Critical Care Newsline — December 17, 2009

Critical Care Newline Home
 

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. 17, 2009

********************************************
1. NEWS PCI use varies widely among coronary patients
2. EVIDENCE EOL surveys overestimate quality of palliative care
3. NEWS AACN launches FREE Web-based HWE Team Assessment
4. EVIDENCE JAMA study shows ICU infections increase mortality
5. EVIDENCE Dabigatran for acute venous thromboembolism as effective as warfarin
6. NEWS AACN offers FREE online, self-paced course, “Best Practices for Elder Care”
7. CLINICAL PRACTICE RESOURCES
8. AACN RESOURCE

1. NEWS PCI use varies widely among coronary patients
Patients with cardiogenic shock, delayed presentation or admission during regular hours were more likely to receive percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction according to a National Registry of Myocardial Infarction report published Nov. 30 by Circulation. The report, which profiled 444 hospitals, indicates that PCI use varies widely among myocardial infarction patients.

2. EVIDENCE EOL surveys may overestimate quality of palliative care
Patients whose family members completed end-of-life (EOL) surveys probably received better palliative care according to a report in December’s CHEST. Biases in survey responses may overstate the quality of palliative care received, it suggests. Read the abstract, or visit AACN’s Self Assessment: Palliative and End-of-Life Care Web site page for tools and resources.

3. NEWS AACN launches FREE Web-based HWE Team Assessment
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 (HWEs). 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.

4. EVIDENCE JAMA study shows ICU infections increase mortality
A study in the Dec. 2 issue of the Journal of the American Medical Association reports that ICU infections more than doubled patient mortality rates. The single-day study assessed 13,796 adult patients in 1,264 ICUs across 75 countries and found that more than half suffered from infections. Risk of infection increased with time spent in the ICU, it notes.

5. EVIDENCE Dabigatran for acute venous thromboembolism as effective as warfarin
A randomized trial in the Dec. 10 New England Journal of Medicine reports oral dabigatran to be as effective as warfarin for patients with acute venous thromboembolism. Oral dabigatran, made by Boehringer Ingelheim Pharmaceuticals, Ridgefield, Conn., has a similar safety profile as warfarin but doesn’t require laboratory monitoring, it states.

6. 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.

7. CLINICAL PRACTICE RESOURCES
PATIENT SAFETY
On Dec. 4, the U.S. Food and Drug Administration, Silver Spring, Md., requested Novartis AG, Basel, Switzerland, and Endo Pharmaceuticals, Newark, Del., to revise safety information for diclofenac sodium topical gel 1 percent to indicate the need for liver toxicity monitoring. Read more.

On Sept. 16, the FDA announced a box warning describing the risk of severe tissue injury including amputation from gangrene that could result from the contraindicated intravenous injection of promethazine hydrochloride. Preferred administration of the drug is deep intramuscular injection, the FDA notes. Read more.

EVIDENCE
Read a technology assessment report about blood lactate monitoring in critical care.

8. AACN RESOURCE
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 up to 90 days from the date of purchase. The 60-item CCRN SAE may be used for study or toward renewal. Certificants who take the CCRN SAE and pass with a score of 70 percent or more earn 15 Category A Continuing Education Recognition Points (CERPs) toward their next CCRN or PCCN renewal. The SAE offers CERPs, 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.

*****************************************************************************************
If you do not wish to receive e-mail updates from AACN, please reply to
unsubscribe@aacn.org

Do you have a comment, question or story idea for the Critical Care Newsline? Send your email to enewsletter@aacn.org

UPDATE YOUR OWN INFORMATION ONLINE

Did you know you can update your demographic profile, including your e-mail address, online? Simply log in using your membership or customer identification number. Your default password is the first 15 letters of your last name. Go to: http://www.aacn.org/DM/CustomerProfile/UpdateCustomerProfile.aspx

*****************************************************************************************

Your Feedback