Critical Care Newsline — March 10, 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 10, 2011

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1. NEWS ‘Silent Treatment’— five-year follow-up to ‘Silence Kills’— Tuesday, March 22
2. CALL TO ACTION Vote for AACN Board of Directors, Nominating Committee
3. NTI Things to do by March 17
4. EVIDENCE VAT frequently progresses to VAP, study states
5. EVIDENCE PHQ-8, an effective measure of depression in HF patients
6. EVIDENCE Printed materials, structured communication reduce ICU family distress
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’— five-year follow-up to ‘Silence Kills’— Tuesday, March 22
AACN, Association of periOperative Registered Nurses (AORN) and VitalSmarts present “Silent Treatment: Why Safety Tools and Checklists Aren’t Enough to Save Lives” on Tuesday, March 22. Listen as healthcare experts discuss the results of the five-year follow-up to the groundbreaking “Silence Kills.” Visit www.vitalsmarts.com/healthcare for more information and to register for this free, live, virtual event.

2. CALL TO ACTION Vote 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 now through Monday, April 4. Voting keeps our nursing community strong and helps AACN fulfill its promise of providing optimal care to patients and their families. Read candidate profiles in the March issue of AACN Bold Voices or at www.aacn.org/election, where you can also vote.

3. NTI Things to do by March 17
The 2011 National Teaching Institute & Critical Care Exposition (NTI), which takes place Saturday, April 30, through Thursday, May 5, in Chicago, is less than two months away. Take advantage of the Thursday, March 17 deadline to: 1) Register early and save $76 on the main conference. 2) Apply to take the paper and pencil certification exam. Use the special NTI exam application. 3) Buy your NTI Stand Tall T-shirt for $18 including shipping. Proceeds benefit host chapters Greater Chicago Area Chapter, Southwest Chicago Chapter and Northwest Chicago Area Chapter.

4. EVIDENCE VAT frequently progresses to VAP, study states
While ventilator-associated tracheobronchitis (VAT) frequently progresses to ventilator-associated pneumonia (VAP), it occurs less frequently, reports March’s CHEST. Patient outcomes were similar to those diagnosed with VAT and VAP, “suggesting that antimicrobial therapy is appropriate for VAT,” states “Ventilator-Associated Tracheobronchitis in a Mixed Surgical and Medical ICU Population.”

5. EVIDENCE PHQ-8, an effective measure of depression in HF patients
Measuring Depressive Symptoms in Heart Failure (HF): Validity and Reliability of the Patient Health Questionnaire-8” calls the PHQ-8 questionnaire valid and reliable. “These results support its use to measure depressive symptoms in patients with heart failure,” concludes the study of 249 patients in the March edition of AACN’s American Journal of Critical Care.

6. EVIDENCE Printed materials, structured communication reduce ICU family distress
Randomized, Controlled Trials of Interventions to Improve Communication in Intensive Care: A Systematic Review” supports the use of printed information and structured communication “to improve family emotional outcomes and to reduce ICU length of stay and treatment intensity.” The review in March’s CHEST calls “inconclusive” whether these interventions reduce total costs.

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
On March 3, the U.S. Food and Drug Administration, Silver Spring, Md., announced the recall of single-, double-, triple- and five-lumen central venous catheter (CVC) trays and single- and double-lumen PICC peripheral inserted CVC trays, manufactured by Cook Inc., Bloomington, Ind., because of leaks in the syringe’s plunger luer.

Evidence
March’s CHEST contains two ultrasound studies. “Ultrasound-Guided Catheterization of the Radial Artery: A Systematic Review and Meta-analysis of Randomized Controlled Trials” concludes, “The use of real-time two-dimensional ultrasound guidance for radial artery catheterization improved first-pass success rate.” Intensivists can use compression ultrasonography at the bedside to quickly and accurately diagnose proximal lower extremity deep vein thrombosis (DVT) in ICU patients, finds “Accuracy of Ultrasonography Performed by Critical Care Physicians for the Diagnosis of DVT.”

The rate of “clinically significant adverse events” during patient transport by a specialized, intra-hospital team is “relatively low,” according to a study in the March edition of AACN’s American Journal of Critical Care. “Further studies are needed to compare effectiveness and mortality benefits between intrahospital transport teams and traditional transport teams,” concludes “Adverse Clinical Events During Intrahospital Transport by a Specialized Team: A Preliminary Report.”

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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