Critical Care Newsline — February 9, 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.

Feb. 9, 2012

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1. NEWS Most adverse events not captured by hospital incident reports, OIG states
2. ALERT Delirium Assessment and Management
3. EVIDENCE CCN publishes study on daily interruption of sedative infusions
4. RESOURCE TJC launches ‘Speak Up’ stroke campaign
5. RESOURCE AACN offers new online pharmacology course
6. CALL TO ACTION Quick online survey about AACN Practice AlertsTM due Feb. 13
7. CALL TO ACTION Register for NTI — May 19-24 in Orlando — and save
8. CALL TO ACTION Register for NTI’s Chapter Leadership Development Workshop, May 20
9. CALL TO ACTION Shift Work and Breast Cancer Study seeks participants
10. CE ARTICLE CCN publishes strategies for shivering management during temperature interventions
11. WEAR YOUR NTI SPIRIT NTI 2012 T-shirts available
12. BOOKSTORE ‘Comprehensive Systematic Review for Advanced Nursing Practice’
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS Most adverse events not captured by hospital incident reports, OIG states
Hospital incident reporting systems capture only about 14 percent of adverse events in Medicare patients, according to “Hospital Incident Reporting Systems Do Not Capture Most Patient Harm,” a report from the Office of Inspector General (OIG), U.S. Department of Health & Human Services, Washington, D.C. Nurses most often report events, but events are frequently not noted because staff do not believe them to be reportable. The report, released Jan. 5, recommends creation of a list of potentially reportable events for hospitals to use.

2. ALERT Delirium Assessment and Management
Studies show that delirium in the ICU often goes undetected and therefore untreated, leading to delirium-associated costs of between $4 billion and $16 billion annually in the U.S. While no FDA-approved drugs are available to treat delirium, this AACN Practice AlertTM explains that implementing early assessment, prevention and detection protocols such as the described ABCDE bundle reduces risk factors. Access all AACN Practice Alerts.

3. EVIDENCE CCN publishes study on daily interruption of sedative infusions
Daily Interruptions of Sedation: A Clinical Approach to Improve Outcomes in Critically Ill Patients” reviewed seven studies to evaluate the safety and effectiveness of the daily interruption of sedative infusions. Implementation of these interruptions was suggested to minimize multiple complications associated with continuous sedative infusions and was not associated with intensive care-related complications or long-term psychological effects, according to February’s Critical Care Nurse (CCN). Further studies have revealed perceived barriers to implementation of daily sedation interruptions, and randomized controlled trials with larger more diverse samples are needed, the authors added.

4. RESOURCE TJC launches ‘Speak Up’ stroke campaign
On Feb. 1, The Joint Commission (TJC), Oakbrook Terrace, Ill., launched “Speak Up: What You Should Know About Stroke,” an education campaign for consumers that includes topics such as stroke risk factors and early signs of stroke. TJC collaborated with the American Academy of Neurology, American Association of Neuroscience Nurses, American Heart Association/American Stroke Association, National Stroke Association and National Institutes of Health/National Institute of Neurological Disorders and Stroke on the campaign.

5. RESOURCE AACN offers new online pharmacology course
AACN: Critical Care Pharmacology — a new online course — was launched in early February. The most comprehensive, evidence-based pharmacology course on the market today, it is designed to further develop nursing competencies that lead to optimal patient outcomes. The course includes education on the most commonly used critical care medications, best practices and evidence-based interventions. AACN partnered with Elsevier/MC Strategies, in cooperation with the American Society of Health-System Pharmacists, to create this course, which earns users 13.5 CNE credit hours, which may be used to fulfill either general or pharmacology CNE requirements. AACN: Critical Care Pharmacology can be purchased from AACN.

6. CALL TO ACTION Quick online survey about AACN Practice AlertsTM due Feb. 13
AACN Practice AlertsTM are designed to ensure excellence in practice and a safe and humane work environment. Please complete a brief online survey about the alerts by Monday, Feb. 13. Your input is vital in helping us develop new Practice Alerts that meet your needs.

7. CALL TO ACTION Register for NTI — May 19-24 in Orlando — and save
Early-bird registration is open for the National Teaching Institute & Critical Care Exposition (NTI), which takes place in Orlando, Fla., this year. Register by Thursday, April 5, and save $76. And be sure to sign up for a hotel room through AACN Housing. Discounted rates are available until April 10, but early booking is strongly advised to ensure the best selection.

8. CALL TO ACTION Register for NTI’s Chapter Leadership Development Workshop, May 20
Healthy Work Environments (HWEs) are vital to the mission work of AACN’s chapters. Register in advance for NTI’s Chapter Leadership Development Workshop (LDW), Sunday, May 20, to learn HWE skills. Chapters that attend receive a $435 stipend to help defray attendance costs — LDW is the only preconference session with this perk. Register for LDW, class code PC828, at the same time you register for NTI at www.aacn.org/nti.

9. CALL TO ACTION Shift Work and Breast Cancer Study seeks participants
Determine if you are eligible for the Shift Work and Breast Cancer Risk Study. Research has shown that working the night shift increases women’s breast cancer risk. To help determine why, researchers from Virginia Polytechnic Institute and State University, Blacksburg, are studying breast tissue samples from women who have not had breast cancer to see if there are cellular differences in the breast tissue of women who work day shifts and those who work night shifts. The research team has enrolled enough day-shift workers but still needs night-shift workers.

10. CE ARTICLE CCN publishes strategies for shivering management during temperature interventions
Shivering Management During Therapeutic Temperature Modulation: Nurses’ Perspective,” a continuing education article in February’s Critical Care Nurse (CCN), provides strategies for recognizing shivering and assessing efficacy of interventions used to control shivering in patients undergoing mild hypothermia or maintenance of normothermia therapy after cardiac arrest.

11. WEAR YOUR NTI SPIRIT NTI 2012 T-shirts available
Order your official NTI 2012 T-shirt from the online AACN Bookstore, and plan to wear it at the opening session, Monday, May 21, in honor of AACN President Mary Stahl. The shirts are black with the “Together. Stronger. Bolder.” artwork on the back and a small NTI logo on the front. The presale price is $15 plus tax and $3 shipping until Wednesday, April 4. Both black and white T-shirts will be available on-site at NTI for $20 each. Proceeds from all T-shirt sales benefit AACN’s host chapter, Metropolitan Orlando.

12. BOOKSTORE ‘Comprehensive Systematic Review for Advanced Nursing Practice’
Comprehensive Systematic Review for Advanced Nursing Practice” provides the knowledge and skills necessary for Doctor of Nursing Practice students, faculty and advanced practice nurses to conduct a comprehensive systematic review to help them stay current on evidence-based information needed for clinical decision making. Access this resource and other new titles.

13. CLINICAL PRACTICE RESOURCES
Guidelines

January’s Journal of Parenteral & Enteral Nutrition contains “A.S.P.E.N. Clinical Guidelines: Hyperglycemia and Hypoglycemia in the Neonate Receiving Parenteral Nutrition,” from the American Society for Parenteral and Enteral Nutrition, Silver Spring, Md.

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
“… despite the evolution and significant progress in the adoption of CQI theory, methods, and applications, the need for greater efforts in quality improvement in health care continues unabated.” — William A. Sollecito and Julie K. Johnson, “McLaughlin’s and Kaluzny’s Continuous Quality Improvement in Health Care,” 4th ed.

Together. Stronger. Bolder.
From February’s AACN Bold Voices
Family Visitation: How, not if” — Mary Stahl, AACN President 2011-2012

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