Critical Care Newsline — January 20, 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.

January 20, 2011

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1. NEWS Nursing photo exhibit in U.S. Capitol, week of Jan. 24
2. ANNOUNCEMENT New AACN online resource for ACNPs
3. CALL TO ACTION Register for NTI by March 17 and save
4. CALL TO ACTION Apply for HHS-CCSC HAI Award by Jan. 29
5. CALL TO ACTION Share your story with Bertice Berry
6. EVIDENCE New Archives of Internal Medicine studies on infection prevention
7. CALL TO ACTION Participate in Studies of Practice surveys by Jan. 31
8. CALL TO ACTION Register for Adult CCRN Review Course webinars
9. EVIDENCE GIK reduces low cardiac output in aortic valve replacement patients
10. CALL TO ACTION Apply to attend AONE’s Aspiring Nurse Leader Institute
11. CLINICAL PRACTICE RESOURCES
12. AACN RESOURCES Keep your resolutions

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1. NEWS Nursing photo exhibit in U.S. Capitol, week of Jan. 24
If you live in or are visiting the Washington, D.C. area, drop by “The Faces of Caring: Nurses at Work,” a photo exhibit on display in the Russell Senate Office Building rotunda during the week of Jan. 24. Kathleen Bartholomew, a nurse, speaker and consultant, will be there to speak to passers-by about the importance of nursing. American Journal of Nursing sponsors “The Faces of Caring” traveling exhibit.

2. ANNOUNCEMENT New AACN online resource for ACNPs
Access AACN’s new online resource center for acute care nurse practitioners (ACNPs).
Resources include continuing education, the essential ACNP library, job information, legislative and advocacy activities, outcomes management, professional organizations, work environments and work/life balance.

3. CALL TO ACTION Register for NTI by March 17 and save
Register 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, which includes a cost savings, ends March 17.

4. CALL TO ACTION Apply for HHS-CCSC HAI Award by Jan. 29
There’s still time to apply for new national awards recognizing long-term reduction or elimination of healthcare-associated infections (HAIs). Apply by Saturday, Jan. 29. Visit www.aacn.org/hhs-ccsc-award for complete details on eligibility, selection criteria and application requirements.

5. CALL TO ACTION Share your story with Bertice Berry
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. A best-selling author, Bertice seeks our help with illuminating the public about the often misunderstood and unknown contributions nurses make to patients, to 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.

6. EVIDENCE New Archives of Internal Medicine studies on infection prevention
On Jan. 10, Archives of Internal Medicine published two studies on infection prevention. “Sustained Reduction in Methicillin-Resistant Staphylococcus aureus (MRSA) Wound Infections After Cardiothoracic Surgery” reports that an intervention program in which all patients received intransal mupirocin and patients colonized with MRSA received vancomycin prophylaxis resulted in a “near-complete and sustained elimination” of wound infections after cardiac surgery. “Infection Acquisition Following Intensive Care Unit Room Privatization” states that converting a multibed ICU to single rooms substantially reduced infections.

7. CALL TO ACTION Participate in Studies of Practice surveys by Jan. 31
Acute care and gerontology nurse practitioners are invited to participate in the ACNPC Study of Practice. CCNSs and adult, gerontology and pediatric CNSs are invited to participate in the CCNS Study of Practice. Each survey takes about 30 minutes to complete. Survey deadline is Jan. 31. Upon completion, you may enter a drawing for one of four regional gift cards and main conference registration for the 2011 National Teaching Institute & Critical Care Exposition, Chicago, which takes place Saturday, April 30, through Thursday, May 5. AACN Certification Corporation will use survey information to update ACNPC and CCNS test plans, inform AACN’s future revisions of Scope and Standards of Practice documents and enhance resources for advanced practice nurses.

8. CALL TO ACTION Register for Adult CCRN Review Course webinars
AACN Certification Reviews Online expands to include Adult CCRN Review Course webinars, which take place Thursday, Feb. 10 through Thursday, March 3. National content experts Mary Kay Bader, Suzi Burns, Bobbi Leeper and Carol Rauen will present seven live sessions, which award a total of 13.5 contact hours of continuing education credit. Each session features practice questions, live polling and text chat with the presenters. Register now.

9. EVIDENCE GIK reduces low cardiac output in aortic valve replacement patients
Glucose-Insulin-Potassium Reduces the Incidence of Low Cardiac Output Episodes After Aortic Valve Replacement for Aortic Stenosis in Patients With Left Ventricular Hypertrophy: Results From the Hypertrophy, Insulin, Glucose, and Electrolytes (HINGE) Trial,” a double-blind study published online Jan. 3 by Circulation, adds that perioperative treatment with glucose-insulin-potassium (GIK) also reduced the need for inotropic support.

10. CALL TO ACTION Apply to attend AONE’s Aspiring Nurse Leader Institute
The American Organization of Nurse Executives (AONE) holds its semiannual Aspiring Nurse Leader Institute Monday, June 20, through Thursday, June 23, in Indianapolis. Apply for an AACN Continuing Professional Development Scholarship to attend. Qualified applicants must be current members of both AACN and AONE. Visit AACN’s special interest scholarships page for details on eligibility and application requirements. Learn more about additional AACN special interest scholarships that help members attend evidence-based nursing practice programs.

11. CLINICAL PRACTICE RESOURCES
Patient safety
On Jan. 10, the U.S. Food and Drug Administration, Silver Spring, Md., and the manufacturer, Roxane Laboratories, Inc., Columbus, Ohio, notified healthcare professionals of serious adverse events and deaths from accidental overdose of morphine sulfate oral solutions, especially the 100 mg/5 mL product. Roxane has made several labeling changes to help reduce the chance of error.

On Jan. 11, Reuters reported that Biogen Idec, Weston, Mass., added 8,200 patients in 2010 to those already taking the multiple sclerosis drug Tysabri. In mid-December, Biogen reported four new cases of progressive multifocal leukoencephalopathy for a total of 79 cases with 16 deaths as of Dec. 2.

Evidence
Respiratory Support Withdrawal in Intensive Care Units: Families, Physicians and Nurses Views on Two Hypothetical Clinical Scenarios” reports that “physicians, nurses and families recommended limiting life-support therapy with terminally ill patients and favored family participation.” The study — based on a self-administered questionnaire, published online Dec. 29, 2010 by Critical Care — notes that, in decisions “concerning an incompetent patient, physicians were more likely to maintain the therapy.”

Resource
Access evidence-based guidelines for preventing hospital-acquired conditions at the Agency for Healthcare Research and Quality’s, Rockville, Md., National Guideline Clearinghouse.

12. AACN RESOURCES
Keep your resolutions
It’s mid-January and keeping those New Year’s resolutions can be tough. Whether you want to achieve mental balance, get fit, better your work performance or gain more inner strength, browse our wellness products at www.aacn.org/newyou for help.

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
Without it you’re a yawn. — Kristine Peterson, AACN President 2010-2011

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