Critical Care Newsline — July 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. 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 12, 2012

********************************************
1. NEWS VA’s ‘Let’s Get Certified’ campaign enters Phase V
2. CALL TO ACTION Nurse managers: Register for ‘AACN Nurse Manager Priorities’ by July 26 and save
3. EVIDENCE ICU staff contribute to discharge planning, says study in AJCC
4. CNE ARTICLE Study in AJCC finds nurse-directed glucose control as effective as nomogram-based control
5. PROFESSIONAL DEVELOPMENT What will you ‘Dare To’ achieve?
6. EVIDENCE New definition of ARDS published in JAMA
7. EVIDENCE HES more harmful than Ringer’s for fluid resuscitation in ICU patients with sepsis
8. EVIDENCE CCM publishes new studies of interest to nurses
9. EVIDENCE Continuing clopidogrel and aspirin until CABG increases risk of MI, reoperation
10. EVIDENCE Study finds racial, ethnic differences in post-menopausal women with heart failure
11. NEW IN BOOKSTORE Cardiology pocket guide
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Find jobs at NursePath.com
********************************************

1. NEWS VA’s ‘Let’s Get Certified’ campaign enters Phase V
To capitalize on the momentum of the past four years, the U.S. Department of Veterans Affairs’ (VA’s) “Let’s Get Certified” campaign has been extended to Phase V, June 1, 2012-May 31, 2013. VA or U.S. Department of Defense (DoD) nurses seeking to become certified may visit the VA’s Office of Nursing Services intranet for a discount coupon for AACN certification exams, membership and select review and recognition products. AACN and AACN Certification Corporation proudly support the campaign, which aims to increase the number of VA and DoD nurses who are certified.

2. CALL TO ACTION Nurse managers: Register for ‘AACN Nurse Manager Priorities’ by July 26 and save
Contemporary Forums and AACN continue their collaboration with the second annual “AACN Nurse Manager Priorities” conference, Sept. 6-8, Paris Hotel, Las Vegas. Nationally recognized faculty will share their expertise on 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.

3. EVIDENCE ICU staff contribute to discharge planning, says study in AJCC
Feasibility of Discharge Planning in Intensive Care Units: A Pilot Study,” in July’s American Journal of Critical Care (AJCC) OnlineNOW, finds that ICU staff may help with early identification of patients’ postacute needs and identify methods to study the discharge planning process within ICUs.

4. CNE ARTICLE Study in AJCC finds nurse-directed glucose control as effective as nomogram-based control
Nurse- vs Nomogram-Directed Glucose Control in a Cardiovascular Intensive Care Unit,” a continuing nursing education (CNE) article in July’s American Journal of Critical Care (AJCC), concludes that in an ICU where nurses generally accept the need for tight glucose control, nurse-directed control is as effective and as safe as nomogram-based control.

5. PROFESSIONAL DEVELOPMENT What will you ‘Dare To’ achieve?
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.

6. EVIDENCE New definition of ARDS published in JAMA
Acute Respiratory Distress Syndrome (ARDS): The Berlin Definition,” published online June 20 by The Journal of the American Medical Association (JAMA), finds the new definition, developed by an international panel and empirically validated, has better predictive validity for mortality than the American-European Consensus Conference (AECC) definition and addresses several limitations of the AECC definition. The Berlin definition stratifies ARDS into mild, moderate or severe primarily on the basis of the patient’s hypoxia.

7. EVIDENCE HES more harmful than Ringer’s for fluid resuscitation in ICU patients with sepsis
Hydroxyethyl Starch 130/0.4 (HES) versus Ringer’s Acetate in Severe Sepsis,” published online June 27 by The New England Journal of Medicine, concludes that “patients with severe sepsis assigned to fluid resuscitation with HES 130/0.4 had an increased risk of death at day 90 and were more likely to require renal-replacement therapy, as compared with those receiving Ringer’s acetate.”

8. EVIDENCE CCM publishes new studies of interest to nurses
On June 22, Critical Care Medicine (CCM) published online three studies of interest to nurses: 1) “Treatment of Four Psychiatric Emergencies in the Intensive Care Unit” reviews the diagnosis and management of agitated delirium, neuroleptic malignant syndrome, serotonin syndrome and psychiatric medication overdose in the ICU; 2) “Nighttime Telecommunication Between Remote Staff Intensivists and Bedside Personnel in a Pediatric Intensive Care Unit: A Retrospective Study” finds that telecommunication between staff intensivists and bedside care providers, patients and their families is feasible and “may enhance team communication, provide reassurance to families and impact patient management;” and 3) “A Multicenter Prospective Study of Interobserver Agreement Using the Full Outline of Unresponsiveness Score Coma Scale in the Intensive Care Unit” concludes the coma scale has “excellent” inter-rater agreement in each of five hospitals and can be used “reliably in critically ill patients.”

9. EVIDENCE Continuing clopidogrel and aspirin until CABG increases risk of MI, reoperation
Combined Clopidogrel and Aspirin Treatment Up to Surgery Increases the Risk of Postoperative Myocardial Infarction (MI), Blood Loss and Reoperation for Bleeding in Patients Undergoing Coronary Artery Bypass Grafting,” published online June 24 by European Journal of Cardio-Thoracic Surgery, included 926 patients with coronary artery bypass graft (CABG) who received double antiplatelet therapy in the 14 days before surgery.

10. EVIDENCE Study finds racial, ethnic differences in post-menopausal women with heart failure
Racial and Ethnic Differences in Incident Hospitalized Heart Failure in Post Menopausal Women: The Women’s Health Initiative,” published online July 2 by Circulation, finds that “Asian/Pacific Islander and Hispanic women have a lower incidence of heart failure while African American women have higher rates of heart failure compared to white women.”

11. NEW IN BOOKSTORE Cardiology pocket guide
The new handy reference “Tarascon Pocket Cardiologica” details a wide variety of cardiac topics including ECG monitoring, cardiac imaging, coronary artery disease, pericardial disorders, pacemaker therapy, electrophysiology and much more. Access other new titles in AACN’s Online Bookstore.

12. CLINICAL PRACTICE RESOURCES
Patient safety
On June 29, the U.S. Food and Drug Administration, Silver Spring, Md., informed healthcare professionals that preliminary results from a recently completed clinical study suggest that a 32 mg single IV dose of ondansetron (Zofran, ondansetron hydrochloride and generics) may prolong the QT interval, which could predispose patients to torsades de pointes. GlaxoSmithKline, Philadelphia, plans to update Zofran’s drug label to state that no single IV dose should exceed 16 mg.

Evidence
Neuromuscular Blockade and Skeletal Muscle Weakness in Critically Ill Patients: Time to Rethink the Evidence?” in May 1’s American Journal of Respiratory and Critical Care Medicine, “challenges the established clinical view of an adverse relationship between the use of neuromuscular blocking agents and skeletal muscle weakness” and “provides evidence that neuromuscular blocking agents may not be a major cause of weakness in a 21st century critical care setting.”

Guidelines
Access a summary of “Standards of Medical Care in Diabetes. IX. Diabetes Care in Specific Settings,” published in January’s Diabetes Care.

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
“Let’s face the facts: If nurse managers are expected to manage resources, then they must be knowledgeable about budgeting.” Al Rundio, “The Nurse Manager’s Guide to Budgeting & Finance.”

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

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 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.