Central NANN Your

NANNCentral
Summer 2010 • Vol. 26, No. 2
from NANN’s President
Professional Growth: What Is Your Plan?
Lori Armstrong, MSN RN
I hope that everyone’s plan for the
summer includes some time for rest
and relaxation. Neonatal nurses
work extraordinarily hard, giving of themselves
throughout what are most often 12-hour shifts. It is
essential to take time for yourself—to breathe, to
think, to regroup. Stepping back and assessing where
you are both personally and professionally is vital to
ongoing health and well-being. During these times of
relaxation you can see things more clearly. (Often I
do my best thinking on airplanes—possibly because
that is the only place where I cannot be reached by
others.)
As professional nurses we don’t just have jobs. We
are not shift workers. We are part of a profession. In
fact, we are members of the most respected profession
in the United States. For the eighth consecutive year,
nurses have been voted the most trusted professionals
in our country, according to Gallup’s annual survey
on perceptions of honesty and ethical standards in
professions. Eighty-three percent of Americans believe
nurses’ honesty and ethical standards to be either
“high” or “very high” (Jones, 2009). With that ranking
comes great responsibility. During a time of healthcare
reform and challenging political developments, Americans are telling us that they trust us. They trust us
during very vulnerable times in their lives—when they
or one of their family members is sick.
Medical literature documents the discovery and
rediscovery of an inseparable link between lifelong
learning, ongoing competence, and the delivery of
high-quality patient care. We as neonatal nurses
must embrace this concept and nurture it (Crocker,
2009). The American Nurses Association (2004, p. 20)
asserts in Nursing: Scope and Standards of Practice
that “registered nurses as lifelong learners must have
available the appropriate and adequate professional
development and continuing education opportunities
to maintain and advance skills and enhance
competencies.”
So as you take time to rest and regroup this
summer, please take time to think about where you
are professionally, what opportunities for learning and
advancing are open to you, and, most important, where
you want to go. Abraham Lincoln is quoted as saying,
“I don’t think much of a man who is not wiser today
than he was yesterday.” With these things in mind, let’s
embrace the challenge to be lifelong learners. One year
from now, we want to be in a different place.
I submit to all NANN members and neonatal nurses
that we have a responsibility to plan professionally
for our future. Nurses make up the largest number of
healthcare providers in most organizations, and we
deliver that care in the most complex of environments.
So take action. Plan for your continuing education.
Hone your skills. Plan to have a broader impact on the
patients and families that you serve.
Rebecca Patten, MSN RN CNOR, president of the
American Nurses Association (who met with President
Obama last year to address healthcare reform and
attended the signing of the historic healthcare reform
bill) has revealed the disappointing statistic that 80%
of all registered nurses are not members of a professional nursing organization. NANN’s core purpose is
to support the professional needs of neonatal nurses
throughout their careers. As the only nonprofit professional association exclusively dedicated to neonatal
nurses, NANN aims to be the advocate and leading
change agent for the neonatal nursing profession in
order to optimize care for neonates and their families.
We do this for our members—and for neonatal nurses
at large—by providing educational offerings, developing essential position statements, and setting practice
standards.
So what will it be? Will you become certified? Will
you learn more about pharmacology? What steps will
you take to advance as a neonatal expert during the
next 12 months?
NANN’s 26th Annual Educational Conference, to
be held September 19–22 at Las Vegas’s Paris Hotel,
is a great place for you to add to your skill set, meet
your 2010 learning needs, and set your plan in motion.
This year’s conference is titled “Embracing the Power
of Change: Advancing, Leading, and Learning.” Our
keynote speaker, John Vance, will set the stage by
teaching us about patient safety. He will discuss
teamwork and collaboration, the key ingredients of
a culture of safety that leads to the delivery of highquality, cost-effective care.
Attend the certification review course or learn
about perinatal palliative care, the S.T.A.B.L.E. Cardiac
Module, neonatal pharmacology, procedural skills, or
the challenges of the late-preterm infant in one of the
other preconference workshops. The variety of topics
and speakers offered this year are outstanding.
We value every NANN member and have sought
to develop a conference that offers something for
everyone. Whether you are a practicing bedside nurse
or a seasoned neonatal nurse practitioner, you’ll find
a session just right for you. In addition, managers
and directors will find a variety of topics in the
management track designed to help you support your
staff and the patients in their care. And, as always,
networking opportunities at the conference abound!
