instituted in every healthcare organization. Several other professional and regulatory agencies are already beginning to see the benefits of this work by our national board. My goal as a board member would be to continue to advance the adoption of these standards because I believe every nurse deserves to work in a healthy environment.

Natalie Correll-Yoder, RN, MN, CCRN, CCNS
Critical Care Clinical Nurse Specialist
Queen of the Valley
Medical Center
Napa, CA

Experience and Activities

Chapter Membership
• Napa Valley Chapter 2004-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• AACN Nominating Committee, 2004-2005
• ECCO Review Panel, 2006-2007- Participated in development of ECCO 2.0 course outline
• Led chartering of the Napa Valley AACN Chapter, 2004
• Napa Valley Chapter, President, 2004-2006
• Napa Valley Chapter, Education Committee Chair, 2006-2007
• Napa Valley Chapter Secretary, 2007-2008
• Clinical solution poster Help Stop Moral Distress, Using the 4 A’s NTI 2006 - trialed the AACN Moral Distress intervention tool in a progressive care setting to assist staff with addressing their moral distress

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Co-Chair Physician Bioethics Consultation Team/Committee
• Lead - Patient Rights and Responsibilities Joint Commission Preparation Team
• Co-Lead Implementation of Ventilator Associated Pneumonia Initiative
• Board Member – North Bay Health Education Network
• Critical Care Course Instructor for American Health Education Corporation in Dublin, Calif. and for EduCare, Inc., Santa Rosa, Calif.

Issues Statement
In many critical care settings, nurses are caring for extremely sick patients and their families often without the support and collaboration of other members of the healthcare team. Patients not always well informed about their illness are unable to completely understand the complexity or severity of their illness. Patients who cannot speak for themselves often count on their family members to advocate for their needs. Family members seek accurate and complete information about their loved one and agonize over making the right decision for the patient. The critical care nurse cares for the patient and the family, while at the same time attempting to collaborate with multiple healthcare providers. At times the nurse may feel that the patient’s voice is not being heard, that the family is advocating for their own needs, or that the physician is not listening to the patient or the family. Critical care nurses don’t always agree with the decisions that are made in the care of the patient. Regardless of the situation, the critical care nurse can become overwhelmed, resulting in feelings of frustration, anger or resentment. These feelings can result in moral distress and can wear the critical care nurse down and diminish his/her ability to provide good patient care. I believe that critical care nurses need support in managing the challenges as they advocate for patients. They need emotional, spiritual and environmental support to ensure that they have the tools to care for the critically ill patient. The knowledge and competence of the critical care nurse must be respected and trusted by our professional colleagues. True collaboration with mutual respect and skilled communication results in critical care nurses feeling valued and acknowledged for the difference they make in the lives of patients and families.

Kathryn E. Roberts, RN, MSN, CRNP, CCRN, CCNS
Clinical Nurse Specialist – Pediatric Intensive Care
The Children’s Hospital of Philadelphia
Chadds Ford, PA

Experience and Activities

Chapter Membership
• Southeastern Pennsylvania Chapter, 1993-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Reviewer, Critical Care Nurse, 2008-Present
• NTI Work Group, 2006-2007
• AACN Nominating Committee, 2005-2006
• Continuing Education Article Review Panel, 2001-Present
• AACN Ambassador
• Presenter for Trends in Critical Care Nursing Pediatric CCRN Review, 2001-Present
• Course Coordinator Pediatric Critical Care Review
• Course at The Children’s Hospital of Philadelphia

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• University of Pennsylvania, Clinical Preceptor
• Widener University, Clinical Preceptor
• Society of Critical Care Medicine, Pediatric APN Committee Co-chair, 2006-2008
• Society of Critical Care Medicine, Nursing Section Advisory Committee, 2007- 2010
• National Registry of Cardiopulmonary Resuscitation, NRCPR User’s Group meeting, Invited Speaker, 2007

Issues Statement
Protecting patients and their families from medical errors continues to be one of the most important issues facing critical care nursing today. Critical care nurses work in fast-paced, high-acuity settings where the potential for errors is always present. Many of the factors that have been associated with an increased risk of errors – inadequate staffing, increased patient acuity, long work hours and caregiver fatigue – are issues that critical care nurses encounter on a daily basis. Numerous government, professional and consumer organizations are appropriately demanding that we identify the factors associated with medical errors. In order for us to achieve this necessary goal, I believe we must improve our ability to capture both potential and actual errors in a timely fashion. Accurate capture is dependent upon the presence of a systematic reporting structure within a transparent, “blame-free” healthy work environment.

Nurses and all other disciplines must believe that they can openly discuss and report potential and actual patient safety incidents without fear of reprisal. Until we have an accurate sense of what actual and potential errors are occurring in critical care settings, we will be unable to effectively identify contributing factors and causes. Unfortunately, many nurses still find themselves reluctant to have these crucial conversations because of fear of reprisal. This situation must change and individuals, institutions and professional organizations such as AACN must champion such change. Changing cultures from one of individual culpability to a transparent, blame-free systems approach requires a great deal of effort and dedication. If critical care nurses are willing to take calculated risks and demand that these changes occur, they will play an integral role in protecting patients from medical errors.

Mary Frances D. Pate, DSN, RN
Assistant Professor, School of Nursing
Oregon Health & Science University
Portland, OR

Experience and Activities

Chapter Membership
• Greater Portland Chapter, 2003-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Member AACN, 1993-Present
• Greater Portland Chapter, Education Coordinator, 2007
• Greater Portland Chapter, Education Coordinator-elect, 2006
• Greater Portland Chapter, Critical Care Symposium Planning, 2004
• Greater Birmingham Chapter, Treasurer, 1998
• NTI Work Group Chair, 2008
• Healthy Work Environment Work Group, 2006
• Pediatric Column Editor, AACN Advanced Critical Care, 2006-Present
• AACN Board Community Liaison, 2005
• CCNS Exam Item Writer, 2005
• NTI Work Group Member, 2004
• Editorial Board, AACN Advanced Critical Care, 2004-Present
• Integrated AACN resources and information into new nurse orientation
• Integrated AACN resources and information into school of nursing courses
• AACN’s Critical Care Nursing Textbook, Section author, Caring for the Pediatric Patient in an Adult Critical Care Unit (in press)
• AACN’s Procedure Manual for Pediatric Intensive Care, Section co-author, Pediatric Sedation, 2008
• AACN’s Core Curriculum for Pediatric Intensive Care, Section co-author, Children and Families in the Pediatric Intensive Care Unit, 2006

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Developing a Curriculum to Prepare DNP Leaders. Co-author, poster presented by fellow author at American Association of Colleges of Nursing - Doctoral Education Conference - January 2007
• Sigma Theta Tau International, 1993-Present
• Nursing Care of the Hospitalized Child, Conference Planning Committee Member, 2005
• Early onset of cerebral salt wasting in a patient with head and facial injuries. Co-author. Journal of Oral & Maxillofacial Surgery. Volume 64, Number 4
• Total Airway Obstruction by a Mucous Plug Relieved With Extreme Positive Pressure: Case Report of a Pediatric Patient. Co-author. Journal of Emergency Nursing, Volume 30, Number 5

Issues Statement
Unhealthy work environments harm both nurses and patients. Too often nurses endure intimidating disrespectful behaviors, and bear the brunt of inadequate staffing, minimal recognition, and inauthentic unit leadership. No nurse says, “I’d like to make a mistake today.” Unfortunately, working in an unhealthy environment increases the incidence of errors.

I envision a future where nurses work in environments that are safe, collaborative and blame free. When nurses work in units where their Bold Voices are used without fear of retribution, care for patients and families is optimized. We must work toward a day when hospitals recognize our newest generation of nurses and give them a voice at the unit, hospital and health system level. I also look forward to a time when nurses are rewarded through annual performance appraisals, career ladders, and promotions for using their Bold Voices as champions of Healthy Work Environments, by managers who nurture such contributions.

Healthy Work Environments don’t just happen, and blind optimism never leads to change. If we keep doing what we’re doing we will only maintain an unacceptable status quo. Blind optimism will not work for us; hope is needed. Hope will give us energy so that we can galvanize around something that is larger than any of us.1 It may be uncomfortable to use our Bold Voices at first, but for things to change, we must move out of our comfort zones.

With AACN’s continued support of this initiative, managers and leaders will build a repertoire of skills so that every nurse can work in a healthy environment. As we individually commit to elevating our own healthy work practices, we can expect the performance of those around us to change. I stand committed to partnering with the membership of AACN as we work toward building Healthy Work Environments together.

1. West, C. Commencement Address Wesleyan University, May 30, 1993.

Candidates gor AACN Nominating Committee

Lisa A. Falcón, MSN, RN, CCRN
Nurse Educator, Surgical Services
Robert Wood Johnson University Hospital
New Brunswick, NJ

Experience and Activities

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Creative Solutions and Abstract Review Panel, 2005, 2006
• Continuing Education Review Panel, 2004-Present
• Research Work Group, 2006
• Utilized AACN Procedure Manual and Practice Alerts for practice and policy development
• Introduced Healthy Work Environment Standards at facility
• Initiated Beacon Journey in facility

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Brookdale Community College of Nursing, Clinical Adjunct Faculty
• Lecture: Geriatric Trauma: Using Evidence for a Safe Practice Environment, 2007
• Critical Care and Oncology Nurses Coping Styles and Attitudes Toward Death, 2006
• Course in Advanced Trauma Nursing, Instructor
• Trauma Nurse Core Course, Instructor

Issues Statement
One issue I think continues to be challenging for critical care nurses is the implementation and utilization of evidence-based practice. AACN already provides wonderful resources, but there continues to be a gap in the process between providing the resources and having them implemented at the bedside. I also believe there has been a shift in care that is driven by regulation. While I fully understand and know that regulatory agencies share the same vision and goal of providing safe patient care, I also believe that if we are delivering care that is patient focused and built upon sound scientific evidence, that the standards and regulations will naturally be met. I and all of my colleagues throughout the nation need to inspire and promote critical thinking and critical inquiry to continue to develop the science behind our care. We need to provide our new nurses with the intellectual tools and experiences they need to develop their critical thinking skills. We need to avoid developing nurses who become masters at delivering care and performing skills without the critical thinking that is essential to holistic patient and family care. I believe AACN should continue not only to provide our nurses with the evidence-based resources, but also attempt to identify and decrease the barriers to utilization. I continue to challenge my colleagues, the nursing students I have the privilege of teaching, and myself every day to look at patients and nursing care with a “critical eye.”

