CriticalCare eNewsline — November 25, 2015


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November 25, 2015


ACTION - Comment on new standard

EVIDENCE - Inpatient perceptions of family presence

NEWS - FDA announcements

AACN UPDATE - Updated pediatric certification course





Thank you’ is the best prayer that anyone could say. I say that one a lot. Thank you expresses extreme gratitude, humility, understanding. ~ Alice Walker



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Provide input for new standard on antimicrobial stewardship

The Joint Commission, Oakbrook Terrace, Illinois, invites comments for a proposed new standard on antimicrobial stewardship. Please reply by Dec. 30.


Participate in study on moral obligations

Researchers from the UCLA Healthcare Ethics Center and School of Nursing, Los Angeles, invite critical care nurses and physicians to participate in “Moral Obligations in the Care of Critically Ill Patients and Their Families.” The confidential survey takes about 15 minutes to complete. Please email Katherine Brown-Saltzman or Carol Pavlish with your questions.



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Article in AJCC describes adult inpatient perceptions of family presence

Being There: Inpatients’ Perceptions of Family Presence During Resuscitation and Invasive Cardiac Procedures,” in November’s American Journal of Critical Care (AJCC), explores adult inpatients’ perceptions of family presence during resuscitation, near-resuscitation and unplanned invasive cardiac procedures shortly after the life-threatening event.


Editorial in AJCC

For “Tough and Competent,” in November’s American Journal of Critical Care (AJCC), the editors look to NASA for inspiration regarding critical care.


Appropriate use of PCI

Appropriate Use Criteria for Coronary Revascularization and Trends in Utilization, Patient Selection, and Appropriateness of Percutaneous Coronary Intervention,” in Nov. 17’s JAMA: The Journal of the American Medical Association, indicates that since the publication of the criteria in 2009, the volume of nonacute percutaneous coronary interventions (PCIs) and the proportion of nonacute PCIs classified as inappropriate have significantly decreased, although “hospital-level variation in inappropriate PCI persists.”


Coffee may lower mortality

Moderate coffee intake is associated with lower mortality from cardiovascular disease, neurological disease and suicide, according to “Association of Coffee Consumption With Total and Cause-Specific Mortality in Three Large Prospective Cohorts,” online Nov. 16 in Circulation.


Compliance dashboard reduces VAP

November’s Infection Control & Hospital Epidemiology includes “Sustained Reduction of Ventilator-Associated Pneumonia Rates Using Real-Time Course Correction With a Ventilator Bundle Compliance Dashboard,” which finds that a ventilator-associated pneumonia (VAP) bundle adherence real-time dashboard significantly decreases VAP in adult ICU patients.


From November’s Critical Care

Argatroban in the Management of Heparin-Induced Thrombocytopenia: A Multicenter Clinical Trial,” online Nov. 11, concludes that “argatroban can be considered as a safe therapeutic option” in patients with renal failure who have heparin-induced thrombocytopenia and are at high hemorrhagic risk.

Extracorporeal Therapies in Pediatric Severe Sepsis: Findings From the Pediatric Health-Care Information System,” online Nov. 10, reports that these therapies, used in a significant number of patients, are associated with “significant mortality.”


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Happy Thanksgiving

We wish our AACN community a wonderful celebration of Thanksgiving. We hope you can spend time with family and friends, and if you’re caring for patients and their families on this holiday, we thank you for your invaluable expertise and dedication.


From the FDA

On Nov. 18, the Food and Drug Administration (FDA) approved Narcan nasal spray, distributed by Adapt Pharma, Radnor, Pennsylvania. This is the first spray version of naloxone hydrochloride, “a life-saving medication that can stop or reverse the effects of an opioid overdose.”

On Nov. 13, the FDA announced that Hamilton Medical, Bonaduz, Switzerland, recalled its G5 Ventilator V2.00 and V2.31, because it may stop working without sounding an alarm when the oxygen enrichment key is pressed for a suctioning maneuver.


CDC reports obesity rates

The prevalence of obesity in 2011-2014 was 36.5 percent in adults and 17 percent in youth, according to “Prevalence of Obesity Among Adults and Youth: United States, 2011-2014,” released Nov. 12 by the Centers for Disease Control and Prevention (CDC). “No significant differences between 2011-2012 and 2013-2014 were seen in either youth or adults,” the summary notes.


HHS adds anthrax antitoxin drugs to national supply

On Nov. 12, the Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Preparedness and Response, Washington, announced the addition of two types of inhalational anthrax antitoxin drugs to the Strategic National Stockpile.


Effect of nurse work environment on outcomes

On Nov. 10, Press Ganey, Wakefield, Massachusetts, published “Nursing Special Report: The Influence of Nurse Work Environment on Patient, Payment and Nurse Outcomes,” which notes the work environment may have a greater effect than nurse staffing on many safety, quality and value measures.



