Critical Care Newsline — September 3, 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.

Sept.3, 2009

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1. CALL TO ACTION HHS requests help with ventilator census for H1N1 flu season
2. AACN GRANTS AACN makes available large, small clinical research grants
3. NEWS New Joint Commission Sentinel Event Alert says effective leadership critical to preventing medical errors
4. EVIDENCE Infectious Diseases Society of America issues new evidence-based guidelines for immunization
5. CALL TO ACTION Critical care nurses asked to participate in study
6. RESEARCH Sensitive cardiac troponin assays can improve early diagnosis of MI, especially in patients with recent onset of chest pain
7. CALL TO ACTION Joint Commission releases revised staffing effectiveness requirements
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES
10. REMINDER
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1. CALL TO ACTION HHS requests help with ventilator census for H1N1 flu season
To assess available ventilators in U.S. hospitals, the American Association for Respiratory Care encourages members to participate in the National Ventilator Survey sponsored by the U.S. Department of Health and Human Services (HHS). Visit the Web site to complete the survey (each facility should complete one survey). HHS hopes to achieve a response rate of at least 90 percent by survey completion on Sept. 10. To date, 1,700 participants (30 percent) have responded to the survey launched Aug. 17.

2. AACN GRANTS AACN makes available large, small clinical research grants
Nurses may receive small ($500 to $1,500) or large ($5,000 to $15,000) research grants from AACN. Awardees must be AACN members now and during the time of research. Learn more or access applications, which close Oct. 1.

3. NEWS New Joint Commission Sentinel Event Alert says effective leadership critical to preventing medical errors
In a Sentinel Event Alert issued Aug. 27, The Joint Commission urged senior healthcare organization leaders – governing bodies, chief executives, senior managers and clinical leaders – to get more involved in creating a safety culture. The commission listed 14 suggestions and called for a “zero-deficit” approach similar to that of high-risk industries, such as aviation.

4. EVIDENCE Infectious Diseases Society of America issues new evidence-based guidelines for immunization
On Aug. 6, the Infectious Diseases Society of America published new evidence-based guidelines for immunizing infants, children, adolescents and adults. The 46 standards address immunization of patients with competent and compromised immune systems and specific groups, such as healthcare professionals.

5. CALL TO ACTION Critical care nurses asked to participate in study
To help determine if critical care nurses receive adequate end-of-life education during basic nursing preparation and if there is a relationship to job satisfaction, complete a survey. The anonymous survey takes no more than 20 minutes to complete.

6. RESEARCH Sensitive cardiac troponin assays can improve early diagnosis of MI, especially in patients with recent chest pain
Compared to standard assays, sensitive cardiac troponin assays can “substantially improve early diagnosis of acute myocardial infarction, particularly in patients who experience recent onset of chest pain,” say authors of a study in Aug. 27’s New England Journal of Medicine. Read more.

7. CALL TO ACTION Joint Commission releases revised staffing effectiveness requirements
On Aug. 26, the Joint Commission released a new draft of revised staffing effectiveness requirements for hospitals and long-term care facilities. The Joint Commissions welcomes comments from organizations and individual clinicians. To give your perspective, especially from the bedside, by Oct. 7, go to theWeb site

8. CLINICAL PRACTICE RESOURCES

CALL TO ACTION
To download a PDF of the 2008 Focused Update Incorporated Into the 2006 ACC/AHA [American College of Cardiology/American Heart Association] Guidelines for Management of Patients With Valvular Heart Disease, visit the Web site. Find a summary here.

ISMP Medication Safety Alert!
Current and past issues of ISMP Mediation Safety Alert! from the Institute for Safe Medication Practices may be accessed at

Early identification of acute lung injury
An automated electronic screening tool may help identify early cases of acute lung injury in mechanically ventilated patients, excluding those with heart failure.

9. AACN RESOURCES
Two 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 factors contributing to and the manifestations and causes of patient-ventilator dyssynchrony and an article describing the synergy between a healthy work environment and advancement of nurses at the bedside. Log-in required to read the articles.

10. REMINDER
AACN members can visit www.aacn.org/ce to access unlimited free continuing education (CE) credits, CE certificates, CCRN/PCCN self-assessment exams, exam registration and personal transcript records.

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