CriticalCare eNewsline — June 25, 2015


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June 25, 2015


EVIDENCE - Telemetry and arrhythmias

NEWS - Suicide prevention guide

RESOURCES - Missed nursing care

AACN UPDATE - Webinar on adult survivors of CHD




You treat a disease, you win, you lose. You treat a person, I guarantee you, you’ll win, no matter what the outcome.~ Robin Williams in Patch Adams



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Register for free webinar on ethics of outbreaks

Register for “The Ethics of Outbreaks,” a free one-hour webinar July 7 at 9 a.m. CT. The webinar’s agenda, a collaboration between the World Health Organization, Geneva, and the Society of Critical Care Medicine, Mount Prospect, Illinois, includes vaccine trials, cultural imperatives and the ethics of preparing for future outbreaks.


NPSF releases root cause analysis guidelines; webinar July 15

On June 16, the National Patient Safety Foundation (NPSF), Boston, released “RCA2: Improving Root Cause Analyses and Actions to Prevent Harm,” which includes guidelines designed to “help health care organizations improve the way they investigate medical errors, adverse events, and near misses.” Register for a free, one-hour webinar about the guidelines July 15 at 1 p.m. ET.



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Article in CCN discusses vulnerability of older patients

Vulnerability of Older Patients in Critical Care,” in June’s Critical Care Nurse (CCN), discusses the components of vulnerability for older patients. By understanding and measuring aspects of vulnerability, critical care nurses can identify high-risk older patients who are susceptible to complications.


CE of the Month: Article in CCN addresses ICU-related PTSD

Posttraumatic Stress Syndrome Associated With Stays in the Intensive Care Unit: Importance of Nurses’ Involvement,” a CE article in June’s Critical Care Nurse (CCN), examines posttraumatic stress disorder (PTSD), including risk factors and complications associated with ICU-related PTSD.


Race and mortality in patients who are mechanically ventilated

The Effect of Race on Long Term Mortality in Mechanically Ventilated Patients,” in the July/August Heart & Lung, finds that African American patients had greater one-year mortality, but “race per se was not a significant factor.”


From July’s Critical Care Medicine:

Ultrasound-Guided Subclavian Vein Catheterization: A Systematic Review and Meta-Analysis” finds ultrasound guidance reduces adverse events compared with the landmark technique.

Improving the Accuracy of Cardiovascular Component of the Sequential Organ Failure Assessment Score” concludes, “The modified cardiovascular component of the Sequential Organ Failure Assessment score outperforms the existing cardiovascular component of the Sequential Organ Failure Assessment score in predicting patient outcomes and improves the overall performance of the Sequential Organ Failure Assessment model.”


Reducing telemetry use is unlikely to miss life-threatening arrhythmias

Telemetry alarms for life-threatening arrhythmias are uncommon and rarely affect patient management, according to “Potential of Missing Life-Threatening Arrhythmias After Limiting the Use of Cardiac Telemetry,” online June 15 in JAMA Internal Medicine. Of more than 7,000 alarms, only one patient had a self-terminating episode of ventricular tachycardia. An accompanying editorial, “Behind the Monitor – The Trouble With Telemetry: A Teachable Moment,” notes that telemetry is resource intensive and can lead to unintended consequences that can harm patient and calls on clinicians to “weigh the clinical benefits and potential harms for our patients.”


Rapid response teams reduce hospital mortality

Rapid Response Systems: A Systematic Review and Meta-Analysis,” published June 12 in Critical Care, concludes that these systems reduce hospital mortality and cardiopulmonary arrest. The presence of a physician isn’t significantly associated with reducing mortality.


Family meetings can reduce patients’ suffering at end of life

“Structured family meetings can be an effective means of communicating when preparing for the end of life and can potentially reduce suffering for patients and family member,” concludes “Family Meetings at End of Life: A Systematic Review,” in the May/June Journal of Hospice & Palliative Nursing. Outcomes include improved psychological well-being and well-planned decisions related to life-sustaining medical interventions.



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New ED suicide prevention guide

On June 17, the Suicide Prevention Resource Center, Waltham, Massachusetts, released “Caring for Adult Patients With Suicide Risk: A Consensus Guide for Emergency Departments.” The guide provides evidence-based practices for decision making, interventions and discharge planning for adults at risk of suicide. “Studies indicate that the risk of a suicide attempt or death is highest within the first 30 days after discharge from an ED or inpatient psychiatric unit.”


Antimalarial drug

A novel antimalarial drug that may require only a single dose for treatment has been developed, according to “A Novel Multiple-Stage Antimalarial Agent That Inhibits Protein Synthesis,” published online June 17 in Nature. Ian Gilbert, one of the study’s authors, says, “DDD107498 has the potential to treat malaria with a single dose, prevent the spread of malaria from infected people, and protect a person from developing the disease in the first place.”


From the FDA

On June 16, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, announced that HeartWare, Miami Lakes, Florida, has recalled all of its ventricular assist systems, because damaged alignment guides or connection pins could cause the device to stop.



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Primer on missed nursing care

Access “Missed Nursing Care,” a patient safety primer from the Agency for Healthcare Research and Quality, Rockville, Maryland. Missed nursing care “refers to needed nursing care that is delayed, partially completed or not completed at all,” according to the primer.


Isolation precautions for visitors

July’s ICHE: Infection Control & Hospital Epidemiology includes “Isolation Precautions for Visitors,” an expert guidance document from the Society for Healthcare Epidemiology of America, Arlington, Virginia.


Skin changes at end of life

SCALE Wounds: Unavoidable Pressure Injury,” in April’s Wounds, presents a case study of a Skin Changes at Life’s End (SCALE) wound that met the criteria for a National Pressure Ulcer Advisory Panel unavoidable pressure injury.