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Preventing multi-drug-resistant Gram-negative bacteria

Download “Prevention and Control of Multi-Drug-Resistant Gram-Negative Bacteria: Recommendations From a Joint Working Party,” published online Nov. 16 in Journal of Hospital Infection.



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Email DRL nomination by Dec. 1

Participate in selecting the 2017 Distinguished Research Lecturer (DRL) by nominating a nationally recognized nurse researcher. Honorees, who are also AACN members, represent a legacy of contributions to acute and critical care nursing research. Supported by a grant from Philips Healthcare, the award recognizes nurses whose program of research has significantly influenced high acuity and critical care.


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 are not included.) No promo code is needed for this member appreciation discount, which is applied automatically at checkout. If you’re not a member yet, please sign up to enjoy this incentive, plus many more benefits of belonging to our AACN community of exceptional nurses.


Updated pediatric certification review course

AACN launched an updated Pediatric CCRN/CCRN-K Certification Review Course 2015 to accompany the new CCRN and CCRN-K exams that went into effect Oct. 15. The revised online (on-demand) course reflects minor changes to the exams based on the study of practice completed in late 2013. The course explores valuable knowledge in the new Pediatric CCRN/CCRN-K test plan and how to apply this knowledge in clinical practice settings. AACN offers individual exam candidates 50 percent off this course (on-demand version only) when purchased with the exam application.


Support AACN through AmazonSmile

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


Transitions – November 2015

Events in the lives of AACN members and friends


Courageous Care

President's Note from November's AACN Bold Voices
Restoring Ourselves — Karen McQuillan, AACN President 2015-2016



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Manual of Perioperative Care in Adult Cardiac Surgery, 5th ed.

Author: R. Bojar
(Book, 832 pages, 2011)
Product Code:100252
ISBN: 9781444331431

The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care -- perfect for those who care for both routine and complex cardiac surgery patients.

Member Price: $73 (Non-Member: $76.95)





Cardiac Surgery Essentials for Critical Care Nursing, 2nd ed.

Author: S. Hardin, R. Kaplow
(Book, 550 pages, 2016)
Product Code:100257
ISBN: 9781284068320

This text is an evidence-based foundation for the care of patients immediately following cardiac surgery. A comprehensive resource, it serves as a foundation for nurses beginning to care for cardiac surgery patients, as well as a source of advanced knowledge for nurses who have mastered the essential skills to care for these patients.

Member Price: $68.25 (Non-Member: $73.95)





The 4 Stages of Heart Failure

Author: B. E. Jaski
(Book, 336 pages, 2015)
Product Code:100301
ISBN: 9781935395300

This book applies practical clinical concepts to the latest four-stage model of heart failure from preclinical risk and early asymptomatic disease to classic symptomatic heart failure and advanced heart failure.

Member Price: $82.75 (Non-Member: $89)





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RN - CCU/CVICU/CVSD $10,000 Commitment Bonus – Venice Regional Bayfront Health

Venice, FL

CCU/CVICU/CVSD –The ideal candidate is an RN with a current Florida license. A minimum of two years Critical Care experience preferred. BLS/ACLS required. Up to $10,000.00 commitment bonus within certain requirements.
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Critical Care Nursing Opportunities – Dignity Health – St. Rose Dominican

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St. Rose Dominican delivers awarding-winning care to the communities of Henderson and Las Vegas, Nevada. Opportunities available for RNs in Critical Care, Emergency Services, Bed-Side, and Shift Managers. Limited time $5,000 sign-on bonus!
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Critical Care Nursing Opportunities – Community Health Systems (CHS)

Brooksville & Spring Hill, FL

Join the Bayfront Health Brooksville & Spring Hill Team! We are currently recruiting for experienced RNs in ICU, PCU, Telemetry & ER. There is sign-on bonuses available for these specialty positions.
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Director of Nursing in Critical Care and Telemetry – Baptist Health Louisville

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If you would like to be part of a winning team with a great future, apply with us. Assist in the development of nursing standards of practice, policies and procedures, and more.
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Nurse Manager Cardiovascular Progressive Care - Palomar Medical Center

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Currently hiring Clinical RNs, Supervisor & Manager in ICU/Critical Care and IMC. Located in sunny California, we are the only designated Level II Trauma Center in North County San Diego. Apply Now.
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Experienced Critical Care Nursing Opportunities - Children’s Healthcare of Atlanta

Atlanta, GA

Join our team and help make kids better today and healthier tomorrow. We are looking for dynamic nurses to join our critical care nursing team at Children’s Healthcare of Atlanta!
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Critical Care, OR, and NICU – Inova Fairfax Hospital

Falls Church, VA

Inova Fairfax Hospital is currently seeking experienced nurses for Critical Care, OR and our expanding NICU.
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