Critical Care Newsline — June 25, 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.

June 25, 2009

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1. EVIDENCE Healing the Nursing Shortage (Free Full Text)
2. EVIDENCE Computer Modeling System Provides Disaster Planning Platform
3. RESOURCE Guidelines for Hospital Bed Safety
4. NEWS Paper and Pencil Certification Exams Scheduled for Fall TRENDS Conference
5. RESOURCE Learn the ABCs of Synergy CERPs
6. CALL FOR RESPONSE Apply for American Board of Nursing Specialties Certification Advocacy Award
7. NEWS NTI e-Sampler Is Now Online
8. Clinical Practice Resources
9. AACN Resources
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1. EVIDENCE Healing the Nursing Shortage (Free Full Text)
Having enough nurses to meet the nation's projected nursing shortage is a mathematical improbability unless nursing schools admit more college and university students through federal support for scholarship and training grants, a new study indicates. Researchers found fewer nurses with associate's degrees achieve master's or Ph.D. degrees, exacerbating the current shortage of nursing faculty. The study’s authors call for new public subsidies for nursing education to be targeted to baccalaureate and graduate education for nurses. The greatest national needs are for nurses with the qualifications to be teachers, advanced practice nurses such as nurse practitioners, and leaders in complex healthcare organizations. Currently only one-third of new nurses graduate with a degree that qualifies them for graduate study. "We are proposing increased federal funding under Title VIII and through Medicare to support nursing education so we have more nurses at the hospital bedside,” the authors wrote. Administered by the Health Resources and Services Administration, Title VIII of the Public Health Service Act provides funding for nursing workforce development programs.

AACN is a member of the Americans for Nursing Shortage Relief (ANSR) Alliance and supports increased federal funding to provide for nursing education under Title VIII. Read the Senate testimony about FY 2010 appropriations for Title VIII.

2. EVIDENCE Computer Modeling System Provides Disaster Planning Platform
A novel computer modeling platform developed through intensive, multidisciplinary collaboration may help hospitals and communities prepare for catastrophic public health scenarios, according to a recent study. The authors tested a computerized disaster simulation framework at known as “Plan C” with a hypothetical malicious sarin release in several New York City locations. Using city demographic information, hospital resource and public transit data, the results showed that under certain circumstances, up to 22,000 individuals might become exposed, leading to 178 intensive care unit admissions. Plan C was developed as part of the Large Scale Emergency Readiness (LaSER) Project at New York University. The computer system simulated the complex dynamics of emergency responses in such scenarios as a chemical release, food poisoning and smallpox. According to the article, implementing disaster plans within 30 minutes compared to two hours of an incident diminished mortality and waiting times and reduced the number of patients who were severely affected. An agent-based modeling approach provides a mechanism to assess complex individual and system wide effects in rare events,” according to the authors. Currently, the system is being adapted to model pandemic influenza.

3. RESOURCE Guidelines for Hospital Bed Safety
The FDA has released “Practice Hospital Bed Safety,” an educational resource for patients and healthcare professionals to properly operate hospital beds and prevent mishaps. Tips for operating hospital beds, choosing the right bed, avoiding entrapment risks, preventing fires in motorized beds and other safety precautions are covered. Read online or download the document to share with your colleagues.

4. NEWS Paper and Pencil Certification Exams Scheduled for Fall TRENDS Conference
Planning to attend the fall 2009 TRENDS conference? Enhance your skills by taking a certification exam while you’re there. Paper and pencil versions of CCRN, PCCN, CCNS, ACNPC and CNML specialty exams, and the CMC (Cardiac Medicine) and CSC (Cardiac Surgery) subspecialty exams will be offered at the conference Oct. 30. Be sure to pre-register using the special TRENDS exam application available online. Applications and accompanying exam fees must be submitted to AACN postmarked no later than Sept. 18, 2009.

5. RESOURCE Learn the ABCs of Synergy CERPs
Still have questions about certification Renewal by Synergy CERPs? Not sure about what continuing education recognition points fit in the new Synergy CERPs categories? Here’s a quick way to learn more: The ABCs of Synergy CERPs is an easy-to-follow chart popular with NTI 2009 participants. Now it’s available to everyone on AACN’s Web site.

6. CALL FOR RESPONSE Apply for American Board of Nursing Specialties Certification Advocacy Award
Do you promote specialty nursing certification? Does your organization, facility, department or unit demonstrate or conduct activities that advance specialty nursing certification? If you answered “yes,” you could be eligible for the ABNS Award for Nursing Certification Advocacy. Awardees receive a framed plaque and an engraved statue. For more information, call ABNS at (330) 995-9172 or e-mail ABNSCEO@aol.com. Deadline to apply is Jan. 29, 2010.

7. NEWS NTI e-Sampler Is Now Online
Want to find out more about The National Teaching Institute and Critical Care Exposition? Check out the NTI 2009 e-Sampler on AACN’s Web page, where you’ll find links to seven concurrent sessions along with inspiring, downloadable videos—all videotaped at NTI in New Orleans last month. These select sessions presented by GE Healthcare and AACN will give you just a taste of what it’s like to attend the premier conference and trade show for acute and critical care nurses. Share the following link with your chapter members and colleagues—and plan now to attend NTI 2010, May15-20 in Washington, D.C.

8. Clinical Practice Resources

COMPREHENSIVE H1N1 FLU INFORMATION

IDENTIFYING AND TREATING PATIENTS WITH H1N1

EVIDENCE-BASED PRACTICE
Early Physical and Occupational Therapy in Mechanically Ventilated, Critically Ill Patients: a Randomised Controlled Trial

Association Between Blood Lactate Levels, Sequential Organ Failure Assessment Subscores, and 28-day Mortality During Early and Late Intensive Care Unit Stay: A Retrospective Observational Study

Characteristics of Intubated and Mechanically Ventilated Children in 16 Pediatric ICUs

Guideline for Resuscitation in Cardiac Arrest After Cardiac Surgery

PATIENT SAFETY
Cefepime: FDA determined that data review do not indicate a higher rate of death in cefepime-treated patients

Zicam Cold Remedy Nasal Products: Reports of permanent loss of sense of smell with use of these nasal gel or swab products

Medtronic Kappa/Sigma Pacemakers: Class 1 recall due to failure to pace heart

Nestle Toll House Cookie Dough: Consumers warned not to eat product due to risk of serious food-borne illness

Stamina-Rx dietary supplement: recall due to undeclared drug in product and risk of dangerous lowering of blood pressure

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