When I see you in Las Vegas, I will ask what your
plan is. Please ask me for mine!
References
American Nurses Association. (2004). Nursing: Scope and
standards of practice. Silver Spring, MD: Author.
Crocker, S. V. (2009). Fall into lifelong learning. Wyoming
Nurse, 22 (1), 11.
Jones, J. M. (2009, December 9). U.S. clergy, bankers see
new lows in honesty/ethics ratings. Retrieved June 1,
2010, from www.gallup.com/poll/124628/Clergy-BankersNew-Lows-Honesty-Ethics-Ratings.aspx.
Update on NANN’s Educational Activities
Members of NANN’s committees and task forces have been busy! Several new
projects and learning opportunities are now available for NANN members and
the neonatal nursing community, and others will be available soon. Whether you
are seeking to hear the latest from your peers and do some networking, looking
to catch up on your continuing nursing education (CNE) requirements, building
your résumé and portfolio, or simply wanting a mental challenge, NANN has
something for you.
What’s Hot at the Annual Educational
Conference?
Have you registered for NANN’s 2010 conference yet? Join NANN September 19–22
for education, networking, and fun in the
exciting city of Las Vegas!
Now in its 26th year, this gathering is
the premier conference in neonatal nursing,
offering you many unique opportunities—up
to 25 CNE credits for credentialing and
certification (including some in the area of
pharmacology), updates on health policy
and advocacy, a hot topics session on H1N1
flu, a presentation on ventilator management, a how-to session on process
improvement, a neonatal procedural skills lab, and much more. Sessions offer
information that represents the current and best states of neonatal care,
management, and research through the illustration of best practices and
evidence-based recommendations. The conference gives you a great opportunity
to network with friends and colleagues in the neonatal community and enhance
your knowledge of products and innovations displayed by more than 150 companies in the exhibit hall.
But don’t wait—register before August 20 to receive an early-bird discount
with savings of $100. In addition, you won’t want to miss a chance to win a $50
American Express gift card through the “Hit the Jackpot with NANN” promotion.
For more information, visit www.nann.org or call (800) 451-3795 to ask for
another brochure.
CNE Store Now Open for Business
A new function is now available to you on the NANN Web site. Online CNE
has been singled out for ease of access as you look for Web-based learning
activities. Just one click will get you to the new Understanding Clinical Research
learning module, and other offerings are being planned. Check it out.
continued on page 2
NANNP Corner
®
NANN and NANNP Represented
at June LACE Meeting
Lyn Vargo, PhD RN NNP-BC, NANNP Council Member
In 2008, the APRN Joint Dialogue Group presented
the Consensus Model for APRN Regulation (APRN
Consensus Work Group & National Council of State
Boards of Nursing APRN Advisory Committee, 2008),
which outlines four essential elements of advanced
practice registered nurse (APRN) regulation: licensure,
accreditation, certification, and education (LACE).
On January 12, 2010, the LACE work group of representatives from the 40-plus organizations (certifying
bodies, educational institutions, nursing organizations, and licensing and regulating bodies) that have
endorsed the model met in Atlanta to give an update
on their planned implementation of the model by the
target date of 2015. NANN and NANNP have formally
committed to support LACE’s efforts, and a representative of the organizations has been attending the
meetings as a stakeholder, providing input from the
perspective of neonatal advanced practice nursing
and ensuring that the neonatal population remains
a focus within the initiative. (Suzanne Staebler’s
report on the January 12 LACE meeting appeared in
the March 2010 issue of NANN E-News, archived at
www.nann.org/pubs/nann_enews.html.)
On June 9, the group met again in Chicago at
the office of the National Council of State Boards
of Nursing (NCSBN), and I attended as NANN and
NANNP’s representative.
At this meeting a subcommittee reported on the
development of the LACE Web site, which is nearing
completion. The site will serve as an electronic
platform for LACE, assisting communication among
members of the core group but also helping to
guide organizations and institutions as they develop
common definitions regarding the roles of advanced
practice registered nurses, debate on appropriate
credentials and scope of practice for APRNs, and
seek to achieve uniformity in educational and state
regulations that have previously limited the ability of
patients to access care from APRNs.
Work on answers to frequently asked questions about
the LACE initiative is also nearly complete. NANN will
post the document on its Web site when it is available.
