Critical Care Newsline — November 5, 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 our 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.

Nov. 5, 2009

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1. NEWS AACN launches H1N1 Web page
2. NEWS FDA authorizes emergency use of Peramivir for H1N1
3. NEWS Tamiflu capsules provide emergency compounding of oral solution says FDA
4. RECALL Qualitest Pharmaceuticals recalls Accusure insulin syringes
5. RESEARCH Perioperative blood products pose risks for stable cardiac surgery patients
6. NEWS HHS awards $17 million to fight healthcare-associated infections
7. RESEARCH Failure mode and effects analysis identifies potential transplant errors
8. MEETING U.S. Critical Illness and Injury Trials Group to meet in Bethesda, Md. Dec. 8-9
9. CLINICAL PRACTICE RESOURCES
10. AACN RESOURCES
11. REMINDER

1. NEWS AACN launches H1N1 Web page
Visit the AACN Web site to gain up-to-date H1N1 information. The page contains provides information about H1N1 etiologies, symptoms and treatments and links to flu.gov from U.S. Health & Human Services, updates from the Centers for Disease Control and more.

2. NEWS FDA authorizes emergency use of Peramivir for H1N1
On Oct. 23, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., authorized emergency use of Peramivir, an investigational antiviral intravenous (IV) drug, for select patients with confirmed or suspected H1N1 influenza. Indicated uses include failure to respond to oral or inhaled antiviral therapy, unfeasible non-IV drug administration and, for adults, clinical judgment that IV therapy may be appropriate. Healthcare providers must report adverse events and medication errors to MedWatch. Learn more.

3. NEWS Tamiflu capsules provide emergency compounding of oral solution says FDA
The U.S. Food and Drug Administration reminds healthcare providers that Tamiflu capsules may be used for emergency compounding when an oral suspension version of the drug is not commercially available. Package instructions for Tamiflu capsules contain an insert with emergency compounding instructions. Read more.

4. RECALL Qualitest Pharmaceuticals recalls Accusure Insulin Syringes
On Oct. 27, Qualitest Pharmaceuticals, Huntsville, Ala., announced a voluntary recall of all Accusure Insulin Syringes because of the potential for needle detachment from the syringe.

5. RESEARCH Perioperative blood products pose risks for stable cardiac surgery patients
Perioperative transfusion of blood products in stable cardiac surgery patients increases the risk of death, renal failure and sepsis or infection according to a study released Oct. 27 at the Canadian Cardiovascular Congress. Study results support more stringent criteria for blood product administration in these patients, says one researcher in a heartwire interview.

6. NEWS HHS awards $17 million to fight healthcare-associated infections
On Oct. 23, the U.S. Department of Health & Human Services, Washington, D.C., announced $17 million in awards to fund projects to fight healthcare-associated infections. Read more.

7. RESEARCH Failure mode and effects analysis identifies potential transplant errors
Failure mode and effects analysis may effectively identify potential communication and handoff errors associated with organ procurement and transplantation, states a report in September’s Progress in Transplantation.

8. MEETING U.S. Critical Illness and Injury Trials Group to meet in Bethesda, Md. Dec. 8-9
The U.S. Critical Illness and Injury Trials Group (USCIITG), a network of critical illness and injury investigators, will hold a free meeting in Bethesda, Md., Tuesday, Dec. 8 through Wednesday, Dec. 9. Clinical topics include project updates and consensus discussions about challenges, such as timing of tracheostomy, ICU metagenomics and informatics. Read more.

9. CLINICAL PRACTICE RESOURCES

RESOURCE
Access “Healthcare-Associated Infections from the Bedside to the C-Suite,” a free webinar that helps organizations meet requirements for the National Patient Safety Goal 7, at The Joint Commission’s Web site.

RESOURCE
October’s Annals of Noninvasive Electrocardiology discusses common technical errors that occur when obtaining 12-lead electrocardiograms and ways to prevent them.

EVIDENCE
The Annals of Emergency Medicine published an overview article about handoffs between emergency department physicians that includes current evidence, a conceptual handoff framework, legal and risk management issues and practical improvement strategies. Read the article, published Oct. 1 online.

10. AACN RESOURCES This month’s CCN OnlineFirst articles now available
Two new Publish Ahead of Print articles are now live on the Critical Care Nurse Web site, www.ccnonline.org. Click the OnlineFirst logo to read about use of dexmedetomidine for primary sedation in a general intensive care unit and an article discussing cardiac amyloidosis. Member log-in required to read articles; abstracts are free access.

11. REMINDER Learn how to use AACN’s continuing education center.

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