Critical Care Newsline — April 7, 2011

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.

April 7, 2011

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1. NEWS CDC issues new CLABSI guidelines
2. CALL TO ACTION Nominations for Board of Directors, Nominating Committee open
3. EVIDENCE ACCF/AHA update guidelines for unstable angina/non ST-elevation MI
4. NEWS AACN Certification Corporation launches CCRN-E initial certification
5. CALL TO ACTION Participate in a study on patient-ventilator dyssynchrony
6. CALL TO ACTION Talk to patients about advance directives, April 16
7. CALL TO ACTION Nominations open for 2011 Inspired Comfort Award
8. CLINICAL PRACTICE RESOURCES
9. AACN RESOURCES NTI Checklist: Things to do in April
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1. NEWS CDC issues new CLABSI guidelines
The Centers for Disease Control and Prevention (CDC), Atlanta, and the Healthcare Infection Control Practices Advisory Committee released updated guidelines for preventing catheter-related bloodstream infections (CLABSI) in April 1’s Clinical Infectious Diseases. A working group of scientists from the National Institutes of Health Clinical Center’s Critical Care Medicine Department, Bethesda, Md., and representatives from 14 professional organizations developed “2011 Guidelines for the Prevention of Intravascular Catheter-Related Infections.” Starting in 2011, hospitals must track and report CLABSI in ICUs to get an annual 2 percent Medicare payment increase. On April 4, the CDC said that “On the CUSP (Comprehensive Unit-Based Safety Program): Stop BSI” has been expanded to aid prevention efforts.

2. CALL TO ACTION Nominations for Board of Directors, Nominating Committee open
Nominate candidates for the FY2013-15 AACN Board of Directors and FY2013 Nominating Committee to stand tall for nursing’s future and enable us to fulfill our pledge to patients and families. Review accountabilities and leadership requirements for open positions and download nomination forms at www.aacn.org/nominations. Contact the Governance Department, 1-800-394-5995 x331 or volunteers@aacn.org, for more information. Nominations close Tuesday, May 31.

3. EVIDENCE ACCF/AHA update guidelines for unstable angina/non ST-elevation MI
March 28’s Circulation contains “2011 ACCF/AHA Focused Update Incorporated Into the ACCF/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.”

4. NEWS AACN Certification Corporation launches CCRN-E initial certification
Visit www.aacn.org/certification to learn about AACN Certification Corporation’s initial certification exam for nurses who work in tele-ICUs — remote or virtual ICUs. Successful exam completion results in the CCRN-E credential for tele-ICU nurses, who monitor patients from behind a camera from a remote location to identify trends in patient data and instability, and communicate with bedside clinicians.

5. CALL TO ACTION Participate in a study on patient-ventilator dyssynchrony
Nurse researchers at the University of Pittsburgh invite nurses who care for mechanically ventilated patients to participate in an anonymous, secure online survey on how nurses assess and manage patient-ventilator dyssynchrony — mismatched patient-ventilator breaths. The survey takes approximately 20 minutes to complete.

6. CALL TO ACTION Talk to patients about advance directives, April 16
April 16 is National Healthcare Decisions Day — an initiative led by the National Hospice and Palliative Care Organization (NHPCO), Alexandria, Va. NHPCO provides information and tools for the public to talk about their end-of-life wishes with family, friends and healthcare providers and to complete an advance directive.

7. CALL TO ACTION Nominations open for 2011 Inspired Comfort Award
Nominate an exceptional colleague for the 2011 Cherokee Inspired Comfort Award, sponsored by Cherokee Uniforms, Chatsworth, Calif. Recognizing healthcare professionals for going above and beyond the call of duty to make a difference, the award offers prizes such as an all-expense-paid Caribbean cruise for two. Nomination deadline: May 31.

8. CLINICAL PRACTICE RESOURCES
Patient safety
Strategies Used by Critical Care Nurses to Identify, Interrupt, and Correct Medical Errors,” published in the November 2010 issue of AACN’s American Journal of Critical Care, found nurses use 17 strategies to identify, interrupt and correct errors.

Evidence
Feb. 15’s Journal of the American College of Cardiology includes “Cardiac Resynchronization Therapy Is More Effective in Women Than in Men: the MADIT-CRT (Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy) Trial.” Women obtained “significantly greater reductions” in heart failure and death, states the study of 1,820 patients.

Resources
Access “Training Guide: Using Simulation in TeamSTEPPS Training,” a free publication from the Agency for Healthcare Research and Quality, Rockville, Md., and the Department of Defense, Washington, D.C., that teaches trainers about simulation-based TeamSTEPPS, a system designed to improve patient safety.

March’s Risk Management eSource, published by ECRI Institute, Plymouth Meeting, Pa., focuses on alarm fatigue and includes a link to ECRI’s new Alarm Safety Resource Site, which contains news, articles, blog posts, policies and posters.

9. AACN RESOURCES
Road to NTI
NTI Checklist: Things to do in April. Access it now.

AACN resources on the go
Do you own a smartphone? Take AACN mobile resources along with you. Featured items include Pocket Reference Cards, the adult CCRN Mobile Review Course and special critical care tool bundles.

Stand Tall: AACN Bold Voices
12 Minutes — Kristine Peterson, AACN President 2010-2011

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