Critical Care Newsline — April 26, 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. Each issue includes links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and websites that will inform you on issues affecting nurses and the nursing profession.

April 26, 2012

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1. NEWS April 30 is National Prescription Drug Take Back Day
2. NEWS CDC announces reductions in healthcare-associated infections
3. NEWS FDA urges caution when using fentanyl transdermal systems
4. CALL TO ACTION Plan your NTI experience
5. CALL TO ACTION ‘20K by NTI’ on Facebook
6. EVIDENCE Study assesses blood pressure control among U.S. veterans
7. RESOURCE AACN offers new version of Dysrhythmia Interpretation Course
8. EVIDENCE Moderate glucose control associated with less negative nitrogen balances
9. EVIDENCE Soybean- and olive oil-based lipid infusions have similar complication rates
10. CALL TO ACTION Apply for AACN scholarship to attend AONE’s Emerging Nurse Leader Institute
11. CALL TO ACTION Participate in study on family presence in adult ICUs
12. AWARD Society of Hospital Medicine receives Eisenberg award
13. EVIDENCE Article in CCN describes strategies for achieving zero CABSIs
14. CE ARTICLE OF THE MONTH Article in CCN provides tips on fluid management in heart failure
15. NEW IN BOOKSTORE Tools for nurses
16. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS April 30 is National Prescription Drug Take Back Day
National Prescription Drug Take Back Day, sponsored by the U.S. Drug Enforcement Administration, Springfield, Va., takes place Saturday, April 28, 10 a.m.-2 p.m. local time at collection sites across the country. Addressing the public safety and public health issue of prescription drug abuse, the event encourages the safe disposal of unwanted, unused prescription drugs. Find a collection site near you.

2. NEWS CDC announces reductions in healthcare-associated infections
April 19, the Centers for Disease Control and Prevention (CDC) released a report announcing a large reduction (32 percent) in central line-associated bloodstream infections among reporting hospitals for 2010, which was higher than predicted. The CDC reported modest reductions in catheter-associated urinary tract infections (6 percent) and surgical site infections (8 percent).

3. NEWS FDA urges caution when using fentanyl transdermal systems
April 18, the Food and Drug Administration (FDA), Silver Spring, Md., reminded patients and healthcare professionals about the potential for life-threatening harm from accidental exposure to fentanyl transdermal systems (“patches”). Appropriate storage, use and disposal of these patches is advised.

4. CALL TO ACTION Plan your NTI experience
There are less than four weeks until this year’s National Teaching Institute & Critical Care Exposition (NTI), May 19-24. If you haven’t done so, you still have time to register. If you’ve registered, plan your schedule and special events. Search for sessions by title, track and day, and find exhibitors at the Critical Care Exposition. Stop by the Host Chapter Booth at the conference for suggestions from local colleagues on what to see and do in the area. Explore Orlando.

5. CALL TO ACTION ‘20K by NTI’ on Facebook
AACN’s Facebook page is very close to having 20,000 followers. In fact, we’ve created a “20K by NTI” campaign. Join the conversation in our online community by “liking” our Facebook page.

6. EVIDENCE Study assesses blood pressure control among U.S. veterans
Blood Pressure Control Among US Veterans: A Large Multi-Year Analysis of Blood Pressure Data From the VA Health Data Repository” which appears in Circulation, April 19, assessed improvement in blood pressure (BP) control over a 10-year period in a large cohort of patients at the Department of Veterans Affairs. The study concluded that BP control can be attained for all ages and ethnic groups and both genders.

7. RESOURCE AACN offers new version of Dysrhythmia Interpretation Course
AACN recently launched an updated version of its Basic ECG Interpretation E-Learning Course. The course — which helps healthcare professionals working with monitored patients to identify potential cardiac threats quickly and respond appropriately — features an eight-step process for analyzing and interpreting cardiac rhythms. The course provides an evidence-based interactive experience to enhance clinical decision-making at the bedside. New to the updated version is content on identifying and troubleshooting pacemaker rhythms. Earn 6.5 hours of continuing nursing education credit. Visit www.aacn.org/e-learning for more information on AACN E-Learning courses.

8. EVIDENCE Moderate glucose control associated with less negative nitrogen balances
Moderate Glucose Control Results in Less Negative Nitrogen Balances in Medical Intensive Care Unit Patients — A Randomized, Controlled Study,” published online April 5 by Critical Care, concludes the differences “are more significant in the early stages compared with the late stages of critical illness.”

9. EVIDENCE Soybean- and olive oil-based lipid infusions have similar complication rates
A Double-blind, Randomized Clinical Trial Comparing Soybean Oil-based Versus Olive Oil-based Lipid Emulsions in Adult Medical-Surgical Intensive Care Unit Patients Requiring Parenteral Nutrition,” published online April 6 by Critical Care Medicine, concludes that both types of oil “resulted in similar rates of infectious and noninfectious complications.”

10. CALL TO ACTION Apply for AACN scholarship to attend AONE’s Emerging Nurse Leader Institute
AACN is accepting scholarship proposals for participation in Emerging Nurse Leader Institute, a workshop hosted by the American Organization of Nurse Executives (AONE), June 11-13, Charleston, S.C. or Nov. 5-7, Chicago. Qualified applicants must be current members of both AACN and AONE. Visit AACN’s scholarships webpage for details on the application requirements. Email scholarships@aacn.org with your questions on the scholarship program, which is a benefit of AACN membership.

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. AWARD Society of Hospital Medicine receives Eisenberg award
The National Quality Forum, Washington, D.C., and The Joint Commission, Oakbrook Terrace, Ill., presented a 2011 Eisenberg award to the Society of Hospital Medicine (SHM), Philadelphia. SHM received the award for Innovation in Patient Safety and Quality at the national level in recognition of its mentored implementation model, which furthers frontline quality initiatives. SHM’s mentors work in more than 300 hospitals in the U.S. and Canada, focusing on care transitions, glycemic control and venous thromboembolism prevention.

13. EVIDENCE Article in CCN describes strategies for achieving zero CABSIs
The Journey to Zero Central Catheter-Associated Bloodstream Infections (CABSIs): Culture Change in an Intensive Care Unit,” in April’s Critical Care Nurse (CCN), describes one hospital’s strategies for eliminating CABSIs, including a multidisciplinary team approach, support from stakeholders and continuous feedback.

14. CE ARTICLE OF THE MONTH 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.

15. NEW IN BOOKSTORE Tools for nurses
Critical Thinking, Clinical Reasoning and Clinical Judgment: A Practical Approach to Outcome-Focused Thinking,” 5th ed., by Rosalinda Alfaro-LeFevre, provides the tools to help you become a safe, competent nurse. Critical thinking and clinical reasoning strategies come to life through the use of real-life scenarios and decision-making tools, supported with evidence for why the strategies work. Access this book and other new titles.

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
“When implementing your peer review processes, it is recommended that you start out slowly and set up systems that ensure early successes and positive experiences. Peer review, while initially intimidating, fosters a professional practice environment in which colleagues care for the development of each other and coach each other toward their developmental goals.” Gen Guanci, “Feel the Pull: Creating a Culture of Nursing Excellence,” 2nd ed.

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