Critical Care Newsline — May 14, 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.


May 14, 2009

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1. NEWS APRN Regulatory Model Endorsed and Adopted by AACN
2. NEWS The Official NTI e-News Will Be Delivered to Your Inbox Daily May 18-21
3. EVIDENCE Meticulous Oral Cleansing Decreases Risk of Nosocomial Pneumonia in ICU Patients
4. EVIDENCE Rotating Shifts Change ICU Nurses’ Hormone Levels
5. NEWS This Month's AJCC OnlineFirst Articles Now Available
6. CALL FOR NOMINATIONS AACN Leadership Positions
7. REMINDER Submit Live Educational Sessions for NTI 2010 in Washington, D.C.
8. Clinical Practice Resources
9. AACN Resources
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CELEBRATE NURSING!
MAY IS NATIONAL CRITICAL CARE AWARENESS AND RECOGNITION MONTH

1.NEWS APRN Regulatory Model Endorsed and Adopted by AACN
The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education has been endorsed and adopted by the American Association of Critical-Care Nurses (AACN) and AACN Certification Corporation Boards of Directors. The comprehensive document clearly defines APRN practice, describes the APRN regulatory model, identifies the titles to be used, defines the accountabilities of each component group of the model: Licensure, Accreditation, Certification and Education, and describes the emergence of new roles and presents strategies for implementation.
Click here to read more about the model and related documents.

2. NEWS The Official NTI e-News Will Be Delivered to Your Inbox Daily May 18-21
Can’t make it to NTI this year? No problem. Each day we’ll send you an electronic copy of NTI News, the only official daily newspaper covering the conference. Watch for NTI e-News in your inbox and be a part of the NTI experience!

3. EVIDENCE Meticulous Oral Cleansing Decreases Risk of Nosocomial Pneumonia in ICU Patients
ICU patients who receive meticulous oral cleansing are less likely to develop nosocomial pneumonia than those who do not, according to a recent study. These findings supplement previous research indicating cleansing with chlorhexidine decreases nosocomial pneumonia in patients after cardiac surgery.
In the most recent study, ICU patients received twice-daily oropharyngeal cleansing with 0.2% chlorhexidine or 0.01% potassium permanganate solution. Researchers then studied the incidence of nosocomial pneumonia during ICU stay, length of ICU stay and in-hospital mortality. During the three-month study period, 7.4% of patients developed nosocomial pneumonia compared to 21.7% in the three months before and after the study.

4. EVIDENCE Rotating Shifts Change ICU Nurses’ Hormone Levels
Nurses who work rotating shifts, including night shifts, experience hormonal changes due to their schedules, according to results of a recent study. The findings showed that ICU nurses on rotating shifts had significantly less cortisol and greater amounts of thyroxine in their blood than morning shift workers. Based on the results, researchers concluded that “Ergonomic shift schedules sympathetic to the body clock and nurses' preferences should be adopted to mitigate the adverse effects on health.”

5. NEWS 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, www.ajcconline.org. Click the OnlineFirst logo to read about the use of peak flow rate during induced cough to determine the best time for tracheotomy decannulation, and the case of a woman who experienced amniotic fluid embolism complicated by paradoxical embolism and disseminated intravascular coagulation during childbirth. Log-in required to read articles; abstracts are free access.

6. CALL FOR NOMINATIONS AACN Leadership Positions
Do you know someone who you think would provide strong, effective leadership as a member of the AACN Board of Directors or the AACN Nominating Committee? Review the required competencies in the AACN Framework for Governance Leadership Positions and submit nominations by May 31, 2009.

7. REMINDER Submit Live Educational Sessions for NTI 2010 in Washington, D.C.
AACN is accepting abstracts for live educational sessions to be presented at NTI 2010. Abstracts selected for presentation must reflect AACN’s mission, vision and values; support AACN’s major areas of interest; link research and practice; present cutting edge information and contain precise, comprehensive content. The deadline is June 1, 2009.

8. Clinical Practice Resources

COMPREHENSIVE H1N1 FLU INFORMATION

IDENTIFYING AND TREATING PATIENTS WITH H1N1

EVIDENCE-BASED PRACTICE
Clinical effectiveness of coronary stents in elderly persons: results from 262,700 Medicare patients in the American College of Cardiology-National Cardiovascular Data Registry

Construction of the Sophia Observation withdrawal Symptoms-scale (SOS) for critically ill children

Perceptions of parents on satisfaction with care in the pediatric intensive care unit: the EMPATHIC study

GUIDELINES
Recommended Immunization Schedules for Persons Aged 0 Through 18 Years: United States, 2009

PATIENT SAFETY ISSUES
Tarceva (erlotinib):Dear HCP letter issued to warn about GI perforation, exfoliative skin conditions and corneal perforation/ulceration

Testosterone gel products: Boxed warning required to inform users of risk of unintended secondary exposure of children to testosterone

Antiepileptic Drugs:FDA updated labeling to warn about increased risk of suicidal thoughts and behaviors

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