Critical Care Newsline — February 16, 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. 16, 2012

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1. NEWS AACN online pharmacology course is most comprehensive available
2. NEWS Nominate a colleague for an AAMI award
3. ALERT Delirium Assessment and Management
4. EVIDENCE JAMA study finds trophic enteral feedings do not improve mortality
5. EVIDENCE Higher ICU readmissions in teaching hospitals than non, study says
6. RESOURCE ROI Toolkit helps you make a strong case for attending NTI
7. CALL TO ACTION Attend NTI’s Chapter Leadership Development Workshop, May 20
8. RESOURCE Nacole Riccaboni, nurse video blogger
9. CALL TO ACTION Shift Work and Breast Cancer Study seeks participants
10. CE ARTICLE CCN article identifies patient and family perceptions of design
11. EVIDENCE CCN publishes article on connection between task type and human error
12. WEAR YOUR NTI SPIRIT NTI 2012 T-shirts available
13. BOOKSTORE ‘Nursing the Cardiac Patient’
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS AACN online pharmacology course is most comprehensive available
AACN: Critical Care Pharmacology — an online course launched in early February — is the most comprehensive, evidence-based pharmacology course available. New and experienced nurses will further develop their competencies in safe drug administration that leads to optimal patient outcomes. The interactive course features a case study format that encourages critical thinking skills. 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.

2. NEWS Nominate a colleague for an AAMI award
The Association for the Advancement of Medical Instrumentation (AAMI), Arlington, Va., is seeking nominations for the 2012 AAMI and AAMI Foundation Awards. These annual awards recognize significant work in medical instrumentation, including lifetime achievement in research and career achievement in engineering and service. They will be presented Sunday, June 3, during AAMI’s Annual Conference & Expo, Charlotte, N.C. Download a nomination form. Deadline for submission of forms is Thursday, March 15.

3. 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.

4. EVIDENCE JAMA study finds trophic enteral feedings do not improve mortality
Initial Trophic vs. Full Enteral Feeding in Patients With Acute Lung Injury: The EDEN Randomized Trial,” published online Feb. 5 by the Journal of the American Medical Association (JAMA), concludes that “initial trophic enteral feeding for up to 6 days did not improve ventilator-free days, 60-day mortality or infectious complications but was associated with less gastrointestinal intolerance.”

5. EVIDENCE Higher ICU readmissions in teaching hospitals than non, study says
According to “The Epidemiology of Intensive Care Unit Readmissions in the United States,” medical patients in academic hospitals “are more likely to be readmitted than patients in community hospitals without residents.” About 2 percent and 4 percent of ICU patients discharged to a hospital unit are readmitted within 48 and 120 hours respectively, states the study published online Jan. 26 by the American Journal of Respiratory and Critical Care Medicine.

6. RESOURCE ROI Toolkit helps you make a strong case for attending NTI
To help you discuss the value of attending the National Teaching Institute & Critical Care Exposition (NTI) — May 19-24, in Orlando, Fla. — with your manager, visit our ROI Toolkit webpage for customizable templates, including a sample letter, value of attending worksheet and postconference report that you can share with your team in advance. If you’ve already made plans to attend, 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.

7. CALL TO ACTION Attend NTI’s Chapter Leadership Development Workshop, May 20
Many chapters have registered for the Chapter Leadership Development Workshop (LDW); have you? Chapters that attend receive a $435 stipend to help defray expenses — the only preconference that offers this perk. Sign up for LDW at the same time you register for NTI. Are you already registered for NTI and need to add LDW? Call Customer Care at (800) 899-2226.

8. RESOURCE Nacole Riccaboni, nurse video blogger
Nacole Riccaboni is a registered nurse in Florida who recently graduated and provides video blogs about her experiences at the bedside, offering tips and daily updates for new acute and critical care nurses. Access the “Nurse Nacole” YouTube channel.

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 article identifies patient and family perceptions of design
Patients and Their Families Weigh in on Evidence-Based Hospital Design” analyzes survey results and identifies five topics of focus: privacy, space, noise, light and overall atmosphere. “Critical care nurses must be aware of the current need to recognize how much the physical environment influences care delivery and take steps to maximize patients’ safety, satisfaction and quality of care,” concludes the continuing education (CE) article in February’s Critical Care Nurse (CCN).

11. EVIDENCE CCN publishes article on connection between task type and human error
Strategies for Improving Patient Safety: Linking Task Type to Error Type” explains the connection between the type of task — skill-based, rule-based and knowledge-based — and human error. “Understanding how task type contributes to medical error enhances the ability of nurses to make meaningful changes in health care systems,” notes the article in February’s Critical Care Nurse (CCN).

12. 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.

13. BOOKSTORE ‘Nursing the Cardiac Patient’
Nursing the Cardiac Patient” is a practical guide that addresses the management of cardiac patients across the spectrum of healthcare settings. The guide combines theoretical and practical components of cardiac care in an accessible and user-friendly format, with case studies and practical examples. Access this resource and other new titles.

14. CLINICAL PRACTICE RESOURCES
Patient safety
On Feb. 8, the U.S. Food and Drug Administration, Silver Spring, Md., notified the public that proton pump inhibitors may increase the risk of Clostridium difficile-associated diarrhea.

Evidence
December 2011’s CHEST contains: 1) “The Timing of Tracheotomy in Critically Ill Patients Undergoing Mechanical Ventilation: A Systematic Review and Meta-analysis of Randomized Controlled Trials,” which found that when a tracheotomy is performed had no significant effect on the clinical outcomes of critically ill patients; and 2) “Epidemiology of Critical Care Syndromes, Organ Failures and Life-Support Interventions in a Suburban US Community,” which concludes that “in a suburban US community with high access to critical care services, cumulative incidences of critical care syndromes and life-support interventions were higher than previously reported.”

Resources
Download “2012 National Patient Safety Goals Slide Presentation” from The Joint Commission, Oakbrook Terrace, Ill.

Guidelines
Access “Nontraditional Risk Factors for Cardiovascular Disease Risk Assessment,” which compares related guidelines from the American College of Cardiology Foundation, Washington, D.C./American Heart Association, Dallas; National Academy of Clinical Biochemistry, Washington, D.C.; and U.S. Preventive Services Task Force, Rockville, Md.

February’s CHEST includes “Executive Summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice
Guidelines
.”

15. 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 documenting, record only the facts and be sure to leave out personal opinions and judgments. Record the time and date of the entry. Provide a comprehensive history, noting inconsistencies in histories, evasive answers, delays in treatment, medical attention sought at other hospitals and the person caring for the individual during the incident. Document your physical assessment findings using illustrations and photographs as necessary.” – on documenting suspected abuse. — “Chart Smart: The A-to-Z Guide to Better Nursing Documentation, 3rd 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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