CriticalCare eNewsline — September 18, 2014

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September 18, 2014


ACTION - Access free AAMI podcasts

EVIDENCE - Vitamin D and mortality risk

NEWS - National Prescription Drug Take-Back Day

AACN NEWS - AACN scholarships for NLN institute




I know I will be a good nurse, but I want to be more than that. I want to be a nurse who makes a change in my community; one that improves the lives of my patients through quality, compassionate, culturally centered patient care.
— Jaime Contreras, A Nurse I Am scholarship



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Access free podcasts on healthcare technology

Association for the Advancement of Medical Instrumentation (AAMI), Arlington, Virginia, in partnership with Healthcare Tech Talk, is launching a series of free podcasts, featuring interviews with experts in healthcare technology, which you can also listen to whenever it’s convenient. Podcasts are available on the AAMI website and through iTunes, TuneIn and Stitcher.


Apply for an AACN grant by Oct. 31

AACN invites clinicians and researchers to apply for $160,000 in grants, which can 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. Principal investigators must be current AACN members and hold at least a master’s degree. Applications must be submitted online by Friday, Oct. 31.


Submit DRL nominations by Dec. 1

Participate in selecting AACN’s 2016 Distinguished Research Lecturer (DRL) by nominating a nationally recognized nurse researcher. Honorees represent a legacy of contributions to acute and critical care nursing. Established in 1982, the Distinguished Research Lectureship is one of critical care nursing’s most prestigious global honors. Supported by a grant from Philips Healthcare, Andover, Massachusetts, the award recognizes nurses whose program of research has significantly influenced high acuity and critical care.


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.



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Article in AJCC finds vitamin D deficiency may increase mortality risk

Deficiency in 25-Hydroxyvitamin D and 30-Day Mortality in Patients With Severe Sepsis and Septic Shock,” an OnlineNOW article in September’s American Journal of Critical Care (AJCC), finds that patients deficient in vitamin D within 30 days of hospital admission for severe sepsis or septic shock may be at increased risk for all-cause 30-day mortality.


CNE article in AJCC notes predictors of agitation

Predictors of Agitation in Critically Ill Adults,” a CNE article in September’s American Journal of Critical Care (AJCC), sought to find predictors of agitation upon admission and within 24 hours before onset. It notes that most predictors are clinical and include use of illicit substances or restraints, height, respiratory or neurological compromise, duration of mechanical ventilation, acidemia, pain and presence of genitourinary catheters.


Readmission rate after cardiac surgery

Almost one in five patients who have cardiac surgery are readmitted within 65 days of the operation, according to “Readmissions After Cardiac Surgery: Experience of the National Institutes of Health/Canadian Institutes of Health Research Cardiothoracic Surgical Trials Network,” posted online Sept. 4 in The Annals of Thoracic Surgery. First readmissions are more common in the first 30 days than subsequently.


September’s Pediatric Critical Care Medicine includes:

Risk Factors for Acquiring Functional and Cognitive Disabilities During Admission to a PICU,” which identifies the following risk factors: trauma diagnosis, unscheduled admission to the pediatric ICU, highest risk of mortality category, oncologic or neurologic primary diagnoses, invasive mechanical ventilation, renal replacement therapy, cardiopulmonary resuscitation and extracorporeal membrane oxygenation.

A Stepwise Enteral Nutrition Algorithm for Critically Ill Children Helps Achieve Nutrient Delivery Goals,” which finds that an enteral nutrition algorithm significantly reduces the number of times enteral nutrition is interrupted and the use of parenteral nutrition among patients in a pediatric ICU.


Nonphysicians can supervise exercise testing

Supervision of Exercise Testing by Nonphysicians: A Scientific Statement From the American Heart Association,” Dallas, posted online Aug. 18 in Circulation, states that properly trained nonphysicians, including RNs, nurse practitioners and physician assistants, may administer and supervise exercise testing independently, although a physician must be physically present for high-risk patients.



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CDC issues enterovirus health advisory

On Sept. 12, the Centers for Disease Control and Prevention (CDC), Atlanta, issued the health advisory “Severe Respiratory Illness Associated With Enterovirus D68 – Multiple States, 2014,” which recommends healthcare providers consider EV-D68 “as a possible cause of acute, unexplained severe respiratory illness, even in the absence of fever” and notes that although to date only children have been affected, adults may be susceptible to EV-D68 too.


Sept. 27: National Prescription Drug Take-Back Day

Sponsored by the U.S. Department of Justice, Washington, and the Drug Enforcement Administration, Springfield, Virginia, National Prescription Drug Take-Back Day takes place Sept. 27, 10 a.m.-2 p.m. local time, at collection sites across the country. The event provides a safe and responsible means to dispose of prescription drugs and educates the public about the potential for medication abuse. Find a collection site near you.


Viruses can spread quickly through a building

A study presented Sept. 8 at the 54th Interscience Conference on Antimicrobial Agents and Chemotherapy, in Washington, finds that contamination of a single doorknob or tabletop with a tracer virus can spread rapidly. Within two to four hours the virus was found on 40 to 60 percent of personnel and visitors, as well as commonly touched objects, in buildings such as hotels and healthcare facilities. “Simple use of common disinfectant wipes reduced virus spread by 80 to 89 percent,” according to “How Quickly Viruses Can Contaminate a Building.”



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Discount for on-demand PCCN certification course

AACN offers nurses who seek PCCN certification a comprehensive review course to help prepare for the exam. The on-demand version of the PCCN course is provided at a 50 percent discount when purchased with the exam application. Based on a live webinar, the course features interactive learning and 13 hours of CNE. Discounted on-demand prices for members/nonmembers are $79.50/$99.50. Without the exam, on-demand prices are $159/$199. The CD-ROM costs $179/$199. Learn more, and purchase the course.


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 the growing number of 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.



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Attend NLN Leadership Institute with AACN scholarship

Apply by Sept. 30, for an AACN continuing professional development scholarship to attend the National League for Nursing (NLN) Leadership Institute, three full-year programs that help nurse faculty develop strong leadership skills. To apply for an AACN scholarship, you need to assess gaps in your health policy knowledge and skills, identify what you want to learn and explain how you will evaluate and apply your learning. Attendance requires separate registration with NLN, also by Sept. 30. Visit for more information, or email with your questions.


Focus the Flame

President's Note from September's AACN Bold Voices
“Driving Excellence Isn’t Another Chore”— Teri Lynn Kiss, AACN President 2014-2015



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AACN Medication Calculation Pocket Reference Card

Author: AACN
(Pocket Cards, 2009)
Product Code:400851

Laminated, foldable pocket reference offers several methods to calculate concentrations of drugs per ml of fluid delivered. It includes how to factor in amount of drug, conversion factor and concentration, plus examples of calculation for microgram per kilogram per minute, micrograms per minute, milligram per minute and milligram per hour.

Member Price: $2 (Non-Member: $4)





Women's CCRN Full Zip Fleece Jacket in Black

Product Code:402391
ISBN: 684772456793

Lightweight warmth in a flattering feminine silhouette, with princess seams. This jacket is custom embroidered with the CCRN logo in blue.

Member Price: $40 (Non-Member: $50)





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





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


Registered Nurse – CCU - Sacred Heart Hospital

Eau Claire, WI

Join our progressive and growing medical center where the highest priority is on providing a “patient and employee first” environment. Rotating, 36 hours/week.
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


PICU Career Opportunities UVA Open House Sept. 27 - University of Virginia Medical Center

Charlottesville, VA

The Pediatric Intensive Care Unit at the University of Virginia Medical Center is looking for nurses with a minimum of 2 years of PICU or pediatric acute experience.
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






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