Critical Care Newsline — November 17, 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.

Nov. 17, 2011

********************************************
1. NEWS TJC revises influenza vaccine standard
2. CALL TO ACTION Apply for HHS-CCSC HAI award
3. EVIDENCE Sepsis admissions, survival up; long-term care discharges also rise
4. GUIDELINE Use of intensive insulin therapy for glycemic control
5. CALL TO ACTION Participate in survey on providing care when guidelines are lacking
6. CALL TO ACTION November is Lung Cancer Awareness Month
7. CALL TO ACTION Comment on AHRQ’s VTE Common Format
8. CALL TO ACTION Comment on FDA’s proposed opioid training program
9. CALL TO ACTION Nominate candidates for 2013 DRL by Dec. 1
10. NEWS IOM releases new technology report
11. EVIDENCE Sodium intake higher in heart failure patients with sleep apnea
12. CALL TO ACTION Submit nominations for AACN President’s Awards for Chapters
13. RESOURCE Center to Advance Palliative Care has ICU resource
14. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
15. CLINICAL PRACTICE RESOURCES
16. AACN RESOURCES Find jobs at NursePath.com
********************************************

1. NEWS TJC revises influenza vaccine standard
On Nov. 9, The Joint Commission (TJC), Oakbrook Terrace, Ill., announced revisions for the influenza vaccination standard, including requiring organizations to educate licensed independent practitioners (LIPs) and staff about influenza and vaccination, offer influenza vaccination to LIPs and staff and set incremental influenza vaccination goals to achieve the 90 percent rate established in the national influenza initiatives for 2020. The standard, which doesn’t make influenza vaccination of staff mandatory for accreditation, takes effect July 1, 2012.

2. CALL TO ACTION Apply for HHS-CCSC HAI award
Apply by Dec. 19 for national awards recognizing sustained improvements in reducing or eliminating healthcare-associated infections (HAIs) in critical care. Now in its second year, this awards program is sponsored by AACN and its partnering organizations in the Critical Care Societies Collaborative (CCSC), U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Health and Office of Healthcare Quality, emphasizing success related to reducing or eliminating central line-associated bloodstream infections and ventilator-associated pneumonia. Access eligibility, selection criteria and application requirements.

3. EVIDENCE Sepsis admissions, survival up; long-term care discharges also rise
According to “Nationwide Trends of Severe Sepsis in the 21st Century (2000-2007)” in November’s CHEST, the number of admissions for severe sepsis increased, but mortality decreased, leading to “more survivors being discharged to skilled nursing facilities and home with in-home care.”

4. GUIDELINE Use of intensive insulin therapy for glycemic control
Access a summary of “Use of Intensive Insulin Therapy for the Management of Glycemic Control in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians,” from the Agency for Healthcare Research and Quality, Rockville, Md.

5. CALL TO ACTION Participate in survey on providing care when guidelines are lacking
You are invited to participate in a series of three confidential online questionnaires about the opinions of critical care nurses regarding care provided when standard practice guidelines are lacking, to meet patient-specific care needs. Doctoral student Jodie Gary from the University of Texas at Tyler College of Nursing requests your participation as an expert in your field to find areas of agreement and gaps in knowledge. Read inclusion criteria and participate in this project.

6. CALL TO ACTION November is Lung Cancer Awareness Month
Participate in Lung Cancer Awareness Month by accessing suggestions, including distributing a public service announcement and hanging posters in high-traffic areas such as community centers, from Lung Cancer Alliance, Boston. Lung cancer is the leading cause of cancer death in the U.S.

7. CALL TO ACTION Comment on AHRQ’s VTE Common Format
Comment by Wednesday, Nov. 30 on the new Venous Thromboembolism (VTE) Common Format from the Agency for Healthcare Research and Quality (AHRQ), Rockville, Md. Common Formats help healthcare providers collect and submit standardized information on patient safety events.

8. CALL TO ACTION Comment on FDA’s proposed opioid training program
The U.S. Food and Drug Administration (FDA), Silver Spring, Md., invites comments on the draft “Blueprint for Prescriber Education for Long-Acting/Extended-Release Opioid Class-Wide Risk Evaluation and Mitigation Strategy.” Deadline: Wednesday, Dec. 7.

9. CALL TO ACTION Nominate candidates for 2013 DRL by Dec. 1
Nominate a nationally recognized nurse researcher for the 2013 Distinguished Research Lectureship (DRL). Recipients represent a legacy of contributions to acute and critical care research. Established in 1982, the award has become one of critical care nursing’s most prestigious honors. Submit your nomination by Thursday, Dec. 1.