Christine S. Schulman, RN, MS, CNS, CCRN
Trauma & Critical Care CNS / Consultant
Christine S. Schulman LLC
Portland, OR

Experience and Activities

Chapter Membership
• Greater Portland Chapter, 2004-Present
• Puget Sound Chapter, 1996-2005

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Greater Portland Chapter, AACN Fall Symposium, Planning Committee, 2006- 2007
• Greater Portland Chapter, AACN Fall Symposium, Poster Abstract Reviewer, 2006-2007
• Greater Portland Chapter, AACN Fall Symposium, Speaker, 2005-2006
• Greater Portland Chapter, AACN Critical Care Consortium, Instructor, 2004-Present
• Greater Portland Chapter and Carlson Consulting Group, CCRN Review Course Instructor
• AACN Research Work Group, Member, 2004-2005
• AACN Research Work Group, Chair, 2006
• NTI, Speaker, 2005-2007
• AACN Advanced Critical Care, Section editor and chapter author (in press)
• AACN’s Critical Care Procedure Manual, 5th edition, Author, 2006
• AACN’s Acute & Critical Care Nurse Specialists, Author, Synergy for Best Practices, 2007
• Numerous chapter symposiums across the United States, Speaker
• Critical Care Nurse, Manuscript Reviewer
• Ventilator Associated Pneumonia Practice Alert, Reviewer, 2004
• Implementation of Practice Alerts in clinical setting at Providence St. Medical Center, 2004-2006

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Speaker and Faculty Advisor for Eli Lilly regarding care of the patient with Severe Sepsis and Septic Shock
• Speaker at multiple hospital-based trauma and critical care education symposiums at national level
• Society of Critical Care Medicine, member
• Emergency Nurses Association, member
• Preceptor to several CNS graduate students from University of Washington and Oregon Health and Science University Schools of Nursing

Issues Statement
Bringing up the next generation of critical care nurses is essential for excellent patient care and for our professional community. The average age of the bedside nurse today is 47, and all too soon the veterans of our specialty will be handing patient care responsibilities to the next generation. Research has demonstrated that the excellent nurses of the next generation socialize, learn, communicate and commit to work differently than previous generations. Meanwhile, today’s experienced nurses require education and professional support in ways that are meaningful to them. Without AACN’s active participation in bridging the needs of different generations of critical care nurses, our practice could become polarized, dissociated and disorganized, adversely impacting patient care. The countless benefits of belonging to AACN could go unrecognized and critical care nursing could lose the momentum we (and our patients) thrive on. While obviously devastating to AACN and its constituency, a muddled transition could have a disastrous effect on the quality care that our patients and families deserve.

To keep our clinical practice and our organization vibrant, AACN must collaborate with next-generation nurses to explore new technologies for distributing clinical information via meaningful and practical ways. Second, AACN must promote multilevel mentoring programs and advances in communication technology to sustain the professional community, such as chat rooms and Web-based meetings. AACN’s mission to successfully support the practice and professional development of all critical care nurses must also give considered attention to the talents, learning styles and potential of next-generation nurses in order to prepare them for tomorrow’s patient care and professional priorities.

Maggie Carriker, MSN, RN
Staff RN
Spectrum Health – Meijer Heart Center
Grand Rapids, MI

Experience and Activities

Chapter Membership
• West Michigan Chapter, 1993-Present

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Chapter Advisory Team – Region 8 (Michigan/Wisconsin), 2006-Present
• Healthy Work Environment Work Group, 2005-2006
• Awards Review Panel, 2007
• West Michigan Chapter, President, 2003-2004
• West Michigan Chapter, Secretary, 2005-2006
• West Michigan Chapter, Resource and Educational Development Chairperson, 1999-2003
• West Michigan Chapter, Nomination Chairperson, 2004-2005

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Adjunct Faculty – McAuley School of Nursing, University of Detroit-Mercy Bachelor Science Degree Nursing Program, 2003-2006

Issues Statement
One issue affecting critical care nursing today is the necessity to provide a safe environment for all that we encounter. The concept of a safe environment is essential to not only patients and families, but also nurses. As critical care nurses, we have the privilege of entering people’s lives at their most personal and vulnerable moments. Safety includes the provision of evidence-based clinical care and comfort to patients and families. Many changes will be necessary in our healthcare setting to promote optimal patient safety. For example, the IOM suggests more technology and computerization will be a necessary change to decrease errors. Many nurses, especially baby boomers, are not as computer savvy as the healthcare environment requires. To many, AACN is known as the undisputed leader in critical care and the nursing profession. AACN provides clinical content and expertise in all areas of critical care nursing, including the use of technology and its application to bedside care. As a leader in the healthcare community, AACN is at the forefront of promoting and advocating for this essential change in provision of excellent patient care. There are many ways to change, and only one way to stay the same. Avoiding change is clearly not an option. Safe, effective care cannot be delivered in a setting where skilled communication and true collaboration do not exist. As professionals we must continue to identify barriers to provision of safe and effective care. AACN clearly demonstrates a commitment to the provision of a safe patient care environment and promotion of all aspects of Healthy Work Environments. The work that AACN contributes at the local and national level is critical to ongoing patient care excellence. Taking the opportunity to lead and advocate for this essential change is a privilege and a responsibility that we all must assume.

Clinical Nurse Specialist
St. Luke’s Hospital of Kansas City
Lenexa, KS

Experience and Activities

Chapter Membership
• Greater Kansas City Chapter

AACN Commitment and Involvement in the past 3 years
Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable
• Greater Kansas City Chapter, President-elect, 2005-2006
• Greater Kansas City Chapter, President, 2006-2007
• President’s Award for Chapters recipient, 2007
• Greater Kansas City Chapter, Annual Symposium Planning Committee, 2000-Present
• Greater Kansas City Chapter, Speaker, Certification Review and Critical Care Course
• AACN Ambassador, 2005-Present
• Board Advisory Team, 2004-2005
• NTI Speaker, 2004-2005
• Integration of Acute and Critical Care Standards into job-specific expectations and clinical ladder
• Incorporated evidence-based practice guidelines into practice policies

Five Key Professional Activities outside AACN in the past 3 years
Includes involvement with other professional organizations, teaching and/or speaking engagements
• Society of Critical Care Medicine, Member, 2005-Present
• American College of Cardiology, Member, 2006-Present
• American College of Cardiology, Annual Scientific Conference Planning Committee
• Authored “Drugs Used in Intensive Respiratory Care;” Management of the Mechanically Ventilated Patient, 2006, 2nd edition by Pierce, L.N.B.
• Authored “Acute Coronary Syndrome;” Critical Care Nursing Certification, 2006, 5th edition by Ahrens, T.S., Prentice, D. & Kleinpell, R.M.

Issues Statement
I believe that one of the most important issues affecting critical care nursing today is the loss of critical thinking in the midst of regulatory oversight. I view the regulatory standards (e.g., fall risk assessment, medication reconciliation) as I believe they are intended; to provide better patient care and patient safety. Unfortunately, institutions’ implementation of these regulatory standards has created tasks and checklists that limit the expertise of the critical care nurse to meet the individual needs of the patient. These checklists have limited critical thinking and increased non-value-added work for the nurse rather than value-added interventions. Last, the method institutions are using to review their staff focuses on the completion of the task and little on the outcome of the patient. Punitive methods are used to enforce practices. An example of this is zero tolerance for mislabeled specimens whereby the nurse has to attend an 8-hour class if a specimen is mislabeled. I believe that AACN has begun to address this with the Healthy Work Environment initiative. I would like to see empowerment of nursing staff to solve the issues identified by regulatory agencies. I would like to see specific guidelines on implementation of best practices other than documentation and measurement of outcomes related to these regulatory standards. I think AACN with its wealth of knowledge and experience could lead this much-needed change in critical care nursing.

Members on the Move

Susan Yeager, MS, RN, CCRN, ACNP, former AACN board member, moderated the first Neurocritical Care Society (NCS) Nursing Roundtable in Las Vegas, Nev. and was appointed chairperson for the NCS Nursing Committee.

Janet Cuddigan, RN, PhD, CWCN, was appointed chairwoman of the Adult Health and Illness Department at the University of Nebraska Medical Center’s College of Nursing.
Kari Ford, RN, BSN, was promoted to clinical resource nurse educator of the Pediatrics ICU at Mercy Children’s Center, Des Moines, Iowa.
Jeri Ray, RN, BSN, CCRN, was promoted to unit nursing director of Pediatrics and the Pediatrics ICU at Mercy Children’s Center, Des Moines, Iowa.
Jackie Medland, RN, PhD, was appointed CNO and vice president of patient services at Provena St. Joseph’s Medical Center in Joliet, Ill.

Edna Cadmus, RN, MSN, received a Diva and Don Award from The Institute for Nursing (the charitable affiliate of the New Jersey State Nurses Association). The award is presented annually to individuals who have made contributions to nursing excellence.

Rhonda Moore, RN, PCCN, MSN, MBA, FACHE, was recently inducted as a fellow of the American College of Healthcare Executives.

Christine Kessler, RN, MN, ANP, ADM-BC, received the Army’s Civilian Achievement Medal for attaining one of the highest patient satisfaction ratings among Army medical providers. This is her second medal in two years. She also received a special commendation from the Surgeon General and was awarded the Coin of Excellence.

AACN Members Honored by American Academy of Nursing

Eight AACN members, including two former AACN board members, have been inducted into the American Academy of Nursing in recognition of their accomplishments within the nursing profession.They are:

Richard B. Arbour, RN, MSN, CCRN, CNRN, is a critical care clinical nurse specialist at Albert Einstein Medical Center, Philadelphia, Pa. His focus is neurologic critical care, sedation/pain management and palliative care, as well as identification and clinical management of the potential organ donor. His numerous publications, which have been cited as references throughout professional literature more than 115 times, have become part of nursing’s body of knowledge.

Diane L. Carroll, RN, PhD, APRN-BC, FAHA, is the Yvonne L. Munn nurse researcher at the Yvonne L. Munn Center for Nursing Research at Massachusetts General Hospital, Boston. She has made noteworthy contributions to cardiovascular nursing research with two NINR-funded intervention studies in older, unpartnered cardiac adults. She has mentored a number of clinical nurses by instilling a spirit of inquiry, inspiring nurses to answer questions generated at the bedside, publishing research findings and fostering evidence-based nursing care.
Joanne R. Duffy, RN, DNS, PhD, CCRN, is a tenured associate professor at Catholic University of America, Washington, D.C. She is best known for her leadership in maximizing patient outcomes. She was recognized for her work as a member of the multidisciplinary team for the national APACHE study of outcomes from intensive care. In addition, she designed the Caring Assessment Tool in multiple versions and the Quality-Caring Model, which integrates the relationship-centered nature of nursing with the evidence-based culture of modern-day healthcare.

Roberta A. Fruth, RN, MN, PhD, CNAA, is a domestic and international consultant with Joint Commission Resources. She practiced as a clinical nurse specialist for 20 years and has a compelling record of leadership in the workplace and in professional nursing organizations, including as a former AACN board member. Through her early activities in the Northwest Chicago Area Chapter of AACN, Fruth established mentoring leadership activities. In addition, she is a founding member of the Illinois Coalition for Nurse Resources.

