CriticalCare eNewsline — February 11, 2016

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February 11, 2016


EVIDENCE - CE article on infants with HLHS

NEWS - Zika virus guidelines

RESOURCE - Procedural pain in neonates

AACN UPDATE - Submit nominations by Feb. 15




As nurses we know suffering. We are fully aware of how precious each moment of life is.
~ Patricia Bratianu



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Summer Genetics Institute

The National Institute of Nursing Research will host the tuition-free Summer Genetics Institute at the National Institutes of Health, June 1-29 in Bethesda, Maryland. This one-month intensive program of lectures and hands-on laboratory training in molecular genetics provides a foundation for use in research and clinical practice. The application deadline is March 1.


NINR Director’s Lectures

The National Institute of Nursing Research will present four NINR Director’s Lectures this year. The first one, “Innovations to Improve Discharge Planning,” March 3, 1-2 p.m. ET, will feature Kathryn H. Bowles, director of the Center for Integrative Science in Aging at the University of Pennsylvania School of Nursing, Philadelphia. Her lecture is free, open to the public and will be held at the National Institutes of Health main campus in Bethesda, Maryland.


Ethics of Caring conference

Register for the Ethics of Caring (EOC) conference, “Narratives From Practice: Exploring the Heart of Ethics,” Tuesday, March 15, 8 a.m.-4:30 p.m. PT, in Los Angeles. Keynote speakers include Patricia Benner and Suzanne Gordon. The 2016 conference is a one-day program, with the EOC National Nursing Ethics Conference two-day program returning March 2017. Visit the website for more information and to register; early registration rates end March 2. Stay in touch for both conferences on Twitter @EthicsofCaring.


Participate in study on LVADs

Maureen Flattery and Katherine Rodman, Virginia Commonwealth University Health System, Richmond, and Peggy Kirkwood, Mission Hospital, Mission Viejo, California, invite critical care nurses to participate in a study to determine the frequency of continuous flow left ventricular assist device (CF-LVAD) patient admissions to non-VAD hospitals and how providers achieve and maintain competency in the care of patients with CF-LVAD. The confidential survey takes about 10 to 15 minutes. Please email Flattery or email Kirkwood with your questions, or call 804-828-4571.


Participate in survey on moral distress

Desha Johnson Makiya, a doctoral nursing student at The University of Texas at Tyler, invites critical care nurses to participate in the study “Moral Distress, Leadership Integrity, Ethical Climate, and Turnover Intent in Critical-Care Nurses.” The confidential survey takes about 20 to 30 minutes. After completing the survey, you have the option to enter a drawing for the chance to win an iPad Mini 2 or a Kindle Fire. Please email Johnson Makiya with your questions, or call 281-793-1028.


WellStar ICU RNs – Participate in survey on nurse grief

Katrina Joyce and Nancy Ballard, Kennesaw State University, Georgia, invite you to take part in a study titled “Nurse Grief in the ICU” to determine the incidence and symptoms of grief that nurses experience after the death of an ICU patient. The anonymous survey takes about 15 minutes. Participants must be RNs who provided direct patient care in a WellStar ICU within the period of Jan. 4-Feb. 4, 2016. Please contact Joyce,, 678-628-3386, or Ballard,, with your questions.



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CE article in CCN reviews preoperative management for infants with HLHS

Preoperative Stabilization of Infants With Hypoplastic Left Heart Syndrome Before Stage I Palliation,” a CE article in February’s Critical Care Nurse (CCN), notes that hypoplastic left heart syndrome (HLHS) is a severe form of congenital heart disease. Although surgical palliation in infants with this syndrome is widely agreed on in practice, variation occurs in both surgical and medical management.


Article in CCN discusses management of traumatic extremity hemorrhage

Control of Traumatic Extremity Hemorrhage,” in February’s Critical Care Nurse (CCN), notes that although most extremity hemorrhage from trauma can be controlled with direct pressure and pressure dressings, the occasional uncontrolled hemorrhage can be life threatening. This article discusses tools that may be able to control such life-threatening extremity hemorrhage, including hemostatic dressings, tourniquets and several new devices that have recently become available.


Postoperative pain management

From February’s The Journal of Pain:

Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline” identifies research gaps and makes suggestions for designing future studies.

Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council” offers “recommendations developed by a multidisciplinary expert panel.”


