AACN Clinical Practice Manager Robi Hellman, RN, MSN, CNS, notes the relevance of the updates to critical treatment nurses and other health care suppliers, stating, ‘These competencies are critical for safe and constant nursing practice. Our diverse membership in the largest specialty nursing business in the globe includes bedside clinicians, advanced practice nurses and educational faculty who use these to ensure appropriate training and clinical skills for their students.’.. AACN endorses ‘Adult-Gerontology Clinical Nurse Expert Competencies’ The American Association of Critical-Treatment Nurses recently endorsed the ‘Adult-Gerontology Clinical Nurse Specialist Competencies,’ produced by the American Association of Schools of Nursing , Washington, D.C., with The Hartford Institute for Geriatric Nursing at New York University and National Association of Clinical Nurse Professionals , Philadelphia.Those true quantities derive from voluntary reporting, which historically means only two to 10 percent of cases are represented. The vast majority of cases are never reported. So, conservatively, 5,000 young women and girls have already been harmed by the vaccine. 14. Cervical cancer is one of the rarest cancers in the U. S., with 12,000 cases reported per year and 4,000 deaths. 15. The amount of girls and women that experience serious problems from the vaccine satisfies or exceeds the amount of deaths.