Some discussion at the meeting involved determination of continued participation by advanced practice
organizations in formalizing the LACE initiative. It
was decided that those organizations that have
participated in LACE from the group’s inception would
continue to participate as active stakeholders. For
NANN and NANNP members, this continued input
is critical because the changes in LACE will have a
significant impact on NNP practice and education.
Reference
APRN Consensus Work Group & National Council of State
Boards of Nursing APRN Advisory Committee. (2008).
APRN Joint Dialogue Group Report. Consensus model
for APRN regulation: Licensure, accreditation, certification, and education. Chicago, IL: National Council of State
Boards of Nursing. Retrieved March 9, 2010, from https://
www.ncsbn.org/7_23_08_Consensue_APRN_Final.pdf.
Lyn Vargo is clinical assistant professor in the nurse
practitioner programs at Stony Brook University, Stony
Brook, NY, and the University of Missouri–Kansas City.
Update on NANN’s Educational
Activities continued from page 1
Developmental Care CNE Learning Modules
Developmental
Care of Newborns
and Infants, second
edition, will be
available for
purchase in August.
This edition builds
on the strengths
of the first edition
but offers revised
content, expanded
chapters, and a CNE
component. The CNE modules are independent from
the book but draw on its content. Learners can pay
a nominal fee and receive credit (up to 38 contact
hours) for single chapters or for all the chapters at a
reduced price.
Developmental Care Specialist Designation
Not only is the new and improved textbook on
developmental care now available, but so is a
new professional development option for neonatal
professionals. Coinciding with the publication
of the Developmental Care of Newborns and
Infants, second edition, a special designation in
developmental care will be available to those
interested. A designation as Specialist, in the form of
a certificate and card, will be provided to those who
have studied developmental care and passed a test
demonstrating cognitive expertise in that area.
Watch your e-mail and www.nann.org for more
information about all of these educational offerings,
or simply call NANN’s customer service department
at (800) 451-3795.
Endocrine Disruptors and Neonates
Laura Stokowski, MS RN, cochair of NANN’s Health Policy and Advocacy Committee
Health concerns related to endocrine-disrupting
chemicals (EDCs) have been in the news in recent
months, and they matter to those who work with
neonates because of their possible effect on neonatal
development. An endocrine disruptor interferes with
the communication system of glands, hormones, and
cellular receptors that control the body’s internal
functions, one of which is development of the
reproductive system. A concern in perinatology is that
EDCs might be interfering with normal development
of reproductive organs, especially in males, because
male genital development is dependent on specific
hormones being present at critical times during
fetal development. Exposure during these critical
developmental windows might be a cause of atypical
genitalia (e.g., cryptorchidism and hypospadias) in
newborn boys, and, later on, of infertility, testicular
cancer, and prostate cancer, all conditions that have
increased in incidence since these chemicals became
ubiquitous in our lives. The evidence for adverse
reproductive outcomes from exposure to EDCs is
strong, and evidence for their effects on other endocrine systems (including the neuroendocrine system
and the thyroid), obesity and metabolism, and insulin
and glucose homeostasis is also mounting.
A group of highly heterogeneous molecules,
EDCs include synthetic chemicals used as industrial
solvents or lubricants and their byproducts (polychlorinated biphenyls [PCBs], polybrominated biphenyls
[PBBs], dioxins), plastics (bisphenol A [BPA]),
plasticizers (phthalates), pesticides (methoxychlor,
chlorpyrifos, dichlorodiphenyltrichloroethane [DDT]),
fungicides (vinclozolin), and pharmaceutical agents
(diethylstilbestrol [DES]). Furthermore, some natural
chemicals found in human and animal food (e.g.,
phytoestrogens) can also act as endocrine disruptors.
EDCs are widely consumed and are even found in
infant formula.
Two EDCs of particular concern for infants and
children are BPA and plasticizers (phthalates). BPA
is a synthetic chemical used in hard, polycarbonate
plastics, such as baby bottles and infant incubators.
BPA acts as a weak estrogen in the body. Phthalates
are synthetic chemicals used to soften polyvinyl
chloride products. Phthalates are found in many
flexible plastic products (such as intravenous tubing)
and in personal care products (shampoos and lotions).
Phthalates are anti-androgenic: they oppose the
effect of hormones necessary for male reproductive
development. Some exposure to these chemicals
comes from inhalation of contaminated dust, but
other exposure comes from foods or fluids that are
in direct contact with BPA-containing or phthalatecontaining products. Attention to this latter area of
exposure is critical to preventing harm from potential
EDCs.
