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GWAC Critical Care Chronicle 1
GWAC Critical Care Chronicle
Volume 15, Issue 1 September 2014
The President’s Message Karen Mack, MS, MBA, ACNP-BC, CHFN
Focus the Flame
Our family and friends recently gathered
for a summer evening by a new favorite
destination- the fire pit in my sister's backyard.
One friend brought his guitar and played in the
background. We sat by the fire to tell stories and
talk catch up on what is happening in our lives.
We made S-mores and popcorn over the open
flame. All through the evening the fire was our
companion- giving light, providing an inviting
atmosphere, and producing energy for our
culinary endeavors.
It reminded me of the AACN 2014-2015
President's theme: "Focus the Flame" of nursing
practice. Teri Kiss, AACN President, challenged
us with the acronym of "FIRE" to describe the
characteristics needed to be successful in practice.
Here of some examples of how participation in
GWAC and AACN can provide the opportunity to
develop in the four "FIRE-d Up" attributes:
Fearlessness- The Healthy Work Environments
Standards provide the model for an optimal
practice environment. Fellow GWAC and AACN
members can bolster our courage to create
respectful and positive work cultures with insight
and encouragement.
Inquiry- The educational offerings at Spotlight,
NTI and via the AACN website assist us to
become more knowledgeable nurses.
Resilience- Networking with colleagues helps us
persevere when we face difficult situations or
setbacks in managing a new technology,
developing a portfolio for a clinical ladder, or
taking a new leadership role.
Engagement- GWAC and AACN members
provide models of engaged practice. Colleagues
provide opportunities and support to publish an
article, develop a podium or poster presentation,
or apply for opportunities such as the AACN
Circle of Excellence Awards.
How will you Focus the Flame of your
nursing practice in the coming year to give "light"
to colleagues, provide an inviting atmosphere for
growth, or produce new energy in your workplace
or personal life?
What does it mean to you to be a nurse who
practices with FIRE?
Teri Kiss, our AACN President, would
love to hear from you! Drop her an email at
[email protected] or post on her wall at
facebook.com/aacnterikis or the GWAC wall at
facebook.com/gwacaacn
GWAC Critical Care Chronicle 2
Treasurer’s Report Minnie Raju, RN, MS
Q4 – April-June 2014
KUDOS Alisa Olson, MSN, RN-BC, CCRN
New CCRNs The George Washington University Hospital
Peter Munoz, RN, CCRN, ICU
MedStar Georgetown University Hospital
Michelle Hartanto, BSN, RN, CCRN, ICU
Danielle Klepper, BSN, RN, CCRN, ICU
Meghan Chupick, BSN, RN, CCRN, ICU
Summer Langston, BSN, RN, CCRN, ICU
Kristin Reeve, BSN, RN, CCRN, ICU
New PCCNs MedStar Georgetown University Hospital
Andrea Sisak, BSN, RN, PCCN, IMC
Kelly Grace, BSN, RN, PCCN, IMC
Lia Silverman, BSN, RN, PCCN
New TNCCs
The George Washington University Hospital
Sumore Alemu, BSN, RN, TNCC, ICU
Aimee Amerault, BSN, RN, TNCC ICU
Bronzie Breekmoore, RN, TNCC, ICU
Margaret Devlin, BSN, RN, TNCC, ICU Jessica Dill, BSN, RN, TNCC, ICU Christina Junker, BSN, RN, TNCC, Interim
Clinical Supervisor, ICU
Aminata Kanu, RN, TNCC, ICU
Allison Koutsandreas, BSN, RN, TNCC, ICU
Melissa McHugh, BSN, RN, TNCC, ICU Grey Obregon, RN, TNCC, ICU
Nicole O’Connor, RN, TNCC, ICU
Rowena Picar, RN, TNCC, ICU
New ATCNs
The George Washington University Hospital
Jennifer Brough, BSN, ATCN, ICU Clinical
Supervisor,
Julia Harrington, BSN, RN, ATCN, ICU
Fiscal Year 2015
GWAC Board President: Karen Mack, MS, MBA, ACNP-BC,
CHFN
President Elect: Steve Risch, MSN, RN, CCRN,
CCNS
Immediate Past President: Brett Dodd, RN, CEN,
CCRN, CFRN
Treasurer: Minnie Raju, MS, RN
Treasurer-Elect: Steve Mehallow
Recording Secretary: Theresa Cattuna
Secretary-Elect: vacant
Education Chair: Marianne Hess, MSN, RN, CCRN
Membership Chair: Carolee Beckford, RN, CCRN
