Critical Care Newsline — February 10, 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.

February 10, 2011

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1. NEWS AACN awards first $50,000 Impact Research Grant
2. CALL TO ACTION Don’t forget to share your story with Bertice by Feb. 11
3. EVIDENCE Michigan Keystone ICU project reduces mortality
4. EVIDENCE ACS NSQIP pediatric program releases first results
5. RESOURCE Tools to achieve zero CLABSIs
6. CALL TO ACTION Read about nursing certification benefits in AACN journal
7. CALL TO ACTION Register for NTI by March 17 and save on main conference
8. CALL TO ACTION AACN scholarships for ASU evidence-based practice
9. CALL TO ACTION Give CCN your feedback on ICU weekend mortality
10. CLINICAL PRACTICE RESOURCES
11. AACN RESOURCES Job search at NursePath.com
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1. NEWS AACN awards first $50,000 Impact Research Grant
Ruth Kleinpell, PhD, RN-CS, FAAN, director, Center for Clinical Research, Rush University Medical Center, Chicago, and professor, Rush University College of Nursing, receives the first $50,000 AACN Impact Research Grant. Kleinpell, recipient of AACN’s 2010 Flame of Excellence Award, will explore the impact of telemedicine on ICU nursing care with co-investigators from Sutter Health, Sacramento-Sierra Region, Calif.; Baptist Health South Florida, Miami; Resurrection Health Care, Chicago; UMass Memorial Medical Center, Worcester; and Eastern Maine Medical Center, Bangor. AACN will award two Impact Research Grants, which support clinical inquiry that drives change in high acuity and critical care nursing, in 2012 and three in 2013. For more information, visit www.aacn.org/grants or contact Linda Bell, AACN clinical practice specialist, at (800) 394-5995, ext. 318.

2. CALL TO ACTION Don’t forget to share your story with Bertice by Feb. 11
Bertice Berry, popular emcee and keynote speaker at the National Teaching Institute & Critical Care Exposition, is working on a new book about the lives of nurses — and she invites you to share your story. The best-selling author wants our help with illuminating the public about the often misunderstood and unknown contributions nurses make to patients and their families and to the overall healthcare system. To share your most memorable moment as a nurse for possible inclusion in Bertice’s book, e-mail your story to bertice@aol.com by Feb. 11. Please save your work as a Word document of up to three pages.

3. EVIDENCE Michigan Keystone ICU project reduces mortality
The Michigan Keystone ICU project to reduce infections significantly decreased mortality in Michigan hospitals compared with other Midwest hospitals according to Jan. 28’s British Medical Journal. “The project was not, however, sufficiently powered to show a significant difference in length of stay” concludes “Impact of a Statewide Intensive Care Unit Quality Improvement Initiative on Hospital Mortality and Length of Stay: Retrospective Comparative Analysis.”

4. EVIDENCE ACS NSQIP pediatric program releases first results
Postoperative complications are four times more likely after inpatient surgery compared to outpatient surgery according to “American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Pediatric: A Phase 1 Report.” The pediatric program, which shares the same goals as the adult Surgical Care Improvement Project, “has the potential to identify outcomes of children’s surgical care that can be targeted for quality improvement efforts,” concludes the study of postoperative occurrences in 7,287 patients from four pediatric referral centers in January’s Journal of the American College of Surgeons.

5. RESOURCE Tools to achieve zero CLABSIs
The “I Believe in Zero CLABSIs” website, started by the APIC — Association for Professionals in Infection Control and Epidemiology — Washington, D.C., includes tools, resources, case studies and personal stories of success to help professionals and healthcare institutions achieve zero CLABSIs. The Infusion Nurses Society, Norwood, Mass., is one of the initiative’s collaborators.

6. CALL TO ACTION Read about nursing certification benefits in AACN journal
The January-March issue of AACN Advanced Critical Care carries a symposium about the benefits of nursing certification edited by Roberta Kaplow, clinical nurse specialist, Emory University Hospital, Atlanta. The articles include information about best practices for creating a culture of certification, APRN regulation and chapter promotion of certification. Access the AACN quarterly journal.

7. CALL TO ACTION Register for NTI by March 17 and save on main conference
Save money. Register now for the 2011 National Teaching Institute & Critical Care Exposition in Chicago, which takes place Saturday, April 30, through Thursday, May 5. Let’s join together as a community of exceptional nurses to experience more than 500 education sessions, networking and inspirational general sessions. Early bird registration ends March 17.

8. CALL TO ACTION AACN scholarships for ASU evidence-based practice
If your summer plans include attending one of the evidence-based-practice events at Arizona State University (ASU), Phoenix, in May or June, apply now for an AACN Continuing Professional Development Scholarship. Applications for AACN scholarships, which allow members to enrich their careers and acquire knowledge and skills beyond degree coursework, must be received at least three months before an event. Learn more and apply.

9. CALL TO ACTION Give CCN your feedback on ICU weekend mortality
What is it about being admitted to an ICU during the weekend that increases mortality? In her recent Critical Care Nurse (CCN) editorial, Grif Alspach discusses evidence showing that patients admitted to the ICU during the weekend have higher mortality rates than those admitted during the week. Take the CCN reader survey to share your thoughts, observations and possible explanations for this situation. Your professional and personal experiences are important ingredients for improving patient outcomes for critically ill patients.

10. CLINICAL PRACTICE RESOURCES
Patient safety
On Feb. 1, the U.S. Food and Drug Administration, Silver Spring, Md., posted a recall of the B. Braun Outlook 400ES Safety Infusion System, Model Number 621-400ES. When used in a network environment that utilizes Temporal Key Integrity Protocol (TKIP) authentication, infusion systems upgraded with the Motorola compact flash hardware and supporting software can potentially induce a memory leak, causing the Management Processor to become non-responsive and normal operation to stop.

Resources
On Feb. 1, The Joint Commission, Oakbrook Terrace, Ill., released a new, free monograph, “Tdap Vaccination Strategies for Adolescents and Adults, Including Health Care Personnel – Strategies From Research and Practice,” to help healthcare organizations increase vaccination rates for tetanus, diphtheria and pertussis (Tdap).

Access “Joint Commission Center for Transforming Healthcare,” a new video from the Joint Commission Center for Transforming Healthcare, Oakbrook Terrace, Ill., to learn how the center is changing and improving healthcare today. Current projects include hand hygiene, wrong-site surgery, hand-off communications and surgical site infections.

11. AACN RESOURCES
Job search at NursePath.com
Visit NursePath.com, AACN’s online career site, to find employment opportunities in high acuity and critical care across the U.S.

Speak boldly with AACN Practice Alerts
AACN Practice Alerts are concise, action-oriented and evidence-based statements about acute and critical care nursing practices that help nurses carry their bold voices to the bedside. Learn more or access alerts.

Stand Tall: AACN Bold Voices
Then I tripped. — Kristine Peterson, AACN President 2010-2011

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