Critical Care Newsline — June 23, 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.

June 23, 2011

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1. CALL TO ACTION Participate in the Future of Nursing National Day of Dialogue, June 29
2. CALL TO ACTION Nursing Alliance Leadership Academy early registration ends July 1
3. CALL TO ACTION U.S. Critical Illness and Injury Trials Group annual fall meeting
4. EVIDENCE Longer prophylactic antibiotic regimen may reduce post-op sternal SSIs
5. PATIENT SAFETY Drug shortages continue, increase in 2011
6. EVIDENCE Bariatric surgery doesn’t reduce mortality in obese men, study states
7. GUIDELINES MRSA infection treatment for children and adults
8. CALL TO ACTION Live PCCN Certification Review webinar starts July 25
9. EVIDENCE Evidence-based practice could reduce HF deaths substantially
10. CALL TO ACTION Enter the NTI 2012 Guest Emcee Contest by Dec. 1
11. CLINICAL PRACTICE RESOURCES
12. AACN RESOURCES Look for jobs at NursePath.com
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1. CALL TO ACTION Participate in the Future of Nursing National Day of Dialogue, June 29
Register today to participate in the Future of Nursing National Day of Dialogue, hosted by Nurse.com. The event, to be held before a nursing and nursing student audience, will be live-streamed from McLean, Va., from 1-3 p.m. Eastern, at Nurse.com/Future of Nursing. The featured experts will answer your questions about the Institute of Medicine/Robert Wood Johnson Foundation landmark report “The Future of Nursing: Leading Change, Advancing Health.” You must preregister to attend this event live.

2. CALL TO ACTION Early Nursing Alliance Leadership Academy registration ends July 1
Register by Friday, July 1, and save on the Nursing Alliance Leadership Academy (NALA), Saturday, Aug. 13, and Sunday, Aug. 14, Seelbach Hilton, Louisville, Ky. Enjoy the opportunity to network and build relationships with your counterparts from other organizations. Visit the NALA website for more information. AACN Continuing Professional Development Scholarships support NALA and other programs that help members enrich their careers and acquire knowledge and skills beyond traditional academic nursing.

3. CALL TO ACTION U.S. Critical Illness and Injury Trials Group annual fall meeting
Attend the annual fall meeting of the U.S. Critical Illness and Injury Trials Group (USCIITG), which facilitates collaboration among experts to promote clinical trials in critically ill or injured patients, Tuesday and Wednesday, Nov. 8 and 9, Bethesda, Md. Committed to establishing a critical care research consortium, USCIITG supported AACN’s 2009 efforts with the Critical Care Societies Collaborative to develop clinical management guidelines for sepsis as part of the 2009 Surviving Sepsis Campaign. For more information, contact Kellie Keane, administrative coordinator, at (617) 643-7386 or email usciitgroup@partners.org.

4. EVIDENCE Longer prophylactic antibiotic regimen may reduce post-op sternal SSIs
Giving prophylactic antibiotics for 24 hours or more after open-heart surgery may reduce the risk of sternal surgical site infections (SSIs) more than shorter regimens according to July’s Annals of Surgery. “The findings however are limited by the heterogeneity of antibiotic regimens used and the risk of bias in the published studies,” concludes “Does Duration of Perioperative Antibiotic Prophylaxis Matter in Cardiac Surgery? A Systematic Review and Meta-Analysis.”

5. PATIENT SAFETY Drug shortages continue, increase in 2011
A “record number” of drug shortages occurred in 2010, and the increase continued into 2011 according to the U.S. Food and Drug Administration, Silver Spring, Md. Access more information and report drug shortage notifications and updates to drugshortages@fda.hhs.gov.

6. EVIDENCE Bariatric surgery doesn’t reduce mortality in obese men, study states
Bariatric surgery doesn’t reduce mortality in severely obese older men with high baseline mortality rates, according to a study published online June 12 by The Journal of the American Medical Association (JAMA). “Survival Among High-Risk Patients After Bariatric Surgery” followed men with an average age of 49.5 years for about seven years.

7. GUIDELINES MRSA infection treatment for children and adults
Access the 2011 “Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-resistant Staphylococcus aureus (MRSA) Infections in Adults and Children.”

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. Participation alone or with colleagues requires Internet access. Register early, as space is limited.

9. EVIDENCE Evidence-based practice could reduce HF deaths substantially
Implementing six recommended treatments could prevent nearly 68,000 deaths from heart failure (HF) a year, according to June’s American Heart Journal. “These data may underscore the importance of performance improvement efforts to translate evidence-based therapy to routine clinical practice so as to reduce contemporary HF mortality,” concludes “Potential Impact of Optimal Implementation of Evidence-based Heart Failure Therapies on Mortality.”

10. 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.

11. CLINICAL PRACTICE RESOURCES
Patient Safety
On June 14, the U.S. Food and Drug Administration, Silver Spring, Md., announced that Maquet Datascope Corp., Mahwah, N.J., has recalled 885 intra-aortic balloon pumps, because a defect may cause shutdown without triggering alarms.

On June 8, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., recommended not to prescribe simvastatin 80 mg, because the dose may increase risk of myopathy, particularly within the first 12 months of use. FDA recommends using 80 mg only in patients who have been taking that dose for at least 12 months and have not experienced any muscle toxicity.

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.

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 “Hemorrhagic Stroke: Aggressive Management and Optimal Outcomes” and “Multiple Organ Dysfunction Syndrome: Children in Crisis.” May’s American Journal of Critical Care contains the “2011 National Teaching Institute Research Abstracts.”

AACN Bold Voices
A Great Mosaic — Kristine Peterson, AACN President 2010-2011

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