AACN News—March 2005—Association News

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Vol. 22, No. 3, MARCH 2005


AACN Issues Standards for Healthy Work Environments
Call to Action Seeks Broad Commitment


Responding to mounting evidence that unhealthy work environments contribute to medical errors, ineffective delivery of care, and conflict and stress among health professionals, AACN has identified a set of standards for establishing and sustaining healthy work environments and issued a call to action to adopt them.

The six standards are contained in a document titled “AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence,” which was released at a national briefing of healthcare stakeholders on Jan. 26 in Washington, D.C.

The announcement coincided with the release of a study, titled “Silence Kills: The Seven Crucial Conversations for Healthcare,” that cited poor communication and collaboration among health professionals as significantly contributing to continued medical errors and staff turnover. The study further found that a lack of adequate support systems, skills and personal accountability results in communication gaps that can cause harm to patients. The study was cosponsored by AACN and VitalSmarts, a company that specializes in leadership training and organizational performance.

To address the concerns, AACN is calling on individual nurses, healthcare organizations and other professional associations to embrace the standards and help make healthy work environments a priority goal.

“This research validates what our 100,000 constituents have communicated to us as the number one barrier hindering optimal care for patients,” said AACN President Kathy McCauley, RN, PhD, BC, FAAN, FAHA. “Too often, improving workplace communication is seen as a ‘soft’ issue. The truth is we must build environments that support and demand greater candor among staff if we are to make a demonstrable impact on patient safety.”

Among the study’s key findings were:

• 84% of physicians and 62% of nurses and other clinical-care providers have seen coworkers taking shortcuts that could be dangerous to patients.
• 88% of physicians and 48% of nurses and other providers work with people who show poor clinical judgment.
• Fewer than 10% of physicians, nurses and other clinical staff directly confront their colleagues about their concerns, and one in five physicians said they have seen harm come to patients as a result.
• The 10% of healthcare workers who raise these crucial concerns observe better patient outcomes, work harder, are more satisfied and are more committed to staying in their jobs.

Joining McCauley at the news briefing were Connie Barden, RN, MSN, CCNS, CCRN, a past AACN president who was executive editor of the AACN standards; Dennis S. O’Leary, MD, president of the Joint Commission on Accreditation of Healthcare Organizations; Karlene Kerfoot, RN, PhD, CNAA, FAAN, senior vice president for patient care services and chief nurse executive at Clarian Health Partners, Indianapolis, Ind.; and Joseph Grenny, president of VitalSmarts and co-author of the New York Times best-selling books Crucial Conversations and Crucial Confrontations.

Noting that healthy work environments is AACN’s top priority initiative, Barden said, “We recognize that nothing will change in healthcare, including the nursing shortage, until the issue is addressed.”

She stressed that the standards are interdependent, that all six must be in place in a healthy work environment.

“Accept accountability for your part in creating a healthy work environment where skilled communication and true collaboration become the norm and not the exception,” she urged.

O’Leary said that the standards and recommendations make an important contribution toward solving the identified communication problems.

“The research ... underscores some of the critical macro issues that must be addressed if we are truly to realize major advancement in improving patient safety,” he said.

“This is about the leadership and culture that underlie the work environment. Care won’t be effective and emphatic unless caregivers do a much better job of communicating and working with each other.”

Kerfoot shared how her organization achieved greater recruitment and retention success, and improved overall safety by focusing on improving communication. She said Clarian will commit to implementing the recommendations and “making them something people can live and breathe absolutely every day.”

“This is exactly the kind of thing that we need to do and exactly what professional organizations should be doing,” she said. “When we do this, our staff and our patients will be better off because of the kind of work that you’ve done.”

The AACN Standards for Establishing and Sustaining Healthy Work Environments and the Silence Kills study report, as well as other resources, are available online at www.aacn.org.

Standards for Healthy Work Environments

• Skilled Communication

• True Collaboration

• Effective Decision Making

• Appropriate Staffing

• Meaningful Recognition

• Authentic Leadership



On hand for the release of the AACN Standards for a Healthy Work Environment were AACN President Kathy McCauley (photo at left); past President Connie Barden (photo at right), the executive editor of the standards; and (from left, photo above) Dennis S. O’Leary, JCAHO president; Joseph Grenny, president of VitalSmarts; Barden; and Karlene Kerfoot, senior vice president for patient care services and chief nurse executive at Clarian Health Partners.


Register for the NTI by March 29 and Save!

March 29 is the discounted early-bird NTI registration deadline. AACN members also enjoy a discounted registration fee. NTI 2005 is scheduled for May 7 through 12 in New Orleans, La.

For more information or to register, visit the AACN Web site or call (800) 899-2226.



The Voice of One Equals the Power of Many
Annual AACN Election Under Way Online


By Kathy Stephens, RN, BSN
AACN Nominating Committee

Are you living your contribution? Do you make a difference? How important is one vote?

AACN President Kathy McCauley, RN, PhD, BC, FAAN, FAHA, asks that we “Live Our Contribution.” What does it take to do that? Helen Keller once said, “I long to accomplish a great and noble task, but it is my chief duty to accomplish small tasks as if they were great and noble.”

In an association the size of AACN, 65,000 members strong, it is sometimes comfortable to believe that one member does not make a difference. Perhaps you see the accomplishments or enormous contributions that many make to our organization and feel that your input lacks significance. That simply is not true! We make a difference every time we take responsibility and exercise our power to vote.

Last year, AACN attempted to streamline the voting process by encouraging members to vote online. Although members were given the option to request the traditional paper ballot, only 40 members did so.

However, in the past, approximately 10% of AACN’s membership participated in the election. In 2004, the election timeline had to be extended to achieve the 5% of members participating that is required for the election to be valid.

When AACN surveyed members to determine the perceptions and barriers related to voting, 15% of those who did not vote said they did not believe their vote would make a difference. But, 34% believed that personally knowing the candidates was important to voting.

The AACN Nominating Committee carefully reviews information from a pool of extremely talented and dedicated members who have been nominated for positions on the AACN Board of Directors and AACN Nominating Committee. The process is a rigorous one both for those who are nominated and for the committee members entrusted with this responsibility. The selection method uses AACN’s Leadership Framework, which incorporates ambassador, intellectual and integrated skills. The committee truly follows this process with consensus and integrity.

After three days of deliberation, the slate of candidates is determined. And, it is impressive. These are the future leaders of AACN. Live your contribution. Take the time to review their statements and what they can bring to our organization.

Voting is now under way. You are entrusted with the responsibility to participate.

I am only one, but still I am one. I cannot do everything, but I can still do something. And because I cannot do everything, I will not refuse to do the something I can do.
—Edward Everett Hale

Members of the AACN Nominating Committee are (from left, seated) Tracey Van Dell
(staff liaison), Janie Heath (board liaison) and Denise Buonocore (board liaison) and
(from left, standing) Wanda Johanson (CEO), Kevin Reed (AACN Certification
Corporation), immediate past President Dorrie Fontaine (chair), immediate past AACN
Certification Corporation Chair Suzanne Prevost, Deborah Laughon (board liaison),
Damon Cottrell, Terry Richmond, Robin Watson, Natalie Correll-Yoder and Kathy Stephens.

Membership Drive Tops 3,200
Campaign Ends March 31


The leaders held steady in AACN’s Critical Links Member-Get-A-Member campaign during January, though Becki L. Fuzi, RN, CNS, MSN, CCRN, PCCN, of Warrenton, Va., edged up to tie Dawn Kregel, RN, BS, BSN, CCRN, of Denton, Texas, for third place by recruiting just three more members during the month. Fuzi’s and Kregel’s totals of 32 new members recruited since the campaign began May 1 were only one behind second-place Stacey Bigenho, RN, ADN, of Paducah, Ky.

Nevertheless, Barbara S. Frey, RN, ADN, AA, of Corpus Christi, Texas, was far in the lead with 63 members recruited and only two months left in the campaign, which ends March 31.

As of the end of January, a total of 3,215 new members had been recruited by 870 individuals and chapters.

Others who have recruited 20 or more new members in the campaign were Karen T. Haigh, RN, CCRN, of Voorhees, N.J., Eric A. Moss, RN, ADN, CCRN, CNRN, of Carmel, Ind., Jennifer E. Baetz, RN, BSN, CCRN, of Webster Groves, Mo., Sandra J. Cornish, RN, BSN, CCRN, of Concord, Calif., Faith Y. Young-Gouda, RN, BSN, CCRN, of Colorado Springs, Colo., Doris J. Strother, RN-BC, MS, MSN, APRN, of Birmingham, Ala., and Cathy H. Schuster, RN, BS, BSN, CCRN, of Novato, Calif.

The top recruiters during January were Shawn Young, RN, of Oklahoma City, Okla., with 16; Cheryl Ann Borden, RN, CNS, MSN, CCRN, CCNS, of Vienna, Va., with 15; Amy C. Taylor, RN, ADN, BA, of Gates, N.C., with 13; and Lesley H. Meiman, RN, CNS, MS, MSN, CCRN, of Cincinnati, Ohio, with 11.

The Rewards
The Critical Links campaign offers valuable rewards to participants, including a $1,000 American Express gift check that will go to the top recruiter. However, anyone who recruits just one new member receives an AACN clinical- or practice-related gift. For every five new members recruited, participants receive a $25 gift certificate toward the purchase of AACN products or services. Recruit a total of 10 new members and receive a $50 gift certificate.

In addition, recruiters are eligible for a monthly drawing to receive a $100 American Express gift check in each month that they recruit a new member. Maria Amor Wild, RN, BSN, BA, CCRN, of Stafford, Va., won the gift check for January.

At the end of the campaign, every recruiter who enrolls at least five new members will be entered into three drawings for grand prizes of $500 American Express gift certificates.

Note: To qualify for the prizes and drawings, new members must include the recruiter’s name and chapter, when applicable, on the “referred by” line of the application.

Other Efforts
Others who have recruited five or more new members are:

Philip Abenojar, LaVern Allen, Caroline Axt, Mary Ann L. Bailey, Amy L. Bandy, Jill E. Barrow, Lydia C. Bautista, Sharon A. Bettinger, Zenaida D. Blanco, Robin E. Blauser, Betty Nash Blevins, Mary Beth F. Bobyarchick, Lorraine D. Boehm, Cheryl Ann Borden, Carolyn M. Bowen, Denise R. Bragg, Megan E. Brunson, Erica Burket, Yolanda W. Carilimdiliman, Nancy M. Case, Andrea K. Castilla, Kristina L. Cervantes, Charlene J. Cink, Kathryn V. Clark, Romulo B. Co, Mary M. Colanero, Joyce V. Colobong, BettieLou Conerly, Dinah L. Cooper, Sandra J. Cox, Melissa W. Craft, Sue Ann Crisp, Kerin A. Da Cruz, Michele L. Deiterich, Laura E. Dolloff, Cheryl S. Duran, Peggy Lynn Ennis, Camilla Dawn Fisher, Nathalie M. Fleureau, Dorothy J. Flowers, Patricia H. Fountain, Deslin Francois, Jacquelyn Free, Janice L. Gasaway, Katherine A. Green, Ariana G. Gross, Erica A. Grosseibl, Valerie Grossman, Cyndie J. Hampton, Catherine A. Harmer, Ma. Thelma C. Herrera, Pamela R. Hulme, Lauretta M. Joseph, Michelle A. Jurgensen, Cindy D. Kamara, Melanie R. Keiffer, Fredda Kermes, Vicky K. Knapp, Joanne M. Kuszaj, Shelia D. La Point, Maria A. Laxina, Dana F. Lehmann, Doris V. Levin, Rebecca S. Lindberg, Paula A. Lusardi, Marcia K. Malone-Tedder, Krista M. Marz, Bernadette M. Matrisciano, Catherine L. Maurer, Linda S. May, Elaine D. Mayo, L. Jennifer McFarlane, Vicki McKimmey, Pauline J. McNeece, Lesley H. Meiman, Sharon Millan, Methylyn Millano, Magdalena Ella Monahan, Ngozi I. Moneke, Janet Lynn Moore, Alena Myers, Norlynn M. Nelson, Maria A. Nicasio, Ruth M. Norrell, Phillip Y. Parcon, Andrea E. Porter, Salvacion J. Ramos, Melissa J Recar, Kathleen M. Richuso, Elin Roberts, Judith C. Roberts, Catherine P. Rodgers, Margaret R. Rollins, Ian N. Saludares, Stephanie R. Sanderson, Eulogio Romualdo Santaromana, Alda Savite, Charlene Schwinne, Laura B. Seay, Shirley Sebastian, Nancy Seskes, Lynn Smith Schnautz, Joel C. Stanfill, Leslie A. Swadener-Culpepper, Amy C. Taylor, Amy M. Taylor, Christina M. Taylor, Yvonne L. Thelwell, Linda C. Thomas, Kenneth R. Thompson, Laura J. Tucco, Angela Turner Konrath, Ruth I. Vermace, Norma S Vesey, Virginia M. Weaver, Holly L. Weber-Johnson, Maria Amor Wild, Sonia H. Wisdom, Desiree D. Wyatt, Jackie S. Yon, Shawna Young, Cynthia L. Zaletel, April Yi Yu Zhuang, Pam Zinnecker.




ECG Course Builds on Success of ECCO ProgramCongratulations to 2005 Circle of Excellence Award Recipients!

The new ECCO ECG is scheduled to launch this spring. This completely new, 12-hour course can be purchased either as an extension of the current Essentials of Critical Care (ECCO) program or as a stand-alone program.

As AACN continues to work to improve the ECCO program and add to its value, feedback from users is important. This latest advancement is a direct result of that feedback. ECG content ranked at the top in responses from sources such as surveys and focus groups.

Because ECCO ECG runs on the ECCO platform, it offers the same Internet-based, just-in-time benefits that ECCO users enjoyed. Of course, the key gains with ECCO ECG are that it addresses the basic ECG content needed in progressive care, cardiovascular care and cardiology.

For updates, visit the ECCO area of the AACN Web site. And, if you are attending AACN’s National Teaching Institute and Critical Care Exposition, May 7 through 12 in New Orleans, La., you can see a demonstration and test drive this exciting new ECCO ECG addition to the ECCO program.

Congratulations to 2005 Circle of Excellence Award Recipients!



AACN Lifetime Member Award
This award recognizes AACN members who have rendered distinguished service to the association and demonstrated potential for continued contributions to acute and critical care nursing through AACN. In addition to lifetime AACN membership, the recipients are presented a crystal replica of the AACN vision icon. The recipients for 2005 are:

Kathleen M. McCauley, RN, PhD, CS, FAAN
Ardmore, Pa.
University of Pennsylvania

Janet G. Foster, RN, CNS, PhD, CCRN
The Woodlands, Texas
Texas Woman's University

AACN-Marguerite Rodgers Kinney Award for a Distinguished Career
Named in honor of AACN Past President Marguerite R. Kinney, RN, DNSc, FAAN, this award recognizes individuals who are completing or have completed an extraordinary and distinguished professional career that has enhanced the care of acutely and critically ill patients and their families by furthering the mission and vision of AACN. Honorees receive a gift of $1,000 to a charitable cause of their choice, as well as lifetime AACN membership and a replica of the crystal. The recipient for 2005 is:

Dorothy J. del Bueno, EdD
Philadelphia, Pa.

