Critical Care Newsline — December 30, 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 30, 2010

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1. EVIDENCE Efficacy varies with hand hygiene compliance visual-cue tool
2. EVIDENCE Most staff accept remote tele-ICU coverage
3. CALL TO ACTION Survey on ICU nurses and EOL decision making
4. CALL TO ACTION Apply to attend AONE’s Aspiring Nurse Leader Institute
5. CALL TO ACTION Participate in ACNP and CNS Studies of Practice surveys
6. CALL TO ACTION TJC invites comments on proposed NPSGs
7. CALL TO ACTION Apply for HHS-CCSC HAI Award
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES Patient/family conference pocket card

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1. EVIDENCE Efficacy varies with hand hygiene compliance visual-cue tool
Visual cues can improve hand hygiene compliance (HHC) “but their efficacy varies,” finds a study in December’s Simulation in Healthcare. “The Efficacy of Visual Cues to Improve Hand Hygiene Compliance,” which compared four visual systems, adds, “A warning sign informing of a surveillance system with subsequent reporting of noncompliance resulted in the most significant improvement in HHC.”

2. EVIDENCE Most staff accept remote tele-ICU coverage
According to “Staff Acceptance of Tele-Intensive Care Unit Coverage: A Systematic Review” in November’s CHEST, “Initial reports suggest high levels of staff acceptance of tele-ICU coverage but more rigorous methodological study is required.” The review of 3,086 citations, which yielded 23 eligible studies, adds, “Favorable impact on patient care was perceived by more than 82% of participants.”

3. CALL TO ACTION Survey on ICU nurses and EOL decision making
Participate in the research study “Nurses’ Involvement in End-of-Life (EOL) Decision-Making in the Intensive Care Unit” — an investigation of the prevalence and predictors of ICU nurses’ active involvement in EOL decision making. Complete the online survey and opt to participate in a “thank you” drawing for a $150 Visa gift card.

4. CALL TO ACTION Apply to attend AONE’s Aspiring Nurse Leader Institute
The American Organization of Nurse Executives (AONE) holds its semiannual Aspiring Nurse Leader Institute, which takes place June 20-23, 2011, in Indianapolis. Apply for an AACN Continuing Professional Development Scholarship to attend. Qualified applicants must be current members of both AACN and AONE. Visit AACN’s special interest scholarships page for details on eligibility and application requirements. AACN offers special interest scholarships — such as those offered through the Arizona State University College of Nursing and Health Innovation, Phoenix, and the Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland — to help members attend evidence-based nursing practice programs.

5. CALL TO ACTION Participate in ACNP and CNS Studies of Practice surveys
AACN Certification Corporation is conducting two national Studies of Practice to collect evidence-based information that will be used to update ACNPC and CCNS test plans, inform the “Scope and Standards of Practice for the Acute Care Nurse Practitioner” and enhance resources for advanced practice nurses. Acute care and gerontology nurse practitioners are invited to participate in the ACNPC Study of Practice. CCNSs and adult, gerontology and pediatric CNSs are invited to participate in the CCNS Study of Practice. Each survey takes about 30 minutes to complete. Participants will be entered into a drawing to win one of four regional gift cards and main conference registration for the 2011 National Teaching Institute & Critical Care Exposition, Chicago, which takes place Saturday, April 30 through Thursday, May 5, 2011. Survey deadline is Jan. 31, 2011.

6. 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.

7. 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 AACN, the other members of the Critical Care Societies Collaborative (CCSC), U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Health, and Office of Healthcare Quality, the awards emphasize success related to reducing central line-associated infections and ventilator-associated pneumonia. Visit www.aacn.org/hhs-ccsc-award for eligibility, selection criteria and application requirements.

8. CLINICAL PRACTICE RESOURCES
Patient safety
On Dec. 22, Abbott Diabetes Care, Abbott Park, Ill., and the U.S. Food and Drug Administration, Silver Spring, Md., recalled 359 different lots of six brands of glucose test strips, because the strips “may give falsely low blood glucose results.”

Evidence
January/March 2011’s Critical Care Nursing Quarterly contains two infection control articles. “‘Scrub the Hub’”: Cleaning Duration and Reduction in Bacterial Load on Central Venous Catheters” finds that alcohol disinfection for three, 10 or 15 seconds decreases bacterial load, with no significant differences in effectiveness among the three durations. “Visitation in the Intensive Care Unit: Impact on Infection Prevention and Control” calls unfounded the fear that “open visitation will expose their vulnerable patients to an increased risk of infection.”

Resource
January’s Critical Care Clinics includes the review “Pharmacokinetics and Pharmacodynamics: Optimal Antimicrobial Therapy in the Intensive Care Unit.”

Guidelines
Access “2011 ACCF/AHA/HRS Focused Update on the Management of Patients With Atrial Fibrillation (Updating the 2006 Guideline): A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines,” published online Dec. 20 by Circulation.

9. AACN RESOURCES
Patient/family conference pocket card
The AACN Patient/Family Conference Guide Pocket Reference Card is a step-by-step guide for creating and supporting successful patient/family conferences. Learn more, buy it.

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 severe sepsis, preventing catheter-related bloodstream infections, dye in enteral feedings, and family presence during resuscitation and invasive procedures.

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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