Newsletter Editor: Alisa Olson, MSN, RN-BC,
CCRN
Media Chair: vacant
Web Manager: Minnie Raju, MS, RN
Circle of Practice Chair-CCRN: Jen Lewis
Circle of Practice Chair-PCCN: Jocelin Maxwell,
BSN, RN, PCCN
Circle of Practice Chair-APN: Helen Brown
Circle of Practice-Nursing Students: Kelly McNeil-
Jones MBA, RN, RCIS
Conference Chair-Fall: Lori Dodd
Conference Chair-Spring: Kristina Hidalgo
Region IV Advisor: Helen Hughes, RN, BSN, CCRN
GWAC Critical Care Chronicle 3
MORE KUDOS
Publications
Brown, M. M., Mack, K. M., Guzetta, C. E., &
Teffera, E. (2014). The feasibility of using teach-
back to reinforce discharge instructions and its
influence on the number of 30-day readmissions
of heart failure patients. Heart & Lung, 48(4),
379. doi: 10.1016/j.hrtlng.2014.06.004
The Differential Diagnosis Edition AACN Advanced
Critical Care (July-September issue) includes articles
from our GWAC APN Circle of Practice Chair, Helen
Brown and Spotlight Committee Member and Past
Chair Nancy Munro:
Fever in Acute and Critical Care – Nancy
Munro, RN, MN, CCRN, ACNP-BC
Abdominal Pain – Helen F. Brown, MS,
ACNP-BC, FNP-BC and Lynn Kelso APRN,
ACNP-BC
GWAC Congratulates the AACN Beacon Units
within the Greater Washington Area!
MedStar Georgetown University Hospital
4 East IMC – Gold Award
Children’s National Medical Center
7 East Medical – Silver Award
Cardiac ICU – Gold Award
Neonatal ICU – Silver Award
Pediatric ICU – Gold Award
Washington Adventist Hospital
1500 CVICU – Silver Award
Inova Fairfax Hospital
Envision EICU – Gold Award
Pediatric ICU – Gold Award
Do you work in one of these units? The Critical Care Chronicle would love to publish a short article about your unit and how you achieved the outcomes needed to become a Beacon award unit. Email your article to [email protected]
Report from National Summit on
Critical Care Conference
Stephen Mehallow
The sixth annual National Summit on Critical
Care Policy held on Wednesday, July 23, 2014,
brought together critical care physicians and
nurses, hospital administrators, and government
managers for a roundtable discussion regarding
the intersection of law and healthcare practice. Of
the seven presentations, Kenneth Wood, DO, who
spoke of his work as Chief Medical Officer at
Geisinger Medical Center in reengineering the
critical care environment using mathematical and
systematic modeling, drew much follow-up
dialogue. Also, the keynote address of Tevi Troy,
Ph.D., former Deputy Director of the Department
of Health and Human Services in the Bush
administration, who presented a future model of
assessment for the healthcare reform legislation,
was well received by those in attendance.
In between speakers the floor was opened for
discussion. Many ideas were posited including
incorporating tele-medicine into healthcare law
and reimbursement plans, and developing a
national common core of critical care
competencies for physicians. An opinion that
earned a lengthy discussion was the possibility of
research groups to network and coordinate in
order to limit unnecessary redundancies while at
the same time generating reliable, un-confounded
findings. When the meeting adjourned, select
delegates departed to the Hill to meet with
legislators.
Volunteers Needed: Are you interested in getting more involved in GWAC? We are looking for members for the following positions:
Social Media Chair- Keeps members up to date with GWAC and AACN events and content postings and tweets to Facebook and Twitter
Education Committee Members- Are you a nurse educator or interested in becoming an educator? GWAC needs
GWAC Critical Care Chronicle 4
assistance with review and upkeep of our CE Approval Packets and documents. Interested? Email [email protected]
Circles of Practice
GWAC is focusing the flame of nursing
practice in a new way.
We are embarking on a new chapter
model- the community of practice model.
What is a community of practice?
