AACN News—March 2007—Practice

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Vol. 24, No. 3, MARCH 2007


Carla Joliat’s Contributions to Be Honored in May


Several activities and events in May will honor the contributions of AACN member Carla C. Joliat, RN, MSN, who passed away in October 2006 at the age of 57
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Joliat recognized the high value of nurse-driven research to answer clinical questions and was instrumental in establishing what was for many years AACN’s largest single research grant. “Carla brought nurses’ bold voice and AACN’s standards-setting influence to industry,” says AACN Director of Development and Strategic Alliances Ramón Lavandero, RN, MA, MSN, FAAN. “True to her values, for more than 15 years she ensured continued funding of what are now the AACN-Philips Outcomes for Excellence Research Grants.”

NTI Events and Future Grants
AACN and Philips will honor Joliat’s contributions by dedicating the 2007 Distinguished Research Lecture to her memory. This year’s honoree, Debra Moser, RN, DNSc, FAAN, is a past recipient of an AACN-Philips grant. Following the lecture, a panel of distinguished researchers who received these grants in past years will discuss contributions to the science and the direct impact of nursing practice on their studies. The panelists will also discuss their personal journeys as researchers, including factors that assisted and impeded their success. Future AACN-Philips Outcomes for Excellence Research Grants will be awarded in Joliat’s name.

AJCC Editorial
A guest editorial provocatively titled “Critical Care Nurses in Industry: Deserters or Leaders?” by Barbara J. Drew, RN, PhD, FAAN, is slated for the May issue of the American Journal of Critical Care. Drew, who is professor of nursing at the University of California, San Francisco, describes Joliat as “a critical care nurse who had a major impact on industry but who never lost her voice for nurses and patients.”

“Carla had a tremendous impact on research and development of cardiac monitoring. She was masterful at interpreting the clinical requirements of emerging technology for her engineering colleagues,” Drew recalls, herself an internationally recognized clinical researcher in cardiac monitoring. “In the United States and abroad, Carla worked closely with both medical and nursing leaders to ensure the high quality and clinical efficacy of monitoring products.”

Joliat’s Life
A graduate of the University of Maryland and the University of California, San Francisco, Joliat began her professional career as an active-duty Army officer. Joining the Hewlett-Packard patient monitoring division in 1986 as Western regional manager then learning products manager, she remained with the company for more than 20 years as it transitioned to Agilent then Philips Medical Systems. In 1999, she became director of the North American Marketing Center, followed by positions as worldwide product marketing manager and clinical decision support segment manager. During her life, Joliat became a much-sought-after clinical consultant on product development and support strategies. She was widely recognized as an expert mentor who championed the work of others while avoiding the spotlight.

Practice Alerts Update: We Need Your Help


The Research Work Group (RWG) is coordinating information updates for Practice Alerts (PA) originally published in 2004 and will need volunteers in May to provide feedback on the revised content. In addition to updating content and ensuring consistency in format, a tool kit will be added to each PA to enhance implementation of the change into nursing practice. The RWG will also include other additions that will increase the value of PAs as a tool to integrate evidence-based research into the clinical setting. For example, content specifically relevant to pediatric and geriatric patients—an addition requested by our members—will be included in each updated PA.

The first PA to be updated and enhanced is Ventilator Associated Pneumonia. This document, which is currently being revised by the original author, Marianne Chulay, will then be evaluated by external reviewers who are experts in this area of practice.

Here’s how you can help us. If your unit has not incorporated the VAP PA into routine practice on your unit, please use the newly enhanced PA and tool kit to implement the change, and then provide feedback to us using AACN’s evaluation tool included with each revised PA. The feedback will address such questions as:
1. Were the PA and tool kit easy to use?
2. What information was most helpful?
3. What information was least helpful?
4. What else did you need to be successful in implementing the PA that was not provided?
5. What were your results in implementing the change (for example, how was the change accepted, did staff feel they received adequate education to implement the change, was there good follow-up after the change to ensure it was understood and being followed, and did you see a difference in quality of patient care based on the audit tools)?
If your unit has implemented the VAP PA, please compare the original PA and tool kit to the enhanced PA and tool kit and provide feedback. An evaluation tool will be provided for your use. The feedback will address such questions as:
1. How would you compare the new PA and tools to the previous version?
2. What additions were most helpful?
3. What additions were least helpful?
4. What else is needed to implement the PA successfully?
If you are interested in volunteering or have any questions, please contact Joyce Hall at joyce.hall@aacn.org.

Free CE for Members


AACN members can now receive CE contact hour credit FREE. There are a variety of topics, including audiovisual reproductions of popular NTI sessions. To take advantage of this great member benefit, visit www.aacn.org > Continuing Education.

Monthly Super Savers From AACN’s Catalog Products


These Super Saver prices are valid through April 30, 2007. All orders must be received or postmarked by April 30 to be eligible for the Super Saver price.

