AACN News—November 2008—Association News

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Vol. 25, No. 11, NOVEMBER 2008

AACN and AONE Launch Certified Nurse Manager and Leader Credential

AACN Certification Corporation and the American Organization of Nurse Executives (AONE) Credentialing Center have launched the first certification exam designed exclusively for nurse managers.

CNML is the credential earned by passing the Certified Nurse Manager and Leader examination. Certification recognizes the skills, knowledge and abilities of first-line nurse managers, who are of vital importance given their influence on the quality of patient care.

The first administration of the CNML exam took place in October. There will be no testing from Nov. 1 through Jan. 4. Testing will resume on a permanent basis beginning Jan. 5, 2009. CNML candidates may apply after Oct. 10 for testing beginning Jan. 5.

AONE Credentialing Center (AONE-CC) is responsible for all administrative activities and customer inquiries. They have contracted with Applied Measurement Professionals, Inc. (AMP) to manage the applications and exam scheduling. AACN Certification Corporation also employs AMP. The CNML exam will be accessible at more than 170 assessment centers across the United States.

• Inquiries about exam eligibility, test plan and renewal should be directed to AONE:

Phone: (312) 422-2807
E-mail: mmeadows@aone.org
Web site: http://www.aone.org/aone/certification/CNML.html

• Inquiries about application status and exam scheduling should go to AMP:

Phone: (800) 345-6559
Online applications: http://www.aone.org/aone/certification/CNML.html click “Apply online”

The CNML exam has 115 items, with 100 items that are scored. Exam content focuses on four major areas: Financial Management; Human Resource Management; Performance Improvement; and Strategic Management and Technology. The AONE Web site includes a Reading List.

Eligibility to sit for the CNML exam consists of a valid and unrestricted license as a registered nurse; and either a
• Bachelor of science in nursing (BSN) degree or higher plus two (2) years of experience (minimum of 1,040 hours per year) in a nurse manager role, or
• A non-nursing bachelor’s degree plus three (3) years of experience (minimum of 1,040 hours per year) in a nurse manager role, or
• A diploma or associate degree plus five (5) years of experience (minimum of 1,040 hours per year) in a nurse manager role.

Both AACN members and AONE members will receive a discounted exam fee. Exam fees are $300 for AONE or AACN members; and $425 for nonmembers. There is no option on the paper application or the online registration to purchase either AACN or AONE membership. If you are interested in AACN membership, call Customer Care at (800) 899-2226 or visit www.aacn.org/membership.

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Scene and Heard

Our Voice at the Table

Cardinal Health assembled healthcare representatives in Washington, D.C., for the first-ever Chasing Zero Summit on Hospital-Acquired Infections (HAIs). Kathleen McCauley, RN, PhD, BC, FAAN, FAHA, former AACN president, represented AACN.

The guest speaker was Alan Greenspan, former chairman of the Federal Reserve System. His session offered an opportunity for in-depth responses to audience questions, so the could gain a better understanding of the issues affecting their future and that of the world economy. The event’s timing was critical, since the deadline was near for the new Medicare cut in HAI reimbursement. For the first time, the leaders of six key organizations that focus on patient safety and HAI issues were present: AHRQ, HHS, IHI, The Joint Commission, the Leapfrog Group and NQF. McCauley advised attendees of the importance of Healthy Work Environments and interdisciplinary collaboration.

The National Council of State Boards of Nursing (NCSBN) met in Nashville, Tenn. to consider pertinent association business with its member boards of nursing; 58 boards were represented. AACN Certification Corporation is an external organization that works with NCSBN, engaging in dialogue on topics impacting nursing, patients and families. Janice Wojcik, RN, MSN, CCRN, APRN-BC, AACN Certification Corporation board member, and Carol Hartigan, RN, MA, AACN certification programs strategist, represented AACN. Wojcik and Hartigan spoke with the board representatives and answered questions about AACN’s CCNS and ACNPC certification examinations, both of which are utilized by some boards as a proxy measure for an APRN “licensure” exam when determining NP or CNS status in their jurisdiction. AACN has also been monitoring NCSBN’s Continued Competence Initiative, which includes job analyses of RN and LPN/LVN practice. These studies were intended to describe post entry-level RN and LPN/VN practice to determine if there are core nursing activity statements for RNs and/or LPN/VNs regardless of practice setting, specialty practice area and/or years of experience. If it could be determined that there are core sets of nursing activities, the results could then be used to develop core competencies for RNs and/or LPN/VNs, potentially leading to the development of a continued competence assessment for use by boards of nursing in relicensure activities.

