Critical Care Newsline — October 1, 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.

Oct. 1, 2009

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1. CALL TO ACTION Call for best practices to build culture of certification
2. RESEARCH Light sedation in the ICU results in less mental distress and fewer ICU days compared to deep sedation
3. NEWS Influenza A (H1N1) can cause severe respiratory failure requiring ICU admission
4. RECALL Medtronic Neuromodulation recalls intrathecal catheters and revision kits
5. PATIENT SAFETY CAUTI Prevention Practices
6. EVIDENCE Profile of children with acute lung injury, on mechanical ventilation to help plan future research
7. CALL TO ACTION Robert Wood Johnson Foundation opens registration and invites written testimony for the Forum on the Future of Nursing: Acute Care
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES

1. CALL TO ACTION: Call for best practices to build culture of certification
AACN invites organizations and chapters to submit best practices for encouraging, recognizing and rewarding certification. The three most innovative practices received by Oct. 30 will be included in the Creating a Culture of Certification: Best Practices Roundtable at the 2010 National Teaching Institute in Washington, D.C.

2. RESEARCH Light sedation in the ICU results in less mental distress and fewer ICU days compared to deep sedation
Patients on mechanical ventilation who received light sedation had fewer post traumatic stress disorder symptoms, shorter ventilation time and less time in the ICU compared to those who received deep sedation states a study in September’s Critical Care Medicine. No differences in mortality or adverse events could be determined between the groups. Learn more.

3. NEWS Influenza A (H1N1) can cause severe respiratory failure requiring ICU admission
Respiratory failure in ICU patients with influenza A (H1N1) is associated with “a relatively high case-fatality rate” say the authors of a study in September’s Critical Care, who note that eight of the 32 patients admitted over five weeks died. Clinicians should watch for pulmonary complications particularly in pregnant and young obese people. Read more.

4. RECALL Medtronic Neuromodulation recalls intrathecal catheters and revision kits
On Aug. 27, Medtronic Neuromodulation, Minneapolis, recalled two intrathecal sutureless connector (SC) catheters and two intrathecal SC pump revision kits. The label incorrectly states the catheters can be used with Medtronic IsoMed infusion pumps, a design incompatibility that may lead to a faulty connection. SC catheters are compatible with Medtronic SynchroMed II and SynchroMed EL pumps. See SC catheter/pump model numbers here.

5. PATIENT SAFETY CAUTI Prevention Practices
Tools to prevent catheter-associated urinary tract infections, including checklists, tracking sheets and videos, can be accessed here.

6. EVIDENCE Profile of children with acute lung injury, on mechanical ventilation helps to plan future research
At least 30 percent of children in pediatric ICUs are intubated and on mechanical ventilation. One-fourth of patients with respiratory failure don’t meet radiographic criteria for acute lung injury according to a secondary data analysis of a study of 12,213 children in September’s CHEST. The findings “help determine the feasibility for future trials on pediatric mechanical ventilation,” say the authors. Learn more.

7. CALL TO ACTION Robert Wood Johnson Foundation opens registration and invites written testimony for the Forum on the Future of Nursing: Acute Care
Robert Wood Johnson Foundation opened registration for Forum on the Future of Nursing: Acute Care, the first of three forums on the Future of Nursing, to be held Oct. 19, in Los Angeles. The meeting will be available by live and archived webcast. Written testimony about quality/safety, technology and interdisciplinary collaboration received by Oct. 5 will be considered to develop the forum discussion. The next forum, scheduled Dec. 3 in Philadelphia, covers primary care, community health and public health. The final forum on education will be held Feb. 22, 2010 in Houston. Learn more

8. CLINICAL PRACTICE RESOURCES

EVIDENCE
On Aug. 31, the American Heart Association published new guidelines for “Promoting Self-Care in Persons With Heart Failure” in Circulation.

PATIENT SAFETY
FDA warns personal emergency buttons pose choking hazard
On Sept. 22, the U.S. Food and Drug Administration issued a statement that personal emergency response buttons worn around the neck pose a choking hazard. The FDA notes six reports of serious injury, including four deaths, from choking after the Philips Lifeline Personal Help Button cord got tangled with other objects around the neck. Read more.

9. AACN RESOURCES
“Share Your Best Practices in Building a Culture of Certification,” an AACN Certification Corporation resource, provides a convenient way to post and access information that encourages nursing certification. Learn more.

Visit the new clinical practice section on the AACN Web site to find updated resources and information.

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