Critical Care Newsline — August 2, 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.

August 2, 2012

********************************************
1. NEWS Alert on IV sodium bicarbonate shortage issued by SCCM
2. NTI Submit poster abstracts for NTI 2013
3. CALL TO ACTION Progressive care nurses: Register for ‘AACN Progressive Care Pathways’ conference by Sept. 4 and save
4. CALL TO ACTION Nurse managers: Register for ‘AACN Nurse Manager Priorities’
5. EVIDENCE Study in CCN reports on phlebitis with peripherally infused amiodarone
6. CNE ARTICLE Review article in CCN provides strategies for managing delirium
7. EVIDENCE Variables for guiding fluid therapy reduce AKI risk in patients with cardiogenic shock after cardiac arrest
8. CALL TO ACTION Participate in study on use of physical restraints in critical care
9. FACEBOOK Join the online conversation
10. EVIDENCE Routine nasojejunal tube placement not recommended, CCM study says
11. CALL TO ACTION Join world-famous Nurses’ Health Study
12. BOOKSTORE BEST SELLER ‘AACN Scope and Standards for Acute and Critical Care Nursing Practice’
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES Find jobs at NursePath.com
********************************************

1. NEWS Alert on IV sodium bicarbonate shortage issued by SCCM
On July 19, the Society of Critical Care Medicine (SCCM), Mount Prospect, Ill., issued a drug shortage alert for IV sodium bicarbonate. The report summarizes the shortage’s impact on the ICU, including pharmacotherapeutic considerations, safety implications and management strategies such as treatment recommendations for various conditions. 

2. NTI Submit poster abstracts for NTI 2013
Submit poster abstracts for the National Teaching Institute & Critical Care Exposition (NTI) — to be held Saturday, May 18, to Thursday, May 23, 2013, in Boston — in three categories: Research, Evidence-based Solutions and Chapter Best Practice. Read the Poster Abstract Submission Guidelines first. Deadline: Friday, Sept. 14, 2012.

3. CALL TO ACTION Progressive care nurses: Register for ‘AACN Progressive Care Pathways’ conference by Sept. 4 and save
AACN and Contemporary Forums continue their collaboration with the second annual “AACN Progressive Care Pathways” conference, Oct. 14-17, Paris Hotel, Las Vegas. If your clinical unit is called stepdown, intermediate, telemetry, transitional, subacute, direct observation or even the emergency department, or if it’s a med-surg unit that receives patients directly from the ICU, this conference is for you. Attend a preconference on hemodynamic monitoring or progressive care pharmacology, and stay for the main conference with topics such as “Looking Beyond the Monitor: Challenges in Dysrhythmia Management.” Register by Tuesday, Sept. 4 to obtain the early registration discount. Earn up to 25.25 contact hours.

4. CALL TO ACTION Nurse managers: Register for ‘AACN Nurse Manager Priorities’
AACN and Contemporary Forums continue their collaboration with the second annual “AACN Nurse Manager Priorities” conference, Sept. 6-8, Paris Hotel, Las Vegas. Nationally recognized faculty will share their expertise on topics such as “Changing a Unit’s Culture: Confessions of a Bully,” “State of the Union: Where Is the Talent?” and “Unit-Based Research: It’s Possible!” You can earn up to 17 contact hours while networking with your colleagues from across the country. Register online.

5. EVIDENCE Study in CCN reports on phlebitis with peripherally infused amiodarone
Incidence and Severity of Phlebitis in Patients Receiving Peripherally Infused Amiodarone,” in August’s Critical Care Nurse (CCN), reports on the rate and severity of phlebitis in patients in a progressive care unit who received peripherally infused amiodarone with an in-line filter.

6. CNE ARTICLE Review article in CCN provides strategies for managing delirium
Management of Delirium in Critically Ill Older Adults,” a continuing nursing education (CNE) article in August’s Critical Care Nurse (CCN), reviews current evidence and describes approaches for managing delirium manifestations.

