Critical Care Newsline — September 2, 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.

September 2, 2010

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1. NEWS Submit AACN grant proposals by Oct. 1
2. NEWS Latest AACN procedure manual expands patient-safety, infection-control coverage
3. EVIDENCE Most high-risk ICU patients have unrelieved, distressing symptoms
4. NEWS IOM releases new Future of Nursing Education Report
5. NEWS CDC states reuse of fingerstick devices puts patients at risk
6. NEWS AACN supports relief to Pakistan flood victims
7. FACEBOOK DISCUSSION What is your experience with 12-hour shifts and sleep?
8. TRENDS Early-bird registration ends Labor Day, Sept. 6 for Philadelphia conference
9. NTI Submit poster abstracts and certification best practices for NTI 2011
10. CALL TO ACTION NINR requests applicants for research fellowship
11. CALL TO ACTION Chapters must submit contracts to AACN for approval
12. CALL TO ACTION Give TJC feedback about two patient-safety efforts
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES New CCN OnlineFirst article now available

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1. NEWS Submit AACN grant proposals by Oct. 1
The window of time to submit proposals for AACN 2011 grants opened Sept. 1 and closes Oct. 1. Submit your proposals today. New this year is the AACN Impact Research Grant, designed to support experienced clinicians and researchers in inquiry and systematic research and generate new knowledge. Learn more at www.aacn.org/grants.

2. NEWS Latest AACN procedure manual expands patient-safety, infection-control coverage
The evidence-based “AACN Procedure Manual for Critical Care Nursing,” 6th edition, increases its focus on patient safety and infection control with an easy-to-use format, intervention rationales, clear identification of advanced practice procedures and new icons highlighting key procedures related to The Joint Commission, Oakbrook Terrace, Ill., and the Centers for Disease Control and Prevention, Atlanta, requirements. Each procedure includes AACN’s levels of evidence and comprehensive references.

3. EVIDENCE Most high-risk ICU patients have unrelieved, distressing symptoms
“Symptom assessment in high-risk intensive care unit patients may lead to more focused interventions to avoid or minimize unnecessary suffering” states “Symptoms Experienced by Intensive Care Unit Patients at High Risk of Dying,” published online Aug. 12 by Critical Care Medicine. The prospective, observational study of 171 patients states that most high-risk ICU patients, including those with delirium, have “unrelieved and distressing symptoms.”

4. NEWS IOM releases new Future of Nursing Education Report
On Aug. 31, the Institute of Medicine (IOM), Washington, D.C., released “A Summary of the February 2010 Forum on the Future of Nursing: Education,” subsequent to an event held at the University of Texas MD Anderson Cancer Center, Houston, as part of the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the IOM. Download the report and register to view the webinar of the event. To be released in the fall, the final report will include conclusions and recommendations. Access materials from two previous meetings held in 2009.

5. NEWS CDC states reuse of fingerstick devices puts patients at risk
Reports of increasing hepatitis B virus infection outbreaks linked to diabetes prompted the Centers for Disease Control and Prevention (CDC), Atlanta, to remind clinicians that “fingerstick devices for blood sampling should never be used for more than one person.” The Aug. 23 Clinical Reminder recommends use of auto-disabling single-use fingerstick devices to monitor blood glucose.

6. NEWS AACN supports relief to Pakistan flood victims
Widespread flooding in northern parts of Pakistan has affected more than 17 million people who need lifesaving humanitarian assistance. The Critical Care Societies Collaborative — including AACN, American College of Chest Physicians, American Thoracic Society and Society of Critical Care Medicine — encourages members to volunteer or donate to first responder relief organizations that work with World Health Organization’s Pakistan Health Cluster, among them the American Red Cross, CARE USA, Save The Children and Doctors Without Borders. You can access resources and information to help disaster victims here.

7. FACEBOOK DISCUSSION What is your experience with 12-hour shifts and sleep?
A University of Maryland study reports that some nurses are better than others at staying alert during successive 12-hour shifts. It adds that the average total sleep time is 5.2 to 5.5 hours. What is your experience? Join the discussion at facebook.com/aacnface.

