Critical Care Newsline — September 17, 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. 17, 2009

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1. NEWS FDA approves H1N1vaccine
2. NEWS CDC issues guidelines for priority H1N1 vaccination groups
3. RESEARCH Corticosteroids reduce incidence of extubation failure in critical care patients
4. NEWS Joint Commission’s Center for Transforming Health reports that caregivers wash their hands less than half the time
5. NEWS More than half of emergency department nurses physically assaulted at work, according to study
6. CLINICAL PRACTICE RESOURCES
7. AACN RESOURCES
8. REMINDER
9. ALERTS
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1. NEWS FDA approves H1N1 vaccine

The U.S. Food and Drug Administration recently approved four vaccines against the 2009 H1N1 influenza virus to be distributed nationally after the initial lots become available within the next four weeks. The 2009 H1N1 vaccines induce a robust immune response in most healthy adults eight to 10 days after a single dose. Read more

2. NEWS CDC issues guidelines for priority H1N1 vaccination groups
On Aug. 28, the Centers for Disease Control (CDC) issued recommendations for the influenza A (H1N1) vaccine among five priority vaccination groups. They include pregnant women; people who live with or provide care for infants younger than 6 months; healthcare and emergency medical services personnel; children and young adults age 6 months to 24 years; and people from 25 to 64 years whose medical conditions put them at high risk for influenza-related complications. Access the complete guidelines here.

3. RESEARCH Corticosteroids reduce extubation failure in critical care patients
Corticosteroids “reduce the incidence of extubation failure in critically ill patients of all ages,” say authors of a study in June’s Intensive Care Medicine. Researchers analyzed 14 randomized clinical trials, totaling 2,600 participants. Read here.

4. NEWS Joint Commission’s Center for Transforming Health reports that caregivers wash their hands less than half the time
In its first patient safety initiative dated Sept. 10, The Joint Commission’s Center for Transforming Health reported that on average, caregivers at the eight hospitals and health systems in the initiative wash their hands less than half the time. Proposed solutions include tailoring education about proper hand hygiene to specific audiences. For more information, read more.

5. NEWS More than half of emergency department nurses physically assaulted at work, according to study
More than half of the 3,465 members of the Emergency Nurses Association (ENA), who participated in a study, report being physically assaulted at work, according to the July-August Journal of Nursing Administration. The ENA’s position statement on this issue can be found here. For tips to work with legislators to stop workplace violence, visit the Web site.

6. CLINICAL PRACTICE RESOURCES

RESEARCH
Optimal dosing of recombinant tissue-type plasminogen (rt-PA) may be 50 mg/two hours for treatment of pulmonary thromboembolism, according to a study in September’s CHEST. Read more.

PATIENT SAFETY RECALL
On Sept. 2, Covidien recalled its Pedi-Cap End-Tidal CO2 Detector (Pedi-Cap and Pedi-Cap 6), which may increase airflow resistance in the lungs, cause ineffective ventilation and inhibit verification of endotracheal tube placement. The affected lot numbers are listed at the Web site.

PATIENT SAFETY RECALL
On Sept. 9, Penumbra recalled its Neuron 5F Select Catheter, which may contain pinholes and exposed wire braids that could cause a brain clot or punctured blood vessel. Read more.

7. AACN RESOURCES
The AACN Housing Bureau for AACN’s 2010 National Teaching Institute & Critical Care Exposition, Washington, D.C., will open Thursday, Oct. 15. Visit the AACN Web site.

8. REMINDER
Submissions close Oct. 15 for poster presentations at the 2010 National Teaching Institute & Critical Care Exposition, May 15-20, Washington, D.C. Visit AACN Web site for information, including Web-based submission guidelines.

9. ALERTS

Recommendations to prevent transmission of H1N1 can be found on the Centers for Disease Control and Prevention Web site here. Guidelines for prevention of all respiratory infections, including H1N1, can be found at the Web site

For one-stop access to U.S. government H1N1, avian or pandemic flu information, visit the Web site.


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