CriticalCare eNewsline — October 1, 2015

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October 1, 2015


ACTION - Submit nursing award nomination

EVIDENCE - Intrafacility transport checklist

NEWS - Vaccine should be better match for flu season

AACN UPDATE - Drug shortages webinar Oct. 8




There is a right thing to do with regard to quality of care: Improve it. If that takes courage, so be it.
~ Donald Berwick



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Register for Oct. 5 webinar on alarm management

On Oct. 5, the AAMI Foundation, Arlington, Virginia, will host a one-hour webinar, “Alarm Safety Update: Are You Ready?” at noon ET. Register for the free webinar designed to help hospitals prepare for Phase II of The Joint Commission’s National Patient Safety Goal on managing alarms, which becomes effective Jan. 1, 2016.


Nominate a nurse for excellence award by Oct. 9

D Magazine invites clinicians and patients to nominate nurses for its Excellence in Nursing Awards program. Answer three essay questions about the nominee’s qualifications, and submit the nominee’s resume. Recipients will be featured in the March 2016 issue.


Nurses House fundraising campaign

Nurses House, a nurse-managed nonprofit in Guilderland, New York, dedicated to helping nurses in need, is holding its third annual “Build a Virtual House for Nurses in Need” campaign for the month of October. The sponsor, Akesso, Marblehead, Massachusetts, is offering its professional footwear to the first 12 people who donate or raise $500 during October. Donate $25 or more, and receive a retractable badge holder with the Nurses House logo.


Participate in study on pain management

Patricia Tabloski, associate professor, William F. Connell School of Nursing at Boston College, Chestnut Hill, Massachusetts, invites nurses to participate in the study “Survey of Nurses’ Attitudes Describing Over- and Under-Treatment of Pain.” It takes about 20 minutes to complete the survey. Email Tabloski with your questions, or call her at 617-552-4065.



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CE article in CCN presents checklist for intrafacility transport

Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients,” a CE article in October’s Critical Care Nurse (CCN), presents a checklist to help screen patients for criteria that may place them at higher risk during intrafacility transport and to ensure the availability of required equipment and resources.


Article in CCN describes progressive mobilization program

Implementation of a Progressive Mobilization Program in a Medical-Surgical Intensive Care Unit,” in October’s Critical Care Nurse (CCN), describes an effective educational program that increases nurses’ knowledge about the benefits of mobility for critically ill patients.


Subclavian insertion site and its complications

Intravascular Complications of Central Venous Catheterization by Insertion Site,” published Sept. 24 in The New England Journal of Medicine, concludes that the subclavian vein insertion site is associated with a lower risk of catheter-related bloodstream infection and symptomatic thrombosis but a higher risk of pneumothorax compared to jugular or femoral vein sites.


Increasing survival for older Medicare patients with pneumonia

ICU admission of Medicare patients with pneumonia for whom the decision is discretionary improves survival with no cost difference, according to “Association of Intensive Care Unit Admission With Mortality Among Older Patients With Pneumonia,” published Sept. 22/29 in JAMA: The Journal of the American Medical Association.


Phage therapy may be effective for decontaminating against MRSA

Isolation and Host Range of Bacteriophage With Lytic Activity Against Methicillin-Resistant Staphylococcus aureus and Potential Use as a Fomite Decontaminant,” posted online July 1 in PLOS One, suggests that “phage treatment can be used as an effective tool to decontaminate human MRSA from both hard surfaces and fabrics.”


Risks for readmission after neurosurgery

July’s JNS: Journal of Neurosurgery includes “Cranial Neurosurgical 30-Day Readmissions by Clinical Indication,” which finds readmission rates vary by diagnosis, with the highest for patients with a vascular condition, followed by trauma, neoplasm and seizure. Factors contributing to the risk of readmission also vary by diagnosis.



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Initiatives for month of October

Sudden Cardiac Arrest Awareness Month
Sudden Cardiac Arrest (SCA) Awareness Month, an initiative of the Heart Rhythm Society (HRS), Washington, highlights SCA as a serious problem different from myocardial infarction (MI). Those who survive MI have the highest risk of SCA, which claims one life every two minutes, taking more lives each year than breast cancer, lung cancer or AIDS, according to HRS. Download free resources from HRS, including posters, an ejection fraction tracker, a patient brochure, a DVD and prevention protocols.

National Breast Cancer Awareness Month
As part of National Breast Cancer Awareness Month, the National Breast Cancer Foundation, Frisco, Texas, encourages regular breast screening to promote early detection of cancer. The site notes, “While most people are aware of breast cancer, many forget to take the steps to have a plan to detect the disease in its early stages and encourage others to do the same. We have made a lot of progress but still have a long way to go and need your help.”


CDC says vaccine should be better match for flu season

During a Sept. 17 media briefing, the Centers for Disease Control and Prevention (CDC), Atlanta, said that this year’s influenza vaccine should be a “closer match for the H3N2 strain still circulating from last year,” according to a report in Medscape Medical News. Access more information about the 2015-2016 flu season.


