CriticalCare eNewsline — October 2, 2014

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October 2, 2014


ACTION - Flu vaccination

EVIDENCE - ICU scoring systems

NEWS - CDC health advisory

AACN UPDATE - Save the date for NTI




So never lose an opportunity of urging a practical beginning, however small, for it is wonderful how often in such matters the mustard-seed germinates and roots itself.
— Florence Nightingale



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Hospitals invited to participate in two-year program

In partnership with Johns Hopkins’ Armstrong Institute for Patient Safety and Quality, Baltimore, and Harvard Pilgrim Health Care Institute, Boston, the MHA Keystone Center, Okemos, Michigan, invites hospitals to participate in a comprehensive unit-based safety program for mechanically ventilated patients - ventilator associated pneumonia (CUSP 4 MVP-VAP) project, which aims to reduce harm associated with ventilators, shorten the duration of ventilation and improve outcomes. There is no fee to participate in the two-year cohort. Orientation calls begin in November.


Update your flu vaccination knowledge

Access “Seasonal Influenza Vaccination Resources for Health Professionals” (updated Sept. 19) from the Centers for Disease Control and Prevention (CDC), Atlanta, to update your knowledge and refer patients and the public to CDC’s “Flu Season Is Around the Corner,” which provides vaccine information, including the importance of vaccination, vaccine options and safety.



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Article in CCN reviews carbapenem-resistant Enterobacteriaceae

October’s Critical Care Nurse (CCN) includes “Carbapenem-Resistant Enterobacteriaceae: Occult Threat in the Intensive Care Unit,” which finds that early identification, treatment and containment of these infections are crucial. Bedside critical care nurses are valuable resources for achieving these goals.


CNE article in CCN discusses device for preventing CRBSI

Closed Blood Conservation Device for Reducing Catheter-Related Infections in Children After Cardiac Surgery,” a CNE article in October’s Critical Care Nurse (CCN), investigates the use of a closed blood conservation device to prevent catheter-related bloodstream infection (CRBSI) in children after cardiac surgery.


ICU scoring systems evaluated

"ICU Severity of Illness Scores: APACHE, SAPS and MPM,” in October’s Current Opinion in Critical Care, concludes that the Acute Physiology and Chronic Health Evaluation (APACHE), Simplified Acute Physiology Score (SAPS) and Mortality Probability Model (MPM) provide a “valuable framework to characterize patients’ severity of illness for the evaluation of ICU performance, for quality improvement initiatives and for benchmarking purposes,” although frequent updates and regional customization improve accuracy.


Indicator of tissue perfusion during extracorporeal life support

Blood lactate level can be used to monitor adequate tissue perfusion during extracorporeal life support and is “strongly predictive of mortality,” according to “Blood Lactate Level During Extracorporeal Life Support as a Surrogate Marker for Survival,” in the August issue of The Journal of Thoracic and Cardiovascular Surgery.



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Emergency Nurses Week

This year, Oct. 5-11 is Emergency Nurses Week (Oct. 8 is Emergency Nurses Day), a national celebration with the theme “Life Saving Hands,” sponsored by the Emergency Nurses Association, Des Plaines, Illinois. Download the poster and planning guide, which also describes how to participate in a social media contest.


CDC issues health advisory on neurologic illness

On Sept. 26, the Centers for Disease Control and Prevention (CDC), Atlanta, issued the health advisory “Acute Neurologic Illness With Focal Limb Weakness of Unknown Etiology in Children,” which states the Colorado Department of Public Health and Environment, Children’s Hospital Colorado and CDC are investigating nine cases that occurred Aug. 9 to Sept. 17. The advisory recommendations include reporting and consultation with local and state health departments.


DEA enacts new drug disposal regulations

On Sept. 23, the U.S. Drug Enforcement Administration (DEA), Springfield, Virginia, announced that no further National Prescription Drug Take-Back Days are planned because of new regulations designed to expand options for disposing of these medications on a regular basis. The final rule authorizes some DEA registrants, including retail pharmacies and hospitals/clinics with an on-site pharmacy, to modify their registration with the DEA so they can become authorized collectors of prescription drugs. The rule takes effect Oct. 9.


October is National Breast Cancer Awareness Month

As part of National Breast Cancer Awareness Month, the National Breast Cancer Foundation encourages regular breast screening to promote early detection of cancer. About one in eight women born in the U.S. today will get breast cancer at some point, and more than 2,000 men are diagnosed with breast cancer each year.


October is Sudden Cardiac Arrest Awareness Month

October is Sudden Cardiac Arrest (SCA) Awareness Month, an initiative of the Heart Rhythm Society (HRS), Washington, to highlight 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, a patient brochure and SCA prevention protocols.



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Enterovirus webinar recording

Access a recording, slides and a transcript from the Sept. 16 webinar “Enterovirus D68 in the United States: Epidemiology, Diagnosis & Treatment” from the Centers for Disease Control and Prevention, Atlanta.


Tele-ICU nursing guidelines

“AACN Tele-ICU Nursing Practice Guidelines” brings consistency in nursing practice across new and existing tele-ICUs, serving as a benchmark for RNs who practice within the tele-ICU model of care. The document defines tele-ICU nursing and identifies the guidelines and essential elements to help tele-ICU nurses, managers and program directors evaluate their individual or unit practice. Download the guidelines as a free PDF, or purchase a booklet through AACN’s online bookstore.



