CriticalCare eNewsline — August 28, 2014


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August 28, 2014


ACTION - Webinar on post-intensive care syndrome

EVIDENCE - High-dose influenza vaccine

NEWS - Sentinel Event Alert

AACN NEWS - AACN publications earn awards




Everything will be all right in the end ... so if it’s not all right then it is not yet the end.
—— Sonny, “The Best Exotic Marigold Hotel"



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Apply to take certification exams at TRENDS

Paper and pencil administration of the CCRN, CCRN-E, CCRN-K, PCCN, CNML, CMC and CSC exams will be offered Friday morning, Oct. 3, at “TRENDS in Critical Care Nursing,” King of Prussia (Philadelphia area). You must send payment with the special TRENDS exam application, and both must arrive at AACN no later than Friday, Sept. 5. Learn more and download an application. For a CNML exam application, email


Register for free, live webinar Sept. 11: Post-Intensive Care Syndrome

Learn about post-intensive care syndrome (PICS) at AACN’s live webinar, “Post-Intensive Care Syndrome: ICU Interventions Matter,” Thursday, Sept. 11, 10 a.m. PT. Brenda Pun, program clinical manager, Vanderbilt University Medical Center, Nashville, will define PICS and discuss strategies to implement in the ICU to decrease its severity as well as how to help patients recover after discharge. Free registration includes the webinar, implementation tools and access to the on-demand recording. CNE is offered at no charge for AACN members and $5 for nonmembers.


Attend NINR Director’s Lecture

Plan to attend “Innovations in High-Risk Infant Care: Creating New Pathways,” the 2014 Director’s Lecture from the National Institute of Nursing Research (NINR), Bethesda, Maryland. The free lecture, Sept. 16, 10:30-11:30 a.m. ET, in Bethesda, will be presented by Barbara Medoff-Cooper. She is recognized internationally for her research, which she applies to the development of strategies and technologies to improve outcomes for infants.


Participate in study on new nurse readiness

Merry van Zoeren, doctoral student at the University of Phoenix, invites critical care nurse preceptors who meet the criteria to participate in a study titled “New Nurse Readiness for Practice in Relationship to Hospital Patient Safety Culture From the Preceptor’s Perspective.” The confidential survey takes 10 to 15 minutes to complete. Please email van Zoeren with your questions.


Submit haiku to Pulse

Pulse: Voices From the Heart of Medicine is now seeking up to three submissions of haiku, which will be published next year. The magazine would like “unpublished pieces inspired by your experiences in health care,” which will be accepted until the complement for 2015 is filled. Access guidelines, submission information and a slide show of past haiku.



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CNE of the Month: Article in CCN reviews enteral nutrition

Interruptions in Enteral Nutrition Delivery in Critically Ill Patients and Recommendations for Clinical Practice,” a CNE article in August’s Critical Care Nurse (CCN), discusses interventions and strategies to diminish time spent without enteral feeding.


High-dose influenza vaccine provides better protection

Among people 65 years or older, high-dose influenza vaccine provided better protection against influenza than the standard dose, according to “Efficacy of High-Dose Versus Standard-Dose Influenza Vaccine in Older Adults,” posted online Aug. 14 in The New England Journal of Medicine.


Many patients with defibrillators, pacemakers have low health literacy

Assessing Health Literacy in Urban Patients With Implantable Cardioverter Defibrillators and Pacemakers,” published online Aug. 2 in Journal of Cardiovascular Nursing, finds that 40 percent of older patients with these devices have inadequate or marginal health literacy.


Milliliter-only standard for liquid medications reduces errors

Compared with parents who use milliliter dosing, those who use teaspoon or tablespoon units have twice the odds of making an error in the dose, according to “Unit of Measurement Used and Parent Medication Dosing Errors.” Adopting milliliters as the standard for liquid medications would reduce errors, concludes the study, posted online July 14 in Pediatrics.



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Sentinel Event Alert on transition to new connector standards

On Aug. 20, The Joint Commission, Oakbrook Terrace, Illinois, released the Sentinel Event Alert “Managing Risk During Transition to New ISO Tubing Connector Standards.” New International Organization for Standardization (ISO) tubing connector standards are being developed for manufacturers, to avoid patient injury and death from misconnections. The alert contains an infographic with reminders and tips for managing risk during the transition.