Ross Products-AACN Pioneering Spirit Award
Cosponsored by the Ross Products Division of Abbott Laboratories, this award recognizes timely and far-reaching contributions that exemplify a pioneering spirit and influence the direction of acute and critical care nursing regionally or nationally. Recipients are presented a $500 honorarium and a crystal replica of the AACN vision icon. The recipients for 2005 are:

Linda H. Aiken, RN, PhD, FAAN, FRCN
Philadelphia, Pa.
University of Pennsylvania

Marlene Kramer, RN, PhD, FAAN
and Claudia Schmalenberg, RN, MS
Apache Junction Ariz.
Health Science Research Associates

Susan J. Quaal, PhD, APRN
Salt Lake City, Utah
George Wahlen VA Medical Center and University of Utah Health Sciences

Distinguished Research Lectureship Award
The award honors a nationally known researcher who will present the annual Distinguished Research Lecture at the 2005 NTI. The lecturer receives an honorarium of $1,000, an additional $1,000 toward NTI expenses and a crystal replica of the AACN vision icon, funded by a grant by Philips Medical Systems. The recipient for 2005 is:

Sandra Dunbar, RN, DNS, FAAN
Alpharetta, Ga.
Emory University School of Nursing

3M Health Care Excellence in Clinical Practice Award
Sponsored by 3M Health Care, this award recognizes acute and critical care nurses who embody, exemplify and excel at the clinical skills and principles that are required in their practice.

The recipients of this award for 2005 are:

Susan L. Reed, RN, CCRN
Mission Viejo, Calif.
Mission Hospital Regional Medical Center

Carolee M. Arsenault, RN, BSN, CCRN
Holyoke, Mass.
Baystate Medical Center

Cheryl E. Cook, RN, BSN, CCRN
Shippensburg, Pa.
Chambersburg Hospital

Capt. Darcy L. Mortimer, RN, MSN, CCRN
Verona, N.J.
Wilford Hall Medical Center

Tracy L. Davis, RN, BSN, CCRN
Kirklin, Ind.
Clarian Health Partners, Inc.

AACN Value of Certification Award
Sponsored by AACN Certification Corporation, this award recognizes contributions that support and foster the advancement of certified nursing practice in critical care. Recipients are also presented a $500 honorarium.

The recipients of this award for 2005 are:

Kelly Jane Harris, RN, MSN, CCRN, CEN
Milliken, Colo.
Poudre Valley Hospital

Maria R. Shirey, RN, MS, MBA, FACHE, CNAA, BC, Lynn S. Schnautz, RN, MSN, CCNS, CCRN, and Beverly S. Farmer, RN, MSN, CCRN
Deaconess Hospital
Evansville, Ind.

Baxter Excellence in Patient Safety
Sponsored by Baxter Healthcare, this award recognizes patient-care teams that have made significant contributions toward patient and caregiver safety in acute and critical care. Recipients describe innovative approaches used to develop new and revised processes that encompass safety and improve the quality of care at the unit, hospital or health system level. They show clear evidence of active collaboration among team members validating their success by presenting evidence-based outcomes.

The recipients of this award for 2005 are:

Cincinnati Collaborative for Patient Safety
St. Elizabeth Medical Center, Mercy Hospital Mount Airy, University Hospital, Jewish Hospital, TriHealth, Cincinnati VA Medical Center, Fort Hamilton Hospital, All Chidren’s Hospital Medical Center, The Christ Hospital
Cincinatti, Ohio

Heparin Error Reduction Workgroup (HERW)
Abbott Northwestern Hospital
Minneapolis, Minn.

Insulin Patient Safety Team
Froedtert Hospital
Milwaukee, Wis.

Dale Medical Products Excellent Clinical Nurse Specialist Award
This award recognizes acute and critical care nurses who function as clinical nurse specialists. Applicants must be CCNS certified and, in addition to demonstrating the key components of advanced practice nursing, illustrate how they have been a catalyst for successful change.

The recipients of this award for 2005 are:

Cheryl D. Herrmann, RN, MS, APN, CCNS, CCRN
Peoria, Ill.
Methodist Medical Center of Illinois

Paula A. Lusardi, RN, PhD, CCNS, CCRN
Longmeadow, Mass.
Baystate Medical Center

Hildy Schell-Chaple, RN, MS, CCNS, CCRN
Burlingame, Calif.
University of California-San Francisco Medical Center

Excellence in Caring Practices Award
Presented in honor of John Wilson Rodgers, this award recognizes nurses whose caring practices embody AACN’s vision of a healthcare system driven by the needs of patients and families. Recipients demonstrate how they have encompassed AACN’s values and ethic of care in their practice.

The recipients of this award for 2005 are:

Diana L. Vance, MSN, RN, CCRN, CCNS
Doylestown, Ohio
Aultman Health Foundation

Laurie A. Roberts, RN, CCRN
Mission Viejo, Calif.
Mission Hospital

Renee Twibell, RN, DNS, PhD
Muncie, Ind.
Ball State University

Robin N. Smith, RN, BSN
Lincoln, R.I.
Hasbro Children's Hospital

Laura E Mccall, RN, BSN
Dallas, N.C.
Carolinas Medical Center

Excellence in Clinical Practice—Non-Traditional Setting
This award is designed to recognize excellence in the care of critically ill patients in environments outside of the traditional ICU/CCU setting. Eligible applicants include, but are not limited to, nurses working in home healthcare, progressive care, telemetry, catheterization labs and emergency departments.

The recipients of this award for 2005 are:

Susan M. Wright, RN, BSN, CCRN
Dexter, Mich.
University of Michigan Health System

Critical Care Air Transport Team
Lockland AFB, Texas
Wilford Hall Medical Center

Capt. Darcy L. Mortimer, RN, MSN, CCRN
Verona, N.J.
Wilford Hall Medical Center

Excellent Nurse Practitioner Award
This award recognizes acute and critical care nurses who function as nurse practitioners. Applicants must be ACNP certified. In addition to demonstrating the key components of advanced practice nursing, recipients illustrate how they have served as a catalyst for successful change.

The recipients of this award for 2005 are:

Kimberly McCourt, CCRN, MSN, APNC
Point Pleasant, N.J.
Jersey Shore University Medical Center

Joan M. Holden, RN, MSN, CPNP
Attleboro, Mass.
Rhode Island Hospital/Hasbro Children’s Hospital

Excellent Nursing Student Award
This award recognizes nursing students whose activities during nursing school have promoted the value of nursing and reflect the AACN vision of creating a healthcare system driven by the needs of patients and families, where critical care nurses can make their optimal contribution. Individual students or groups of students are eligible to apply. Recipients receive a complimentary three-year AACN membership.

The recipients of this award for 2005 are:

David D. Holloway Jr.
Wheeling, W.Va.
Cleveland Clinic Foundation

Marie St. Ann Harrington
Hoboken, N.J.
University of Medicine and Dentistry of New Jersey

Excellence in Research Award
This award recognizes nurse researchers who are furthering the mission, vision and research priorities of AACN. Recipients of AACN research grants or NTI research abstract award recipients are not eligible for this award.

The recipients of this award for 2005 are:

Marjorie Funk, RN, PhD, FAAN, FAHA
New Haven, Conn.
Yale University School of Nursing

Karen K. Giuliano, RN, PhD, FAAN
Salem, N.H.
Philips Medical Systems

Therese Richmond, PhD, CRNP, FAAN
Philadelphia, Pa.
University of Pennsylvania

Datascope Excellence in Collaboration Awards
Sponsored by Datascope, these awards honor innovative contributions to collaborative practice by nurses who care for acutely and critically ill patients and their families. At least one of the collaborators must be an active AACN member. Each recipient is also presented a $1,500 honorarium. Applications are accepted in four categories.

The recipients of these awards for 2005 are:

Nurse-Physician Collaboration
Coronary Care Unit
Washington Hospital Center
Washington, D.C.

Nurse-Administration Collaboration
Aultman Heart Center
Aultman Hospital
Canton, Ohio

Nurse-Family Collaboration
Oregon Health & Science University
Team PICU
Portland, Ore.

Surgical Intensive Care Unit
Albany Medical Center
Albany, N.Y.

Multidisciplinary Team Collaboration
Oregon Health & Science University
Team PICU
Portland, Ore.

Aspirus Wausau Hospital, CICU
Wausau, Wis.

Phoebe Putney Critical Care Multidisciplinary Team
Phoebe Putney Memorial Hospital
Albany, Ga.


Excellence in Leadership Award
This award recognizes nurses who demonstrate the leadership competencies of empowerment, effective communication and continuous learning, and the effective management of change.

The recipients of this award for 2005 are:

Patricia A. Lewis, RN, MS, CNAA
Missouri City, Texas
Methodist Hospital

Aimee C. Lyons, RN, MSN, CCRN, CPNP, EMT
Boston, Mass.
Boston Children’s Hospital

Toni Fiore, RN, MA, CNAA
Pompton Lakes, N.J.
Hackensack University Medical Center

Eli Lilly & Company Excellent Preceptor Award
Sponsored by Eli Lilly & Company, this award recognizes preceptors who demonstrate the key components of the preceptor role, including teacher, clinical role model, consultant and friend/advocate.

The recipients of this award for 2005 are:

Patricia Mickley, RN, CCRN
Greensboro, N.C.
Moses Cone Health System

Kevin W. Butler, RN, CCRN
Longmont, Colo.
Longmont United Hospital

Melissa J. Kairnes, RN, BS, BSN
Warwick, R.I.
Hasbro Children’s Hospital

Excellence in Education Award
This award recognizes nurse educators who facilitate the acquisition and advancement of the knowledge and skills required for competent practice and positive patient outcomes in the care of acutely and critically ill patients and their families.

The recipients of this award for 2005 are:

Linda S. Baas, RN, PhD, CCNS
Cincinnati, Ohio
University of Cincinnati College of Nursing

Angela S. Collins, RN, BSN, CCNS, APRN, BC
Birmingham, Ala.
Capstone College of Nursing

Ruth M. Kleinpell, RN, DNS, PhD, CCRN, APRN
Chicago, Ill.
Our Lady of Resurrection

Excellent Nurse Manager Award
This award recognizes nurse managers who demonstrate excellence in coordination of available resources to efficiently and effectively care for acutely or critically ill patients and their families.

The recipients of this award for 2005 are:

Margie G. Whittaker, RN, MSN, CCRN, CNRN
Dana Point, Calif.
Mission Hospital

Catherine Stevens, RN, MSN-OB
Branford, Conn.
Yale New Haven Children’s Hospital

Jennifer N. Gleason, RN, MSN, BSN, CCRN
Tacoma, Wash.
St. Clare Hospital

Marsh-AACN Community Service Award
Cosponsored by Marsh Affinity Group Services, a service of Seabury and Smith, this award recognizes significant service by acute and critical care nurses, as individuals or in groups, in making a contribution to their communities that also projects a positive image of critical care nursing. Individuals or groups selected for this award may choose to receive either one complimentary NTI registration or up to $500 toward speaker fees for an educational symposium.

The recipients of this award for 2005 are:

Greater Reading Chapter
Reading, Pa.

Jeanne M. Cinotti, RN, BS
Newport, R.I.
Hasbro Children’s Hospital

Sheree L. Schroeder, BSN, RN, RDCS, FASE
Kokomo, Ind.
Howard Regional Health System

Mentoring Award
This award recognizes individuals or groups who develop and enhance another’s intellectual and technical skills, acculturating them to the professional community, and modeling a way of life and professional achievement.

The recipients of this award for 2005 are:

Mary Kay Bader, RN, MSN, CCRN, CNRN
Mission Viejo, Calif.
Mission Hospital

Pam Zinnecker, RN, BAN, CCRN
Billings, Mont.
Deaconess Billings Clinic

Dolores Maggie Varona, RN, MSN, CCRN, CS
San Antonio, Texas
University Hospital

Jan M. Powers, RN, MSN, CCRN, CNRN, CCNS, CWCN
Indianapolis, Ind.
Methodist Hospital, Clarian Health Partners

Shauna Helene Lobre, RN, BSN, CCRN
Daly City, Calif.
University of California-San Francisco Hospital

ICU Design Award
This award is cosponsored by AACN, the Society of Critical Care Medicine and the American Institute of Architects Committee on Architecture for Health. The deadline to submit nominations is Aug. 15. For more information, contact Carol Prendergast at (847) 827-6826; e-mail, cprendergast@sccm.org.

The recipients of this award for 2005 are:

Cardiac Comprehensive Care Unit
The Queen’s Medical Center
Honolulu, Hawaii

Donald W. Reynolds Pediatric Intensive Care Unit
Arkansas Children’s Hospital
Little Rock, Ark.

Media Award
This award recognizes broadcast and Web-based media excellence in the portrayal of healthcare providers, especially acute and critical care nurses, contributing to a healthcare system driven by the needs of patients and families. Successful entries present relevant nursing and healthcare topics to large audiences of consumers, including the general public, patients and families.

The recipient of this award for 2005 is:

Miami Children’s Hospital
Miami, Fla.


Be a Part of the Circle of Excellence Annual Award Nominations Now Open

July 15 is the deadline to nominate yourself or a colleague for an AACN Circle of Excellence Award for 2006. The nominations process is now open.

Recipients of these prestigious recognition awards will be recognized at AACN’s National Teaching Institute and Critical Care Exposition in May 2006 in Anaheim, Calif. In addition, personalized plaques are presented to all recipients.

Some also receive honorariums, monetary awards or complimentary registration to the NTI.

To obtain a Circle of Excellence awards application, call (800) 899-2226 or visit the AACN Web site.

In the Circle
Award Honors Excellence in Mentoring

Editor’s note: The AACN Mentoring Award recognizes individuals or groups who develop and enhance another’s intellectual and technical skills, acculturating them to the professional community, and modeling a way of life and professional achievement. Following are excerpts from the exemplar submitted in connection with this award for 2004.

Sofia Puerto, RN, PhD, MPH, CCRN, FNP
Loma Linda, Calif.
Loma Linda Veterans Medical Center and Loma Linda University School of Nursing

Working in a geographical area where the population is predominantly Hispanic but nursing representation is minimal poses a challenge for Hispanic educators to serve as role models and mentors, and to be participants in the recruitment and retention process.

Dr. Puerto has a passion for mentoring students, especially those from under-represented groups, and those who have learning barriers. She participated as a mentor in a program funded by the National Institutes of Health Student Learning Individualized Pathway Program, a main goal of which was to examine the barriers that promote or detract from learning in students with under-represented backgrounds and to provide the means to overcome those barriers. After the third class graduated, she expressed her joy at the fact that these students were passing boards on their first try and performing well in their jobs. “Nothing brings more satisfaction to a teacher than to see her students succeed,” she says.

