Critical Care Newsline — May 6, 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.

May 6, 2010

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1. NEWS National Critical Care Awareness and Recognition Month
2. NEWS Happy National Nurses Week!
3. NEWS FDA launches initiative to reduce external infusion pump risks
4. NEWS New video on CNS role available online
5. NEWS Travel aftermath of Icelandic volcano eruption won’t worsen propofol shortage
6. EVIDENCE NIH report doesn’t support preventative measures for Alzheimer’s
7. CLINICAL PRACTICE RESOURCES
8. AACN RESOURCES AACN Protocols for Practice price reductions

1. NEWS National Critical Care Awareness and Recognition Month
May marks National Critical Care Awareness and Recognition Month (NCCARM) supported by AACN, the Society of Critical Care Medicine, American College of Chest Physicians, American Thoracic Society and American Association for Respiratory Care. NCCARM honors dedicated professionals whose compassion and care make a difference in the lives of critically ill patients and their families. Learn seven ways to celebrate NCCARM.

2. NEWS Happy National Nurses Week!
National Nurses Week lasts from Thursday, May 6, through Wednesday, May 12, which is the birthday of Florence Nightingale. AACN thanks you for your hard work, care and compassion. It takes a very special person to be an acute or critical care nurse. Learn more about National Nurses Week, through American Nurses Association, Silver Spring, Md.

3. NEWS FDA launches initiative to reduce external infusion pump risks
On April 23, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced a new initiative to address safety concerns associated with external infusion pumps. It includes additional premarket requirements, a May 25-26 workshop on infusion pump design and a Web page devoted to infusion pump safety. “In the past five years, the FDA has received more than 56,000 reports of adverse events associated with the use of infusion pumps,” the news release states.

4. NEWS New video on CNS role available online
AACN member Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN, narrates “CNS … Your Clinical Innovation Expert” from the National Association of Clinical Nurse Specialists (NACNS). Access the new video on the AACN Web pages CCNS Introduction, Consumer Information and Advanced Practice Nurses, and on the NACNS website.
5. NEWS Travel aftermath of Icelandic volcano eruption won’t worsen propofol shortage
The FDA does not expect travel difficulties resulting from the Icelandic volcano eruption to disrupt Fresenius Propoven 1 percent supplies, temporarily imported to the U.S. to ease the propofol shortage. “FDA is in close contact with the European manufacturer of this drug, and they are taking steps to identify alternative shipping arrangements if the need arises,” states the question and answer resource page with special considerations for Propoven use. Full production of propofol is expected to resume in fall 2010.

6. EVIDENCE NIH report doesn’t support preventative measures for Alzheimer’s
An independent panel of experts found insufficient evidence to support preventative measures such as mental stimulation, exercise and a variety of dietary supplements for Alzheimer’s disease, according to an April 28 report from the National Institutes of Health (NIH), Bethesda, Md. “Although numerous interventions have been suggested to delay Alzheimer’s disease, the evidence is inadequate to conclude that any are effective,” states “Preventing Alzheimer’s Disease and Cognitive Decline.”

7. CLINICAL PRACTICE RESOURCES
Patient Safety
On April 24, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., reported a recall by Covidien, Boulder, Colo., of select lots of its Shiley tracheostomy tubes “due to the product’s cuff not holding air as a result of leaks in the pilot balloon inflation assembly.”

An April 27 FDA update states that a Cardiac Science, Bothell, Wash., recall of automated external defibrillators (AEDs) resulting from potential malfunction includes Nihon Kohden and GE responder models, manufactured and distributed between August 2003 and August 2009. Company-issued software “detects some but not all electrical component defects,” it adds.

On April 30, FDA reported that McNeil Consumer Healthcare, Fort Washington, Pa., issued a voluntary recall of certain over-the-counter children’s and infants’ products, including Tylenol, Motrin, Zyrtec and Benadryl, because they may not meet required quality standards.

On May 4, FDA announced that it ordered Baxter to recall and destroy approximately 200,000 Colleague Volumetric Infusion Pumps (Colleague pumps) currently in use. “This action is based on a longstanding failure to correct many serious problems with the pumps,” the announcement states. FDA ordered Baxter to reimburse customers for the recalled device’s value and help customers find replacements.

Resources
Download the Health Literacy Universal Precautions Toolkit from the Agency for Healthcare Research and Quality. The kit, developed by the University of North Carolina at Chapel Hill, includes a quick-start guide, steps for implementing the toolkit, tools to identify improvement areas, links to Internet resources and an appendix of additional resources.

AACN endorses the American Heart Association, Dallas, and American College of Cardiology, Washington, D.C., scientific statement “Prevention of Torsade de Pointes in Hospital Settings.” Published Feb. 8, the statement calls for greater awareness of drug-induced Torsade de Pointes and a protocol to treat it. AACN member Barbara Drew, RN, PhD, FAHA, FAAN, who chaired the committee that prepared the statement, recommends risk assessment and consistent QT interval monitoring for patients receiving QT-prolonging drugs.

8. AACN RESOURCES
AACN Protocol for Practice price reductions
Visit the AACN Online bookstore to buy AACN Protocols for Practice resources at reduced prices. The list includes “Palliative Care and End-of-Life Issues in Critical Care,” “Non-Invasive Monitoring, 2nd Ed.,” “Creating Healing Environments, 2nd Ed.,” “Care of the Mechanically Ventilated Patient, 2nd Ed.” and “Monitoring Technologies in Critically Ill Neuroscience Patients.”

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 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 Environments (HWEs). Developed with VitalSmarts, a provider of corporate training and organizational performance products and services in Provo, Utah, the online tool 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.

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 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.


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