Critical Care Newsline — August 30, 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.

Aug. 30, 2012

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1. CALL TO ACTION AACN grant applications accepted starting Sept. 1
2. CALL TO ACTION Progressive care nurses: Act by Sept. 4 to save on registration for ‘AACN Progressive Care Pathways’
3. CALL TO ACTION Nurse managers: Don’t miss ‘AACN Nurse Manager Priorities’
4. EVIDENCE Profile of Stevens-Johnson syndrome in this month’s CCN
5. CNE OF THE MONTH Article in CCN provides latest evidence to manage delirium
6. EVIDENCE Mother, clinician often disagree about NICU infant’s medical status
7. EVIDENCE Higher mortality predicted in ventilated ICU patients with early, deep sedation
8. NTI Submit NTI 2013 poster abstracts by Sept. 14
9. EVIDENCE Consider family members’ help in assessing ICU patients’ symptoms
10. CALL TO ACTION Complete a survey on compassion fatigue resources for ICU nurses
11. BOOKSTORE BEST SELLER Tool promotes quick heart injury identification on 12-lead ECG
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Find jobs at NursePath.com
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1. CALL TO ACTION AACN grant applications accepted starting Sept. 1
AACN invites clinicians and researchers to apply for its grants, which range from $1,500 to $50,000. They fund priority projects that address gaps in clinical research and support the translation of these findings to bedside nurses. Applications are accepted starting Sept. 1 and must be submitted online by Nov. 1. Learn more and get started.

2. CALL TO ACTION Progressive care nurses: Act by Sept. 4 to save on registration for ‘AACN Progressive Care Pathways’
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.

3. CALL TO ACTION Nurse managers: Don’t miss ‘AACN Nurse Manager Priorities’
Register for the second annual “AACN Nurse Manager Priorities” conference, Sept. 6-8, Paris Hotel, Las Vegas, presented by AACN and Contemporary Forums. Nationally recognized faculty will share their expertise on topics such as “Managing the 20%” and “State of the Union: Where Is the Talent?” Earn up to 17 contact hours while networking with your colleagues from across the country. Register online.

4. EVIDENCE Profile of Stevens-Johnson syndrome in this month’s CCN
Enhance your knowledge of the identification, treatment and complications of the rare Stevens-Johnson syndrome by reading “Drug Reaction, Skin Care, Skin Loss,” in August’s Critical Care Nurse (CCN).

5. CNE OF THE MONTH Article in CCN provides latest evidence to manage 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.

6. EVIDENCE Mother, clinician often disagree about NICU infant’s medical status
Although the mother and clinician are usually satisfied with discussions about an infant in the neonatal intensive care unit (NICU), they often disagree on the infant’s medical status, according to “Mother-Clinician Discussions in the Neonatal Intensive Care Unit: Agree to Disagree?” published online Aug. 16 by the Journal of Perinatology.

7. EVIDENCE Higher mortality predicted in ventilated ICU patients with early, deep sedation
Early Intensive Care Sedation Predicts Long-Term Mortality in Ventilated Critically Ill Patients,” published online Aug. 2 by American Journal of Respiratory and Critical Care Medicine, finds early, deep sedation is associated with prolonged extubation and higher hospital mortality risk.

8. NTI Submit NTI 2013 poster abstracts by Sept. 14
Submit poster abstracts for the National Teaching Institute & Critical Care Exposition (NTI) — 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.

9. EVIDENCE Consider family members’ help in assessing ICU patients’ symptoms
Family members may help assess ICU patients’ symptoms, according to “Challenge of Assessing Symptoms in Seriously Ill Intensive Care Unit Patients: Can Proxy Reporters Help?” Correlations between patients and families were “sufficiently close for us to consider using family members to help assess intensive care unit patients’ symptoms,” notes the study, which Critical Care Medicine published online Aug. 10.

10. CALL TO ACTION Complete a survey on compassion fatigue resources for ICU nurses
Kristen Linton, a graduate nursing student at DePaul University, Chicago, is conducting a survey to investigate resources on compassion fatigue for ICU nurses. It should take you less than 15 minutes to fill out. Email Linton if you have any questions.

11. BOOKSTORE BEST SELLER Tool promotes quick heart injury identification on 12-lead ECG
Use the “12-Lead ECG Clipboard,” imprinted with a 12-lead ECG tracing, to immediately identify areas of injury to the heart. You’ll become an expert in identifying ischemia and right- vs. left-sided myocardial infarctions, using the steps on the back of the clipboard. Access other best sellers in AACN’s Online Bookstore.

12. CLINICAL PRACTICE RESOURCES
Patient safety
On Aug. 22, the U.S. Food and Drug Administration, Silver Spring, Md., announced CareFusion Corp., San Diego, recalled its Alaris PC unit, model 8100, because the pump module door keypad overlay may become loose, peel away or separate from the door assembly, which could lead to keypad malfunction and stoppage of infusion.

Healthcare Technology Safety Institute, Arlington, Va., has released four white papers on infusions and clinical alarms as part of its “Safety Innovations” series: “Best Practice Recommendations for Infusion Pump–Information Network Integration,” “Smart Pump Implementation: A Guide for Healthcare Institutions,” “Nine Recommendations to Prevent Multiple Line Infusion Medication Errors” and “Recommendations for Alarm Signal Standardization and More Innovation: The Christiana Care Health System Experience.”

Evidence
September’s Critical Care Medicine contains two studies of interest to nurses: “Perceptions of Organ Donation After Circulatory Determination of Death Among Critical Care Physicians and Nurses: A National Survey” concludes that although critical care physicians and nurses are “generally supportive” of managing the donors, “minorities of clinicians harbor concerns regarding conflicts of interest, and many are uncertain of the practice’s impact on end-of-life care.” “Effects of Fluid Resuscitation With Synthetic Colloids or Crystalloids Alone on Shock Reversal, Fluid Balance, and Patient Outcomes in Patients With Severe Sepsis: A Prospective Sequential Analysis” finds synthetic colloids or crystalloids reverse shock “equally fast,” while using colloids results in only “marginally lower” needed fluid volumes. “Both low molecular weight hydroxyethyl starch and gelatin may impair renal function,” the study concludes.

Guidelines
Access “Prevention and Control of Influenza With Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP) – United States, 2012-13 Influenza Season” from the Centers for Disease Control and Prevention (CDC), Atlanta, in the Aug. 17 Morbidity and Mortality Weekly Report.

CDC Gives Options for Kids’ Flu Shots,” published Aug. 17 by MedPage Today, summarizes the CDC’s two options for deciding the number of seasonal influenza doses for children ages 6 months through 8 years.

13. 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
“I have failed more times in my life than I have succeeded. The difference is I just continued to get up. Ultimately, I just got up one more time than the person who failed,” Richard Carmona writes in “A Daybook for Nurse Leaders and Mentors,” Various authors

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