Another positive outcome of the project was the approval of a bridge program that provides extra classes, mentoring and some financial aid to students who otherwise would not have a chance to enter the nursing profession. Dr. Puerto is well known for participating in numerous voluntary efforts in the community, and has recruited and mentored more than 60 nursing students. Thanks to her encouragement, many of them have gone on to higher education and now hold leadership and managerial positions.

A trait that Dr. Puerto’s colleagues admire is her ability to identify and nurture the potential of individuals. She does not give up easily. She facilitates the preceptees’ transitions to their new roles and assists them in identifying the learning needs and resources to accomplish their goals.

She actively mentors new AACN members to become future leaders, reviewing the process and providing the necessary assistance to promote self-development and confidence in those taking on new roles. Dr. Puerto is described by her colleagues not only as a teacher, but also as a true mentor, leader and friend.

Check Out AACN’s Improved Web Site


AACN has launched a new and improved Web site. Check it out at www.aacn.org. With its enhanced navigation and search functions, we think you’ll find it more user friendly.

The Web site upgrade is part of AACN’s commitment to continually strive to provide better customer service.

The depth of quality resources available on the Web site remains unchanged. But now, you have more direct access to them from the welcome page.

You can learn about AACN and its priority issues. You can find information about clinical practice, including special interest areas and research. You can learn about AACN’s public policy initiatives and find statements on a number of positions. You can access AACN publications. You can learn about specialty and subspecialty certification. You can access key resources, such as CINAHL and GenRX.

So, take time to visit the new Web site. We think you’ll be pleased with the changes.




Apply for AACN Educational Advancement Scholarships by April 1AACN Thanks Its Donors for Their Generosity


April 1 is the deadline to apply for AACN BSN Completion and Graduate Completion Educational Advancement Scholarships for the 2005-06 academic year.

For this year only, the eligibility requirements for the graduate scholarships have been amended to accommodate clinical nurse specialists who need clinical hours to be eligible to take the CCNS certification exam. The one-year eligibility revision responds to the educational need that some CNSs have to enroll in courses or independent study programs to comply with CCNS certification exam eligibility requirement changes that were effective early last year.

AACN awards Educational Advancement Scholarships to help advance the art and science of critical care nursing and promote nursing professionalism. AACN members who are registered nurses completing a baccalaureate or graduate degree program in nursing or who are enrolled in a faculty-supervised clinical practicum arranged through an accredited college or university to obtain necessary clinical hours for the CCNS exam are eligible to apply.

Each recipient receives $1,500 for the academic year.

Applicants for these scholarships must be RNs, be members of AACN and have a cumulative GPA of 3.0 or better. They must be currently working in critical care or have worked in critical care for at least one of the last three years.

Applicants for the BSN Completion Scholarship must have junior or upper division status for the fall semester. Applicants for the Graduate Completion Scholarship must be currently enrolled in a planned course of graduate study that leads to a master’s or doctoral degree or in the clinical practicum. At least 20% of the scholarships are allocated to qualified, ethnic minority applicants.

Scholarship funds may be applied toward tuition, fees, books and supplies, as long as the recipient is continuously enrolled in a program accredited by the state board of nursing in the recipient’s state.

For more information or to obtain an application for BSN Completion or Graduate Completion educational advancement scholarships, call (800) 899-2226 and request Item #1017, or visit the AACN Web site.

Contributions Sustain Commitment to Education
Since the first educational advancement scholarships were awarded in 1984, AACN has been in the forefront of supporting critical care nurses to continue their academic education. The Scholarship Endowment also supports continuing education scholarships for nurses to attend AACN’s annual National Teaching Institute and Critical Care Exposition.

Funds to support these scholarships are allocated in the association’s operating budget each year and offset in part by gifts from individual donors and industry. In 2001, the AACN Board of Directors established a separate scholarship reserve fund to ensure the program’s existence for the future. In time, it will become a self-sustaining fund that supports the association’s scholarships each year.

To date, individual gifts and fund-raising events, including the silent auction at the NTI, have contributed more than $410,148 toward the endowment’s $2 million goal. A scholarship is named during the year of donation for gifts to the Scholarship Endowment totaling $1,500 or more by an individual or as memorial or tribute gifts.

For more information about tax-deductible gifts and named scholarships to support the AACN Scholarship Endowment, call (800) 394-5995, ext. 333; e-mail, development@aacn.org, or write to AACN Development Office, 101 Columbia, Aliso Viejo, CA 92656.

AACN Thanks Its Donors for Their Generosity


In Support of the AACN Scholarship Endowment

$5,000 and Above
The Freeman Companies, Greater Kansas City Chapter-AACN, Greater Washington Area Chapter-AACN (includes gifts made in honor of Janie Heath), Northwest Chicago Area Chapter-AACN, Southeastern Pennsylvania Chapter-AACN, West Michigan Chapter-AACN

$2,500-$4,999
Houston Gulf Coast Chapter-AACN, Wanda Johanson (includes gifts made in honor of Kathy McCauley, Suzanne Burns), Barbara Colton Juelson (In Memory of Neldon Colton), Barbara Gill MacArthur, Three Rivers Chapter-AACN

$1,000-$2,499
American Association of Critical-Care Nurses (includes gifts made in honor of Connie Barden, Susan Miner), Atlanta Area Chapter-AACN (includes gifts made in honor of Connie Barden), Debra Brinker, Luther Christman, Horizons Region 1 Symposium-AACN (includes gifts made in honor of Dorrie Fontaine, Suzanne Burns), Richard Irwin (In Honor of Dorrie Fontaine, Kathy McCauley), Maria Christine Lavandero (In Memory of Col. Ramon A. and Josephine B. Lavandero), Ramon Lavandero (includes gifts made in honor of Marianna B. Boles, In Memory of Col. Ramon A. and Josephine B. Lavandero, Mary Hendick, mother of Dr. Eileen Zungolo), Metropolitan Orlando Chapter-AACN, Nancy Molter (includes gifts made in honor of Army nurses caring for our soldiers and their families), Mt. Rainier Chapter-AACN (includes gifts made in honor of Debbie Brinker, Kathy McCauley), Region 6 Symposium “Visioning Beyond the Basics”-AACN (includes gifts made in honor of Kathy McCauley, Roberta Kaplow), San Fernando Valley Chapter-AACN, South Bay Chapter-AACN (includes gifts made in honor of Dorrie Fontaine), South Jersey Hospital (In Honor of Kathy McCauley), Mary Fran Tracy

$500-$999
Bassett Army Community Hospital, Bassett Healthcare (In Honor of Dorrie Fontaine), Nancy Blake, Karen Cuipylo, Drexel University (In Honor of Kathy McCauley), Beth Glassford, Greater East Texas Chapter-AACN, Kathy McCauley, New Jersey Hospital Association (In Honor of Kathy McCauley), Peninsula Chapter-AACN (In Honor of Debbie Brinker), San Francisco Chapter-AACN (In Honor of Dorrie Fontaine), Teryl Schawk (includes gifts made In Memory of Joan Butera), Seated Massage Professionals, Spectrum Health-East Campus (In Honor of Connie Barden), Joan Vitello-Cicciu

$100-$499
Diane Adler (In Memory of Joseph and Vicky Adler), Connie Barden, Randy Bauler, Linda Bell, Regina Blake, Shirley Bratrud, Kathryn Brush, Denise Buonocore, Janice Burguess, Carolyn Caldwell, Reuben Camp, Central New York Chapter-AACN, Central Pennsylvania Chapter-AACN (In Honor of Carol Puz, Chesapeake Bay Chapter-AACN (In Honor of Kathy McCauley), Christiana Care Health System (In Honor of Kathy McCauley), Cecil Clark, Marisol Cruz, Dana-Farber Cancer Institute (In Honor of Janie Heath), Susan Dirkes, Kathleen Dracup, Melissa Eakle (In Memory of Kim Prodey), Elaine Fellows, Elaine Fetzer (In Honor of Janet Mulroy, Kay Sims), Janet Foster, GE Healthcare (In Honor of Beth Hammer), Valerie Gomez, Caryl Goodyear-Bruch, Greater Akron Area Chapter-AACN, Greater Joliet Area Chapter-AACN, Greater Memphis Area Chapter-AACN (In Honor of Dorrie Fontaine), Greater Miami Area Chapter-AACN (includes gifts made in honor of Suzanne Burns), Greater Reading Chapter-AACN (In Honor of Kathy McCauley), Greater St. Louis Chapter-AACN (In Honor of Dorrie Fontaine, Margarett Grimes, High Sierra Chapter-AACN, Indiana Hoosier South Central Chapter-AACN (In Honor of Susan Yeager), Cynthia Janacek, Marilyn Jenkins, Donna Jensen, Elaine Kasper, Michele Kosinski, Mary Kramer, Elizabeth LeClair, Lehigh Valley Chapter-AACN (In Honor of Kathy McCauley), Lehman Millet Incorporated (In Honor of Kathleen Peavy), Deborah Lupek-Bobrowicz, Barbara Marshall, Beth Martin, Barbara McLean, Medical College of Virginia (In Honor of Dorrie Fontaine), Dorothy Meehan, Julie Miller, Heidi Nelson, Christine Lai S. Ng, Mary Nichols, Northern New Jersey Chapter-AACN (In Honor of Kathy McCauley), Pacific Crest Regional Chapter-AACN, Linda Prinkey-Briggs, Puget Sound Chapter-AACN, Carol Puz, Judith Ramos-Casellas, Deborah Rea, Elizabeth Riegel (In Honor of St. John Hospital and Medical Center, Suzanne Wognick), Sacramento Area Chapter-AACN (In Honor of Dorrie Fontaine), Florentino Salvacion, Mileva Saulo, Rose Shaffer, Tonya Ellis Skeen, South Central Connecticut Chapter-AACN (In Honor of Debbie Brinker), Southern Regional AHEC (In Honor of Mary E. Holtschneider), Southern Shore Chapter-AACN, Spokane Chapter-AACN, Stanford Hospital and Clinics (In Honor of Dorrie Fontaine), Suffolk County Chapter-AACN (In Honor of Dorrie Fontaine), Barbara Thompson, Cynthia Tulka, Jacquette Ward, Joanne Whary, Michael Williams (In Honor of Chelsea Community Hospital ICCU Nurses, Patti Chaivre, nurse manager), Bernice Williams-Winslow, Judith Wilson, Elizabeth Winslow, Janice Wojcik (In Honor of AACN and AACN Certification Corporation Boards of Directors), Lori Yensan (In Honor of Diane Raymond

$50-$99
Betty Alsup, Amanda Altstadt, Berta Arevalo, Christy Jo Arnot, Mary Arola, Karen Beggs (In Memory of Barbara Santos), Marcia Belcher, Patricia Benner, Patricia Bishop, Laura Dean Blanchard, Thomas Pritchett Bleck, Patricia Blissitt, Michele Bonnett, Janet Koehler Boyce, Lenette Burrell (In Honor of Dora Smith), Carolyn Diane Byrum, Maryann Casino, Ellen Ciccarillo-Clarke, Holly Clanton (In Memory of Gail Linsmeir), Columbia Wheatland Chapter-AACN, Martha Conti, Jennifer Cook, Sandra Cornish, Nancy Courtney, Adalia Cruz, Alan Dean, John Dixon, Delores Leslie Doctor, Michelle DuBois, Shelba Durston, Susan Earnhart, Fairbanks North Star Chapter-AACN, Charlene Ferger, Debora Fishel, Lauren Flanagan, Laurie Flowers (In Memory of Andrew M. Rovnak), Dorrie Fontaine, Ernestina Francisco, Ma. Ruth Francisco, Ellen French, Roberta Fruth, Judith Gardiner, George Garner, Lisa Gingerich, Lisa Grace, JoAnn Green, Suzy Guerrier-Adams, Cathleen Guzzetta, John Harper, Jacinta Harris (In Memory of Marie Bernadette Burns Collins), Dorothy Havlin, Hawaiian Islands Chapter-AACN, Dawna Hawksworth, Denise Haynes, Caroline Michelle Hellman, Rosemarie Hirsch, Mary Holtschneider, Louise Honiss, Anita Jack, Eva Jerome, Patricia Jordan, Joanne Konick-McMahan, Musette Kotcher, Raymond Kronenbitter, Barbara Leeper, Robbin Liskin, Patricia Livingston, Susan Lysaght, Jo Ann Macari, Evelyn Martinez, Cathy Ann McCloskey, Susan Miner, Carmelita Molino, Karen Muench, Jodi Mullen, Diana Mustacchio, Jackie Newis, Ronda Love Newton, S. Kay Nichols, Colleen O’Leary-Kelley, Josephine Person, Nancy Pesta (In Memory of Linda Yee and In Honor of Jadene Hendricks-Jensen), Kristine Peterson, Terrea Poehland, Beverly Quinn, Patricia Radovich, Amy Rasmussen, Redwood Empire Chapter-AACN (In Honor of Dorrie Fountaine), RaChelle Reiersgord, Elizabeth Reinhardt, Viona Smith Rice, JoAnn Rizzutto, Lynne Romanowski (In Honor of Mary Anita Longo), Mary Ross, Patricia Ross, Sharon Ruhl, Mary Jane Sauve, Hannah Schwartz, Nancy Seidel, Judith Sherman, Elaine Singer (In Memory of her mother and grandmother), Vicki Sinisi, Alethea Sment, Karen Smith-Sumrall, Marcia Stahovich, Duane Stanton, Susan Stash, Karen Stutzer-Treimel, Arlene Sumido, Monica Tague, Anna Taylor, Theresa Tedjeske, Cathy Thompson, Sara Lynn Toscano, Sally Urban, Mary Urbane, Kathleen Vollman, Myrna Walsh, Margrit Walther, Barbara Washington-Knight (In Memory of Carol Onuscko Balta), Robin Watson, Jane Whalen, Editha Wickerham, Lorie Wild, Wirthlin Worldwide (In Honor of Kathleen Peavy), Dana Woods, Katherine Wylde, Donna Young, Polly Zahrt, Melanie Ziarkiewicz

