Critical Care Newsline — January 12, 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.

Jan. 12, 2012

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1. REGISTRATION OPENS Attend NTI, May 19-24, in Orlando, Fla.
2. EVIDENCE Contact precautions may increase risk for delirium, study says
3. EVIDENCE Argatroban and tPA may be more effective than only tPA
4. ETHICS Balance patient advocacy and contractual duty
5. ALERT Delirium Assessment and Management
6. RESOURCE TJC issues consumer-friendly National Patient Safety Goals
7. RESOURCE New edition of ‘Essential Nursing Resources’
8. CALL TO ACTION Register for NICHE webinar on older adults with heart failure
9. CALL TO ACTION Comment on proposed TJC emergency and safety standards
10. CALL TO ACTION Apply for NLN research grants
11. WEAR YOUR NTI SPIRIT NTI 2012 T-shirts available
12. CALL TO ACTION U.S. Department of Labor conducting acute care nursing survey
13. CALL TO ACTION Submit nominations for AACN President’s Awards for Chapters
14. BOOKSTORE New wall chart on compatibility of IV drugs
15. CLINICAL PRACTICE RESOURCES
16. AACN RESOURCES Find jobs at NursePath.com
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1. REGISTRATION OPENS Attend NTI, May 19-24, in Orlando, Fla.
Early-bird registration is now 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.

2. EVIDENCE Contact precautions may increase risk for delirium, study says
Association between Contact Precautions and Delirium at a Tertiary Care Center,” a study in January’s Infection Control & Hospital Epidemiology, concludes that patients who need contact precautions during their hospital stay, but not on admission, “appear to be” at a higher risk for delirium and “may benefit from proven delirium-prevention strategies.”

3. EVIDENCE Argatroban and tPA may be more effective than only tPA
The combination of Argatroban and IV tissue-type plasminogen activator (tPA) is “potentially safe in patients with moderate neurological deficits” and may produce better recanalization than tPA alone, according to “The Argatroban and Tissue-Type Plasminogen Activator Stroke Study: Final Results of a Pilot Safety Study,” published online Jan. 5 by Stroke.

4. ETHICS Balance patient advocacy and contractual duty
The Current Controversies section in January’s American Journal of Critical Care features “Hippocrates as Hospital Employee: Balancing Beneficence and Contractual Duty,” which includes suggestions on what clinician-employees can do when organizational demands conflict with patient advocacy.

5. 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.

6. RESOURCE TJC issues consumer-friendly National Patient Safety Goals
The Joint Commission, Oakbrook Terrace, Ill., has released the 2012 National Patient Safety Goals, which “focus on problems in health care and how to solve them,” as an easy-to-read document for the public.

7. RESOURCE New edition of ‘Essential Nursing Resources’
On Jan. 1, the Interagency Council on Information Resources in Nursing (ICIRN), Silver Spring, Md., released the 26th edition of “Essential Nursing Resources,” a compilation of content and links to relevant information for nurses. AACN is a member of ICIRN and contributed to the new edition.

8. CALL TO ACTION Register for NICHE webinar on older adults with heart failure
Register for a two-part webinar: “What Every Nurse Needs to Know to Care for Older Adults with Heart Failure,” from Nurses Improving Care for Healthsystem Elders (NICHE), a program of the Hartford Institute for Geriatric Nursing at New York University College of Nursing, New York. Part 1 (Jan. 19 at 2 p.m. EST) will include epidemiology and clinical evaluation. Part 2 (Feb. 16 at 2 p.m. EST) will include medication management, non-pharmacologic therapies and pitfalls for health failure care. Free registration for NICHE sites; non-NICHE sites pay $99 for the first participant ($12.95 per additional participant contact hour).

9. CALL TO ACTION Comment on proposed TJC emergency and safety standards
The Joint Commission (TJC), Oakbrook Terrace, Ill., invites comments on two proposed standards — revisions to its “Patient Flow in the Emergency Department” requirements (response deadline Jan. 20) and a National Patient Safety Goal addressing overuse of treatments, procedures and tests (response deadline Jan. 24).

10. CALL TO ACTION Apply for NLN research grants
The National League for Nursing (NLN), New York, invites proposals in two areas — “NLN/Midwest Nursing Research Society Doctoral Dissertation Award” (response deadline Feb. 15) and “2012 NLN Nursing Education Research Grants” (response deadline Feb. 23).

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. CALL TO ACTION U.S. Department of Labor conducting acute care nursing survey
Representatives conducting a survey for the Occupational Information Network (O*NET) System, a database of occupational requirements and worker attributes based in the U.S. Department of Labor, are calling critical care nurses, which may include some AACN members, during January to gather information for the acute care nursing category. AACN supports this initiative, as O*NET information facilitates career guidance and supports workforce education and creation of competency models. Contact Traci Davis with questions.

13. CALL TO ACTION Submit nominations for AACN President’s Awards for Chapters
Nominate chapters for the 2012 AACN President’s Awards for Chapters, which recognize the chapters that best exemplify the association’s annual theme. Learn more and nominate by Wednesday, Feb. 15.

14. BOOKSTORE New wall chart on compatibility of IV drugs
The 2012 Y-Site Critical Care Admixtures Wall Chart reports on the compatibility of IV drugs commonly administered to patients in a critical care setting and includes antibiotics, vitamins, tpn and other drugs. It contains new and updated information since publication of the 2010 chart. Access this resource and other new titles.

15. CLINICAL PRACTICE RESOURCES
Patient Safety
On Dec. 23, 2011, the U.S. Food and Drug Administration, Silver Spring, Md., announced CareFusion, San Diego, has recalled its AVEA ventilator because a false alarm can cause the machine to stop ventilating.

December 2011’s web M&M, from the Agency for Healthcare Research and Quality, Rockville, Md., features the case of a patient whose anticoagulant treatment was continued in error when an incoming personal text message on a mobile device interrupted the physician’s order to discontinue the medication. Also, access an interview on falls prevention with Ann Hendrich, executive director, Ascension Health Patient Safety Organization, St. Louis.

Evidence
January’s Current Opinion in Gastroenterology contains the review article “Clostridium difficile Infection: An Update on Epidemiology, Risk Factors, and Therapeutic Options.”

Resources
Access the National Quality Forum (NQF), Washington, D.C., 2011 “List of Serious Reportable Events,” a compilation designed to help the healthcare field assess, measure and report performance on providing safe care. Supplemental resources include NQF’s “Serious Reportable Events in Healthcare – 2011 Update: A Consensus Report” and a “Serious Reportable Events Fact Sheet.”

Guidelines
Review “Use of Hepatitis B Vaccination for Adults With Diabetes Mellitus: Recommendations of the Advisory Committee on Immunization Practices (ACIP),” published Dec. 23, 2011, in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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
“Good nutrition, quality sleep, and a sense of fulfillment are essential ingredients for creating balance in one’s life. As caregivers, we are stressed to the limit, and stress can challenge our well-being.” — Sharon M. Weinstein, “B Is for Balance: A Nurse’s Guide for Enjoying Life at Work and Home.”

Together. Stronger. Bolder.
From January’s AACN Bold Voices
Start With What Works” — Mary Stahl, AACN President 2011-2012
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