Bradi L. Granger, RN, CNS, PhD, FAHA, is a clinical nurse specialist at Duke University Health System and faculty member at Duke University School of Nursing. She facilitates clinical nursing research by helping nurses think differently about their practice using a unit-based, team-centered model. Her own research focuses on improving patient adherence to heart failure treatment regimens, and has shown how nursing interventions to improve adherence can decrease mortality and hospital readmissions.

E. Janie Heath, PhD, ACNP, ANP, APRN-BC, a former AACN board member, is associate dean of Academy Nursing Practice at The Medical College of Georgia School of Nursing and director of Clinical Operations for The Medical College of Georgia’s Tobacco Cessation Program. She provides national leadership for developing and studying tobacco control initiatives. These contributions have resulted in funded research, education programs and practice guidelines. As a clinical expert, she has advanced professional nursing practice and legislative forums as a vocal and effective advocate for tobacco control. Heath is known for her mentorship, leadership and innovation in acute and critical care and as a pioneer leader of the ACNP Program at the University of South Carolina and Georgetown.

Jacqueline M. McGrath, RN, PhD, NNP, NP, is an associate professor in the School of Nursing at Virginia Commonwealth University. As a neonatal nurse researcher and practitioner, she is best known for her leadership in the integration of family-centered developmental interventions. McGrath co-edited “Developmental Care for Infants and Newborns: A Guide for Health Professionals,” the first interdisciplinary book related to the integration of developmental care. It has been translated into other languages and is being used to guide practice worldwide. This work also led to the establishment of the Developmental Care Credential through the National Association of Neonatal Nurses.

Carol Ann Reineck, RN, MA, PhD, CNAA, is chair of the Department of Acute Nursing Care, the Amy Shelton and V.H. McNutt professor in honor of nurses of the Armed Forces, and associate professor at the University of Texas Health Science Center, San Antonio School of Nursing. She advanced from private to colonel and chief nurse executive of the worldwide U.S. Army Medical Command before moving to academia after 31 years with the military. Reineck is a CCRN-Alumnus.

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AACN and JCR Co-sponsor Webinars on Reducing Medical Errors

Reducing Medical Errors is the topic for a series of online programs co-sponsored by AACN and Joint Commission Resources (JCR). The series, consisting of three 90-minute programs, is scheduled for June. Each offers CE credit.

The schedule is:
June 10 – Joint Commission 2008 National Patient Safety Goals
June 17 – Mistake-proofing Healthcare
June 24 – Ensuring Reliable Care

Presenting on behalf of AACN is Patricia R. Ebright, RN, DNS, associate professor at Indiana University School of Nursing. Ebright’s healthcare experience includes 37 years as a registered nurse, with the first 28 years working as staff nurse, nurse manager and clinical nurse specialist in acute care hospital settings. Her research focus is centered on healthcare provider decision making in the context of actual care situations, and toward increasing understanding of the influence of work complexity on patient safety and quality of care. She was a member of the first Patient Safety Leadership Fellowship class sponsored by the National Patient Safety Foundation and consults with healthcare organizations and schools of nursing on patient safety and nursing work complexity. Her current research on RN stacking is funded by the National Patient Safety Foundation.

Presenting on behalf of JCR is consultant Roberta Fruth, RN, MN, PhD, FAAN, a former AACN board member. Fruth has a strong background in practice, education, research and leadership. She was a clinical nurse specialist and leader in critical care for 20 years at Rush Medical Center. Her leadership positions within practice settings led to a position as chief nurse executive.

The series is the second of three on which AACN and JCR have partnered in 2008. A third topic, Palliative and End-of-Life Care, is scheduled for Oct. 7 (Palliative Care Isn’t Just End-of-Life Care), Oct. 14 (Family Presence in Critical Care) and Oct. 21 (End-of-Life Care). Presenting are, on behalf of AACN, (Oct. 7) Patsy Treece, RN, MN, a critical care research nurse with the Division of Pulmonary and Critical Care at the University of Washington, and (Oct. 14 and 21) J. Randall Curtis, MD MPH, FCCP, professor of medicine at the University of Washington and director of the Harborview/UW End-of-life Care Research Program. Presenting on behalf of JCR is consultant Beth Glassford, RN, MS, MHA, CHE, a former member of the AACN Certification Corporation Board of Directors.

Register for this program now by visiting the JCR Web site at www.jcrinc.com. Cost is $249 per webinar or $600 for all three topics within a series..

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Celebrate Critical Care
May Is National Critical Care Awareness and Recognition Month

Meaningful recognition is one of the key elements of a healthy work environment, and there’s no better time to emphasize its importance than National Critical Care Awareness and Recognition Month in May. The long-standing designation represents a partnership among AACN, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine and American Association for Respiratory Care. The observance is an excellent time to pause to celebrate and recognize the dedication and commitment that acute and critical care team members demonstrate every day to their patients and their patients’ families.

When Meaningful Recognition was suggested as a standard for the AACN Standards for Establishing and Sustaining Healthy Work Environments, AACN experts explored in depth what that means. In researching what makes recognition meaningful, we learned that what many nurses value most is support for their professional development. For this reason, AACN encourages employers to examine their support for programs such as continuing education, nursing certification and tuition for higher education, and to engage nurses in a dialogue about what they believe constitutes meaningful recognition.

Here are some other suggestions for celebrating National Critical Care Awareness and Recognition Month:
• Formally recognize members of your critical care team. Take a few minutes out of your day, each day, to praise your colleagues for their dedication to caring for acutely and critically ill patients. Recognizing each other may be the most meaningful acknowledgment of all. Use the recognition certificate created by former AACN board member John Dixon and available at www.aacn.org > Healthy Work Environments > Resources > Literature & Learning > Recognition Certificate.

• Become an acute and critical care ambassador. It’s very common for patients and their loved ones to be uncertain about what acute and critical care means. By teaching them about acute and critical care, what acute and critical care practitioners do, and what it means for someone to be under the care of an acute or critical care nurse, you will be establishing an understanding that will be beneficial to the patient, the patient’s family and you.

• Nominate a colleague for an AACN Circle of Excellence Award. Highlighting their contributions will also be an inspiration to others.
• Set an example. Share your experiences with new nurses so they learn more about acute and critical care. Make a donation to the AACN Scholarship Endowment, which advances the art and science of acute and critical care nursing and promotes nursing professionalism. The scholarships support AACN members who are registered nurses completing a baccalaureate or graduate degree program in nursing.
• Give recognition gifts in concert with larger gestures such as those suggested above. AACN offers a vast array of products and services designed to serve the needs of acute and critical care nurses as they strive to provide optimal patient care. Consider these suggestions for recognizing your acute and critical care nurses, or browse our Online Bookstore at www.aacn.org > Bookstore for other ideas.
• Give AACN membership as a gift. AACN membership has many distinct advantages: discounted registration to the annual National Teaching Institute & Critical Care Exposition, discounted prices on products, certifications, subscriptions to AACN News, Critical Care Nurse and American Journal of Critical Care, and much, much more. Visit www.aacn.org > About AACN > Membership to buy a one-year membership for a nurse or another colleague.

• Give practice resources as a gift. Visit the AACN Online Bookstore to check out the range of products offered exclusively to meet the needs of acute and critical care nurses. Visit www.aacn.org > Bookstore to see what’s available.

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Bookstore Corner


New Multimedia Audiovisual
Presentations on CD-ROM
Expand your clinical resource library with these all-new, cutting-edge and very affordable topics. Each E-Resources CD-ROM provides more than one hour of content. Site license versions are also available by calling (800) 394-5995, ext. 361.
BONUS: In addition to the multimedia program, you’ll receive the MP3 audio version at no extra charge.

Boomers, Xers, & Nexters: How to Retain, Manage and Educate Them
This multimedia audio/video presentation provides valuable insight into all segments of the multigenerational workplace; the generations of Baby Boomers, Generation Xers and Nexters. The program offers techniques and tips on educational strategies for a multigenerational staff.
Product #190025 $22 member, $25 nonmember

Chaotic Inflammatory Response to Trauma
This multimedia audio/video presentation explores the multiple inflammatory processes following trauma. Presented is a thorough review of the inflammatory responses seen with burn injuries and a review of case studies to illustrate key points of the presentation.
Product #190026 $22 member, $25 nonmember

Transfusion-Related Acute Lung Injury in the ICU
This multimedia audiovisual program will increase awareness among critical care nurses of the potential hazards of transfusion-related acute lung injury (TRALI). As the guardians of hemotherapy in the acute care setting, critical care nurses will learn how to quickly recognize TRALI and implement strategies that will ensure the best outcome for the patient.
Product #190029 $22 member, $25 nonmember

Update on the Pharmacotherapy of ICU Sedation
This multimedia audiovisual program provides an update on issues surrounding the optimal pharmacotherapy of the agitated critically ill patient. The presentation shares factors that promote anxiety, characteristics of an ideal sedative, drugs currently in use for anxiety and agitation, monitoring techniques, guidelines and much more!
Product #190030 $22 member, $25 nonmember

Strategies for CNSs: Staying Afloat in a Sea of Multiple Demands
This multimedia audiovisual presentation is targeted toward the CNS role and presents strategies for balancing multiple responsibilities while maintaining clinical expertise. You’ll learn how to identify and overcome barriers that impede your performance as a CNS, and learn strategies to enhance professional satisfaction in your CNS role.
Product #190027 $22 member, $25 nonmember

The Rust of Life: Impact of Anxiety on Critically, Acutely, and Chronically Ill Cardiac Patients
This multimedia audio/video presentation will present findings of the intensity of anxiety of critically, acutely and chronically ill cardiac patient groups. Gender differences in the expression of anxiety are also discussed, and the impact of anxiety on clinical outcomes in cardiac patients as well as interventions to decrease anxiety are presented.
Product #190028 $22 member, $25 nonmember

Confronting Difficult Situations and Bad Behaviors
This multimedia audio/video presentation defines the concept of crucial confrontations and the consequences of not confronting broken promises, violated expectations and bad behavior. Case studies are presented to model effective confrontation of difficult situations and behaviors. You’ll gain an understanding of communication tools and personality preferences that will provide valuable insights to maintain safety, create accountability and move to action.
Product #190031 $22 member, $25 nonmember

Monthly Super Savers

Super Saver prices are valid through May 31, 2008. All orders must be received or postmarked by May 31 to be eligible for the Super Saver price.
Emergency Nursing Secrets, 2nd Ed. (#128657)
Part of the Nursing Secrets Series, “Emergency Nursing Secrets,” 2nd Edition is written in a question-and-answer format, providing concise information in an easy-to-use layout. This comprehensive resource is designed for both new and experienced emergency nurses and provides a wealth of helpful “pearls” or “secrets” of practice. Logically organized for quick access to key information, this book is divided into four main sections: Practice Topics, Chief Complaints, Trauma Care and Special Populations.
Regular Price
Member $40.85, Nonmember $42.95
Super Saver Price
Member $36.95, Nonmember $39.95

Trauma Nursing Secrets, Questions and Answers Reveal the Secrets to Safe and Effective Trauma Nursing (#128638)
This book covers trauma nursing from the pre-hospital phase to the trauma resuscitation area, and follows the patient into the intensive care unit and then into rehabilitation. Written in a question-and-answer format, sample topics are Forensics in Trauma, Thoracic Trauma and Trauma During Pregnancy.
Regular Price
Member $37.95, Nonmember $39.95
Super Saver Price
Member $33.50, Nonmember $37.75

Transplantation Drug Manual, 4th Ed. (#100173)
This manual is an excellent resource for nurses who work with transplant patients. The format is easy to use and gives excellent rationales for use of long-term vs. short-term medications for successful transplantation.
Regular Price
Member $42, Nonmember $45
Super Saver Price
Member $38.50, Nonmember $42.50

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AACN Bookstore at NTI

Planning to attend NTI in Chicago this year? Be sure to visit the AACN Bookstore. No matter what you’re looking for, chances are you’ll find it at the AACN Bookstore, the largest critical care bookstore in the nation, with hundreds of resource books, products and souvenirs. The bookstore is located in the Resource Center, where you can also find out about AACN’s many other products and services including acute and critical care nursing
certifications offered by AACN Certification Corporation.