To err on the side of caution, we must learn more
about EDCs and their potential effects on humans.
To do otherwise would be to fail in our role as advocates for the health of newborns. On December 3,
2009, Representative Jim Moran (D-VA) and Senator
John Kerry (D-MA) introduced the Endocrine Disruption Prevention Act of 2009 (HR 4190, S 2828) to
authorize an ambitious research program in endocrine
disruption at the National Institute of Environmental
Health Sciences. The goal is to develop reliable and
reproducible methods to identify chemicals that can
disrupt the human endocrine system and to address
the full range of health outcomes from exposure to
these chemicals. This information will eventually be
used to develop a course of action for dealing with
environmental exposure to endocrine disruptors.
Because this issue affects our neonatal patients,
NANN’s Health Policy and Advocacy Committee
has been monitoring developments and seeking to
educate members about the proposed legislation.
A call for action has been posted on NANN’s Web
site, and members are encouraged to contact their
elected officials in Washington and express their
views about the Endocrine Disruption Prevention
Act. At the Endocrine Disruption Exchange Web site
(www.endocrinedisruption.com), interested individuals
can learn more and find help in contacting their
congressional representatives.
Bibliography
Diamanti-Kandarakis, E., Bourguignon, J. P., Giudice, L.
C., Hauser, R., Prins, G. S., Soto, A. M., et al. (2009).
Endocrine-disrupting chemicals: An Endocrine Society
scientific statement. Endocrine Reviews, 30 (4), 293–342.
Retrieved June 1, 2010, from www.endo-society.org/
journals/ScientificStatements/upload/EDC_Scientific_
Statement.pdf.
The Endocrine Disruption Exchange. (n.d.). The Endocrine Disruption Prevention Act of 2009. Retrieved June 1, 2010,
from www.endocrinedisruption.com/endocrine.edlaw.php.
U.S. Congress. House. Endocrine Disruption Prevention Act of
2009. HR 4190. 111th Cong., 1st sess. Retrieved June 1,
2010, from www.opencongress.org/bill/111-h4190/text.
Laura Stokowski is a staff nurse at Inova Fairfax
Hospital in Falls Church, VA.
NANN’s Partnership with the National
Student Nurses’ Association
Donna Ryan, MSN RN, NANN Director-at-Large
In 2009 the NANN Board of Directors and NANN administrative staff spent much time developing a strategic
work plan. One area of focus is membership engagement, particularly efforts to increase recruitment of new
members and retention of current members. NANN is also committed to two initiatives to reach out to nursing
students who plan to pursue a neonatal nursing career. On June 1, 2010, NANN reduced the membership fee
for student nurses to $50 per year. NANN is also developing a partnership with the National Student Nurses’
Association (NSNA), which will provide an opportunity for NANN members to mentor and engage student
nurses. With approximately 50,000 members nationwide, NSNA is a preprofessional association that guides the
professional development of future registered nurses and facilitates their entrance into the nursing profession by
providing educational resources, leadership opportunities, and career guidance.
I was asked to represent NANN at NSNA’s 58th annual convention in Orlando, FL, in April 2010. More than 3,000
nursing students and faculty advisors attended the convention. I had the opportunity to talk with many students
about neonatal nursing, NANN, and NANN’s member benefits. I was impressed with the caliber of involvement and
commitment possessed by the delegates to the convention, and I am optimistic that nursing will be in good hands
with these future nurse leaders.
After attending the opening ceremony and keynote address by Jennie Chin Hansen, MS RN FANN, president of
AARP and senior fellow at the Center for the Health Professions at the University of California–San Francisco, I
attended a reception where I met Diane Mancino, NSNA’s executive director, and several NSNA board members.
I attended a plenary session, “Quality Transformation in Nursing Education and Practice,” moderated by
Rebecca Patten, MSN RN CNOR, president of the American Nurses Association. Beverly Malone, CEO of the
National League for Nursing, and Mary Beth Farquhar, vice president for performance measures for the National
Quality Forum, were the speakers. They shared their vision and insights concerning the importance of quality
indicators for the future of health care and the need to advance society’s understanding of the value of nursing
education and practice. Emerging roles and responsibilities are placing new demands and greater expectations on
nurses, and nursing education and practice delivery settings are changing. Nurses must therefore prepare—and
stay prepared—to provide high-quality nursing services.
