CriticalCare eNewsline — July 30, 2015


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July 30, 2015


EVIDENCE - Occipital pressure ulcers

NEWS - Choosing Wisely for newborns

RESOURCES - Critical Care Journal Club

AACN UPDATE - NTI 2016 poster abstract submissions




Have the courage to say no. Have the courage to face the truth. Do the right thing because it is right. These are the magic keys to living your life with integrity.~ W. Clement Stone



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Nurses’ Health Study 3

Are you a female nurse or nursing student between 19 and 46 years old (working or not), who lives in the U.S. or Canada? If so, participate in the Nurses’ Health Study 3 to contribute to groundbreaking research on “lifestyle, environment, nurses’ worklife, and women’s health.” Researchers at Harvard School of Public Health and Brigham and Women’s Hospital in Boston are conducting the study, which builds on the two previous Nurses’ Health Studies.


Simulation courses

The American College of Chest Physicians (CHEST), Glenview, Illinois, offers a variety of simulation programs at its state-of-the-art facility. CHEST Simulation Events include airway management, pulmonary function testing, critical care ultrasonography and other patient-care topics.



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Article in AJCC reports benefits of daily videoconferencing updates

Testing the Feasibility of Skype and FaceTime Updates With Parents in the Neonatal Intensive Care Unit,” in July’s American Journal of Critical Care (AJCC), reports that although the sample size of the study is small, daily videoconferencing updates may improve parents’ understanding of their infants’ condition and relationships between parents and healthcare providers.


Article in AJCC addresses risk factors for occipital pressure ulcers

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children,” in July’s American Journal of Critical Care (AJCC), discusses several risk factors that can be identified prospectively, allowing implementation of nursing interventions to prevent these ulcers.


Hospitals overestimate delivery of timely tPA

Fewer than one-third of hospitals accurately estimate their ability to deliver intravenous tissue plasminogen activator (tPA) to eligible patients with ischemic stroke within the 60-minute door-to-needle standard, according to a study posted online July 22 in Journal of the American Heart Association. “Perception Versus Actual Performance in Timely Tissue Plasminogen Activation Administration in the Management of Acute Ischemic Stroke” reports sites that overestimate tend to have lower annual volume of tPA administration.


Screening for ARDS

Pulse oximetry and pulmonary ultrasound may help screen for acute respiratory distress syndrome (ARDS) in areas without ready availability of arterial blood gas tests and chest radiography, concludes “Pulmonary Ultrasound and Pulse Oximetry Versus Chest Radiography and Arterial Blood Gas Analysis for the Diagnosis of Acute Respiratory Distress Syndrome: A Pilot Study,” online July 21 in Critical Care.


Early use of antidepressants in stroke may reduce mortality

Early treatment with antidepressants in patients with ischemic stroke may reduce mortality, according to “Early Antidepressant Treatment and All-Cause 30-Day Mortality in Patients With Ischemic Stroke,” published online July 11 in Cerebrovascular Diseases. The results indicate that an “early start of antidepressant treatment after stroke may be safe and a more routine use may be feasible.”



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American Academy of Pediatrics releases Choosing Wisely list

Choosing Wisely in Newborn Medicine: Five Opportunities to Increase Value,” online July 21 in Pediatrics, lists tests and treatments that can’t be adequately justified. Recommendations include avoiding routine daily chest radiographs in intubated infants and routine use of anti-reflux medications for treatment of symptomatic gastroesophageal reflux disease or for treatment of apnea and desaturation in preterm infants. This initiative of the American Academy of Pediatrics, Elk Grove Village, Illinois, is part of the ABIM Foundation’s Choosing Wisely campaign.


The Joint Commission announces new certification

On July 21, The Joint Commission, Oakbrook Terrace, Illinois, announced the Integrated Care Certification option, which is “focused on helping health care organizations improve care coordination across the continuum of care, beginning with hospital and ambulatory care settings.”


NINR announces new brochure on palliative care for children

On July 13, the National Institute of Nursing Research (NINR), Bethesda, Maryland, released “Palliative Care for Children: Support for the Whole Family When Your Child Is Living With a Serious Illness,” which explains palliative care in easy-to-understand language. The brochure is part of NINR’s Palliative Care: Conversations Matter campaign, intended to increase the use of palliative care for children with serious illness.



