Critical Care Newsline — January 27, 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 27, 2011

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1. CALL TO ACTION Share your story with Bertice Berry
2. EVIDENCE Adverse nurse work schedules can increase patient mortality
3. CALL TO ACTION Register for NTI by March 17 and save
4. CALL TO ACTION Wear red Feb. 4 to support fight against heart disease
5. CALL TO ACTION Two days left to apply for HHS-CCSC HAI Award
6. CALL TO ACTION Survey on ICU nurses and EOL decision making
7. EVIDENCE Poor glucose control after surgery common, causes infection
8. CALL TO ACTION Participate in Studies of Practice surveys by Jan. 31
9. CALL TO ACTION Adult CCRN Review Course webinar registrants increased to 150
10. CALL TO ACTION Join Nurses’ Health Study
11. ANNOUNCEMENT New AACN online resource for ACNPs
12. CALL TO ACTION Apply to attend AONE’s Aspiring Nurse Leader Institute
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES One month down …

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1. 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 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.

2. EVIDENCE Adverse nurse work schedules can increase patient mortality
Patient deaths from pneumonia, heart failure and acute myocardial infarction are significantly higher in hospitals where nurses have adverse work schedules — such as long hours, working while sick and insufficient time off — according to a study of 71 hospitals and more than 600 nurses in January/February’s Nursing Research. “This suggests that work schedule has an independent effect on patient outcomes,” concludes “Nurses’ Work Schedule Characteristics, Nurse Staffing, and Patient Mortality.”

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

4. CALL TO ACTION Wear red Feb. 4 to support fight against heart disease
Wear red on the American Heart Association’s (AHA’s), Dallas, National Wear Red Day, Friday, Feb. 4, to show your support in the fight against heart disease in women. Heart disease is still the number one killer of women according to the AHA.

5. CALL TO ACTION Two days left to apply for HHS-CCSC HAI Award
Act fast: Saturday, Jan. 29 is the deadline to apply for new national awards recognizing long-term reduction or elimination of healthcare-associated infections (HAIs). Visit www.aacn.org/hhs-ccsc-award for complete details on eligibility, selection criteria and application requirements.

6. CALL TO ACTION Survey on ICU nurses and EOL decision making
Participate in “Nurses’ Involvement in End-of-Life (EOL) Decision-Making in the Intensive Care Unit” — a research study on the prevalence and predictors of ICU nurses’ active involvement in EOL decision making. Complete both parts (decision involvement and demographics) of the online survey and opt to participate in a “thank you” drawing for a $150 Visa gift card.

7. EVIDENCE Poor glucose control after surgery common, causes infection
Glycemic Control and Infections in Patients With Diabetes Undergoing Noncardiac Surgery” reports that patients who had poor glucose control during the first 24 hours and mean serum glucose concentrations of 150 mg/dL and higher “were associated with increased rates of postoperative infectious complications.” The retrospective study in January’s Annals of Surgery included more than 55,000 patients.

8. 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.

9. CALL TO ACTION Adult CCRN Review Course webinar registrants increased to 150
Register now for the Adult CCRN Review Course webinar, Thursday, Feb. 10 through Thursday, March 3. AACN expanded registrant capacity to 150 for the much-anticipated webinar because of high demand. 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.

10. CALL TO ACTION Join Nurses’ Health Study
Join Nurses’ Health Study (NHS) III — designed to learn how women’s lifestyles, including exercise, diet and birth control, during their 20s, 30s and 40s can influence health throughout their lives. NHS III builds on the two previous Nurses’ Health Studies, showing that lifestyle factors “can powerfully promote better health,” NHS states.

11. 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.

12. 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.

13. CLINICAL PRACTICE RESOURCES
Patient Safety
January’s Nurse Advise-ERR, published by the Institute for Safe Medication Practices (ISMP), Horsham, Pa., reports the Centers for Medicare & Medicaid Services (CMS), Baltimore, “has indicated openness to suggestions for improvement” of the “30-minute rule” requiring medications to be administered within 30 minutes before or after the scheduled time. CMS noted its position during preliminary discussions with ISMP, which shared the results of its national survey on nurses’ difficulties in complying with the rule. ISMP also invites comments by Feb. 15 on its proposed “Guidelines for Timely Administration of Medications.” ISMP plans further discussions with CMS. Subscribe to the free monthly newsletter or read the archives, which ISMP updates each month.

Evidence
Family-Mediated Exercise Intervention (FAME): Evaluation of a Novel Form of Exercise Delivery After Stroke” reports that compared to a control group, FAME improved “all measures of impairment and activity” in patients and reduced caregiver strain. FAME “can serve to optimize patient recovery and family involvement after acute stroke,” concludes the study published online Jan. 13 by Stroke.

Resource
Register for the Hospital of the University of Pennsylvania’s “Hypothermia Training Institute at Penn,” a two-day therapeutic hypothermia “boot camp,” scheduled for Thursday, March 17 and Friday, March 18 in Philadelphia. Registration limited to 50.

Guidelines
Access “Prevention of Falls in Older Persons,” a clinical practice guideline from The American Geriatrics Society, New York, and the British Geriatrics Society, London.

14. AACN RESOURCES
One month down …
One month down, 11 to go. AACN offers resources to help you stay on track with keeping your New Year’s resolutions. 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.

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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