CriticalCare eNewsline — June 23, 2016

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June 23, 2016

 
 
 

EVIDENCE - Blood gas comparison

NEWS - Bedside ultrasound guidelines

RESOURCES - Patient handover tool

AACN UPDATE - AACN on Instagram

 

 

 

Even if I knew that tomorrow the world would go to pieces, I would still plant my apple tree.
~ Martin Luther

 

 

 
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Webinar on expanded access process

Register for “An Overview of FDA’s Expanded Access Process and the New Individual Patient Expanded Access Application,” a free webinar from the Food and Drug Administration scheduled for July 12 at 1 p.m. ET.

 
 

Proposal for APRN full practice authority

Comment by July 25 on a proposal by the Department of Veterans Affairs (VA) to amend its regulations “to permit full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment.”

 

 

 
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From June’s Critical Care Nurse

Graft-versus-host disease should be considered in patients with transplants in the past and vague signs and symptoms. This article presents the case of a patient who developed this disease after orthotopic liver transplant.

 
 

Effect of CRRT on mortality

A study reported June 2 finds that although continuous renal replacement therapy (CRRT) may be helpful for patients with fluid overload, it does not seem to improve six-month mortality outcomes and may be harmful in the “absence of hemodynamic failure.”

 
 

Venous and arterial blood gas comparison

Among critically ill patients, pH and carbon dioxide results from venous or arterial blood gases correlate well, according to a prospective study posted June 9. Pulse oximetry oxygen values also correlate well with results from arterial blood gas testing.

 
 

Factors associated with PICU readmission

A retrospective study published in June concludes that “potentially modifiable” factors associated with readmission to the pediatric ICU are discharge time of day and the Pediatric Logistic Organ Dysfunction and Bedside Pediatric Early Warning Scores on discharge.

 
 

Shift in reasons for ICU admission of older patients

Over the past 15 years, the primary reasons older patients are admitted to the ICU have shifted from cardiovascular diseases toward infectious diseases, according to a longitudinal study from March.

 

 

 
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From the FDA

On June 14, the Food and Drug Administration (FDA) announced that it strengthened the warning related to the risk of acute kidney injury in patients taking canagliflozin and dapagliflozin for type 2 diabetes.

 
 

Hearing on antibiotic resistance

The Congressional Subcommittee on Oversight and Investigations’ hearing on antibiotic resistance took place June 14. Access the webcast.

 

 

 
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Glass door tool facilitates handovers

A study published June 6 reports that a glass door patient handover tool reduces communication errors. All ICU providers update the template (embossed on the door) throughout the day.

 
 

New bedside ultrasound guidelines

In June, the Society of Critical Care Medicine published “Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients – Part II: Cardiac Ultrasonography.” Part I was offered in November 2015.

 
 

Filters needed for fat emulsions

The Institute for Safe Medication Practices alerted clinicians that “a change in the package insert for nutritional fat emulsions indicates that a 1.2 micron filter should be used during administration.”

 

 

 
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Live AACN webinar on palliative care

Palliative Care in the ICU: Critical Communication Skills,” a free AACN webinar, takes place Thursday, July 14, 10-10:45 a.m. PT. Speakers Wendy Anderson and Kathleen Turner will discuss palliative care, a unique approach to meeting the needs of seriously ill patients that emphasizes symptom management, psychosocial support and skilled communication. Free registration includes the live webinar, implementation tools and access to the on-demand recording. CE is available.

 
 

Follow us on Instagram

AACN is now on Instagram, the mobile photo- and video-sharing app. Follow our Instagram profile — @exceptionalnurses — to see photos of the people and events that make us a community of exceptional nurses. Download the free Instagram app in the App Store for iPhone or iPad or in Google Play for an Android device.

 
 

A great opportunity for AACN members

Whether you seek learning through a national or local program, we support your journey to expand your knowledge and skills. Visit the Scholarships webpage for details, and then read “Important Information for Scholarship Applicants” before starting your online application. Please email scholarships@aacn.org with your questions.

 
 

Courageous Care

President's Note from June's AACN Bold Voices
Courageously Leading Change — Karen McQuillan, AACN President 2015-2016

 

 

 
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Clinical Nurse Specialist Toolkit: A Guide for the New Clinical Nurse Specialist, 2nd edition

Editor: M. Duffy, S. Dresser, J. Fulton
(Book, 256 pages, 2016)
Product Code:128105
ISBN: 9780826171917

This is a one-of-a-kind, all-inclusive reference guide for new clinical nurse specialists entering the field as well as seasoned practitioners looking to update their knowledge. Disseminating a wealth of current professional practice guidance and practical information on reimbursement and certification, the second edition has been fully updated to reflect changes resulting from the Affordable Care Act and the APRN Consensus Model.

Member Price: $49.50 (Non-Member: $55)

 

 

 

 
 

Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Pocket Card

Author: AGS
(Pocket Cards, 1 pages, 2015)
Product Code:304018

This clinical tool, based on the AGS 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, has been developed to assist healthcare providers in improving medication safety in older adults.

Member Price: $3 (Non-Member: $3.50)

 

 

 

 
 

Manual of Critical Care Nursing - Nursing Interventions and Collaborative Management, 7th Ed.

Author: M. Saunorus Baird
(Book, 1008 pages, 2016)
Product Code:128225
ISBN: 9780323187794

The compact, yet comprehensive, "Manual of Critical Care Nursing: Nursing Interventions and Collaborative Management," 7th Ed. is your students go-to reference for help that you provide safe, high-quality nursing care in clinical critical care settings.
 

Member Price: $59.45 (Non-Member: $69.95)

 

 

 

 
 

Featured Career Opportunities

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Registered Nurse (RN) – ICU in Colorado – University of Colorado Hospital

Broomfield, Colorado Springs, Aurora, Colorado

Our Registered Nurse (RN)-ICU provides direct patient care using the nursing process in accordance with applicable scope and standards of practice and with the policies and values of the organization.
Read more about this position

 
 

ICU and ER Critical Care RNs – McLaren Macomb

Mount Clemens, MI

Come join the pride of Macomb County for More than 60 years! Now hiring ICU and ER Critical Care RNs. $5000 sign on Bonus with a 2 year contract ICU/ER.
Read more about this position

 
 

Critical Care Resource Pool – Wentworth Douglass Hospital

Dover, NH

Granted the Distinguished Hospital Award for Clinical Excellence™ 2016 by Healthgrades, Wentworth Douglass Hospital is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine.
Read more about this position

 
 

Practice Excellence Director – AACN

Aliso Viejo, CA

The Practice Excellence Director, in collaboration with senior leadership, determines the focus and direction of departmental initiatives to support AACN’s mission. Position provides leadership to and operational oversight, and more.
Read more about this position

 
 

Learning Excellence Director – AACN

Aliso Viejo, CA

The Learning Excellence Director, in collaboration with department managers and senior leadership, determines the focus and direction of departmental initiatives to support AACN’s mission.
Read more about this position

 

 

 

 

 

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