Critical Care Newsline — July 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. 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 19, 2012

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1. NEWS HBV-infected healthcare provider recommendations updated by CDC
2. NEWS AACN CSI Academy empowers bedside nurses
3. CALL TO ACTION Progressive care nurses: Register for ‘AACN Progressive Care Pathways Conference’ by Sept. 4 and save
4. EVIDENCE Nutritional formula with fish oil and micronutrients may decrease progression of pressure ulcers, says study in AJCC
5. CNE ARTICLE Study in AJCC finds adding albumin to a furosemide infusion doesn’t improve diuresis in ICU patients with hypoalbuminemia
6. CALL TO ACTION Nurse managers: Register for ‘AACN Nurse Manager Priorities’ by July 26 and save
7. CALL TO ACTION Participate in study on physical restraints in critical care
8. CALL TO ACTION Have a peer who makes a difference? Submit nomination for 2013 AACN Circle of Excellence award by Aug. 1
9. PROFESSIONAL DEVELOPMENT Register for Nursing Alliance Leadership Academy
10. EVIDENCE Meta-analysis reviews two tools for diagnosing delirium
11. EVIDENCE Studies on thrombosis risk factor assessment and defining pediatric sepsis
12. EVIDENCE LBBB from TAVI increases mortality risk
13. NEW IN BOOKSTORE CNS resource for education and practice
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS HBV-infected healthcare provider recommendations updated by CDC
In July 6’s Morbidity and Mortality Weekly Report, the Centers for Disease Control and Prevention (CDC) released “Updated CDC Recommendations for the Management of Hepatitis B Virus (HBV)-Infected Health-Care Providers and Students,” which “reaffirm” the CDC’s 1991 recommendations that HBV infection alone should not disqualify infected persons from the practice or study of surgery, dentistry, medicine or an allied health field. Changes to the recommendations include no prenotification of patients of a healthcare provider’s or student’s HBV status and use of HBV DNA serum levels rather than hepatitis B e-antigen status to monitor infectivity. 

2. NEWS AACN CSI Academy empowers bedside nurses
AACN has launched AACN Clinical Scene Investigator (CSI) Academy, its hospital-based nurse leadership and skill-building program, in six Indianapolis hospitals. During the 16-month AACN CSI Academy program — which is designed to empower bedside nurses as clinician leaders and change agents — participating staff nurses will engage in hands-on leadership training and online sharing of experiences that foster nursing excellence and innovation. Over the next three years, AACN will implement the program nationally with partner hospitals in other areas of the country, providing both educational tools and program funding.

3. CALL TO ACTION Progressive care nurses: Register for ‘AACN Progressive Care Pathways Conference’ by Sept. 4 and save
AACN and Contemporary Forums continue their collaboration with the second annual “AACN Progressive Care Pathways” conference, Oct. 14-17, Paris Hotel, Las Vegas. If your clinical unit is called stepdown, intermediate, telemetry, transitional, subacute, direct observation or even the emergency department, or if it’s a med-surg unit that receives patients directly from the ICU, this conference is for you. Attend a preconference on hemodynamic monitoring or progressive care pharmacology and stay for the main conference with topics such as “Preventing Respiratory Failure: Stop the Progression.” Register by Tuesday, Sept. 4 to obtain the early registration discount. Earn up to 25.25 contact hours.

4. EVIDENCE Nutritional formula with fish oil and micronutrients may decrease progression of pressure ulcers, says study in AJCC
Impact of a Nutritional Formula Enriched in Fish Oil and Micronutrients on Pressure Ulcers in Critical Care Patients,” in July’s American Journal of Critical Care (AJCC) OnlineNOW, finds that the formula is associated with decreased progression of pressure ulcers and a decrease in blood concentrations of C-reactive protein.

5. CNE ARTICLE Study in AJCC finds adding albumin to a furosemide infusion doesn’t improve diuresis in ICU patients with hypoalbuminemia
Adding 25 percent albumin to a furosemide infusion doesn’t improve diuresis more than furosemide alone in ICU patients with hypoalbuminemia, according to “Effect of Albumin on Diuretic Response to Furosemide in Patients With Hypoalbuminemia.” a continuing nursing education (CNE) article in July’s American Journal of Critical Care (AJCC).

