CriticalCare eNewsline — October 23, 2014

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October 23, 2014


ACTION - Ebola Web page

EVIDENCE - Transfusions and hemoglobin levels

NEWS - From the FDA

AACN UPDATE - Start planning for NTI 2015




I have an almost complete disregard of precedent, and a faith in the possibility of something better. It irritates me to be told how things have always been done. I defy the tyranny of precedent. I go for anything new that might improve the past. ~ Clara Barton



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Ebola update

AACN created an Ebola Web page to serve as a central location where nurses can access links to the latest information and resources, including new protocols from Emory Healthcare.

On Oct. 20, the Centers for Disease Control and Prevention (CDC), Atlanta, issued “Tightened Guidance for U.S. Healthcare Workers on Personal Protective Equipment for Ebola,” which includes step-by-step instructions. The guidance notes three principles: rigorous and repeated training, no skin exposure and a trained monitor.

On Oct. 17, AACN, American Organization of Nurse Executives, Washington, and the Emergency Nurses Association, Des Plaines, Illinois, released a joint statement about their “specialty nursing and leadership organization collaboration related to Ebola Virus Disease, on behalf of their 150,000-plus combined nurse members.”

Download a PDF with slides from “Preparing for Ebola: What U.S. Hospitals Can Learn From Emory Healthcare and Nebraska Medical Center,” a webinar held by the CDC on Oct. 14.


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.


Submit your story to is inviting nurses to submit their stories for “The Next Shift: Nurturing Tomorrow’s Nurses.” The initiative asks for best tips, defining career moments, favorite anecdotes or other insights that would benefit nurses starting in the profession. Stories will be considered for publication in print, online or in an upcoming special collection.


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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Article in CCN discusses aPTT accuracy when drawing from central catheter

Activated Partial Thromboplastin Times From Venipuncture Versus Central Venous Catheter Specimens in Adults Receiving Continuous Heparin Infusions,” an article in October’s Critical Care Nurse (CCN), sets out to determine if there is a difference in aPTT results between specimens collected from a CVAD compared with venipuncture in patients receiving heparin infusions.


Early goal-directed therapy

Goal-Directed Resuscitation for Patients With Early Septic Shock,” published Oct. 16 in The New England Journal of Medicine, notes that early goal-directed therapy does not reduce all-cause mortality at 90 days in patients with early septic shock arriving in the emergency department.


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.


Opioids for chronic non-cancer pain

On Sept. 30, “Opioids for Chronic Noncancer Pain: A Position Paper of the American Academy of Neurology,” was published in Neurology, and the press release, issued Sept. 29, notes “the risk of death, overdose, addiction or serious side effects with prescription opioids outweighs the benefits in chronic, non-cancer conditions such as headache, fibromyalgia and chronic low back pain.”



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Infection Prevention Week

International Infection Prevention Week, Oct. 19-25, sponsored by the Association for Professionals in Infection Control and Epidemiology, Washington, raises awareness of the role infection prevention plays in improving patient safety. This year’s theme is Antibiotic Resistance. Access educational resources, promotional materials and the infographic “The ABC’s of Antibiotics.”


News from the FDA

On Oct. 17, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, announced that Hospira, Lake Forest, Illinois, recalled one lot of 1% Lidocaine HCI for Injection, USP, 10 mg per mL, 30 mL Single-dose, Preservative-Free because of a report of particulate in one unit.


CDC develops new test for enterovirus D68

On Oct. 14, the Centers for Disease Control and Prevention (CDC), Atlanta, announced it is using a new, faster test for detecting enterovirus D68 (EV-D68). The CDC will be able to “more rapidly test remaining specimens received from states since mid-September.” The agency anticipates that cases of EV-D68 and other enteroviruses “will likely begin to decline by late fall.” Access information on clinical evaluation, reporting and treatment of patients with EV-D68.


New CNS competencies

On Oct. 6, the Association of Women’s Health, Obstetric and Neonatal Nurses, Washington, and the National Association of Clinical Nurse Specialists, Philadelphia, released the first-ever Women’s Heath Clinical Nurse Specialist Competencies. A task force of members from both associations developed the competencies, which are for all graduates of master’s, doctorate of nursing practice and postgraduate programs that prepare Women’s Health CNSs for certification and licensure.



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Flu resources from CDC

Access the Centers for Disease Control and Prevention’s (CDC’s) “Seasonal Influenza Vaccination Resources for Health Professionals” to update your knowledge, and refer patients and the public to “Flu Season Is Around the Corner,” which provides information on the importance of vaccination, vaccine options and safety.


Ethics video

Access the third in a series of videos from the National Nursing Ethics Summit, co-sponsored by Johns Hopkins University School of Nursing and Berman Institute of Bioethics, held in mid-August. The video shows participant responses to the question, “In an ideal world, what would you be doing differently as a nurse?”



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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 for “Saving Face: Preventing Device-Related Pressure Ulcers,” Thursday, Nov. 13, 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.


Start planning for NTI 2015

It’s time to start planning your experience at AACN’s National Teaching Institute & Critical Care Exposition (NTI), which for the first time is in San Diego, May 17-21, 2015:

Book your hotel early for the best selection and rates, since reservations are assigned on a first-come, first-served basis. April 1, 2015 is the deadline to receive discounted room rates. Please call 800-340-1840 with your questions.

Preconferences will be held Sunday, May 17, and the main conference will run Monday, May 18 through Thursday, May 21.

Start exploring all that San Diego has to offer, including a Mediterranean climate with 70 miles of coastline.



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 Certification and Core Review for High Acuity and Critical Care," 6th ed.

Editor: J. Grif Alspach
(Book w/CDROM, 192 pages, 2007)
Product Code:128800
ISBN: 9781416035923

This book helps readers assess and build their knowledge of critical care nursing as they prepare for the certification exam. It consists of three 150-item sample exams that provide extensive practice and review key content, including a review of the AACN Synergy Model for Patient Care. The supplied CD-ROM draws on the questions in the text and has an additional 50 questions. An in-depth rationale with references is included for each question.

Member Price: $58 (Non-Member: $63.95)





AACN Men's Fleece Jacket

Product Code:402952
ISBN: 88095-711-L

Show your pride with this durable full-zip fleece jacket that shows you belong to a community of exceptional nurses.

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






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