Our Experts Share Their Knowledge

John Dixon, RN, MSN, CAN-BC, former AACN board member, had a speaker abstract selected for the National Magnet Conference in Salt Lake City, Utah. The title of his presentation was “Beyond Models to Possibilities: The Professional Nursing Practice Model.” His abstract focused on the professional nursing practice model at his workplace, Baylor University Medical Center, Dallas. The model at BUMC, where Dixon is a nurse researcher, is built on AACN’s Synergy Model. He talked about how Synergy is integrated into Baylor’s clinical practice and operations.

Kristine Peterson, MS, RN, CCRN, CCNS, AACN board member, gave a national AACN update/information talk at the Greater Twin Cities Chapter meeting. She discussed some of AACN’s accomplishments over the last year, including the revised mission statement and how it affects chapters and volunteers. AACN influences bedside care through its members, who help make AACN’s mission and vision come to life.

Maria Shirey, RN, MS, MBA, CNAA, BC, FACHE, AACN Certification Corporation chair-elect, wrote an article titled “Building the Leadership Development Pipeline” which focuses on a five-step succession planning model that helps build leadership capacity in advanced practice nursing for acute and critical care. The article was published in the September/October 2008 issue of Clinical Nurse Specialist. Advanced practice nurses are an important segment of AACN’s membership and represent a group that has historically not been included in traditional leadership succession planning.

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AJCC Editorial Marks End of an Era

The title of this month’s editorial in the American Journal of Critical Care (AJCC) may turn a few heads. “My Last Editorial” is indeed AJCC nurse co-editor Kathy Dracup’s “swan song,” marking the end of her more than 16 years at the helm of AACN’s premier scientific and research journal. If you add Dracup’s previous tenure at Heart & Lung, it brings her total editorial leadership experience to 28 years.

Her journey, she notes, has been

... a long one. I graduated from a school of nursing in 1967 when the term evidence-based practice had not yet been coined, the Internet did not exist, and “Google” was not a verb. Critical care units, now often electronic and paperless, were piled with old medical records and giant vital sign sheets. In retrospect, the process of editing this journal was quaint in its dependence on paper. As editors, we required authors to submit 4 copies of every manuscript, and every communication between the editor and author called for postage. Both critical care as a specialty and our journal have evolved and changed in dramatic ways.

My choice of critical care as a specialty at the beginning of my career was motivated by a casual conversation with an intern at the university medical center that I had just joined as a recent graduate. I had taken a position as a staff nurse on a medical-surgical ward, and he had just joined the team. He mentioned that he had just come from a month-long rotation in the coronary intensive care unit (ICU). When I asked him how he liked it, he said that it was his worst rotation to date and he hoped he never had to go back. When I asked him why he hated it, he said, “The nurses can run the unit without any help from physicians, and most of the time they make interns feel as if we are just in the way.” I transferred to the ICU the next day.

To keep reading this editorial, visit www.ajcconline.org and click “Current Issue: November 2008.”

In next month’s issue of AACN News, we’ll feature a longer tribute to Dracup, honoring her years of service to AACN’s research journal and to the cause of critical care nursing.

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Members on the Move

Slota, Holtschneider, Barr


Peggy Slota, RN, MN, was promoted to director of the Nursing Leadership Graduate Program at Carlow University, Pittsburgh, Pa. She also earned a DNP in August 2008 from Chatham University and was selected for fellowship in the American Academy of Nursing.

Mary Holtschneider, RN, BC, BSN, MPA, NREMT-P, former AACN board member, is the new director of Practice and Education for the North Carolina Nurses Association.

Mary Bylone, RN, MSN, wrote an editorial, “Pitching Ideas to Management,” for the September 1, 2008 issue of Advance for Nurses. She serves on Advance’s Regional Editorial Advisory Board for New England.

Janet Millard, RN, BSN, MA, MBA, is the new nurse manager of the Emergency Department at Franklin Square Hospital Center, Baltimore, Md.

Wendy Barr, PhD, RN, was recently named director of the new Masters in Nursing Education Program at the University of Texas at Arlington School of Nursing.


Michelle Heron, RN, BSN, critical care nurse, received the Theresia Emerson Nursing Excellence Award. The award is presented to nurses who demonstrate a commitment to excellence in nursing at Emerson Hospital, Concord, Mass.