6. CALL TO ACTION Nurse managers: Register for ‘AACN Nurse Manager Priorities’ by July 26 and save
AACN and Contemporary Forums 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 “Recipes for Cooking Up a Healthy Work Environment,” “Nurse Manager Essentials: Funding of Healthcare Today” and “Strategic Management and Planning.” 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.

7. CALL TO ACTION Participate in study on physical restraints in critical care
Participate in a study on the relationships among clinical experience, clinical decision-making, attitudes toward physical restraint and nursing practice issues with its use in critical care. The confidential survey, which takes about 15 minutes to complete, is being conducted by Kristi Stinson, a PhD student at Seton Hall University, South Orange, N.J. Email Stinson if you have questions.

8. CALL TO ACTION Have a peer who makes a difference? Submit nomination for 2013 AACN Circle of Excellence award by Aug. 1
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.

9. PROFESSIONAL DEVELOPMENT Register for Nursing Alliance Leadership Academy
Register for the Nursing Alliance Leadership Academy (NALA), Aug. 18-19 in Louisville, Ky., and enjoy the opportunity to network and build relationships with your counterparts from other organizations. Visit the NALA website for more information. AACN Continuing Professional Development Scholarships support this and other programs that help members enrich their career and acquire knowledge and skills beyond traditional academic nursing. Email scholarships@aacn.org with questions.

10. EVIDENCE Meta-analysis reviews two tools for diagnosing delirium
The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC) for the Diagnosis of Delirium: A Systematic Review and Meta-analysis of Clinical Studies,” published online July 3 in Critical Care, finds the CAM-ICU is an “excellent” diagnostic tool, while the ICDSC has “moderate sensitivity and good specificity,” and concludes both tools “can be used as a screening tool for the diagnosis of delirium in critically ill patients.”

11. EVIDENCE Studies on thrombosis risk factor assessment and defining pediatric sepsis
Two studies of interest to nurses in July’s Pediatric Critical Care Medicine: 1) “Thrombosis Risk Factor Assessment and Implications for Prevention in Critically Ill Children” finds that a computer-based assessment tool included in the bedside assessment flow sheet identifies children at risk for in-hospital thrombosis; and 2) “Defining Pediatric Sepsis by Different Criteria: Discrepancies in Populations and Implications for Clinical Practice” concludes, “Differences in patient selection need to be considered when extrapolating data across settings.” 

12. EVIDENCE LBBB from TAVI increases mortality risk
Left Bundle Branch Block (LBBB) Induced by Transcatheter Aortic Valve Implantation (TAVI) Increases Risk of Death,” published online July 12 by Circulation, concludes, “TAVI-induced LBBB is an independent predictor of mortality.”

13. NEW IN BOOKSTORE CNS resource for education and practice
Advanced Practice Nursing of Adults in Acute Care,” written for clinical nurse specialists (CNSs), emphasizes practical application in clinical practice and uses a body-systems approach to guide readers through evidence-based collaborative and independent nursing interventions within the framework of the CNS role. The book is ideal for use as a textbook in CNS education programs. Access other new titles in AACN’s Online Bookstore.

14. CLINICAL PRACTICE RESOURCES
Patient safety
On July 11, the U.S. Food and Drug Administration, Silver Spring, Md., announced that Alere, San Diego, recalled several Triage Diagnostic Tests, including Triage CardioProfiler Panel, Triage Cardiac Panel, Triage Profiler SOB Panel, Triage BNP and Triage D-dimer, because identified lots may have significantly decreased precision relative to the package insert, which could result in increased frequency of false positive or false negative results.

15. 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 today’s complex and dynamic patient care environment, the need for nursing interventions and processes informed by the best evidence remains vital to realizing health care improvements and cost savings.” Deborah Dang and Sandra L. Dearholt, “Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines,” 2nd ed.

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