Critical Care Newsline — May 19, 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 19, 2011

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1. NEWS Deadline to submit NTI evaluation forms for CE, CERP credit extended to June 3
2. NEWS Free online certification verification now available
3. NEWS Michigan ICUs sustain zero CLABSIs for up to two years
4. CALL TO ACTION Submit speaker abstracts for NTI 2012
5. CALL TO ACTION Participate in a survey about patient ventilator dyssynchrony
6. EVIDENCE Standardized handover reduces pediatric ICU admission errors
7. EVIDENCE Guidelines inform new tool for early detection of aortic dissection
8. CALL TO ACTION Apply for HRSA nursing student scholarships by June 1
9. EVIDENCE New findings for preventing infection in children
10. CALL TO ACTION Participate in 2011 ISMP Medication Safety Self Assessment for Hospitals
11. CALL TO ACTION Stay Current: Nominate Board, Nominating Committee Members
12. RESOURCE AACN’s Adult CCRN/CCRN-E online review course
13. CLINICAL RESOURCES
14. AACN RESOURCES NTI 2011 webcasts, abstracts

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1. NEWS Deadline to submit NTI evaluation forms for CE, CERP credit extended to June 3
If you attended this year’s National Teaching Institute & Critical Care Exposition (NTI), you can submit evaluation forms online or by mobile phone for continuing education (CE) and CERP credit by Friday, June 3, 11:59 p.m. Pacific. You must complete both program and session evaluations to receive credit. After June 3, you may only print your certificate.

2. NEWS Free online certification verification now available
Certificants, employers, verification agencies and consumers may obtain free online verification of certification for the following credentials: CCRN, PCCN, CCRN-E, CCNS, ACNPC, CMC and CSC. Verifications do not contain information that violates the confidentiality rights of certificants. If you have questions contact AACN Customer Care by email or at (800) 899-2226. Inactive, alumnus and retired status is also included.

3. NEWS Michigan ICUs sustain zero CLABSIs for up to two years
The Ability of Intensive Care Units to Maintain Zero Central Line-Associated Bloodstream Infections (CLASBIs)” reports that 60 percent of ICUs that participated in the Michigan Keystone ICU Project showed no infections for one year, and 26 percent had no infections for at least two years. Smaller hospitals sustained zero infections for longer periods than larger ones, states the report in May 9’s Archives of Internal Medicine.

4. CALL TO ACTION Submit speaker abstracts for NTI 2012
Be an essential part of the National Teaching Institute & Critical Care Exposition. Submit an abstract for an NTI Live Educational Session for NTI 2012 through June 6, 2011.

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. EVIDENCE Standardized handover reduces pediatric ICU admission errors
A formal, structured handover process for pediatric patients transitioning to the ICU after cardiac surgery can reduce medical errors that occur during admissions, states a study in May’s Pediatric Critical Care Medicine. “Standardized Multidisciplinary Protocol Improves Handover of Cardiac Surgery Patients to the Intensive Care Unit” found that the handover process improved teamwork among caregivers.

7. EVIDENCE Guidelines inform new tool for early detection of aortic dissection
A study published online May 9 by Circulation finds that clinical risk markers proposed in 2010 thoracic aortic disease guidelines, and their application as part of the aortic dissection detection risk score, “comprise a highly sensitive clinical tool” for detecting acute aortic dissection. “Sensitivity of the Aortic Dissection Detection Risk Score, a Novel Guideline-Based Tool for Identification of Acute Aortic Dissection at Initial Presentation” notes that the American Heart Association, Dallas, and the American College of Cardiology, Washington, D.C., released the guidelines to diagnose and manage patients with thoracic aortic disease and to help detect acute aortic dissection early.

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

9. EVIDENCE New findings for preventing infection in children
May’s Pediatric Critical Care Medicine contains three infection prevention-related articles:

10. 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 ISMP Medication Safety Self Assessment to evaluate medication safety practices, identify opportunities for improvement and compare their experiences with similar organizations. Participate anonymously by Wednesday, Aug. 31, through a secure, password-protected website.

11. CALL TO ACTION Stay Current: Nominate Board, Nominating Committee Members
“Connecting with nurses from around the country, learning their successes and challenges” keeps Karen Stutzer, AACN Board of Directors’ treasurer, in close touch with her clinical roots. As a result, this executive director, nursing practice and critical care services at Chilton Memorial Hospital, Pompton Plains, N.J., says she’s “grown as a leader and a nurse. My organization benefits from my broad exposure to the current healthcare climate.” To nominate candidates for the FY2013-15 AACN Board of Directors and FY2013 Nominating Committee, read requirements and download forms, visit www.aacn.org/nominations. Contact the AACN Governance Department, 1-800-394-5995, x331, or volunteers@aacn.org for more information. Nominations close Tuesday, May 31.

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 6, the U.S. Food and Drug Administration, Rockville, Md., recommended stocking crash carts, ambulances and emergency departments with adenosine and amiodarone in vials or prefilled plastic syringes instead of needleless prefilled glass syringes, which may be incompatible with some IV access systems.

Evidence
Access “Non-ST-Segment Elevation Acute Coronary Syndrome: Impact of Nursing Care on Optimal Outcomes,” a review article in April/June’s AACN Advanced Critical Care that discusses how nurses can use current recommendations to improve outcomes in these patients.

Download “Enabling Medication Management Through Health Information Technology (Health IT”), which states IT shows “promise” but lacks “clinical and economics studies and the understanding of sustainability issues.” Agency for Healthcare Research and Quality, Rockville, Md., sponsored April’s report from McMaster University Evidence-based Practice Center, Hamilton, Ontario, Canada.

Ultrasound sensitivity in detecting pneumothorax is higher than conventional chest radiography and similar to computerized tomography, according to February’s Intensive Care Medicine. Advantages such as less complexity, easier use at the bedside and no exposure to ionizing radiation “make lung ultrasound the method of choice in several common clinical situations,” concludes “Sonographic Diagnosis of Pneumothorax.”

Guidelines
May 3’s Circulation contains “2011 ACCF/AHA Focused Update of the Guidelines for the Management of Patients With Unstable Angina/Non ST-Elevation Myocardial Infarction (Updating the 2007 Guideline): A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.”

14. AACN RESOURCES
NTI 2011 webcasts, abstracts
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 credit is available for most webcasts including “Multiple Organ Dysfunction Syndrome: Children in Crisis” and “Post Operative Respiratory Failure: But Their Lungs Were Fine Before the OR.” May’s American Journal of Critical Care contains the “2011 National Teaching Institute Research Abstracts.”

May Is National Stroke Awareness Month
Expand your stroke knowledge by reading the special section in May’s AACN Bold Voices.

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