Critical Care Newsline — May 12, 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.

May 12, 2011

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1. NEWS AACN President-Elect Mary Stahl unveils ‘Together. Stronger. Bolder.’
2. CALL TO ACTION Submit NTI evaluation forms for CE, CERP credit by May 20
3. NEWS Silent Treatment webcasts start May 17
4. NEWS NTI webcasts now available
5. CALL TO ACTION Participate in a survey about patient ventilator dyssynchrony
6. NEWS National Critical Care Awareness and Recognition Month
7. EVIDENCE Study finds racial differences in ICU EOL care
8. NEWS CMS issues final rule on telemedicine credentialing, privileging
9. CALL TO ACTION Apply for HRSA nursing student scholarships by Wednesday, June 1
10. EVIDENCE Tai Chi improves quality of life in HF patients
11. CALL TO ACTION Participate in 2011 ISMP Medication Self Assessment for Hospitals
12. RESOURCE AACN’s Adult CCRN/CCRN-E online review course
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES NTI on Facebook
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1. NEWS AACN President-Elect Mary Stahl unveils ‘Together. Stronger. Bolder.’
On May 4, AACN President-Elect Mary Stahl, a cardiovascular clinical nurse specialist at Mid-America Heart Institute, St. Luke’s Hospital, Kansas City, Mo., announced the new theme, “Together. Stronger. Bolder.,” at AACN’s 2011 National Teaching Institute & Critical Care Exposition (NTI). President Kristine Peterson passed the vision to Stahl, who becomes AACN president in the new fiscal year starting July 1. Access the webcast.

2. CALL TO ACTION Submit NTI evaluation forms for CE, CERP credit by May 20
If you attended this year’s National Teaching Institute & Critical Care Exposition (NTI), submit evaluation forms online or by mobile phone for CE and CERP credit by Friday, May 20. You must complete both program and session evaluations to receive credit. After May 20, you may only print your certificate.

3. NEWS Silent Treatment webcasts start May 17
Ready to solve the critical communication breakdowns uncovered in the groundbreaking new study “The Silent Treatment: Why Safety Tools and Checklists Aren’t Enough to Save Lives”? Join AACN, Association of periOperative Registered Nurses, Denver, and VitalSmarts, Provo, Utah, for a three-part series of interactive Silent Treatment video webcasts to learn how to hold others accountable when safe practices are violated, leverage behaviors that can prevent harmful patient care and much more. Each 75-minute webcast takes place at 1 p.m. Eastern, May 17, July 20 and Sept. 13. Register and earn continuing education credit.

4. NEWS NTI webcasts now available
See select sessions from the 2011 National Teaching Institute & Critical Care Exposition (NTI) for the first time or relive the experience. Access 2011 NTI webcasts. Free continuing education (CE) credit is available for most webcasts, including “ST-Segment and QTc Monitoring: Implementing Evidence-Based Practice” and “Hemorrhagic Stroke: Aggressive Management and Optimal Outcomes.”

5. CALL TO ACTION Participate in a survey about patient ventilator dyssynchrony
Are you a practicing nurse who cares for mechanically ventilated patients? Nurse researchers at the University of Pittsburgh invite you to participate in an anonymous, secure online survey about assessing and managing patients who experience mismatched patient-ventilator breaths. All nurses with varying levels of expertise in mechanical ventilation are encouraged to participate. This survey should take about 20 minutes to complete.

6. NEWS National Critical Care Awareness and Recognition Month
May marks National Critical Care Awareness and Recognition Month (NCCARM), supported by AACN, the Society of Critical Care Medicine, American College of Chest Physicians, American Thoracic Society and American Association for Respiratory Care. NCCARM honors the dedication and commitment that critical care teams demonstrate while caring for patients and their families. Learn ways to celebrate NCCARM, including wearing blue Friday, May 20.

7. EVIDENCE Study finds racial differences in ICU EOL care
Non-white ICU patients are less likely than whites to have a living will and more likely to have documented family or clinician discord, die with full support and have physicians recommend withdrawal of life support, according to “The Influence of Race/Ethnicity and Socioeconomic Status on End-of-life (EOL) Care in the Intensive Care Unit” in May’s CHEST. Socioeconomic status doesn’t cause the differences, which the study says “could be due to treatment preferences, disparities, or both.”

8. NEWS CMS issues final rule on telemedicine credentialing, privileging
On May 5, the Centers for Medicare & Medicaid Services (CMS) issued a final rule — effective July 5 — that streamlines telemedicine credentialing and privileging, making it easier for hospitals to use telemedicine services. The rule allows a hospital to rely on credentialing and privileging information from the hospital providing the telemedicine services as long as certain conditions are met. On May 6, The Joint Commission, Oakbrook Terrace, Ill., applauded the CMS for taking “a giant step in removing unnecessary barriers to the use of telemedicine for medically necessary interventions.”

9. CALL TO ACTION Apply for HRSA nursing student scholarships by Wednesday, June 1
Apply for the Health Resources and Services Administration’s (HRSA), Rockville, Md., Nursing Scholarship Program for RN students in accredited schools of nursing. Deadline: June 1.

10. EVIDENCE Tai Chi improves quality of life in HF patients
Tai Chi improved the quality of life for patients with chronic systolic heart failure (HF), according to “Tai Chi Exercise in Patients With Chronic Heart Failure: A Randomized Clinical Trial.” The study in April 25’s Archives of Internal Medicine found Tai Chi also improved mood and “exercise self-efficacy.”

11. CALL TO ACTION Participate in 2011 ISMP Medication Safety Self Assessment for Hospitals
The Institute for Safe Medication Practices (ISMP), Horsham, Pa., invites hospitals to participate in its 2011 Medication Safety Self Assessment. The assessment helps to evaluate medication safety practices, identify opportunities for improvement and compare their experiences with those of similar organizations. Participate anonymously by Wednesday, Aug. 31, through a secure, password-protected website.

12. RESOURCE AACN’s Adult CCRN/CCRN-E online review course
Experience the easy access and convenience of preparing for your AACN Adult CCRN/CCRN-E certification exams online. With AACN’s latest addition to the Certification Reviews Online selections, you can study anytime and anywhere — and as often as you like — using an Internet connection. The 14.5-contact-hour course offers a comprehensive review, in which a distinguished national panel of prominent experts from the critical care nursing community prepares you for the certification exams given by AACN Certification Corporation.

13. CLINICAL PRACTICE RESOURCES
Patient Safety
On May 3, the U.S. Food and Drug Administration, Rockville, Md., announced the voluntary recall by Bristol-Myers Squibb, New York, of a lot of 1,000-count bottles containing Coumadin (warfarin sodium) 5 mg tablets, because a tablet from a returned bottle was more potent than expected.

Evidence
May 3’s Annals of Internal Medicine contains “Update in Pulmonary and Critical Care Medicine: Evidence Published in 2010.”

Guidelines
Access “2011 Update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists Blood Conservation Clinical Practice Guidelines,” published in March’s Annals of Thoracic Surgery.

14. AACN RESOURCES
NTI on Facebook
Keep the NTI conversation going. Like NTI on Facebook.

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