8. TRENDS Early-bird registration ends Labor Day, Sept. 6 for Philadelphia conference
Don’t forget: Early-bird registration for the fall TRENDS in Critical Care Nursing Conference, which takes place Sept. 28-Oct. 1 at the Valley Forge Convention Center near Philadelphia,
closes Labor Day, Sept. 6. Visit www.aacn.org/trends to learn more.

9. NTI Submit poster abstracts and certification best practices for NTI 2011
Submit poster abstracts for the 2011 National Teaching Institute & Critical Care Exposition (NTI), April 30-May 5, Chicago, in three categories: Research, Evidence-based Solutions, which replaces Creative Solutions, and Chapter Best Practice. Read Poster Abstract Submission Guidelines before submitting your abstract online. Deadline Sept. 15.

If your hospital, unit or chapter has successfully implemented certification best practices — strategies to encourage, recognize and reward certification — submit your certification story online by Sept. 30. AACN will select the two most innovative practices for panel presentation during the “Creating a Culture of Certification: Best Practices Roundtable” at the 2011 National Teaching Institute & Critical Care Exposition (NTI), April 30-May 5, Chicago. AACN Certification Corporation accepts best-practice submissions, which it posts online, year-round.

10. CALL TO ACTION NINR requests applicants for research fellowship
The Bravewell Collaborative, Minneapolis, National Institute of Nursing Research (NINR) and National Institutes of Health (NIH) Clinical Center (BNC), Bethesda, Md., have joined together to request applicants for its two-year, postdoctoral BNC Fellowship. Fellows receive extensive training on the NIH campus to conduct research in integrative medicine. Apply by Sept. 15.

11. CALL TO ACTION Chapters must submit contracts to AACN for approval
AACN chapters must submit most contracts, such as those for speakers, caterers, grants, exhibitors and facility rental, to the AACN national office for review and approval before signing them to help ensure the chapter is protected. Learn more.

12. CALL TO ACTION Give TJC feedback about two patient-safety efforts
The Joint Commission’s (TJC’s) Division of Standards and Survey Methods seeks effective methods to execute the National Patient Safety Goal (NPSG), “Implement Evidence-based Practices for Preventing Surgical Site Infections.” Upon project completion, accredited hospitals receive a free NPSG implementation guide to highlight successful implementation methods for this NPSG. Submit your methods by Sept. 5.

TJC wants to know the effect of the changes on patient care and internal processes. Complete a 10-minute survey on the Universal Protocol revisions implemented in January. Deadline Sept. 10.

13. CLINICAL PRACTICE RESOURCES
Patient safety
On Aug. 13, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced a recall of INOMAX (nitric oxide) Drug-Delivery System from Ikarai, Inc., Clinton, N.J. “Risks to the patient may include interruption of drug flow due to an empty cylinder, and/or the time taken to switch to a replacement system,” it states.

On Aug. 26, the FDA announced a recall of certain types of Huber needles, because FDA testing found they produced cores when inserted into vascular access ports.

Guidelines
August’s Nutrition in Clinical Practice includes “Standards for Nutrition Support: Adult Hospitalized Patients,” from the American Society for Parenteral and Enteral Nutrition, Silver Spring, Md.

Access the guideline synthesis “Management of Overweight and Obesity in Children and Adolescents” from the Agency for Healthcare Research and Quality, Rockville, Md., which compares guidelines from the Massachusetts Department of Public Health, Boston; Scottish Intercollegiate Guidelines Network, Edinburgh, Scotland; and The Endocrine Society, Chevy Chase, Md.

14. AACN RESOURCES
New CCN OnlineFirst article now available
This month’s Publish Ahead of Print article is now live on the Critical Care Nurse website. Click the OnlineFirst logo to read about promoting effective communication for patients receiving mechanical ventilation. Log-in required to read articles.

Learn at home with E-Learning
Develop your clinical knowledge, anytime, anywhere, with the three AACN E-Learning courses, available for individual purchase. “The Preceptor Challenge” and the award-winning “Promoting Excellence in Palliative & End-of-Life Care” feature simulations of real-life experiences. “Essentials of Nurse Manager Orientation” helps new and experienced managers expand their management competencies. More information and pricing.

Stand Tall
“Be proud of what you do.” — Kristine Peterson, AACN President 2010-2011

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

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