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Bookstore 2008 Catalog Available

Sporting a new size and title, the AACN Bookstore 2008 catalog (formerly the AACN Resource catalog) is now available.
Inside, you’ll find the latest clinical references and educational products designed to make delivering quality patient care easier for nurses who care for acutely and critically ill patients. All of these resources have been carefully reviewed and endorsed by AACN, the standard setter in acute and critical care nursing. Included in the almost 300 books, audio CDs, videos and Web resources are more than 40 new products or new editions, many offering CE credit. It’s everything you need to update your personal or unit library.
AACN members should receive the catalog in a few weeks. If you don’t receive your copy, call (800) 899-2226 or e-mail info@aacn.org.
Be sure to visit the AACN Online Bookstore at www.aacn.org/bookstore for more products and resources you can order anytime, including AACN and AACN Certification Corporation recognition products to wear or display to show your dedication to quality patient care. Visit the bookstore often for monthly specials and closeouts, announcements of new products and the most up-to-date pricing.

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AACN Thanks Its Donors for Their Generosity

$145,000 and Above
The Estate of Linda J. and Thomas A. Krausz–includes gifts made In Memory of Linda J. and Thomas A. Krausz

$5,000 - 7,500

$1,000 - 4,999
Allina Health System Includes gifts made In Honor of Mary Fran Tracy, Connie Barden Includes gifts made In Memory of Jessica Palmer, Debbie Brinker , Marianne Chulay–Includes gifts made In Memory of Jessica Palmer, Karen Cuipylo, Fairbanks North Star Chapter-AACN–Includes gifts made In Honor of Julie Miller, Wanda Johanson–Includes gifts made In Honor of Janet Marvin and In Memory of Jessica Palmer, Nancy Molter–Includes gifts made In Honor of the nurses at the Army Burn Center, Northwest Chicago Area Chapter-AACN–Includes gifts made In Honor of Roberta Kaplow and Mary Fran Tracy, Teryl Schawk–Includes gifts made In Memory of Joan Butera, Seated Massage Professionals, Maria Shirey, South Central Connecticut Chapter-AACN–Includes gifts made In Honor of Denise Buonocore and Caryl Goodyear-Bruch, Southeastern Pennsylvania Chapter-AACN–Includes gifts made In Honor of Dave Hanson and Mary Fran Tracy, Tri-City Hospital District–Includes gifts made In Honor of Ramon Lavandero, UMass Memorial Medical Center–Includes gifts made In Honor of Richard Irwin and Kathy McCauley, West Michigan Chapter-AACN–Includes gifts made In Honor of Dave Hanson and Mary Fran Tracy

$500 - 999
Atlanta Area Chapter-AACN–Includes gifts made In Honor of Roberta Kaplow and Mary Fran Tracy, Denise Buonocore, Coast to Coast Chapter-AACN–Includes gifts made In Honor of Mary Fran Tracy, John Dixon, Kathleen Dracup, Elsevier–Includes gifts made In Honor of Kristine Peterson, Gannett Healthcare Group–Includes gifts made In Honor of Wanda Johnson, Geisinger Health Systems–Includes gifts made In Honor of Debbie Brinker, Greater Austin Area Chapter-AACN–Includes gifts made In Honor of Julie Miller, Greater Cincinnati Chapter-AACN–Includes gifts made In Honor of Dave Hanson, Greater Kansas City Chapter-AACN–Includes gifts made In Honor of Dave Hanson and Mary Stahl, Greater Milwaukee Area Chapter-AACN–Includes gifts made In Honor of Dave Hanson, Greater Memphis Area Chapter-AACN–Includes gifts made In Memory of Penny Tice and Mary Fran Tracy, Greater Phoenix Area Chapter-AACN–Includes gifts made In Honor of Mary Fran Tracy, Greater Richmond Area Chapter-AACN–Includes gifts made In Honor of Mary Fran Tracy, Greater Rochester Finger Lakes Chapter-AACN–Includes gifts made In Honor of Debbie Brinker, Greater Twin Cities Area Chapter-AACN–Include, gifts made In Honor of Mary Fran Tracy, Mary Holtschneider, Inland Northwest Chapter-AACN–Includes gifts made In Honor of Debbie Brinker, The Joint Commission–Includes gifts made In Honor of Denise Buonocore, Kathy McCauley, Monticello Chapter-AACN–Includes gifts made In Honor of Mary Fran Tracy, Jodi Mullen, Northern New Jersey Chapter-AACN–Includes gifts made In Honor of Mary Fran Tracy, Palm Beach County Chapter-AACN–Includes gifts made In Honor of Dave Hanson, Presbyterian Hospital of Plano–Includes gifts made In Honor of Dave Hanson, Redwood Empire Chapter-AACN–Includes gifts made In Honor of Debbie Brinker, San Antonio Chapter-AACN–Includes gifts made In Honor of Dave Hanson, San Francisco Chapter-AACN–Includes gifts made In Honor of Dave Hanson, South Bay Chapter-AACN, South Central Alaska Chapter-AACN–Includes gifts made In Honor of Janice Wojcik, Mary Fran Tracy, University of Delaware–Includes gifts made In Honor of Dave Hanson

$250 - 499
AACN–Includes gifts made In Honor of Beth Hammer, Randy Bauler, Nancy Blake, Linda Bucher, Carolyn Caldwell, Chesapeake Bay Chapter-AACN–Includes gifts made In Honor of Dave Hanson, Beth Glassford, Greater East Texas Chapter-AACN–Includes gifts made In Honor of Mary Stahl, Greater Louisville Chapter-AACN, Carol Hartigan–Includes gifts made In Memory of Mary Alice Hartigan, Mindy Hecker, Beth Martin, Nancy Muzzy, Elizabeth Nolan–Includes gifts made In Honor of Wanda Johnson and In Memory of Jessica Palmer, Northwest Washington Evergreen Chapter-AACN–Includes gifts made In Honor of Debbie Brinker and Mary Ann Daly, Kristine Peterson–Includes gifts made In Honor of The Critical Care Nurses of Methodist Hospital, Park Nicollet, Jan Teal–Includes gifts made In Honor of Jan Teal, Cynthia Tulka, Deborah Williams–Includes gifts made In Memory of Paul and Dorothy Zorilo, Janice Wojcik

$100 - 249
Nancy Albert, Betty Alsup, Marian Altman, Hal Augsburger, Jane Bareng-Werner, Anka Barsano, Thomas Bleck, Ingrid Bloomfield–Includes gifts made In Memory of Arthur Bloomfield, Marilynn Boedicker-Benson, Denise Bonura-Henry, Patricia Brennen-Anandarao, Elizabeth Bridges, Masako Bridges, Sherry Brown, Jean Buckland, Diane Carroll–Includes gifts made In Memory of Eleanor M. Ellard, Judith Casellas, Bertie Chuong, Patricia Crepps, Dartmouth-Hitchcock Medical Center–Includes gifts made In Honor of Denise Buonocore, Marie Anne de Roos–Includes gifts made In Memory of Col. Ramón A. & Josephine B. Lavandero, Tiara Ellisen, Barbara Emrath, Elaine Fellows, Ellen French, Roberta Fruth, Marjorie Funk–Includes gifts made In Memory of Dorothy L. Sexton, Deborah Gilbert, David Grant, Grays Harbor Comm Hospital–Includes gifts made In Honor of Debbie Brinker, Greater Long Beach Orange County Chapter-AACN, Greater Reading Chapter-AACN, Debby Greenlaw–Includes gifts made In Memory of Jane Riggin, Todd Grivetti, Beth Hammer, Gerard Hannibal, William Harpel, Susan Helms, Louise Honiss, Cynthia Janacek, Donna Jensen, Thelma Jutare-Cerwin–Includes gifts made In Memory of Tim White, Lois Kirkwood–Includes gifts made In Memory of Jim Kirkwood, Jennifer Kremer, Yoon Kyoung Tiffany Kwak, Joanne LaQuaglia, Ramon Lavandero–Includes gifts made In Memory of Christopher Karb and Dorothy Marie Gonce, Catherine Liebau, Paula Lusardi–Includes gifts made In Honor of Amy Albano, Barbara Marshall, Martinez, Martie Mattson, Dorothy Meehan, Metropolitan Orlando Chapter-AACN, Linda Miller, Kathleen Moon, Peggy Morehouse, Karen Muench, Janet Mulroy–Includes gifts made In Memory of Penny Tice and In Honor of The Volunteers of the Greater Memphis Area Chaper-AACN, Robin Myran, Susan Ohnmacht, Margaret Okorodudu, Olathe Medical Center–Includes gifts made In Honor of Mary Stahl, Old Salem Chapter-AACN–Includes gifts made In Honor of Susan Helms, Pacific Crest Regional Chapter-AACN, Diane Pemberton, Pioneer Valley Chapter-AACN, Rosemary Powell, Carol Puz–Includes gifts made In Memory of Jessica Palmer, Kevin Reed, Marjorie Ryan, San Fernando Valley Chapter-AACN, Mileva Saulo Lewis, Ann Schertz, Rose Shaffer, Judith Sherman, Smoky Mountain Chapter-AACN–Includes gifts made In Honor of Leanna Miller, South Carolina Mid State Chapter-AACN–Includes gifts made In Honor of Debby Greenlaw, Mary Stahl, Tennessee Valley Chapter-AACN, Denise Thornby, Rebecca Thurn–Includes gifts made In Memory of Alton Thorson, Editha Wickerham, Clareen Wiencek, Michael Williams, Bernice Williams-Winslow