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Critical Care Journal Club

The Critical Care Assembly of the American Thoracic Society, New York, hosts Critical Care Journal Club, “a live interactive Web-based review of important critical care papers with the opportunity for assembly members to ask questions about the paper to study authors.”


Weight management tools

Body Weight Planner, a free tool from the National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland, “allows users to make personalized calorie and physical activity plans to reach a goal weight within a specific time period and to maintain it afterwards.” Results can be used to obtain a free personalized meal plan on SuperTracker.



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2016 Circle of Excellence nominations

Nominate your peers and colleagues for the 2016 AACN Circle of Excellence awards, which recognize acute and critical care nurses who make a difference for patients and families. Nominees must have active AACN membership and be nominated by a colleague, who is also an active AACN member. Self-nominations cannot be accepted. Up to 25 recipients will be selected by Dec. 31 and inducted into the Circle of Excellence Society. Nominations close Aug. 1.


Poster abstract submissions for NTI 2016 open Aug. 3, 2015

The poster abstract submission process for the National Teaching Institute & Critical Care Exposition (NTI), May 15-19, 2016, in New Orleans, opens at noon PT, Monday, Aug. 3, 2015.

Submission categories are Research and Evidence-based Solutions. Please read the Poster Abstract Submission Guidelines before submitting your abstract.

Step I closes at 11:59 p.m. PT, Monday, Sept. 14, 2015, and step II closes at 11:59 p.m. PT, Monday, Sept. 28, 2015.

The submission process for Chapter Best Practice is changing for 2016 and will open in September. Watch for new guidelines online in mid-August.


AACN online bookstore offers free shipping for members

Enjoy a benefit of AACN membership through Dec. 31: free shipping for AACN online bookstore purchases of more than $50, before taxes. (Registration fees for conferences, other educational offerings and certification exams do not count toward total cost of shipped products.) No promo code is needed for this member appreciation discount, which is applied automatically at checkout. If you aren’t a member yet, please sign up to enjoy this incentive, plus many more benefits of belonging to our AACN community of exceptional nurses.


Online course addresses evolving care for older adults

AACN offers the e-learning course “Optimizing Care for Acutely Ill Older Adults” to help nurses care for older adults and prevent the unintended, costly consequences of critical illness. Nurses learn to differentiate between symptoms of usual aging and those arising from illness. A collaboration between AACN clinical staff and Alexandra Brock, the course features the latest evidence-based knowledge and assessments. Individuals and organizations can purchase it; 4.0 CE hours are available.


Transitions – July 2015

Events in the lives of AACN members and friends


Courageous Care

President's Note from July's AACN Bold Voices
“Courageous Care” — Karen McQuillan, AACN President 2015-2016



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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 impact of these experiences. The perspectives — written by patients, family members and professional caregivers — describe the stress of illness, the leap of faith in trusting the provider team and the frustrations of accepting that breakdowns in care sometimes occur. Viewing healthcare from these vantage points reveals that the gaps in patient care are caused by many factors, including poor handoffs, miscommunication and the expectations of patients and families as they navigate the siloes in the system. And yet, as illustrated in many of the stories, patient care is beginning to change for the better.

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





Nursing, The Finest Art: An Illustrated History

Author: M.P. Donahue
(Book, 416 pages, 2011)
ISBN: 9780323053051
Product#: 800109

The perfect gift for any nurse, this book celebrates the wonderful profession of caring for others and includes more than 400 fine art images of nurses in history through present time. Timelines summarizing each era at a glance before each chapter let you know where to find key information about nursing history and facilitate easy review.

Member Price: $61.75 (Non-Member: $64.95)





Person and Family Centered Care

Author: J.H. Barnsteiner, J. Disch, M.K. Walton
(Book, 504 pages, 2014)
Product Code:120683
ISBN: 9781938835070

This groundbreaking text is a complete resource that helps ensure the needs of patients, families and caregivers are met. While it may seem that this is the norm in healthcare today, the 2010 Institute of Medicine Report on "The Future of Nursing" notes that "practice still is usually organized around what is most convenient for the provider, the payer, or the health care organization and not the patient." Numerous contributors from diverse backgrounds provide thought-provoking content in each chapter.

Member Price: $62.95 (Non-Member: $69.95)





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