Critical Care Newsline — September 22, 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. 22, 2011

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1. NEWS ISMP’s Nurse Advise – ERR focuses on code-related med errors
2. CALL TO ACTION Participate in ISMP Medication Safety Self-assessment for Hospitals
3. CALL TO ACTION Apply for an AACN Washington Health Policy Scholarship by Oct. 17
4. RESOURCE AACN Progressive Care Pathways conference, Nov. 9-12, Las Vegas
5. CALL TO ACTION Submit AACN grant applications by Nov. 1
6. CALL TO ACTION Participate in survey about implications of AACN Practice Alerts
7. RESOURCE Adult CCRN Certification Review live webinars start Oct. 24
8. EVIDENCE Physician use of checklist may have improved mortality, study states
9. CALL TO ACTION Complete your profile for certification volunteer positions
10. CALL TO ACTION Share certification best practices by Sept. 30, qualify as NTI panelist
11. NEWS Capitol Hill event for Sudden Cardiac Arrest Awareness month, October
12. MEMBER BENEFIT New edition of best-selling book ‘Crucial Conversations’ available
13. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES
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1. NEWS ISMP’s Nurse Advise – ERR focuses on code-related med errors
September’s Nurse Advise-ERR, published by the Institute for Safe Medication Practices (ISMP), Horsham, Pa., discusses the problem of medication errors during a code blue. It states, “One study documented that medication errors during codes are 39 times more likely to result in harm and 51 times more likely to result in death than non-code related medication errors.” The article lists types of errors and strategies for prevention, such as code cart access and standardization and accessibility of drug information during codes. Read past issues.

2. CALL TO ACTION Participate in ISMP Medication Safety Self-assessment for Hospitals
The Institute for Safe Medication Practices (ISMP), Horsham, Pa., is again partnering with the Health Research and Educational Trust (HRET) and the American Hospital Association (AHA), to assess medication safety practices in U.S. hospitals. This assessment will track national progress in medication safety over the last decade and create a new baseline in 2011 of hospital efforts to enhance medication safety. Participate anonymously through a secure, password-protected website.

3. 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.

4. 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, in Las Vegas. Conference topics include “Science and Practice: When and How to Use CPAP and BiPAP” and “Sedation and Delirium: The Latest Evidence in Assessment and Intervention.” Download a brochure and register by Friday, Sept. 30, to receive tuition discounts.

5. 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 in 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.

6. CALL TO ACTION Participate in survey about implications of AACN Practice Alerts
Annette Bourgault, Georgia Health Sciences University (GHSU), invites nurses to participate in an online survey, “Adoption of AACN Verification of Feeding Tube Placement Practice Alert by Critical Care Nurses.” Findings from the survey, conducted as part of Bourgault’s dissertation, will help in understanding factors that influence critical care nurses’ decisions to adopt clinical guidelines and practices for verification of feeding tube placement. This confidential survey takes 20 minutes to complete. Direct questions to Bourgault at abourgault@georgiahealth.edu or (706) 721-8669 or GHSU Office of Human Research Protection at (706) 721-1483. Participants may enter their email address in a drawing to be held this fall for one of two $200 AACN gift certificates.

7. RESOURCE Adult CCRN Certification Review live webinars start Oct. 24
Register for the multisession 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 this webinar, which covers 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. EVIDENCE Physician use of checklist may have improved mortality, study states
The Sept. 15 American Journal of Respiratory and Critical Care Medicine containsPrompting Physicians to Address a Daily Checklist and Process of Care and Clinical Outcomes: A Single-Site Study,” which finds that prompting physicians to address six parameters from the checklist if overlooked during rounds “may have improved mortality and length of stay, compared with a stand-alone checklist.”