HHS partners with AstraZeneca on drug development

On Sept. 16, the Department of Health and Human Services (HHS), Washington, announced it is partnering with AstraZeneca, Wilmington, Delaware, to develop “drugs to combat bioterrorism threats and other life-threatening bacterial infections.” HHS’s Biomedical Advanced Research and Development Authority and AstraZeneca will fund and manage the initiative over the next five years.



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Monitoring neurocritical care patients

The Agency for Healthcare Research and Quality, Rockville, Maryland, posted a summary of “Consensus Summary Statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: A Statement for Healthcare Professionals From the Neurocritical Care Society and the European Society of Intensive Care Medicine,” published in December 2014’s Neurocritical Care.


CDC information on sepsis

The Centers for Disease Control and Prevention (CDC), Atlanta, is working to increase sepsis awareness and improve treatment. Its website offers information for patients, an infographic, a blog series, webinars, clinical tools and guidelines, initiatives to improve survival, data reports, a bibliography of selected chapters on sepsis from medical textbooks and links to additional resources.



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AACN webinar on drug shortages

Join us for “Collaborating With the FDA to Manage Drug Shortages,” Oct. 8, 10 a.m. PT. Pharmacist Jouhayna Saliba, manager and leader of the FDA’s Drug Shortage Staff, will discuss the importance of early recognition, prevention and mitigation of drug shortages, reviewing data and best practices to help participants identify and potentially alleviate these problems in their organizations. Free registration includes the live webinar, implementation tools and access to the on-demand recording. CE is available.


Apply for research grant by Oct. 30

AACN will award up to $160,000 in research funding this year, including three Impact Research Grants up to $50,000 each, to support inquiry that drives change in high acuity and critical care nursing practice. Priority projects address gaps in clinical research at the organization or system level and translation of these findings to bedside clinicians. Principal investigators must have a master’s degree and be current AACN members. Applications must be submitted online by Oct. 30. Access more information, including award criteria and supporting documents, or email


Transitions – October 2015

Events in the lives of AACN members and friends


Courageous Care

President's Note from September's AACN Bold Voices
“The Cornerstone of Courageous Care” — Karen McQuillan, AACN President 2015-2016



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Antibiotics Pocketcard Set 2016

Author: Hof, Herbert
(Pocket Cards, 4 pages, 2015)
ISBN: 9781591035107
Product#: 400880

The 2016 edition of this durable, plastic pocket card set provides an initial choice of antimicrobial therapy for most common infections. These empirical therapies cover the most common and important everyday scenarios. The reverse side has a table of antimicrobial spectra for the most important antibiotics.

Member Price: $9.50 (Non-Member: $10.95)





Pocket Tutor: ECG Interpretation

Author: S. James, K. Nelson
(Book, 192 pages, 2011)
ISBN: 9781907816031

This practical, handy guide for ECG interpretation is designed for students and foundation doctors on the go. It is also for those rotating through modular courses or working on attachment. Very affordable and fits in back pocket.

Member Price: $21.85 (Non-Member: $23)





3-Panel Neuroscience Ruler/Pocket Card

Author: United Network for Organ Sharing
(Pocket Cards, 2012)
Product#: 400870

Three plastic cards feature organ donation and brain death criteria, brain stem apnea reflex, apnea test, Glasgow Coma Scale and six neurological outcome scales.

Member Price: $4.25 (Non-Member: $4.25)





Featured Career Opportunities





RN-CCU/CVICU $5000 Commitment Bonus – Venice Regional Bayfront Health

Venice, FL

CCU/CVICU –The ideal candidate is an RN with a current Florida license. A minimum of two years Critical Care experience preferred. BLS/ACLS required. Up to $5000.00 commitment bonus within certain requirements.
Read more about this position


Critical Care Nursing Opportunities – UCSF Medical Center

San Francisco, CA

Be part of a Magnet institution that provides the highest caliber of care to patients a nurturing, dynamic and team-oriented atmosphere in which to best use your skills and talents.
Read more about this position


Staff Nurse II ICU – Sutter Santa Rosa Regional Hospital

Santa Rosa, CA

We are searching for a strong ICU Staff Nurse to join our dynamic team in our brand new facility! $3500 sign on bonus!
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Clinical Nurse RN – Sharp HealthCare

San Diego, CA

The Clinical Nurse RN is an integral part of the team with the opportunity to practice evidence-based care and utilize the nursing care process.
Read more about this position


RN- ICU, Nights (up to $15k Sign On Bonus) – Lovelace Medical Center

Albuquerque, NM

Seeking experienced ICU RNs to join our team! A great stepping stone for nurses wishing to become Advance Practice RNs. Come experience the charm of the beautiful Southwest!
Read more about this position


Critical Care Registered Nursing Professionals – Northwestern Memorial Hospital

Chicago, IL

Join our dynamic team - We are seeking experienced ICU Registered Nurses & Procedural Registered Nursing Professionals to join our Critical Care team to provide direct, compassionate care to patients.
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