Below $50
Charina Abalos, Karen Abate, Jennifer Abbassi, Sharon Abdel-Khalik, Maria Abeleda, Bernhardine Abernathy, Leonora Abiera, Rosario Aceves, Julie Acosta, Penny Louise Adams, Betty Adams, Yisau Adebayo, Arlene Agra, Maria Zocorro Agtarap, Romeo Agtarap, Lillian Aguirre, Levia Airall, Pamela Albers, Tarcy Albert, Alma Alina, Karen Allard, Rose Allen, Connie Allen, Jane Allen, Karen Ambrose, Carol Ames, Nicole Marie Anaya, D. Jane Anderson, JoAnn Anderson, Bettina Monika Anderson, Sherrie Anepete, Menodora Angeles, Marie Lou Angulo, Maureen Anne Anleitner, Annie Anonas-Ternate, Lynn Marie Antonawich, Frances Arce, Ramona Arena, Rey Ares, Ronan James Armada, Linda Armstrong, Karin Arnal, Gifty Afaribea Asare, Augustus Asenguah, Heather Ashfield, Jeffrey Ashley, Alison Ashton, Stella Atler, Lance Attaway, Robert Auen, Hal Augsburger, Naida Austria, Samantha Marie Azam, Mary Kay Bader, Sharon Bahr, M. Anne Bailey, Carole Sue Bailey, Marianne Baird, Lorna Baker, Benny Balangue, Paulette Arreola Balasan, Elizabeth Baldwin, Marilyn Balingit, Barbara Ball, Jill Ballantine, Susan Annette Bankhead, P. Carol Banzon, Editha Barangan, Caroline Barbini, Andrea Barch, Linda Barlow-Palo, Tara Anne Barnes, Joseph Barone, Annette Barone, Dennis Barrette, Richard Barrow, Marjorie Basinger, Sara Bassett-Carroll, Deborah Batten, L. Christine Baxter, Betty Harris Baynes, Emilene Beboso, Nancy Beck, Deborah Becker, Elaine Radford Becker, Renea Beckstrand, Jean Bedenbaugh, Karen Beegle, Beth Begel, Diane Beggin, Ma. Angelina C. Begonia, Danilo Beltran, Lilian Beltran, Candice Bena, Frieda Lizette Bendeck, Erin Elizabeth Bennett, Camille Bennett, Kathy Bennett-Duckert, Emily Erin Bergstrom, Barbara Berkley, Michelle Bermudez, Judy Berry, Tobi Berry, Ellen Beyerlein, Maria Bianchi, Betty Bigham, Jane Billian, Donna Marie Billings, Janet Bischof, Margaret Black, Jayne Blackburn, Penelope Blake, Martina Blanco, Pyke Bobo, Marguerite Boccuti, Kimberly Bochtler, Marilynn Boedicker-Benson, Laura Boehm, Barbara Boettcher, Wendy Boettcher, Beverly Bohus, Connie Bolton, Kathryn Bommer, Cheryl Bond, Mary Ellen Bonin, Cheryl Ann Borden, Susan Borglund, Katherine Boss, Lucinda Boss, Ann Botik, Phillip Bovender, Anna Bowen, Vivian Bowman, Regina Boyd, Bryan Scott Boyer, Cynthia Bradford, Darlene Bradley, Jody Donna Brady, Marjorie Bragg, Daphne Bramble, Valada Maria Branch, Jeannette Branham, Jacqueline Knight Branstetter, Tracy Brasells, Joyce Bray, Glenda Brecher, Julia Breeden-moore, Barbara Breiner, Marie Carol Brennan, Patricia Brennen-Anandarno, Marguerite Brenner, Rhonda Brenton, Brevard Chapter-AACN, Cyduane Gerard Brinas, Constance Brooks, Sharon Brooks, Sandy Brosemer, Marla Broughton, Randi Brower, Cindy Brown, David Lee Brown, Mary Brown, Stuart Brown, Margaret Brownfield, Sandra Browning, Gail Brunet, Pamela Bryers, Erica Buck, Traci Buescher, Sharon Buffalo, Jan Buffington, Gyn Bullard, Sabrina Burda, Toni Burgess, Judith Burke, Gerald Allen Burns, Marie Butcher, Josie Butlig, Kathryn Cacic, Milagros Cadacio, Susan Cahill, Vicki Pauline Calomino, Cornelio Camino, Karen Campbell, Joyce Campbell, Karen Campf, Efran Candelaria, Geraldine Capachione, Kathryne Cappucci, Wilhelmina Carbonel-Mason, Susan Cardenas, Sandy Cardoza, Shannon Carefoot, Alice Carlin, Glenn Carlson, Rebecca Carmack, Eric Carman, Suzanne Carney, Jeffrey Carpenter, Devin Carr, Eloiuse Carriere, Audrey Carruth, Elizabeth Carson, Sharon Carter, Rebecca Carter, Burell Kay Carvalho, Erin Carwile, Elaine Casavant, Karen Cassaro, Rebecca Catri, Riksene Cavanaugh, Rhonda Cavitt, Matthew Martin Cazier, Sue Ann Cefola, Heidi Davies Chappell, Elizabeth Charlton, Dennis Cheek, Mary Cherian, Cathy Chettle-Sterkin, Rose Marie Chevere, Nancy Marie Chiocchi, Gina Marie Chiplonia, Stephanie Chirila, Laura Marie Choate, Nancy Chomel, Sandra Christensen, Adam Christopher, Maureen Cifuni, Karen Claise, Leigh Clark, Mandi Clarke, Sandra Clarke, Alice Booker Clay, Nancy Clements, Kathy Cleveland, Brendalyn Ucol Co, Doris Cobbs, Virginia Cockrell, Michael Andrew Cohen, Kellee Ronyta Cole, Jada Lynn Cole
man, Michele Collins, Maureen Collins, June Louise Collins, Portia Collins, Mary Martha Combs, Trista Common, Dana Conaway, Bryan Conkerton, Anne Conklin, Diana Connolly, Jen Connolly, Brooke Bradley Connor, Rose Conrad, Noemi Grace Cordero, Bernadita Cornelio, Ofelia Cornista, Gyl Corona, Karen Coughlin, Gwinette Cowan, Jessica Shelton Cowee, Guillermina Cox, Kimberly Cox, Sherryl Anne Cox, Mariette Coyle, Deborah Coyle-Jackson, Rebecca Craig, Nancy Crane, Billie Sue Crenshaw, Larry Crockett, Mary Crosley, Katherine Crump, Eileen Cullen, Misty Cundiff, Janet Cunkelman, Michelle Marie Cunningham, Lori Plourde Cunningham, Sarah Curry, Kimberly Curtin, Jose Cuyos, Erica Lynn Damewood, Joanne D'Amico, Mary Dana, Terri Dandrea, Maria Minda Amor Dangcalan, Karen Daniels, Corinne Danielson, Cathy Dansby, Michiko Edwards David, Kristin Dolores Davidson, Marianne Davino, Yanira De Jesus, Bonnie De Los Santos, Lynn De ST Aubin, Shirley De Vera-Villapando, Leanne Deal, William Deans, Leonida DeGuzman, Susan Deitrick, Dolorita DeJesus, Rebecca Sumrall Delatte, Lorella Deleon, Dawn Dement, Leona Deming, Nancy Ann Derendinger, Victoria Desimone, Martha Desmond, Shelia Desranleau, Anne Dewitt, Diana Di Mattia, Sandra Diaz, Vanessa Ibanez Diaz, Linda DiCarlo, Alan Didier, Kathy Jo Dietz, Kristen O'Connor Difiore, Maryann DiRenzo, Joni Dirks, Judith Ann Diss, Melissa Dixon, Bernadine Dixon, Deborah Dolny-Korasick, Sandra Doman, Wendy Domreis, Marcella Donkin, Sharon Donlon, Janet Donoghue, Jeannie Dood, Deri Dority, Christine Dorman, Sharon Dornbos, Phalisa Dorsey, Linda Douglas, Sheryl Doulens, Ann Doyle, Belinda Drabek, Jane Drake (In Memory of Josephine B. Lavandero), Anne Drolet, Criselda Druker, Susan Duboskas, Ann Bennett Duchan, Cecilia Duckworth, Jennifer Duff, Deborah June Duke, Dina Dumaplin-Solancho, Denise Duncan, Tsinina Anita Duncan, Cheryl Dabney L. Duncan, Mary Alice Dunn, Nancy Duran, Patricia Mary Durant, Catherine Eagar, Ginger Earnest, Melinda Earnest, Jo Anne Eckhardt, Victoria Edmonds, Shelly Edwards, DuAnne Foster Edwards, Natasha Egorova, Arturo Eijansantos, Josette Elazegui, Mary Ellerbusch, Eugene Ellis, Kristi Ellison, Kathleen Ellstrom, Carolyn Ellzey, Anna Emilio, Ronda Emory, Sandra Emroo, Jean Endryck, Britanni Noelle Engen, Annie Marie Ennis, Alma Enteria, Flordeliza Epstein, Cynthia Erickson, Lisa Escobar, Paulette Espina-Gabriel, Elizabeth Espinosa-Snyder, Lorena Espiritu, Jacqueline Euchaski, Kathleen Eufemio, Anne Evans, Anne Evick, Maria Falqueza, Britt Fargo, Kathleen Farrell, Mary Kay Feeney, Jacqueline Claire Feeney, Janice Feenstra, Nora Fernandez, Pacita Fernandez, Diane Ferrarotti, Darla Ferris, Shirley Field, Gwen Fields, Marie Filipponi, Kristen Regina Finazzo, Laurie Finger, Doris Marie Finney, Charles Fisher, Edith Fisher, Allison Fisk, Jane Fisk, Elisa Flach, Mark Vincent Flores, Nancy Ann Floyd, Carolynn Foltz, Barbara Fontaine, Gabriele Ford, John Forrant, Jeri Foster-Horrocks, Jennifer Lynn Foulk, Ruth Elaine Fowler, Zeda Renee Fox, Pamela Sue Frantz, Rosa Fraser, Shannon Lynne Fraser, Barbara Ann Fratello, Nanci Fredrich, Teri Lynne Frerichs, Madeline Mary Fricke, Ute Friedrich-Hofer, Margaret Frock, Matthew Ray Frock, Jennifer Frost, Melissa Frye, Esther Fuchita, Kathleen Fuller, Alton Wayne Funderburk, Nicole Fuoco, Paulette Furdyna, Nadia Mercedes Gabory, Anna Gabriel, Patricia Gabucci, Martha Gainer, Barbara Gale, Kimberly Gales-Wilson, Kathie Galias, Danelle Gallo, Noemi Gandeza, Edith Garcia-Trujillo, Hudson Garrett, Cecilia Garrison, Eddie Gary, Marina Gates, Alene Gates, Beverly Gay, Muriel Gennari, Jennifer Leigh Geter, Angela Gibbar, Linda Gifford, Suzanne Gilbert, Jessica Gillan, Gloria Gilson, Constance Girard, Susan Glass (In Honor of Janice Kaihoi), Barry Glass, Jayne Gmeiner, Helene Goarke, Anesha Godden, Brigitte Godsey, Joan Godwin, Wayne Goebel, Susan Lynn Goff, Elsa Gonong, Elizabeth Gonzales, Patricia Gonzalez, Paula Gonzalez, Frankie Goodwin, Tjerelyn Gorley, Lita Gorman, Margaret Gorman, Allison Gosnell, Hannah Grace, Margaret Eileen Graham, Faith Granroth, Trinid
ad Gravador, Greater Chicago Area Chapter-AACN, David Green, Marcia Green, Cathy Greene, Doris Greenlee, Karen Gregory, Jonnice Christine Grentz, Colleen Gresh, Charleen Griemsman, Amy Griffin, Debra Grimm, Jeanne Grindlinger, Jacqualine Drake Grisham, Erika Grossauer, Terri Lynn Guajardo, Mary McKenna Guanci, Gloria Guerrero, Milagros Guinsatao, Elaine Gulick, Elena Gullin, Virginia Lorraine Gullotte, Marichu Gumpal, Ingrid Gunnlaugsson, Jodi Gunther, Marie Claude Gutekunst, Jill Guttormson, Rachel Haarberg, Carol Hafer, Shannon Hagan, Mary Hall, Daniel James Hall, Aleksandra Hall, Debra Halligan, Anna Halloran, Michael Leander Hamacher, Brenda Hamby, Cathy Hamilton, Jennifer Lynn Hammond, Deborah Handley, Thomas Haney, Deborah Hanlon, Lesli Michelle Hannah, Gerard Hannibal, Kerry Hannifin, Roberta Hansen, Arthur Hansen, Margaret Hanson, Vivian Harden, Valerie Hardwick, Rose Mary Hardy, Donna Hare, Elsie Ruth Harris, Tina Harris, Shirley Harry, Russchel Hart, Virginia Hart, Catherine Ann Hartung, Heather Ann Hartwig, Deborah Hassell, Ligia Hassija, Stephanie Lee Hastings, Alwin Hawkins, Kathy Hay, Loretta Ann Hayko, David Haymore, Sarah Heath, Jonathan David Hecht, Laurie Heckel, Jill Hecker Fernandes, MaryBeth Hegedus, Julie Heisel, Linda Heitel-Dozier, Linda Hellstedt, Mary Ann Henderson, Maureen Hendricks, Mary Hendry, Sheryl Hensler, Amy Henson, Debbie Anne Hernandez, Barbara Ann Herndon, Cheryl Herrmann, Tina Hicke, Mairead Hickey, Denise Hickey, Tracy Hildebrandt, Peter Hilen, Adele Hill, Patricia Hill, Stephen Wayne Hill, Tommy Hill, Phyllis Hinson, Carolyn Hix, Jill Hobbs, Mary Ellen Hobson, Beth Hodges, Debra Hoekstra, Terese Hoffman, La Nora Holcombe, Reynell Dee Holiday, Norita Lisa Holipas, Tina Holloway, Robert Holman, Sharon Holmes, Tina Holmes, Edwin Deon Holmes, Kyle Holmes, John Ray Holmes, Diane Holzum, Cynthia Honess, Lana Hood, Tia Maria Hooley, Tracie Hopkins, Gloria Hoppler, Dolores Horne, Kathleen Hoskins Howard, Mary Hostetter, Mary Ann House-Fancher, Dawn Marie Howard, Sharon Howard, Jill Howie, Marilyn Hravnak, Diane Lynn Hubers, Lynmarie Lee Huckaby, Genevieve Huerstel, Karen Hull, Marta Humblet, Gretchen Hunt, Joey Nicole Hurt, Billie Hutter, Anne Incontrera, Annette Irizarry, Claudia Irmiere, Marja-Leena Isoaho, H. Anna Itaman, Eleanor Jabagat, Jovie Jabla, Trudy Jackson, Christine Jackson, Dawn Jackson, Karen Janos, Jocelyn Javellana, Anne Marie Jay, Norma Jean-francois, Holly Ann Jeffers, Marvette Jenkins, Judith Jennrich, Janet Marie Jessup, Virginia Jett, James Johnson, Rebecca Johnson, Cynthia Johnson, Doris Johnson, Fiona Keri Johnson, Vicki Lou Johnson, Vereline Johnson, Veronica Johnson-Ulmer, Debbie Johnston, Theresa Jean Jones, Nichole Jones, Dorothy Jones, Margaret Jones, Jean Jones, Linda Jones, Gwendolyn Joseph, Uranic Joseph, Susan Josselyn, Linda Jung, Susan Kaitz, Peggy Kalowes, Linda Kan, Susan Kasson, Inne Kaumpungan, Mamiku Kawaguchi, Izabela Kazana, Mary Kearney, Elizabeth Keener, Edna Keller, Karen Keller, Heike