CriticalCare eNewsline — March 26, 2015

  NTI 2015  

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March 26, 2015


ACTION - Register for HIMSS15

EVIDENCE - Sepsis update

NEWS - Fake online pharmacies

AACN UPDATE - What inspires you?




If you are going to achieve excellence in big things, you develop the habit in little matters. Excellence is not an exception; it is a prevailing attitude. ~ Colin Powell



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Vote in Election 2015: Help ensure AACN’s future direction

Please choose your candidates for the FY2016-2018 AACN Board of Directors and the FY2016 Nominating Committee. As our community advances into the ever-changing future of healthcare, we rely on every single member to play a role in articulating our direction. One way is by selecting the leaders who guide our community. Candidate profiles are in March’s AACN Bold Voices or at, where you can vote or indicate your decision to abstain. Email or call 800-394-5995, ext. 331, if you need a paper ballot. Voting ends Monday, April 20, 11:59 p.m. ET.


Register for HIMSS15

Register for Healthcare Information and Management Systems Society (HIMSS) Annual Conference, April 12-16, in Chicago. At HIMSS15, you’ll attend exceptional education programs, learn about cutting-edge health IT products and services, and network with thousands of like-minded professionals, clinicians and executives.


Hospitals invited to apply to bundle improvement collaborative

The ICU Liberation Campaign, from the Society of Critical Care Medicine, Mount Prospect, Illinois, invites hospitals to apply by May 19 for its ABCDEF Improvement Collaborative, a quality initiative for implementing the ABCDEF bundle. The bundle consists of Assess for and manage pain, Both Spontaneous Awakening Trials and Spontaneous Breathing Trials, attention to the Choice of sedation and analgesia, Delirium monitoring and management, Early mobility, and Family engagement.


Participate in survey on quality of life awareness in quadriplegic patients

Elaine Rohlik, a PhD student at Walden University, Minneapolis, invites nurses who work or have previously worked in critical care to participate in the survey “Quality of Life Awareness and Impact on Critical Care Nursing Interventions With Persons With Tetraplegia,” more commonly referred to as quadriplegia. Please email Rohlik with your questions, or call her at 919-350-8852.


Register for critical care ultrasound courses

Learn to perform and interpret ultrasound imaging at the Society of Critical Care Medicine’s comprehensive, two-day courses: Critical Care Ultrasound or Critical Care Ultrasound – Pediatric, Aug. 16-17, Fairmont Chicago, Millennium Park. Guided skill stations and interactive presentations will reinforce participant learning. Register to attend.



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Editorial in AJCC

For “Finding Our Optimal Scope of Practice,” in March’s American Journal of Critical Care (AJCC), the editors describe one nurse’s journey to become a nurse practitioner.


CE of the Month: Article in AJCC describes effects of lateral turning

Hemodynamic Changes With Manual and Automated Lateral Turning in Patients Receiving Mechanical Ventilation,” a CE article in March’s American Journal of Critical Care (AJCC), finds that manual lateral turning causes changes in heart rate, mean arterial pressure and pulse pressure, but patients tolerated the changes. Automated lateral turning in a specialty bed has no adverse hemodynamic effects and may be safer for patients with an unstable hemodynamic status.


From March 17’s The New England Journal of Medicine:

Trial of Early, Goal-Directed Resuscitation for Septic Shock” finds that hemodynamic management based on a strict, early, goal-directed therapy protocol “did not lead to an improvement in outcome.”

Systemic Inflammatory Response Syndrome Criteria in Defining Severe Sepsis” concludes that requiring two or more criteria to define systemic inflammatory response syndrome excludes “one in eight otherwise similar patients with infection, organ failure, and substantial mortality and failed to define a transition point in the risk of death.”


Comprehensive program slows cognitive decline

A 2 Year Multidomain Intervention of Diet, Exercise, Cognitive Training, and Vascular Risk Monitoring Versus Control to Prevent Cognitive Decline in At-Risk Elderly People (FINGER): A Randomised Controlled Trial,” posted online March 12 in The Lancet, finds the intervention slows cognitive decline.


Perception of quality of dying differs based on costs, viewpoint

End-of-Life Expenditure in the ICU and Perceived Quality of Dying,” in the December 2014 CHEST, finds that underinsured families rate satisfaction with care and quality of dying higher when average daily ICU costs are higher, but nurses assess patients with higher costs as having a poorer quality of dying.



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Adopting a safety culture

The March/April Healthcare Executive includes “Accelerating the Adoption of a Safety Culture,” an interview with Ana Pujols McKee, executive vice president and chief medical officer, The Joint Commission, Oakbrook Terrace, Illinois.


Infographic helps identify fake online pharmacies

Partnership for Safe Medicines Releases Infographic to Help Users Identify Fake Online Pharmacies,” posted Feb. 25, highlights five tactics commonly used by rogue online drug sellers that may make their website seem legal and safe. To help consumers find safe sources for purchasing medication online, the National Association of Boards of Pharmacy, Mount Prospect, Illinois, offers Verified Internet Pharmacy Practice Sites, a program that accredits online pharmacies.



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CDC information

The Centers for Disease Control and Prevention (CDC), Atlanta, is working to increase sepsis awareness and improve treatment. Its Web page includes information for patients, clinical tools and guidelines, initiatives to improve survival, data on the incidence of sepsis, a bibliography of selected chapters on sepsis from textbooks and links to additional resources.