9. CALL TO ACTION Complete your profile for certification volunteer positions
AACN Certification Corporation plans to invite interested certified nurses from the volunteer database for upcoming work: 1) Exam Development Committee work for the Adult Acute Care Nurse Practitioner (ACNPC) certification exam and the Adult, Neonatal and Pediatric Acute Care Clinical Nurse Specialist (CCNS) certification exams; and 2) a Practice Analysis Task Force meeting in January 2012 to develop the survey for the upcoming National Study of Progressive Care to update and refresh the PCCN certification exam. To be considered as a volunteer for these opportunities, create a profile or update an existing one by Friday, Sept. 30. Include exam development, item writing and review panel as key words under specialty skills. Read more about the volunteer program.

10. CALL TO ACTION Share certification best practices by Sept. 30, 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.

11. NEWS Capitol Hill event for Sudden Cardiac Arrest Awareness month, October
To recognize October as Sudden Cardiac Arrest Awareness month, the Sudden Cardiac Arrest Coalition (SCAC), is sponsoring “Learn the Basics of Hands-only CPR & AED,” Wednesday, Oct. 26, 4-6 p.m., Rayburn House Office Building, Washington, D.C. For more information, contact Llevin@suddencardiacarrest.org. RSVP to pdetrow@suddencardiacarrest.org by Friday, Oct. 21.

12. MEMBER BENEFIT New edition of best-selling book ‘Crucial Conversations’ available
The just-released second edition The New York Times’ bestselling book “Crucial Conversations: Tools for Talking When the Stakes Are High” summarizes new research, inspires readers with powerful stories that illustrate key principles and provides links to videos that demonstrate effective ways to conduct crucial conversations. AACN members receive a discount on their purchase.

13. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
Do you want to quit an undesirable behavior? 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 to this unique online resource.

14. CLINICAL PRACTICE RESOURCES
Patient Safety

On Sept. 12, the U.S. Food and Drug Administration, Silver Spring, Md., and Medtronic, Minneapolis, recalled the SynchroMed II Implantable Infusion Pump because formation of a film in the pump battery can lead to sudden loss of therapy.

On Sept. 15, the U.S. Food and Drug Administration, Silver Spring, Md., announced that Zofran (ondansetron, ondansetron hydrochloride and generics) may increase the risk of prolonged QT-interval, which can cause potentially fatal arrhythmias, including torsade de pointes. FDA is requiring GlaxoSmithKline, Research Triangle, N.C., to conduct a study to determine the degree to which Zofran (ondansetron) may cause QT-interval prolongation.

Evidence
The Sept. 13 Circulation contains two studies on acute kidney injury (AKI) after angiography. “Relationship of the Time Interval Between Cardiac Catheterization and Elective Coronary Artery Bypass Surgery (CABG) With Postprocedural Acute Kidney Injury” found that the risk of AKI was “inversely and modestly related to” the time between cardiac catheterization and elective CABG; the highest incidence occurred in patients who underwent surgery a day or less after catheterization. It concludes that whether delaying CABG until more than 24 hours after patients receive contrast agents could decrease post-CABG AKI “remains to be evaluated in future studies.” The other study, “Acetylcysteine for Prevention of Renal Outcomes in Patients Undergoing Coronary and Peripheral Vascular Angiography: Main Results From the Randomized Acetylcysteine for Contrast-Induced Nephropathy Trial (ACT)” states that acetylcysteine doesn’t reduce the risk of contrast-induced AKI in patients who have at least one risk factor for the injury.

Guidelines
Oct. 1’s Clinical Infectious Diseases contains “The Management of Community-Acquired Pneumonia (CAP) in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America.” Recommendations from these first guidelines for treating CAP in this age group include when a child or infant with CAP should be admitted to the ICU.

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.

Notable Quote
“In my experience, employee development depends on feedback; it provides the guideposts for growth, motivation and, ultimately, morale. Without constructive one-on-one communication and feedback, many employees are left feeling ineffectual, frustrated or disaffected.” — Peter Baskette, manager, “Giving Feedback: Expert Solutions to Everyday Challenges

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

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