Critical Care Newsline — October 6, 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.

Oct. 6, 2011

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1. RESOURCE TJC’s R3 Report looks at catheter-associated urinary tract infections
2. EVIDENCE CLABSI eradication project saves 355 children’s lives, $103 million
3. RESOURCE October is Sudden Cardiac Arrest Month
4. CALL TO ACTION Apply for an AACN Washington Health Policy Scholarship by Oct. 17
5. EVIDENCE Study identifies risk factors, mortality for ICU readmission
6. RESOURCE SCCM October webcasts offer learning for busy clinicians
7. RESOURCE Adult CCRN Certification Review live webinars start Oct. 24
8. CALL TO ACTION Submit AACN grant applications by Nov. 1
9. RESOURCE AACN Progressive Care Pathways conference, Nov. 9-12, Las Vegas
10. CALL TO ACTION Participate in survey about implications of AACN practice alert
11. CALL TO ACTION Comment on revised ANA Principles for Nurse Staffing
12. CALL TO ACTION Nominations open for 2012 AACN Chapter Awards
13. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
14. MEMBER BENEFIT Save money on VitalSmarts workshops
15. CLINICAL PRACTICE RESOURCES L-cysteine shortage considerations
16. AACN RESOURCES Jobs at NursePath.com
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1. RESOURCE TJC’s R3 Report looks at catheter-associated urinary tract infections
A new R3 Report from The Joint Commission, Oakbrook Terrace, Ill., provides hospitals with in-depth information about a National Patient Safety Goal to prevent catheter-associated urinary tract infections in hospitals that goes into effect Jan. 1, 2012. The report also provides the rationale for the goal, results of feedback from the field and the level of evidence for each element of performance.

2. EVIDENCE CLABSI eradication project saves 355 children’s lives, $103 million
A collaborative to eradicate central line-associated bloodstream infections (CLASBIs) in pediatric ICUs and hematology/oncology units helped to save an estimated 355 children’s lives, prevented more than 2,900 central line infections and reduced costs by more than $103 million over five years. Initiated by the National Association of Children’s Hospitals and Related Institutions Quality Transformation Network, Alexandria, Va., the collaborative included maintenance bundles, controlled implementation and frequent monitoring.

3. RESOURCE October is Sudden Cardiac Arrest Month
To recognize October as Sudden Cardiac Arrest Month, the Sudden Cardiac Arrest Coalition is sponsoring “Learn the Basics of Hands-Only CPR & AED,” Wednesday, Oct. 26, 4-6 p.m. Eastern, Rayburn House Office Building, Washington, D.C. For more information, contact Llevin@suddencardiacarrest.org. RSVP to pdetrow@suddencardiacarrest.org by Friday, Oct. 21.

4. CALL TO ACTION Apply for an AACN Washington Health Policy Scholarship by Oct. 17
For the third year, AACN is offering scholarships for the Nurse in Washington Internship (NIWI) program — Sunday, Feb. 26, to Tuesday, Feb. 28, 2012, Washington, D.C. Sponsored by the Nursing Organizations Alliance, the three-day internship teaches clinicians how to advance healthcare agendas through the legislative process. Applicants must be AACN members and accepted by the NIWI program. Deadline: Monday, Oct. 17.

5. EVIDENCE Study identifies risk factors, mortality for ICU readmission
Patients with risk factors indicating severe and complex illness are more likely to be readmitted to the ICU, resulting in a higher risk of mortality, according to “Intensive Care Unit Readmissions in U.S. Hospitals: Patient Characteristics, Risk Factors, and Outcomes,” published online Sept. 15 by Critical Care Medicine. “Because intensive care unit readmission correlates with more complex and severe illness, readmission rates require case-mix adjustment before they can be properly interpreted as quality measures,” concludes the retrospective cohort study.

6. RESOURCE SCCM October webcasts help address challenges within the ICU
The Society of Critical Care Medicine (SCCM), Mount Prospect, Ill., is offering webcasts to address two challenging topics: 1) Early Rehabilitation in the Critically Ill: Getting Started in Your ICU takes place Thursday, Oct. 13, 1 p.m. Central; 2) Clarifying Roles of Advanced Practice Providers in the ICU takes place Tuesday, Oct. 18, 1 p.m. Central.

7. RESOURCE Adult CCRN Certification Review live webinars start Oct. 24
Register for the multi-session Adult CCRN Certification Review Course live webinars, which take place Oct. 24 to Nov. 14. Offering 14.5 contact hours of continuing education credit, the course features practice questions, live polling and text chat with award-winning national speakers. AACN Certification Reviews Online offers these webinars, which cover cardiovascular, pulmonary, neurologic, renal, endocrine, gastrointestinal, multisystem, hematology/immunology, behavioral considerations and test-taking tips. Internet access is required to participate alone or with colleagues. Register early as space is limited.