Kelley, Joanne Kellie, Carolyn Sue Kelty, Jeanette Kenfield, Danielle Sue Kinder, Nancy King, Elaine Kinsey, Lilia Kipte, Harriet Kirk, Lesley Dawn Kirkendall, Kristin Ann Kirkland, Peggy Kirkwood, Gregory Klaus, Sharron Kleier-Romano, Evan Klein, Eliane Galvao Kleingeld, Ruth Kleinpell, Vicki Klemm, Janet Kloos, April Klutman, Tarcela Koban, Cynthia Kociszewski, Anna Kokkalis, Patricia Kolves, Dee Ann Komarnizki, William Koncaba, Pamela Konrath, Valerie Mary Kopp, Carol Korbar, Tari Kovacs, Linda Kovitch, Jennifer Kozuch, Monica Kramer, Jane Krolewski, Mary Kruger, Barbara Kulaga, Carol Kulpan, Bertha Amponsaah Kusi, Walaya Kusolvisitkul, Joanne Kuszaj, Teresa Kuwae, Imsook Kwak, Mary Labernik, Carol Ann Lacher, Sharon Lahm, Donald Lamendola, Monica Lammes, Mary Ann Lamont Krall, Jae Landers, Nancy Marie Lang, Barbara Terri Lannert, Benjamin Lannin, Sally LaPlante, Consuelo Lara, Evangeline Lara-Ibasan, Mayola Lasater, Husna Latchman, Anicia Lausin, Carmen Lavadia, Leanna Lawson, Tori Ledesma, Bernadette Lee, Donna J. Lee, Sunah Lee, William Howe Leedy, Amalia Lee-Lazo, Elora Lefler, Cynthia Ney Leipold, Cristita Lemoine, Janice LePlatte, Rita LeRay, Bobbie Yvonne Lesman, Rosemary Leta, Lorraine Christine Levers, David Andrew Levy, Crista Lynn Lewis, Jannie Lin, Heidi Lindner, Debra Lindsey, Denise Lindy, Mary Lipani, Lippincott Williams & Wilkins (In Honor of Wendy Berke), Diana Litt, Jennifer Lockwood, Lynn Lodl, Karen Loewen, Lynn Loftis, Sherry Ann Logue, Billy Long, Sonia Lopez-Chiang, Elizabeth Loran, Darrin Lorine, Regina Low, Karen Nicole Lowder, Shelia Lowry, Catherine Lubliner, Jillian Ludden, Kelly Ludemann, India Luke, Kathryn Lunardi, Marian Lutchka, Dorothy Lutz, Henry MacLellan, Magnolia Macutay, Mildred Madsen, Elaine Maguire, Roberta Maida, Arthur Mandy , Patricia Manion, Kristie Manjarrez, Grace Marie Manuel, Loretta Marcantonio, Donna Marko, Dosha Marshall, Virginia Lee Martin, Deborah Martin, Dorothy Martin, Sara Marzinski, Karen Matejik, Araceli Mateo, Sherry Mathews, Sandra Mathis, Mary Ann Matyear, Christina Maupin, Karen Mayer, Regina Mayfield, Annabelle Elena Guerra Maylas, Gail Elane Maynard-Hewitt, Catherine Ann Mazurek, Tricia McAuley, Julianne Mccarthy, Jennifer McCartney, Mary McCauley, Debra McClelland, Annette McCloskey, Diane McClure, Susan McCullough, Katheryn McDonough, Margarette Louise McFadden, Kathryn McGill, Pamela McGill, Kathleen McGovern, Barbara McGovern, Mary Elizabeth Mcgraw, Delsie McGregor, Robb Douglas Mchugh, Ingrid McIntosh-Williams, Kathleen McKee, Beth McLellan, Nancy Mcpeak, Denise McPherson, James Mears, Cheryl Mease, Linda Kay Meeks, Susan Meintel, Obiajulu Melekwe, Elizabeth Mencel, Ester Mendoza, Amihilda Halim Menina, Cynthia Merritt, Kevin Meyer, Joan Michalkowski, Gisela Fay P. Miel, Deborah Mike, Kathryn Marie Millen, Pamela Miller, Lindsey Miller, Lois Miller, Daisy Evette Miller, Rhonda Miller, Lori Miller, Kimberly Miller, Sharann Mills, Ruth Milne, Julie Minihane, Nicolette Mininni, Carol Lynn Mirsky, Judith Glann Mitchell, Shonkethia Lashay Mitchell, Michelle Mitchell, Sherry Mitchem, Maria Miyashiro, Mobile Bay Area Chapter-AACN, Lori Mobley, Heidi Molina, Joanne Molle, Matthew Vincent Monahan, Vanessa Montante, Margott Montesinos, Shanna Montrose, Ellen Moody, Jessica Mooney, Velma Moore, Elizabeth Moores, Ann Moran, Molly Elizabeth Moran, Diane Ruth Morgan, Susan Morgan, Margaret Morris, Michelle Thomasina Morrison, Margaret Morrow, Samira Moughrabi, Mignon Muirhead, Janice Matticks Mulac, Ann Marie Mulholland, Danny Glen Mulkey, Pat Mullen, Cora Mullins, Michelle Munro, Wanda Muranaka, Magadlene Murry, Theresa Musa, Lynn Myers, Diana Myers, Victoria Myles, Patricia Nadraus, Teresa Nardi Valentin, Linda Naugle-Cetta, Ronna Nazarini (In Memory of Ileta E. Johnson), Deborah Neff, Elizabeth Neill, Annette Nelson, Susan Nelson, Carol Nelson, Kathy Nenadovich, Patricia Nep, Melanie Lee Nevin-Gietl, Mary Anne Newman, Lisa Newman, Lydia Newman, Myra Nichols Cone, Christine Ann Nielsen, Janice Nims, Cynthia Nixon, Gwain John Noga, Amy Nugent, Lisa Denise Nugent, Jude Christopher Nugent, Mary Ellen Nugent-Schubert, Judith Nwakanma, Jean Nydam, Mary Blichfeldt O’Brien, Carroll Philip O’Brien, Mary O’Brien, Barbara O’Connor, Mary Kay O’Hara, June Oliver, Laura Olivieri, Kirsten Olsen, Donna Olson, Sophia Omara-Alwala, Dee'Anna Orosco, Rebecca Marie Osuna, Robert Ower, Amelia Pacardo, Julia Palmer, Jennifer Palmunen, Elynn Panares, Susan Pandozzi, Donna Parisek, Han Young Park, David Scott Parker (In Memory of Euginia Jackola), Marita Parker, Kelly Parker, Barbara Parness, Lindsey Marie Parrish, Garth Pasaporte, Nolan Pase, Kimmarie Passalaqua, Judith Patterson, Evelyn V. Paulan, Jeffrey Paurus, Elizabeth Pearson, Maria Esther Pedroza, Janet Penhale, Sandra Perez, Madeline Perkel, Jane Persoon, Anna Isabel Pesquera, Beth Ann Peters, Andrea Peterson, Yuki Peterson, Joyce Philip, Gillian Phillips, Robyn Picha, Elizabeth Jean Pinard, Lois Piper, Mary Luisa Pitt, JoAnn Pixler, Synda Plain, Cherrydale Pobre, Catherine Pokorski, Mary Polchert, Randy Pomar, Priscilla Pongco, Cindy Porterfield, Remedios Pia Posadas, Rebecca Powe
ll, Janice Powers, John Pozar (includes gifts made in memory of Vic DeWees and in honor of Skippy the Turtle), Christine Prater, Sanford Press, Kathy Price, Gail Priestley, Teresa Ann Primo, Beverly Pritchard, Ellen Proplesch, Trina Prowell, Clara Quezada, Sharon Quinn, Joe Manuel Quintana, Sandra Rackard, Rosalynn Rafols, Marcia Ragan, Amber Ralston, Edna Ramos, Rosie Randolph, Donna Marie Rapczyk, Mary Ratner, Andrea Ratzlaff, Carol Rauen, Eunice Razalan, Julia Read, Maria Jennelyn Redil, Amanda Regan, Barbara Reid, Marion Reidy, Patty Reilly, Anita Reinhardt, Maria Repuyan, Edith Revoir, Sandra Rexach, Marige Reyes, Corazon Jose Reynon, Allison Rice, Janet Richard, Ruth Richardson, Jane Richardson, Irja Richmond, Sheila Ann Richter, William Russ Richter, Rebecca Richter, Jennifer Riley, Mary Anna Riley Napier, Linda Dianna Riojas, Stephen Risch, Frances Ristagno, Marlene Roberts, Charlotte Roberts, Pearl Roberts, Magdalene Elaine Robinson, Ava Robinson, Dorothy Robinson, Eileen Robinson, Sandra Rockey, Arlene Rocki, Nicole Rodeck, Yahaira Rodriguez, Jovelyn Rogan, Donna Rogers, Kariss Rojas, Mary Beth Roller, Lori Denise Roman, Kristina Annette Ronneberg, Susan Roos, Doris Rosenow, Grace Rosete-LaSala, Patricia Rosier, Elaine Kay Ross, Donna Rothman, James Rowe , Lois Ruble, Lisa Trevino Rudny, Cecilee Marie Ruesch, Cynthia Rugarber, Ruby Ruiz, Anne Ruppert, Ericajon Ruppert, Mary Rush, Elizabeth Rust, Kristin Ruud, Christine Ryan, Pam Ryback, Maureen Rymer, Sarah Sachse, Ann Sack, Lisa Saint-Amour, Maria Elena Salazar Chan, Remedios Sales, Eleonor Salvatin, Celestine Samuel-Blalock, Jose Riel Sanariz, Debra Sanberg, Kathy Sandel, Stephanie Sanderson, Michelle Amy Sandifer, Angela Sandoval-Meuse, Nicole Sant'elia, Deb Savage, Dawn Scalapino, Yvonne Scannell, Joan Scherrer, Doris Schiff, Amy Jeanne Schmidt, Emma Jane Schneck, Mary Scholl, Katie Marie Schramm, Barbara Schultz, Maria Schultz, Ellen Scortichini, Joni Screen, Joanne Seasholtz, Nanette Mauricio See, Linda Seifert, Ramey Seifert, Cassie Ann Seitz, Sue Sendelbach, Marsha Seppala, Sally Sera, Karen Setti, Alma Severyn, Shannon Renee Sexton, Constance Shapley, Meena Sharma, Yulia Sharov, Susan Halicki Sharp, Julie Shaw, Traci Sheesley, Katie Anne Shelley, Anne Shelton, Beverly Shelton, Brenda Kay Shelton, America Sherwood, Sarah Shingleton, Kathleen Shiring, Charles Shoalmire Jr, Susan Shutty, Aida Siason, Robin Sibley, Susan Sidell, Monica Simmerman, Susan Simmons, Elizabeth Simons, Daniel Singleton, Verna Sitzer, Teresa Skaggs, Kim Slattery, Erica Slebodnik, Renee Elizabeth Sliker, Sean Smith, Lisa Wentworth Smith, Deborah Smith, Patricia Smith, Barbara Anne Smith, Steve Smith, William Smith, Eugene Smith, Angel Smith, Una Smyth, Janet Hill Snape, Rowena Marquez Sneathern, Debra Ann Snyder, Sheila Sobretodo, Teresa Solberg, Mary Lou Sole, Betty Sosbee, South Miami Hospital, Southern Maine Chapter-AACN, Lara Grey Spalding, Denise Sparacio, Joy Speciale, Michelle Speicher, Keeli Spoljoric, Shirley St. Pierre, Jodie Lynne Stabinski, Sandy Stahl (In Honor of Johathon Monroe), Gena Stiver Stanek, Anna Marie Starostovic, Janet Steimel, Nancy Stein, Veronica Stirewalt, Cynthia Stock, Judith Stone, Gail Stone, Edwin James Stow, Helen Strasko, Kathleen Strong, Laura Katherine Strood, Beth Stuart, Annabelle Annette Sturdivant, Wattana Sukserm, Roberta Sullivan, Jill Sullivan, Karen Sullivan, Carmella Sullivan, Cheng Sun, Carol Sutton, Gregory Joseph Swallow, Mary Jane Swartz, Nelly Tablizo, Celia Tadiar, Gloria Morales Taduran, Charles Tapp, Marc Tatarian, Susan Nanette Taulli, Sharron Taylor, Jill Taylor, Brandie Elaine Teiken, Mary Thelen, Nicholas Theobald, Michelle Elizabeth Thibault, Wanda Thomas, Doris Thomas, Michael Thomas, Jessica Thomas, Annette Thomas, Magdalena Tobias, Vanica Todd, Maria Corazon Toledo, Lisa Renee Tompkins, Lori Renee Tosto, Diana Travis-Conti, Susan Tremblay, Paul Trewartha-Weiner, Ruth Tschiegg, Diane Tsitos, Patricia Tucker, Elizabeth Turner, Pamela Turner, Laurie Turnipseed, Darlene Tuttle, Laurel Tyler, Stephanie Tyo, Lee Underman, Heidi Uppgaard, Adora Usudan, Cherie Uzick, Cathy Suzanne Valdes, Isabel Valdez-Carantes, Nelia Valera, Jennifer Vallillo, Sara Ann Van Effen, Lara Lindsey Van Huysen, Lauzya Van Rensburg, Marita Vanderheiden, Amy Dossett Vandermeer, Penelope VanDuyne, Priscilla Varnado, Tiffany Jo Varrasso, Lisa Vegerano, Cheryl Vergara, Renee Very, Kristi Vick, Regina Villalobos, Rick Villela, Linda Vincent, Beth Vogel, Vicky Von Waldegg, Thomas Vu, Charlotte Wachtman, M. Ben Wade, Melinda Wagener, Cathy Lee Waggoner, Carolyn Wagner, Kathleen Wagner, Kathleen Waldron, Cindy Walker, Mary Ellen Walker, Stuart Cawthon Wallace, Catherine Ware, Susan Warner, Dianne Warney, Washoe Health System & Medical Center, Edna Watkins, Candice Watkins, Frances Watson, Ellis Clayton Waxham, Christina Weaver, Sharman Weaver, Mindy Webb, Greg Webb, Jane Webb, Diana Wegner, Robert Weisdorffer, Barbara Weiss, Nick Weitzel, Kelly Irene Wells, M. Cecilia Wendler, Barbara Wenning, Kitty Werner, Bethany Westerfeldt, Gregory Wheatley, Gigi Sabrina White, Carla White, Teresa White, Alison Wieczorek, Donna Wierema, Gloria Williams, Sarah Webster Williams, Bruce Williams, Sammie Williams, Audrey Williams, Robin Williams, Susan Williams, Deona Willis, Laurie Beth Willmitch, Denise Wilson, Carol Wilson, Jannette Wilson, Janice Wilson, Patricia Wilson, Chris Winkelman, Irene Winnen, Brent Wise, Janet Withrow, Jessica Witter, Anne Marie Wolfer, Carol Gray Wolff, Carolyn Womack, M. Wong, Suzanne Wood, Elizabeth Wood, Jocelyn Woodburn, Ryan Woodin, Patricia Ann Woods, Kara Work, Pamela Woynicz, Elfreda Wright-Taylor, Kathy Wurtzler, Melissa Wyatt, Virginia Xanthopoulos, Joanne Yolla, Kimberly Ann Young, Ma. Gloria Youssef, Rebecca Yurek, Julie Zachow, Karen Zahn, Demetra Zalman, Louise Zedd, Christina Zensen, Joyce Elise Ziebarth, Joan Ziegler, Margaret Zielinski, Marilyn Zipf, Jamie Zoellner, Robert Zucchi, Judith Zukin, Mariela Zuluaga, Karen Zwerneman

