Critical Care Newsline — April 12, 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 12, 2012

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1. NEWS National Healthcare Decisions Day, April 16
2. NEWS AACN supports “Joining Forces,” a health initiative for veterans
3. CALL TO ACTION Adult CCRN Certification Review Course live webinar
4. CALL TO ACTION Register for NTI
5. CALL TO ACTION Submit questions for Beacon award recipients at NTI
6. CALL TO ACTION Vote for AACN Board and Nominating Committee by April 19
7. EVIDENCE Revised guidelines improve OHCA survival, study says
8. EVIDENCE New study on thoracoscopic lobectomy and new guidelines for TAVR
9. CALL TO ACTION Register for NTI’s Chapter Leadership Development Workshop
10. CALL TO ACTION Preregister for certification exams at NTI by April 20
11. CALL TO ACTION Participate in study on family presence in adult ICUs
12. EVIDENCE CCN OnlineNOW article reviews sleep and immune function in ICU patients
13. RESOURCE Free member benefit, AACN scholarships support EBP programs
14. CE ARTICLE Article in CCN discusses ABCDE bundle
15. NEW IN BOOKSTORE Prepare for CMC, CSC subspecialty certification
16. CLINICAL PRACTICE RESOURCES
17. 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. NEWS AACN supports “Joining Forces,” a health initiative for veterans
AACN has pledged its support to Joining Forces, a comprehensive national initiative led by the White House and Michelle Obama, to ensure veterans and military families have the opportunities, resources and support they have earned. April 11, two AACN leaders, AACN President-elect Kathryn E. Roberts and past President Kathy McCauley, represented acute and critical care nurses at a leadership summit with Michelle Obama and Jill Biden at the University of Pennsylvania School of Nursing, Philadelphia.

3. CALL TO ACTION Adult CCRN Certification Review Course live webinar
Beginning June 4, attend a multi-session Adult CCRN Certification Review Course live webinar. Certification review experts, including Mary Kay Bader and Suzi Burns, present sessions with practice questions, live polling and text chat that focus on cardiovascular, pulmonary, neurologic, endocrine and other topics. Earn 14.5 hours of continuing nursing education. Requires Internet access.

4. CALL TO ACTION Register for NTI
Register for the National Teaching Institute & Critical Care Exposition (NTI), May 19-24, Orlando, Fla. 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.

5. CALL TO ACTION Submit questions for Beacon award recipients at NTI
Do you have a question for recipients of the Beacon Award for Excellence? Please submit questions to be considered for inclusion in two special NTI sessions featuring panelists from units that received the Beacon award.

6. 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. 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, volunteer program specialist, at 1-800-394-5995, 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.

7. EVIDENCE Revised guidelines improve OHCA survival, study says
Outcomes from out-of-hospital cardiac arrest (OHCA) caused by non-shockable rhythms “improved significantly” after implementing revised resuscitation guidelines, according to “Impact of Changes in Resuscitation Practice on Survival and Neurological Outcome After Out-of-Hospital Cardiac Arrest Resulting From Non-Shockable Arrhythmias,” published online April 2 by Circulation.

8. EVIDENCE New study on thoracoscopic lobectomy and new guidelines for TAVR
April’s The Annals of Thoracic Surgery includes 1) “Video-Assisted Thoracoscopic Lobectomy Is Less Costly and Morbid Than Open Lobectomy: A Retrospective Multiinstitutional Database Analysis,” which finds shorter length of stay and fewer adverse events with the thoracoscopic approach; and 2) “2012 ACCF/AATS/SCAI/STS Expert Consensus Document on Transcatheter Aortic Valve Replacement (TAVR),” which is an alternative to traditional surgical aortic valve replacement in selected patients.

9. CALL TO ACTION Register for NTI’s Chapter Leadership Development Workshop
Learn more and help your chapter succeed by registering for NTI’s Chapter Leadership Development Workshop (LDW), Sunday, May 20. Last year’s participants said the top three things they could apply to their chapter leader role were recognition, healthy work environments and authentic leadership. Already registered for NTI and need to add LDW to your registration? Call Customer Care at 1-800-899-2226.