Simulation study results

On Aug. 21, the National Council of State Boards of Nursing (NCSBN), Chicago, issued a press release with results of “The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours With Simulation in Prelicensure Nursing Education,” which was published in July’s Journal of Nursing Regulation. The study concludes that substituting high-quality simulation experiences for up to half of traditional clinical hours produces comparable end of program educational outcomes for those students whose experiences are mostly traditional clinical hours and produces new graduates who are ready for clinical practice.


National CNS Recognition Week, Sept. 1-7

Sept. 1-7 marks the sixth annual National CNS Recognition Week, when hospitals pay tribute to and build awareness of the clinical nurse specialist’s (CNS’s) important role in patient care. The National Association of Clinical Nurse Specialists, Philadelphia, is providing several resources to promote the event, including a fact sheet, an idea guide, a sample op-ed, a news release template and a sample proclamation. Access CNS resources through AACN’s list of National CNS Standards and Guidelines.



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Free PowerPoint slide presentations on sepsis guidelines

Download a file with 12 individual slide presentations and one all-inclusive presentation that provide background for the recommendations and suggestions in “International Guidelines for Management of Severe Sepsis and Septic Shock 2012,” from the Surviving Sepsis Campaign. Authors of the guidelines developed the free PowerPoint slide presentations, which can be “used for educational purposes to improve knowledge and team performance.”


Always Event starter kit

The Institute for Healthcare Improvement, Cambridge, Massachusetts, offers the Always Events Getting Started Kit. Always Events are experiences so important to patients and families that healthcare providers must perform them consistently for every patient, every time. The kit includes how to implement an Always Event initiative.



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AACN publications receive awards

AACN is honored with six awards for excellence in publishing from three separate organizations — Western Publishing Association, Westlake Village, California; American Society of Healthcare Publication Editors, Twinsburg, Ohio; and Communications Concepts, Springfield, Virginia. American Journal of Critical Care, Critical Care Nurse and NTI Voices, which is produced in conjunction with SLACK Inc., received awards in several categories.


Focus the Flame

President's Note from August's AACN Bold Voices
“The Element Lights Our Way”— Teri Lynn Kiss, AACN President 2014-2015



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CSC Certification Review Course on CD-ROM, 3rd ed.

Author: M. Ellis
Editor: AACN
(CD Rom, 2013)
Product Code:300910

This certification review course, based on the 2012 test plan, will equip you with in-depth knowledge on the care of patients undergoing surgery for coronary artery revascularization, cardiac valve repair/replacement or thoracic aorta repair. Research and evidence-based practice are stressed throughout the course, which includes test-taking skills and a PDF with handouts. Course offers 12.4 CNE contact hours.

Member Price: $129 (Non-Member: $155)





AACN Water Bottle

Product Code:402111

Stay hydrated with this BPA-free stainless steel-rim AACN water bottle.

Member Price: $12 (Non-Member: $15)





AACN Shopper Bag

(Tote Bags)
Product Code:402131

Brightly colored, laminated tote featuring the AACN Community logo. Great for shopping!

Member Price: $3 (Non-Member: $3.50)





Featured Career Opportunities





Multiple RN Positions Available - VA ST Louis Health Care System

St. Louis, MO

With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips.
Read more about this position


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


Critical Care Opportunities – University of Wisconsin Hospital and Clinics

Madison, WI

If you’re a critical care nurse, you’ll find remarkable opportunities at Wisconsin’s #1 hospital, in Madison, Wisconsin—one of the “Top 100 Places to Live.”
Read more about this position


RN’s – St. John Medical Center

Tulsa, OK

We are a general medical and surgical hospital and are currently seeking RN’s in; CVICU, Neuro Trauma ICUE, ICU Charge Nurse & Adult ICU. One year experience required.
Read more about this position


RN – Critical Care Nurse Educator – Cedars-Sinai

Los Angeles, CA

Immediate opening available for a Critical Care Nurse Educator at Cedars-Sinai, a world-class healthcare provider with an unprecedented four-time Magnet® recognition.
Read more about this position


Program Manager – American Association of Critical-Care Nurses

Aliso Viejo, CA

The Program Manager will direct the daily work of AACN Clinical Scene Investigator (CSI) Academy.
Read more about this position






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