Unrestricted Gifts

$5,000 and Above
Norma Shoemaker

$1,000-$4,999
Marianne Chulay, Wanda Johanson

$100-$999
JoAnn Grif Alspach, Connie Barden, Arlene Bautista, Chris Breu (In Memory of Sharon Connor), John Dixon, Doris Engibous, InnoVision Group (In Memory of Teresa Bryan-Brown, Sara Koole, Dorothy Meehan, Linda Miller, Janet Mulroy (In Honor of Cindy Cain, Elaine Fetzer, Sue Bailey, Dorrie Fontaine), Nancy Munro, Elizabeth Nolan (In Honor of Dorrie Fontaine, Suzanne Burns), Pamela Pleiter (In Memory of Barbara Monroe), Raul Salas, Cynthia Tulka, Kathleen Vollman, Dorcas Wande, Janice Wojcik (In Honor of the AACN Board of Directors)

Below $100
Violeta Abou-El Fetouh, Noraniza Alonto, Zarina Baqai, L. Christine Baxter, Renea Beckstrand, Patricia Blissitt, Jody Brown, Rheta Campbell, Jennie Chadbourne, Casiano Chi, Elizabeth Davis, Sandra Diaz, Joy Doyle, Ann Bennett Duchan, Tsinina Anita Duncan, Kathleen Eufemio, Milagros Figueroa, Laura Frederick, Marjorie Funk, Bess Hannigan, Sharon Hess, Brian Hyland (In Memory of Mary Beth Schilling-Hyland), Charlotte Jackson, Karen Jeffers, L. Stacy Karl, Marilyn Kemtes, Donna Kowalewski, Jane Krolewski (In Memory of Dennis Baird), Christine Kruskamp, Marilyn Kupcho (In Honor of Dawna Hawksworth), Felicia Kyeremeh, Judith Lang, Cordula Lemke, Helen Lewis, Ofelia Lim, Marie Ludwig, Mary Beth Makic, Michele Manning, Avril March, Janet Marts, Susan Meyer-Callahan, Sharon Millan, Clarice Moore, Diana Mustacchio, Michelle Nowicki, Gladys Palmieri, David Scott Parker (In Memory of Euginia Jackola), Lauri Pemberton, Stella Procunier, Kathleen Rafferty, Cyrina Rentschler (In Memory of Robert Wilkins), Sharon Roderick, Julia Roman, Alma Santos, Erin Smith, Claire Sommargren, Sandy Stahl, Pamela Swingseth, Steven Tappe, Brian Tarpey, Mary Vanderburgh, Teresa White, Douglas Williamson

2004 Silent Auction Donors
3M Health Care, AACN Department of Professional Practice, AACN NTI Team, AACN Region 3 Chapters, AACN Region 10 Chapters, Aeromedical Transport Specialists, Inc., Anaheim Convention & Visitors Bureau, Anaheim Marriott, Anaheim Mighty Ducks, Angels Baseball Club, Armstrong Medical Industries, Inc., Arrow International, Aspect Medical, Aureus Medical Group, Ayres Country Inn & Suites, BankOne, Connie Barden, Linda Bell, Wendy Berke, Kim Blackburn, Kbee designs, Nancy Blake, Bob’s Balloon Charters, Boston Convention Marketing Center, Heidi Boydstun, Wanda Bride, Debra Brinker, Denise Buonocore, Suzi Burns, Chesapeake Bay Chapter–AACN, Chicago Convention & Tourism Bureau, Bertie Chuong, Coastal Chapter–AACN, Convention Housing Management, Convention Photo by Joe Orlando, Inc., Cornelius & Associates, Cornelius Family, Crabtree & Evelyn–St. Louis Galleria, Dallas County Chapter–AACN, Michael W. Day, DelMarVa Chapter–AACN, Denver Metro Convention & Visitors Bureau, Disneyland Resort, John Dixon, Draeger Medical, Eastern Iowa Chapter–AACN, Edwards Lifesciences, Elsevier, Emergency Nurses Association, Ann Evans, Dorrie Fontaine, Ellen French, Roberta Fruth, Getinge USA, Goddess Creations, Wayne Goebel, Caryl Goodyear-Bruch, Greater Miami Area Chapter–AACN, Greater Tampa Bay Chapter–AACN, Greater Twin Cities Area Chapter–AACN, Tammy Hall, Karen Hamilton, Dave Hanson, Hard Rock Vault Museum, Carol Hartigan, Mindy Hecker, Tom Hickey, Holistic Nursing, Jean Erickson, Mary Holtschneider, House of Blues, Hyatt Regency Atlanta, Jerome Medical, Wanda Johanson, John Hancock Insurance, Julie Kruithof, Laguna Cliffs Marriott Resort and Spa, Lake Champlain Chapter–AACN, Dr. Janet Lapp, Deborah Laughon, Ramon Lavandero, Lippincott Williams & Wilkins, Marsh Affinity Group Services, Kathy McCauley, Memphis Chapter-AACN, Merrill Lynch, National Nursing Network, Nellcor/Tyco Healthcare, Elsie Nolan, Northwest Chicago Area Chapter–AACN, Orlando Museum of Art, Ortho Biotech, Park Inn & Suites, Passy-Muir, Inc., Pennysaver USA, Presbyterian Hospital of Plano Critical Care Unit, Suzanne Prevost, Professional Consulting Services, Psychological Associates, Puget Sound Chapter–AACN, Radiometer America, Inc., Redwood Empire Chapter–AACN, Rex Healthcare, Sage Products, Inc., San Francisco Chapter–AACN, SeaWorld Orlando, Alisa Shackelford, Short Term Plant Rental, Slack, Inc., Dr. Kaveh Shojania, Southeastern Pennsylvania Chapter–AACN, Southern Maine Chapter–AACN, Stryker Medical, Summer Bay Resorts, Claire Marie Tack, Linda Tamburri, Lynn Taylor, Teleflex Medical, The Learning Curve, The Peabody Hotel Orlando, The Upper Deck Company & Team Tiger, Mary Fran Tracy, Tyco Healthcare Kendall, Ultrascope, Patty Uy, Judy Verger, VitalSmarts, Volusia Flagler Chapter–AACN, Dr. Robert M. Wachter, Christine Westphal, Janice Wojcik, Wyland Worldwide, LLC, Susan Yeager


In Support of Critical Care Nursing Research

$1,000 and Above
Marianne Chulay, Geisinger Wyoming Valley Medical Center (In Honor of Mary Fran Tracy)

$500-$999
North Memorial Medical Center (In Honor of Mary Fran Tracy)

$100-$499
Diane Adler, Nancy Albert, Diane Carroll (In Memory of Charles F. Elliott, Richard, Marilyn Cassidy), E. Janie Heath, MediCorp Health System (In Honor of Janie Heath), Barbara Rose (In Memory of Juliana Konarski), Kathleen Wagner (In Memory of Pamela Kidd)

Below $100
Nancy Bekken, Elisa Giglio-Siudzinski, Lauri McCanless (In Memory of Barbara Monroe, Cheryl McGaffic, Robin Rogers), Tracy Ostrom, Birgit Weeks

In Support of Continuing Education Scholarships

$100 and Above
Dallas County Chapter-AACN, Greater Milwaukee Area Chapter-AACN, Metropolitan Orlando Chapter-AACN

Below $100
Frenton Caum, Danny Chapman, Ashley Davenport, Edwinda Day, Bernice Dickson, Allen Friend, Greenville Hospital System, Julie Grubb-Ziller, Clarissa Judkins, Patricia Lee, Caroline Louis, Herminia Mangubat, Rose Maundu, Esther Mbiyu, Barbara McBeath, Suzanne Meyer, Mobile Bay Area Chapter-AACN, Janet Pierce, Scott Pomygalski, Paula Singh, Southern Arizona Chapter-AACN, Esther Nyauuthii Thambu, Ann Timme, Margaret White, Deborah Ann Wyatt, Maria Ybanez

In Support of the Sharon J. Connor Memorial Fund

$1,000 and above
New York City Chapter-AACN, Northwest Chicago Area Chapter-AACN, Southeastern Pennsylvania Chapter-AACN

Below $1,000
Rhonda Holden, Pacific Crest Regional Chapter-AACN

VOTE! It’s Your Privilege Your Responsibility Your Voice

Dear Fellow AACN Members:
We encourage each of you to make your voice heard and VOTE in the annual AACN election. Please take the time to review the candidate information presented here and participate in this important process.

Voting means more than simply checking the ballot boxes. It is a fundamental membership benefit that allows you to help choose the future leaders of your professional organization. These individ-
uals 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 the voice of acute and critical care nurses influences the future of healthcare.

As nursing leaders within AACN, we don't need to tell you how important ensuring a strong future leadership for AACN is. 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. Your vote will make a difference in the future of AACN.

Live your contribution.

Kathy McCauley
RN, PhD, BC, FAAN, FAHA
AACN President

Dorrie Fontaine
RN, DNSc, FAAN
AACN Immediate Past President
Chairperson,
AACN Nominating Committee

Voting Is Easy!

Simply visit www.aacn.org to vote for members of the AACN Board of Directors and AACN Nominating Committee. Click on the “Vote” icon and log in, using your eight-digit member number (including leading zeros) and password (your last name). Ballots must be completed by April 10.

No Web access? No problem. Simply contact AACN at (800) 394-5995, ext. 331, or e-mail pat.mallette@aacn.org to obtain a paper ballot.

Additional candidate information is available online and can also be accessed directly from the ballot.

Meet the Candidates


Candidate for President-Elect

Mary Fran Tracy, RN, PhD, CCRN, CCNS, FAAN
Critical Care Clinical Nurse Specialist
Fairview-University Medical Center

Adjunct Assistant Professor
School of Nursing
University of Minnesota
Minneapolis, Minn.

Experience and Activities
--AACN, National
• Member since 1990
• Director, AACN Certification Corporation, since 2003
• Secretary, AACN Board of Directors, 2002-2004
• Director, AACN Board of Directors, 2001-2004
• NTI and API Work Groups, 2000-2001
• Research Grant Review Panel, 2000-2001
--Greater Twin Cities Chapter
• Member, since 1993
• Research Committee, 1999-2005
• Cochair, Non-Traditional Critical Care Nurse Workgroup, 1998-1999

Issues Statement
We are in the midst of great change in today’s healthcare system. Caregiving in this fast-paced environment can feel overwhelming and frustrating. I believe that our passion for nursing and compassion for patients can inspire us to make a difference. My vision for critical care nurses is to actively draw on these strengths, with AACN providing leadership and resources.

Communicating our passion for nursing, through AACN nationally and individuals locally, is imperative. Critical care nursing requires ingenuity and collaboration to address the challenges we face such as establishing healthy work environments, addressing staffing issues, and providing safe, quality care. AACN is well respected for inspiring and educating nurses to convey this passion. Our commitment to employ passion in a constructive, purposeful way through building partnerships and articulating creative solutions can result in positive change. As President, I commit to be your voice at a national level and to help you rediscover, maintain, and convey your passion for critical care nursing.

Patients deserve our uncompromised compassion despite turbulent times. The turmoil patients and families experience during life-threatening events should not be heightened by turmoil nurses may be feeling. Showing compassion during stressful times is a skill of critical care nurses. Compassion is also demonstrated through dedication to quality care based on evidence and expert consensus.

We may sometimes struggle to remember why we went into nursing and what keeps us there. The flame of passion is at times a small glowing ember, barely recognizable. However, the realm of possibilities for finding solutions is truly endless. As President, I promise to lead AACN into a future where we take advantage of opportunities to make positive changes. As your President, I pledge to support you in having the courage to explore the difference you can make for nursing and our patients.

Candidates for AACN Board of Directors
Vote for 4

Janice Wojcik, RN, MS, CCRN, APRN, BC
Advanced Practice Nurse Critical Care
St. Joseph’s Regional Medical Center
Paterson, N.J.

Experience and Activities
--AACN National
• Member since 1987
• Region 3 Chapter Advisor, 2002-2004
• Chapter Advisory Team Leader, since 2004
• NTI Abstract Review Panel, since 2002
• Chapter and Membership Award Review Panel, 2002-2004
• Scholarship Review Panel, 2002-2004
• Board Advisory Team, 2001-2002
• Advanced Practice Advisory Team, 2001-2002
• AACN/ CCRN Ambassador, since 2001
--Northern New Jersey Chapter
• Member, since 1994
• President, 2000-2001
• Board of Directors, 1997-2002
• Board Advisor, 2002-2003
--Other Professional Memberships
• Society of Critical Care Medicine, since 1999
• Rutgers University College of Nursing Alumni Association, since 1987
--Community/ Volunteer Activities
• Gilda’s Club of Northern New Jersey Volunteer, 2003-2004
• U.S. Department of Labor Women’s Bureau Group E-Mentoring in Nursing Program, since 2004

Issues Statement
Their dedication, devotion, expertise, and kindness is something our family will treasure for the rest of our lives... The words of a grateful family hang on a bulletin board in the ICU. The nurses on the unit had cared for a loved one during the last days of his life, having an unending impact on those who remained to grieve.

How do we nurture this caring within critical care nurses? The nurse is the caregiver who is closest to the patient, spending more time with the patient and family than any other member of the healthcare team. This places the nurse in a unique position to touch many lives. When positioned within an unhealthy work environment, however, the critical care nurse may become distracted by the issues that loom large—shortages of qualified staff, communication failures, disrespect, and lack of collaboration. The nurse is in jeopardy of becoming sidetracked by the toxic elements of the environment, negatively impacting the ability to provide safe, excellent care to patients and their families.

Environments that are supportive, respectful, and provide commensurate professional recognition and compensation will attract and retain qualified nurses. Critical care nurses will be able to focus on issues that truly demonstrate the excellence of their practice—providing safe, effective care for critically ill patients across the life span; promoting improved end-of-life care; seeking and maintaining professional certification; communicating caring to patients, families, and colleagues.

Seeking out opportunities to improve our practice environments must remain in the forefront. Providing information, strategies, and practical resources for critical care nurses to integrate into their respective roles and workplaces is vital. Establishing healthy work environments will address many of the issues that create stress in the practice setting.

John Whitcomb, RN, PhD(c), CCRN
Full-time Student
Lieutenant Commander, Nurse Corps
United States Navy
University of San Diego
Hahn School of Nursing and Health Science

Experience and Activities
--AACN National
• Member since 1995
• Chair, Advanced Practice Work Group, 2004-2005
• Member, Nominating Committee, 2003-2004
• Board Advisory Team, 2002-2003
• Advanced Practice Advisory Team, 2002-2003
--San Diego Area Chapter
• Member, since 2001
• President, 2004-2005

Issues Statement
One key issue affecting critical care nursing today is that of education. Being a nurse scientist requires commitment, critical thinking skills, the ability to lead and have an in-depth understanding of the science of nursing. Providing and facilitating education within critical care nursing is a necessity as we enter a time of short staffing, retiring nurses and new critical care nurses exploring the critical care arena. Education is an extremely important part of a professional career as it demonstrates a commitment to the profession.

