Greetings fellow GMAC members.

It was great to see so many of you at our September general education meeting. We

have another outstanding session planned for Wednesday, November 7. I hope to

see all of you there.

Earlier this month, several of us traveled to Sage headquarters in Carey, IL for an

inspirational Multiregional Collaborative Workshop for Regions 8 & 10. It was a won-

derful opportunity to network with our sister chapters in Wisconsin, Illinois, and

Michigan. We all had the privilege of meeting our former AACN President, Dave Han-

son, and listening to his motivational presentation entitled Dare to Be … Extraordi-

nary. Dave challenged us to find purpose and passion in our lives, both profession-

ally and personally. He encouraged us to never settle for average but to strive to be

extraordinary in all that we do.

A special highlight of the Multiregional Workshop was Kathy Epping’s presentation

on last year’s GMAC-sponsored Professional Networking night. What a proud mo-

ment for our chapter and a great chance to showcase one of the many activities that

we are involved in. Kathy also led an interactive session on event planning with the

attendees that led to many creative ideas! Many thanks to Kathy for representing

GMAC so well.

The annual CCRN/PCCN re-

view held in September was a

huge success thanks to the hard work of Dave Budzien and his team – Mary Jo

Palmstein, Mary Kay Feeney, Shanita Washington, Holly Clanton, Pam Konrath, and

Kathy Williams. 50 nurses attended and participated in this exceptional educational

experience.

We are still looking for a treasurer-elect to work with Mary Kay Feeney this year and

transition into the treasurer role for the 2013-2014 chapter year. The elect positions

are a great way to get your feet wet and learn everything you need to know before

you are officially in the role. Board learning partner positions are also available and

offer another awesome opportunity to become more involved in chapter leadership.

Please let me or any of the other board members know if you are interested.

Thanks to everyone who shared their “Dares” for this chapter year. Writing our dares

down is a big step toward achieving them. I urge you to check out our “Dare to…”

poster at our next educational meeting and add your “dare” for 2012-2013. What

will we Dare to accomplish together?

Anne Putzer -President

Message from the President — Anne Putzer

American Association of Critical Care Nurses - Greater Milwaukee Area Chapter

November 2012

Volume 40, Issue 2

The Monitor

Inside this issue:

DARE TO … Join the Outreach

Circle

2

DARE TO… Become a Member 3

DARE TO … Share Your Opinion 3

DARE TO … Become a Chapter

Officer

4

DARE TO … View the Treasury

Report

4

DARE TO … Learn 5

Minutes 8

2012-2013 Board Members:

President: Anne Putzer

President-Elect: Angie Kinter

Vice President: Leslie Daughtery

Vice President-Elect: Suzanne

Sala

Treasurer: Mary Kay Feeny

Secretary: Bobbie Glaser

Member At Large: Andrea Klipp

Check out the Regional Newsletter attached to see

more information and some of our local superstars!

“Stay where you are. Find your own Calcutta. Find the sick, the suffering, and

the lonely right there where you are — in your own homes and in your own fami-

lies, in your workplaces and in your schools. You can find Calcutta all over the

world, if you have the eyes to see. Everywhere, wherever you go, you find people

who are unwanted, unloved, uncared for, just rejected by society — completely

forgotten, completely left alone.” -Mother Teresa

When I was younger my dad would always say, “Charity begins at home.” I was

too naïve to really understand the power of this simple phrase. As a teenager I

viewed charity as donating large sums of money to a cause, most likely over-

seas or a developing country. As I grew older I began to see that often times the

most charitable things we can do for ourselves and others does not involve lots

of fanfare or money. Charitable acts do not have to necessarily cross oceans,

but can cross offices, units or imaginary lines. It can be the small, simple acts of compassion and kindness that we

show one another on a daily basis that can affect great change. Charity can be a small donation or a canned good

but it can be as simple as a smile, a handshake, or a listening ear. It can be time spent teaching a student or men-

toring a new nurse. It can be giving ourselves or someone else a break when the day is long and workload heavy.

As nurses we have tremendous power to affect great change in our personal and professional lives.