NANN supports NSNA’s mission to develop and prepare nursing students to lead the nursing profession in the
future and unites with NSNA in the goal to support student nurses through excellence in practice, education,
research, and professional development. NANN plans to send a representative to speak about neonatal nursing in
a panel discussion at NSNA’s conference in Cincinnati, OH, November 4–7, 2010.
Donna Ryan is clinical research coordinator and clinical instructor at Duke University School of Nursing, Durham, NC.
Chapter News
NANN is pleased to have added two chapters to its
network of local chapters. The Southern Wisconsin
Association of Neonatal Nurses attracts nurses from
the Milwaukee and Madison areas. The chapter begins
its journey with a list of ambitious goals and great
excitement among its members. The Central Florida
Association of Neonatal Nurses is our most recent
The Delaware Valley chapter sponsored a checkpoint station
addition, covering a 50-mile radius around Orlando. The
chapter started with 26 members—an impressive number at the March of Dimes Walk for Babies.
for a new chapter. It offers continuing education at quarterly meetings and has even held one meeting using
video conferencing. Chapter members have also raised money for Transition House, a local charity. To find a
chapter near you or to get information about starting a chapter, go to www.nann.org and click on Chapters under
the Membership tab.
The Delaware Valley Association of Neonatal Nurses sponsored a checkpoint station at Rowan University
in Gloucester County, NJ, for the March of Dimes Walk for Babies in April. The checkpoint station was decorated
to honor mothers (for upcoming Mother’s Day). The chapter collected 8 cell phones and 112 books for its campaign and distributed information on infant/child cardiopulmonary resuscitation to walkers.
New NANN Board and NANNP Council Members Elected
The NANN and NANNP Nominations Committees worked hard in 2009 and 2010 to identify a slate of
excellent nominees for each organization. Thanks are due to the committee and also to all who voted in this
important election. The election has now concluded, and the results have been tallied. We are pleased to
announce the new board and council members who will begin their terms after the annual conference in Las
Vegas, September 19–22, 2010.
NANN Board of Directors
Secretary-Treasurer: Gladys Mabey, MN RN
Director-at-Large: Carol Wallman, MSN RN NNP-BC
Special Interest Group Director-at-Large: Elizabeth Damato, PhD RNC CPNP
Staff Nurse Director-at-Large:
Julianne Dahl, MSN RNC-NIC
NANNP Council
District 1:
Terri Cavaliere, DNP RN NNP-BC
District 2:
Lee Shirland, MS APRN NNP-BC
District 4:
Bridget Cross, MSN RN NNP-BC
To all those who were candidates in the election: your willingness to lend your time and expertise to
NANN is truly valued. Thank you!
This is an exciting time to be involved in NANN, with many important initiatives under way. We look forward to the leadership of this excellent team of volunteers who will guide our organization into the future as
strong advocate and leading change agent for the neonatal nursing profession.
Silent Auction
to Benefit
March of Dimes
A silent auction to benefit the March of
Dimes will take place in the exhibit hall at
NANN’s 26th Annual Educational Conference,
September 19–22, 2010, in Las Vegas, NV.
We ask you, as a friend of the March of
Dimes, to help raise money for research and
programs that bring comfort and care to
babies born prematurely or sick. The following items are examples of appropriate entries
for the silent auction:
•gift baskets
•autographed sports memorabilia
•funding for a travel grant to NANN ‘s
conference
•housewares
•garden accessories
•gift certificates for national chain restaurants
or stores
•medical equipment.
The ground rules are as follows:
1. The item must be able to be easily displayed
on a table.
2. Any gift basket with loose items or valuables
must be wrapped in clear plastic wrapping.
(Please note: The silent auction site will not
be supervised.)
3. All entries must be able to be boxed and
shipped to the recipient’s home.
4. All entries must include a card with the
name of the donating organization.
5. Gift baskets, or any other wrapped items,
should include a list of the contents.
Use your imagination to come up with a
silent auction item that will invite everyone
to place a bid. For more information about the
silent auction, please visit the Meetings page
at www.nann.org. NANN and the March of
Dimes thank you for your support of premature
babies.
2010 Brighter Tomorrows
Story Contest Winner
A Brighter Tomorrow—A Journey That
Began in a NICU
Kristen Pelshaw, MSN RN CPNP-PC
“The sun’ll come out tomorrow, bet your bottom dollar that tomorrow, there’ll be
sun” (Strouse & Charnin, 1977). Each birth is a sun rising. Each life is a song sung.