According to Hara and Schwen
(2006), a community of practice has "five
attributes : (1) a group of professional
practitioners, (2) development of a shared
meaning, (3) informal social networks, (4)
a supportive culture (i.e. trust), and (5)
engagement in knowledge building."
AACN has often uses the term
"Circle", for example, in our "Circle of
Excellence" Awards. GWAC has chosen to
describe our communities as "Circles of
Practice".
GWAC Circles will start with four
types of member communities, three of
which are focused by certification types:
Nurses who practice in CCRN
Units (ICU, CCU, Trauma,
Interventional Radiology/
Interventional Cardiac
Catheterization Lab, or Critical
Care Transport/Flight)
Nurses who practice in PCCN
Units (IMC, Step-down, Telemetry,
Transitional Care units, Non-
Interventional Cardiac
Catheterization Lab, ED)
Advanced Practice Nurses
(Clinical Nurse Specialists and
Nurse Practitioners)
Nursing Students (Associate
Degree and Baccalaureate).
(In the future, we hope to add a fifth for
nursing leaders with a focus on the CNML
certification.)
Each Circle will have a yearly plan
to ensure that educational events and
newsletter articles focus on the needs and
interests of that group of members. This
will facilitate GWAC 's mission to meet
the educational, practice, and career
development needs of the nurses and
student nurses in our chapter. Activities
may include clinical knowledge growth,
information to assist members to become
and remain certified, opportunities and
mentorship for publication and
poster/podium abstracts, networking,
career mentorship, and leadership.
Current certification as a CCRN or
PCCN is not required for members to
participate in the GWAC Circles. Each
"Circle" has a Chair on the Board of
Directors who will be sharing articles
twice annually in our "Critical Care
Chronicle" Newsletter. Conferences are
open to all members but may be designed
to focus on the needs of one or more
GWAC Critical Care Chronicle 5
Circles. Spotlight on Critical Care on
November 1, 2014 is focused on the
CCRN, PCCN and Students Circles.
Spotlight on Advanced Practice, planned
for March 7, 2014 is focused on the
practice of the APN Circle, APN Students
and nurses considering APN careers. We
will continue to have joint dinner meetings
open to all members.
Circles are designed to encourage
members to become involved in various
ways. Opportunities include writing a
newsletter article, serving on a conference
committee, and volunteering to mentor
others if you have been successful with an
accepted publication or abstract. Spotlight
on Critical Care 2013's Star Search Session
for abstract mentoring is an effort we
would like to continue through our Circles.
We also continue to look for members to
serve on our Board of Directors and have
several openings still available for this
year.
Please email your interest in
volunteering and ideas and suggestions to
improve our "Circles of Practice" to Karen
Mack, GWAC President at
Getting involved in our "Circles of
Practice" will lead you in new directions!
Source: Hara, N. & Schwen, T. M. (2006)
Communities of Practice in Workplaces:
Learning as a Naturally Occurring Event.
Performance Improvement Quarterly: 19
(2), pp. 93-114
Advanced Practice Nurse (APN) Circle
of Practice
Save the Date: 4th Annual Spotlight on
Advanced Practice Nursing March 7, 2015
at the Bethesda DoubleTree Hotel and
Conference Center. Are you an APN or
APN student and interested in helping with
the committee? Contact
Adult (Non-Geriatric)Acute Care NPs
Important Certification Information
The Consensus Model for APRN
Regulation: Licensure, Accreditation,
Certification and Education (LACE),
which goes into effect in 2015, impacts
certification options for ACNPs. ACNP-Cs
currently certified through ANCC many
apply to AACN for ACNPC certification
by endorsement for no fee.
Deadline: December 31, 2014.
AACN offers (and will continue to offer
even after January 2015) three options for
certification renewal:
1. Renewal by Clinical Hours and CE
Points
2. Renewal by Clinical Hours and
Exam
3. Renewal by CE Points and Exam
After January 2015, ANCC will renew
only if applicants have the required
practice hours.
This is critical in maintaining your
ACNPC credential should you stop
practicing clinically.