$50 - 99
Glen Au, Michele Avila-Emerson, Susan Bailey–Includes gifts made In Memory of Renita Rhyan, Catherine Baldwin, Sarah Barlow, Shirley Beale, Linda Bell, Karen Bethel Kinimaka, Pamela Bolton, Daphne Bramble, Maureen Burger, Janice Burguess, Susan Butler, Debra Byram, Richard Calvert, Ellen Ciccarillo-Clarke, Bernadita Cornelio, Adalia Cruz, Dallas County Chapter-AACN, Chelley D'Amato, Lori Dellinger, Shirelle Dickinson, Susan Dirkes, Nida Dumantay, Evelyn Easter, Brenda Estes, Judith Evanoff, Elaine Fetzer–Includes gifts made In Honor of Deb Esmon and In Memory of Renita Rhyan, George Fox, Lori Goler, Caryl Goodyear-Bruch, Kristine Grenier, Patricia Griffith, Naomi Gumienny, Cathleen Guzzetta, Heart of the Piedmont Chapter-AACN–Includes gifts made In Honor of Mary Holtschneider, Mairead Hickey, Sharon Irving, Debbie Jessell, Edna Keller, Kristine Kelly, Raymond Kronenbitter, Mary Lough, Jill Lucca, Mildred Madsen, Corinne Manning, L. Margaret Martin, Carol McClellan, Tonia McCoy, Yvonne McKenna, Melanie Meadows, Susan Meintel, Linda Miers, Sharon Millan, Julie Miller, Mobile Bay Area Chapter-AACN, Ann Moran, Patricia Gonce Morton, Mignon Muirhead, Nancy Murray, Theresa Murray, Heidi Nelson, Esther Nickols, Northeast Indiana Chapter-Chapter, Mary O'Brien, Joan O'Brien, Stephanie Osborne, Linda Parks, Anne Perry, Ronelyn Pisuena, Keith Plant, Helen Psaltis, Kathleen Puntillo, Carminie Ramlal, Mary Ratner, Anne Read, Ruth Richards, Mary Ross, Patricia Ross, Anne Ruppert, Rebecka Ryan, Heather Sabatini, Florentino Salvacion, Cheryl Sarna-Marlow, Nancy Seidel, Mary Shanahan, Mary Singleton, Lisa Smith, Pamela Smithson, Una Smyth, Claire Sommargren, Susan Stash, Mary Stewart, StrataVerve, Inc–Includes gifts made In Honor of Randy Bauler, Tamara Strazdas, Anita Tayabas, Anna Taylor, Kathleen Van Slyke, Judy Verger, Linda Vincent, Carolyn Wagner, Kathleen Waldron, Margrit Walther, Maria Watson, Patricia Wendling, Jane Whalen, Kathleen White, Barbara Wickham, Lorie Wild, Pamela Winter, Katherine Wylde, Gloria York, Anita Young, Polly Zahrt

