Critical Care Newsline — September 10, 2009

Critical Care Newline Home
 


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. 10, 2009

********************************************
1. NEWS Critical Care Societies Collaborative issues open letter to President Obama about improving end-of-life care
2. CALL TO ACTION Joint Commission asks for input on proposed assessments, treatments of tobacco, alcohol, and other drug use and dependence
3. NEWS Chlorhexidine reduces early ventilator-associated pneumonia
4. PATIENT SAFETY Editors of American Journal of Critical Care urge vaccination for healthcare workers
5. NEWS AACN, AONE to expand available CNML prep resources
6. EVIDENCE Cardiac-resynchronization therapy plus implantable cardioverter-defibrillator cuts risk of heart-failure events in some cardiomyopathy patients
7. CLINICAL PRACTICE RESOURCES
8. AACN RESOURCES
9. REMINDER

1 NEWS Critical Care Societies Collaborative issues open letter to President Obama about improving end-of-life care
On Aug. 19, the Critical Care Societies Collaborative -- including AACN, American College of Chest Physicians, American Thoracic Society and Society of Critical Care Medicine -- issued an open letter to President Obama calling for healthcare reform that includes improved end-of-life care. The collaborative suggests developing incentives to allow clinicians to spend time talking with patients, families and significant others about end-of-life care, among its four recommendations. Read more.

2. CALL TO ACTION Joint Commission asks for input on proposed assessments, treatments of tobacco, alcohol, and other drug use and dependence
On Aug. 31, The Joint Commission asked for input on eight proposed performance measures to address assessing and treating tobacco, alcohol, and other drug use and dependence for all hospitalized patients. More than 537,000 persons died as a consequence of alcohol, drug and tobacco use, accounting for more than one in four U.S. deaths. Hospitalization provides an ideal opportunity to provide cessation assistance that may promote the patient’s medical recovery and assist in controlling other health-related problems. To review and comment, go to Web site, comments close Sept. 30.

3. NEWS Chlorhexidine reduces early ventilator-associated pneumonia
Oral care with a chlorhexidine swab before intubation reduced the incidence of ventilator-associated pneumonia (VAP) three days after intubation according to a study of 249 ICU patients published in September’s American Journal of Critical Care. Toothbrushing failed to reduce VAP or enhance the effects of chlorhexidine, it notes. Read more.

4. PATIENT SAFETY Editors of American Journal of Critical Care urge vaccination for healthcare workers
Healthcare workers should get vaccinated for influenza to protect themselves and their patients, say the nurse and physician editors of American Journal of Critical Care. Vaccinated healthcare workers are less likely to get ill, suffer severe illness or die from contracted influenza, they say. Read more.

5. NEWS AACN, AONE to expand available CNML prep resources
AACN will offer preconference exam preparation for the CNML nurse manager and leader certification at the 2010 National Teaching Institute & Critical Care Exposition, May 15-20, Washington, D.C. AACN’s partner, the American Organization of Nurse Executives (AONE), which updated its online exam preparation page, will offer preconference exam preparation sessions at its annual meeting in Indianapolis, April 9-13. A joint task force will develop a syllabus for the programs and make the online reading list more manageable. AACN and AONE members receive exam registration discounts. To learn more, visit the Web site or http://www.aone.org/aone/certification/examprepmain.html

6. EVIDENCE Cardiac-resynchronization therapy plus implantable cardioverter-defibrillator cuts risk of heart-failure events in some cardiomyopathy patients
Cardiac-resynchronization therapy plus implantable cardioverter-defibrillator cuts the risk of heart-failure events in “relatively asymptomatic [cardiomyopathy] patients with a low injection fraction and wide QRS complex,” say the authors of a study in Sept. 1’s New England Journal of Medicine. The study included 1,820 patients with an average follow-up of 2.4 years. Read more.

7. CLINICAL PRACTICE RESOURCES
EVIDENCE-BASED PRACTICE
Ticagrelor, as compared with clopidogrel, decreases death from vascular causes, myocardial infarction or stroke in patients with acute coronary syndromes according to a multicenter, randomized study of 18,624 patients published in Aug. 30’s New England Journal of Medicine. Read more.

A study in Aug. 30’s New England Journal of Medicine of 18,113 patients with atrial fibrillation found that “compared with warfarin, the 110-mg dose of dabigatran was associated with similar rates of stroke and systemic embolism and lower rates of major hemorrhage. The 150-mg dose of dabigatran was associated with lower rates of stroke and systemic embolism but with a similar rate of major hemorrhage,” it states. Read more.

8. AACN RESOURCES
New CCRN adult, pediatric and neonatal test plans can be found here. Test forms based on the new plans will be implemented mid-January 2010 (date to be announced). Candidates planning to test before that date should study the current test plan available in the Certification Exam Handbook.

9. REMINDER
AACN members can access AACN position statements here.
 


*****************************************************************************************
If you do not wish to receive e-mail updates from AACN, please reply to
unsubscribe@aacn.org

Do you have a comment, question or story idea for the Critical Care Newsline? Send your email to enewsletter@aacn.org

UPDATE YOUR OWN INFORMATION ONLINE

Did you know you can update your demographic profile, including your e-mail address, online? Simply log in using your membership or customer identification number. Your default password is the first 15 letters of your last name. Go to: http://www.aacn.org/DM/CustomerProfile/UpdateCustomerProfile.aspx

*****************************************************************************************

Your Feedback