Critical Care Newsline — December 10, 2009

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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 our 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.

Dec. 10, 2009

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1. NEWS AACN launches FREE Web-based HWE Team Assessment
2. NEWS ICU patients with H1N1 often obese, young, uninsured
3. NEWS New guidelines for myocardial infarction, percutaneous coronary intervention
4. NEWS AACN offers FREE online, self-paced course, “Best Practices for Elder Care”
5. NEWS Five U.S. resource centers offer TeamSTEPPS training
6. EVIDENCE Age, comorbidities contribute to healthcare-associated pneumonia mortality
7. GUIDELINE New guideline on red blood cell transfusion
8. EVIDENCE Early post-pyloric feeding not better than gastric feeding, study says
9. CLINICAL PRACTICE RESOURCES
10. AACN RESOURCE


1. NEWS AACN launches FREE Web-based HWE Team Assessment
Visit here to access the new AACN Healthy Work Environment Team Assessment, a FREE Web-based tool that helps nurse managers and leaders align hospital unit performance with the AACN Standards for Establishing and Sustaining Healthy Work Environments (HWE). This online tool -- developed with VitalSmarts, a provider of corporate training and organizational performance products and services in Provo, Utah -- aligns the performance of any clinical environment, from single hospital units to entire healthcare organizations, with the six HWE standards. They include skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition and authentic leadership.

2. NEWS ICU patients with H1N1 often obese, young, uninsured
ICU patients with H1N1 are more obese, younger and medically uninsured compared to the general population according to a report published online Nov. 20 by CHEST. Common symptoms exhibited by patients upon admission include severe acute respiratory distress syndrome with multi-organ dysfunction in the absence of bacterial infection.

3. NEWS New guidelines for myocardial infarction, percutaneous coronary intervention
Access the 2009 focused update of the American College of Cardiology/American Heart Association guidelines for managing patients with ST-elevation myocardial infarction and guidelines for percutaneous coronary intervention.

4. NEWS AACN offers FREE online, self-paced course, “Best Practices for Elder Care”
Visit the AACN Web site to access “Best Practices for Elder Care,” a FREE online, self-paced course that addresses complex issues specific to older patients and promotes a healthy work environment. This Web-based resource includes four units each of instructional content and interactive case studies and a 17-question self-assessment unit. AACN members earn four FREE hours of continuing nursing education (CNE) for completing this program. Nonmembers pay a nominal charge for the four CNE hours.

5. NEWS Five U.S. resource centers offer TeamSTEPPS training
Three-day master training courses for TeamSTEPPS will be available at five resource centers in the U.S. These training courses will create a national network of master trainers who teach the program to frontline providers in hospitals and other healthcare settings. The U.S. Department of Defense and Agency for Healthcare Research and Quality developed TeamSTEPPS, an evidence-based system to optimize patient outcomes through improved communication and teamwork. To apply for training, call 1-877-6STEPPS. Learn more.

6. EVIDENCE Age, comorbidities contribute to healthcare-associated pneumonia mortality
Probable reasons for higher mortality in patients with healthcare-associated compared to community-acquired pneumonia include older age, comorbidities and ICU admission criteria according to a study of 228 patients published Dec. 1 by CHEST.

7. GUIDELINE New guideline for red blood cell transfusion
The Eastern Association for Surgery of Trauma and American College of Critical Care Medicine issued a new guideline for red blood cell transfusion in adult trauma and critical care that appears in December’s Critical Care Medicine.

8. EVIDENCE Early post-pyloric feeding not better than gastric feeding, study says
Early post-pyloric feeding does not offer improved nutrition or reduced complications compared to gastric feeding for ICU patients on mechanical ventilation, states a prospective randomized study of 104 patients published Nov. 25 by Critical Care. Download a provisional PDF of the article.

9. CLINICAL PRACTICE RESOURCES
PATIENT SAFETY
On Nov. 4, Stryker, a medical technology company based in Kalamazoo, Mich., recalled 23 OR System II Surgical Navigation Systems because of a potential navigation component dysfunction. Read more.

A list of top 10 technology hazards for 2010 from ECRI Institute, Plymouth Meeting, Pa., includes cross-contamination from flexible endoscopes, alarm hazards, surgical fires, high radiation dose from computed tomography, and more.

Celebrate National Handwashing Awareness Week (Dec. 6-12). Wash your hands thoroughly to protect your patients from infection! Learn more about education tools.

10. AACN RESOURCES
The CCRN Adult Self-Assessment Exam (SAE) for candidates planning to test after Jan. 13, 2010, can be purchased for $50. The newly revised SAE, based on the new CCRN Adult Test Plan, provides automatic rationale for correct and incorrect answers. Candidates can access the program 90 days from the date of purchase. The 60-item CCRN SAE may be used one time by CCRNs renewing with a passing score of 70 percent or more on Category A Continuing Education Recognition Points (CERPs). Candidates may earn CERPs but not CE credit. Technical requirements include a computer with Internet access, a Web browser (version 4.0 or greater), cookies enabled and a current e-mail account.

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