Critical Care Newsline — October 15, 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. 15, 2009

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1. NEWS CDC issues H1N1 vaccine recommendations
2. EVIDENCE Troponin levels not always an indicator of patient death
3. CALL FOR ACTION Take end-of-life dilemmas survey
4. RECALL Philips Healthcare recalls select HeartStart FR2+ automated external defibrillators
5. PATIENT SAFETY Administered incorrectly, zanamivir inhalation powder causes death
6. RECALL Unomedical recalls select units of manual pulmonary resuscitator
7. CLINICAL PRACTICE RESOURCES
8. AACN RESOURCES
9. REMINDER

1. NEWS CDC issues H1N1 vaccine recommendations
On Aug. 28, the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) recommended initial HINI vaccinations for the following groups at high risk for influenza-related complications: pregnant women, people who live with or provide care for infants younger than six months, healthcare and emergency medical services personnel, those between 6 months and 24 years of age, and 25 and 64 years of age. Guidelines include a recommended subset of initial target groups if vaccine availability doesn’t meet demand and can be found here.

2. EVIDENCE Troponin levels not always an indicator of patient death risk
Elevated troponin levels fail to identify risk of death in patients with normal blood pressure and acute pulmonary embolism according to a meta-analysis of nine studies involving 1,366 patients in October’s CHEST. Read more.

3. CALL FOR ACTION Take end-of-life dilemmas survey
Take a 15-minute survey about moral distress and be automatically entered in a drawing to win one of ten $50 Barnes & Noble gift cards.

4. RECALL Philips Healthcare recalls select HeartStart FR2+ automated external defibrillators
On Sept. 28, Philips Healthcare, Andover, Mass., announced a recall of select models of HeartStart FR2+ automated external defibrillators because of a possible chip failure that could make the device inoperable. Learn more.

5. PATIENT SAFETY Administered incorrectly, zanamivir inhalation powder causes death
On Oct. 9, the U.S. Food and Drug Administration and GlaxoSmithKline notified healthcare providers of the death of a patient who received solubilized zanamivir inhalation powder (Relenza) by mechanical ventilation. Zanamivir should be used only with the Diskhaler device provided with the drug and not in a nebulizer or ventilator. Read more.

6. RECALL Unomedical recalls select units of manual pulmonary resuscitator
On Oct. 6, Unomedical Inc., McAllen, Texas, announced a recall of select units of a single-patient-use manual pulmonary resuscitator, because a potential malfunction might prevent the device from producing the positive pressure needed to work correctly. Download the product list.

7. CLINICAL PRACTICE RESOURCES
GUIDELINES
Information about National Breast Cancer Awareness Month in October, including guidelines and a guideline synthesis, can be found here.

8. AACN RESOURCES
Visit Capitol Hill and make your voice heard. Become a part of Nurse in Washington Internship (NIWI), Sunday, March 14 through Tuesday, March 16, 2010 in Washington, D.C. AACN will offer 15 scholarships for NIWI, the preeminent program for nurses who want to learn to work with legislators to advance policies. Deadline is Nov. 1. Apply here.

9. REMINDER
Access pediatric and neonatal nursing resources here.

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