Critical Care Newsline — October 2, 2008

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Critical Care Newsline, the electronic newsletter from the American Association of Critical-Care Nurses, contains information selected just for you by AACN’s clinical practice experts. In each issue, you’ll find links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and Web sites that will keep you informed on issues affecting nurses and the nursing profession.


Oct. 2, 2008

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1. RESOURCE Joint Commission Issues Patient Brochure on Pain Management
2. NEWS 2007-08 Member Get-A-Member Campaign Has Banner Year; Final Results Now Online
3. EVIDENCE Pulmonary Pressure: Infants Breathe Easier With Nitric Oxide, Milrinone Following Fontan Operation (Abstract)
4. RESOURCE New Guide Enhances Outpatient Care for Patients with Heart Failure
5. RESOURCE New Web-based Interactive Tool Helps Disaster Planning Efforts
6. EDUCATION Half-day Cardiac Care Workshops Across the U.S. Sponsored by PCNA-AACN
7. CALL TO ACTION Research and Creative Solutions and Chapter Poster Abstracts Sought for NTI 2009
8. Clinical Practice Resources
9. AACN Resources
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1. RESOURCE Joint Commission Issues Patient Brochure on Pain Management
The Joint Commission has released a brochure to help patients work with their healthcare professionals to better manage pain. The brochure encourages patients to ask their caregiver specific questions about pain medication, including dosing, side effects, how long the medication will take to work and what to do if it doesn’t. The campaign is part of the Joint Commission's Speak Up program to help patients become more involved in their healthcare.

2. NEWS 2007-08 Member-Get-A-Member Campaign Has Banner Year; Final Results Now Online
More than 1,400 individuals and chapters recruited 6,333 new AACN members during the 2007-08 Member-Get-A-Member campaign, culminating in a record-setting 12-month drive. The complete list of recruiters is posted on AACN’s Web site.

3. EVIDENCE Pulmonary Pressure: Infants Breathe Easier With Nitric Oxide, Milrinone Following Fontan Operation (Abstract)
Inhaled nitric oxide and intravenous milrinone effectively stabilized infants who developed pulmonary hypertension following a Fontan operation, according to the results of a randomized study. The drug combination reduced pulmonary vascular resistance (PVR) that may result from the procedure and shortened the amount of time patients spent on mechanical ventilation. Higher PVR is related to increased illness and death after a Fontan procedure.

4. RESOURCE New Guide Enhances Outpatient Care for Patients with Heart Failure
The Institute for Healthcare Improvement (IHI) has just released a “Getting Started Guide” to enhance outpatient care for individuals with heart failure. The guide includes key components of high quality outpatient care for those with heart failure; details on effective improvement methods; and measures, tools and resources that can be used in an outpatient setting. To download the guide, register with IHI; registration is free.

5. RESOURCE New Web-based Interactive Tool Helps Disaster Planning Efforts
The Agency for Healthcare Research and Quality has released the Hospital Surge Model, a tool to help hospitals and emergency planners identify resource requirements to treat an influx of patients during major disasters such as an influenza pandemic or a terrorist attack. By using this new resource, healthcare personnel can estimate, by day, the number and flow of casualties needing medical attention.

6. EDUCATION Half-day Cardiac Care Workshops Across the U.S. Sponsored by PCNA-AACN
This Fall, you can participate in free half-day CE programs designed to improve cardiovascular disease outcomes. Hosted by the Preventive Cardiovascular Nurses Association (PCNA) in collaboration with AACN, the sessions focus on treatment pathways and breakthroughs for ACS and MI patients; point-of-care testing to improve outcomes for patients at risk of heart failure, dyslipidemia and coagulation disorders; and information about the residual risk of HDL and triglycerides. Online pre-registration is required. Click on one of the following to find a location near you.
Management of the Acute Heart Failure Patient
Stroke Prevention: Role of Inflammatory Markers
The Role of Home Blood Pressure Monitoring in the Management of Hypertension: An Alternative to Office Visits?

ACS and MI: Treatment Pathways and Breakthroughs
Point of Care Testing: Strategies to Improve Care for Patients at Risk for Heart Failure, Dyslipidemia, and Coagulation Disorders
Residual Risk, the HDL-Triglyceride Story

7. CALL TO ACTION Research and Creative Solutions and Chapter Poster Abstracts Sought for NTI 2009
Showcase your best practices and share what you’ve learned with your colleagues by submitting abstracts for presentation at NTI 2009 in New Orleans. The deadline is Oct.15, 2008. You do not have to be an AACN member.

8. Clinical Practice Resources

EVIDENCE-BASED PRACTICE
Cervical spine injury in young children: a National Trauma Data Bank review (Abstract)

Ventilator-Associated Tracheobronchitis (VAT): The Impact of Targeted Antibiotic Therapy on Patient Outcomes (Abstract)

GUIDELINES
Delirium: Prevention, Early Recognition, and Treatment. In: Evidence-based Geriatric Nursing Protocols for Best Practice

PATIENT SAFETY ISSUES
Epoetin alfa- Preliminary Safety Findings Show More Deaths In Patients Given Epoetin-alpha Versus Placebo

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