Critical Care Newsline — July 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. 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 26, 2012

********************************************
1. NEWS AHRQ releases trends for cardiovascular and cerebrovascular conditions, procedures
2. NEWS AAMI Foundation releases first ‘safety innovations’ paper
3. GUIDELINES New INS position paper focuses on assessing peripheral catheter sites
4. CALL TO ACTION Attend free HRSA webinar Friday, July 27
5. CALL TO ACTION Register for TRENDS conference by Tuesday, Sept. 11, and save
6. CALL TO ACTION Apply to take certification exams at TRENDS by Wednesday, Sept. 5
7. EVIDENCE Study in AJCC finds pediatric CV critical care organizational characteristics vary widely
8. CNE ARTICLE OF THE MONTH Study in AJCC evaluates perceptions of sleep quality in ICU
9. CALL TO ACTION Submit nominations for 2013 AACN Circle of Excellence awards by Aug. 1
10. CALL TO ACTION Participate in study on pediatric critical care sedation practices
11. CALL TO ACTION Participate in study on use of physical restraints in critical care
12. EVIDENCE Most facilitators, barriers to clinical practice guideline use are external
13. PROFESSIONAL DEVELOPMENT Register for Nursing Alliance Leadership Academy
14. NEW IN BOOKSTORE Guide to budgeting and finance for nurse managers
15. CLINICAL PRACTICE RESOURCES
16. AACN RESOURCES Find jobs at NursePath.com
********************************************

1. NEWS AHRQ releases trends for cardiovascular and cerebrovascular conditions, procedures
On July 10, the Agency for Healthcare Research and Quality (AHRQ), Rockville, Md., released “HCUP (Healthcare Cost and Utilization Project) Projections: Cardiovascular/Cerebrovascular Conditions and Procedures 2011 to 2012,” which says that although women have lower hospital costs than men, they have slightly higher mortality rates. The report includes number of discharges, average hospital cost and length of stay, and in-hospital mortality rate for a number of conditions and procedures, including acute myocardial infarction, heart failure, stroke, coronary artery bypass graft, percutaneous transluminal coronary angioplasty and aortic resection.

2. NEWS AAMI Foundation releases first ‘safety innovations’ paper
On July 17, the Association for the Advancement of Medical Instrumentation (AAMI) Foundation’s Healthcare Technology Safety Institute releasedUsing Data to Drive Alarm System Improvement Efforts: The Johns Hopkins Hospital Experience,” the first in a planned series of papers on technology-related challenges in healthcare and innovative solutions for advancing patient safety. Future topics include infusion pump implementation and infusion pump integration.

3. GUIDELINES New INS position paper focuses on assessing peripheral catheter sites
Recommendations for Frequency of Assessment of the Short Peripheral Catheter Site,” a position paper from the Infusion Nurses Society (INS), Norwood, Mass., states assessment should occur at least every one to two hours in critically ill patients and at least every hour in neonatal and pediatric patients with continuous or intermittent IV infusions. The paper includes recommendations for patients receiving vesicants and vasoconstrictor agents.

4. CALL TO ACTION Attend free HRSA webinar Friday, July 27
The Health Resources and Services Administration (HRSA) invites you to join a free national webinar tomorrow, July 27, at 2 p.m. (ET) to discuss how electronic health records (EHRs) and other health information technologies can be effectively used in quality improvement efforts. EHRs, registries and databases can generate quality measures that provide timely, understandable, clinically valid and meaningful feedback to safety net providers and their practice teams.

5. CALL TO ACTION Register for TRENDS conference by Tuesday, Sept. 11, and save
Join your colleagues for more than 100 education sessions, exhibits and networking opportunities at “TRENDS in Critical Care Nursing,” Oct. 2-5 in King of Prussia, Pa., in the Philadelphia area. The conference includes special tracks on cardiac surgery, novice critical care nursing and neuroscience plus the plenary session “Hospital Workplace Violence: From Healer to Victim.” Register by Tuesday, Sept. 11, to obtain the early-registration discount. Earn up to 33.25 contact hours and 36.25 CERPs.

6. CALL TO ACTION Apply to take certification exams at TRENDS by Wednesday, Sept. 5
Paper and pencil administration of the CCRN, PCCN, CCRN-E, CCNS, ACNPC and CNML specialty exams and the CMC (cardiac medicine) and CSC (cardiac surgery) subspecialty exams will be offered at the “TRENDS in Critical Care Nursing” conference in King of Prussia, Pa., in the Philadelphia area, on Friday, Oct. 5. You must send payment with the special TRENDS exam application, and both must arrive at AACN no later than Wednesday, Sept. 5. Get more information and download an application.

7. EVIDENCE Study in AJCC finds pediatric cardiovascular critical care organizational characteristics vary widely
Pediatric Cardiovascular Critical Care in the United States: Nursing and Organizational Characteristics,” in July’s American Journal of Critical Care (AJCC), finds that the parameters vary widely across children’s hospitals. “These findings may serve as a contemporary benchmarking source and foundation to standardize models of care, support, and resource utilization in pediatric intensive care units,” the study concludes.

8. CNE ARTICLE OF THE MONTH Study in AJCC evaluates perceptions of sleep quality 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.

9. CALL TO ACTION Submit nominations for 2013 AACN Circle of Excellence awards 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.

10. CALL TO ACTION Participate in study on pediatric critical care sedation practices
Participate in a study on practices and experiences with sedation of mechanically ventilated children in the ICU. The confidential survey, which should take no more than 10 minutes to complete, is being conducted by Sapna Kudchadkar, an assistant professor at Johns Hopkins University School of Medicine, Baltimore. Email Kudchadkar if you have questions.

11. CALL TO ACTION Participate in study on use of 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 the use of restraints 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.

12. EVIDENCE Most facilitators, barriers to clinical practice guideline use are external
Original Research: Facilitators and Barriers to Clinical Practice Guideline Use Among Nurses” finds most facilitators and barriers are outside the control of the individual nurse and fall into the categories of communication, education/orientation/training and time/staffing/workload. “Health care leaders seeking to improve clinical practice guideline use among nurses should ensure that facilitators and barriers — particularly those that are social and organizational — are considered and addressed,” concludes the study in July’s American Journal of Nursing.

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

14. NEW IN BOOKSTORE Guide to budgeting and finance for nurse managers
Nurse managers must not only possess clinical knowledge and the managerial skills of hiring, firing and inspiring, but also plan for budgeting and finance. “The Nurse Manager’s Guide to Budgeting and Finance” provides essential information on the financial aspects of running a nursing unit. Access other new titles in AACN’s Online Bookstore.

15. CLINICAL PRACTICE RESOURCES
Evidence

A history of gastrointestinal (GI) bleeding significantly increases its risk in patients on a continuous flow left ventricular assist device (CF-LVAD), according to “Incidence and Management of Gastrointestinal Bleeding with Continuous Flow Assist Devices,” published in May’s Annals of Thoracic Surgery. Management strategies included “temporarily withholding anticoagulation, decreasing the speed of LVADs, and using octreotid.”

Resource
Access “Use of Unlicensed Persons Acting as Scribes,” from The Joint Commission, Oakbrook Terrace, Ill. The Joint Commission doesn’t endorse or prohibit the use of scribes — unlicensed persons hired to enter information into the electronic medical record (EMR) or chart at the direction of a physician or practitioner — but provides guidelines for organizations that allow their use.

16. 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
“Our failure to embrace the fact that we are all different is the starting point of our weight and body image issues.” Bertice Berry, “A Year to Wellness and Other Weight Loss Secrets.”

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.