Critical Care Newsline — July 28, 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 28, 2011

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1. NEWS FDA chooses flu vaccines for 2011-2012 season
2. CALL TO ACTION AACN Circle of Excellence Award nominations close Aug. 1
3. CALL TO ACTION Apply to take certification exams at TRENDS by Aug. 12
4. CALL TO ACTION AACN grant applications open Sept. 1
5. COMING SOON AACN website gets new look and feel
6. CALL TO ACTION Share certification best practices, qualify as NTI panelist
7. CALL TO ACTION Participate in a research utilization survey
8. EVIDENCE AF increases morbidity, mortality in African-American HF patients
9. EVIDENCE Pneumonia studies in the latest Critical Care Medicine
10. EVIDENCE Low selenium increases organ dysfunction in cardiac surgery patients
11. EVIDENCE Brainstem responses can predict death, delirium in sedated ICU patients
12. CALL TO ACTION TJC seeks input on proposed pediatric elements of performance
13. CALL TO ACTION Save Nov. 9-12 for Pathways Progressive Care conference
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES Look for jobs at NursePath.com
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1. NEWS FDA chooses flu vaccines for 2011-2012 season
The U.S. Food and Drug Administration, Silver Spring, Md., recommends the same virus strains for the 2011-2012 influenza vaccine as for the current season. These are A/California/7/2009 (H1N1)-like virus, A/Perth/16/2009 (H3N2)-like virus and B/Brisbane/60/2008-like virus. Read questions and answers from the Centers for Disease Control and Prevention, Atlanta. 

2. CALL TO ACTION AACN Circle of Excellence Award nominations close Aug. 1
Do you know a peer who makes a difference in the lives of patients and families? Nominate him or her for a 2012 AACN Circle of Excellence Award. Up to 25 recipients 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.

3. CALL TO ACTION Apply to take certification exams at TRENDS by Aug. 12
Paper and pencil administration of the CCRN, PCCN, CCNS, ACNPC and CNML specialty exams and the CMC — cardiac medicine — and CSC — cardiac surgery — subspecialty exams will be offered at the TRENDS conference in King of Prussia, Pa., the Philadelphia area, Friday, Oct. 7. You must send payment with the special TRENDS exam application, which should both arrive at AACN no later than Friday, Aug. 12. Get more information and download an application.

4. CALL TO ACTION AACN grant applications open Sept. 1
AACN invites clinicians and researchers to apply for its grants. Awards range from $1,500 to $50,000. These grants fund priority projects that address gaps in clinical research and support the translation of these findings to bedside nurses. Applications open Sept. 1 and must be submitted online by Nov. 1. Learn more and get started.

5. COMING SOON AACN website gets new look and feel
In the near future, you’ll see changes to AACN’s website — a wider design, easier access to popular and relevant resources, and quick links to features from a new sidebar column. Look for these changes soon, and enjoy the newly enhanced user experience.

6. CALL TO ACTION Share certification best practices, qualify as NTI panelist
If your facility or chapter has successfully implemented certification best practices — strategies to encourage, recognize and reward certification — submit your story online by Friday, Sept. 30. AACN Certification Corporation will select the two most innovative practices to be featured during the “Creating a Culture of Certification: Best Practices Roundtable” at the 2012 National Teaching Institute & Critical Care Exposition (NTI), May 19-24, Orlando, Fla. AACN Certification Corporation accepts best-practices submissions, available to view online.

7. CALL TO ACTION Participate in a research utilization survey
Contributing to nursing research is an important part of our professional practice. The KAP — Knowledge, Attitudes and Practice — Research Utilization Survey with 33 questions will help improve the teaching steps of research utilization. Please take about 15 minutes to participate anonymously.

8. EVIDENCE AF increases morbidity, mortality in African-American HF patients
Atrial fibrillation (AF) increases risk of death in African-Americans with heart failure (HF), but compared to placebo, a fixed-dose combination of isosorbide dinitrate/hydralazine reduces mortality according to July’s American Heart Journal. Patients with AF “were older, had lower BP and had higher creatinine and brain natriuretic peptide levels,” states “Atrial Fibrillation and Mortality in African American Patients With Heart Failure: Results From the African American Heart Failure Trial (A-HeFT).”

9. EVIDENCE Critical Care Medicine publishes new pneumonia studies
August’s Critical Care Medicine contains three pneumonia studies: 1) “Subglottic Secretion Drainage for the Prevention of Ventilator-Associated Pneumonia: A Systematic Review and Meta-analysis” concludes that endotracheal tubes with subglottic secretion drainage reduce ventilator-associated pneumonia without adverse effects; 2) “Understanding the Potential Role of Statins in Pneumonia and Sepsis” found “no evidence of a protective effect for statin use on clinical outcomes and modest differences in circulating biomarkers in community-acquired pneumonia;” and 3) “Incidence and Risk Factors for Health Care-Associated Pneumonia in a Pediatric Intensive Care Unit” suggests that future intervention studies include strategies to optimize sedatives/analgesics, and reduce gastric tubes and time on ventilation.

10. EVIDENCE Low selenium increases organ dysfunction in cardiac surgery patients
The Intraoperative Decrease of Selenium Is Associated With the Postoperative Development of Multiorgan Dysfunction in Cardiac Surgical Patients,” finds the study of 60 patients who had cardiopulmonary bypass during cardiac surgery, in August’s Critical Care Medicine.

11. EVIDENCE Brainstem responses predict death, delirium in sedated ICU patients
Brainstem Responses Can Predict Death and Delirium in Sedated Patients in Intensive Care Unit” in August’s Critical Care Medicine found those who died within 28 days of starting sedation were less likely to have a cough reflex. It also associates absent oculocephalic response with altered mental status after stopping sedation.

12. CALL TO ACTION TJC seeks input on proposed pediatric elements of performance
Comment on proposed new and revised pediatric elements of performance from The Joint Commission (TJC), Oakbrook Terrace, Ill., by Thursday, Aug. 18. Areas identified: “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,” TJC states.

13. 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 to attend the AACN Progressive Care Pathways conference in Las Vegas, Nov. 9-12. Request a brochure.

14. CLINICAL PRACTICE RESOURCES
Patient Safety

On July 21, the U.S. Food and Drug Administration, Silver Spring, Md., asked healthcare professions to not prescribe Multaq (dronedarone), made by Sanofi Aventis, Bridgewater, N.J., to new patients with permanent atrial fibrillation (AF) because of the increased risk of death, stroke and heart failure reported in a clinical trial. FDA is reviewing the drug’s approved use in paroxysmal or persistent AF or atrial flutter.

15. 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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