1. Horner, Sharon D. PhD, RN, CNS, FAAN

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I hope many of you were able to join us for Pamela Cipriano's talk, "Changing the Climate: Creating a Culture of Safety," held on September 1. This free webinar was sponsored by the National Association for Clinical Nurse Specialists (NACNS) as part of National CNS Recognition Week in appreciation for the difficult yet significant contribution our members make every day to improve the health of people. Thank you for all the wonderful work you do!


We have many hardworking prodigious members whose voluntary efforts contribute to the greater good for our association and for clinical nurse specialists (CNS) across the country. When we sent out a call in May for committee volunteers, the response from you was phenomenal! Our volunteer committees are beginning to function in synchrony with the association's fiscal year. This means that new committee members joined their committees in July and began working on various tasks and initiatives to benefit the members as a whole.


Several of our members are serving on task forces who are developing reports of their work to share with the membership. As their tasks are nearing completion, I would like to take this opportunity to recognize these individuals for all their impressive work. The following people served on the Chronic Care task force: Lori Dambaugh, Mary Hansen, Cynthia Kollauf, Cherly Lillegraven, Renee Martin, Renada Rochon, Ludmila Santiago-Rotchford, Julia Senn-Reeves, Monica Staples, and Judy Dusek. The following people served on the Malnutrition task force: Tracy Chamblee, Joanne Evans, Karie Falder-Saeed, Kelly Haight, Melanie Schuster, Susan Smith, Mary Waldo, and Hea-Lan Yoon.


Other groups are at the midway point of their work. These include the Research Priorities task force that will provide guidance for the association's research-related activities; the Statement on CNS Practice and Education task force is busy working to update this document; and the Lifespan Competencies Crosswalk committee is working diligently to complete this task. The association could not function without its volunteer members who contribute their time, talents, expertise, and energy to these important activities.


To me, fall is a time for introspection and reflection. Have you ever wondered about how many "years" we have in one 365-day cycle? The calendar starts with January 1-and marks the beginning of the new "tax year" (even though our tax bill is due April 15). However, September signals a shift for nearly all of our members in one way or another as the new academic year begins. Most obviously, members who have children (or grandchildren) in school are affected by the change in schedule and the associated rush to buy new clothes and school supplies. Similarly, members who teach in the academic setting are organizing and launching classes for their students. However, the academic calendar also affects our members who are in clinical settings as healthcare professional students begin practicum rotations in their institutions. I want to wish everyone a happy and productive new (academic) year!



The launch of the NACNS 2016-2017 webinar series started off with an excellent topic on capnography, followed by a second topic in April on meeting the needs of the diabetic child and family. The theme for 2016-2017 is pharmacology and technology.


Upcoming Webinars

September 21, 2016-Diabetes Care and Pharmacologic Management of Special Populations

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October 11, 2016-Demystifying Prescriptive Authority[horizontal ellipsis]Implications for Clinical Nurse Specialists


November 8, 2016-Improving Cognitive and Functional Outcomes in Hospitalized Older Adults With Dementia


December 6, 2016-APRN Consensus Model and APRN Compact-What You Need to Know


January 12, 2017-Malnutrition and Pharmacology: Implications for CNS Practice


Webinars will now be held monthly and will provide Continuing Education (CE) at a reduced price of $25.00 for members. Nonmember price is $60 and student price is $30. Group pricing is available; please e-mail for specific group size information. Webinar Pricing has been restructured for 2016-2017. To register, visit the NACNS Web site.


All webinars have been archived for later viewing. E-mail to order an archived webinar. Listen at your leisure and apply for CE certificate.



September 1 to 7 is National CNS Recognition Week, a time when hospitals and healthcare systems pay tribute to and build awareness of the important role that CNSs play in ensuring that patients receive high-quality care based on the best and most recent research evidence.

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This year, the theme for CNS Week is "The Clinical Nurse Specialist: Vital Link in Health Care Reform."


To help you and your colleagues work with your hospital or healthcare system to publicize the National CNS Recognition Week, you will find a developed set of materials on the NACNS Web site, including the following:


* The 2016 CNS Recognition Week logo


* A guide with ideas for celebrating National CNS Recognition Week


* A flyer


* A sample proclamation


* A fact sheet


* A template article for your institution's newsletter or Web site


* A template letter-to-the-editor and instructions for submission


* Sample Tweets (using #CNSWeek) and Facebook posts



We would also love to share photos of this year's events on our Facebook page. Please send photos, along with the name of the hospital or healthcare system, the city and state, and a description of the activity, to We will post as many as possible on the Facebook page.