GMAC and its members have always been committed to community outreach. At the October Educational Meeting

GMAC introduced its 2012-2013 Community Outreach Partnership with Growing Power, nonprofit organization. We

were able to raffle off a beautiful basket of fresh fruits and vegetables from the organization’s urban farm. Thank

you for your contributions. I would also like to extend a warm thank you to all members who gave their time and

energy to staff the Briggs & Al’s Walk & Run Medical Tent. Your presence was greatly appreciated and an essential

component to the event’s success.

As we move forward this year I would like to DARE myself and others to look at all the opportunities before us in

which we can be charitable and get involved. You may choose to participate in GMAC’s Community Outreach Part-

nership with Growing Power, nonprofit organization through a donation towards their Vertical Farm (see below). You

may choose to become a member of one of your hospital’s Shared Governance Committees. You may choose to

practice Skilled Communication or True Collaboration in your workplace. You may choose to lend a helping hand to

a co-worker or neighbor in need. You may choose to read a book or take a class. You may even decide to do all of

these things. No matter what you decide to DARE yourself to do please remember that you don’t need to look far or

wide to see an opportunity to grow, it may be closer to home than you think. If you have any questions, please con-

tact me at angelinakinter@yahoo.com.

DARE TO … Join the Outreach Circle — Angelina Kinter

Page 2 The Monitor

To the right you will see an image for Growing Power’s vision of a five-

story farm in the middle of the city. Growing Power is working towards

building this innovative conceptual design that will expand its green-

house and aquaponics operations currently spread over a two-acre site

located in the City of Milwaukee. This Farm will allow production of

plants, vegetables, and herbs year-round. Expanded educational class-

rooms, conference spaces, demonstration kitchen, food processing and

storage, freezers, and loading docks will further support Growing Power’s

expanding mission as a local and national resource for learning about

sustainable urban food production. Administrative offices, volunteer

spaces, and staff support areas will be closely connected to greenhouse

and educational areas to allow for active observation and participation.

As we move through the year GMAC members will have additional oppor-

tunities to get involved through volunteering and donations.

Growing Power’s Vision of a Vertical Farm— Angelina Kinter

Greater Milwaukee Area Chapter currently stands at 107. A review of the

national data base shows that forty of our members are CCRN, three are PCCN.

That is a forty percent certification rate, which is something worth

celebrating.

If you have not received your membership card, fear not. Membership cards

will be available for pick up at the next meeting. If you can't make the

meeting, have a friend pick up your card. Unclaimed cards will be mailed

after the November meeting. Bulk national membership drive continues through

the November meeting. It is a chance to save $9.

Remind your colleagues of the following benefits of chapter membership:

Discount on chapter activities

Discount on N.T.I. registration, $85 savings last year

Networking opportunities with fabulous local nurses

DARE TO … Become a Member—Marcia Anderson

Page 3 Volume 40, Issue 2

DARE TO … Share Your Opinion—Leslie Daugherty

Continuing Education Recognition Points (CERPs) verses AACN

CNE Program Approval

In January 2010, the AACN Program Approval department adopted

the AACN Certification Corporation Synergy Continuing Education

Recognition Points (CERP) categories for the CNE contact hours

and CERPS for CCRN recertification. The categories are based on

the AACN Synergy Model for Patient Care: Category A- Clinical

Judgement, Clinical Inquiry; Category B-Advocacy& Moral Agency,

caring practices, Response to Diversity Facilitation of Learning;

Category C-Collaboration, Systems Thinking.

In order to provide CNE for programs the chapter must submit an

application which must meet all the prescribed AACN guidelines.

This application is associated with a cost and a significant amount

of work both for the chapter and the speakers.

The board members are discussing our education programs and

are considering offering a certificate of attendance and the associ-

ated CERPs. The state of Wisconsin does not require any CNE

hours for license renewal and CCRN certification accepts CERPs

for recertification. Although it is our pledge to maintain the quality

educational opportunities this would eliminate the application

process for CNEs to AACN. A survey will be placed on the website

under the “Education” tab after our November meeting. Please

share your opinion with us.

The nomination committee is accepting candidates to fill the positions of

President-Elect, Vice President-Elect, Treasurer, Treasurer-Elect, Secretary

and Member-at Large for fiscal year 2013-2014 (July-June). The Elect

positions are a two year commitment. During your elect year your will be

mentored in the responsibilities of the position. Then for 2013-2014 you

take on the full responsibilities while mentoring your successor. AACN

chapter service is a rewarding experience we hope you decide to pursue.

