Critical Care Newsline — April 5, 2012

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.

April 5, 2012

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1. NEWS National Healthcare Decisions Day, April 16
2. NTI 2012 Early-bird registration ends today — Thursday, April 5
3. CALL TO ACTION Vote for AACN Board and Nominating Committee by April 19
4. CALL TO ACTION Participate in study on family presence in adult ICU
5. PRACTICE ALERT Prevention of Aspiration
6. CALL TO ACTION Participate in TJC clinical alarm survey
7. CALL TO ACTION Certified Nurses Day: Submit photos and success stories
8. NEWS CMC and CSC exams based on new test plans launch June 20
9. EVIDENCE Two studies of interest to nurses in April’s Critical Care Medicine
10. CALL TO ACTION Apply for Graduate Nurse Education Initiative program
11. RESOURCES AACN scholarships support EBP programs
12. EVIDENCE Article in CCN discusses surveillance as a patient safety strategy
13. CE ARTICLE Article in CCN provides tips on fluid management in heart failure
14. NEW IN BOOKSTORE Heart sounds CD sharpens your skills
15. CLINICAL PRACTICE RESOURCES
16. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS National Healthcare Decisions Day, April 16
Participate in the fifth annual National Healthcare Decisions Day April 16. The event is designed to inspire, educate and empower the public and providers about the importance of advance care planning. Resources include free advance planning forms.

2. NTI 2012 Early-bird registration ends today — Thursday, April 5
Don’t miss the opportunity to save $76 on your registration fees for the National Teaching Institute & Critical Care Exposition (NTI). High-quality learning and networking, plus a little time for relaxation and fun at Orlando’s spas, theme parks or world-class museums, add up to an extraordinary NTI experience. Search sessions. Sign up for a hotel room through AACN Housing. Discounted rates are available until April 10.

3. CALL TO ACTION Vote for AACN Board and Nominating Committee by April 19
Cast your vote for the FY2013-15 AACN Board of Directors and FY2013 Nominating Committee. A responsibility of all AACN members, voting is an opportunity to shape our future leadership and help fulfill our vision of a healthcare system driven by the needs of patients and families. Read the candidate profiles on pages 13-24 of March’s AACN Bold Voices or at www.aacn.org/election, where you can vote or indicate your decision to abstain. For questions, contact Melinda Messenger-Stout, volunteer program specialist, at (800) 394-5995, ext. 331 or volunteers@aacn.org. A response from 5 percent of eligible voters is required for a valid election; voting ends Thursday, April 19 at 11:59 p.m. ET.

4. CALL TO ACTION Participate in study on family presence in adult ICU
Participate in a research study on nurses’ beliefs about family visitation in adult ICUs. The study is being conducted by Beverly Jones, doctoral student at Wayne State University, Detroit, and takes 15 to 20 minutes to complete. Call Jones at (313) 801-9162 if you have questions.

5. PRACTICE ALERT Prevention of Aspiration
Critically ill patients, especially those who are tube-fed, may experience micro-aspirations, which greatly increase the risk for pneumonia and other complications. This AACN Practice Alert offers a checklist for aspiration prevention, including head-of-bed elevation, assessment of sedation levels and feeding-tube placement. Access all AACN Practice Alerts.

6. CALL TO ACTION Participate in TJC clinical alarm survey
The Joint Commission (TJC), Oakbrook Terrace, Ill., is collecting information on current practices related to clinical alarm management to determine how best to address the issue. Participate in the Alarm Field Assessment Survey, which takes about 10 minutes to complete, by April 27.

7. CALL TO ACTION Certified Nurses Day: Submit photos and success stories
If you celebrated Certified Nurses Day on March 19, we’d love to see your photos and hear your success stories about how your facility chose to recognize and honor your certified nurses or how it is encouraging nurses to become certified. Submit your success stories as well as photos of your celebrations, which may be posted online or in a photo album on Facebook.