Motivational interviewing may reduce readmissions

Motivational interviewing may decrease readmissions in patients with heart failure, according to “Effectiveness of Motivational Interviewing in Decreasing Hospital Readmission in Adults With Heart Failure and Multimorbidity,” published online Jan. 6 in Clinical Nursing Research.



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From the CDC

On Feb. 5, the Centers for Disease Control and Prevention (CDC) published “Interim Guidelines for Prevention of Sexual Transmission of Zika Virus – United States, 2016” in Morbidity and Mortality Weekly Report.

The 2016 immunization schedules from the CDC update recommendations for meningococcal B and human papillomavirus (HPV) vaccines, according to a Feb. 1 report from American Academy of Pediatrics. Considerations for the meningococcal B vaccine were expanded, and the 9vHPV vaccine was added and is now recommended beginning at 9 years old for children with a history of sexual abuse. Access immunization schedules.



New telehealth act introduced in Congress

On Feb. 3, a bipartisan group of six senators introduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, which, according to the American Telemedicine Association, “would expand telehealth services through Medicare, improve care outcomes, facilitate patients’ ability to connect with their doctors and implement cost-effective solutions for patients and providers.” Companion legislation was introduced in the House.



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Guideline summaries

The Agency for Healthcare Research and Quality, Rockville, Maryland, posted the following summaries:

Person- and Family-Centred Care,” from the Registered Nurses’ Association of Ontario, Canada

Practice Guidelines for Perioperative Blood Management: An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management,” in the February 2015 Anesthesiology

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Submit nominations for President’s Award for Chapters by Feb. 15

Nominate chapters for the 2016 AACN President’s Award for Chapters, which recognizes exemplary efforts to make a difference in the healthcare profession and local communities, and further AACN’s mission, vision and values. Nominees demonstrate how the chapter has exemplified the association’s theme — Courageous Care — throughout the year. Access links to award criteria and the nomination form at the end of the Web page; nominations close Feb. 15.


Prepare to Celebrate Certified Nurses Day

Certified Nurses Day, held annually March 19, recognizes the important achievement of nursing specialty and subspecialty certification and encourages eligible nurses to become certified. AACN offers many ideas to recognize, honor and celebrate certified nurses.


Transitions – February 2016

Events in the lives of AACN members and friends


Courageous Care

President's Note from February's AACN Bold Voices
Removing Barriers to Practice — Karen McQuillan, AACN President 2015-2016



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Critical Care Medicine at a Glance, 3rd ed.

Author: R. Leach
(Book, 172 pages, 2014)
Product Code:128166
ISBN: 9781118302767

This book is ideal for healthcare professionals to acquire the skills and knowledge to care for acutely ill patients. It provides a simple and straightforward, yet rapid, introduction to the care of these patients. The book features new Pearls of Wisdom to aid understanding. It also includes an appendix of top nutrition tips and increased coverage of neurological emergencies, acute and abdominal emergencies, arrhythmias, imaging and fluid management.

Member Price: $42.75 (Non-Member: $45)





Infusion Nurses Society Flushing Protocols

Author: Infusion Nurses Society
(Pocket Cards, 5 pages, 2008)
Product Code:128167

This three-card set addresses the issues associated with flushing vascular access devices, and it offers guidance on saline flushes, heparin locking and drug incompatibilities. In addition, it provides clinicians with protocols for use in the pediatric/neonatal population, with information to help prevent complications associated with occluded catheters. It includes a copy of the Flushing Standard in the Infusion Nursing Standards of Practice.

Member Price: $12.35 (Non-Member: $13)





The Advanced Practice Registered Nurse as a Prescriber

Author: M. Brown, L. Kaplan
(Book, 284 pages, 2012)
Product Code:128130
ISBN: 9780813805245

Knowledge about medication characteristics and effectiveness must be accompanied by an understanding of the context and process of prescribing. This book opens with an overview of the role of the APRN prescriber and discusses practical issues such as managing difficult patient situations, special considerations when prescribing controlled substances, the influence of pharmaceutical marketing, state regulation and legal aspects of prescribing. It also examines barriers to prescribing, and the concluding chapter underscores key information to build cultural competence when prescribing.

Member Price: $51.20 (Non-Member: $53.99)





AACN Knit Cap - Black

Product Code:402351

Keep your head well covered during cooler weather in our knit cap. With a 3-inch folding cuff, embroidered in white with the AACN logo. One size fits most. Fabric: 100% acrylic. Also in Gray - Product #402352

Member Price: $11.50 (Non-Member: $14.50)







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