Critical Care Newsline — March 3, 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.

March 3, 2011

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1. NEWS ‘Silent Treatment’ free virtual event March 22; five-year follow-up to ‘Silence Kills’
2. NEWS Voting opens for AACN Board of Directors, Nominating Committee
3. CALL TO ACTION Register for NTI Certification Exam by March 17
4. EVIDENCE Stopping routine replacement of arterial catheters reduces CRBSI risk
5. EVIDENCE Norepinephrine and dobutamine safer than epinephrine for cardiogenic shock
6. CALL TO ACTION Only two weeks left for early NTI registration savings
7. CALL TO ACTION Comment on prescription container labeling
8. CALL TO ACTION Read about the value of nursing certification
9. CALL TO ACTION Apply for AACN scholarships for evidence-based practice
10. CLINICAL PRACTICE RESOURCES
11. AACN RESOURCES Look for jobs at NursePath.com
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1. NEWS ‘Silent Treatment’ free virtual event March 22; five-year follow-up to ‘Silence Kills’
Join AACN, Association of periOperative Registered Nurses (AORN) and VitalSmarts on March 22 for a free, live virtual event as we release our latest national survey, “Silent Treatment: Why Safety Tools and Checklists Aren’t Enough to Save Lives,” the five-year follow up to the groundbreaking “Silence Kills.” Listen in as a panel of healthcare experts discuss the implications of this groundbreaking research with members of the media. For more information and to register, visit www.vitalsmarts.com/healthcare

2. NEWS Voting opens for AACN Board of Directors, Nominating Committee
Express your bold voice and vote for the FY2012-14 AACN Board of Directors and FY2012 Nominating Committee through Monday, April 4. Voting keeps our nursing community strong and ensures that AACN fulfills its vision of a healthcare system driven by the needs of patients and their families where acute and critical care nurses make their optimal contribution. Read candidate profiles in the March issue of AACN Bold Voices or at www.aacn.org/election, where you can also vote.

3. CALL TO ACTION Register for NTI Certification Exam by March 17
On the afternoon of Monday, May 2, AACN Certification Corporation will administer CCRN, PCCN, CCNS, ACNPC and CNML specialty exams and CMC — Cardiac Medicine — and CSC — Cardiac Surgery — subspecialty exams on-site at the 2011 National Teaching Institute & Critical Care Exposition (NTI), Chicago. All exams are paper and pencil. Special NTI exam application.

4. EVIDENCE Stopping routine replacement of arterial catheters reduces CRBSI risk
Stopping the scheduled replacement of arterial catheters every five days in ICU patients decreased the risk of catheter-related bloodstream infections (CRBSIs), according to “Arterial Catheter-Related Bloodstream Infections: Results of an 8-year Survey in a Surgical Intensive Care Unit,” published online Feb. 17 by Critical Care Medicine.

5. EVIDENCE Norepinephrine and dobutamine safer than epinephrine for cardiogenic shock
March’s Critical Care Medicine reports that epinephrine and the combination of norepinephrine and dobutamine are equally effective for managing cardiogenic shock’s hemodynamic effects. However, epinephrine has adverse effects such as arrhythmia and inadequate gastric mucosa perfusion. “Thus, the combination norepinephrine-dobutamine appears to be a more reliable and safer strategy,” concludes “Comparison of Norepinephrine-Dobutamine to Epinephrine for Hemodynamics, Lactate Metabolism, and Organ Function Variables in Cardiogenic Shock. A Prospective, Randomized Pilot Study.”

6. CALL TO ACTION Only two weeks left for early NTI registration savings
Only two weeks left to save money. Register now for the 2011 National Teaching Institute & Critical Care Exposition (NTI) 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 SuperSessions. Early-bird registration ends Thursday, March 17.

7. CALL TO ACTION Comment on prescription container labeling
The U.S. Pharmacopeia, Rockville, Md., invites comments from pharmacists and other healthcare professionals on its newly proposed chapter, “Prescription Container Labeling.” Comment by Thursday, March 31.

8. CALL TO ACTION Read about the value of nursing certification
The January-March issue of AACN Advanced Critical Care carries a symposium about the benefits of nursing certification compiled by Roberta Kaplow, clinical nurse specialist, Emory University Hospital, Atlanta. The articles include information about best practices for creating a culture of certification, APRN regulation and chapter promotion of certification. Access the quarterly journal.

9. CALL TO ACTION Apply for AACN scholarships for evidence-based practice
If you plan to attend an evidence-based-practice event at Arizona State University, Phoenix, Case Western Reserve University, Cleveland, or The University of Texas, San Antonio, apply for an AACN Continuing Professional Development Scholarship. Applications for AACN scholarships, which allow members to enrich their careers and acquire knowledge and skills beyond degree coursework, must be received at least three months before an event. Learn more and apply.

10. CLINICAL PRACTICE RESOURCES
Patient Safety
February’s Nurse Advise-ERR, published by the Institute for Safe Medication Practices, Horsham, Pa., recounts how the failure to set a volume limit for a magnesium bolus harmed a patient and includes strategies for preventing such errors. In the same issue, other articles discuss accidental administration of Dakin’s solution and air embolism risk with fibrin sealants that use pressurized sprayers. Subscribe to the free monthly newsletter or read the archives, which ISMP updates each month.

Honoring Patient Safety Awareness Week? Access ideas for how you and your organization can participate. Patient Safety Awareness Week — an initiative from the National Patient Safety Foundation, Boston — takes place Sunday, March 6, through Saturday, March 12.

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.

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
The Dark Side — Kristine Peterson, AACN President 2010-2011

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