Critical Care Newsline — February 12, 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 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.

Feb. 12, 2009

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1. EVIDENCE More than 60,000 Patients at Risk for Hepatitis B and C Due to Poor Infection Control
2. RESOURCE How to Correct Unsafe Injection Practices
3. NEWS HIPAA Rule Inadequate to Protect Patient Privacy, IOM Reports
4. CALL FOR RESPONSE Take AACN’s Web Site Users Survey; Deadline Extended to Feb. 26
5. REMINDER NTI Paper and Pencil Certification Exam Application Deadline
6. CALL FOR APPLICATIONS Apply by April 1for Medication Safety Team Grant
7. RESOURCE AACN President’s Theme Creates Confidence, Empowerment
8. Clinical Practice Resources
9. AACN Resources
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1. EVIDENCE More than 60,000 Patients at Risk for Hepatitis B and C Due to Poor Infection Control
In the last decade, more than 60,000 patients in the United States were asked to get tested for hepatitis B virus (HBV) and hepatitis C virus (HCV) because healthcare personnel in settings outside hospitals failed to follow basic infection control practices, according to a new study by the Centers for Disease Control (CDC).
Transmission of HBV and HCV while receiving healthcare has been considered uncommon in the U.S. However, a review of CDC outbreak information revealed a total of 33 identified outbreaks outside of hospitals in 15 states, during the past decade: 12 in outpatient clinics, six in hemodialysis centers and 15 in long-term care facilities, resulting in 450 people acquiring HBV or HCV infection. Patients were exposed to these potentially deadly diseases because healthcare personnel failed to follow basic infection control procedures and aseptic technique in injection safety. Reuse of syringes and blood-contamination of medications, equipment and devices were identified as common factors in these outbreaks. “Thousands of patients are needlessly exposed to viral hepatitis and other preventable diseases in the very places where they should feel protected. No patient should go to their doctor for healthcare only to leave with a life-threatening disease. To protect patients, infection control training, professional oversight, licensing, innovative engineering controls and public awareness are needed in these healthcare settings,” the authors concluded.

2. RESOURCE How to Correct Unsafe Injection Practices
A safe injection does not harm the recipient, does not expose the provider to any avoidable risks and does not result in waste that is dangerous for the community, according to authors of a PowerPoint presentation, “A ‘Never Event’: Unsafe Injection Practices,” from the Centers for Disease Control. The resource, which describes safe injection and other basic infection control practices, shows healthcare professionals how to recognize and correct unsafe practices; explains why injection safety and basic infection control practices of healthcare personnel need to be monitored; describes the potential consequences of syringe reuse and other unsafe practices; and provides links to CDC infection control guidance and educational materials

3. NEWS HIPAA Rule Inadequate to Protect Patient Privacy, IOM Reports
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule does not adequately protect patient privacy, and it hinders health research discoveries, concludes a new report from the Institute of Medicine (IOM). Congress should authorize the development of an entirely new approach to protecting the privacy of personal health information in research, the report’s authors note. However, if policymakers decide to continue relying on this regulation, the authors recommend a series of changes to the rule and its application. Click here to read more or download a copy of the report.

4. CALL FOR RESPONSE Take AACN’s Web Site Users Survey; Deadline Extended to Feb. 26
If you haven’t yet taken our Web site users survey, you still have time. We’ve extended the deadline for response until Feb. 26. The survey takes about five minutes, but those five minutes will help us create a site that better meets your needs and further enhances AACN’s online presence.

5. REMINDER NTI Paper and Pencil Certification Exam Application Deadline
Paper and pencil administration of the CCRN, PCCN, CCNS, ACNPC and CNML specialty exams, and the CMC (Cardiac Medicine) and CSC (Cardiac Surgery) subspecialty exams will take place May 18 at NTI 2009 in New Orleans. If you are interested in taking any of these certification exams, please download the special NTI exam application and submit your completed application with fee payment to AACN. Your submission must be postmarked by April 1, 2009.

6. CALL FOR APPLICATIONS Apply by April 1 for Medication Safety Team Grant
The American Society of Health-System Pharmacists (ASHP) Foundation’s Medication Safety Team Grant Program is now accepting applications. The program supports research related to the use of barcode scanning technology at the point of medication administration to enhance the safe use of medications. This grant program will be available to research teams composed of a combination of pharmacists, physicians, nurses or informatics experts. Research teams must include a pharmacist as a co-principal investigator. The proposed research must involve the use of barcode scanning technology at the point of medication administration. Two $40,000 grants will be awarded. The deadline to submit completed applications is April 1, 2009.

7. RESOURCE AACN President’s Theme Creates Confidence, Empowerment
AACN President Caryl Goodyear-Bruch says, “I chose ‘With Confidence’ as the theme for my presidential year because I want to encourage acute and critical care nurses to recognize and embrace the power they have. ‘With Confidence’ affirms the value of your everyday contributions and empowers you to create the workplace you envision for you and your patients.” To find out more click here, where you’ll find all things related to the theme in one convenient location.

8. Clinical Practice Resources

EVIDENCE-BASED PRACTICE
Intensive Insulin Therapy for Patients in Paediatric Intensive Care: a Prospective, Randomised Controlled Study

Outcomes Associated With Delirium in Older Patients in Surgical ICUs

Acute Lung Injury Outside of the ICU: Incidence in Respiratory Isolation on a General Ward

GUIDELINES
Adult Weight Management Evidence-based Nutrition Practice

Critical Illness Evidence-based Nutrition Practice

Pediatric Weight Management Evidence-based Nutrition Practice

PATIENT SAFETY ISSUES
Early Communication About an Ongoing Safety Review of Clopidogrel Bisulfate (Marketed as Plavix)

Early Communication About Safety Review of Xigris

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