10. CALL TO ACTION Preregister for certification exams at NTI by April 20
May 21, AACN Certification Corporation will administer CCRN, PCCN, CCRN-E, CCNS, ACNPC and CNML specialty exams and CMC (cardiac medicine) and CSC (cardiac surgery) subspecialty exams on-site at NTI. All exams are paper and pencil. Preregistration using a special NTI exam application is required. Payment of exam fees must accompany your NTI exam application and arrive at AACN no later than Friday, April 20.

11. CALL TO ACTION Participate in study on family presence in adult ICUs
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.

12. EVIDENCE CCN OnlineNOW article reviews sleep and immune function in ICU patients
Sleep and Immune Function,” an April Critical Care Nurse (CCN) Online NOW article, discusses how lack of sleep is associated with diseases and increased mortality. The author describes how sleep in the ICU affects patients’ immune function and suggests interventions to improve patients’ sleep.

13. RESOURCE Free member benefit, AACN scholarships support EBP programs
AACN Continuing Professional Development Scholarships, a free benefit for AACN members, support University of Texas’ Summer Institute on Evidence-Based Practice (EBP) and other EBP programs. The Summer Institute — July 19-21 at the Grand Hyatt Riverwalk, San Antonio — builds capacity for healthcare providers to shape the future of healthcare quality and safety through translating evidence into practice. AACN members can apply for scholarships anytime throughout the year.

14. CE ARTICLE Article in CCN discusses ABCDE bundle
Critical Care Nurses’ Role in Implementing the ‘ABCDE Bundle’ Into Practice,” a continuing education (CE) article in April’s Critical Care Nurse (CCN), summarizes the evidence behind the Awakening and Breathing Coordination, Delirium Monitoring and Management and Early Mobility (ABCDE) bundle, provides an example of an ABCDE policy and discusses the unique role of RNs in implementing the bundle into clinical practice.

15. NEW IN BOOKSTORE Prepare for CMC, CSC subspecialty certification
Prepare for the cardiac medicine certification (CMC), cardiac surgery certification (CSC) or other cardiovascular certification exams with “Cardiac Medical/Cardiac Surgical Certification Review,” an educational CD that includes more than 700 study questions, rationales for answers and two integrated practice exams. The wide range of topics includes cardiovascular pharmacology and acute coronary syndromes. Access this reference and other new titles.

16. CLINICAL PRACTICE RESOURCES
Patient safety
On April 4, the U.S. Food and Drug Administration, Silver Spring, Md., announced a recall of the HeartMate II Left Ventricular Assist System, manufactured by Thoratec Corp., Pleasanton, Calif., because the “bend relief” around the proximal outflow graft may detach, which may cause the graft to kink or deform, reducing blood flow or causing perforation of the graft. The metal end of the bend relief may also be sharp and cause erosion and cutting of the outflow graft. The device labeling has been revised to provide instructions on how to verify the bend relief is fully engaged with the sealed outflow graft at the time of implant.

Evidence
Impact of Telehealth on Patient Self-Management of Heart Failure: A Review of Literature,” in January/February’s Journal of Cardiovascular Nursing, states that although the review “included several studies with flawed design issues, the available evidence supports the use of telehealth in enabling self-care” of heart failure.

Resources
Nine physician specialty associations have created lists of “Five Things Physicians and Patients Should Question,” as part of the Choosing Wisely initiative of the ABIM Foundation, Philadelphia. The initiative focuses on encouraging physicians, patients and other healthcare stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances cause harm.

Access the report “Diagnosis and Management of Febrile Infants (0-3 Months)” from the University of Ottawa, an evidence-based practice center of the Agency for Healthcare Research and Quality, Rockville, Md.

Guidelines
Access evidence-based guideline resources on hospital-acquired conditions, available from the National Guideline Clearinghouse, an initiative of the Agency for Healthcare Research and Quality, Rockville, Md.

17. 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 microbiology behind sepsis is varied, although certain organisms give rise to sepsis more commonly than others. The majority of cases encountered in the hospital setting will be bacterial, although fungal sepsis is increasing in frequency. A commitment to the prevention of infection is essential to control the impact of this condition. Infection control practices must be embraced at personal, organizational and national levels.” Partha De and Ron Daniels, “ABC of Sepsis.”

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