Amy Pakes, RN, MS, was selected by the Nassau Suffolk Hospital Council as Long Island’s “Nurse of Excellence.” She is nurse manager of the Burn Center, Surgical Intensive Care Unit and Hyperbaric Medicine & Wound Care Treatment Center, at Nassau University Medical Center, East Meadow, N.Y.

Jean Christopher, RN, MSN, CNS, is a finalist from the Midwestern region for Nursing Spectrum’s 2008 Nurse Excellence Awards, in the category of “Advancing and Leading the Profession.” Christopher is a clinical nurse specialist in the Pediatric Intensive Care Unit of Akron (Ohio) Children’s Hospital.

Marguerite Murphy, RN, MSN, DNP, director of the Doctor of Nursing Practice Program at the Medical College of Georgia School of Nursing, was named an inaugural fellow of the MCG Academy of Nurse Scholars in Education.

Christine Hastings, RN, CNRN, CCRN, was selected as one of the Great 100 Nurses of North Carolina for 2008. She is a member of the Rapid Response Team at Wake Forest University Baptist Medical Center, Winston-Salem, N.C.C

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Former AACN Board Member Serving on Two Panels

Janie Heath, PhD, APRN-BC, FAAN, former AACN board member and associate dean for academic affairs at the Medical College of Georgia School of Nursing, was appointed to serve on two national panels – an American Heart Association (AHA) panel studying smokeless tobacco products, and a Tri-Council for Nursing panel on advanced practice nursing.

The AHA panel (physicians, scientists and nurses) is reviewing the literature and writing a position paper titled “The Impact of Smokeless Tobacco Products on Cardiovascular Disease: Implications for Policy, Prevention and Treatment.” They are addressing two types of smokeless tobacco products – chewing tobacco and potential reduction exposure products (PREPs), such as smokeless cigarettes and dissolvable tobacco. “Six percent of our country’s population uses smokeless tobacco products, compared to the 21 percent addicted to cigarettes,” Heath said. “Most research on smokeless tobacco focuses on oral, esophageal and pancreatic cancers, but nicotine in the products increases the workload on the cardiovascular system.”

The Tri-Council for Nursing panel (nurses, epidemiologists, economists and policymakers) is reviewing the literature and also writing a position paper, “An Assessment of the Safety, Quality and Effectiveness of Care Provided by Advanced Practice Nurses.” “This will be a great opportunity to promote (our) autonomy and scope of practice by informing decision makers, such as educators, healthcare policymakers and organizations, about our contributions to decreasing healthcare costs and increasing access to care,” Heath said.

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AACN Member Earns Awards Serving in Afghanistan

CPT Ward Wagenseller, RN, BSN, CCRN, CEN, NREMT-P, Army Nurse Corps, California Army National Guard, recently returned from a yearlong deployment to Southern Afghanistan as a combat adviser and medical officer for the Uruzgan Provincial Police Mentor Team. Wagenseller received the Combat Action Badge and the Combat Medical Badge for his actions under direct enemy fire.

The Combat Action Badge was earned on his first foot patrol with a small team of combat advisers, their Afghan National Police counterparts and a group of Afghan national army soldiers and their Royal Dutch army advisers. In late August last year, they entered a village outside Chora District in Uruzgan Province (Southern Afghanistan). Their goal was to help the Afghans regain control of an enemy-controlled area. They were first hit with small-arms fire and then mortars and rocket-propelled grenades. About an hour later they returned to their outpost in Chora. While no one was seriously injured, one soldier collapsed from heat and exhaustion. They didn’t have time to rest, so Wagenseller stayed behind and helped encourage the soldier to proceed to a safe location.

Wagenseller’s Combat Medical Badge was awarded when on Halloween (the day after his 42nd birthday) the police headquarters next door to their forward outpost in Chora was attacked. During the heavy small-arms fire he went forward to treat an injured Afghan officer. With the assistance of a Royal Dutch army medic, he removed a bullet fragment and treated the officer with fluids and antibiotics. The patient was referred to a camp hospital 60 miles away.