Member–at–Large is a one year commitment. The Chapter also supports

the unelected position of Board Learning Partner.

Attached with this newsletter and available on our Chapter website is the

nomination form. You can nominate yourself or another Chapter mem-

ber. If nominating someone else, the nominating committee will contact

that person to let them know they have been nominated and ask if they

are willing to serve. We will accept nominations by e-mail. All candidates

must sign the willingness to serve form to be entered on the ballot. All

candidates must be National AACN and Chapter members.

The Nomination committee will request some information from the candi-

dates to present on the ballot to the chapter membership. If you would like more details about the responsibili-

ties of the positions do not hesitate to contact the current officers. They can be contacted through the Chapter

website listed on this newsletter. Nomination must be received by January 31st.

The earlier, the better for the nomination committee and the candidates to prepare the information for the ballot.

Once the ballot is sent out, members have 14 days to vote. We hope to announce the selected candidates at the

February 13th general meeting. This is your opportunity to Dare to Dream, Act, Lead and Change. It all starts with

your single step.

Here is your financial standing at the end of the first quarter (Our fiscal year runs from July 1 to June 30). If you are

keeping track, we have increased our reserves by over $7600. Our biggest income always occurs in the fall, be-

cause our membership renewal occurs in September and we sponsor the CCRN/PCCN Review in September. We

no longer can rely on returns on investments as the interest rates are exceedingly low.

Below are the primary sources of income and our biggest expenses for this quarter.

DARE TO… Become a Chapter Officer—Mary Jo Palmstein

DARE TO … View the Treasury Report—Mary Kay Feeney

Page 4 Volume 40, Issue 2

BANK BALANCES (September 30, 2012):

Baird Money Market $ 21,337.39

Savings $ 12,060.11

Checking $ 15,063.90

TOTAL $ 48,461.40

INCOME:

Mainly from membership ($15,950), Certification Re-

view Course ($10,775),

EXPENSES:

Biggest single expenditures: Monthly meeting

($1000); Review Course ($5250)

I would also like to take this opportunity to act

as recruiter for the Treasurer-Elect position.

The tools available make the job painless.

Please contact me or any officer if interested

The November presentations support “AACN STANDARDS FOR ESTABLISHING

AND SUSTAINING

HEALTHY WORK ENVIRONMENTS”, Standard 2: True Collaboration. AACN is strate-

gically committed to bringing its influence and resources to bear on creating work

and care environments that are safe, healing, humane and respectful of the

rights, responsibilities, needs and contributions of all people–including patients,

their families and nurses.

Nurses must be relentless in pursuing and fostering true collaboration.

Critical Elements

The healthcare organization provides team members with support for and access to education programs

that develop collaboration skills. The healthcare organization creates, uses and evaluates processes that define each team member’s ac-

countability for collaboration and how unwillingness to collaborate will be addressed.

The healthcare organization creates, uses and evaluates operational structures that ensure the decision

making authority of nurses is acknowledged and incorporated as the norm.

The healthcare organization ensures unrestricted access to structured forums, such as ethics commit-

tees, and makes available the time needed to resolve disputes among all critical participants, including

patients, families and the healthcare team.

Every team member embraces true collaboration as an ongoing process and invests in its development to

ensure a sustained culture of collaboration.

Every team member contributes to the achievement of common goals by giving power and respect to

each person’s voice, integrating individual differences, resolving competing interests and safeguarding

the essential contribution each must make in order to achieve optimal outcomes

Every team member acts with a high level of personal integrity.

Team members master skilled communication, an essential element of true collaboration.

Each team member demonstrates competence appropriate to his or her role and responsibilities.

Nurse managers and medical directors are equal partners in modeling and fostering true collaboration.

6:00-7:00 Caregivers and Moral Distress presented by Cheryl Anderson, MSN, MA-Bioethics, Clinical Ethicist

Wheaton Franciscan Healthcare. Cheryl received her BSN from UW-Oshkosh, MSN from Marquette University and

a MA in Bioethics from the Medical College of Wisconsin. She provides ethics consultation services to patients,

families, and staff. Her special areas of interest in ethics is palliative and end of life care, advanced directives,

refusal of treatment and caregivers moral distress. Moral Distress is experienced daily in our units and is a com-

plex process. Cheryl will discuss these issues and provide some strategies for coping in order to promote a

healthy work environment.

