Critical Care Newsline — January 19, 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. 19, 2012

********************************************
1. CALL TO ACTION Register for NTI, May 19-24, in Orlando, Fla., and save
2. RESOURCE Updated CMC and CSC test plans available online
3. GUIDELINES CCSC issues recommendations for critical care research
4. RESOURCE Nacole Riccaboni, nurse video blogger
5. CHAPTER OUTREACH Illinois chapter feeds the homeless
6. EVIDENCE ICU patients with delirium suffer more long-term cognitive problems
7. ALERT Delirium Assessment and Management
8. EVIDENCE Interventions improve shared agreement of pediatric ICU patients’ daily goals
9. EVIDENCE Phlebotomy-induced blood loss, common in pediatric ICU patients, may be reduced
10. CE ARTICLE Demographic differences in SIRS score after trauma
11. RESOURCE Download TJC teleconference on 2012 National Patient Safety Goals
12. WEAR YOUR NTI SPIRIT NTI 2012 T-shirts available
13. CALL TO ACTION U.S. Department of Labor conducting acute care nursing survey
14. CALL TO ACTION Submit nominations for AACN President’s Awards for Chapters
15. BOOKSTORE New ‘pocket tutor’ for ECG interpretation
16. CLINICAL PRACTICE RESOURCES
17. AACN RESOURCES Keep your resolutions
********************************************

1. CALL TO ACTION Register for NTI, May 19-24, in Orlando, Fla., 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.

2. RESOURCE Updated CMC and CSC test plans available online
The CMC (cardiac medicine) and CSC (cardiac surgery) test plans for these subspecialty certifications have been updated with minor changes based on the most recent studies of practice conducted by AACN Certification Corporation. The test plans are available online, along with sample items, study bibliographies and executive summaries of the CMC and CSC studies of practice. Exams based on the new test plans are expected to go into effect in mid to late June. Candidates planning to test before June should use the current test plans in the online CMC and CSC Exam Handbook.

3. GUIDELINES CCSC issues recommendations for critical care research
January’s American Journal of Critical Care includes “Multisociety Task Force for Critical Care Research: Key Issues and Recommendations,” from the Critical Care Societies Collaborative (CCSC) — AACN, the American College of Chest Physicians, American Thoracic Society and Society of Critical Care Medicine — and the US Critical Illness and Injury Trials Group, which presents a “unique framework for future research in critical care medicine.” The report is the first comprehensive agenda to guide critical care research.

4. 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.

5. CHAPTER OUTREACH Illinois chapter feeds the homeless
AACN’s Northern Illinois Chapter, Rockford, worked with 35 other businesses to sponsor the annual Feed the Homeless Day, which is especially needed during winter. They have provided lunch at local sheltered care ministries since 2004.

6. EVIDENCE ICU patients with delirium suffer more long-term cognitive problems
ICU patients with delirium suffered “significantly more” cognitive problems 18 months after ICU discharge than those without delirium, according to “Delirium in Critically Ill Patients: Impact on Long-Term Health-Related Quality of Life and Cognitive Functioning” in January’s Critical Care Medicine.

7. 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.

8. EVIDENCE Interventions improve shared agreement of PICU patients’ daily goals
Targeted Interventions Improve Shared Agreement of Daily Goals in the Pediatric Intensive Care Unit (PICU),” a prospective cohort study, appears in January’s Pediatric Critical Care Medicine. Sequential interventions — implementing a new resident daily progress note format, creating a performance improvement “dashboard” and documenting patients’ daily goals on bedside whiteboards — were implemented eight to 12 weeks apart.

9. EVIDENCE Phlebotomy-induced blood loss, common in PICU patients, may be reduced
“Blood drawn in excess of phlebotomy requirements exceeds the blood volume loss drawn for phlebotomy by two fold,” according to “Identifying Factors to Minimize Phlebotomy-Induced Blood Loss in the Pediatric Intensive Care Unit (PICU)” in January’s Pediatric Critical Care Medicine. Strategies to reduce phlebotomy-induced blood loss include consolidating tests and using a closed system for blood draws.

10. CE ARTICLE Demographic differences in SIRS score after trauma
African-Americans had fewer occurrences of SIRS and lower WBC counts than did whites, which suggests the possibility of an overall reduced systemic inflammatory response to trauma, according to “Demographic Differences in Systemic Inflammatory Response Syndrome (SIRS) Score After Trauma,” a continuing education (CE) article in January’s American Journal of Critical Care.

11. RESOURCE Download TJC teleconference on 2012 National Patient Safety Goals
Download slides and audio from the Jan. 12 teleconference “Standards and National Patient Safety Goals: What’s New for 2012,” from The Joint Commission, Oakbrook Terrace, Ill. Access ends Monday, March 12.

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. 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.

14. 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.

15. BOOKSTORE New ‘pocket tutor’ for ECG interpretation
Pocket Tutor: ECG Interpretation” is a practical guide for healthcare workers on the go that fits in your pocket and includes full-page, 12-lead ECGs with brief accompanying text to illustrate arrhythmias. Access this resource and other new titles.

16. CLINICAL PRACTICE RESOURCES
Patient Safety
Download “CDC Clinical Reminder: Insulin Pens Must Never Be Used for More Than One Person,” released Jan. 10 by the Centers for Disease Control and Prevention, Atlanta.

On Jan. 12, the U.S. Food and Drug Administration, Silver Spring, Md., announced Respironics, Inc., Murrysville, Pa., has recalled its Trilogy 100 ventilators because of the potential for the device to fail.

On Jan. 12, the U.S. Food and Drug Administration, Silver Spring, Md., announced Bedford Laboratories, Bedford, Ohio, has issued updated guidance for the Aug. 2, 2011 recall of vials of polymyxin B and vecuronium bromide because of the potential for glass particles. The vials should not be used, and to date there have been no reports of adverse events for the recalled lots.

Evidence
The Dec. 20, 2011 Annals of Internal Medicine contains “Comparative Effectiveness of Clostridium difficile Treatments: A Systematic Review,” which concludes that no antimicrobial agent is “clearly superior” for initial treatment, and “recurrence is less frequent with fidaxomicin than with vancomycin.”

People with increases or decreases in blood pressure in middle age have “associated” higher and lower remaining lifetime risk for cardiovascular disease, according to “Impact of Blood Pressure and Blood Pressure Change During Middle Age on the Remaining Lifetime Risk for Cardiovascular Disease: The Cardiovascular Lifetime Risk Pooling Project” in the Jan. 3 Circulation.

17. AACN RESOURCES
Keep your resolutions
It’s mid-January and keeping those New Year’s resolutions can be challenging. Whether you want to get fit, improve your work performance or gain more inner strength, consider resources such as “Fit Nurse: Your Total Plan for Getting Fit and Living Well” and “Health and Wellness Journal Workbook, 3rd ed.”

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
“The role of the nurse in pain management cannot be overemphasized. As skilled clinicians, we need to be competent in assessing pain and understanding the principles of pain management. As advocates, we need to work with physicians and other health care team members to develop the most effective care plan for the patient. As guides, we need to work with the patient and family to find the highest level of comfort.” — Linda Norlander, “To Comfort Always: A Nurse’s Guide to End-of-Life Care.”

Together. Stronger. Bolder.
From January’s AACN Bold Voices
Start With What Works” — Mary Stahl, AACN President 2011-2012
******************************************************************************
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 OWN 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. Go to:
www.aacn.org/DM/CustomerProfile/UpdateCustomerProfile.aspx.
 

Your Feedback