Critical Care Newsline — March 25, 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.

March 25, 2010

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1. NEWS / RESOURCES Express your bold voice about the health care reform bill
2. EVIDENCE Chlorhexidine doesn’t reduce surgical ICU central-line infections, study says
3. NEWS CDC urges mumps vaccine for Hasidic Jews
4. NEWS March is DVT Awareness Month
5. NEWS Photo contest to honor 2010 World Day for Safety and Health at Work
6. CLINICAL PRACTICE RESOURCES
7. AACN RESOURCES NTI certification exam deadline is April 7

1. NEWS / RESOURCES Express your bold voice about the health care reform bill
On March 23, President Obama signed into law a major health care reform bill, the Patient Protection and Affordable Care Act. Express your bold voice on this issue at AACN’s online Legislative Action Center and contact your legislators’ local and national offices to advocate your position or express thanks or disappointment about theirs. The site has the complete congressional directory and templates to send personalized correspondence. It also includes House and Senate schedules, key bill status and AACN legislative alerts.

2. EVIDENCE Chlorhexidine doesn’t reduce surgical ICU central-line infections, study says
Compared to soap and water bathing, daily skin cleansing with chlorhexidine gluconate (CHG) doesn’t reduce the rate of central-line-associated bloodstream infections in surgical ICU patients, states a study in Intensive Care Medicine, March 6. The study, “Daily skin cleansing with chlorhexidine did not reduce the rate of central-line associated bloodstream infection in a surgical intensive care unit,” associates CHG with a decrease in blood culture contaminations and calls for controlled trials in surgical ICUs to determine if CHG bathing can prevent infections in ICUs.

3. NEWS CDC urges mumps vaccine for Hasidic Jews
The Centers for Disease Control and Prevention (CDC), Atlanta, and state health departments urge Hasidic Jews and those in close contact with this community to receive Measles, Mumps, and Rubella (MMR) vaccines before the popular travel holiday of Passover, March 30 to April 5. The CDC notes the threat of mumps spreading in New York and New Jersey as well as nationally and internationally. Read the mumps alert on the CDC Web site.

4. NEWS March is DVT Awareness Month
DVT Awareness Month 2010 strives to improve patient safety for deep vein thrombosis, which affects 2 million Americans each year. Learn how to reduce the risk of DVT, and read AACN’s DVT practice alert.

5. NEWS Photo contest to honor 2010 World Day for Safety and Health at Work
In honor of “2010 World Day for Safety and Health at Work,” April 28, the Pan American Health Organization, Regional Office of the World Health Organization, Washington, D.C., invites photo submissions of your safe and healthy workplace. The deadline to submit photos is March 31. The event promotes action in four key areas: physical work environment, psychosocial work environment, access to occupational health services and health promotion, and enterprise community involvement.

6. CLINICAL PRACTICE RESOURCES

PATIENT SAFETY
On March 11, U.S. Food and Drug Administration (FDA), Silver Spring, Md., issued a warning about counterfeit surgical mesh, distributed in the U.S. under the brand name C.R. Bard/Davol, Murray Hill, N.J. Read the announcement about the counterfeit lots.

On March 12, FDA added a Boxed Warning to the prescribing information for Plavix (clopidogrel bisulfate), an anti-blood-clotting medication from Sanofi-aventis U.S., Bridgewater, and Bristol-Myers Squibb Co., Princeton, N.J. The warning says that tests can identify patients who don’t effectively metabolize the drug because of a genetic variation and advises healthcare providers to consider another anti-platelet medication or alternative dosing in those patients.

RESOURCES
January’s Critical Care Clinics includes “Acute care nurse practitioners in oncologic critical care: the Memorial Sloan-Kettering Cancer Center experience,” which describes the initiation and role development of the collaborative physician-nurse practitioner critical care medicine program at Memorial Sloan-Kettering Cancer Center, N.Y.

At least 1.7 million people in the U.S. sustain a traumatic brain injury each year, states “Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations and Deaths 2002-2006,” March 17, Centers for Disease Control and Prevention, Atlanta.

7. AACN RESOURCES
E-Learning
AACN now 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.

Certification
AACN will offer all its certification exams at the 2010 National Teaching Institute & Critical Care Exposition, Washington, D.C., on Monday, May 17. Nurses must preregister for the exam using a special NTI application. AACN must receive exam fee payment and a completed NTI exam application postmarked no later than Wednesday, April 7.

Healthy Work Environment
Access a recording of the live webinar, “Assessing the Health of Your Work Environment.” Available on the AACN Web site, the webinar — a joint venture between AACN and VitalSmarts, Provo, Utah — promises to be of particular interest to users of the new AACN Healthy Work Environment Assessment, a Web-based tool that aligns any clinical environment with the six HWE Standards. NOTE: Video portion of recording loads slowly.

Access the new AACN Healthy Work Environment 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 Environment (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.

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