Also look for NACNS logo items for sale! Go to and click on the CNS Week Logo for more information.



Don't forget to participate in the 2016 CNS Census!-Stand Up and Be Counted!

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Clinical nurse specialists are valuable healthcare resources. In identification of the importance of the role, the NACNS Board of Directors has directed the collection of crucial national data on the demographics, education, and practice of the CNS. If you were educated as a CNS (yes, you do not have to actively be practicing under the CNS title), do not forget to help by going to the survey. The link can be found on the NACNS homepage at for the 2016 CNS Census icon and click on to link directly to the survey, or you can go directly to the survey at http://www.surveymonkey/r/2016cnscensus.


The NACNS designed the first survey, the 2014 CNS Census to capture information about people who identify themselves as or who were educated as CNSs. This survey was the first national survey of the CNS workforce. An infographic is posted on the NACNS Web site that summarizes key facts from this first survey. The NACNS has received assistance from the University of San Diego, California, PhD nursing students to refine the survey and improve the speed of someone completing the survey. Do not miss the chance to be part of this important initiative! And let your friends know! It is important that we get as many individuals educated as a CNS to be part of the 2016 CNS Census!



The NACNS is pleased that the American Association of Medical Instrumentation (AAMI) Foundation is partnering with us to provide their monthly seminars to our members. This collaboration will bring interprofessional education to NACNS members seminars to highlight how hospitals are addressing patient safety issues related to complex healthcare technology. These seminars will cost $25.00 for NACNs members and are expected to include nursing CE. Check out their offerings! Go to and then click on the AAMI Foundation.



The NACNS has teamed up with the Indiana University School of Nursing to provide "Developing Your Skills as a Clinical Nurse Specialist Preceptor," an exciting new online training opportunity for CNS preceptors working with students during their clinical rotations. This online self-study course will provide nursing programs and CNS preceptors with valuable tips and tools to prepare for working with students and allows them to complete the course on their own schedule.


"Developing Your Skills as a Clinical Nurse Specialist Preceptor" is being developed by expert CNS preceptors and faculty from a number of health systems and universities. It includes 3 modules: Organizing the Learning Experience, Engaging the Student, and Providing Useful Feedback. The course addresses how to start the process of talking with prospective students about expectations and fit, strategies and best practices for working with students and faculty, teaching approaches, CNS competency areas, and providing feedback to students and faculty members. Registration will open this summer, but you can sign up now at to be added to the mailing list and receive information as soon as it is available.


Pricing and official contact hour calculations are still pending. Watch the Web site for more information!


Preceptor Course Planning Committee:


Sharron Coffee, MSN, RN, CNS-BC, Milwaukee, Wisconsin; Julie Dramedy, PhD, RN, ACNS-BC, Milwaukee, Wisconsin; Janet Fulton, PhD, RN, ACNS-BC, ANEF, FAAN, Indianapolis, Indiana; Jennifer Kitchens, MSN, RN, ACNS-BC, Indianapolis, Indiana, 2014 NACNS Preceptor of the Year; Francesca Levitt, MSN, Indianapolis, Indiana, 2012 NACNS Preceptor of the Year; Deb Sips-Fears, MSN, RN, CCRN, Indianapolis, Indiana; Lisa Wages, MSN, RN, Indianapolis, Indiana



Veteran's Affairs (VA) Virtual Affiliate-Member News

Ann H. Busch, liver transplant CNS at the Portland VA Health Care System wrote chapter 4 "Working With 'The Boss,'" in Duffy M, Dresser S, Fulton JS, eds. Clinical Nurse Specialist Toolkit: A Guide for the New Clinical Nurse Specialist. 2nd ed. New York: Springer; 2016.


Busch is also a contributing author for American Nurses Association and International Transplant Nurses Society. Scope and Standards of Practice: Transplant Nursing. 2nd ed. Silver Spring, MD: ANA; 2016.


Patricia L. Kiefer, SCI CNS at the Cleveland VA Medical Center (VAMC), recently led a Performance Improvement team "Systems Improvements in Managing Hypoglycemic Events and Documentation," which was implemented in April 2016. She is also leading an SCI Center project entitled "Improving Compliance and Reducing MRSA Transmission on the SCI Unit."


Sonia Martinez, medical-surgical CNS at the Puerto Rico VAMC, chaired the San Juan Internal Medicine Patient Flow project, completed in March 2016. She is also the chair of the Nursing Clinical Practice Council.


