Kelly Goudreau, DSN, RN, CNS-BC, FAAN, is Associate Director for Patient Care Services and Nurse Executive, VA Southern Oregon Rehabilitation Center and Clinics (VA SORCC), White City, OR. She is Associate Editor for Clinical Nurse Specialist: The Journal of Advanced Nursing Practice and is Past President, past Secretary and current Board Member of the NACNS. Ms. Goudreau has taught in the CNS program at the University of Portland (2000-2001), has worked clinically as a CNS in a wide variety of specialties, and has held a variety of positions including consultant, director of nursing, and nur