CriticalCare eNewsline — April 28, 2016

  Stamford Health  

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April 28, 2016


ACTION - Quality improvement training

EVIDENCE - Overdoses of β-blockers

NEWS - Drug Take-Back Day, April 30





There is no profession that can compare to nursing. There is always something you can give to a patient. Always. I love nursing so much. ~ Ruth Salathe



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Participate in study on family presence

Kelly Powers, assistant professor at University of North Carolina at Charlotte School of Nursing, invites critical care nurses to participate in a study on family presence during resuscitation. The survey takes about 20 minutes, and afterward participants can enter their email for a chance to win one of 20 $50 gift cards. Please email Powers with your questions.


Quality improvement leadership training

The Institute for Healthcare Improvement offers “Leading Quality Improvement: Essentials for Managers,” a five-month virtual training program starting June 14. The program is free for Passport members and $995 for nonmembers.


Participate in study on neurocritical care NPs and PAs

Susan Yeager, clinical instructor and neurocritical care lead nurse practitioner (NP) at The Ohio State University Wexner Medical Center, invites neurocritical care NPs and physician assistants (PAs) to participate in a study to help describe how these roles are being enacted globally in the neurocritical care environment. The survey takes about 15 minutes. Please email Yeager with your questions.



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CE article in April’s Critical Care Nurse

Overdoses of β-blockers and calcium channel blockers can produce significant morbidity and mortality, and conventional therapies often do not work as treatments for these poisonings. High-dose insulin/glucose therapy has been successful in reversing the cardiotoxic effects of these drugs when standard therapies have failed, and it appears to be relatively safe.


Pain assessment tool for patients with delirium

Accurate pain assessment is a challenge when adult ICU patients are delirious; a prospective cohort study published in May finds that the Critical Care Pain Observation Tool is valid for assessing these patients.


Earplugs may reduce delirium

A systematic review and meta-analysis published in May reports that earplugs improve sleep hygiene in ICU patients, which in turn, reduces the risk of delirium.


Palliative care specialists focus on relationship building in conflicts

A clinical investigation posted in May notes that compared to intensivists, palliative care specialists focus more on relationship building than task-focused communication when a surrogate end-of-life decision maker acts in conflict with the patient’s wishes.


Reducing clinicians’ emotional exhaustion

A longitudinal study published April 19 concludes that interrelations “between teamwork, clinician burnout and clinician-rated patient safety unfold over time” and adds that reducing clinician emotional exhaustion promotes patient safety.

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May is National Critical Care Awareness and Recognition Month (NCCARM)

NCCARM honors the dedication and commitment of critical care professionals. With activities led by the Society of Critical Care Medicine, NCCARM is supported by the American Association for Respiratory Care, American College of Chest Physicians, American Thoracic Society and AACN. Access ways to honor critical care nurses, including the tradition of wearing blue on Friday, May 20.


April 30: National Prescription Drug Take-Back Day

National Prescription Drug Take-Back Day, sponsored by the U.S. Drug Enforcement Administration, takes place Saturday, April 30, 10 a.m.-2 p.m. local time at collection sites across the country. The event encourages the safe disposal of unwanted, unused prescription drugs. Find a collection site near you.


From the FDA

On April 20, the Food and Drug Administration (FDA) announced that Medtronic, Minneapolis, recalled the battery pack used in its Covidien Oridion labeled Capnostream 20 and Capnostream 20p Patient Monitors because of a manufacturing defect that “may increase the risk of thermal damage in the battery pack.”


Older Americans Act Reauthorization

President Obama signed the Older Americans Act Reauthorization of 2016 into law April 19, “reaffirming our nation’s commitment to the health and well-being of older Americans.”



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Zika resources

On April 22, the Centers for Disease Control and Prevention and the Occupational Safety and Health Administration released “Interim Guidance for Protecting Workers From Occupational Exposure to Zika Virus.” Access additional information for healthcare providers.

Zika Virus Disease,” a patient education page, was published online April 13.



Information on sepsis

The Centers for Disease Control and Prevention seeks to increase sepsis awareness and improve treatment. Its website includes clinical tools and guidelines, data reports and links to additional resources.



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Live AACN webinar on CRE

CRE: Beware the Latest Superbug,” a free AACN webinar, takes place June 9, 10-10:30 a.m. PT. Speaker Douglas Houghton will discuss the risks, signs and symptoms of carbapenem-resistant enterobacteriaceae (CRE), an increasing cause of infection. Critically ill patients are at higher risk of contracting CRE and subsequent morbidity and mortality. Free registration includes the live webinar, implementation tools and access to the on-demand recording. CE is available.


Courageous Care

President's Note from April's AACN Bold Voices
Creating Healthy Work Environments — Karen McQuillan, AACN President 2015-2016



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Critical Thinking, Clinical Reasoning and Clinical Judgment: A Practical Approach to Outcome-Focused Thinking, 5th Ed.

Author: R. Alfaro-LeFevre
(Book, 336 pages, 2013)
Product Code:128155
ISBN: 9781437727760

Provides the tools you need to become a safe, competent nurse. Using an inspiring, insightful, "how-to" approach, this book helps you develop critical thinking, clinical reasoning, and test-taking skills in preparation for the NCLEX® Examination and, even more importantly, apply critical thinking and clinical reasoning to nursing practice.

Member Price: $52.20 (Non-Member: $54.95)





2016 Y-Site Compatibility of Critical Care Admixtures Wall Chart

(Poster, 1 pages, 2016)
Product Code:100801

The Critical Care Admixtures Wall Chart reports on the compatibility of IV drugs commonly administered to patients in a critical care setting and includes antibiotics, vitamins, tpn and other drugs. Symbols are used to indicate compatibility of two drugs or a drug in D5W or NS.

Member Price: $19 (Non-Member: $20)





Cardiac Medical/Cardiac Surgical Certification Review

Author: C. Jacobson
(CD Rom, 2012)
ISBN: 9780978504519
Product#: 100160

A great tool for nurses preparing for the Cardiac Medical Certification (CMC) or the Cardiac Surgical Certification (CSC) exams or any other cardiovascular certification exam. It is also an excellent study tool for acute care, progressive care, and critical care nurses who want to increase their knowledge, skills, and confidence in caring for cardiovascular patients.

Member Price: $47.50 (Non-Member: $50)





Featured Career Opportunities





BSN-Prepared ICU RNs-$12,000 sign on bonus! – MacNeal Hospital

Berwyn, IL

MacNeal Hospital is Magnet designated and is the perfect destination for critical care RNs. We are seeking BSN-Prepared ICU RNs with three years of ICU experience. Sign on bonus will be paid over three years.
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REGISTERED NURSES-CCU, SICU, and PCCU – Southeast Georgia Health System

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Relocation, Sign-On Bonuses, and Loan Forgiveness are available. Live among the beautiful Golden Isles. Work among outstanding medical professionals. You really can have it all at Southeast Georgia Health System.
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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 and operational oversight, and more.
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