Critical Care Newsline — September 9, 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 9, 2010

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1. CALL TO ACTION Apply for AACN’s NIWI scholarship by Nov. 1
2. NEWS SHEA recommends mandating flu vaccines for healthcare professionals
3. NEWS CCSC asks CMS for clarification on anesthesia guidelines
4. EVIDENCE Procalcitonin-based algorithm may reduce antibiotic use in ICU patients
5. EVIDENCE Information for families increases likelihood of organ donation
6. EVIDENCE Two models for structuring an ICU palliative care initiative
7. CALL TO ACTION Submit AACN grant proposals by Oct. 1
8. NEWS Latest AACN procedure manual expands patient-safety, infection-control coverage
9. NEWS AACN joins CCSC to support relief to Pakistan flood victims
10. NTI Submit poster abstracts and certification best practices for NTI 2011
11. CALL TO ACTION NINR requests applicants for research fellowship
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Buy top-selling pocket cards for iPhone, iPod Touch

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1. CALL TO ACTION Apply for AACN’s NIWI scholarship by Nov. 1
For the second year, AACN offers scholarships for the Nurse in Washington Internship (NIWI) program — sponsored by the Nursing Organizations Alliance — which takes place Sunday, March 13, to Tuesday, March 15, 2011, in Washington, D.C. The three-day internship teaches healthcare professionals how to advance healthcare agendas on local, state and national levels through legislative processes. Applicants must be AACN members and accepted by the NIWI program. The deadline is Nov. 1. Learn more at www.nursing-alliance.org and www.aacn.org/niwi.

2. NEWS SHEA recommends mandating flu vaccines for healthcare professionals
Healthcare personnel should get an annual influenza vaccine as a “condition of both initial and continued HCP employment and/or professional privileges,” states a position paper from the Society for Healthcare Epidemiology of America (SHEA), Arlington, Va., in Infection Control & Hospital Epidemiology, published online Aug. 31. “SHEA views influenza vaccination of HCP (healthcare personnel) as a core patient and HCP safety practice with which noncompliance should not be tolerated” states the article “Revised SHEA Position Paper: Influenza Vaccination of Healthcare Personnel.”

3. NEWS CCSC asks CMS for clarification on anesthesia guidelines
The Critical Care Societies Collaborative (CCSC) — which includes SCCM, AACN, the American College of Chest Physicians and the American Thoracic Society — asked the Centers for Medicare & Medicaid Services (CMS), Baltimore, Md., to add a clause to its anesthesia service guidelines releasing qualified anesthesia practitioners from mandatory individual sedative administration during emergent procedures if two practitioners aren’t present. “Placing individuals in a position that requires them to both administer an anesthetic drug and perform the procedure detracts from proper focus on both activities, and thus has the potential to unnecessarily increase the risk to an already compromised patient,” states the Sept. 2 Society of Critical Care Medicine’s eNewsletter.

4. EVIDENCE Procalcitonin-based algorithm may reduce antibiotic use in ICU patients
A procalcitonin-based algorithm “may reduce antibiotic exposure in critically ill, septic patients without compromising clinical outcomes,” according to “Procalcitonin-guided Algorithms of Antibiotic Therapy in the Intensive Care Unit: A Systematic Review and Meta-analysis of Randomized Controlled Trials.” The study, published online Aug. 19 by Critical Care Medicine, adds that “further research is necessary before the wide adoption of this strategy.”

5. EVIDENCE Information for families increases likelihood of organ donation
“Specific supportive behaviors” by hospital staff “were significantly associated with consent to donation,” states “Perceived Support Among Families Deciding About Organ Donation for Their Loved Ones: Donor Vs Nondonor Next Of Kin,” a telephone interview survey of 199 families of potential donors. The study, which appears in the September issue of AACN’s American Journal of Critical Care, adds, “These behaviors lend themselves to creative training and educational programs for staff. Such interventions are essential not only for next of kin of brain-dead patients, but also for staff and ultimately for the public as a whole.”

6. EVIDENCE Two models for structuring an ICU palliative care initiative
September’s Critical Care Medicine includes “Models for Structuring a Clinical Initiative to Enhance Palliative Care in the Intensive Care Unit: A Report From the IPAL-ICU Project (Improving Palliative Care in the ICU),” which discusses two models — consultative and integrative — to plan an ICU-palliative care initiative.

7. CALL TO ACTION Submit AACN grant proposals by Oct. 1
Submit proposals for AACN 2011 grants by Oct. 1. 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.

8. NEWS Latest AACN procedure manual expands patient-safety, infection-control coverage
Evidence-based “AACN Procedure Manual for Critical Care,” 6th edition, increases the focus on patient safety and infection control with an easy-to-use format, intervention rationales, clear identification of advanced practice procedures and new icons that highlight 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.

9. NEWS AACN joins CCSC to support 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 the World Health Organization’s Pakistan Health Cluster, that includes the American Red Cross, CARE USA, Save the Children and Doctors Without Borders. Access resources and information to help disaster victims.

10. NTI Submit poster abstracts and certification best practices for NTI 2011
Submit poster abstracts for the 2011 National Teaching Institute & Critical Care Exposition (NTI 2011) — to be held Saturday, April 30, to Thursday, May 5, 2011, in Chicago — in three categories: Research, Evidence-based Solutions (replaces Creative Solutions) and Chapter Best Practice. Read Poster Abstract Submission Guidelines first. 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 NTI 2011. AACN Certification Corporation accepts best-practice submissions, which it posts online, year-round.

11. 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 a two-year, postdoctoral BNC Fellowship. Fellows receive extensive training to conduct research in integrative medicine on the NIH campus. Apply by Sept. 15.

12. CLINICAL PRACTICE RESOURCES
Patient safety
On Sept. 1, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., reminded healthcare professionals that the intravenous antibiotic Tygacil (tigecycline) has a higher risk of mortality compared to other drugs used to treat serious infections. “Alternatives to Tygacil should be considered in patients with severe infections,” the FDA states.

13. AACN RESOURCES
Buy top-selling mobile pocket cards at 30 percent off
Buy six top-selling pocket cards for your iPhone or iPod Touch at a 30 percent discount at AACN’s Mobile Resource Center. These mobile pocket cards provide a ready reference at the point of care and include Cardiac Medications Pocket Reference, Cardiovascular Assessment Pocket Reference, Hemodynamic Management Pocket Reference, Laboratory Values Pocket Reference, Patient/Family Guide Conference Pocket Reference and Sepsis Management Pocket Reference. Offer ends Oct. 31.

Help parents before a child dies
Learn more in the September issue of AACN Bold Voices.

Contract protocol for chapters
AACN chapters must submit all 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.

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
“Speak up.” — Kristine Peterson, AACN President 2010-2011

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

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