Critical Care Newsline — March 26, 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 26, 2009

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1. CALL TO ACTION Vote Online Now in AACN’s Annual Election; Voting Closes April 25
2. EVIDENCE ICU Patients’ Death Rate Higher With Intensive Glucose Control (Free Full Text)
3. EVIDENCE Antimicrobial Catheters: Cost-effective for ICU Use?
4. RESOURCE This Month's AJCC OnlineFirst Articles Now Available
5. NEWS H.R.1105 Passed by Senate, Increases Funding for Nursing Workforce Development
6. REMINDER April 1 Is Application Deadline for NTI 2009 Paper and Pencil Certification Exam
7. REMINDER FOR CHAPTER LEADERS Sign up for the NTI Chapter Leadership Development Workshop
8. Clinical Practice Resources
9. AACN Resources
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REGISTER NOW FOR NTI 2009 IN NEW ORLEANS; Early Bird Discount Ends April 1

LAST CALL Take the AACN Critical Care Newsline Readership Survey; Deadline is Tomorrow, March 27


1. CALL TO ACTION Vote Online Now in AACN’s Annual Election; Voting Closes April 25
Please vote today to help select AACN’s leadership. Voting online is quick and easy. You will need your member ID number located on your member card. All current AACN members as of January 31, 2009 who have Active, Emeritus, International or Lifetime membership are eligible to vote. Need a paper ballot or have a question about the election? Call 800-394-5995 ext. 331 or e-mail volunteers@aacn.org.

2. EVIDENCE ICU Patients’ Death Rate Higher With Intensive Glucose Control (Free Full Text)
ICU patients treated with intensive glucose control have a 2.6 percent greater risk of dying than those who received conventional glucose control, according to results of a large, international, randomized trial. Patients on intensive glucose control also had lower blood glucose levels, received more insulin and experienced more episodes of severe hypoglycemia. “Our trial showed that a blood glucose target of less than 180 mg per deciliter resulted in lower mortality than a target of 81 to 108 mg per deciliter. On the basis of our results, we do not recommend use of the lower target in critically ill adults,” the study’s authors concluded.

3. EVIDENCE Antimicrobial Catheters: Cost-effective for ICU Use?
Some antimicrobial-coated central venous catheters (A-CVC) proved to be cost-effective in preventing catheter-related bloodstream infection (CR-BSI). But not all types have been evaluated, causing concern and uncertainty about which, if any, antimicrobial-coated central venous catheters are effective. In a recent study, researchers found that despite the cost-effectiveness of specific A-CVCs, their use “within the ICU is highly uncertain. Policies to prevent catheter-related bloodstream infection amongst ICU patients should consider the cost-effectiveness of competing interventions in the light of this uncertainty. Decision makers would do well to consider the current gaps in knowledge and the complexity of producing good quality evidence in this area,” the authors concluded.

For more information on this topic, read the AACN Practice Alert on Prevention of Catheter Related Blood Stream Infections.

4. RESOURCE This Month's AJCC OnlineFirst Articles Now Available
This month's Publish-Ahead-of-Print articles are now live on the American Journal of Critical Care Web site. Click the OnlineFirst logo to read about an unusual case of progressive shock and elevated procalcitonin level, a pilot study on the effect of mechanical chest percussion on intracranial pressure, and the case of a patient who experienced acute respiratory distress syndrome following inhalation of zinc chloride. Log-in is required to read articles; abstracts are free access.

5. NEWS H.R.1105 Becomes Law, Increases Funding for Nursing Workforce Development
H.R. 1105, an omnibus spending measure for fiscal year 2009, became law earlier this month. The House bill contains a $15 million increase in Title VIII nursing workforce development programs, bringing the proposed 2009 total to $171 million.

6. REMINDER April 1 Is Application Deadline for NTI 2009 Paper and Pencil Certification Exam
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.

7. REMINDER FOR CHAPTER LEADERS Sign up for the NTI Chapter Leadership Development Workshop
Planning to attend for the Chapter Leadership Development Workshop at NTI 2009 in New Orleans? Have you registered yet? Only a few weeks remain before the April 30 registration deadline. Sign up today. Seating is limited.

8. Clinical Practice Resources

EVIDENCE-BASED PRACTICE
Nasogastric Tube Placement Verification in Pediatric and Neonatal Patients

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
Insulin Pens: Risk of Transmission of Blood-borne Pathogens From Shared Use

Weight Loss Products -Nationwide Alert Expanded, Products Contain Undeclared, Active Pharmaceutical Ingredients

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