Jo Lee Coleman, SCI CNS at the Indianapolis, Indiana, VAMC, presented "Drive Safely to the Finish: Use of a Stoplight Mobility Program" at the October 2015 Association of Rehabilitation Nurses 2015 Annual Educational Conference in New Orleans, Louisiana.


Donna Miller, acute care CNS at the Cleveland VAMC, is leading a project related to pain, agitation, and delirium in the ICU setting and will be presenting about the project at the American Delirium Society meeting in June in Nashville, Tennessee. She is also the lead researcher on a research study identifying critical care nurses' knowledge about pressure ulcer prevention and staging.


Linda Bay, acute care/medical oncology CNS at the Clement J. Zablocki VAMC, has recently presented the following:


* Mindfulness and Pause Principles to Enrich APRN Practice, presented as a VHA APRN Webinar (August 19, 2015).


* Courageous Caring for Self-Becoming a Mindful Nurse, presented at the Northwest Chicago Area Chapter of the American Association of Critical Care Nurses Midwest Conference (March 21, 2016) in Itasca, Illinois.



Carol Giomuso, Med-Surg/Primary Care CNS at the Cleveland (OH) VAMC presented a poster at the NE/ADPCS National VA Conference, May 24-26, 2016, entitled "Home Phototherapy: A Patient Safety and Compliance Initiative"


Linda M. Bay, critical care CNS at the Milwaukee, Wisconsin, VAMC, presented "Part I-Building a Strong Foundation to Courageously Care for the Progressive Care Patient" at the American Association of Critical Care Nurses (AACN) National Teaching Institute (NTI) in May 2016 in New Orleans.


Linda's graduate student Allie Sment presented "Part II-Courageously Caring for the Progressive Care Patient When the Patient Becomes Critical" at the same conference. Allie graduated from Alverno College with a master of science in nursing CNS focus in December 2015.


Renada Rochon, acute care CNS at the San Antonio, Texas, VAMC, received their nomination for the Secretary of Veterans Affairs Award for Excellence in Nursing for the Advanced Practice Nurse/Expanded Role. She also sits on the NACNS National Chronic Conditions Taskforce.


Christine Valdez, perioperative CNS at the Portland, Oregon, VAMC, was a coauthor of the paper "Team Approach to Preoperative Hair Removal" at the American Society of PeriAnesthesia Nurses conference in Philadelphia, April 2016.


North Carolina Affiliate

North Carolina Affiliate (NC-NACNS) Annual Education Event, April 21, at Cone Health in Greensboro, North Carolina


NC-NACNS Education Web-ex, January 13, 8:00 AM to 10:00 AM


Please visit the Web site for contact and registration information:


Central Indiana Organization of Clinical Nurse Specialists

The Central Indiana Organization of Clinical Nurse Specialists (CIOCNS) continues to expand efforts for Indiana CNSs to sustain a strong NACNS affiliate. Task force and committee work currently supports our mission and vision for CNS practice.


The Strategic Planning Task Force work includes a 5-year plan aligned with that of NACNS and includes strategic partnering with additional Indiana APN groups to support legislative efforts. The goal of this task force is to provide a foundation for long-term sustainability of CIOCNS and CNS practice in Indiana.


The CNS Student Task Force is partnering with Indiana schools of nursing to build a resource link on for CNS students, preceptors, and doctoral students. Preceptors, current students, and faculty of Indiana schools with CNS programs have partnered to begin this work.


Please mark your calendars and plan to attend the 7th Annual Fall CIOCNS Conference in Indianapolis, Indiana. "The Expanding Influence of CNS Practice" will be held on Thursday, November 10. Please visit for more information as the planning committee continues to organize this conference.


California Association of Clinical Nurse Specialists

Shannon Okura, MSN, RN, CNS, maternal child health CNS, reports that she and Monetta Stockton, MN, RN, CNS, were part of a small team who wrote the initial Magnet document highlighting nursing excellence at Orange Coast Memorial Medical Center (OCMMC) in Fountain Valley, California. In February 2016, OCMMC was honored with Magnet designation.


Marilyn Shirk, MN, RN, CNS-BC, Cedars Sinai Medical Center, reports that she and Jim Kane, MN, RN, CNS, NEA-BC; Pamela Minarik, PhD, RN, CNS, FAAN; Peggy Plunket, MSN, APRN, PMHCNS-BC; Jane Neese, PhD, RN; Karen Pehrson, MS, PMHCNS-BC (retired); Susan Krupnick, MSN, PMHCNS-BC, ANP-BC, C-PREP; and Karen Ragaisis, DNP, APRN, PMHNP-BC, CARN, presented a session, moderated by Peggy Dulaney, MSN, RN, entitled "PCLN Spheres of Influence: Who Ya Gonna Call? Psychiatric Consultation-Liaison Nurses Integrate Care of Patients, Support Providers and Consult with Organizations" at the 18th Annual International Society of Psychiatric-Mental Health Nurses (ISPN) conference in Minneapolis, Minnesota, on April 15.


