Critical Care Newsline — July 5, 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. Each issue includes links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and websites that will inform you on issues affecting nurses and the nursing profession.

July 5, 2012

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1. NEWS Introducing AACN CSI Academy
2. NEWS New Joint Commission video highlights patients’ rights
3. CALL TO ACTION Review and comment on AACN’s ACNP Scope and Standards by Sunday, July 8
4. CALL TO ACTION Register for ‘AACN Nurse Manager Priorities’ by Thursday, July 26 and save
5. CALL TO ACTION 2013 AACN Circle of Excellence award nominations open
6. EVIDENCE Study in AJCC finds trained nurses can reliably detect ineffective inspiratory efforts during expiration
7. CNE ARTICLE Study in AJCC evaluates use of sleep questionnaire in ICU
8. PROFESSIONAL DEVELOPMENT What inspires you?
9. EVIDENCE The Annals of Thoracic Surgery publishes new studies
10. EVIDENCE CI-AKI can be persistent and lead to higher mortality, study says
11. NEW IN BOOKSTORE Ten most pressing issues in nursing
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS Introducing AACN CSI Academy
AACN has selected six Indianapolis hospitals to launch AACN Clinical Scene Investigator (CSI) Academy, its hospital-based nurse leadership and skill-building program. The only such program that provides hospitals with both educational tools and grant funding, it is designed to empower bedside nurses as clinical leaders and change agents. For the next 16 months, teams of up to four nurses from each hospital will work with CSI faculty, an internal mentor and their chief nursing officer to identify issues related to patient care and develop and implement unit-based projects to improve patient outcomes and decrease hospital expenses. Over the next three years, AACN will implement the program nationally with partner hospitals in other areas of the country and will provide each participating hospital with a $10,000 grant to support its team’s learning and project implementation. 

2. NEWS New Joint Commission video highlights patients’ rights
On June 26, The Joint Commission, Oakbrook Terrace, Ill., released “Speak Up: Know Your Rights,” the seventh episode in its Speak Up video series. The new video features the characters Mira, Dr. Pierce, Nurse Amy and Armando as they depict the rights every patient should expect from their caregivers.

3. CALL TO ACTION Review and comment on AACN’s ACNP Scope and Standards by Sunday, July 8
AACN invites comments from acute care nurse practitioners (ACNPs) on proposed updates to “AACN Scope and Standards of Practice for the Acute Care Nurse Practitioner,” published in 2006. First read the “Scope of Practice,” “Standards of Clinical Practice” and “Standards of Professional Performance.” Links to these documents are included in the survey. We need to hear from you, as these standards help define the evolving role of ACNPs.

4. CALL TO ACTION Register for ‘AACN Nurse Manager Priorities’ by Thursday, July 26 and save
Contemporary Forums and AACN continue their collaboration with the second annual “AACN Nurse Manager Priorities,” Sept. 6-8, Paris Hotel, Las Vegas. Nationally recognized faculty will share their expertise in topics such as “Merging Cultures in Today’s Workplace,” “America’s Got Talent: Recruiting and Hiring the Right Professionals” and “Nurse Managers Have Maslow Needs Too!” You can earn up to 17 contact hours while networking with your colleagues from across the country. Register by Thursday, July 26 to obtain the early registration discount.

5. CALL TO ACTION 2013 AACN Circle of Excellence award nominations open
Nominate your peers and colleagues for the 2013 AACN Circle of Excellence awards, which recognize acute and critical care nurses who make a difference in the lives of patients and families. Up to 25 recipients will be selected by Dec. 31 and inducted into the Circle of Excellence Society. Nominations close Wednesday, Aug. 1. Learn more and nominate.

6. EVIDENCE Study in AJCC finds trained nurses can reliably detect ineffective inspiratory efforts during expiration
Nurses’ Detection of Ineffective Inspiratory Efforts During Mechanical Ventilation,” in July’s American Journal of Critical Care (AJCC) OnlineNOW, finds that specifically trained nurses can reliably detect ineffective inspiratory efforts during expiration.

