Critical Care Newsline — March 31, 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 31, 2011

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1. CALL TO ACTION AACN Board of Directors, Nominating Committee vote ends soon
2. NEWS CDC issues initial recommendations on radiation monitoring
3. NEWS AACN pays tribute to those in Japan
4. EVIDENCE Hydrocortisone reduces pneumonia in intubated trauma patients, study finds
5. NEWS AACN Certification Corporation to launch CCRN-E initial certification in April
6. NEWS Professional credentials help job seekers
7. EVIDENCE Nursing-driven protocol reduces peds sedation use
8. CALL TO ACTION Talk to patients about advance directives, April 16
9. CALL TO ACTION Nominations open for 2011 Inspired Comfort Award
10. CALL TO ACTION Register for NTI preconference ultrasound courses
11. CLINICAL PRACTICE RESOURCES
12. AACN RESOURCES Road to NTI
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1. CALL TO ACTION AACN Board of Directors, Nominating Committee vote ends soon
Don’t let your bold voice go unheard. Vote for the FY2012-14 AACN Board of Directors and FY2012 Nominating Committee before elections end Monday, April 4. Exercising this fundamental member privilege lets you select candidates who best represent nursing’s future and help AACN to meet its pledge to patients and their families. To review candidate profiles, go to the March issue of AACN Bold Voices or www.aacn.org/election where you can also vote.

2. NEWS CDC issues initial recommendations on radiation monitoring
Following the Fukushima nuclear power plant incident in Japan, the Centers for Disease Control and Prevention (CDC), Atlanta, announced that “there continues to be no indication for anyone in the United States to take potassium iodide or switch to bottled water.” The health advisory, “Monitoring for Increased Levels of Radioactive Material in the US as a Result of the Incident With the Fukushima Nuclear Incident in Japan,” distributed March 27, notes that the Environmental Protection Agency’s air-monitoring network continues to conduct near-real-time air monitoring throughout the U.S.

3. NEWS AACN pays tribute to those in Japan
The AACN professional community offers its deepest sympathy to the people of Japan. The tribute page lists resources for those interested in supporting recovery and response efforts.

4. EVIDENCE Hydrocortisone reduces pneumonia in intubated trauma patients, study finds
Hydrocortisone Therapy for Patients With Multiple Trauma: The Randomized Controlled HYPOLYTE Study” finds that compared to placebo, treatment with an IV “stress-dose” of hydrocortisone “resulted in a decreased risk of hospital-acquired pneumonia” in intubated ICU patients with severe trauma, according to a study in the March 23 issue of the Journal of the American Medical Association (JAMA).

5. NEWS AACN Certification Corporation to launch CCRN-E initial certification in April
Visit www.aacn.org/certification to learn about AACN Certification Corporation’s initial certification exam for nurses who work in tele-ICUs — remote ICUs or virtual ICUs — coming in April. Successfully completing the exam results in the CCRN-E credential for tele-ICU nurses who monitor live patients from behind a camera from a remote location to identify trends in patient data and instability and communicate with bedside clinicians.

6. NEWS Professional credentials help job seekers
Attaining professional credentials from an accredited credentialing body can help job seekers take advantage of recent positive employment forecasts and the continued economic recovery, states an announcement by the Institute for Credentialing Excellence, Washington, D.C. This conclusion was supported in a meeting of the President’s Council on Job Creation and Competitiveness on Feb. 24, featuring executives who discussed strengthening U.S. employment.

7. EVIDENCE Nursing-driven protocol reduces peds sedation use
A pediatric sedation protocol decreased the number of days mechanically ventilated PICU patients received benzodiazepines and opiates, finds a study in April’s Critical Care Medicine. “Successful Implementation of a Pediatric Sedation Protocol for Mechanically Ventilated Patients” adds that results did not reach “statistical significance.”

8. CALL TO ACTION Talk to patients about advance directives, April 16
April 16 is National Healthcare Decisions Day — an initiative led by the National Hospice and Palliative Care Organization (NHPCO), Alexandria, Va. NHPCO provides information and tools for the public to talk about their end-of-life wishes with family, friends and healthcare providers and to complete an advance directive.

9. CALL TO ACTION Nominations open for 2011 Inspired Comfort Award
Nominate an exceptional colleague for the 2011 Cherokee Inspired Comfort Award sponsored by Cherokee Uniforms, Chatsworth, Calif. Recognizing healthcare professionals for going above and beyond the call of duty to make a difference, the award offers prizes such as an all-expense-paid Caribbean cruise for two. Nomination deadline: May 31.

10. CALL TO ACTION Register for NTI preconference ultrasound courses
Register in advance to attend AACN’s 2011 National Teaching Institute & Critical Care Exposition, Chicago, including Ultrasound for the Advanced Practice Nurse 2011, a half-day preconference course that details the three critical components of ultrasonography. Registration is limited.

11. CLINICAL PRACTICE RESOURCES
Patient safety
March’s Nurse Advise-ERR, published by the Institute for Safe Medication Practices (ISMP), Horsham, Pa., discusses how to avoid common pitfalls of root cause analysis, including tools such as probing questions to identify causes of medication events. Subscribe to the free monthly newsletter or read the archives, which ISMP updates each month.

12. AACN RESOURCES
Road to NTI
Let’s join together for the 2011 National Teaching Institute & Critical Care Exposition (NTI), which takes place Saturday, April 30 through Thursday, May 5, Chicago. Accelerate your professional growth through access to national experts. Visit the Critical Care Exposition — Tuesday, May 3 through Thursday, May 5 — to see and interact with the latest healthcare technology and attend the Creating a Culture of Certification: Best Practices Roundtable, Wednesday, May 4, to learn how to build stronger support for certification in your organization. Get ready to stand tall for excellence. Like NTI at www.facebook.com/ntiface.

Show your NTI spirit
Wear your NTI Stand Tall T-shirt to the opening session Monday, May 2, when AACN President Kristine Peterson speaks. Buy your shirt on-site in the NTI Bookstore during the 2011 National Teaching Institute & Critical Care Exposition (NTI), Saturday, April 30 through Thursday, May 5, Chicago.

AACN resources on the go
Do you own a smartphone? Take AACN mobile resources along with you. Featured items include Pocket Reference Cards, the adult CCRN Mobile Review Course and special critical care tool bundles.

Stand Tall: AACN Bold Voices
The Dark Side — Kristine Peterson, AACN President 2010-2011

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