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AACN live webinars:

Patient-Focused Collaboration
Explore the link between communication, collaboration and patient outcomes at “Patient-Focused Collaboration: Strategic Alliances That Work,” Thursday, Oct. 9 at 10 a.m. PT. Join Hartford HealthCare senior administrator and alumnus CCRN Mary Bylone for a discussion of the impact of collaboration on patient care, strategies for effective communication and relationship building, and practical implementation tips. Free registration includes the webinar, implementation tools and access to the on-demand recording; CNE is available.

Preventing Device-Related Pressure Ulcers
Have your intubated patients ever experienced a pressure ulcer or erosion from endotracheal or nasogastric tubes? Join Indiana University Health Methodist Hospital staff nurse Jennifer Markowitz at “Saving Face: Preventing Device-Related Pressure Ulcers,” Thursday, Nov. 13 at 10 a.m. PT. She will discuss the impact of these ulcers — which can lead to more serious complications — as well as clinical interventions and practice change strategies. Free registration includes the webinar, implementation tools and access to the on-demand recording; CNE is available.


Apply for an AACN grant

AACN invites clinicians and researchers to apply for $160,000 in grants, which range from $10,000 to $50,000 each. They fund priority projects that address gaps in clinical research and support the translation of these findings for bedside nurses. Submit your application online by Friday, Oct. 31.


Support AACN through AmazonSmile

AmazonSmile is an easy and convenient way for you to support your AACN community. When you shop at, you’ll find the same selection and convenient shopping experience as, with the bonus that Amazon will donate a portion of the price of eligible purchases to AACN evidence-based practice initiatives.


Save the date

AACN’s annual National Teaching Institute & Critical Care Exposition (NTI) takes place May 17-21, 2015, in San Diego. The premier conference for high acuity and critical care nurses, NTI offers nearly 35 continuing nursing education (CNE) contact hours via live sessions and additional hours for self-study during and for a limited time after the conference.


Focus the Flame

President's Note from October's AACN Bold Voices
“Discover Your Fearless Self”— Teri Lynn Kiss, AACN President 2014-2015



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"AACN Essentials of Critical Care Nursing," 3rd ed.

Author: S. Burns
(Book, 624 pages, 2014)
Product Code:128750
ISBN: 9780071822794

This evidence-based resource provides an essential foundation for the nursing care of critically ill patients. It is ideal for nurses beginning their critical care career and experienced nurses who can use this user-friendly resource for both essential and advanced concepts. ECG rhythm interpretation and treatment and pharmacology also make it an excellent resource for progressive care nurses.

Member Price: $71 (Non-Member: $79)





CMC Lapel Pin

(Lapel Pins, 2010)
Product Code:402605

Achieving CMC certification is an outstanding accomplishment that deserves to be celebrated. Show the world that you are committed to improved patient care and high standards of professional practice with this CMC lapel pin.

Member Price: $4.75 (Non-Member: $5.75)






Featured Career Opportunities





CVOR-RN’s- Centura Health

Colorado Springs, CO

Work & play in Colorado Springs as Centura Health expands its cardiac services! Enjoy up to $5k sign on, relocation and Colorado’s exceptional lifestyle.
Read more about this position


Nursing Opportunities at Children’s – Children’s Healthcare of Atlanta


Join our nationally ranked critical care team. Children’s Healthcare of Atlanta invites YOU to explore CICU, CSU, NICU and PICU opportunities. No PEDS experience needed.
Read more about this position


RN 2 West – ICU - Mayo Clinic

Phoenix, AZ

The Department of Nursing at Mayo Clinic in Arizona has an opportunity for a Registered Nurse to join our team.
Read more about this position


Registered Nurse - Calvert Memorial Hospital

Prince Frederick, MD

Calvert Memorial Hospital is a not-for-profit, credited, community-owned hospital. Seeking RN with Critical Care skills for a full time night position (7pm – 7am) in our state-of-the-art ICU department.
Read more about this position


Critical Care RNs and Nurse Practitioners – Advanced ICU Care


Join our growing team and be a part of the rapidly emerging tele-icu field, where you can practice in state-of-the-art operations center with far fewer physical demands than an ICU.
Read more about this position


RN, ICU - Hillcrest Hospital South

Tulsa, OK

The ICU RN will deliver quality care by offering excellent customer service. All employees participate within a team centered approach towards patient care.
Read more about this position


RN Staff Nurse, ICU Health Central - Orlando Health

Ocoee, FL

Health Central Hospital a part of Orlando Health is seeking a RN Staff Nurse for the ICU to join our team.
Read more about this position


Experienced ICU & Emergency Registered Nurses – Mercy Northwest Arkansas

Rogers, AR

Mercy Northwest Arkansas Communities voted “Best Place to Work” by Arkansas Business, have job opportunities for experienced ICU and Emergency Registered Nurses.
Read more about this position


Critical Care Unit Nurse Manager – El Camino Hospital

San Francisco Bay Area, CA

In this role, you will have 24-hour responsibility for our 24-bed Critical Care Unit at our Mountain View campus. The Successful Candidate will be a proven, experienced leader.
Read more about this position


Critical Care RNs – El Camino Hospital

San Francisco Bay Area, CA

We’re seeking candidates with recent critical care experience to work in our 24-bed Critical Care Unit at our Mountain View campus.
Read more about this position


Critical Care Opportunities – Vidant Medical Center

Greenville, NC

Now recruiting ICU nurses to join our team! Enjoy 1st day benefits! Up to $7,500 sign on, $5,000 relocation and interview reimbursement. Live, work and play in beautiful eastern NC!
Read more about this position


Experienced RNs – Western Connecticut Health Network

Danbury, CT

Danbury Hospital is hosting an Open House for experienced RNs on October 7th from 5-7:30pm. Critical Care, Step Down, ED, NICU, PACU, L&D, Rapid Response.
Read more about this position






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