7:30-8:30 End of Life: A Cultural Perspective Panel Discussion. This presentation will be led by Teri Vega Strom-

berg, MSN, RN, AOCN, ACHPN, Clinical Nurse Specialist. Teri has over 30 years of nurs-

ing experience which is strongly routed in caring for oncology patients and patients at

the end of life. Teri will provide an overview of Palliative Care /Hospice Care and use in

critical care and discuss ICU Palliative Care “evidence based bundles”. Luz Ortiz is the

Director of Interpretation & Translation Services and has extensive experience with the

Hispanic community organization for programs that served all ages. Mia Yia Thao is a

medical interpreter that has over 15 years of experience working in the Hmong Commu-

nity as a Care worker, Outreach specialist, presenter, educator and legal and medical

interpreter. Gloria Singleton-Young is the Save a Life Coordinator and has extensive out-

reach experience with community and patient education within the African-American

culture. This panel discussion will provide information on common customs, beliefs and

practices related to health, illness and end of life.

DARE TO … Learn—Leslie Daugherty

Page 5 Volume 40, Issue 2

Page 6 Volume 40, Issue 2

All programs are held at:

Wheaton Franciscan Healthcare-Wauwatosa

201 North Mayfair Road, Wauwatosa, Wisconsin

Conference Center, Rooms 5A & 5B

Registration: 5:30-6:00 pm: Light dinner served

*** Cancellations for severe weather will be posted on AACN-GMAC website***

www.milwaukeeaacn.webs.com

1 Contact Hour provided for each speaker

COST: FREE to AACN-GMAC members - Non-Members $20.00 per night - Students $6.00 per night

Date Topic Speaker

Wednesday, November 7,

2012

6:00-7:00 PM Caregivers and Moral Distress Cheryl Anderson, MSN, MA-Bioethics

Clinical Ethicist

Wheaton Franciscan Healthcare

7:30 -8:30 PM End of Life: A Cultural Perspective

Panel Discussion

Teri Vega Stromberg, MSN, RN, AOCN, ACHPN

Clinical Nurse Specialist

Gloria Singleton-Young

Save a Life Coordinator, Community and Patient

Education

Mai Yia Thao

Medical Interpreter, Interpretation & Translation

Services, OCLP

Luz Ortiz

Director, Interpretation & Translation Services,

OCLP

Wednesday, February 13,

2013

6:00-7:00 PM Nursing Transfusion Practice Nanci Fredrich, RN, BSN, MM

Transfusion Safety & Blood Management Officer

BloodCenter of Wisconsin

7:30 -8:30 PM Anemia Management: Current Trends

and Treatments

Mary Sinnen DNP, MSN, ANP-BC

Director Nephrology Services

Wheaton Franciscan Healthcare

Thursday, April 11, 2013

6:00-7:00 PM Current and Emerging Therapies in

Ischemic and Hemorrhagic Stroke

Marc A. Lazzaro, MD

Assistant Professor

Departments of Vascular and Interventional Neu-

rology

Froedtert Hospital and Medical College of Wis-

consin

7:30-8:30 PM TBA

June 2013 Annual Dinner Meeting

AACN - Greater Milwaukee Area Chapter

PO Box 1836

Milwaukee, WI

53210

milwaukeeaacn@gmail.com

We’re on the Web!

Milwaukeeaacn.webs.com

Facebook: AACN: Greater Milwaukee

Area Chapter of Critical Care Nurses

Twitter: AACN_GMAC

GMAC is the local professional "home" for nurses in South-

eastern Wisconsin who work with patients who are acutely

or critically ill. With over 85,000 members, AACN is the

largest specialty nursing organization in the world, repre-

senting the interests of more than 500,000 nurses. The

association is dedicated to providing our members with the

knowledge and resources necessary to provide optimal

care to patients along the critical care continuum.

The goal of GMAC is to:

Uphold the American Association of Critical-Care

Nurses' vision, mission, and values at the local level.

Support nurses working in a variety of acute and criti-

cal care settings, whose patients require specialized knowl-

edge and skills to assure optimal outcomes. Our members

work in intensive care units, medical and surgical- teleme-

try units, interventional radiology, emergency departments,

on transport teams and are faculty at area colleges and

universities.