During his deployment, Wagenseller interacted with medical forces from the Royal Dutch army and Canadian army at NATO hospitals in the area. “When I presented myself to our local Special Forces hospital (Forward Surgical Team) they immediately recognized the CCRN credentials and asked if I was available to assist them during emergencies … The CCRN behind my RN opened doors and ensured a level of respect that I would have otherwise not enjoyed from both U.S. providers and our NATO allies … My CCRN gave me the confidence to take on both primary and critical care duties for 50 officers in training from all over the province with injuries ranging from acute to chronic.”

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Bookstore Corner

NURSE: A World of Care (#330107)

In a moving tapestry of words and photographs, NURSE: A World of Care documents and celebrates the vital and often invisible work of nurses around the world. The many faces and voices of nurses are captured in compelling detail by photographer Karen Kasmauski and writer Peter Jaret. Together they paint an unforgettable and varied portrait of the profession, from the nurse midwives who walk long distances to deliver basic healthcare in the remote villages of Bangladesh, to the Alaska public health nurse who lives out of a sleeping bag to reach her patients, to the Thai hospice nurses who comfort and care for patients with AIDS.

Regular Price: Member $28.45, Nonmember $29.95

Presenting the Option for Family Presence, 2nd Ed. (#120632)

This updated edition provides a comprehensive review of family presence during invasive procedures and/or resuscitation in the emergency department. This authoritative resource is a complete kit with all the tools to help you develop and implement a family presence program, including:

• Comprehensive current review of family presence literature
• Processes and guidelines to establish a family presence program
• Instructions for implementation and evaluation of your family
presence program
• Guidelines for educating staff on the option of family presence
• Assessment and survey tools
• Scripts to assist staff when working with families
• Case studies
• Instructional CD presentation with script

Prepare your staff with a solid family presence program.
Regular Price: Member $46.50, Nonmember $55
Special Offer: Member $40.50, Nonmember $488

These Super Saver prices are valid through Dec. 31, 2008. All orders must be received or postmarked by Dec. 31 to be eligible for the Super Saver price.

Palliative Care - Core Skills and Clinical Competencies (#140328)

This reference contains the core knowledge and skills necessary to provide comprehensive and compassionate care. Designed to meet the needs of the daily medical caretaker, this detailed text examines patient assessment, communication, cultural considerations, legal and ethical issues, advance care planning, symptom control, clinical management of specific illnesses, service delivery, interdisciplinary team composition, and more. From diagnosis to bereavement care, Palliative Care - Core Skills and Clinical Competencies addresses all major clinical, physical, psychological and spiritual management issues encountered in palliative care - in a user-friendly, ready-reference format.

Regular Price: Member $66.45, Nonmember $69.95
Super Saver Price: Member $60.75,
Nonmember $63.95

Critical Care Family Assistance Program: Replication Toolkit (#120631)

In partnership with the CHEST Foundation, AACN now offers this tool kit that describes a program that empowers you and your team to create a family-friendly critical care environment at your hospital.
Created from the experiences and observations of seasoned critical care professionals, this innovative tool kit is a practical, step-by-step guide to developing educational and support resources that can help lead to more positive outcomes for critical care patients and their families.

The tool kit features a manual and a CD-ROM to guide you through the four essential development phases. Instead of offering mere advice, each step features proven tools you can use to put your own success plan into action.

Regular Price: Member $112.50, Nonmember $137.50
Super Saver Price: Member $104.32,
Nonmember $127.50

Managing Death in the ICU: The Transition from Cure to Comfort (#120615)
Contributing authors present the practical skills needed to provide the highest quality of care to these patients, including communicating with patients and families, managing pain and other symptoms, the principles and mechanics of withdrawing life-supporting therapies, and the essential role of nurses in managing death in the ICU. Two special populations, children and the elderly, are also addressed.

Regular Price: Member $61.75, Nonmember $65
Super Saver Price: Member: $59.37,
Nonmember $62.50

As the holidays approach, AACN wants to give a very special gift to our valued members- FREE shipping on all AACN Bookstore and PDA Center orders placed in November and December.
Every item in our extensive catalog is included, so fill your shopping cart for yourself, friends or colleagues. Or shop at your convenience, using our newly redesigned Online Bookstore.
All orders received or postmarked by Dec. 31, 2008 will receive FREE shipping*. No minimum order is required, so purchase now from the AACN Bookstore and PDA Center!
This limited time offer (valid for current AACN members only) expires Dec. 31, 2008.

*Free shipping limited to FedEx ground service. For AACN PDA Center purchases, use coupon code AACNSHIP (all capital letters) at checkout. No coupon code is required for AACN Bookstore purchases.

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