Elizabeth Scruth, RN, PhD, MPH, FCCM, CCNS, CCRN, clinical practice consultant, Clinical Effectiveness Team, shared her critical care/sepsis research publication: Worrall-Carter L, Macisaac A, Scruth EA, Rahman A. Gender difference in the use of coronary interventions for patients with acute coronary syndrome: experience from a major metropolitan hospital in Melbourne. Australian Critical Care. Accepted for publication March 15, 2016. In May, at the AACN NTI I, Elizabeth Scruth was inducted into the Circle of Excellence.


Ann Mayo, University of San Diego, and her colleague, Jackie Close, shared the following publication: Mayo AM. Quilt project in long term care. Paper presented at the Alzheimer's Disease and Related Disorders: Updates in Research, Treatment and Innovative Care; May 2016; San Diego, CA.


Sally Lynn Taylor, MS, RN, CNS-BC, AACC, reports that she became a newly designated associate of the American College of Cardiology, April 4, 2016.


Elissa Brown, cochair, NACNS Practice committee, and Anita White, chair, Practice committee, presented at the NACNS Conference, March 2016, on "Where the Past Meets the Present[horizontal ellipsis]the Future of the Clinical Nurse Specialist Role," and they led the Practice Forum. Elissa is going off the NACNS Practice Committee at the end of June and has been appointed to the NACNS Affiliate advisory committee.


Betty Halverson, Medical/Surgical RN, MSN, ACNS-BC, MMGT, CNS at Torrance Memorial Medical, presented on "Bedside Connection" or Nursing Bedside Shift Report at the NACNS Conference in Philadelphia in March 2016


Julie Semper and Betty Halvorson, both CNSs at Torrance Memorial, along with Dr Linda Lillington, Dr Mary Hersh, and Clare Torres, oncology RN, published an article in the January 2016 issue of the NACNS journal, The International Journal for Advanced Nursing Practice. The article was titled "Clinical Nurse Specialists Guide Staff Nurses to Promote Practice Accountability through Peer Review."


Julie and Betty will also be presenting their above journal topic per a poster presentation at the 15th Annual UCLA Health EBP & Research Conference in September 2016 in Los Angeles.


Garrett Chan, PhD, APRN, FAEN, FPCN, FNAP, FAAN, shared that he has been chosen as the Emergency Nurses Association CNS of the Year. The awards ceremony will be in September.


Elisa Jang, MS, RN, CNS, clinical practice manager/CNS, Transitional Research, North Bay Healthcare, reports that she has an abstract accepted for poster presentation to the 2016 Hospital Council summit conference in September 2016. The poster title is "Investing in Transformational Leaders of Tomorrow-Achieving Sustainable Outcomes Through an Evidence-Based Practice and Research Fellowship Program."


Tammy Ludwig, RN, BSN, CCRN, PHI Hospital, clinical educator/Critical Care center and clinical educator for Smart Pumps was awarded first place at the 2016 Student research Day at California State University's Dominguez Hills. The poster highlights Tammy's work on "Nurse Recognition of Delirium and Delirium Subtypes in Adult and Geriatric Hospitalized Patients." They are currently implementing the Brief Confusion Assessment Method (bCAM) to screen for delirium on a pilot surgical unit at her place of employment. The aim is to assist nurses in objective screening and then implement evidence-based interventions to decrease morbidity and mortality and to decrease Length of Stay, falls, Hospital Acquired Pressure Ulcers, sitter hours, and restraint use.


Lianna Z. Ansryan, RN-BC, MSN, CNS, CNS at the Cedars Sinai Nursing Research Team, has received grant funding to spread the Systems Addressing Frail Elders (SAFE) Care Program to 3 other Magnet Hospitals in Los Angeles County, California.


*Your purchase of the webinar includes access to the national-level, CNS-specific continuing education, and 1 person's CE. If multiple individuals are listening to the webinar, the CE will only be available for 1 attendee. If you wish to register a group on 1 call-in line, please contact A group discount will be given for each additional CE on a single line. This activity has been approved for contact hours by the Alabama State Nurses Association. The Alabama State Nurses Association is accredited as an approver of continuing education by the American Nurses Credentialing Center's Commission on Accreditation. Each webinar is worth 1 CE credit. [Context Link]