Information available @
ACNPC By Endorsement Handbook
GWAC Critical Care Chronicle 6
The Critical Care Consortium
The Critical Care Consortium is a 9 full
day program designed to provide a sound
theoretical and practical basis for the
application of the nursing process in the
critical care setting. The primary goal of
this course is to introduce the knowledge
and skills necessary for the novice critical
care nurse. This course focuses on
anatomic, physiologic, pathophysiologic
and therapeutic concepts related to the
nursing care of the critically ill patient
The Consortium philosophy is aligned
with the mission of the American
Association of Critical Care Nurses. We
are “committed to providing the highest
quality resources to maximize nurses’
contribution to caring for critically ill
patients and their families.”
Consortium hospitals share their
educators’ expertise providing the lecturers
in exchange for sending RN attendees
from their critical care areas at no charge.
The consortium is housed at various
consortium hospitals which alternate
hosting. The current participating
consortium hospitals are: Sibley Memorial
Hospital, Washington Adventist Hospital,
Medstar Montgomery Medical Center,
Providence Hospital, Walter Reed National
Military Medical Center, and Dimensions
Healthcare – Greater Laurel Regional
Hospital and Prince Georges Medical
Center. The current director of the
consortium is Judy Tipton, critical care
educator from Sibley hospital. Judy can be
contacted at [email protected]
CCRN Circle of Practice
According to the AACN, certification means,
“Voluntarily testing themselves against a national
standard, certified nurses are role models of
professional accountability. They distinguish
themselves through a commitment to lifelong
learning and career advancement.” Earning your
certification in Critical Care will benefit you in
several ways:
RN licensure measures entry-level competence.
Certification validates specialty knowledge,
experience and clinical judgment.
According to Cary's study, published in 2001,
nurses whose clinical judgment has been
validated through certification believe that they
make decisions with greater confidence. This
study also found that certified nurses
overwhelmingly report that certification
enabled them to experience personal growth
and feel more satisfied in their work.
As a voluntary process, specialty certification
points to nurses' commitment to career
development and dedication to patient care,
particularly in this constantly changing
environment.
CCRN® certification is for RNs working at the
bedside of acutely and/or critically ill patients.
The clinical setting may include, but is not limited
to ICUs, CCUs, emergency departments, trauma
units, interventional radiology/cardiology units, or
critical care transport/light. Separate exams are
offered for nurses who care for adult, pediatric or
neonatal patients.
For those who are already certified, Spotlight
on Critical Care on November 1, 2014, sponsored
by GWAC, will provide contact hours to go
toward the requirements needed in all three
categories of CERPs. This is also an excellent
opportunity to learn about the current trends in the
critical care setting and review for the exam.
We’ll see YOU there!
In the next issue: CCRN-K - Acute/Critical
Care Knowledge Professional - Adult, Pediatric,
& Neonatal: A new certification for certified RNs
who continue to impact their profession but no
longer work at the bedside.
GWAC Critical Care Chronicle 7
-Jennifer Lewis, MSN, RN-BC, CCRN
Spotlight on Critical Care Call for Poster Abstracts
Showcase your unit and receive a registration discount!Abstracts for poster presentations for the Spotlight on
Critical Care Conference must address either Research or Evidenced-based Solutions and may not be more than 300 words. Two winners will be selected; one winner from each category will receive a free Spotlight registration for 2015. Submit abstracts to Sonia Astle([email protected]) or Dianne Aguilar [email protected].
For more information call Sonia Astle at 703-776-3061. The deadline for abstract submission is September 29, 2014. Go to the GWAC website for poster submission instructions (www.gwac-aacn.org).
This year Spotlight will be held at the Doubletree Hotel in Bethesda, MD.
GWAC Calendar
September
30th 7:30-8:30PM LIAISON Webinar
October
1st 6-7:30 PM SOCC Committee
1st 7:30-8:30PM BOD Meeting
November
1st 8AM-4:30PM Spotlight on Critical Care
5th 7:30-8:30PM BOD Meeting
December
3rd 6:30-8:30PM Open Chapter Dinner Meeting, Shady Grove Adventist Hospital
January
7th 7:30-8:30PM BOD Meeting
14th 7:30-8:30PM LIAISON Webinar
February
4th 7:30-8:30PM BOD Meeting
11th Send out Call for BOD Nominees
March
4th 7:30-8:30PM BOD Meeting
7th 8AM-4:30 PM Spotlight on Advanced Practice
11th GWAC Elections Open
21st Region IV Meeting- Ocean City
31st GWAC Elections Close
GWAC Critical Care Chronicle 8
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Chapter’s
E-STORE!
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