Critical Care Newsline — January 26, 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. 26, 2012

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1. CALL TO ACTION Wear red Feb. 3 to support fight against heart disease
2. CALL TO ACTION Register for NTI’s Chapter Leadership Development Workshop
3. CALL TO ACTION Apply to attend AONE’s Emerging Nurse Leader Institute
4. CALL TO ACTION Register for NTI, May 19-24, Orlando, Fla., and save
5. CALL TO ACTION Shift Work and Breast Cancer Study seeks participants
6. EVIDENCE ICU telemedicine reduces hospital mortality risk, study says
7. RESOURCE Updated CMC and CSC test plans available online
8. EVIDENCE Critical Care Medicine publishes new studies
9. EVIDENCE Family members play many informal roles in end-of-life decision making
10. EVIDENCE Catheter size, placement length affect neonatal femoral artery monitoring
11. CE ARTICLE Clinical weaning outcomes
12. RESOURCE Download TJC teleconference on 2012 National Patient Safety Goals
13. WEAR YOUR NTI SPIRIT NTI 2012 T-shirts available
14. CALL TO ACTION Submit nominations for AACN President’s Awards for Chapters
15. BOOKSTORE ‘Change Leadership in Nursing’
16. CLINICAL PRACTICE RESOURCES
17. AACN RESOURCES Find jobs at NursePath.com
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1. CALL TO ACTION Wear red Feb. 3 to support fight against heart disease
Wear red on the American Heart Association’s (AHA’s), Dallas, National Wear Red Day, Friday, Feb. 3, to show your support in the fight against heart disease in women. Heart disease kills more women than all cancers combined according to the AHA.

2. CALL TO ACTION Register for NTI’s Chapter Leadership Development Workshop
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 with this perk. Register for LDW — class code PC828 — when you register for NTI at www.aacn.org/nti.

3. CALL TO ACTION Apply to attend AONE’s Emerging Nurse Leader Institute
The American Organization of Nurse Executives (AONE) will hold its semiannual Emerging Nurse Leader Institute Monday, June 11, through Wednesday, June 13 (location to be determined). Apply for an AACN Continuing Professional Development Scholarship to attend. Qualified applicants must be current members of both AACN and AONE. Visit AACN’s scholarships page for details on eligibility and application requirements.

4. CALL TO ACTION Register for NTI, May 19-24, 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.

5. 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.

6. EVIDENCE ICU telemedicine reduces hospital mortality risk, study says
A telemedicine ICU program decreased hospital length of stay and relative risk of hospital mortality in five community hospitals, according to “Clinical Outcomes After Telemedicine Intensive Care Unit Implementation” in February’s Critical Care Medicine.

7. 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.

8. EVIDENCE Critical Care Medicine publishes new studies
February’s Critical Care Medicine contains three articles of particular interest to critical care nurses: 1) “Impact of a National Propofol Shortage on Duration of Mechanical Ventilation at an Academic Medical Center” found that an 84 percent decrease in the use of propofol in three adult ICUs did not affect the length of mechanical ventilation; 2) “High Prevalence of Corrected QT Interval Prolongation in Acutely Ill Patients Is Associated With Mortality: Results of the QT in Practice (QTIP) Study” concludes that ICU and progressive care unit patients with QT prolongation have longer hospital stays and “nearly three times the odds for mortality” than those without prolongation; and 3) “Poststroke Delirium Incidence and Outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)” states CAM-ICU is a “valid instrument” for diagnosing delirium, and screening should be done the first day after stroke onset, followed by serial screening.

9. EVIDENCE Family members play many roles in end-of-life decision making
Family Members’ Informal Roles in End-of-Life Decision Making in Adult Intensive Care Units” include primary caregiver, primary decision maker, family spokesperson, out-of-towner, patient’s wishes expert, protector, vulnerable member and healthcare expert, according to January’s American Journal of Critical Care. Identifying these roles helps clinicians understand their functions in end-of-life decisions and develop “strategies to support and facilitate increased effectiveness of family discussions and decision-making processes,” the study concludes.

10. EVIDENCE Catheter size, placement length affect neonatal femoral artery monitoring
In January’s Pediatric Critical Care Medicine, “Femoral Artery Catheterization in Neonates and Infants” states that loss of a pedal pulse is directly related to duration of catheterization and is less frequent when smaller catheters are used.

11. CE ARTICLE Clinical weaning outcomes
The Relationship of 26 Clinical Factors to Weaning Outcome,” a continuing education (CE) article in January’s American Journal of Critical Care, found that restructuring the Burns Wean Assessment Program as a unit-specific weaning checklist and potential predictor may help clinicians to address factors that may impede weaning more efficiently and effectively.

12. 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.

13. 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.

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 ‘Change Leadership in Nursing’
Change Leadership in Nursing – How Change Occurs in a Complex Hospital System” provides a real-world description of a hospital-wide change and serves as a road map for nurse executives and students in masters and doctoral programs. Access this resource and other new titles.

16. CLINICAL PRACTICE RESOURCES
Evidence

Systemic Steroids in Severe Sepsis and Septic Shock,” in the Jan. 15 American Journal of Respiratory and Critical Care Medicine, highlights strengths and weaknesses of current data on what patients are likely to benefit from corticosteroids.

Adjunctive Devices for Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention,” published Dec. 29, 2011, by the Agency for Healthcare Research and Quality, Rockville, Md., calls for more research on the benefits and harm of these devices. The review examines the effects of adjunctive devices on health outcomes, compares rates and types of negative effects, and states the impact of patient characteristics on outcomes.

Assessment of Risk Factors Related to Healthcare-associated Methicillin-resistant (HA-MRSA) Staphylococcus aureus Infection at Patient Admission to an Intensive Care Unit in Japan” found four risk factors: intubation, an open wound, treatment with antibiotics and steroid administration, all occurring within 24 hours of admission. “Preemptive infection control in patients with these risk factors might effectively decrease HA-MRSA infection,” concludes the study, published online Nov. 1, 2011, by BMC Infectious Disease.

Resources
Brush up on your knowledge of ST segment monitoring practice with:

Guidelines
On Jan. 10, the Agency for Healthcare Research and Quality, Rockville, Md., published “Pressure Ulcer Risk Assessment and Prevention: A Comparative Effectiveness Review.”

17. 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
“As an engaged leader, you do not rely on your authority to achieve positive outcomes. Employees follow you not because they fear you, but because they identify with you and your vision for the work unit. Your credibility is established by simply telling employees who you are and what you’re about. Then you become that person. You lead by example, which is the highest form of leadership. You remain true to your values and steadfast in your pursuit of excellence.” — Michael Henry Cohen, “Time to Lead: The Ultimate Guide to Employee Engagement.”

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