Critical Care Newsline — June 17, 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.

June 17, 2010

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1. NEWS AACN’s new Beacon Award for Excellence applications open Nov. 1
2. CALL TO ACTION Participate in The University of Iowa nurse-manager ethics survey
3. GUIDELINE AAN updates brain-death determination guideline
4. EVIDENCE Study highlights recent data on ICU delirium
5. CALL TO ACTION Share your thoughts about AACN’s quest for excellence
6. CALL TO ACTION Tell your nursing story in photos
7. CALL TO ACTION Premier Safety Institute launches injection-practices survey
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES Updated CNS scope and standards

1. NEWS AACN’s new Beacon Award for Excellence applications open Nov. 1
Starting Nov. 1, any hospital unit that cares for high acuity and 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 the Magnet Recognition Program, making it easier for hospitals applying under multiple recognition programs that call for nursing-sensitive patient benchmark data. In addition, the new Beacon program includes a streamlined review process, offering timely feedback and recommendations for every application and bronze, silver and gold designations to help units track their progress over time.

2. CALL TO ACTION Participate in The University of Iowa nurse-manager ethics survey
The University of Iowa, Iowa City, is conducting a study that looks at nurse managers’ experiences with moral distress and the ethical climate of hospitals. It includes telephone interviews with up to 75 nurse managers who have full-time responsibility for at least one critical care unit in the U.S. To participate, contact Rebecca Porter for an information letter.

3. GUIDELINE AAN updates brain-death determination guideline
In June 8’s Neurology, the Quality Standards Subcommittee of the American Academy of Neurology (AAN), Saint Paul, Minn., states its literature review found no published report of “neurologic function” after a diagnosis of adult brain death using 1995 AAN guideline criteria. “Evidence-based Guideline Update: Determining Brain Death in Adults” found “insufficient evidence” to determine a minimal observation period “to ensure that neurologic functions have ceased irreversibly,” “the comparative safety” of apneic testing techniques or the accuracy of new ancillary tests such as bispectral index to identify brain death. The update reports that “complex-spontaneous motor movements and false positive triggering of the ventilator may occur in patients who are brain dead.”

4. EVIDENCE Study highlights recent data on ICU delirium
Intensive Care Unit Delirium,” in June’s Critical Care Nursing Clinics of North America, highlights recent data that include risk factors, diagnostic tools and treatment. “Most critically ill patients possess 1 or more risk factors for the development of delirium,” making prevention and intervention essential, the article states.

5. CALL TO ACTION Share your thoughts about AACN’s quest for excellence
This year’s Annual Membership Forum at the National Teaching Institute & Critical Care Exposition joined audience and board members to engage in focused discussions about AACN and to explore three questions: 1) What is the most innovative practice you’ve seen recently? 2) What can we, the AACN community, do to spread the word about these best practices to let other nurses know about them? 3) As a nurse, what gives you greatest cause for optimism in the current environment? Respond to these questions at info@aacn.org or at NTI Voices Online.

6. CALL TO ACTION Tell your nursing story in photos
Submit your original photos portraying 21st century nursing to the Center to Champion Nursing in America, Washington, D.C., and contribute to a photo repository that displays nurses across various roles and settings. One winning photograph will appear in a print or Web publication published by AARP, Washington, D.C. The submission deadline is June 25.

7. CALL TO ACTION Premier Safety Institute launches injection-practices survey
A short survey from Premier Safety Institute, Washington, D.C., helps identify practices of clinicians who prepare or administer parenteral and injectable medications. Aggregate results will be shared with the Centers for Disease Control and Prevention, Atlanta, the U.S. Food and Drug Administration, Silver Spring, Md. and professional groups that guide research, outreach and education related to reducing risks to patients. The deadline to participate is June 18.

8. CLINICAL PRACTICE RESOURCES
Patient Safety
On June 9, the U.S. Food and Drug Administration, Silver Spring, Md., announced Defibtech, LLC, Guilford, Conn., has voluntarily recalled 5,418 DBP-2800 battery packs used in Lifeline AED and ReviveR AED semi-automatic external defibrillators, because the AED may falsely cancel a needed charge.

On June 10, the U.S. Food and Drug Administration, Silver Spring, Md., announced Hospira, Inc., Lake Forest, Ill., has expanded its March 31 recall of propofol and Liposyn to include additional lots, because some containers might contain particulate matter mostly made up of sub-visible inert stainless steel particles.

Evidence
June’s Critical Care Nursing Clinics of North America contains “Safe Practices for Enteral Nutrition in Critically Ill Patients,” which identifies “areas for potential human error, administrative and organizational conditions that are conducive to error …”

9. AACN RESOURCES
Updated CNS scope and standards
Visit the AACN Online Bookstore to buy the updated “AACN Scope and Standards of Acute and Critical Care Clinical Nurse Specialist Practice.” It includes standards of practice for care and professional performance, competency criteria and suggestions for implementing the standards in the acute and critical care environment.

E-Learning
AACN offers individual nurses access to two of its most popular Web-based courses, “The Preceptor Challenge” and double-award-winning “Promoting Excellence in Palliative & End-of-Life Care.” Nurses may purchase six-month access to “The Preceptor Challenge” for $100 and “Promoting Excellence in Palliative & End-of-Life Care” for $50 at the AACN LearnCenter. “The Preceptor Challenge,” a three-module course, uses virtual tools to enable nurses to identify best practices. The groundbreaking “Promoting Excellence in Palliative & End-of-Life Care” allows nurses to apply theory-based practice without the risk of harm to patients or families.

Healthy Work Environment
Access AACN’s Healthy Work Environment tools.

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