Critical Care Newsline — April 14, 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 14, 2011

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1. NEWS Silent Treatment study focuses on communication breakdown
2. NTI Procedural Anatomy Lab back by popular demand
3. CALL TO ACTION AACN now offers CCRN-E initial certification
4. NEWS April 30 is National Prescription Drug Take Back Day
5. RESOURCE Just released: AACN’s Adult CCRN/CCRN-E online review course
6. NEWS CMS home-health requirement effective as of this month
7. CALL TO ACTION Comment on TJC-proposed flu vaccine requirements for staff
8. EVIDENCE Adherence to guidelines reduces mortality in HF outpatients
9. EVIDENCE NEJM articles coincide with ACC meeting
10. EVIDENCE Postop hemoglobin, intraop transfusion predict stroke after cardiac surgery
11. CALL TO ACTION Participate in study on patient-ventilator dyssynchrony
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Road to NTI
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1. NEWS Silent Treatment study focuses on communication breakdown
If you missed the live event, you can now access “The Silent Treatment: Why Safety Tools and Checklists Aren’t Enough to Save Lives.” AACN, Association of periOperative Registered Nurses and VitalSmarts present this five-year follow-up to the groundbreaking “Silence Kills” study that focuses on dangerous communication breakdowns that harm patients.

2. NTI Procedural Anatomy Lab back by popular demand
Register now for one of two Procedural Anatomy Labs — half-day preconference sessions that take place Sunday, May 1, at this year’s National Teaching Institute & Critical Care Exposition (NTI) in Chicago. Supported by Vidacare Corp., San Antonio, and the Medical Education & Research Institute, Memphis, Tenn., these sessions present a hands-on experience with human cadavers. Learn about the human anatomy from the high acuity and critical care perspective as well as procedures and protocol. Space is limited at both sessions, which take place at 9 a.m. and 1 p.m. View pictures from last year.

3. CALL TO ACTION AACN now offers 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 live patients from behind a camera from a remote location to identify trends in patient data and instability, and communicate with bedside clinicians.

4. NEWS April 30 is National Prescription Drug Take Back Day
National Prescription Drug Take Back Day, sponsored by the U.S. Drug Enforcement Administration, Springfield, Va., takes place Saturday, April 30, 10 a.m.-2 p.m. at collection sites across the country. Addressing the public safety and public health issue of prescription drug abuse, the event encourages the safe disposal of unwanted, unused prescription drugs. Find a collection site near you.

5. RESOURCE Just released: AACN’s Adult CCRN/CCRN-E online review course
Experience the easy access and convenience of preparing for your AACN Adult CCRN/CCRN-E certification exam online. With AACN’s latest addition to the Certification Reviews Online selections, you can study anytime and anywhere — and as often as you like — using an Internet connection. The 14.5-contact-hour course offers a comprehensive review, in which a distinguished national panel of prominent experts from the critical care nursing community prepares you for the certification exam given by AACN Certification Corporation.

6. NEWS CMS home-health requirement effective as of this month
Effective April 1, the Centers for Medicare & Medicaid Services (CMS), Baltimore, expects home health agencies and hospices to comply with requiring a physician or another practitioner, such as an advanced practice nurse, to visit face-to-face with a home health or hospice patient to certify Medicare eligibility. While the Home Health Face-to-Face Encounter: A New Home Health Certification Requirement became effective Jan. 1, the CMS gave agencies additional time to put processes in place.

7. CALL TO ACTION Comment on TJC-proposed flu vaccine requirements for staff
The Joint Commission (TJC), Oakbrook Terrace, Ill., invites comments on proposed requirements related to influenza vaccination of staff and licensed independent practitioners. Deadline: May 17.

8. EVIDENCE Adherence to guidelines reduces mortality in HF outpatients
Six of seven recommended treatments for heart failure (HF) outpatients may significantly improve 24-month survival according to “Associations Between Outpatient Heart Failure Process-of-Care Measures and Mortality,” published online April 4 by Circulation. The study associates a 10-percent improvement in composite care — overall adherence to the guidelines — with 13-percent lower odds of mortality.

9. EVIDENCE NEJM articles coincide with ACC meeting
On April 4, The New England Journal of Medicine (NEJM) published free-access articles to coincide with presentations at a meeting of the American College of Cardiology (ACC), Washington, D.C.: “Percutaneous Repair or Surgery for Mitral Regurgitation,” “Mitral Regurgitation — What Is Best for My Patient?” “Coronary-Artery Bypass Surgery in Patients With Left Ventricular Dysfunction,” “Myocardial Viability and Survival in Ischemic Left Ventricular Dysfunction,” “Underestimating Medical Therapy for Coronary Disease ... Again” and “Randomized Trial of Stents Versus Bypass Surgery for Left Main Coronary Artery Disease.”

10. EVIDENCE Postop hemoglobin, intraop transfusion predict stroke after cardiac surgery Patients with lower postoperative hemoglobin levels and higher intraoperative transfusion requirements are more likely to suffer from a stroke after cardiac surgery according to April’s Annals of Thoracic Surgery. “Reduced cerebral oxygen delivery due to anemia may contribute to cerebral injury after coronary artery bypass grafting,” concludes “Intraoperative Hemoglobin Levels and Transfusion Independently Predict Stroke After Cardiac Operations.”

11. CALL TO ACTION Participate in 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.

12. CLINICAL PRACTICE RESOURCES
Patient safety
For the first time, Medicare patients can access data on hospital-acquired conditions at the Centers for Medicare & Medicaid Services, Baltimore, Hospital Compare website. Download an Excel file of the data.

Resource
On April 7, nursing schools affiliated with the American Association of Colleges of Nursing, Washington, D.C., endorsed the new “Essentials of Master’s Education in Nursing.”

Guidelines
April 5’s Circulation includes “Best Practices in Managing Transition to Adulthood for Adolescents With Congenital Heart Disease: The Transition Process and Medical and Psychosocial Issues: A Scientific Statement From the American Heart Association.”

13. AACN RESOURCES
Road to NTI
API: An Advanced Practice Conference Within the NTI. Read it.

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

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