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Highlights of Butler's service to AORN include that she is the AORN Vice President (2004-present), a member of the Board of Directors (2000-present), Board liaison to the Workplace Safety (2002-present) and Emergency Management (2004-present) Task Forces, and chair of the Bylaws Committee (2004-present). Remaining proactive in the face of multiple assaults within the chaos of the present and future health care arena as it deals with the economy, nursing shortages, overtime, malpractice insurance, reimbursement, terrorism, and natural disasters is a daunting challenge for each and every one of us. The quality leg is composed of educational offerings, publications, standards and recommended practices, the Perioperative Nursing Data Set, and task forces that provide the framework for developing position, guidance, and guideline statements to promote patient and workplace safety through ensuring correct site surgery and reduction of medical errors. The retention and recruitment leg is composed of membership, chapters, specialty assemblies, state councils, web portals, Perioperative Course 101, dealing with generational differences and cultural diversity, and chapter visits.