Critical Care Newsline — July 14, 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 14, 2011

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1. CALL TO ACTION Register for Live PCCN Certification Review webinar by July 18
2. CALL TO ACTION Register for July 20 webcast ‘Confronting the Bigger Problem’
3. CALL TO ACTION Nominate peers for 2012 AACN Circle of Excellence Awards
4. NEWS Mobile devices changing critical care: read in AJCC, discuss on Facebook
5. NEWS Critical Care Societies Collaborative sets ICU telemedicine research agenda
6. NEWS VA’s ‘Let’s Get Certified’ campaign enters Phase IV
7. CALL TO ACTION Comment on TJC’s proposed pediatric EPs
8. EVIDENCE No significant difference between heparin and NS IV flush in peds patients
9. EVIDENCE Weaning protocols reduce unplanned extubations
10. CALL TO ACTION Save Nov. 9-12 for AACN Progressive Care Pathways conference
11. CLINICAL PRACTICE RESOURCES
12. AACN RESOURCES Look for jobs at NursePath.com
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1. CALL TO ACTION Register for Live PCCN Certification Review webinar by July 18
Register now for the multi-session PCCN Certification Review Course live webinar, which starts July 25. Registration closes Monday, July 18, 6 p.m. Pacific. The course offers 14.5 contact hours of continuing education credit and features practice questions, live polling and text chat with Carol Rauen, an independent clinical nurse specialist and education consultant who presents the webinar. This course is offered by AACN Certification Reviews Online and 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. Space is limited.

2. CALL TO ACTION Register for July 20 webcast ‘Confronting the Bigger Problem’
Want to learn how to leverage behaviors to change harmful patient care, create safe cultures and resolve concerns about dangerous shortcuts? Register for “Confronting the Bigger Problem,” the second of three interactive Silent Treatment video webcasts, scheduled for Wednesday, July 20. 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. If you registered but missed all or part of the first webinar, “Master Dialog in Crucial Moments,” there’s still time to view it. Webinars are recorded for unlimited viewing 90 days after each session ends and offer continuing education credit.

3. 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.

4. NEWS Mobile devices changing critical care: read in AJCC, discuss on Facebook
July’s American Journal of Critical Care (AJCC) editorial, “Scalpel, Stethoscope, iPad: The Future Is Now in the Intensive Care Unit,” describes how smartphones and computer tablets are changing the way ICU healthcare team members share information. Read the article, then go to AJCC’s Facebook page to join the discussion.

5. NEWS Critical Care Societies Collaborative sets ICU telemedicine research agenda
The Research Agenda in ICU Telemedicine: A Statement From the Critical Care Societies Collaborative” in July’s CHEST recommends that future research address causation rather than “simply associations” and highlight action mechanisms “to determine exactly how ICU telemedicine achieves its effects.” The collaborative proposes “an agenda to advance the science of ICU telemedicine and generate research with the greatest potential to improve patient care.”

6. NEWS VA’s ‘Let’s Get Certified’ campaign enters Phase IV
The U.S. Department of Veterans Affairs’ (VA’s) “Let’s Get Certified” campaign is in Phase IV through May 31, 2012. If you’re a VA or U.S. Department of Defense (DoD) nurse seeking to become certified, learn about AACN discounts on exams, AACN membership and select products. AACN and AACN Certification Corporation proudly support the VA’s “Let’s Get Certified” campaign, which aims to increase the number of VA and DoD specialty certified nurses.

7. CALL TO ACTION Comment on TJC’s proposed pediatric EPs
Comment on proposed new and revised pediatric elements of performance (EPs) from The Joint Commission (TJC), Oakbrook Terrace, Ill., by Thursday, Aug. 18. EPs fall under “medication management, pain management, patient safety and security, competency specific to the provision of care to pediatric patients, transitioning pediatric patients to adult care, and patient falls.”

8. EVIDENCE No significant difference between heparin and NS IV flush in peds patients
Examining the Effectiveness of 2 Solutions Used to Flush Capped Pediatric Peripheral Intravenous Catheters” found no significant difference in IV patency between heparin and normal saline (NS) solutions. “A postimplementation follow-up study with 30 patients who received normal saline only as a flush experienced no patency issues,” concludes the report in July/August’s Journal of Infusion Nursing.

9. EVIDENCE Weaning protocols reduce unplanned extubations
Weaning protocols decrease the risk of unplanned extubations according to July’s American Journal of Critical Care. “Implementation of unit processes in addition to standardized protocols can have potential impact on patients’ outcomes and hospital costs,” concludes “The Role of Standardized Protocols in Unplanned Extubations in a Medical Intensive Care Unit.”

10. CALL TO ACTION Save Nov. 9-12 for AACN 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 the AACN Progressive Care Pathways conference in Las Vegas, Wednesday through Saturday, Nov. 9-12. Request a brochure.

11. CLINICAL PRACTICE RESOURCES
Patient Safety
Quetiapine reduced the need for other medications and resolved delirium in a median of four days, according to “Quetiapine in Refractory Hyperactive and Mixed Intensive Care Delirium: A Case Series,” published online June 28 by Critical Care.

Evidence
Bathing a patient during a weaning trial from prolonged mechanical ventilation lengthens the trial’s duration, according to “The Association Between Bathing and Weaning Trial Duration,” in January/February’s Heart and Lung.

12. 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.

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

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