10. NEWS IOM releases new technology report
On Nov. 8, the Institute of Medicine, Washington, D.C., released “Health IT and Patient Safety: Building Safer Systems for Better Care,” which calls for “greater oversight by the public and private sectors” to protect Americans from errors associated with the use of information technology (IT).

11. EVIDENCE Sodium intake higher in heart failure patients with sleep apnea
Nov. 1 American Journal of Cardiology contains “Relationship Between Sodium Intake and Sleep Apnea in Patients With Heart Failure,” which suggests “sodium intake plays a role in the pathogenesis of sleep apnea.”

12. CALL TO ACTION Submit nominations for AACN President’s Awards for Chapters
Nominate chapters for the 2012 AACN President’s Awards for Chapters, which recognize the chapters that best exemplify the association’s annual theme. Learn more and nominate by Wednesday, Feb. 15, 2012.

13. RESOURCE Center to Advance Palliative Care has ICU resource
The Center to Advance Palliative Care (CAPC), New York, offers Improving Palliative Care in the ICU (IPAL-ICU ), a program that includes improvement tools and other resources. CAPC recently launched Improving Palliative Care in Emergency Medicine (IPAL-EM).

14. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
Take control of the sources of influence that impact your behavior by becoming both the subject and the scientist of your change. In partnership with Change Anything, a division of VitalSmarts, AACN welcomes members to ChangeAnything.com — a social media website based on award-winning research. Sign up by Dec. 31 for free one-year premium membership in this unique online resource.

15. CLINICAL PRACTICE RESOURCES
Patient Safety
October’s WebM&M, published by the Agency for Healthcare Research and Quality, Rockville, Md., contains a case study about the risks of immobility in the ICU, including a discussion on physical therapy in the ICU.

On Nov. 8, the Food and Drug Administration (FDA), Silver Spring, Md., launched a website for patients and caregivers on safe disposal of needles and other “sharps” used outside healthcare settings.

To avoid ambiguity, The Joint Commission, Oakbrook Terrace, Ill., has revised the term “disruptive behavior”, as noted in the Nov. 9 Joint Commission Online, to mean “behavior or behaviors that undermine a culture of safety.”

Evidence
Adverse Drug Events in Intensive Care Units: A Cross-Sectional Study of Prevalence and Risk Factors” found that the most common events were hypoglycemia, prolonged activated partial thromboplastin time and hypokalemia. “Adverse drug events were common in intensive care unit patients and were associated with illness severity and nursing workload,” concludes the study in November’s American Journal of Critical Care.

September’s American Heart Journal contains “Berlin Heart EXCOR Pediatric Ventricular Assist Device (VAD) Investigational Device Exemption Study: Study Design and Rationale,” which describes the first bridge-to-heart transplant VAD study designed exclusively for children.

Resources
Download “Palliative Care: The Relief You Need When You’re Experiencing the Symptoms of Serious Illness,” a patient education brochure, in Spanish or in English from the National Institute of Nursing Research, Bethesda, Md.

Access the new “Advancing Effective Communication, Cultural Competence and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual and Transgender (LGBT) Community: A Field Guide” from The Joint Commission, Oakbrook Terrace, Ill.

Guidelines
Download “2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines,” published online Nov. 7 by Circulation.

Chronic Obstructive Pulmonary Disease: Diagnosis and Management of Stable COPD,” from the Agency for Healthcare Research and Quality, Rockville, Md., compares guidelines from American College of Physicians, American College of Chest Physicians, American Thoracic Society and European Respiratory Society; Global Initiative for Chronic Obstructive Lung Disease and University of Michigan Health System.

16. AACN RESOURCES
Find jobs at NursePath.com
Are you a recent graduate? Or are you a mid- or senior-career acute or critical care nurse looking to change jobs or locations? Visit NursePath.com, AACN’s online career site, to find employment opportunities in high acuity and critical care across the U.S.

Notable Quote
“The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems (ANA 2001)” — Carol Taylor, in “Guide to the Code of Ethics for Nurses: Interpretation and Application.”

Together. Stronger. Bolder.
From November’s AACN Bold Voices
One Size Doesn’t Fit All” — Mary Stahl, AACN President 2011-2012
******************************************************************************

If you do not wish to receive email updates from AACN, please reply to unsubscribe@aacn.org.
Do you have a comment, question or story idea for Critical Care Newsline? Send your email to enewsletter@aacn.org.

UPDATE YOUR OWN INFORMATION ONLINE
Did you know you can update your demographic profile, including your email address, online? Simply log in using your membership or customer identification number. Go to:
www.aacn.org/DM/CustomerProfile/UpdateCustomerProfile.aspx.