Critical Care Newsline — July 8, 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.

 

July 8, 2010

 

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1. NEWS AACN offers resources to help nurses ‘Stand Tall’

2. NEWS National task force releases new CNS core competencies

3. NEWS Leapfrog Group finds high error rate for CPOE systems

4. CALL TO ACTION Apply for TJC’s Nurse Safety Residence program

5. EVIDENCE NEJM study says sensor-augmented insulin pump better than injections

6. CALL TO ACTION Participate in a survey about the PICU environment

7. CALL TO ACTION Apply for Patient Experience Grant Program by Aug. 1

8. CALL TO ACTION Submit Circle of Excellence award nominations by Aug. 1

9. CALL TO ACTION Comment on CMS proposed visitation ruling by Aug. 27

10. NEWS AACN’s new Beacon Award for Excellence applications open Nov. 1

11. CLINICAL PRACTICE RESOURCES

12. AACN RESOURCES High-quality Web-based courses available

 

1. NEWS AACN offers resources to help nurses ‘Stand Tall’

AACN’s annual theme is a rallying cry that gathers the organization’s mission, vision, core values and strategic direction in a meaningful way. This year, Kristine Peterson, who became AACN president at the start of AACN’s fiscal year 2011 on July 1, calls on nurses to “Stand Tall.” This year, AACN also introduces its first theme mascot Stan Tall. Download Stan and learn more. Become Stan’s friend on Facebook.

 

2. NEWS National task force releases new CNS core competencies

A national task force, facilitated by AACN Certification Corporation, American Nurses Association, Silver Spring, Md., and American Board of Nursing Specialties, Aurora, Ohio, released its new “Clinical Nurse Specialist (CNS) Core Competencies.” The document “reflects a synthesis” of three models for CNS practice: “1) the three spheres of influence as defined by NACNS; 2) the seven advanced practice nursing competencies as defined by Hamric and Spross; and 3) the Nurse Characteristics identified in the AACN Synergy Model,” it states.

 

3. NEWS Leapfrog Group finds high error rate for CPOE systems

A simulation test by 214 hospitals found computerized provider order entry (CPOE) systems on average missed one-half of routine medication orders and a third of potentially fatal orders according to a report released June 18 by The Leapfrog Group, Washington, D.C. “Leapfrog Group Report on CPOE Evaluation Tool Results: June 2008 to January 2010” calls on federal officials to build oversight requirements into healthcare IT regulations. “The government must insist that hospitals and IT companies do continuous monitoring and improvement,” says Leapfrog Chairman David Knowlton.

 

4. CALL TO ACTION Apply for TJC’s Nurse Safety Residence program

Apply for The Joint Commission (TJC) Resources, Oakbrook, Ill., and Hill-Rom, Inc., Batesville, Ind., Nurse Safety Scholar-in-Residence program, which focuses on developing tools and best practices to prevent pressure ulcers. The application deadline is July 16; 18-month term starts Oct. 1.

 

5. EVIDENCE NEJM study says sensor-augmented insulin pump better than injections

Effectiveness of Sensor-Augmented Insulin-Pump Therapy in Type 1 Diabetes,” a randomized, multicenter study in the June 29 New England Journal of Medicine, reports “a significantly greater proportion of both adults and children in the pump-therapy group than in the (insulin) injection-therapy group reached the target glycated hemoglobin level” of 7 percent.

 

6. CALL TO ACTION Participate in a survey about the PICU environment

As part of a graduate study, researchers at Salem State College, Mass., investigate how treating critically ill patients in an environment such as the pediatric intensive care unit (PICU) impacts nurses. Participate in the survey by Friday, July 16.

 

7. CALL TO ACTION Apply for Patient Experience Grant Program by Aug. 1

Apply by Aug. 1 to receive one of four $1,000 Patient Experience Grants from The Beryl Institute, Bedford, Texas. The new grant program supports research to improve the patient-care experience.

 

8. CALL TO ACTION Submit Circle of Excellence award nominations by Aug. 1

AACN will accept nominations of individuals and chapters for the 2011 Circle of Excellence Awards through Aug. 1. Up to 25 individuals receive the awards, conferred on nurses who exemplify excellence in the care of acutely and critically ill patients and families, and $1,000 honorariums. Chapters may be nominated in several categories. Learn about the awards, review the criteria and complete a nomination form.

 

9. CALL TO ACTION Comment on CMS-proposed visitation ruling by Aug. 27

The Centers for Medicare & Medicaid Services (CMS), Baltimore, requests comments by Aug. 27 on a proposed ruling requiring hospitals that participate in Medicare and Medicaid programs to have written policies and procedures on patients’ visitation rights. The president’s directive instructed the U.S. Dept. of Health and Human Services, Washington, D.C., to propose that a “participating hospital not deny visitation privileges on the basis of race, color, national origin, religion, sex, sexual orientation, gender identity, or disability.” It suggests that rulemaking consider allowing participating hospitals to “restrict visitation in medically appropriate circumstances.” Read more in the April 29 Critical Care Newsline.

 

10. NEWS AACN’s new Beacon Award for Excellence applications open Nov. 1

Starting Nov. 1, any hospital unit that cares for high acuity or critically ill patients can apply for an AACN Beacon Award for Excellence. The revised program aligns more closely with award programs such as the Malcolm Baldrige Award for Quality and Magnet Recognition Program, making it easier for hospitals applying for multiple recognition programs to meet requirements for nursing-sensitive patient benchmark data. The new Beacon program includes a streamlined review process that offers timely feedback and recommendations for every application, and bronze-, silver- and gold-level designations to help units track their progress over time.

 

11. CLINICAL PRACTICE RESOURCES

Patient Safety

On July 2 the U.S. Food and Drug Administration, Rockville, Md., issued a follow-up recommendation to the May 27 recall by Physio-Control, Inc., Redmond, Wash., of LIFEPAK 20 and LIFEPAK 20e External Defibrillator/Monitors, stating, “Customers are advised to keep the defibrillators in service and follow recommended daily Operator Checklist steps while service updates are scheduled.”

 

Guidelines

Access “Diagnosis and Management of Complicated Intra-abdominal Infection in Adults and Children: Guidelines by the Surgical Infection Society (New York) and the Infectious Diseases Society of America,” Arlington, Va., published in January’s Clinical Infectious Diseases. 

 

Resource

Models for Restructuring a Clinical Initiative to Enhance Palliative Care in the Intensive Care Unit: A Report From the Improve Palliative Care in the ICU (IPAL-ICU) Project and the Center to Advance Palliative Care” concludes that two models — “consultative” and “integrative” — are effective and not “mutually exclusive.” The review, published online June 18 by Critical Care Medicine, states, “Choosing an overall approach from among these models should be one of the earliest steps in planning an intensive care unit-palliative care initiative.” Access IPAL-ICU information and resources from Center to Advance Palliative Care, New York.

 

12. AACN RESOURCES

E-Learning

Did you know you can purchase three of our high-quality Web-based courses for your personal development? “The Preceptor Challenge” and the award-winning “Promoting Excellence in Palliative and End-of-Life Care” feature simulations of real-life experiences. If you’re a new manager or just want to expand your management competencies, the “Essentials of Nurse Manager Orientation” course is also available for individual purchase. Find more information and pricing.

 

Healthy Work Environment

Access AACN’s Healthy Work Environment tools.

 

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