Critical Care Newsline — March 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.

March 19, 2009

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1. EVIDENCE Early Mobility, Walking Programs for ICU Patients Step Up Recovery
2. EVIDENCE Bacteria-laden Bath Basins May Transmit HAIs
3. CALL TO ACTION March is DVT Awareness Month; Help Thwart Deep Vein Thrombosis
4. RESOURCE Health Literacy Measurement for English, Spanish-speaking Patients
5. NEWS The Joint Commission Adds Patient Satisfaction Data to Quality Check
6. CALL FOR RESPONSE Critical Care Newsline Readership Survey
7. REMINDER National Healthcare Decisions Day Is Less Than a Month Away
8. Clinical Practice Resources
9. AACN Resources
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1. EVIDENCE Early Mobility, Walking Programs for ICU Patients Step up Recovery
An early mobility and walking program may benefit ICU patients, particularly those on mechanical ventilation, according to results of a recent study. The program, based on a patient's functional capability and ability to tolerate the prescribed activity, includes guidelines on positioning, therapeutic exercises, transfers, walking reeducation and duration, and frequency of mobility sessions. Prolonged stays in the ICU and the use of mechanical ventilation are associated with decline in function, higher rates of illness and death, increased costs and longer hospital stays; an early mobility and walking program may have a positive impact on these factors.

2. EVIDENCE Bacteria-laden Bath Basins May Transmit HAIs
Bath basins are reservoirs for bacteria and may be a source of transmission of hospital-acquired infections, researchers reported in a prospective study at three acute care hospitals. Samples from 92 bath basins, including basins from three intensive care units, were evaluated. Researchers found that some form of bacteria grew in 98% of the samples. To prevent infections from developing, “more awareness of bath basins as a possible source of HAI transmission is needed, particularly for high-risk patients,” the authors concluded.

3. CALL TO ACTION March is DVT Awareness Month; Help Thwart Deep Vein Thrombosis
Deep vein thrombosis and pulmonary embolism affect approximately 350,000 to 600,000 Americans each year and contribute to at least 100,000 deaths. Those numbers are expected to increase as the population ages. The U.S. Surgeon General’s Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism urges a coordinated, multifaceted plan to reduce the numbers of cases of these conditions. The plan emphasizes the need for increased awareness about deep vein thrombosis and pulmonary embolism; evidence-based practices to treat DVT; and more research on its causes, prevention and treatment.

4. RESOURCE Health Literacy Measurement for English, Spanish-speaking Patients
Two health literacy measurement tools are now available on the Agency for Healthcare Research and Quality Web site. The Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF) is 7-word recognition test to provide clinicians with a valid quick assessment of patients’ health literacy. The Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50), a 50-item form, assesses a Spanish-speaking adult's ability to read and understand common medical terms in Spanish.

5. NEWS The Joint Commission Adds Patient Satisfaction Data to Quality Check
Information about how patients perceive the care they received at a particular hospital is now posted on The Joint Commission’s Quality Check Web site. Thousands of people use Quality Check each month to find information about the more than 15,000 accredited health care organizations that have earned The Joint Commission “Gold Seal of Approval.” Quality Check provides details about an organization’s accreditation status, efforts to prevent medical mistakes by complying with National Patient Safety Goals, and comparison information about how hospitals comply with National Quality Improvement Goals such as giving heart attack patients aspirin within a specified timeframe.

6. CALL FOR RESPONSE Critical Care Newsline Readership Survey
Please take a few minutes to complete the 2009 readership survey for Critical Care Newsline, AACN’s weekly e-newsletter. The results will be used to develop content for future issues and to ensure that the newsletter meets your needs. The deadline to respond is March 27, 2009.

7. REMINDER National Healthcare Decisions Day Is Less Than a Month Away
April 16 is National Healthcare Decisions Day (NHDD). The NHDD Initiative, now in its second year, is a collaborative effort of national, state and community organizations committed to ensuring that all adults with decision-making capacity in the United States have the information and opportunity to communicate and document their healthcare decisions Last year, 76 national organizations, including AACN, and approximately 400 state and local organizations participated in the first annual NHDD. As a result, hundreds of thousands of people learned more about—and took action on—advance directives.

8. Clinical Practice Resources

EVIDENCE-BASED PRACTICE
Adult Congenital Heart Surgery: Adult or Pediatric Facility? Adult or Pediatric Surgeon?

Errors in Administration of Parenteral Drugs in Intensive Care Units: A Multinational Prospective Study

GUIDELINES
Management of Cocaine-associated Chest Pain and Myocardial Infarction: A Scientific Statement from the American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology

PATIENT SAFETY ISSUES
Welch Allyn AED 10 and MRL JumpStart Defibrillators Class I Recall

Colleague Single and Triple Channel Volumetric Infusion Pumps by Baxter Recalled

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