8. CALL TO ACTION Submit AACN grant applications by Nov. 1
AACN invites clinicians and researchers to apply for AACN research grants, which range from $1,500 to $50,000 awards. These grants fund priority projects that address gaps in clinical research and support the translation of these findings to bedside nurses. Apply by Tuesday, Nov. 1.

9. RESOURCE AACN Progressive Care Pathways conference, Nov. 9-12, Las Vegas
Is your clinical unit called stepdown, intermediate, telemetry, transitional, subacute, direct observation or even the emergency department? Is it a med-surg unit that receives patients directly from the ICU? Then register for the AACN Progressive Care Pathways conference, Nov. 9-12, Las Vegas. Sessions include “Hepatic and Biliary Issues in the Progressive Care Unit” and “Identifying Clinical Emergencies Early: Critical Thinking Checkpoints.” Download a brochure and register.

10. CALL TO ACTION Participate in survey about implications of AACN practice alert
To inform her dissertation, Annette Bourgault, an AACN member from Georgia Health Sciences University (GHSU), seeks additional nurses to take a survey titled “Adoption of AACN Practice Alert: Verification of Feeding Tube Placement by Critical Care Nurses.” Your participation will lead to greater understanding of factors that influence critical care nurses’ decisions to adopt clinical guidelines and practices related to verification of feeding tube placement. Direct questions to Annette Bourgault, (706) 721-8669 or the GHSU Office of Human Research Protection at (706) 721-1483. After completing the survey, you may enter your email address in a drawing to be held in fall 2011, for one of two $200 AACN gift certificates. Estimated odds of winning: 1:2,000. This confidential survey takes 20 minutes to complete.

11. CALL TO ACTION Comment on revised ANA Principles for Nurse Staffing
The American Nurses Association (ANA) invites public comment on a proposed revision to ANA Principles for Nurse Staffing. Your feedback as a nurse is instrumental in this important work. Download the revision and give your feedback on the comment form. Deadline: Thursday, Nov. 3. If you have questions, contact Katie Brewer at ANA.

12. CALL TO ACTION Nominations open for 2012 AACN Chapter Awards
Nominate chapters for the 2012 AACN Chapter Awards, which recognize exemplary efforts to make a difference in the healthcare profession and further AACN’s mission, vision and values. These awards recognize excellence in a number of categories: chapter collaboration, community education and public service, educational programming, leadership development and promoting the value of certification. There is also an AACN President’s Award for Chapters for which nominations close Wednesday, Feb. 15, 2012. All other nominations close Tuesday, Nov. 1. Learn more and nominate.

13. 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 that can help. Sign up by Dec. 31 for free one-year premium membership in this unique online resource.

14. MEMBER BENEFIT Save money on VitalSmarts workshops
AACN members who register for two-day workshops sponsored by VitalSmarts save 20 percent. These workshops include “Crucial Conversations,” “Crucial Confrontations” and “Influencer Training” and help us to apply lessons learned from popular books where it matters most — in our day-to-day work. Learn more and find a scheduled workshop near you. AACN members must enter the code “AACN20” to receive the discount applied at checkout on the VitalSmarts website.

15. CLINICAL PRACTICE RESOURCES
Recommendations

The American Society for Parenteral and Enteral Nutrition (ASPEN), Silver Spring, Md., has approved “Parenteral Nutrition Cysteine Product Shortage Considerations,” which includes recommendations on how to conserve L-cysteine. Used in neonatal parenteral nutrition, L-cysteine continues to be in short supply.

Patient Safety
On Sept. 28, the U.S. Food and Drug Administration, Silver Spring, Md., announced approval of the first single-use face mask for children ages 5 to 12 years.

Guidelines
Access “Elder Abuse Prevention” from the John A. Hartford Foundation Center of Geriatric Nursing Excellence, University of Iowa College of Nursing, Iowa City.

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
“Good nutrition, quality sleep, and a sense of fulfillment are essential ingredients for creating balance in one’s life. As caregivers, we are stressed to the limit, and stress can challenge our well-being.” — Sharon M. Weinstein. “B Is for Balance: A Nurse’s Guide for Enjoying Life at Work and at Home.”

Together. Stronger. Bolder.
From October’s AACN Bold Voices
We Can’t Do It Alone — Mary Stahl, AACN President 2011-2012

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