Critical Care Newsline — July 7, 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.

July 7, 2011

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1. CALL TO ACTION Nominate peers for 2012 AACN Circle of Excellence Awards
2. CALL TO ACTION ‘Confronting the Bigger Problem,’ Second ‘Silent Treatment’ webcast
3. CALL TO ACTION Save Nov. 9-12 for Progressive Care Pathways conference
4. EVIDENCE Periprocedural or patient stoppage of antithrombotics can lead to stroke
5. EVIDENCE Prompt treatment of ruptured intracranial aneurysm improves outcomes
6. EVIDENCE HF, AF increase risk of postop death more than CAD
7. EVIDENCE Internists ‘less comfortable’ discussing PM, ICD therapy deactivation
8. CALL TO ACTION Live PCCN Certification Review webinar starts July 25
9. CALL TO ACTION Enter the NTI 2012 Guest Emcee Contest by Dec. 1
10. CLINICAL PRACTICE RESOURCES
11. AACN RESOURCES Look for jobs at NursePath.com
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1. CALL TO ACTION Nominate peers for 2012 AACN Circle of Excellence Awards
Nominate peers and colleagues for the 2012 AACN Circle of Excellence Awards, which recognize acute and critical care nurses who make a difference in the lives of patients and families through their actions. Up to 25 awardees will be selected to receive a $1,000 honorarium and be inducted into the Circle of Excellence Society. Nominations close Monday, Aug. 1. Learn more and nominate.

2. CALL TO ACTION ‘Confronting the Bigger Problem,’ second ‘Silent Treatment’ webcast
Register for “Confronting the Bigger Problem” — the second of three interactive Silent Treatment video webcasts, Wednesday, July 20 — and learn how to leverage behaviors to change harmful patient care, create safe cultures and resolve concerns about dangerous shortcuts. The entire three-part series costs $385 per computer. Specific webcasts cannot be purchased separately. Each 75-minute session is delivered live from 1-2:30 p.m. EDT and recorded for unlimited viewing 90 days after each session. These webcasts offer continuing education credit.

3. CALL TO ACTION Save Nov. 9-12 for Progressive Care Pathways conference
Do you work in progressive care, including intermediate care, direct observation, stepdown, telemetry, transitional or emergency care? Do you work in a medical-surgical area of a hospital that doesn’t have progressive care? Then mark your calendar for Nov. 9-12 to attend the AACN Progressive Care Pathways conference in Las Vegas. Request a brochure.

4. EVIDENCE Periprocedural or patient stoppage of antithrombotics can lead to stroke
Withdrawal of Antithrombotic Agents and Its Impact on Ischemic Stroke Occurrence” found that 5.3 percent of patients with ischemic stroke had stopped taking their warfarin or antiplatelet medications within 60 days of the event. “This finding emphasizes the need for thoughtful decision-making concerning antithrombotic medication use in the periprocedural period and efforts to improve patient compliance,” concludes the study published online June 30 by Stroke.

5. EVIDENCE Prompt treatment of ruptured intracranial aneurysm improves outcomes
Treating ruptured intracranial aneurysms with a coil or clip within 24 hours of subarachnoid hemorrhage reduces dependence and death six months later compared to treatment after 24 hours or more, according to “Does Treatment of Ruptured Intracranial Aneurysms Within 24 Hours Improve Clinical Outcome?” — a study of 459 patients published online June 16 by Stroke.

6. EVIDENCE HF, AF increase risk of postop death more than CAD
Patients with heart failure (HF) or atrial fibrillation (AF) have a higher risk for postoperative mortality than those with coronary artery disease (CAD), according to “Mortality and Readmission of Patients With Heart Failure, Atrial Fibrillation, or Coronary Artery Disease Undergoing Noncardiac Surgery.” The analysis of 38,047 patients, published online June 27 by Circulation, concludes, “Even minor procedures carry a risk higher than previously appreciated.”

7. EVIDENCE Internists ‘less comfortable’ discussing PM, ICD therapy deactivation
Ethical and Legal Views of Physicians Regarding Deactivation of Cardiac Implantable Electrical Devices: A Quantitative Assessment” finds physicians to be less comfortable discussing cessation of pacemaker (PM) and implantable cardioverter-defibrillator (ICD) therapy — compared to mechanical ventilation, dialysis and feeding tubes — “and lacked experience with this practice.” The study of 185 internists in the November 2010 Heart Rhythm concludes, “Education regarding the legal and ethical parameters of device deactivation is needed.”

8. CALL TO ACTION Live PCCN Certification Review webinar starts July 25
Register today for the multi-session PCCN Certification Review Course live webinar. Offering 14.5 contact hours of continuing education credit, the course features practice questions, live polling and text chat with Carol Rauen, an independent clinical nurse specialist and education consultant who presents the webinar. AACN Certification Reviews Online offers this webinar, which covers cardiovascular, pulmonary, neurologic, renal, gastrointestinal, multisystem, hematology/immunology, behavioral considerations, the AACN Synergy Model and test-taking tips. Internet access is required to participate alone or with colleagues. Register early, as space is limited.

9. CALL TO ACTION Enter the NTI 2012 Guest Emcee Contest by Dec. 1
Have you ever given a great toast at a wedding? Announced a raffle winner at a party, read poetry out loud at a café or simply asked a question in front of peers at a meeting or in class?
Then you might just be a candidate for a guest emcee role at the 2012 National Teaching Institute & Critical Care Exposition (NTI). Submit a video by Thursday, Dec. 1, telling us why you’d make a great guest emcee at NTI 2012. Selected guest emcees receive a complimentary main conference registration, airfare and lodging at NTI in Orlando, Fla.

10. CLINICAL PRACTICE RESOURCES
Patient Safety
On May 27 the U.S. Food and Drug Administration, Silver Spring, Md., approved Dificid (fidaxomicin) tablets, developed by Optimer Pharmaceuticals, Inc., San Diego, for treating Clostridium difficile-associated diarrhea.

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 across the U.S.

NTI 2011 webcasts, abstracts
View webcasts of select sessions from the 2011 National Teaching Institute & Critical Care Exposition (NTI) for the first time or relive the experience. Free continuing education credit is available for most webcasts including “Bad Bugs: Clostridium Difficile Infection” and “ST-Segment and QTc Monitoring: Implementing Evidence-Based Practice.” May’s American Journal of Critical Care contains the “2011 National Teaching Institute Research Abstracts.”

AACN Bold Voices
Together. Stronger. Bolder. — Mary Stahl, AACN President 2011-2012

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