Critical Care Newsline — January 21, 2010

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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.

Jan. 21, 2010

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1. NEWS AACN launches “Response to Haiti Earthquake” Web page
2. NEWS IOM issues hepatitis report
3. EVIDENCE Rapid response teams don’t reduce hospital mortality
4. NEWS FDA launches first phase of Transparency Initiative
5. CALL TO ACTION Joint Commission invites effective practice submissions for new guide
6. NEWS Hospitals improve quality of patient care says Joint Commission
7. EVIDENCE Bed rest, sepsis and corticosteroids increase risk of ICU-acquired weakness
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES Pencil-and-paper certification exams will be given at NTI


1. NEWS AACN launches “Response to Haiti Earthquake” Web page
Visit “Response to Haiti Earthquake” on the AACN Web site for information about the massive earthquake that devastated Haiti on Tuesday, Jan. 12. “Response to Haiti Earthquake” contains links to U.S. government agencies monitoring the earthquake and global relief organizations leading volunteer efforts and providing financial support.

2. NEWS IOM issues hepatitis report
A new report from the Institute of Medicine (IOM), Washington, D.C., finds that hepatitis B and C are not widely recognized as serious public health problems. “Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and C” notes inadequate resources for viral prevention, control and surveillance programs and concludes that the current approach to prevention and control is not working.

3. EVIDENCE Rapid response teams don’t reduce hospital mortality
Despite broad appeal, rapid response teams don’t reduce hospital mortality in adults or children according to a systematic review and meta-analysis in Archives of Internal Medicine’s Jan. 11 issue. Click here for the abstract, which includes 18 studies from 17 publications.

4. NEWS FDA launches first phase of Transparency Initiative
On Jan. 12, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., released “FDA Basics,” a Web-based curriculum for the public that explains the agency’s operations and processes for decision making and drug approval and the first phase of its Transparency Initiative.

5. CALL TO ACTION Joint Commission invites effective practice submissions for new guide
The Joint Commission, Oakbrook Terrace, Ill., seeks examples of effective practices used by hospitals to engage patients and families in safety and quality for possible inclusion in a new national guide, Advancing Patient and Family Engagement: Developing a Guide to Patient and Family Engagement in Health Care Quality and Safety in the Hospital Setting. E-mail effective practices to APFE@jointcommission.org. Read submission guidelines for the project — supported by the Agency for Healthcare Research and Quality, Rockville, Md., and led by the American Institutes for Research, Washington, D.C.

6. NEWS Hospitals improve quality of patient care says Joint Commission
Accredited hospitals implanted evidence-based quality measures that improved the quality of patient care over seven years according to “The Joint Commission’s Report on Quality and Safety 2009.” Core measures that most improved included pneumococcal vaccination and smoking cessation advice. Care for patients with heart attacks, heart failure, pneumonia and surgical conditions also improved, the report states.

7. EVIDENCE Bed rest, sepsis and corticosteroids increase risk of ICU-acquired weakness
Bed rest, sepsis and corticosteroids increase the risk of ICU-acquired weakness, strongly associated with long-term ventilator dependence, states a Dec. 31, 2009 report in Critical Care Medicine. According to “The Brussels Round Table Conference From 2009,” ICU-acquired weakness plays a major role in the outcomes of patients who survive acute respiratory failure. Early physical and occupational therapy in the ICU “can be safely performed and will likely improve patient outcomes with regard to functional status,” the abstract states.


8. CLINICAL PRACTICE RESOURCES

PATIENT SAFETY
On Dec. 17, 2009, Wyeth, Madison, N.J., announced a change to monitoring therapeutic levels of sirolimus (Rapamune) to prevent organ rejection. Because monitoring results vary widely, clinicians need to know the assay type and laboratory reference range to adjust dosages. Read more.

H1N1
Visit AACN’s H1N1 Influenza Resource Center for up-to-date information about H1N1 etiologies, symptoms and treatments, an educational Web tool and journal resources. The site also includes links to flu.gov from U.S. Health & Human Services, updates from the Centers for Disease Control, podcasts and more.

The Society of Critical Care Medicine introduces a FREE Web-based training program to prepare non-intensivists to assist with care of critically ill patients, including those with H1N1. Available to all healthcare professionals, the comprehensive course allows participants to work with and under the supervision of experienced critical care professionals. Funded by the U.S. Dept. of Health and Human Services Office of the Assistant Secretary for Preparedness and Response, Washington, “Critical Care Cross Training for Hospital-based non-ICU Health Care Professionals (CCXT)” can be accessed 24 hours a day.

GUIDELINES
Access updated guidelines from the American Association for the Study of Liver Diseases on managing patients with ascites caused by cirrhosis. Read the entire article.

9. AACN RESOURCES

CERTIFICATION
Preregister for paper and pencil certification tests to be offered at the 2010 National Teaching Institute & Critical Care Exposition, Washington, D.C., Monday, May 17. Payment must accompany the NTI exam application and be postmarked no later than Wednesday, April 7, 2010. Read more.

HEALTHY WORK ENVIRONMENT
Access the new AACN Healthy Work Environment Team Assessment, a FREE Web-based tool to help nurse managers and leaders align hospital unit performance with the AACN Standards for Establishing and Sustaining Healthy Work Environments (HWEs). The online tool — developed with VitalSmarts, a provider of corporate training and organizational performance products and services in Provo, Utah — aligns the performance of any clinical environment, from single hospital units to entire healthcare organizations, with the six HWE standards. They include skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition and authentic leadership.

EDUCATION
AACN’s Web-based e-learning course “Promoting Excellence in Palliative & End-of-Life Care” recently won a 2009 Gold Brandon Hall Excellence in Learning Award for Best Custom Content, its second industry honor. In July 2009, it won a gold-level “Best of Training Category Horizon Interactive Award,” an industry Oscar, for outstanding achievement in interactive media production. Visit www.aacn.org to purchase “Promoting Excellence in Palliative & End-of-Life Care” priced at $50 per user plus the cost of a one-, two- or three-year institutional site license.

AACN offers FREE online, self-paced course, “Best Practices for Elder Care”
Visit the AACN Web site to access “Best Practices for Elder Care,” a FREE online, self-paced course that addresses complex issues specific to older patients and promotes a healthy work environment. This Web-based resource includes four units of instructional content and interactive case studies and a 17-question self-assessment unit. AACN members earn four FREE hours of continuing nursing education for completing this program. Nonmembers pay a nominal fee for the four CNE hours.


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