Critical Care Newsline — December 9, 2010

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 websites that will keep you informed on issues affecting nurses and the nursing profession.

December 9, 2010

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1. NEWS RWJF pushes increased APRN autonomy
2. EVIDENCE Most pediatric OTC liquid meds had dosage delivery problems
3. EVIDENCE Impaired cerebral vasodilation common in sleep disorders
4. CALL TO ACTION TJC invites comments on proposed NPSGs
5. CALL TO ACTION Apply for HHS-CCSC HAI Award
6. CALL TO ACTION Nurses needed for tube-feeding practices survey
7. NEWS AACN Bold Voices makes min’s 15 hottest launches
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES Holiday Gifts Under $20

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1. NEWS RWJF pushes increased APRN autonomy
“RWJF Joins Push to Widen Nurses’ Roles” — posted online at Modernhealthcare.com — states the Robert Wood Johnson Foundation (RWJF), Princeton, N.J., is working with the AARP, Washington, D.C., and five states to advance recommendations in the Institute of Medicine, Washington, D.C., report “The Future of Nursing: Leading Change, Advancing Health.” The Nov. 29 posting says, “Physicians’ groups have taken a skeptical view of the report,” which advocates more autonomy for advanced practice registered nurses. For more discussion, access Modern Healthcare’s archived Dec. 1 webcast “New Rounds for Nurses? A Look at Expanded Roles Proposed for Advanced Practice Nurses” presented by the presidents of the American Academy of Family Physicians and American Academy of Nurse Practitioners.

2. EVIDENCE Most pediatric OTC liquid meds had dosage delivery problems
In Nov. 30’s Journal of the American Medical Association, “Evaluation of Consistency in Dosing Directions and Measuring Devices for Pediatric Nonprescription Liquid Medications” states that before the U.S. Food and Drug Administration, Rockville, Md., issued its November 2009 draft voluntary “Guidance for Industry: Dosage Delivery Devices for Liquid Drug Products,” pediatric over-the-counter (OTC) liquid medications “contained highly variable and inconsistent dosing directions and measuring devices.”

3. EVIDENCE Impaired cerebral vasodilation common in sleep disorders
According to a population-based study in the Dec. 1 American Journal of Respiratory and Critical Care Medicine, increased CO2 levels blunt cerebral circulation vasodilation in a wide range of people with sleep-disordered breathing. “This impairment is correlated with hypoxemia during sleep,” concludes “Effects of Sleep-disordered Breathing on Cerebrovascular Regulation.”

4. CALL TO ACTION TJC invites comments on proposed NPSGs
The Joint Commission (TJC), Oakbrook Terrace, Ill., invites comments on proposed National Patient Safety Goals (NPSGs) for ventilator-associated pneumonia and catheter-associated urinary tract infections. Comment by Jan. 27, 2011.

5. CALL TO ACTION Apply for HHS-CCSC HAI Award
Apply by Jan. 29 for national awards recognizing sustained improvements in preventing healthcare-associated infections (HAI) in critical care. Sponsored by the U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Health, Office of Healthcare Quality and Critical Care Societies Collaborative (CCSC), the awards will emphasize success related to reducing central line-associated infections and ventilator-associated pneumonia. Visit AACN’s award section for eligibility, selection criteria and application requirements.

6. CALL TO ACTION Nurses needed for tube-feeding practices survey
Nurse researchers Norma Metheny and Andrew Mills, St. Louis University, request that all registered nurses, including AACN members, participate in “A Survey of Tube Feeding Practices by Nurses Working in Adult Intensive Care Units.” Completely anonymous, the 22-question online survey takes 10 minutes to complete and will give researchers a larger sample size on which to draw conclusions about current practices for safe tube feeding. Nurses who completed an earlier survey, mailed to 1,909 participants, should not respond to this one. Questions should be directed to the St. Louis University Institutional Review Board at (314) 977-7744 or Norma Metheny at (314) 977-8941 or methenna@slu.edu.

7. NEWS AACN Bold Voices makes min’s 15 hottest launches
AACN Bold Voices recently placed on the min list of 15 “Hottest Launches.” min — a media/communications group of Access Intelligence, LLC, Rockville, Md. — calls the list the next generation of media superstars, laying the groundwork for the evolution and future success of magazine brands. Launched in July 2009, AACN Bold Voices also won a 2010 APEX Award for Publication Excellence.

8. CLINICAL PRACTICE RESOURCES
Patient safety
ECRI Institute’s, Plymouth Meeting, Pa., “Top 10 Health Technology Hazards for 2011” are radiation therapy dose errors, alarm hazards, cross-contamination from flexible endoscopes, high radiation dose of CT scans, health information technology complications, luer misconnections, oversedation during use of patient-controlled analgesic infusion pumps, needlesticks and other sharps injuries, surgical fires and defibrillator failures in emergency resuscitation attempts. The institute provides a problem description, recommendations and resources for each hazard.

Guidelines
Access “Dietary Reference Intakes for Calcium and Vitamin D,” a consensus report released Nov. 30 by the Institute of Medicine, Washington, D.C.

9. AACN RESOURCES
Holiday Gifts Under $20
This holiday season, share inspiration. Buy them online at www.aacn.org/under20.

Speak boldly with AACN Practice Alerts
Access AACN Practice Alerts — concise, action-oriented and evidence-based statements about acute and critical care nursing practices — to help nurses carry their bold voices to the bedside. Each Practice Alert includes the expected practice, scope and impact of the problem, supporting evidence, nursing actions and references. Download the accompanying PowerPoint presentation and Audit Tools to facilitate implementation. Topics include pulmonary artery pressure measurement, venous thromboembolism prevention and dye in enteral feedings.

Stand Tall: AACN Bold Voices
Is standing tall something to do or a way to be? — Kristine Peterson, AACN President 2010-2011

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