CriticalCare eNewsline — October 16, 2014

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October 16, 2014


ACTION - Comment on clinical alarm management NPSG

EVIDENCE - Chlorhexidine bathing

NEWS - FDA announces recalls

AACN UPDATE - Apply for AACN grant by Oct. 31




Our society must make it right and possible for old people not to fear the young or be deserted by them, for the test of a civilization is the way that it cares for its helpless members.
~ Pearl S. Buck



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Request for hospital feedback on clinical alarm management NPSG

The Joint Commission, Oakbrook Terrace, Illinois, is asking hospitals for feedback on their experiences with the requirements of the new National Patient Safety Goal (NPSG) on clinical alarm management. The comments, due Oct. 29, will help determine whether the goal needs enhancement before Phase II implementation begins Jan. 1, 2016.


Apply for three new grants

The American Association of Colleges of Nursing, Washington, and the Centers for Disease Control and Infection, Atlanta, are accepting grant applications for “three small evaluation projects focused on expanding the evidence base related to the impact of academic-practice partnerships on population health and public health.” Each grant is $5,000, and the application deadline is Nov. 15.


Participate in study on patient safety

Deborah Crumpler, doctoral student at The University of Texas at Tyler, invites critical care nurses who meet the criteria to participate in “Critical Care Nurses’ Intention to Speak Up About Patient Safety Concerns: The Influence of Beliefs and Attitudes According to the Theory of Planned Behavior, Study 2.” Participants in the confidential survey may enter a drawing for one of three Apple iPad minis. Please email Crumpler with your questions, or call her at 903-663-8226.



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CNE article in CCN finds chlorhexidine bathing reduces MRSA

Chlorhexidine Gluconate Bathing to Reduce Methicillin-Resistant Staphylococcus aureus Acquisition,” a CNE article in October’s Critical Care Nurse (CCN), finds that the chlorhexidine protocol is easy to implement, cost-effective and decreases ICU-acquired MRSA rates.


Chlorhexidine bathing

Does Chlorhexidine Bathing in Adult Intensive Care Units Reduce Blood Culture Contamination? A Pragmatic Cluster-Randomized Trial,” in October’s Infection Control & Hospital Epidemiology, finds that the bathing significantly reduces blood culture contamination.


Transfusions based on hemoglobin levels

Patients with sepsis who receive transfusions based on lower or higher thresholds of hemoglobin levels have similar rates of ischemic events and mortality at 90 days, according to “Lower Versus Higher Hemoglobin Threshold for Transfusion in Septic Shock,” published Oct. 9 in The New England Journal of Medicine.


October’s Pediatric Critical Care Medicine includes the following:

Integrating Palliative Care Into the PICU: A Report From the Improving Palliative Care in the ICU Advisory Board” reviews palliative care in the PICU and concludes that it “should begin at the time of a potentially life-limiting diagnosis and continue throughout the disease trajectory,” and it is “rapidly becoming the standard for high quality care of critically ill children.”

Nurse Decision Making Regarding the Use of Analgesics and Sedatives in the Pediatric Cardiac ICU” finds that pediatric ICU nurses use many nonspecific indicators to describe patients’ comfort level, and hemodynamic stability affects how nurses manage comfort.


Preventing neurologic adverse effects caused by medications

Adverse Neurologic Effects of Medications Commonly Used in the Intensive Care Unit,” in October’s Critical Care Clinics, discusses strategies for avoiding medication-induced neurologic adverse effects, including evaluating a patient’s medical history, maintenance medication and new therapies.



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Ebola news and resources

Letter from AACN and additional resources for our community of nurses

CDC Makes Safety Improvements at Presbyterian to Reduce Staff’s Ebola Risk,” DallasNews, Oct. 13

CDC Update on Ebola Response, 10-13-2014 – Press Briefing Transcript,” Centers for Disease Control and Prevention, Atlanta

Ebola Resources for Clinicians From the Centers for Disease Control and Prevention,” posted Oct. 3 by APIC: Association for Professionals in Infection Control and Epidemiology, Washington


News from the FDA

On Oct. 10, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, announced two recalls. CareFusion, Minneapolis, recalled its EnVe and ReVel ventilators because of potential damage to the power cord adaptors, which can cause loss of power and shut off. ICU Medical, San Clemente, California, recalled the Stat2 Flow Controller, because it was assembled with the wrong internal component and “may deliver fluid at a much higher flow rate that what is set.”

On Oct. 8, the FDA announced that Hospira, Lake Forest, Illinois, recalled one lot of Vancomycin Hydrochloride for Injection, USP, Equivalent to 1 g Vancomycin (Sterile Powder), because the product may have been exposed to temperature excursions during shipment.


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Enterovirus D68

The Centers for Disease Control and Prevention (CDC), Atlanta, published information about Enterovirus D68 (EV-D68) for the public and for healthcare professionals. From mid-August to Oct. 7, a total of 628 people in 44 states and the District of Columbia were confirmed to have respiratory illness caused by EV-D68.


Urinary catheters often used when not needed

Many hospitals use urinary catheters when they are not medically necessary, according to “Urinary Catheter Indications in the United States: Results From a National Survey of Acute Care Hospitals,” in October’s Infection Control & Hospital Epidemiology.



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Apply for an AACN grant by Oct. 31

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.


Submit nominations for 2014 AACN Chapter Awards

Nominate your choices for the 2015 AACN Chapter Awards, which recognize exemplary efforts to make a difference in the healthcare profession and local communities. The awards recognize contributions and achievements that exemplify AACN’s mission, vision, values and ethic of care. Award categories:

Excellence in Chapter Collaboration

Excellence in Chapter Leadership Development

Excellence in Chapter Community Education & Public Service

Excellence in Chapter Educational Programming

Excellence in Promoting the Value of Certification

AACN President’s Award for Chapters

Nominations for the President’s Award for Chapters close Feb. 15, 2015. All other nominations close Nov. 1, 2014.


Live webinar: 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 AACN’s live webinar “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.


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 Pulmonary Management Pocket Reference Card

Author: AACN
(Pocket Cards, 2009)
Product Code:400857

This pocket reference gives nurses quick and convenient pulmonary information including pulmonary assessment, breath sounds, blood gas analysis, ventilator settings and weaning criteria.

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





AACN Women's Fleece Jacket

Product Code:402962
ISBN: 78025-801-L/G

Exceptional community. Exceptional style. Get cozy in this ultrasoft full-zip fleece jacket in light gray.

Member Price: $41 (Non-Member: $45)






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