Up to $49
Charlotte Abano, Brenda Abaya, Juwersa Abdin, Violeta Abou-El Fetouh, Sajani Abraham, Fruh Achu, Caroline Acker, Theresa Acker, Maria Teresa Ackerman, Martha Acosta, Cheryl Adams, Anna Adams, Sandra Adap, Julie Addison, Yisau Adebayo, Patricia Adinolfi, Betsy Agee, Victor Agra, Nancy Agras, Lillian Aguirre, Alma Agulto, Ma. Estephanie Aguto, Rasheeda Ahmed, Amanda Ahrens, Natividad Alba, Pamela Albers, Margaret Alcock, Nichole Alden, Lisa Alderman, Lilibeth Alejandro, Bindu Alexander, Brian Alexander, Leslie Alexander, Renee Alexius, Emma Ruth Alfonzo, Ron Alforja, Alma Alina, Glenn Allan, Karl Magnus Allansson, Karen Allard, Alisa Allen, Cristina Allen, Rayeann Alleyne, Hilde Almeida, Jennifer Alpher, Michael Alto, Connie Alviar, Carol Ames, Jessica Amigh, Vanadhi Ammaiappan, Elmer Amparo, Ma Sharon Amper, Lillian Ananian, Regina Ancola-Upton, Laurie Andersen, April Anderson, Danielle Anderson, Patricia Anderson, Rosemary Anderson, Rick Anderson, Angelina Andrzejewski, Menodora Angeles, Marie Lou Angulo, Anju Aniyan, Marybeth Annett, Darcey Ansley, Gloria Aponte-Kreiner, Carolyn Applebee, Priscilla Appleby, Jesusa Apurado, Yasuko Arakawa, Martha Arambel Judice, Susan Archer, Myrna Joy Arellano-Valdellon, Rey Ares, Ronan James Armada, Jill Armstrong, Lori Armstrong, Cristina Artecona, Safiya Arthur, Susan Asche, Ann Aschenbrenner, Antonia Ash, Ma Theresa Asperilla, Laura Asquith, Melanie Astin, Marcelo Astudillo, Folake Atanda, Jennifer Atiba-Davies, Stella Atler, Julie Atwater, Gayle Atwell, Susan Audrain, Robert Auen, Ann Austin, Davis Austria, George Avitia, Caroline Axt, Mariana Ayala, Gregory Babcock, Valsamma Babu, Loretta Bacchiocchi, Dorcus Backscheider, Frances Bagby, Sharon Bahr, Kenneth Bailey, Margaret Bailey, Donna Bailey, Morgan Bailey, Todd Bailey, Althea Bailey, Susan Baimbridge, Byung-Ran Baird, Lorna Baker, Karen Baker, Kimberly Baker, Kathleen Baker, Basil Bakhshi, Shelley Baland, Teresa Baldwin, Ann Bales, Rachelle Balisi, Katherine Balkema, Jill Ballantine, Evan Ballantyne, Patricia Balsan, Argel Baltazar, Ruth Bangs, Martha Barca, Jeffrey Baria, Freda Barin, Jacqueline Barkelew, Bret Barker, Gail Barley, Linda Barlow-Palo, Steve Barnes, Barbara Baron, Dennis Barrette, Richard Barrow, Kathleen Barry, Sheila Barshes, Carolyn Bartos, Kerri Basford, Narrina Baskin, Milda Bassil, Heather Bastardi, Sheila Baucum, Anna Baughman, Kendall Baumgartner, Joy Bawar, L. Christine Baxter, Coreen Baxter, Ginny Bayes, Marie Bazelais, Karen Bearer, Mary Beatty, Marcela Beatty, Nancy Beck, Susan Becker, Kathleen Becker, Tina Becking, Jamie Beckley, Wendy Beckwith, Michelle Beddingfield, Jean Bedenbaugh, Esther Bediones, Karen Beggs, Ma. Begonia, Michael Bell, Aaron Bellow, Sarah Bellows-Mahler, Brenda Bell-Smith, Danilo Beltran, Walter Benati, Helen Benson, Tobi Berry, Marcia Beseke, April Bessling, Kobrat Beuhler, Mary Bevard, Deanna Beverly, Jan Beyer, Courtney Biddle, Betty Bigham, Abdon Binay, Gail Birckhead, Laurie Bivens, Kaitlyn Blackwell, Stephanie Blackwell, Emily Blanchette, Martin Blaney, Patricia Blissitt, Teri Blomfield, Christine Bloor, Lisa Blumenfeld, Ipalibo Bob-Manuel, Cheryl Boger, Debra Bohlender, Beverly Bohus, Michelle Bolen, Connie Bolton, James Bolton, Kathy Bomar, Rhonda Bombagetti, Kathryn Bommer, Frances Bonn, Marie Bonneman, Rizalina Bonuel, Debi Borowy, Mary Bosher, Andrea Boskovich, Lourdes Bote-Zingapan, Shannon Bottiger, Debra Boucaud-Obali, Carol Boudeman, Michelle Bourie, Laura Bowers, Regina Boyd, Danielle Boyer, Deborah Bozzuto, Sharon Braden, Tammy Bradshaw, Christobel Bramble, Jennifer Brand, Jeannette Branham, Julie Brauer, Holly Brawley, Morella Breckenridge, Jeanette Bredes, Debbie Breedlove, Marie Brennan, Lorraine Brenner, Sonya Bressler, Donna Brester, Catherine Brettmann, Carrie Breunig, Evelyn Bricker, Karen Bridges, Charles Bright, Myriam Brignol, Christi Brito, Robin Britton, Claudette Brochu, Joan Broestler, Monica Brooke, Carlotta Brooks, Dalyce Brooks, Lynne Brooks, Richard Brooks, Germaine Brooks, Juilet Brooks, Alexis Broussard, Sandra Browder, Randi Brower, Cindy Brown, Mary Brown, Patric Brown, Woody Brown, Abigail Brown, Shelby Brown, Vicki Brown, Elizabeth Brown, Rachel Brown, Wendy Brown, Sandra Browning, Irene Brummitt, Arlene Mae Buan, Heather Buchan, Joseph Bucher, Patricia Buczynski, Emily Buelt, Rogielyn Bueno, Patricia Anne Bulacan, Cynthia Burch, Mary Anne Burge, Jeanette Burk, Linda Burkert, Janet Burkowski, Susan Burnell, Gisele Burnett, Michelle Burnette Gara, Cathylynne Burns, Sandra Burns-Bradley, Georgia Burris, Jennifer Burrows, Linda Burton, Loreli Buscas, Regina Bustamante, Barbara Butler, Kevin Butler, Dawn Butler, Josie Butlig, Barbara Bybee, Diane Byrum, Marites Cabalit, Sheri Cabral, Nancy Cadigan, Beverly Cain, Aaron Cain, Mary Calderon, Lisa Call, Tim Callaway, Mila Calumpiano-Gudaye, Rey Christian Cameros, Maria Lilia Camince, Staci Cammuse, Barbara Camp, Lucille Campaniello, Joanne Campbell, Karen Campbell, Rheta Campbell Sherman, Valorie Campbell-Holman, Perlita Cangas, Kristin Cantrell, Fely Caoili, Meghan Capasso, Tammy Caprio, Sandy Cardoza, Shannon Carefoot, Alice Carlin, Kai Carlson, Diane Carlson, Linda Carmichael, Donna Carr, Joan Carr, Virginia Carreira, Joanne Carrera, Maggie Carriker, Michele Carron, Cathy Carson, Marsha Carson, Nancy Carson, Kim Carter, Jeremy Carter, Carrie Carter, Desiree Carter, Lisa Carter, Rebecca Carter, Eva Caruso, Jennifer Case, Vicki Casella-Gordon, Valerie Cash, Andrea Cassidy, Elizabeth Cates, Patricia Cathcart, Krista Cato, Marites Cayabyab, John Cerrada, Pamela Cesarek, Leilani Cesneros, Jennie Chadbourne, Diann Chairge, Alice Chamberlain, Mehyang Chang, Philippe Chantreau, Deborah Chapa, Elizabeth Chapman, Elizabeth Chappell, Karen Charters, Debra Chase, Robin Chase, Kerin Chase, Ana Chavez, Jami Cheshire, Redena Cheung-Mah, Elaine Chiarelly, Judith Chick, Gregorio Chin, Marilen Ching, Stephanie Chirila, Sherrie Chirillo, Patricia Cholaj, Saovapa Choonhasenee, Lindsay Christopher, Natalya Chugunova, CiVista Health, Keri Clapper, Glinda Clark, Kimberly Clark, Mary Clark, Rosemary Clark, Shelly Clark, Sandra Clarke, Anne Clay, Karen Clayton, Jessica Clements, Colleen Clennon, Kathy Cleveland, Johnathan Clevinger, Lois Cline, Gary Closas, Betty Clouden, Claire Clouse, Carol Clouse, Johanna Co Chu, Virginia Cockrell, Evelyn Codd, Mary-Margaret Codelka, Andrea Cohen, Anissa Coker, Patricia Cole, Rosemarie Coleman, Jewel Colfer, Amor Collera, Angela Collini, Sandra Collins, Jodie Combs, Maria Comparan, Anne Conklin, Elizabeth Connelly, Diana Connolly, Melissa Connolly, Grant Coppock, Susan Cornish, Ofelia Cornista, Maria Coronado, Erika Corry, Elaine Corsino, Gary Corum, Katherine Cosgrove, Jane Costlow, Eric Cotten, Mary Cotton, Javier Couceiro, Mary Coughlin, Verna Council, Deborah Courtney, Michael Cowan, Trevor Cowan, Duane Cox, Sherryl Cox, Patricia Cox, Mariette Coyle, Deborah Coyle Jackson, Barbara Crame, Jenny Craw, Billie Sue Crenshaw, Laura Crespolini, Judy Crewell, Judith Croasmun, Mary Cronin, Elsie Croom Meaux, Nancy Crossley, Randall Crouch, Norma Crowder, Vivien Cruz, Joseph Jerome Cruz, Olga Cruz-Decos, Melissa Culligan, Caroline Cullinan, Janet Cunkelman, Dina Cuppett-Ross, Nancy Curdy, Tricia Curiale, John Currie, Jose Cuyos, Jeannine Dahl, Susan Dale, Carol Daley, E. Faye Daly, Mindy Dame, Heidi Danen, Shirley Daniel, Karen Daniels, Shelley Daniels, Martha Darlington, Ashleigh David, Marianne Davino, Lorie Davis, Suzanne Davis, Holly Davis, Amanda Davis, Gwen Day, Olive Daye, Maria Dayoan, Stephanie De La Torre, Shirley De Vera-Villapando, Dawn Deangelo, Tina Debile, Nikki Deboer, Ashley Decuir, Dana Deere, Laarni Degala, Susan Deitrick, Dolorita DeJesus, Tara Del Pizzo, Megan Delange, Diane Deleon, Annette Delgado, Laura Delinsky, Lori Delsordo, Mary Demana, Jacqueline DeMartino, Marianne Dempster, Stephen Denton, Beata Dereszkiewicz, Linda Derrico, Linda Deshazer, Maria DeShields, Victoria Desimone, Paula Destito, Sandy DeVeaux, Diana Di Mattia, Matthew Dickerson, Rebecca Dickerson, Edda Didonato, Kathy Dietz, Ruth DiMarzo, Sandra Dimella, Nancy Dines, Erlinda Dioso, Maryann DiRenzo, Beate Dirska
, Patricia Ditoro, Dana Dixon, Patricia Doddridge, Elizabeth Dodge, Jennifer Dodini, Karen Dolnick, Amalia Domingo, Nakeima Dorr, Phalisa Dorsey, Ann Dougherty, Linda Douglas, Karen Douglas, Catherine Dowling, Alma Doyle Barton, Marcia D'Oyly, Ashley Drake, Patricia Draper-Schorr, Carl Drenkhahn, Arnold Drown, Margaret Dryden, Thomas Duarte, Rebecca Dube, Mary Dubuque, Joan Duckworth, Sara Duke, Dina Dumaplin-Solancho, Yvette Duncan, Jennifer Duncan, Cheryl Duncan, Penny Dunne, Wanda Dupuy, Anabella Duque, Nancy Duran, Loraine Durmann, Barbara Durso, Eric Dwight-Gilroy, Tamara Dykstra, Catherine Eagar, Jeanette Earnhardt, Renee Eaton, Deidra Eaton, Oru Eben, Donna Ecton, Krystal Edgar, Linda Edwards, Dianna Edwards, DuAnne Edwards, Deborah Eggleston, Jennifer Ehlert, Mary Eickholt, Harumi Ejiri, Jamie Eldridge, Mary Ellerbusch, Opal Elliott, Kathleen Ellis, Donna Ellison, Kristi Ellison, Kathleen Ellstrom, Lizabeth Elsasser, Tina Emberton, Jill Engel, Barbara Engelson, Michelle England, Alma Enteria, Joanna Entrekin-Callahan, Flordeliza Epstein, Colleen Erenstein, Roger Erickson, Michelle Ernzen, Christine Marie Escalante, Kristine Esguerra, Violeta Eslao, Monica Esparza-Myers, Marissa Espejo, Nina Espino, Theresa Espy, Elizabeth Essary, John Estabrook, Nathan Estep, Patricia Estridge, Jacqueline Euchaski, Kathleen Eufemio, Debbie Evans, Cyndi Evans, Gladys Eversman, Violeta Fabro, Elizabeth Fackina, Bonnie Fallon, Maria Falqueza, Jiang Fan, Diana Farneti, Kathleen Farrell, Rebecca Farrell, Magfelia Fauni, Melissa Faustini, Silvio Favero, Willie Feagin, Linda Fenn, Cynthia Ferguson, Marilou Fernandez, Michelle Fernandez, Aldercy Fernandez, Cynthia Ferrel, Cora Ferrer, Lisa Ferris, Daniel Field, Marie Filipponi, Roxane Filson, Denise Finch, Charmaine Finch, Gloria Fishel, Charles Fisher, Leanor Fisher, Terry Flake, Lauren Flanagan, Jane Flanigan, Desiree Fleck, Minelva Fleming, Catarina Fleury, Christine Flint, Maria Carolina Flores, Mark Flores, Mary Flossmann, Tamarra Fluty, Karen Flynn, Brenda Foley, Marie Fontaine, Glenice Ford, Edith Forest, Pat Forsyth, Brandon Foutch, Linda Fowler, Leanne Fowler, Joseph Fox, Kristen Fox, Matthew Fox, Andrea Fox, Marie Francis, Kelly Franco, Sylvia Frankel, Laveta Franklin, Pamela Frantz, Beth Freed, Jamai Freeman, Anna Freidhoff, Mary Fricker, Lisa Friedman, Amy Friez, Cristina Frollo, Susan Fronzeo, Mary Fuhrman, Amanda Fulford, Ralph Funk, James Furness, Susan Furrer, Patricia Gabucci, Lilibeth Gabuyo, Mary Gaffney, Mary Anne Galbreath, Jennifer Gallagher, Judy Gallagher, Maria Gallo, Tamaris Galvan, Melissa Galvin, Linda Gamboa, Breanne Gameroz, Cecilia Gandingco, Astrid Gandionco, Lois Ganschow, Catherine Garcia, Nidia Garcia, Clarinda Garcia, Shannon Garrison, Barbara Garrity, Darlette Garulacan, Carol Garvin, Jodie Gary, Yvette Garza, Susan Gaston, Kimberly Gaul, Jennifer Gault, Ovigue Gboboh, Gena Gear, Kelly Gebler, Muriel Gennari, Joseph Geno, Karen George, Tonya Geramita, Barbara Gerloff, Theresa Gerten, Lorraine Giarraffa, Ronald Gibson, Teresa Gibson, Elisa Giglio-Siudzinski, Karen Gillespie, Alicia Gillis, Mary Gillis, Sarah Gillson, Carol Gindhart, Milagros Gines-Rivera, Constance Girard, Stephanie Given, Katherine Glass, Rhonda Glaze, Jennifer Gleason, Brian Glenn, Pamela Glennon, Amber Glerup-Fleming, Delita Glori-Feri, Petra Glover, Jayne Gmeiner, Joan Godwin, Kimberly Golden, Michelle Goldman, Corissa Gondecki, Leah Gonsoulin, Maria Gonzales, Elizabeth Gonzales, Marilou Gonzales, Julie Gorczyca, Lita Gorman, Cindy Gosk, Kathy Gower, Hannah Grace, Edward Gradel, Elizabeth Graham, Jo Graham, Deborah Graham, Arlene Granados, Rosina Grande, Deborah Grande, Bradi Granger, Nancy Grant, Romaine Grant, Tonia Grant, Trinidad Gravador, Anne-Marie Gray, Jacquelyne Gray, Krista Gray, JoAnn Green, Lori Greer, Rachel Gregoroff, Danielle Gregory, Sherri Greif, Ami Grek, Stephanie Greve, Amy Griffin, Michele Grimaldi, Jennifer Grimmett, Erika Grossauer, Susan Groves, Debra Gruse, Laarni Guanga, Bernadet Guevarra, Gloria Guir, Malcolm Gulick, Cynthia Gumm, Erika Gurganus, Jennifer
