Critical Care Newsline — February 24, 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 24, 2011

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1. NEWS CDC issues best practices for PCR testing in pertussis
2. CALL TO ACTION AACN scholarships for evidence-based practice
3. NEWS WSJ highlights changing ICU care
4. EVIDENCE Evidence-based HAI prevention strategies save lives, money
5. EVIDENCE Pediatric readmissions costly, JAMA study states
6. EVIDENCE Interrater reliability for pediatric NIH stroke scale ‘excellent’
7. CALL TO ACTION Comment on prescription container labeling
8. CALL TO ACTION A few weeks left for early NTI registration savings
9. CALL TO ACTION Read about the value of nursing certification
10. CLINICAL PRACTICE RESOURCES
11. AACN RESOURCES Look for jobs at NursePath.com

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1. NEWS CDC issues best practices for PCR testing in pertussis
On Feb. 16, the Centers for Disease Control and Prevention (CDC), Atlanta, issued the health update “Best Practices for Health Care Professionals on the Use of Polymerase Chain Reaction (PCR) for Diagnosing Pertussis,” which states, “Proper testing criteria, timing of testing, specimen collection techniques, protocols for avoiding specimen contamination, and appropriate interpretation of test results are all necessary to ensure that Polymerase Chain Reaction (PCR) reliably informs patient diagnosis.”

2. CALL TO ACTION AACN scholarships for evidence-based practice
If you plan to attend an evidence-based-practice event at Arizona State University, Phoenix, Case Western Reserve University, Cleveland, or The University of Texas, San Antonio, apply 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.

3. NEWS WSJ highlights changing ICU care
Feb. 15’s The Wall Street Journal (WSJ) highlights changes in ICU care designed to reduce long-term cognitive and physical problems. “Changing Intensive Care to Improve Life Afterward” includes research findings related to less sedation and early ambulation.

4. EVIDENCE Evidence-based HAI prevention strategies save lives, money
Estimating the Proportion of Healthcare-Associated Infections (HAIs) That Are Reasonably Preventable and the Related Mortality and Costs” found that using evidence-based strategies may prevent 65 to 70 percent of catheter-associated bloodstream infections and catheter-associated urinary tract infections and 55 percent of ventilator-associated pneumonia and surgical site infections. “Comprehensive implementation of such strategies could prevent hundreds of thousands of HAIs and save tens of thousand of lives and billions of dollars,” concludes the study in February’s Infection Control & Hospital Epidemiology.

5. EVIDENCE Pediatric readmissions costly, JAMA study states
Feb. 16’s JAMA reports that 2.9 percent of pediatric readmissions to the hospital accounted for 18.8 percent of admissions and 23.2 percent of inpatient charges in 37 children’s hospitals. “Many of these patients were rehospitalized recurrently for a problem in the same organ system,” concludes “Hospital Utilization and Characteristics of Patients Experiencing Recurrent Readmissions Within Children’s Hospitals,” a retrospective cohort analysis of more than 317,000 patients.

6. EVIDENCE Interrater reliability for pediatric NIH stroke scale ‘excellent’
Interrater Reliability (IRR) of the Pediatric National Institutes of Health Stroke Scale (PedNIHSS) in a Multicenter Study” reports IRR was “excellent” when trained child neurologists used the scale in a prospective study published online Feb. 11 by Stroke.

7. CALL TO ACTION Comment on prescription container labeling
The U.S. Pharmacopeia (USP), Rockville, Md., invites comments from pharmacists and other healthcare professionals on its newly proposed chapter, “Prescription Container Labeling.” Comment by Thursday, March 31.

8. CALL TO ACTION A few weeks left for early NTI registration savings
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 — only a few weeks away.

9. CALL TO ACTION Read about the value of nursing certification
The January-March issue of AACN Advanced Critical Care carries a symposium about the benefits of nursing certification compiled 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 quarterly journal.

10. CLINICAL PRACTICE RESOURCES
Guidelines

The Canadian Medical Association Journal published “Clinical Practice Guidelines for the Use of Noninvasive Positive-Pressure Ventilation and Noninvasive Continuous Positive Airway Pressure in the Acute Care Setting” online Feb. 14. “New Clinical Practice Guidelines Issued for Noninvasive Ventilation” summarizes the guidelines; requires free sign-up at Medscape.

Access “Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women 2011 Update: A Guideline From the American Heart Association” (AHA). The guidelines focus more on “real-world” recommendations than clinical research according to a Feb. 15 AHA news release.

On Dec. 16, 2010, ECRI Institute, Plymouth Meeting, Pa., updated the summary of “Chronic Kidney Disease Evidence-Based Nutrition Practice Guideline” from the American Dietetic Association, Chicago.

Resource
The Health Research & Educational Trust, Chicago, recently released “Health Care Leader Action Guide: Understanding and Managing Variation,” a resource for hospitals working to reduce inappropriate variations in care.

11. AACN RESOURCES
Look for jobs at NursePath.com
Visit NursePath.com, AACN’s online career site, to find employment opportunities in high acuity and critical care nursing 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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