Access CDC Stacks, a free, digital archive of scientific research and literature.


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Share your inspiration – and be entered in a prize drawing

Through Tuesday, March 31, please send us your photos and words that illustrate your unique accomplishments as a critical care nurse. You will be entered in a drawing for one of five $100 gift certificates for AACN’s Online Bookstore. Email your original photos to, and share your thoughts on AACN’s Facebook and Twitter pages with #InspiredNurse.


NTI 2015 early-bird registration ends April 2

AACN’s National Teaching Institute & Critical Care Exposition (NTI), the premier conference for high acuity and critical care nurses, comes to San Diego, May 18-21 (preconferences May 17). NTI offers more than 300 sessions as well as 350 exhibits at the Critical Care Exposition. Register by Thursday, April 2, to take advantage of early-bird pricing for the main conference.


Live webinar on ETCO2 monitoring April 9

At AACN’s next live webinar, “It’s All About Breathing: ETCO2 Monitoring,” Thursday, April 9, 10 a.m. PT, presenter John J. Gallagher, clinical nurse specialist, will explore ETCO2 monitoring, including how ETCO2 data adds to clinical understanding of a patient’s condition and informs decisions related to cardiac and pulmonary function. Free registration includes the webinar, implementation tools and access to the on-demand recording. CE is available.


Transitions – March 2015

Events in the lives of AACN members and friends


Focus the Flame

President's Note from March's AACN Bold Voices
“Seeing What Others Don’t” — Teri Lynn Kiss, AACN President 2014-2015



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Inspired to Change - Improving Patient Care One Story at a Time

Author: L. Larin
Editor: L. Larin
(Book, 297 pages, 2013)
Product Code:120669
ISBN: 978156793613

This book presents stories of patient care — both heartbreaking and uplifting — and details the experiences. Written by patients, family members and professional caregivers, the perspectives describe the stress of illness, the leap of faith required to trust providers and accepting that breakdowns in care sometimes occur. Viewing healthcare from these vantage points reveals that gaps in care are caused by many factors, including poor handoffs, miscommunication and expectations of patients and families.

Member Price: $74.10 (Non-Member: $78)





RCR (Rapid Capnography Resource) Pocket Card

Author: EKG Concepts
(Pocket Cards, 11 pages, 2013)
Product Code:400894

The Rapid Capnography Resource (RCR) uses a novel color-coded format to illustrate the inspiratory and expiratory phases of the normal Capnogram. The RCR also provides examples of abnormal Capnograms and lists possible clinical causes for each abnormality. Compact, yet contains all RCR content. Sturdy laminated two-sided format can be wiped clean with a disinfectant.

Member Price: $14.25 (Non-Member: $15)





12-Lead ECG Clipboard

Author: T. Norton
(Clipboard, 2008)
Product Code:100131

Immediately identify areas of injury to the heart with this sturdy, legal-size clipboard imprinted with 12-lead ECG tracing, which is color coded, to determine specific coronary arteries based on the leads. You'll become an expert in identifying ischemia and right- vs. left-sided myocardial infarctions, using the steps on the back of the clipboard. A must-have for all nurses working in acute and critical care.

Member Price: $12 (Non-Member: $14)






Featured Career Opportunities





Director of Nursing – Northeast Methodist Hospital

San Antonio, TX

Exceptional nursing leadership role needing executive skills in transformational leadership, employee engagement and professional development. High visibility role. Incredibly dynamic team. Offers outstanding career advancement in award winning health system. Competitive package with bonus.
Read more about this position


RN - PICU – University of Virginia Health System

Charlottesville, VA

UVA Children's Hospital is looking for Registered Nurses with at least 1 year of pediatric experience for the Pediatric Intensive Care Unit. Bonus and relocation for qualified candidates.
Read more about this position


RN - CCU/CVICU Spring Fling Job Fair – Venice Regional Bayfront Health

Venice, FL

CCU/CVICU – Come to sunny Venice, FL! Venice Regional Bayfront Health is a 312 bed regional healthcare system. The ideal candidate is an RN with a current Florida license. A minimum of two years Critical Care experience preferred. BLS/ACLS required.
Read more about this position


Critical Care APRN – AtlantiCare

Atlantic City, NJ

AtlantiCare, a Baldrige Award–winning healthcare system located in southeastern New Jersey, is seeking outstanding APRNs to join our Critical Care team at AtlantiCare Regional Medical Center’s City Hospital in Atlantic City, New Jersey and Mainland Hospital in Pomona, New Jersey.
Read more about this position


Critical Care RN's - Various Units – Munson Medical Center

Traverse City, MI

Munson Medical Center, a 391-bed regional referral center, located in Traverse City, Michigan, on the shores of beautiful Grand Traverse Bay, repeatedly named a Top 100 Hospital is seeking experienced Critical Care RNs.
Read more about this position


Clinical Educator – Reston Hospital Center (HCA)

Reston, VA

Reston Hospital an HCA affiliate located in the heart of Reston's vibrant Town Center/DC area, is currently seeking a Critical Care Clinical Educator. Excellent benefits! Relocation assistance to be considered!
Read more about this position


Certification Practice Specialist – American Association of Critical-Care Nurses

Orange County (compressed work week option), CA

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






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