Support includes educational programs, networking

with professional colleagues, mentoring relationships and

scholarships.

Promote quality care of acutely and critically ill pa-

tients in Southeastern Wisconsin.

American Association of Critical Care Nurses - Greater Milwaukee Area Chapter

Looking for a way to be involved in GMAC without a huge time com-

mitment? Here is a great opportunity for you, Educational planning!

The confirmed dates for the educational planning meetings for the

June 2013 dinner and the educational sessions for year 2013-2014

are as follows:

Tuesday, January 8, 2013

Tuesday, February 5, 2013

The meetings will be from 6:00 pm to 8:00 pm. The place will be an-

nounced at a later time.

DARE TO … Plan

AACN is a community of exceptional nurses.

GMAC is your local portal to that community.

A big “Thank You!” to those who volunteered at the Briggs & Al’s Run & Walk

Medical Tent in September and went to the Regional meeting in October!

Thank you for representing GMAC!

DARE TO … Represent

DARE TO...Write

Congratulations to our own Diane Dressler on her recently published article

Coagulopathy in the Intensive Care Unit in the October issue of Critical Care

Nurse. Nicely done!

GMAC EXECUTIVE BOARD MEETING MINUTES

Meeting Leader: Anne Putzer Date: 10/8/12 Location: Juniper 61 Recorder: Bobbie Glaser Participants: Mary Jo Palmstein, Anne Putzer, Suzanne Sala, Leslie Daugherty, Mary Kay Feeney, Andrea Klipp, Angie Kinter, Dave

Budzien, Marcia Anderson, Jeanee Chedotte, Bobbie Glaser

Topic Discussion Action

Strategic plan Review annual operating/work plan (Strategic Plan)

Regional Meeting Anne Putzer: Anne attended the regional meeting Met with chapter advisor GMAC was featured for the poster presentation coordinated by Kathy Epping Dave Hanson, former AACN President was present – “Extraordinary vs. ordinary”

Education Leslie Daugherty CEU’s have already been obtained for the next meeting. CEU’s are not needed for re-certification – we may consider changing to CERP’s. Question if CEU’s are required for advance practice RN’s. Possible poll on website of members November meeting – A letter to the panel would be appreciated. Proposal to increase the honorarium from $25 to $50. Motion made, seconded. No further discussion. Motion carried to increase the honorarium from $25 to $50. April meeting – still have an opening for a speaker

Discuss at next education meeting Discuss at November meeting

Outreach Angie Kinter Al’s run went well. Mary Jo will provide Angie with letterhead for thank yous for participation Growing power: $30 raised last time Ideas: drawing for those who contribute (Starbucks coffee card, coupon for NTI drawing entry). Tour is offered Saturdays and Thursdays (also a walk-thru on Thursdays) Volunteer benefits available

Membership Update

Marcia Anderson Current membership: 102 Bulk membership continues through the next meeting Lower turnout at last meeting: 72 Next meeting count plan: 80

Page 2 Topic Discussion Action

Suggestion to change student rate from $6 to $5, approved.

Treasurer Report Mary Kay Feeney Budget spreadsheet reviewed Email Mary Kay with any questions on details

AACN Ambassadors

Andrea Klipp Four people signed up Recruitment ideas would be appreciated Idea: Ambassador packet with information for each hospital

CCRN/PCCN Review

Dave Budzien/Mary Kay Feeney Held September 27 – 28 at the WAC near Froedtert 50 participants 36 attended the review at Columbia/St. Mary’s in May Good reviews on evaluation forms Idea to have it at a different location Ideas:

have review in conjunction with another chapter

Offer discount to other chapters, possibly $200 (currently $175 for GMAC members)

Collaboration with Aurora

Have committee discuss and bring ideas back to board

Networking Night No date or location yet Checking with Wheaton-Franciscan – St Joseph’s Mayfair location Kathy Epping to chair the committee – she plans to check with nursing schools Possible that Dave Hanson may attend

Kathy Roberts visit 2/7/13 Keynote presentation at CHW – GMAC members would be invited Anne will get details for future discussion