More than 12 years ago, I found myself in the midst of a family expectant for the
life of their first child. A preterm delivery was not part of their birth plan; they thought
they still had time before their child would be born. However, at 28 weeks’ gestation
Abigail—or Abby, as she was known by family and friends—was welcomed into the
world. It was Thanksgiving 1997. Indeed, this family had much to be thankful for. Abby
appeared to be “doing well” in her first few hours of life, but then she tired out. Abby
required ventilatory support and an umbilical arterial catheter for several days. She spent
many weeks on nasal CPAP [continuous positive airway pressure]. Her parents began to
think she would go home with it as if it were her security blanket. Eventually, on February 4, 1998, Abby was discharged with a nasal cannula and supplemental oxygen.
As nurses and ministers of health, we often wonder what happens to those who
have been entrusted to our care. So often, people come into our lives for a brief
period and then move on.
“When I’m stuck in a day that’s gray and lonely . . .” (Strouse & Charnin, 1977).
Little did I know that our paths would cross again. That gray day would evolve over
time, and this little life would grow and become an even more treasured gift. Just
a few years ago, I met Abby again, when she was 8 years old; my daughters and
Abby attend the same school.
This spring, at the age of 12, Abby played the lead in our school musical, Annie.
In her red dress, she proclaimed that this “hard knock life” has been transformed
into a life where the “sun will come out tomorrow.” I watched this production with
a smile in my heart, knowing I have a special connection with Abby that no other
attendee that night has had. I cared for Abby as one of her NICU nurses; I nurtured
her when her parents were not able to be at her bedside.
As nurses, we live our lives for others. In these lives we recognize that we give
of ourselves in the midst of difficult situations. As Annie reminds us, “maybe far
away or maybe real near by,” we can continue to see the value of life. We should
celebrate the symbol of the “little red dress,” which reminds us that what we do is
about the value of life lived for others.
I have been blessed with the great honor and privilege to have cared for Abigail
and heard her song sung. May our special connection continue for years to come.
Calendar
www.nann.org
NANN 6th Annual Research Summit
Online abstract submission deadline
September 10, 2010
National Neonatal Nurses Day September 15, 2010
NANN 26th Annual Educational Conference
Las Vegas, NV
September 19–22, 2010
Florida Association of Neonatal Nurse
Practitioners Conference
October 12–16, 2010
NANN 27th Annual Educational Conference
Online abstract submission deadline
October 15, 2010
8th International Neonatal Nurses Conference
Sponsored by the Neonatal Nursing Association of Southern
Africa and the Council of International Neonatal Nurses
Durban, South Africa
www.nnasa.org.za
October 24–27, 2010
NANN 6th Annual Research Summit
Scottsdale, AZ
April 12–14, 2011
Look for chapter meeting dates at www.nann.org.
Reference
Strouse, C., & Charnin, M. (1977). Annie (original Broadway cast recording remastered in 2009).
Kristen Pelshaw, MSN RN CPNP-PC, is a clinical nurse specialist in the NICU at
William Beaumont Hospital in Troy, MI. She submitted this story to NANN’s 2010
Brighter Tomorrows Story Contest. Read all the story submissions on the Meetings
page at www.nann.org.
NANNCentral
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Glenview, IL 60025-1485
NANN CENTRAL
(ISSN: 1544-3382)
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Glenview, IL
Permit No. 62
2010 March of Dimes Walk for Babies
The NANN national office staff, with colleagues and family members, raised $4,397
in the 2010 March of Dimes Walk for Babies on April 24, breaking all previous
records. Twenty-three walkers raised $2,397, and $2,000 of that amount was
matched by Association Management Center, NANN’s management company, to
bring the total to $4,397. Thanks to these and all across the country who walked
and supported this worthy cause.
NANN
4700 W. Lake Avenue
Glenview, IL 60025-1485
(800) 451-3795 • (847) 375-3660
Fax (866) 927-5321
[email protected] • www.nann.org
NANN Central Content Reviewer: M. Kathleen Philbin, PhD RN
NANN Central™ (ISSN: 1544-3382) is published 3 times per year by the National Association of Neonatal Nurses, 4700 W. Lake Avenue, Glenview,
IL 60025, and is distributed to members as a direct benefit of membership. A portion of this membership ($9) goes toward a subscription to
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