I see the nurse scientist role as one that uses critical analysis and knowledge dissemination with those in our numerous health care settings worldwide. The way we advance our practice is through active involvement within our professional organizations at both the local and national level.

I was the champion for the Beta Testing at NMCSD for AACN’s ECCO Program. My vision and proposal was to have this program available as standardization to basic critical care knowledge. That vision is turned into a reality at NMCSD and is being adopted Navy wide.

My deployment with the 1st FSSG, 4th Medical Battalion in Operation ENDURING FREEDOM where I was the Director for the ICU and three Medical Wards seeing over 200 patients and real-time experiences with minefield casualties in Guantanamo Bay, Cuba have revealed that nursing knowledge, skills and critical thinking are essential to ensuring the stabilization, survival and recovery of those casualties.

I want to educate nurses and develop research that will contribute considerably to the field of critical care nursing. I have been in the arena that prepares our nurses, as well as serving in the midst of operational contingencies. I am intimately aware of what is needed to establish a solid base of Critical Care nurses, nursing research and training for the future.

Patricia Gonce Morton, RN, PhD, ACNP, FAAN
Professor, Assistant Dean for Master’s Studies
University of Maryland School of Nursing

Coordinator for the Acute Care Nurse Practitioner and Clinical Nurse Specialist Master’s Program in Trauma, Critical Care, and Emergency Nursing
University of Maryland School of Nursing

Acute Care Nurse Practitioner
(faculty practice, part-time)
University of Maryland Medical Center

Experience and Activities
--AACN National
• Member since 1978
• Board Advisory Team, 2003-2004, 2004-2005
• Chairperson, Advanced Practice Work Group, 2002-2003
• Advanced Practice Work Group, 2001-2002
• Media spokesperson for AACN, 2000-2001
• Board of Directors Advisory Panel, 1999-2000
• Advanced Practice Advisory Panel, 1999-2000
• AACN representative at the Pulmonary Artery Catheter Education Evaluation Committee, a collaborative effort with the Society of Critical Care Medicine, American College of Chest Physicians and American College of Cardiology, 1999
--Chesapeake Bay Chapter
• Member since 1980
• Invited speaker at monthly and annual meetings
• Chapter liaison for the University of Maryland School of Nursing, 1998-1999
--Other Professional Associations
• Sigma Theta Tau National Honor Society of Nursing, since1979
• American Heart Association, since 1980
—Council on Cardiovascular Nursing
—Operation Stroke Committee, Maryland Affiliate, 1999-2003

Issues Statement
A healthy work environment is essential if critical care nurses are to make their optimal contribution to caring for critically ill patients and families. Healthy work environments promote the health and safety of patients, facilitate recruitment and retention of nurses, enable mentoring and professional development of staff, and enhance collaboration and communication.

Building healthy work environments is hard work and requires a passionate commitment of all involved. AACN has made this commitment throughout its long history of representing the interests of and influencing the practice of more than 400,000 nurses who care for acute and critically ill patients. Together, we must build on this strength as we move forward to create work environments where staff can flourish. To accomplish this means committing to testing new models of practice that ensure adequate staffing and promote safe patient care. In addition, the voice of bedside nurses must be heard at all levels of the organization when decisions are made. Former President Barden noted that to acquire the requisite skills for effective “bold voices” requires learning opportunities that teach nurses to analyze issues, articulate creative solutions, develop new policies, and create necessary infrastructures.

To achieve healthy work environments, we must heed the advice of former President Fontaine and “rise above” to gain new perspectives on problems and seek innovative and creative solutions. Sacred cows and old rituals must be challenged. New partnerships must be formed between the academic and service sectors so that staff and faculty shortages are alleviated and the best and brightest are recruited and retained.

I am ready to accept President McCauley’s challenge to “live my contribution” by representing the perspective of acute and critical care nurses as we work together to test new and innovative solutions and take risks with ideas that will create healthy work environments for all.

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

Experience and Activities
--AACN National
• Member since 1990
• Chapter Advisory Team, Region 8, 2002-2004
--Greater Milwaukee Area Chapter
• Member since 1989
• President, 2000-2001
• Planning Committee for Lamplight Walk citywide Nurses’ Week Celebration, since 2001
• St. Sebastian Congregation El Salvador Committee, since 1999
—Delegate, St. Sebastian Congregation mission to sister community in Teosinte, El Salvador, 1999, 2003; coordinated delegation in 2003

Issues Statement
I believe that the work place environment significantly influences nurses’ abilities to make their optimal contributions. A supportive environment is crucial as we continue to look for and implement creative strategies to meet patient care needs and recruit new nurses into the profession. While we are in the midst of a nursing shortage, the work place environment plays a pivotal role in where nurses choose to practice or if they burn out and leave the profession. Patients and families also experience our work environments and are likely to form images of nurses and the nursing profession based on their observations. Components of a supportive environment, including unit structure, management, and co-workers, enhance a nurse’s ability to meet the complex needs of patients and families. What might a supportive work environment look like? Observe nurses routinely working with interdisciplinary teams to meet patients’ needs, resulting in optimal outcomes. Imagine time for staff nurses to participate on facility-wide committees with managers and administrators to develop creative staffing strategies during the nursing shortage, assuring that there is no mandatory overtime. Consider these same nurses with a place at the table, assuring that management, administration, and our communities understand the value of nursing and the “cost” of low nurse to patient ratios and nurse burn-out. How about employer support for degree completion, continuing education outside of the work setting, and certification exams? Imagine protected time for journal groups or “creative solutions” groups. By working together to create supportive work environments we will be better able to meet the needs of patients and families as well as have our own needs met.

Karen Stutzer-Treimel, RN, MS, CCRN, APN,C
Advance Practice Nurse-Cardiac
Newark Beth Israel Medical Center, Newark, N.J.

Experience and Activities
--AACN National
• Member since 1985
• AACN Certification Corporation Board, Nominating Committee, 2003
• Circle of Excellence National Award in Leadership, 2001
• Wyeth Ayerst Laboratories Nursing Fellows Reporter Program in Critical Care, 1999
--Northern New Jersey Chapter:
• Board of Directors, 1998-1999, 2001, 2003
• Treasurer, 2002

Issues Statement
The nurse approaches the bedside evaluating the patient. He/she takes in the multiple medications, ventilator, cardiac monitor and other devices almost overshadowing the person in the bed. The family looks to the nurse for information, guidance and hope. The nurse sees the family’s anxiety and the patient’s deteriorating condition. How do we balance hope and optimism with the sad reality of the patient’s condition? How do we truly see the person in the bed and hear their voice? How do we balance all of the other responsibilities of our homes and work place in order to have the energy to deliver competent and compassionate care?

One of the challenges facing nurses today is the need to balance the stresses of caring for critically ill patients and their families while juggling multiple roles (both work and personal) and retaining sufficient energy and optimism to be our best. Our unstable world, shrinking workforce, aging population and exponential increases in healthcare costs are creating unique pressures on the nurse at the bedside. How do we create a healthy balance for our profession, our patients and ourselves?

All of us must have the courage to evaluate our needs in order to bring our best to those around us. It may mean changing positions, speaking boldly about unhealthy workplace behaviors or rising above to advocate for changes that improve our work environments. Our active membership in our local chapters and national organization provides us with vehicles to support each other and promote agendas that are in the best interest of patients, families and our profession. I believe that through our support of each other and the activities of our organization we can create the balance that allows us to make our optimal contribution.

Paula Lusardi, RN, PhD, CCRN, CCNS
Critical Care Clinical Nurse Specialist in the Level I Trauma ICU
Baystate Medical Center, Springfield, Mass.

Experience and Activities
--AACN National
• Member since 1989
• NTI Work Group, 2003-2004
• Advanced Practice Work Group, 2002-2003
• Chair, Research Work Group, 2001-2002
• Research Work Group, 1999-2001
--Pioneer Valley Chapter
• Board Member (Education), since 2000
--Other Professional Associations
• Chairperson, Ad Hoc Committee on Advanced Practice, Massachusetts Board of Registration in Nursing, 2002-2004
• Nominating Committee, Eastern Nursing Research Society, since 2003
• Sigma Theta Tau, since 1974

Issues Statement
I am passionate about bedside nursing and the care that nurses provide to our critically ill patients and their families. I am also enthusiastic about the use of research to improve practice. With the existent research-practice gap, we must work together to improve patient care using the best available evidence and implementing research projects to deal with patient care issues. While I was a full time doctorally prepared faculty member, my heart remained at the bedside. Consequently, I returned to the bedside as a full time critical care clinical nurse specialist in a Level I Trauma Center ICU. In this position, I am able to see research from both academic and practice perspectives. Patient care and working collaboratively with our staff to solve clinical issues drives my spirit. For instance, three years ago two staff nurses talked with me about patient constipation in the unit. Solving this clinical problem seemed daunting, but we reviewed the research worked together to solve this issue, bringing to completion a research-based constipation algorithm that has worked well in our unit. These nurses became (and are) the constipation resource nurses in the unit and the project has received organizational and regional attention. Such a simple idea! Such a wonderful solution! Such dedicated nurses who were willing to focus their energies to utilize research, energy, and intelligence to change practice in our unit! With my educational background, enthusiasm for research and clinical practice, and daily bedside practice, I would like to expand the dialogue focused on the gap between practice and research. With collaboration among staff nurses and clinical nurse specialists, mentoring and clinically significant patient care issues driving research utilization, the use of research at the bedside does not have to be an intimidating endeavor!

Candidates for AACN Nominating Committee
Vote for 3

Traci Hoiting, RN, MS, ACNP-BC
Director of Critical Care and Cardiac Services
Director of Nursing Quality
Interim Manager for ICU
Providence St. Vincent Medical Center

Experience and Activities
--AACN National
• Member since 1988
• Circle of Excellence Mentoring Award, 2003
• NTI poster presenter, 2001
--Greater Portland Chapter
• President, 2001 - 2002
• Consortium Board Member, since 2000

Issues Statement
Communication is one key issue affecting critical care nursing today. Despite advanced technology, ineffective communication is the single most sited reason for error, lack of continuity of care, poor relationships and unhealthy work environments. Communication comes in many forms, can be overwhelming in volume, may lack important detail, and is the tool we use continuously but often ineffectively in critical care.

Until we define effective communication, train critical care nurses in effective communication, and develop new patterns of communication, error will continue, continuity will be poor and relationships will suffer. I cannot think of a more important issue to address and champion.

The number of errors occurring in critical care is large and has life-threatening impact. The Institute of Medicine has noted that ineffective communication is often the root cause of many errors. Solutions identified in root cause analysis are noted as improved documentation, more double-checking by staff, and clarity in shift-to-shift report. Yet many of these strategies do not decrease the error rate related to communication. Critical care nurses continue to use their usual modes of communication and wonder why the results are no different. Many think of themselves as great communicators and are unaware of how they are perceived.

AACN is focusing on healthy work environments. Ineffective communication is the number one factor in unhealthy work environments. Whether staff refuses direct communication among peers, are hesitant to contact rude physicians, have poor phone manners or are rude to families, it all boils down to communication. Building strong teams is impossible when members cannot listen and articulate to each other important information. Relationships suffer. Without intervention, further damage to the work environment will occur and in this era of nursing shortages, high error rates and stressful critical care units, we cannot afford to ignore the issue any longer.

Renee Twibell, RN, DNS
Associate Professor of Nursing
Ball State University

PCU Staff Nurse
Administrative Faculty Associate
Nurse Researcher
Ball Memorial Hospital

Experience and Activities
--AACN National
• Member since 1999
• NTI Speaker, 2003, 2004
• Faculty Liaison Committee, 2001-2002
• Region 9 Speaker, 2003
--White River Chapter
• Member since 1999
• President, 2003-2004
• Board of Directors, since 2000
• Liaison Chairperson, 2000-2002
• Strategic Planning Chairperson, 2003
• Awards Committee Member, since 2004
• Community Service Chairperson, since 2004
--Other Professional Associations
• Midwest Nursing Research Society, since 1983
—Chairperson, Acute Care Section, 2002-2003
—Nominating Committee, 1999-2001
—Research Abstract Reviewer, 1999-2002
—Conference Presenter, since 1993
• American Heart Association, since 2000
—Operation Stroke, County Advisory Board
• Community Center for Vital Aging, since 2001
—Area Board of Directors
• Teamwork for Quality Living, 2001-2003
—County Board of Directors

Issues Statement
Evidence-based nursing practice (EBP) can potentially improve patient outcomes, increase nurse satisfaction, create healthier workplaces, and promote healthy communities. However, several barriers keep us from using evidence in patient care. For example, some of us do not yet value EBP. Others lack the skills to evaluate and apply evidence. Furthermore, evidence is often impractical and difficult to access.

Three primary needs must be met, if we are to base practice firmly on evidence. First, we need more practical evidence! Existing research and clinical guidelines often focus on overall disease management rather than on everyday bedside issues, such as family presence during resuscitation, management of delirium, and best practice for Co2 monitoring. Furthermore, we need more research that confirms the link between EBP and nurse-sensitive outcomes. Documentation of the effects of evidence-based practice will clarify its benefits. We cannot promote what we do not understand or value.

Secondly, we need better access to understandable evidence. Nurses cannot spend hours hunting for information that may not be relevant or readable, once they find it. Nurses need quick access to succinct summaries, including “gap” analyses that tell us what do not know yet and what we need to study further.

Thirdly, nurses need education, specifically on evaluating and applying credible research. We need to share stories and experiences. In turn, we can educate our consumers and communities about what nurses contribute. As we develop scientific expertise and talk meaningfully about it, collaboration with other disciplines increases through crucial conversations. Supportive workplaces take shape based on best evidence. Our job satisfaction and confidence increase.

Evidence-based practice is good for all stakeholders—patients, families, nurses, other disciplines, and communities. It simply requires a willingness to grow, change, think well, and lead others in the process—something AACN nurses do best.

JoAnne Phillips, RN, MSN, CCRN, CCNS
CNS, Patient Safety
The Hospital of the University of PA

Experience and Activities
--AACN National
• Member since 1981
--Southeastern Pennsylvania Chapter
• Member since 1986
• Trends Transition Task Force, 2004
• Chair, Nominating Committee, 2002-2003
• President, 2001-2002
• Education Chair, 1999-2000
• Education Committee, 1986-2003
--Other Professional Associations
• Society of Critical Care Medicine, since 2001

Issues Statement
The 1999 Institute of Medicine report stated that an estimated that between 44-98,000 patients die each year because of medical errors. This was a real wake up call for us. Nurses, physicians, and administrators. When we think about the key issue in nursing today, patient safety is at the forefront. When we consider other challenges that we face, staffing, fatigue, communication, toxic work environments, all contribute to making the health care environment unsafe for patients and practitioners.

The role of critical care nursing leaders is to work to create a culture of safety. This involves the creation of a high reliability organization in which there is open, honest and productive communication. It results in the creation of a “blame free” culture, where staff are comfortable in coming forward when an error, or even a potential error has occurred. Errors are viewed as opportunities for improvement, not something to be critical of. The environment focuses on the successes, rather than the failures. The Culture of Safety is one in which Best Practices are the expectation. Best Practice is operationalized through exemplary communication at every level.