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Live webinar on adult survivors of congenital heart disease

Join us for “Adult Survivors of Childhood Chronic Disease: Focus on CHD,” Thursday, July 9, 10 a.m. PT. Presenters Teresa Lyle, assistant professor of nursing at Florida Southern College, and Kathy Murphy, clinical nurse specialist/pediatric nurse practitioner for the Sibley Heart Center at Children’s Healthcare of Atlanta, will discuss the importance of understanding the physical, psychosocial and psychological challenges of patients with congenital heart disease (CHD) as they enter the hospital or outpatient setting.


Banner Health hospitals join CSI Academy

AACN is partnering with Banner Health to bring its nursing excellence and leadership skill-building program to 11 Banner-affiliated hospitals in the Greater Phoenix area. The partnership marks the first time AACN has selected an individual health system to participate in AACN Clinical Scene Investigator (CSI) Academy. For the next 16 months, teams of up to four nurses from each hospital will work with CSI faculty and internal mentors to develop and implement unit-based projects, resulting in quantifiable improvements in patient outcomes and decreases in hospital expenses. The teams follow regional cohorts who participated in the CSI program in Indiana, Massachusetts, North Carolina, New York, Pennsylvania, Texas and Washington.


Transitions – June 2015

Events in the lives of AACN members and friends


Focus the Flame

President's Note from June's AACN Bold Voices
“Focus the Flame” — Teri Lynn Kiss, AACN President 2014-2015



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Searching Skills Toolkit: Finding the Evidence, 2nd ed.

Author: C. De Brun, N. Pearce-Smith
Editor: C. Heneghan, R. Perera, D. Badenoch
(Book, 156 pages, 2014)
Product Code:128609
ISBN: 9781118463130

From deciding where to start, to building a search strategy, refining results and critical appraisal, "Searching Skills Toolkit" is a step-by-step guide to finding healthcare evidence and is designed for all health and social care professionals. Presented with tips and advice, flow charts and real-life clinical scenarios, this second edition has new chapters on searching for sources to support evidence-based decision making and enabling your patients to make informed choices. It includes new Web sources, and new training resources and exercises.

Member Price: $30.25 (Non-Member: $31.95)





Retractable AACN Badge Holder

(Badge Holders)
Product Code:402189

Show pride in the exceptional community you helped create with this retractable badge holder.

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





Featured Career Opportunities





RN, LPN, CNA, CMA - Job Fair 6/30 5pm – Venice Regional Bayfront Health

Venice, FL

Come to Venice Regional’s JOB FAIR on June 30th from 5pm-7pm. Hiring Leaders will be On-Site for On-The Spot Interviews!
Read more about this position


Remarkable Opportunity for Critical Care Nurses – UW Hospitals & Clinics

Madison, WI

Make your next career move to UW Health in beautiful Madison, Wisconsin. Experienced nurses are needed in ICU, ER, PACU, pediatric, neonatal and medical/surgical.
Read more about this position


Nurse Educator Manager for Emergency Department – Mount Sinai Roosevelt Hospital

Roosevelt, NY

You will be responsible to supervise, implement and evaluate nursing education systems, programs, and policies that promote and support the accomplishment of our organizational goals.
Read more about this position


Critical Care Nurse Manager – Baptist Health Louisville

Louisville, KY

The Nurse Manager has a 24-hour accountability for patient care and customer service (Service Pillar), staff leadership (People Pillar), quality improvement (Quality Pillar), and more.
Read more about this position


Critical Care Clinical Nurse Specialist – Baptist Health Louisville

Louisville, KY

The Critical Care Clinical Nurse Specialist serves as the clinical expert in the management of Critical Care patients, serves as a consultant for the care of Critical Care patients.
Read more about this position


Critical Care & Telemetry Clinical Educator – St. Joseph Health – Mission Hospital

Mission Viejo, Orange County

Mission Hospital’s Education department is looking for an experienced Nurse Educator to join their team. Overall responsibility is to promote appropriate and competent care of the patient through education.
Read more about this position


SICU - Nurse Manager – St. Joseph Health – Mission Hospital

Mission Viejo, Orange County

As the Nurse Manager you will maintain 24 hour accountability in planning, managing, controlling and organizing comprehensive, safe, efficient, and high quality patient care and more.
Read more about this position


ICU – RNs – Centura Health

Denver, CO

Centura Health is hiring ICU Registered Nurses for its south Denver area hospitals. Enjoy great people, pay and benefits with a system committed to your success!
Read more about this position


APRNs & PAs for Tele-ICU (electronic ICU) – Walt Medina & Associates, LLC

New Haven, CT

Provide telemedicine to a diverse population of critically ill adults across multiple ICU’s. Must be APRN and/or PA with Critical Care experience, Board Certification and Licensed in Connecticut (or eligible).
Read more about this position


Mount Sinai Heart: PULSE 2015 – Mount Sinai Health System

New York, NY

Come to PULSE 2015 on July 14 where Mount Sinai’s internationally recognized team will speak about our exciting work in cardiology and how we’re changing the future of cardiac care.
Read more about this position


Clinical Practice Specialist – American Association of Critical-Care Nurses

Orange County (compressed work week option), CA

The Clinical Practice Specialist leads the development, review and validation of acute and critical care nursing content for AACN's products and services.
Read more about this position


Clinical Content Specialist – American Association of Critical-Care Nurses

Orange County (compressed work week option), CA

The Clinical Content Specialist will analyze, organize and curate AACN’s acute and critical care nursing content so that it is current, relevant and accessible as possible.
Read more about this position






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