Critical Care Newsline — September 1, 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.

Sept. 1, 2011

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1. CALL TO ACTION Complete clinical alarms survey by Sept. 10
2. CALL TO ACTION AACN is now accepting grant applications, deadline Nov. 1
3. NEWS New AACN member benefit helps you to Change Anything
4. RESOURCE AACN Nurse Manager Priorities, Sept. 8-10, Las Vegas
5. CALL TO ACTION Submit NTI 2012 poster abstracts by Sept. 19
6. EVIDENCE Criteria for ICU admission of CAP patients validated
7. CALL TO ACTION Nominate an ‘Amazing Nurse’ by Sept. 11
8. RESOURCE AACN Progressive Care Pathways conference, Nov. 9-12, Las Vegas
9. CALL TO ACTION Submit nominations for 2012 AACN Chapter Awards
10. CALL TO ACTION Comment on FDA draft guidelines for mobile medical apps
11. RESOURCE AACN Members receive discount on VitalSmarts Workshops
12. EVIDENCE Less GI intolerance with trophic enteral nutrition, study states
13. CALL TO ACTION Share certification best practices, qualify as NTI panelist
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES

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1. CALL TO ACTION Complete clinical alarms survey by Sept. 10
Participate online by Sept. 10 in the clinical alarms re-survey — an update of a 2006 survey — to determine changes in healthcare professionals’ perceptions, improvements and priorities for future action. Results from the Healthcare Technology Foundation survey will be presented at the AAMI Medical Device Alarms Summit, which takes place Oct. 4-5 in Herndon, Va. Nurse participation in this survey is vital to improving clinical alarms-related issues.

2. CALL TO ACTION AACN is now accepting grant applications, deadline Nov. 1
If you have prepared or are preparing your application for AACN research grants — ranging from $1,500 to $50,000 in awards — the submission period is now open. AACN invites clinicians and researchers to apply. These grants fund priority projects that address gaps in clinical research and support the translation of these findings to bedside nurses. Apply by Nov. 1.

3. NEWS New AACN member benefit helps you to Change Anything
AACN welcomes members to a new website — ChangeAnything.com, a social media platform based award-winning research to help people quit undesirable behaviors. In partnership with Change Anything, a division of VitalSmarts, AACN delivers free one-year premium membership to this online resource — valid through Dec. 31, 2011. Log in at www.aacn.org/changeanything to get started.

4. RESOURCE AACN Nurse Manager Priorities, Sept. 8-10, Las Vegas
There’s still time to register for AACN Nurse Manager Priorities, which takes place Thursday, Sept. 8-10, in Las Vegas. Featuring nationally renowned faculty, this new beyond-the-basics conference will use interactive case studies, lively discussions and didactic presentations to help inpatient nurse managers and charge nurses address complex management issues at the point of care.

5. CALL TO ACTION Submit NTI 2012 poster abstracts by Sept. 19
Be an essential part of the 2012 National Teaching Institute & Critical Care Exposition (NTI), which takes place May 19-24, in Orlando, Fla., as a poster participant. Submit poster abstracts in any of the following categories: chapter best practice, evidence-based solutions and research. Deadline is Sept. 19.

6. EVIDENCE Criteria for ICU admission of CAP patients validated
A study of 1,062 patients in Sept. 15’s Clinical Infectious Diseases finds that minor criteria predicts subsequent need for mechanical ventilation or vasopressors, ICU admission and 30-day mortality. “Although the major criteria (requirement for mechanical ventilation or septic shock requiring vasopressor support) are well established,” the minor criteria had “not been fully validated,” states “Validation of the Infectious Diseases Society of America/American (Thoracic) Society Minor Criteria for Intensive Care Unit Admission in Community-Acquired Pneumonia (CAP) Patients Without Major Criteria or Contraindications to Intensive Care Unit Care.”

7. CALL TO ACTION Nominate an ‘Amazing Nurse’ by Sept. 11
The Campaign for Nursing’s Future, supported by Johnson & Johnson, New Brunswick, N.J., invites nominations for “amazing nurses” who make a difference in people’s lives. One grand prize winner will receive an all-expense-paid trip for two to Los Angeles and two VIP tickets to attend the 2011 CNN Heroes: All-Star Tribute live broadcast. Johnson & Johnson will also feature the winner in a television commercial. Finalists and semi-finalists will appear on the Amazing Nurses contest website. Learn more and nominate by Sept. 11.

8. 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. Conference topics include “Case Analysis for Acid-Base and Electrolyte Disturbances” and “As the Sugar Churns in Pancreas City: DKA, HHNK, Hypoglycemia.” Download a brochure and register by Sept. 30 to receive tuition discounts.

9. CALL TO ACTION Submit nominations for 2012 AACN Chapter Awards
Nominate chapters for the 2012 AACN Chapter Awards, which recognize exemplary efforts of making a difference in the healthcare profession and furthering AACN’s mission, vision and values. These awards recognize excellence in a number of categories, which are chapter collaboration, community education & 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 Monday, Nov. 1. Learn more and nominate.

10. CALL TO ACTION Comment on FDA draft guidelines for mobile medical apps
Comment by Oct. 19 on draft guidelines from the U.S. Food and Drug Administration (FDA), Rockville, Md., that would regulate medical apps found on mobile devices. The FDA wants to know what factors to consider when determining risk classification of software that provides clinical-decision-support functionality.

11. RESOURCE AACN Members receive discount 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.

12. EVIDENCE Less GI intolerance with trophic enteral nutrition, study states
Randomized Trial of Initial Trophic Versus Full-energy Enteral Nutrition in Mechanically Ventilated Patients with Acute Respiratory Failure” finds similar clinical outcomes between the two interventions, but those receiving trophic, or low-volume, enteral nutrition for the first six days of ventilation had “fewer episodes of gastrointestinal intolerance,” states May’s Critical Care Medicine.

13. CALL TO ACTION Share certification best practices, qualify as NTI panelist
If your facility or chapter has successfully implemented certification best practices — strategies to encourage, recognize and reward certification — submit your story online by Friday, Sept. 30. AACN Certification Corporation will select the two most innovative practices to be featured during the “Creating a Culture of Certification: Best Practices Roundtable” at the 2012 National Teaching Institute & Critical Care Exposition (NTI), May 19-24, Orlando, Fla. AACN Certification Corporation accepts best-practices submissions year-round, and they are available to view online.

14. CLINICAL PRACTICE RESOURCES

Patient safety
Patients with chronic diseases are at risk of having their prescribed medications unintentionally discontinued after hospital admission according to Aug. 24’s Journal of the American Medical Association (JAMA). “Association of ICU or Hospital Admission With Unintentional Discontinuation of Medications for Chronic Diseases” associates admission to the ICU “with an even higher risk of medication discontinuation.”

Evidence
A study in May’s Critical Care Medicine associates symptomatic central venous line-related deep vein thrombosis “with worse outcomes, particularly fewer ventilator-free days” in pediatric ICU patients. “Ventilator-free days is a possible alternative outcome measure for future deep venous thrombosis studies,” concludes “Mortality-adjusted Duration of Mechanical Ventilation in Critically Ill Children with Symptomatic Central Venous Line-related Deep Venous Thrombosis.”

Guidelines
Access “Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings” from the Centers for Disease Control and Prevention, Atlanta.

15. 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.

Together. Stronger. Bolder.
From September’s AACN Bold Voices
Making Beautiful Music — Mary Stahl, AACN President 2011-2012

Quote of the Week
“Let’s commit to creating work environments where caring for each other isn’t the exception, but expected and valued.” — Michael L. Williams, A Daybook for Critical Care Nurses

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