Where do we start? By opening our eyes and our ears, what do we see, what do we hear? Nurses are very good at “work arounds,” working around a system that does work, rather than taking the time to analyze why the system does work. It is vital that we stop accepting broken systems, as those systems are the ones that create risk. Nurses are at the sharp edge of patient safety, the closest to the patient’s bedside. We must be leaders, from the bedside to the boardroom, in creating the culture of safety that our patients need.

Beverly George-Gay, RN, MS, CCRN
Assistant Professor
Coordinator of Distance and Continuing Education
School of Allied Health
Department of Nurse Anesthesia
Virginia Commonwealth University

Experience and Activities
--AACN National
• Member since 1997
• Progressive Care Item Writer, 2004
• Presenter, NTI Presenter, 2004
• Education Work Group, 2002-2003
• Abstract Review Panel, 2002, 2003
• Faculty Advisory Team, 1999-2002
--Greater Richmond Area Chapter
• Member since 2001
• President-Elect, Present
• Secretary, 2003-2004
• Chair, CCRN Recognition Committee, 2002, 2003; Facilitator, 2004
• Annual Symposium Committee, 2004
• Cochair, Annual Symposium Committee, 2003
• Cochair, Programs Committee, 2003
--Central Savannah River Area Chapter
• Member, 1993-2001
--Other Professional Associations
• Chapter Reviewer, American Society of PeriAnesthesia Nurses, Sedation of the Mechanically Ventilated Patient

Issues Statement
One key issue affecting critical care nursing today is the support of specialty certification or the lack thereof. As identified by AACN, the American Nursing Credentialing Center (ANCC), and others, certification raises quality of care and increases public safety. Preparing for the certification exam encourages literature review and participation in educational activities, which validates acquired clinical knowledge and promotes change to evidenced based practice. Maintaining certification means a commitment to continuing education, and maintaining competence, as practice changes so frequently. Nurses who are certified are up to date and confident; they are viewed as experts by other healthcare providers as well as the public.

In the broad spectrum of health care, specialty certification represents professionalism and a commitment to excellence. However, many institutions still do not encourage, support, or recognize critical care certification; and only a small percentage of the nations critical care nurses are certified. Some of our own (critical care nurses) feel that they don’t need to take an exam to show that they are experts, others are wary of exams as they believe they are poor test takers. There are those that don’t have the finances to take the exam or don’t have the time to dedicate to studying.

I believe that once nurses start on the road to certification they begin to build upon higher principles and standards, they question and seek out research or evidenced based answered, they identify national standards that should be followed, and their level of practice increases. If all nurses were encouraged and supported to take this road, nursing would reach a new level of professionalism. This is an important issue to champion because the public demands it. The public wants this type of nurse caring for their loved ones. This is important to me because I am “the public”.

Kathryn Roberts, RN, MSN, CRNP, CCRN
Clinical Nurse Specialist/Advanced Practice Nurse
Pediatric Intensive Care Unit
The Children’s Hospital of Philadelphia

Experience and Activities
--AACN National
• Member since 1993
• CE Article Review Panel, since 2002
• Pediatric Advisory Team, 2003
• CCRN Appeals Panel, Pediatric, 2002
• Advanced Practice Advisory Team, 2002
• NTI Speaker, 1999, 2001-2004
• Speaker, SePA Chapter Trends in Trauma and CV Nursing and Critical Care Trends conferences, 1999-2004
--Other Professional Affiliations
• Alumni Board, University of Pennsylvania School of Nursing
—Board of Directors, 1999-2003
—Alumni Liaison Program, University of Pennsylvania, since 1997

Issues Statement
Protecting patients and their families from medical errors is 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 an issue. 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 look at the factors associated with medical errors. While I agree that this is essential, I believe we must first improve our ability to capture both actual and potential errors in a timely fashion. Accurate capture of actual and potential errors is dependent upon the presence of a systematic reporting system within a “blame-free” environment.

The development of systematic reporting systems within a “blame-free” environment is the first step in this process. It is essential that nurses and all other disciplines feel that they can safely report actual and potential patient safety incidents without fear of reprisals. Until we have a true sense of what the actual and potential errors are that occur in critical care settings, we will be challenged to begin the process of identifying contributing factors and causes. Unfortunately, many nurses still find themselves reluctant to report errors for fear of personal repercussions. This situation needs to change and individuals, institutions and professional organizations must champion such change. Changing cultures from one of individual culpability to a blame-free systems approach will require 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.

Scene and Heard


AACN continues to seek visibility for our profession and the organization. Following is an update on recent outreach efforts.

Our Voice in the Media
Numerous media covered a Jan. 26, 2005, Washington, D.C., news conference at which AACN released the AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. The standards are part of AACN’s Healthy Work Environment Initiative, a multipronged, multiyear effort to engage nurses, employers and the nursing profession in recognizing the urgency and importance of working collaboratively to improve the environments in which nurses work. The story was reported by newspapers and trade publications, including the AONE News Update, Toronto Star, Pittsburgh Post-Gazette, Seattle Post-Intelligencer, Washington Post, ABCNews.com, AHA News, KnoxNews.com, MSNBC.com, Medscape Medical News, Scripps Howard and Reuters News.

Hoy en el Mundo (Jan. 31, 2005)—Ramón Lavandero, RN, MA, MSN, FAAN, AACN’s director of development and strategic alliances, was interviewed about AACN’s new standards for healthy work environments during the Jan. 31 television broadcast of the Telemundo network’s Spanish language counterpart to the Today Show. The program is broadcast across the United States and Latin America.

Chicago Sun-Times (Dec. 13, 2004)—An article titled “ER Opens Up to Patients’ Families” noted that more emergency rooms are finding it beneficial to allow family
members to visit loved ones. The fact that AACN is among
associations that endorse family presence policies was noted.

Nursing Spectrum (Jan. 1, 2005)—An article titled “Making Progress” focused on a “new era” in progressive care and noted that nurses, including cardiac nurses, can become certified by passing the AACN Certification Corporation-administered PCCN examination for progressive care nurses. The article quoted AACN member Karlene Kerfoot, RN, PhD, CNAA, FAAN, senior vice president of nursing and patient care for Clarian Health Partners, Indianapolis, Ind., regarding the AACN Synergy Model for Patient Care. “The Synergy Model says that patients will have safe passage as they go through the system if the needs of the patients are matched with the competencies of the nurse. We have three levels of nurses now based on this model … People have learned about this model and are coming here because they want to work in a place that’s very professional, where they can advance their practices.” She noted that nurses can achieve promotions through Clarian’s application of the Synergy Model.

Nursing Spectrum (Jan. 10, 2005)—An article titled “Ethical Dilemmas Can Lead to ‘Moral Distress’ in the ICU” noted that identifying and managing moral distress in the ICU has become a priority for AACN’s strategic initiatives to promote healthy work environments. An AACN position statement on moral distress identifies support systems that can be used in the workplace.

Advance Online Editions (Jan. 3, 2005)—An article titled “Palliative Care in Critical Care Settings: The overriding goal is to understand and improve the experience of acutely ill patients and their loved ones” cited the fact that AACN immediate past President Dorrie Fontaine, RN, DNSc, FAAN, had addressed palliative care at AACN’s 2004 National Teaching Institute and Critical Care Exposition in Orlando, Fla. “Fontaine recognized the positive outcomes associated with palliative care and challenged nurses to ‘rise above’ and try new methods of caring for terminally ill patients,” the article said. “She also stressed critical care nurses’ need to acknowledge the ‘epidemic proportions’ of moral distress of the life-and-death decisions they face each day.”

Tampa Tribune (Jan. 17, 2005)—An article titled “Events Happening in Business” noted that “Tampa General Hospital has received the Beacon Award for Critical Care Excellence from AACN. The award recognizes high standards in nurse recruitment and retention, patient outcomes, training, work environments and leadership.”

Stamford Advocate (Jan. 4, 2005)—“Nursing Unit at Norwalk Hospital Wins National Award” was the headline announcing that the hospital had received AACN’s Beacon Award for Critical Care Excellence. Hospital President Geoffrey Cole said the facility was proud to receive the award. “They are outstanding individuals who are committed to providing exceptional care for patients and their families,” Cole said. “It’s good to get (the award) on the edge of getting the open-heart program, said Deborah Bailey, director of critical care nursing, adding that the nurses best qualified in that field “tend to come to the hospitals recognized for critical care excellence.”

Advance Online Editions (Dec. 20, 2004)—An article titled “Certification in Critical Care” discussed recent changes in the certification and renewal process for the CCRN and CCNS credentials. Web site addresses and additional contact information to obtain further details were listed.

Houston Business Journal (Dec. 20, 2004)—An article titled “Methodist Hospital Recognized for Nursing Excellence” announced that the hospital had received the AACN Beacon Award for Critical Care Excellence. The article explained that the award recognizes hospital units for exhibiting the highest quality standards in nurse recruitment and retention, patient outcomes, staff training, healthy work environments, leadership, and evidence-based practice and research.

Biological Research for Nursing (January 2005)—AACN Board member Caryl Goodyear-Bruch, RN, MSN, CCRN, co-authored an article titled “Comparison of a Visual to a Computer-Assisted Technique for Detecting Apoptosis.” Based on the data, the authors determined that apoptosis measurements using color staining with EB and AO should be determined using hue values generated by a computer program, because that method is more accurate and precise than a researcher’s visual assessment.

Our Voice at the Table
AACN was well represented at the Society of Critical Care Medicine Congress in Phoenix, Ariz. AACN President Kathy McCauley, RN, PhD, BC, FAAN, FAHA, participated in the “Four Presidents” panel with the leadership of SCCM, American Thoracic Society and American College of Chest Physicians. She discussed the role of teamwork in promoting patient safety and presented data on communication difficulties as a key cause of sentinel events, the role of communication and collaboration in preventing errors and making our work environments healthier. In addition, Goodyear-Bruch presented a poster titled “Diaphragm Apoptosis: Alleviation by Dopamine,” which covered the investigation on dopamine’s effect on the diaphragm muscle and how dopamine prevents apoptosis (programmed cell death) in this muscle, and AACN Board member Suzanne Burns, RN, MSN, RRT, CCRN, ACNP-CS, FAAN, presented a poster on “Identifying Inadvertent Airway Intubation During Gastric Tube Insertion Using a Disposable Colormetric Co2 Detector and Variables That Affect Placement.” CEO Wanda Johanson, RN, MN, President-elect Debbie Brinker, RN, CNS, MN, MS, CCRN, AACN Certification Corporation Chair-elect Judy Verger, RN, MSN, CCRN, CRNP, also presented and Corporate Relations and Exhibits Director Randy Bauler also attended.

AACN Clinical Practice Specialist Linda Bell, RN, MSN, and member Ruth Kleinpell, RN-CS, PhD, ACNP, CCRN, FAAN, represented AACN at the American College of Chest Physicians Executive Program Committee meeting in Northbrook, Ill. The purpose of the meeting was to set the program for CHEST 2005 in Montreal, Canada. AACN's input was sought to bring a nursing/advanced practice perspective to the presentations and suggest potential expert nursing speakers to enrich the program.

AACN Certification Corporation Chair Jan Foster, RN, CNS, PhD, CCRN, presented “Making the Synergy Model Work for You” at the VHA Southwest Meeting of Chief Nursing Officers in Plano, Texas.

McCauley represented AACN at the initial planning meeting for a project that seeks to improve outcomes and reduce disability and death from cardiovascular disease. The meeting, held in Bethesda, Md., was sponsored by a number of organizations, including the American Heart Association, American College of Cardiology and Center for Medicare and Medicaid Services. AACN was the only nursing organization among the influential organizations represented, including the American Health Quality Association, Agency for Healthcare Research and Quality, American College of Chest Physicians and Joint Commission on the Accreditation of Healthcare Organizations.

McCauley gave the keynote speech, “Live Your Contribution,” at an evening gala for AACN’s Houston Gulf Coast Chapter and had dinner with the chapter leaders. She also visited two Beacon Award units at Methodist Hospital in Houston—the CCU and the MICU—as well as the cardiothoracic surgical ICU, which is on the Beacon journey.

If you or your chapter has reached out to the media or other groups to promote AACN and critical care nursing, we’d like to know.
E-mail your information to Judy.Wilkin@aacn.org.

Submit Abstracts Online for NTI 2006 in California

June 1 is the deadline to submit speaker proposals, including chapter-related proposals, for NTI 2006, May 20 through 25 in Anaheim, Calif. Abstracts can be submitted online at www.aacn.org.


AACN Annual Meeting


You are invited to join the American Association of Critical-Care Nurses National Leadership Team at the Annual Meeting and Forum

Tuesday, May 10, 2005
Noon to 1:15 pm
Ernest N. Morial Convention Center
New Orleans, La.

At this informative meeting, you will learn about AACN’s strategic plan for the future, which includes important initiatives and efforts to meet the needs of our members. AACN committee chairs will also report the accomplishments of their volunteer groups. As a valued member, we hope you will take this opportunity to ask questions, present ideas and share comments directly with AACN President Kathy McCauley, RN, PhD, BC, FAAN, FAHA, and CEO Wanda Johanson, RN, MN.

By attending the Annual Meeting, your name will be entered into a drawing to win prizes, including free registration for NTI 2006 in
Anaheim, Calif., practice resources, free membership and AACN recognition products.

What’s Coming in the April Issue of Critical Care Nurse

• Cardiovascular Aspects of Septic Shock

• Right Ventricular Infarction

• Indwelling Foley Catheters

• Use of Complementary and Alternative Therapies by Critical Care Nurses

• Evidence-Based Practice in Progressive Care

• Goodpasture’s Syndrome

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

 

Looking Ahead


March 2005

Through April 10 Voting open in annual AACN Board of Directors and AACN Nominating Committee election. Vote online at www.aacn.org or call (800) 394-5995, ext. 331, to request a paper ballot.

March 29 Discounted early-bird deadline to register for the National Teaching Institute and Critical Care Exposition, May 7 through 12 in New Orleans, La. Register online at www.aacn.org or call (800) 899-2226.

March 29 Deadline to apply to take paper-and-pencil versions of CCRN, CCNS, PCCN and new CMC and CSC certification exams on May 9 during NTI 2005 in New Orleans, La. To register call (800) 899-2226 or visit the AACN Certification Corporation Web site.

March 31 AACN’s Critical Links Member-Get-A-Member Campaign ends. Additional information is available online at www.aacn.org.


April 2005

April 1 Deadline to apply for AACN BSN Completion and Graduate Completion Educational Advancement Scholarships for the 2005-06 academic year. For more information or to obtain an application, call (800) 899-2226 and request Item #1017, or visit the AACN Web site.


May 2005

May 7-12 National Teaching Institute and Critical Care Exposition, New Orleans, La. Register online at www.aacn.org or call (800) 899-2226.

May 10 AACN Annual Meeting, noon to 1:15 p.m., Ernest N. Morial Convention Center, New Orleans, La.
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