Critical Care Newsline — February 19, 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. 19, 2009

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1. EVENT CA-BSIs Webcast Tomorrow, Feb. 20
2. CALL TO ACTION Make it Official: Sign the Petition for Certified Nurses Day
3. EVIDENCE Switch From IV to Oral Meds Effective for Children With Acute Bone Infection
4. CALL FOR RESPONSE Study on Patient Advocacy in End-of-life Care
5. RESOURCE Article Lists Top 10 Most Dangerous Health Technology Hazards
6. CALL FOR RESPONSE Participate in the Nurses’ Health Study III
7. NEWS AACN Certification Corporation’s Revamped PCCN Test Plan Premiers in June 2009
8. Clinical Practice Resources
9. AACN Resources
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1. EVENT CA-BSIs Webcast Tomorrow, Feb. 20
A free webcast on catheter-associated blood stream infections (CA-BSIs) will be held Feb. 20 from noon to 1:30 p.m. (EST). The session highlights barriers facing those who navigate change and lead the implementation of systems to reduce CA-BSIs. Experts from healthcare organizations throughout the U.S. will share their observations, best practices and outcome data on the topic.Click here to enroll. For more information, call Coleen Grant at 858-617-2135 or e-mail coleen.grant@cardinalhealth.com. Can’t join the webcast? No problem. The program will be posted online approximately one week after the event.

2. CALL TO ACTION Make it Official: Sign the Petition for Certified Nurses Day
Do you want to help provide greater recognition for board certified nurses and encourage more nurses to pursue certification? Sign the petition to make March 19 recognized by the federal government as Certified Nurses Day. The effort has been endorsed by AACN and many other healthcare organizations. Your support will help create broader awareness and recognition of the essential role played by nursing specialties in healthcare, and the value board certified nurses provide. By signing the petition, you affirm your support and request the support of Congress and other agencies and institutions that may be instrumental in approving this initiative.

3. EVIDENCE Switch From IV to Oral Meds Effective for Children With Acute Bone Infection
Children with acute osteomyelitis who receive an early changeover from intravenous (IV) antibiotic delivery to oral antibiotics recover just as well as those who receive continuing IV therapy, according to a recent large scale pediatric research study. An added plus: the oral drugs are more convenient for children and families and do not have a major drawback of IV use--increased risk of complications, such as infections, from using central catheters. Typically, children with this condition received antibiotics through a central venous catheter over a four- to six-week period after returning home from the hospital. Alternatively, children are first treated with IV antibiotics for less than a week, then sent home with oral antibiotics. In the current study, some 5 percent of the 1,021 children receiving the prolonged IV antibiotic returned to the hospital for further treatment, compared to 4 percent of the 948 children receiving oral medicine. "This study provides evidence that hospitals can orient their clinical guidelines toward early transition to oral medication for acute osteomyelitis in children," the authors concluded, cautioning that the study focused on children with uncomplicated infections, and switching to oral therapy may not be appropriate for complicated infections or chronic osteomyelitis.

4. CALL FOR RESPONSE Study on Patient Advocacy in End-of-life Care
Volunteers are needed for a research study on nurses' perception of patient advocacy in end-of-life care. To participate you must: 1) be a licensed practical nurse or registered nurse, 2) have worked in a critical care setting within the past year and 3) currently work in the U.S. The study takes about 15 minutes to complete.

5. RESOURCE Article Lists Top 10 Most Dangerous Health Technology Hazards
ECRI Institute, an independent nonprofit that researches the best approaches to improving patient care, recently revealed its 2008 list of the 10 most dangerous health technology hazards facing hospitals. The list — updated annually based on problems reported to and investigated by ECRI Institute — includes detailed descriptions of the hazards and concrete information on how to avoid them. For a limited time, healthcare professionals can obtain the complete 2008 list and its recommendations in the article, "Top 10 Health Technology Hazards." The article is free but registration is required.

6. CALL FOR RESPONSE Participate in the Nurses’ Health Study III
Female RNs and LVNs between the ages of 22 and 42 are invited to participate in the third phase of the Nurses' Health Study. The new phase will be entirely web-based; approximately half of Nurses' Health Study II is already online. The goal of phase III is to learn more about how women’s lifestyles (including diet, exercise, birth control and pregnancy) during their 20’s, 30’s and 40’s influence health throughout life.

7. NEWS AACN Certification Corporation’s Revamped PCCN Test Plan Premiers in June 2009
Planning to take the PCCN exam this year? Information about the new PCCN test plan which debuts in June is now posted on the Certification Corporation’s Web site. Revisions to the plan are based on the most recent Progressive Care Study of Practice. We’re providing advance information for those who offer review courses so they will have time to update their curriculum, and for candidates who want to take the test after May 2009. The paper and pencil exams at Spring TRENDS and NTI this year will be based on the current test plan.

8. Clinical Practice Resources

EVIDENCE-BASED PRACTICE
Does the Neonatal Facial Coding System Differentiate Between Infants Experiencing Pain-Related and Non-Pain-Related Distress?

Child Care as an Untapped Setting for Obesity Prevention: State Child Care Licensing Regulations Related to Nutrition, Physical Activity, and Media Use for Preschool-Aged Children in the United States

Computer Face Scale for Measuring Pediatric Pain and Mood

GUIDELINES
Neuroimaging and Decisionmaking in Adult Mild Traumatic Brain Injury in the Acute Setting

PATIENT SAFETY ISSUES
CellCept (Mycophenolate Mofetil) - Medication Guide to be Distributed to Every Patient Who Fills a CellCept Prescription

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