Critical Care Admixtures Wall Chart (#100801)
This 22”x 24” wall chart features 125 drugs commonly used in critical care settings, including antibiotics. It also includes compatibility of single drugs with D5W and/or NS.
Regular Price
Member $14.25; Nonmember $15
Super Saver Price
Member $13.50; Nonmember $14

To Do or Not To Do: How Successful Leaders Make Better Decisions (#120642)
This book shows you how great leaders make great decisions, presenting powerful truths in a small package. It is written as a story that will help you improve the quality of your decisions by the time your next staff meeting occurs.
Regular Price
Member $18; Nonmember $18.95
Super Saver Price
Member $16.55; Nonmember $17.75

Pediatric Physical Examination-An Illustrated Handbook (#131100)
This portable, photographic guide for nurse practitioners describes how to develop the unique range of skills needed to assess children of all ages. Not often learned in the context of adult assessment, these skills help in easily and effectively examining children from childbirth through young adulthood. System chapters begin with the development of the fetus and follow the key developmental stages of childhood. For infants and young children, this guide uses the “quiet-to-active” approach, popular among pediatric experts and more effective than the traditional head-to-toe approach.
Regular Price
Member $37.95; Nonmember $39.95
Super Saver Price
Member $34.50; Nonmember $36.75

This Month’s Featured Bookstore Products

Peripherally Inserted Central Catheters: Places in the Heart (#100130)
Price
Member $49; Nonmember $59

To Care Always: Quality Care at the End-of-Life (#120633)
Price
Member $295; Nonmember $325

AACN Essentials of Progressive Care Nursing (#128765)
Price
Member $56.95; Nonmember $59.95

AACN Essentials of Progressive Care Nursing Pocket Handbook (#128766)
Price
Member $28.45; Nonmember $29.95

Monthly Super Savers Browse our selection of new products at www.AACN.org/bookstorespecial>
New Products.

Volunteer Essentials of Critical Care Orientation (ECCO) Review Panel Completes Work



Q: I manage a medical intensive care unit and a medical progressive care unit. The medical ICU is ready to submit their application for a Beacon Award. The medical progressive care unit would like to apply for a Beacon Award too. Is there a Beacon Award for progressive care or stepdown units?

A: In November 2006, AACN launched a Beacon Award for Progressive Care with a focus on standards of excellence within the progressive care environment. Like the Beacon Award for Critical Care, the Beacon Award for Progressive Care recognizes outstanding progressive care units that exhibit high quality standards, provide exceptional patient care and maintain a healthy work environment.

The Beacon Award for Progressive Care recognizes excellence in the progressive care environment in which nurses work and acutely ill patients are cared for; recognizes excellence of the highest quality measures, processes, structures and outcomes specific to progressive care units; recognizes excellence in collaboration, communication, and partnerships that support the value of healing end humane environments; and develops a program that contributes to the realization of AACN’s mission, vision and values.

Progressive care units are asked to evaluate the unit in the areas of recruitment and retention; education, training and mentoring; evidence-based practices; patient outcomes; healing environments; and leadership and organizational ethics. The evidence-based and patient outcomes focus of the Beacon Award for Progressive Care focuses on the following unit specific indicators:
• Number of patients monitored in two or more leads
• Rate of inpatient falls
• Central line blood stream infection rate
• Hospital-acquired pneumonia rate
• Hospital-acquired pressure ulcer rate Hospital-acquired deep vein thrombosis rate

Progressive Care Beacon Award applications may be submitted online at any time. Applications are reviewed by three to five expert reviewers and awarded twice a year in the spring and fall.

The Progressive Care Beacon Expert Review Panel members were selected from AACN’s volunteer database; those chosen for the panel meet very specific criteria and have a proven track record of excellence in the area they review. These anonymous expert reviewers attend a two-day training workshop at AACN’s National Office to learn how to evaluate applications against evidence-based standards and how to provide meaningful feedback to all applicants. If you are interested in becoming a Beacon expert reviewer, make sure your volunteer profile is updated.

For more information, visit www.aacn.org.> Beacon Award. To update your volunteer profile, go to www.aacn.org> Volunteer Opportunities.

Is Your Unit a Beacon of Excellence?


The AACN Beacon Award for Critical Care Excellence shines national recognition on units that attain high standards for quality, exceptional care of patients, and healthy, humane and healing work environments.

The Web-based application process asks you to evaluate your critical care unit in six areas:
• Recruitment and retention
• Education, training and mentoring
• Evidence-based practices
• Patient outcomes
• Healing environments
• Leadership and organizational ethics
Applications, which may be submitted at any time, are evaluated on a quarterly basis. Awards are granted twice a year. The application fee is $1,000 per unit.
For more information, visit the AACN Web site at www.aacn.org.