7. EVIDENCE Variables for guiding fluid therapy reduce AKI risk in patients with cardiogenic shock after cardiac arrest
Using volumetric and arterial waveform-derived variables to guide fluid administration can reduce the incidence of acute kidney injury (AKI) in patients with cardiogenic shock after cardiac arrest who receive mild therapeutic hypothermia, according to “Fluid Therapy and Acute Kidney Injury in Cardiogenic Shock After Cardiac Arrest,” published online July 3 in Resuscitation.

8. CALL TO ACTION Participate in study on use of physical restraints in critical care
Participate in a study on the relationships among clinical experience, clinical decision-making, attitudes toward physical restraint and nursing practice issues with the use of restraints in critical care. The confidential survey, which takes about 15 minutes to complete, is being conducted by Kristi Stinson, a PhD student at Seton Hall University, South Orange, N.J. Email Stinson if you have questions.

9. FACEBOOK Join the online conversation
Stay connected with the AACN community wherever you go. Follow us on Facebook and Twitter, and join the discussion online. Invite your friends and colleagues to join in, as well. While you’re there, let us know the topics you’d like us to explore. After all, it’s your community.

10. EVIDENCE Routine nasojejunal tube placement not recommended, CCM study says
A Multicenter, Randomized Controlled Trial Comparing Early Nasojejunal With Nasogastric Nutrition in Critical Illness” finds that in patients receiving mechanical ventilation and nasogastric nutrition who have “mildly elevated” gastric residual volumes, early nasojejunal nutrition doesn’t appear to reduce the frequency of pneumonia. “Routine placement of a nasojejunal tube in such patients is not recommended,” concludes the study in August’s Critical Care Medicine (CCM).

11. CALL TO ACTION Join world-famous Nurses’ Health Study
Were you born after Jan. 1, 1965? Join Nurses’ Health Study (NHS) 3 — designed to learn about nutrition, physical activity and medication use to improve women’s health and quality of life. NHS 3 builds on the two previous Nurses’ Health Studies, which enrolled more than 236,000 women combined. Started in 1976 and expanded in 1989, these studies are among the largest and longest-running investigations of factors that influence women’s health.

12. BOOKSTORE BEST SELLER ‘AACN Scope and Standards for Acute and Critical Care Nursing Practice’
The definitive resource on this topic includes measurement criteria for each standard and incorporates language from the AACN Synergy Model for Patient Care. Access other best sellers in AACN’s Online Bookstore.

13. CLINICAL PRACTICE RESOURCES
Patient safety
On July 20, the U.S. Food and Drug Administration, Silver Spring, Md., announced CareFusion, San Diego, has recalled selected CareFusion EnVe ventilators, because a leak may occur in the patient breathing circuit or the system, which could result in the ventilator not being able to maintain the set positive end expiratory pressure value.

On July 30, the U.S. Food and Drug Administration, Silver Spring, Md., announced Arrow International, Reading, Pa., has recalled its Multi-Lumen Venous Catheterization Set With Blue FlexTip ARROWg+ard Catheter, because the label does not state the catheter contains chlorhexidine and silver sulfadiazine.

Evidence
Dressing Disruption Is a Major Risk Factor for Catheter-related Infections,” in June’s Critical Care Medicine, concludes, “These data support the preferential use of the subclavian insertion site and enhanced efforts to reduce dressing disruption in postinsertion bundles of care.”

14. 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 real life, nurses frequently need to act before all information necessary to confirm a diagnosis is available,” writes Susan Chase in “Cardiac Surgery Essentials for Critical Care Nursing,” by Sonya Hardin and Roberta Kaplow.

Dare To
From August’s AACN Bold Voices
Dare to Dream” — Kathryn Roberts, AACN President 2012-2013
******************************************************************************

If you do not wish to receive email updates from AACN, please reply to unsubscribe@aacn.org. Do you have a comment, question or story idea for Critical Care Newsline? Send your email to enewsletter@aacn.org.

UPDATE YOUR INFORMATION ONLINE
Did you know you can update your demographic profile, including your email address, online? Simply log in using your membership or customer identification number.