Gustafson, Lestra Guy-Jerome, Jeanette Ha, Rita Haber, Terry Hadden, Sheila Hagan, Kenneth Hall, Willie Hall, Brenda Halliday, Cynthia Hamilton, Renee Hamilton, Natasha Hammoc, Su Han, Constance Hanckel, Michelle Hand Villegas, Jon Handal, Michelle Hankins, Kim Hanks, Pamela Hansen, Amber Hansen, Arthur Hansen, Michelle Hardester, Brandon Hardy, Marianne Harman, Audrey Harms, John Harper, Beris Harper, Marie Harper, Kimberly Harris, Shirley Harris, Terence Harris, Amie Harrison, Marian Harrison, Patricia Harrison, Holly Hart, Marie Therese Harvey, Ligia Hassija, Kimberly Hatcher, Susan Hathaway, Heidi Hauss, Marie Hawk, Travis Hawksley, Loretta Hayko, Sonia Hearn, Jonathan Hecht, Jill Hecker Fernandes, Linda Hedges, Marie Hedgpeth, Tammy Heffner, Donna Hefner, Barbara Heilskov, Sandra-Lee Heinze, Juli Heitman, Bridget Helinger, Tiffeny Hello, Elizabeth Helm, Amy Helmer, Maureen Hendricks, Mary Hendry, Jill Henry, Aden Henry, Linda Henry, Martha Henry, Kathleen Herguth, Cheryl Herlihy, Eileen Hermann, Gloria Hermoso, Javier Hernandez, Geliza Herrera, Patricia Herrman, Kindi Hess, Cheryl Hettman, Sonia Hidalgo, Cheryl Hiddleson, Natalie Higgins, Jeanie Hildebrandt, Adele Hill, Melissa Hill, Patricia Hill, Vivian Hill, Leslie Hilliard, Erin Hilyard, Charisse Himraj, Joseph Hinahon, Cecile Hines, Sandra Hinshaw, Lora Hiti, Mary Ellen Hobson, Anita Hoch, Jo-Ann Hodges, Matthew Hodges, Debra Hoekstra, Paula Hoffman, Haley Hogan, La Nora Holcombe, Reynell Holiday, Amy Holifield, Diane Holland, Terri Holloway-Petty, Karyn Holm, Penny Holm, Tina Holmes, Lisa Holmes, Elizabeth Holshouser, Alfreda Holte, Cynthia Honess, Kitty Honeycutt, Hyunjung Hong, Lana Hood, Jennifer Hoover, Kristi Hoover, Maureen Hope, Shelly Hopko, Ruth Hopp, Gloria Hoppler, Ashley Hord, Linda Howard, Nicole Howard, Anne Hoylman, Stephen Hresko, Lily Hsu, Kristin Huenink, Margaret Huff, Shirley Huffman, Lori Hull-Grommesh, Gina Humphries, Diane Hungerford, Christine Hunt, Judith Hunter, Christiane Huntley, Peter Hupp, Kathleen Hurlbut, Billie Hutter, Frances Iacobellis, Pauline Ignacio, Fatima Imayaho, Lorraine Incarnato, Cindy Inouye, Linda Irvine, Cheryl Irvine, Solomon Isaac, Susan Isaacs, Karen Isabella, Berrynell Ivy, Chinwe Izegbu, Maria Nina Jacinto, Tina Jackson, Dawn Jackson, Shawn Jacob, Jung Ja Jae, Shilpa James, Elaine Janaskie, William Jankovsky, Karen Janos, Melissa Jantzen, Kathryn Jaramillo, Dora Jean Charles, Marie Jean-Charles, Georgia Jeffers, Mary Jenkins, Judith Jennrich, Linda Jensen, Brittany Johansen-Ashcroft, Rebecca Johnosn, Betty Johnson, Kim Johnson, Yvonne Johnson, Georgann Johnson, Doris Johnson, Elizabeth Johnson, Kellley Johnson, Leighann Johnson, Rholma Johnson, Tracy Johnson, Vicki Johnson, Vickie Johnson, Alicia Johnson, Randall Johnson, Crystal Johnson, Deanna Johnston, Margaret Jones, Kathleen Jones, Katerina Jones, Rebecca Jones, Vivette Jones, Mary Joos, Kathleen Joosse, Lauretta Joseph, Anu Joseph, Huguette Joseph-Domond, Annick Josse, Susan Josselyn, Leonida Josue-Peralta, Elizabeth Joyce, Miss K Joyner, Madelyn Juarbe-Valdes, Eevin Judkins, Debra Kalia, Peggy Kalowes, Jill Kamen, Yvette Kangleon, Ronald Kanurick, Monika Karpowicz, Jennifer Kasker, Elizabeth Kaspari, Susan Kasson, Izabela Kazana, Patti Kelley, Tara Kelley, Rebecca Kelley, Joanne Kellie, Virginia Kellogg, Jane Kelly, Michael Kelly, Debra Kerr, Elin Ketels, Patricia Kiefer, Kim Kiefer, Terence Kiernan, Leah Kilbane, Rachel Kilgore, Elaine Killough, Julie Kim, Hye Sook Kim, Heather Kimberlin, Cathy King, Helen King, Diane Kinsinger, Kerri Kipp-Sutton, Harriet Kirk, Sally Kirtland, Ryan Kissell, Robina Kitzler, Gregory Klaus, Suzanne Kleeman, Rose Klein-Seymour, Heather Kline, Sandy Kline, Charles Kline, Janet Kloos, Jessica Knebel, Cynthia Kociszewski, Elspeth Koerner, Jane Koher, Allison Koiso, Anna Kokkalis, Laura Konkel, Michael Kopko, Molly Kopp, Valerie Kopp, Holly Korch, Beverly Korff, Kathryn Kort, Elizabeth Koryciak, Shibu Koshy, June Kostick, Donna Kotoff, Christine Kowalski, Jennifer Kowalski, Jake Krafcheck, Daniel Kramer, Katherine Krantz, Co
rinne Kratowicz, Trevor Kraus, Jeanne Krebs, Dodi Kresnando, Angela Krock, Nancy Krot, Anel Kruger, Elizabeth Kubala-Heim, Barbara Kulaga, Jody Kulas, Lissyamma Kurian, Aimee Labelle, Margaret LaBeur, Tammie Lacey, Julia Lacey, Alegria Lachica, Jennifer Lacoske, Melinda-Ann Laflamme, Carina Laforteza, Sandra Lageman, Aaron Lamale, Natalie Lampron, Gwendolyn Lancaster, Linda Landers, Connie Landon, Angela Lane, Benjamin Langston, Nicole Lanigan, Rebecca Lantz, Patsy LaPonsey, Thomas LaRochelle, Elizabeth Larson, Summer LaSalle, Jennifer Lasiter, Lorna Lataquin, Husna Latchman, Carmen Lavadia, Terry Law, Iris Lawrence, Veronica Lawrence, Leanna Lawson, Lualhati Lawyer, Daron Lazich, Barbara Lazor, Leslie Le Bours, Berenice Leal, Linda Leclair, Diana Ledet, Patricia Lee, Valerie Lee, Hyen Lee, Donna J. Lee, Deborah Lehker, Manuel Leibold, Alicia Lein, Shannon Lelachuer, Cristita Lemoine, Kim Lemon, Terry Lennie, Michael Lenorgant, Anthony Leonardi, Janice LePlatte, Rita LeRay, Rosemary Leta, Joanne Levesque, Kathryn Lewis, Amy Lewis, Elena Leyva, Rachel Ann Liboon, Marifil Lim, Courtney Linhart, Mary Lipani, Diana Litt, Ingrid Little, Sheila Locklair, Pamela Lockman, Trentis Lofties, Lynn Loftis, Michele Logan, Kenneth Logan, Alejandrino Lola, Susan Lompe, Laura Long, Yolanda Lopez, Elizabeth Loran, Joyce Lorusso, Monica Loschiavo, Sherlyn Loubert, Tracey Loudon, Sheree Love, Anna Lovejoy, Michelle Lowe, Shelia Lowry, Mayling Luc, Sharon Lucus, Lisa Ludlow, Christine Lugar, Mary Lui, Kristina Lundy, Rich Lyday, Vverona Lyn, Gail Lynah, Ely Mabeza, Jo Macari, Karin MacDowell, Alice Macek, Dominika Mackiewicz-Wronska, Veronica Macko, Joan Madalone, Terry Magbee, Cezar Magdalena, Dolores Magnaye, Samuel Magsipoc, Kathy Mailhot, Matthew Malaikal, Lyndy Malaluan, Louisa Maldonado, Erlinda Maliwanag, Jean Malloy, Patricia Malone, Randy Manalo, Herminia Mangubat, Gina Mann, Carol Manning, Catie Manning, Mark Manwaring, Judith Mapalo, Loretta Marcantonio, Jason Marchant, Maricel Marcial, Marilyn Marcum, Laurie Marcus, Elisa Mariano, Margaret Marion, Donna Marko, Linda Markotic, Sylvia Marohn, Nanci Martens, Ruth Martin, Wendy Martin, Lyndsey Martin, Deborah Martin, Linda Martinez, Susie Martinez, Denise Martorana, Emmyloy Masaganda, Terrence Mascara, Fredda Massari-Novak, Elizabeth Masse, Andrea Massey, Caroline Mastrangelo, Leza Matanich, Araceli Mateo, Shejie Mathew, Shzelle Mathews, Stephanie Mathews, Toni Matthews, Gina Matthias, Amy Mattingly, Stephen Mattison, Mary Matyear, Jean Mauer, Christina Maupin, Jillian Mauriello, William Mausser, Cathy Maxwell, Roma Mayo, Carol Mazloom, Claudia McAllister, Robin McAlpin, Jennifer McCartney, Denice Mccarty, Margaret McCasland, Cynthia McClain, Erin Mccollister, Janet McConnell, Letha McCraw, Susan McCullough, Brenda McDaniel, Dayna McDaniel, Shawn Mcdill, Maureen McDonald, Betsy McDowell, Patricia McElveny, Sarah Mcfarlin, Bernadette McGervey, Pamela McGill, Delsie McGregor, Patricia McGregor, Kerri Mcguire, Kelly McIntire, Ingrid McIntosh-Williams, Bridget McIntyre, Dawn McKay, Kristin McKay, Nilufeur Mckay, Kelley McKenna, Charles McKenna, Bryan McKerley, Dana McKinnely, Pamela McLaughlin, Rebecca McMurdy, Johanna McNally, Robin McPherson, Vickie Mcpherson, Erin McPherson, Debra McQuillen, Helen McSorley, Valeria McWhorter, Rebecca Meadows, Lorri Mease, Ray Meaux, Dianna Medori, Iryn Meekins, Mary Mehok, Jack Meiderdrut, Mercelyn Mejia, Joanne Melia, Elaine Mello, Lisa Melvin, Matthew Melvyn, Carolina Mendez, Sharon Mendez, Shirley Menguito, Michael Meninger, Lisa Mensick, Susan Menton, Lynne Marie Merrill, Sara Messenger, Jennifer Meszaros, Lauren Metcalfe, Susan Meyer-Callahan, Maya Meyers, Nora Michael, Joan Michalkowski, Patricia Mickley, Catherine Mielke, Susan Mildren, Pamela Miller, Lois Miller, Erin Miller, Mark Miller, Rebecca Miller, Rhonda Miller, Marge Miller, Barbara Milliron, Radine Mills, Becky Mink, Robin Minshell, Odette Miraflores, Anna Mishoe, Michelle Mitchell, Rebecca Mobley, Lora Mohney, Laura Moldestad, Heidi Molina, Stephanie Molly, Shannon Moman, Susmita Mon
dal, Merci Monet, Janet Monetta, Pamela Montelongo, Joan Montgomery, Roxanne Montgomery, Jessica Mooney, Young Moore, Deanna Moore, Elizabeth Mora, Judith Mora Conde, Maria Morales, Laura Rae Morette, Joyce Morey, Tiffany Morgan, Mary Jane Morimoto, Lorena Morota Malonzo, Danielle Morrione, Andrea Morris, Elizabeth Morris, Dana Morrison, Melissa Mostad, Sharon Moton Finley, Valeria Mourzaeva, Madeline Moyer, Holly Moynihan, Margaret Mueller, William Mular, Ann Marie Mulholland, Pat Mullan, Debra Mullen, David Mullins, Deanna Mullins, Suzanne Mulvey, Diane Mundy, Erica Murphy, Donna Murphy, Mary Murphy, Elaina Murray, John Murray, Marian Nabong-Gutierrez, Christina Nacchia, Theresa Nadal, Lori Nader, Ruby Nagtalon, Mary Naida, Salini Nair, Cynthia Naitza-Scalese, Rose Nallon, Cristie Namata, Kirstin Nannini, Teresa Nardi Valentin, Kathie Nario, Maria Natal-Gopin, Joerena Navarra, Tonya Naylor, Cheryl Nazier-Roberts, Alexis Neal, Beverly Neal, Jacqueline Ned, Tracy Neidetcher, Roseann Neilsen, Katie Nemitz, Thomas Neufeld, Kathryn Neunaber, Emily Nevarez, Gillian Nevin, Susan Nevins, Lydia Newman, Jennifer Newton, Michael Newton, Maureen Newton, Chrystelle Nguyen, Kim Nguyen, Phuong Kim Nguyen, Constance Nichols, Richard Nicholson Jr, Theresa Nino, Kathryn Nix, Cynthia Noe, Margo Nottenkamper, Jean Nydam, Alice O'Connor, Tammy O'Grady, Dorathy Ojimba, Suzanne O'Keefe, Kathleen Okinaga, Deborah Olavarrieta, Elizabeth Olivas, Ivelisse Olivencia-Simmons, Laura Olivieri, Ola Olmedo, Carol Olsen, Terry Olson, Sophia Omara-Alwala, Olabisi Omowaye, Ellen Onda, Debra O'Neil Ferrara, Adaku Onyemaobi, Kimberly Oosterhouse, Barbara Opalewski, Dorin Opris, Mary Ordones, Terence O'Reilly, Shirley Ort, Marie Ortaliz, Thomas Ortega, Lynne O'Shea, Shelagh O'Toole, Senene Owen, Kristen Owens, Gemma Pableo, Paul Pacheco, Ivy Pacis, Stephanie Packard, Cynthia Pagnotta, Ariel Palada, Steven Palazzo, Gina Palazzolo, Gladys Palmieri, Elynn Panares, Jacqueline Panas, Mike Parayao, Myriam Paredes, Teresita Parina, Carol Parks, Tamika Parks, Cynthia Parr, Dewey Parris, Celso Pascua, Delta Pate, Kimberly Pate, Nayana Patel, Tricia Paterson, Fareeda Pathan, Tony Patriarca, Andrew Patterson, Meredith Pattin, Jeffrey Paurus, Theresa Pazzulla, Jerilyn Pearcy, Regina Pecaro, Leyra Pelicano-Goers, Elizabeth Pelkofer, Ellen Peller, Jacqueline Pennant, Ali Pensero, Femina Pereira, Eleanor Perera, Sandra Perez, Omar Perez, Brenda Perigen, Tracy Perkins, Rachel Perkins-Garner, Melissa Perodeau, Monica Perry, David Perry, Robert Perry, Jane Persoon, Robert Peters, Beth Peters, Andrea Peterson, Judy Peterson, Pamela Pfeifer, Lisa Phelan, Lisa Phillips, Amy Phillips, Stacy Phillips, Robyn Picha, Dorothy Pickett, Angela Piech, Paula Pieratt, Janet Pierce, Michael Pierce, Ginger Pierson, Julie Pisarkiewicz, Donna Pittaway, Cassie Pittman, Victrina Plan, Clarence Pomeroy, Melanie Pompei, Priscilla Pongco, Marissa Popkin, Brenda Poplin McCormick, Geneva Porreca, Paul Portenlanger, Cindy Porterfield, Howard Potter, Carolann Potts, Jaime Powell, Danielle Powers, Julia Powers, John Pozar, Katie Prchal, Catharine Preston, Angela Price, Brandy Price, Linsy Price, Joanne Price, Gail Priestley, Karen Pritchard, Kyndall Prit

