Critical Care Newsline — January 29, 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.

Jan. 29, 2009

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1. NEWS All Direct Travel Offers Special Airfares to NTI 2009
2. EVIDENCE Smart Economics: Professional Nursing Saves Lives and Cuts Costs
3. EVIDENCE Second-Degree RNs May Help Halt Nursing Shortage
4. EVIDENCE Danger Ahead: Head and Neck MRSA Infections Increasingly Plague Children
5. NEWS Now Available: Online Manuscript Submission for AACN Journals
6. REMINDER Online Registration for NTI 2009 Now Open; Join Us in New Orleans May 16-21
7. CALL FOR RESPONSE Feb. 5 is the Deadline to Take AACN’s Web Site User Survey
8. Clinical Practice Resources
9. AACN Resources
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1. NEWS All Direct Travel Offers Special Airfares to NTI 2009
All Direct Travel, AACN’s official travel agent for NTI 2009, is offering special reduced rate airfares to all NTI attendees, speakers and exhibitors, and their traveling companions. Here’s an added bonus: Iif you book your air travel to New Orleans through All Direct Travel, you’ll be entered into a drawing for two free domestic United Airlines tickets. Make your reservations today through All Direct Travel and save.

2. EVIDENCE Smart Economics: Professional Nursing Saves Lives and Cuts Costs (Free Full Text)
As nurse staffing levels increase, patient risk of nosocomial complications and hospital length of stay decrease, resulting in medical cost savings, improved national productivity and lives saved, according to a recent study. Noting the importance of achieving the right patient/staffing ratio, the authors concluded, “From an economic perspective, healthcare facilities and other employers of RNs want to achieve a staffing level and mix such that the marginal value of employing one additional RN will equal or exceed the marginal cost.”

3. EVIDENCE Second-Degree RNs May Help Halt Nursing Shortage
Hiring second-degree nurses is an efficient way to stem the nursing shortage tide, according to findings of a recent study. The research compares nursing graduates whose first baccalaureate degree was in nursing with nursing graduates whose first baccalaureate degree was in another field and the second baccalaureate degree in nursing. The authors found that second-degree students are usually older and more motivated. Because they have more work experience, they have coping advantages over newer, younger nursing graduates during the transition between leaving school and entering the workforce. “This finding is significant, since some new registered nurses have left their first jobs in frustration from a lack of coping skills or the knowledge to do their jobs. New nurses who only had nursing degree generally did not like their work setting, were less satisfied in their jobs and more likely to leave them. Second-degree new nurses, however, were more likely to stay in their jobs and to be better able to cope with stress and frustration in the workplace” the authors reported, adding that "Nurses in second degree programs are a great source of new nurses for the health needs of Americans.”

Want to pursue a second degree? AACN offers many different scholarships that may help you reach your educational goals. Click here to find out more.

4. EVIDENCE Danger Ahead: Head and Neck MRSA Infections Increasingly Plague Children
Rates of antibiotic-resistant head and neck infections have dramatically increased in children nationwide, more than doubling between 2001 and 2006, according to a recently released study. MRSA infections most commonly occur in hospitals but "In recent years, there have been increasing reports of community-acquired MRSA infections in children," the authors wrote. They reported that MRSA rates increased from 11.8 percent in 2001 to 28.1 percent in 2006, with the highest proportion of infection occurring in the ears (34 percent), followed by the sinonasal (28.3 percent) and head and neck (14.2 percent) groups. Regional differences were also found, which could be attributed to geographical disparities in treatment methods. "Judicious use of antibiotic agents and increased effectiveness in diagnosis and treatment are warranted to reduce further antimicrobial drug resistance in pediatric head and neck infections," the authors concluded.

5. NEWS Now Available: Online Manuscript Submission for AACN Journals
Critical Care Nurse and the American Journal of Critical Care now offer Web-based manuscript submission. CCN and AJCC authors can submit manuscripts, track the manuscript's status, and communicate with the journal editorial offices with a few mouse clicks. Journal reviewers can update personal data and availability just as easily, for a more streamlined review process. Click on "Submit a Manuscript" at http://www.ccnonline.org or http://www.ajcconline.org to get started.

6. REMINDER Online Registration for NTI 2009 Now Open; Join Us in New Orleans May 16-21
With the click of a mouse, you can register to attend NTI sessions, exhibits and events; book your hotel; and download the conference brochure. Save money, too, if you register by April 1.

7. CALL FOR RESPONSE Feb. 5 is the Deadline to Take AACN’s Web Site User Survey
If you use AACN’s Web site, you already know we’ve made many changes to our content and format in response to your feedback. Now that our site has been revamped, we’d like your input. Please take a few minutes to complete the 2009 AACN Web site user survey. Your responses will help us further enhance AACN’s online presence. The deadline is Feb. 5.

8. Clinical Practice Resources

EVIDENCE-BASED PRACTICE
Impact of Blood Transfusion on Short- and Long-Term Mortality in Patients With ST-Segment Elevation Myocardial Infarction

The Impact of a Simple, Low-cost Oral Care Protocol on Ventilator-associated Pneumonia Rates in a Surgical Intensive Care Unit

The Ventilator-associated Pneumonia PIRO Score: a Tool for Predicting ICU Mortality and Healthcare Resources Use in Ventilator-associated Pneumonia

GUIDELINES
Adult Weight Management Evidence-based Nutrition Practice

Critical Illness Evidence-based Nutrition Practice

Pediatric Weight Management Evidence-based Nutrition Practice

PATIENT SAFETY ISSUES
Plavix [Clopidogrel Bisulfate] FDA Safety Review to Evaluate Differences in Efffectiveness, Genetic Factors, Potential Drug Interactions

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