7. CNE ARTICLE Study in AJCC evaluates use of sleep questionnaire in ICU
Patient-Nurse Interrater Reliability and Agreement of the Richards-Campbell Sleep Questionnaire,” a continuing nursing education (CNE) article in July’s American Journal of Critical Care (AJCC), concludes that patient-nurse interrater reliability on the Richards-Campbell Sleep Questionnaire was “slight” to “moderate,” with nurses tending to overestimate patients’ perceived sleep quality in a medical ICU.

8. PROFESSIONAL DEVELOPMENT What inspires you?
One of the many benefits of your membership in AACN is the opportunity to apply for a scholarship. AACN Continuing Professional Development Scholarships support programs that help members enrich their career and acquire knowledge and skills beyond traditional academic nursing. You could attend a program on evidence-based practice, a leadership event or a class on improving communication with your colleagues. As an AACN member you are committed to a journey of lifelong learning, and we can provide you with access to endless possibilities. Email scholarships@aacn.org with questions.

9. EVIDENCE The Annals of Thoracic Surgery publishes new studies
July’s The Annals of Thoracic Surgery includes two studies of interest to nurses: 1) “The Effect of a High Dose of Atorvastatin on the Occurrence of Atrial Fibrillation After Coronary Artery Bypass Grafting” found that atorvastatin pretreatment significantly reduced the occurrence of atrial fibrillation (AF) after bypass grafting, but there was “no significant difference” between the benefits of a higher and a lower dose in reducing postoperative AF; and 2) “Midterm Outcome of Off-Pump Bypass Procedures Versus Drug-Eluting Stent for Unprotected Left Main Coronary Artery Disease” found that off-pump coronary artery bypass patients had better “5-year freedom” from major cardiac and cerebrovascular events compared to those treated with drug-eluting stents.

10. EVIDENCE CI-AKI can be persistent and lead to higher mortality, study says
In patients with moderate-to-severe renal dysfunction, persistent contrast-induced acute kidney injury (CI-AKI) is associated with higher mortality at five years than those with transient CI-AKI or without CI-AKI, according to “Persistent Renal Damage After Contrast-Induced Acute Kidney Injury: Incidence, Evolution, Risk Factors and Prognosis” in June 26’s Circulation. “The occurrence of CI-AKI can identify patients at increased risk of cardiovascular events,” the study concludes.

11. NEW IN BOOKSTORE Ten most pressing issues in nursing
2011-2013 The Power of Ten: Nurse Leaders Address the Profession’s Ten Most Pressing Issues” helps readers discover their own viewpoints on these issues facing the nursing profession and encourages discussion with colleagues. Access this book and other new titles in AACN’s Online Bookstore.

12. CLINICAL PRACTICE RESOURCES
Guidelines
Download “2012 ACCF/AATS/SCAI/STS Expert Consensus Document on Transcatheter Aortic Valve Replacement,” developed in collaboration with the American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Failure Society of America, Mended Hearts, Society of Cardiovascular Anesthesiologists, Society of Cardiovascular Computed Tomography and Society for Cardiovascular Magnetic Resonance, published in April’s The Annals of Thoracic Surgery.

Patient Safety
On June 9, the U.S. Food and Drug Administration, Silver Spring, Md., announced that Bedford Laboratories, Bedford, Ohio, recalled vecuronium bromide for injection preservative free, 20 mg vials, because particulate matter was found in a small number of vials.

13. 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
“In situations where change is managed well, staff members are usually motivated to maintain a balance between the tasks and processes of nursing practice AND their mindfulness that accountability is not an option.” Barbara Fry, “Fast Facts for the Clinical Nurse Manager: Managing a Changing Workplace in a Nutshell.”

Dare To
From July’s AACN Bold Voices
Dare To” — Kathryn Roberts, AACN President 2012-2013
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