8. NEWS CMC and CSC exams based on new test plans launch June 20
CMC and CSC candidates planning to test on or after Wednesday, June 20 should use the new CMC and CSC Test Plans for study, which have been public since November 2011. Candidates planning to sit for the exam before June 20 should use the current test plans in the “CMC/CSC Exam Handbook” online.

9. EVIDENCE Two studies of interest to nurses in April’s Critical Care Medicine
Transfer of Multidrug-Resistant Bacteria to Healthcare Workers’ Gloves and Gowns After Patient Contact Increases With Environmental Contamination” finds environmental contamination is a “major determinant” of transmission, with Acinetobacter baumannii most commonly transmitted; and “Meeting Standards of High-Quality Intensive Care Unit Palliative Care: Clinical Performance and Predictors” finds that other than pain management, key palliative care processes, including identifying a medical decision-maker and conducting an interdisciplinary family meeting, are performed infrequently and inconsistently.

10. CALL TO ACTION Apply for Graduate Nurse Education Initiative program
The Centers for Medicare & Medicaid Services (CMS), Baltimore, announced a call for applications for the Graduate Nurse Education Initiative, designed to boost the skills and supply of advanced practice RNs (APRNs). Under the four-year program, five selected hospitals receive reimbursement for providing APRN clinical training. Hospitals must partner with accredited schools of nursing and non-hospital community-based care settings. Apply by May 21.

11. RESOURCES AACN scholarships support EBP programs
AACN Continuing Professional Development Scholarships support University of Texas’ Summer Institute on Evidence-Based Practice (EBP) and other EBP programs that help AACN members achieve their career goals. Now in its 11th year, the Summer Institute — July 19-21 at the Grand Hyatt Riverwalk in San Antonio — builds capacity for healthcare providers to shape the future of healthcare quality and safety through translating evidence into practice. Visit the event website. Learn more about AACN scholarship opportunities. Except for deadlines for targeted programs, AACN members can apply for scholarships anytime throughout the year.

12. EVIDENCE Article in CCN discusses surveillance as a patient safety strategy
Surveillance: A Strategy for Improving Patient Safety in Acute and Critical Care Units,” in April’s Critical Care Nurse (CCN), compares the processes of surveillance and monitoring, discusses the potential impact of surveillance on preventing adverse events and medical errors and suggests practical approaches for improving nursing surveillance at the bedside.

13. CE ARTICLE Article in CCN provides tips on fluid management in heart failure
Fluid Management Strategies in Heart Failure,” a continuing education (CE) article in April’s Critical Care Nurse (CCN), describes the complex pathophysiological processes of hypervolemia in hospitalized patients with decompensated heart failure and discusses fluid management strategies, many of which nurses can lead or facilitate.

14. NEW IN BOOKSTORE Heart sounds CD sharpens your skills
Learn more about identifying normal and abnormal heart sounds with “Introduction to Heart Sounds,” a self-paced educational CD that includes a sound library with visual illustrations of the heart, audio playback with synchronized waveform displays and descriptions. Access this reference and other new titles.

15. CLINICAL PRACTICE RESOURCES
Guidelines
Access “Red Blood Cell Transfusion: A Clinical Practice Guideline From the AABB,” published online March 26 by Annals of Internal Medicine. AABB, Bethesda, Md., was formerly called the American Association of Blood Banks.

Resources
A Stanford (Calif.) University School of Medicine team has developed Septris, a free interactive, case-based activity to learn about sepsis. Inspired by the popular game Tetris, Septris can be played on a mobile phone, tablet or computer.

Access evidence-based guideline resources for preventing hospital-acquired conditions through the National Guideline Clearinghouse, Agency for Healthcare Research and Quality, Rockville, Md.

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
“Successful advanced practice nursing in population health depends upon the ability to recognize the difference between the individual and population approaches to the collection and use of data, and the ability to assess needs and evaluate outcomes at the population level.” — Ann L. Curley and Patty A. Vitale, “Population-Based Nursing: Concepts and Competencies for Advanced Practice.”

Together. Stronger. Bolder.
From April’s AACN Bold Voices
It’s Really About Values” — Mary Stahl, AACN President 2011-2012
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