Collaboration with Aurora on CCRN review

Further discussion required

Circle of Excellence Award

Due November 15, 2012 Education, outreach – Angie K. to consider Suzanne has quilt for possible raffle Mary Jo reports issues with “raffles” – will need to check on how to offer this Silent auction may be possible

Certification Day March 19, 2013 Ideas:

Names in monitor

Stand for recognition

Letter

Monitor deadline See list of monitor information including dates, items for inclusion

Fleece Jackets Those that already have them should bring them to the next meeting as samples

Announcements/ Concerns

Meeting dates Board meetings: Tues., 12/4/12, Tues., 3/5/13, Tues., 5/7/13 Education planning: 1/8/13 and 2/5/13

On Friday October 5, 2012, the AACN Chapters of Region 8 (Michigan & Wisconsin) and Re-gion 10 (Illinois) joined forces for the 2012 Annual Multi-Regional Collaborative Meeting. Held in Cary, Illinois (just outside Chi-cago), the meeting was graciously supported, and hosted, by Sage Products, Inc. 33 Chapter mem-bers, from multiple Region 8 and 10 Chapters we able to attend; if you were not able to join us, we missed you and hope you will be able to attend in 2013.

Stephen McKeeman Chapter Advisor, Region 8 region8@aacn.org SPECIAL EDITION Newsletter:

Multi-Regional Collaborative Meeting

Region 8 and 10

Keynote Speaker, Dave Hanson inspires………. We were privileged to have Dave Hanson (Past AACN President) as our Keynote Speaker. His inspirational message titled ‘Dare To Be….. Ex-traordinary’ challenged all of us to use our per-sonal and professional power to make the transi-tion from ‘ordinary’ to ‘extraordinary’. Using Susan Boyle’s UK Talent Show audition as an ex-ample, Dave shared his tips and suggestions that can enable us to inspire, lead, care, and Dare To face our fears. Thank-you Dave for sharing your personal story on how nurses can be ‘extraordinary’, and congratulations on your newly acquired certification (Dave just passed his Nursing Executive Advanced—Board Certifi-cation (NEA-BC) last week).

Leslie Collins Chapter Advisor, Region 10 region10@aacn.org

Thank-you……… It was truly a pleasure for both of us to have the opportunity to facilitate this Multi-Regional Collaborative Meet-ing. The AACN Chapters in Region 8 & 10 are truly an exceptional group of individuals, who foster an environ-ment of support, education, and collaboration for all AACN members. We are proud to be part of this awesome group of individuals. Stephen & Leslie

Sharing Best Practices…….. One of the goals of our Multi-Region Collabora-tive meeting was to network and share Chapter best practices. With many Chapters doing awe-some things, we asked the Greater Milwaukee Area Chapter (GMAC) to share some of their Best Practices that had enabled them to win TWO Circle of Excellence Chapter Best Practice Awards this year.

Kathy Epping (GMAC) shared with us an excel-lent presentation on ‘Planning a Chapter Col-laborative Event’, in which the GMAC collabo-rated with local nursing schools to host a nurs-ing student event.

Mary Jo Palmstein (GMAC) shared with us her tips for ‘Applying for a Chapter Circle of Excel-lence Award’. Thank-you to both Kathy and Mary Jo for shar-ing their insights. Their ‘take home’ message was to Dare all Chapters to apply for a Circle of Excellence Award—the deadline is 11/15/2012.

Other meeting activities included: The AACN 2012 Update, presented by Leslie Collins Small Group/Breakout Activities, related to the Circle of

Excellence Award categories, and planning a chapter event; coordinated by Stephen McKeeman

Presentation of the AACN CNE Webinar, and an AACN website review; coordinated by Leslie Collins

Page 2

A HUGE thank-you goes out to our supporter—Sage Products, Inc. They generously provided us with

meeting space, morning coffee (what’s a nurse without our morning coffee..!!), and a fabulous lunch. In the afternoon, we had the privilege of a visit from Vince Foglia (Sage Company Founder and CEO), who took questions from our partici-pants about Sage products, and improvement suggestions..!

Without any knowledge of Dave’s keynote pres-entation, Vince stated that Sage’s goal was to develop “simple inter-ventions that resulted in extraordinary patient outcomes”, and that he is “proud to be associ-ated with nurses and the AACN”.

Sage also provided us with a tour of their manu-facturing facilities.