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Scene and Heard

Our Voice in the Media

Holistic Nursing Practice (Nov.-Dec. 2007) – “How Healthcare Work Environments Influence Nurse Retention.” AACN “makes the case that nurses need respectful and safe environments that provide the structure within which they can optimize their nursing practice … In 2005, AACN published six criteria that are necessary for a healthy work environment: communication, leadership, appropriate staffing, decision making, recognition and collaboration.”

Georgia Tech News (Nov. 26, 2007) – “Evidence-based ICU Design Receives National Acclaim.” “The Neurosciences Critical Care Unit at Emory University Hospital has been selected as the recipient of the prestigious 2008 ICU Design Citation Award.” Owen Samuels, MD, director of neuroscience critical care, said, “The entire design of the new unit was created in order to make the patient and family top of mind and central to the entire unit’s mission.” AACN is one of the sponsors of this award.

Trial (Nov. 1, 2007) – “Don’t Neglect the Nurse’s Duty of Care: Nurses Serve as Advocates for Their Patients.” AACN “is the largest specialty nursing organization, with more than 68,000 members. Its standards require that critical care nurses ‘intercede for patients who cannot speak for themselves in situations that require immediate action’ and ‘monitor and safeguard the quality of care the patient receives.’ ”
St. Mary’s News (Dec. 2007) – “Engaging Physicians.” “The Cardiovascular Intensive Care Unit (CVICU) was remodeled in FY07. The redesign of the unit used concepts from Planetree and Magnet and evidence-based and relationship-centered standards from AACN, which focus on creating a healthy work environment that is essential to ensuring patient safety, enhancing staff recruitment and retention, and maintaining the department’s and organization’s financial viability.”

Center Express (Nov. 21-28, 2007) – “Hospital MICU Honored for Critical Care Excellence.” The University of Kansas Hospital’s Medical Intensive Care Unit earned a Beacon Award. Chris Ruder, RN, vice president of patient care services, said, “I’m proud of our staff members for setting their sights on being the best. They’ve shown that dedication to meeting the needs of patients and adhering to evidence-based practices can create an outstanding care and work environment.”

Nursing Economics (Nov.-Dec. 2007) – “Workplace Abuse: Finding Solutions.” “Adopting behavior and practice standards such as those touted in AACN’s (2005) Healthy Work Environment’s position paper will improve communication and respect.”
Inova Health System News (Nov. 26, 2007) – “Inova Fairfax Hospital Recognized Nationally for Excellence in Critical Care.” In acknowledging receipt of the Beacon Award, Heather Russell, RN, MS, senior director, Critical Care and Emergency Services, said, “We’re very proud to be recognized on a national level.Our nursing staff is an extremely dedicated group that’s committed to using best practices and providing high-quality care for our patients.”

Nurse Leader (Dec. 2007) – “Over-Recruiting: Breaking the Short Staffing and Turnover Cycle.” The article noted that at the University of Virginia Health System Adult Intensive Care Division, “managers pursued simultaneous efforts toward establishing ‘healthy work environments’ consistent with the standards of AACN.”

Nursing Spectrum (Oct. 8, 2007) – “Legal Eagles” advised that “AACN’s public policy section [now health policy] has many resources, such as a legislation action center, state bill-tracking reports and a congressional directory … Nurses can sign up for the Action E-List to be notified of important issues.”

Oklahoma Nurse (Dec. 1, 2007) – “Oklahoma Nurses Association 2007 House of Delegates Resolution.” “The Oklahoma Nurses Association shall acknowledge the harmful impact of horizontal violence and engage nurses in all specialties and practice settings to reduce the harmful effects and prevent future occurrences.” AACN “states that abuse can take the form of intimidating behaviors such as condescending language, impatience, angry outbursts, reluctance or refusal to answer questions, threatening body language, and physical contact.”

RN (Dec. 2007) – “Reflections on Caring: Striving for Excellence.” Joanna Brockell, RN, AS, CCRN, FCCS, was inspired by a “Powered by Insight,” seminar presented by former AACN president Mary Fran Tracy, RN, PhD, CCRN, CCNS, FAAN. “We [CICU at Holmes Regional Medical Center in Melbourne, Fla.] channeled the burden of changing patient-care needs into acquiring new skills and sharing this knowledge with the unit. When the Waves of Wisdom attendees asked about our success in expanding our CCRN accreditations, I described all that we’d achieved by striving for excellence,” Brockell said.

Critical Connections (Dec. 2007) – “Celebrate National Critical Care Awareness and Recognition Month.” May is the month designated for this annual celebration. “Nurses from Washington Hospital Center’s critical care division hosted Bring It On: Campaigning for Patient Safety. The session focused on the importance of creating a healthy and safe work environment in the intensive care unit (ICU). The society (SCCM) encourages promotion of AACN’s Standards for Establishing and Sustaining Healthy Work Environments as part of the NCCARM celebrations.”

Our Voice at the Table

Dave Hanson, MSN, RN, CCRN, CNS, AACN president, Caryl Goodyear-Bruch, RN, PhD, CCRN, AACN president-elect, and CEO Wanda Johanson, RN, MN, represented AACN at the Nursing Organizations Alliance (NOA) 2007 Fall Summit in Milwaukee, Wis. NOA is a coalition of nursing organizations united to create a strong voice for nurses. During their visit they also attended the Organizational Affiliates Meeting convened by the American Nurses Association.

Hanson spoke at the 2007 Spotlight on Critical Care Conference in Springfield, Va., sponsored by AACN’s Greater Washington Area Chapter. He presented the keynote “Reclaiming Our Priorities” and a clinical breakout session “Differential Diagnosis of Chest Pain: No Time for Shoulda, Woulda, Coulda.” Hanson also toured the acute and critical care units at The George Washington University Hospital in Washington, D.C., and met with staff nurses and hospital leaders to discuss nursing certification, the Beacon Award and AACN Standards for Healthy Work Environments.

Beth Martin, RN, MSN, CCNS, ACNP, AACN Certification Corporation chair-elect, was a guest lecturer at Concordia University of Wisconsin for the graduate assessment course. She discussed the cardiovascular and lymphatic systems, highlighting AACN resources to assist with assessment skills, and presented “National Guidelines and Tools for Cardiovascular Risk Reduction by PCNA.”

Hanson was in Oklahoma City, Okla., to give the keynote address “Reclaiming Our Priorities” at the Region XV Chapter Collaborative. He spoke with the participants (from Okla. and Texas) about the importance of the Beacon Award, ECCO and the AACN Standards for Healthy Work Environments.

Martin presented “Advance Directives in the ICU” for AACN’s PeeDee Chapter in Florence, S.C. and “The Value of Certification” for the Piedmont Carolinas Chapter in Charlotte, N.C

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