Critical Care Newsline — June 7, 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.

June 7, 2012

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1. NEWS Joint Commission report explains new flu vaccine requirements
2. CALL TO ACTION Submit NTI evaluation forms for CNE, CERP credit by June 10
3. CALL TO ACTION Register for A.S.P.E.N. webinar on CRBSIs
4. CALL TO ACTION Review and comment on AACN’s ACNP Scope and Standards by July 8
5. CALL TO ACTION 2013 AACN Circle of Excellence award nominations open
6. PRACTICE ALERT Family Presence: Visitation in the Adult ICU
7. EVIDENCE Sustained VT/VF increases mortality in NSTE ACS, study says
8. EVIDENCE Decision aid helpful for patients’ angiogram access choice
9. PROFESSIONAL DEVELOPMENT Register for ISMP medication safety program
10. CALL TO ACTION Participate in study on EI leadership’s impact on staff nurses
11. EVIDENCE Hypothermia has long-term benefits for neonatal encephalopathy, study says
12. CALL TO ACTION Nominate a colleague for 2012 Inspired Comfort Award
13. EVIDENCE Article in CCN discusses nursing care for patients with hyponatremia
14. CNE ARTICLE Article in CCN presents EOL case study on withdrawing mechanical ventilation
15. NEW IN BOOKSTORE Guide for evidence-based practice
16. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS Joint Commission report explains new influenza vaccine requirements
On May 30, The Joint Commission, Oakbrook Terrace, Ill., released a free R3 Report, which provides details on a July 1 requirement that all Joint Commission-accredited healthcare organizations establish an annual influenza vaccination program for licensed independent practitioners and staff. Although vaccination is the best method for preventing influenza deaths and illnesses, the vaccination rate for healthcare professionals is less than 60 percent.

2. CALL TO ACTION Submit NTI evaluation forms for CNE, CERP credit by June 10
If you attended this year’s National Teaching Institute & Critical Care Exposition (NTI), submit evaluation forms online or with a smartphone for continuing nursing education (CNE) and CERP credit by June 10, 11:59 p.m. PDT. You must complete both program and session evaluations to receive credit. After June 10, you may only print your certificate.

3. CALL TO ACTION Register for A.S.P.E.N. webinar on CRBSIs and save
Register for the webinar “Update on the Prevention and Treatment of Intravascular Catheter-Related Bloodstream Infections” (CRBSIs), scheduled for June 13, 4-5:30 p.m. EDT. The webinar is offered by the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), Silver Spring, Md. Enter code AACN-WEBINAR when registering to receive the AACN member discount.

4. CALL TO ACTION Review and comment on AACN’s ACNP Scope and Standards by July 8
AACN invites comments from acute care nurse practitioners (ACNPs) on proposed updates to AACN’s “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.

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. PRACTICE ALERT Family Presence: Visitation in the Adult ICU
The unrestricted presence and participation of patients’ family members and friends has wide-reaching benefits for patients, both medically and psychologically. This AACN Practice Alert outlines administrative and practical considerations for implementing less-restrictive access to the bedside for these “partners in care.” Access all AACN Practice Alerts.

7. EVIDENCE Sustained VT/VF increases mortality in NSTE ACS, study says
Patients who experience sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) within or after 48 hours of non-ST-segment elevation (NSTE) acute coronary syndrome (ACS) have a higher mortality 30 days and one year later, according to “Sustained Ventricular Tachycardia and Ventricular Fibrillation Complicating Non-ST-Segment Elevation Acute Coronary Syndromes.” The increased mortality “raises important considerations for aggressive monitoring beyond 48 hours and interventions to prevent arrhythmic death in these patients,” concludes the study, published online May 29 by Circulation.

8. EVIDENCE Decision aid helpful for patients’ angiogram access choice
A decision aid reduces patients’ decisional conflict and improves “value congruence” and knowledge about radial versus femoral artery access, according to “Radial Artery Versus Femoral Artery Access Options in Coronary Angiogram Procedures: Randomized Controlled Trial of a Patient-Decision Aid.” The study, published in May’s Circulation: Cardiovascular Quality and Outcomes, finds no significant differences in safety or success of the procedure between those who used the decision aid and those who did not.

9. PROFESSIONAL DEVELOPMENT Register for ISMP medication safety program
The Institute for Safe Medication Practices (ISMP), Horsham, Pa., is offering “ISMP Medication Safety Intensive,” a two-day course designed to help maximize your effectiveness in meeting medication safety challenges. Program dates are June 21-22 in Boston and Nov. 30-Dec. 1 in Las Vegas. Register for the courses. 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. CALL TO ACTION Participate in study on EI leadership’s impact on staff nurses
Participate in a research study on the effects of emotional intelligence (EI) leadership on the empowerment of staff nurses. The study is being conducted by Robin Dalton, a master’s student at Holy Names University, Oakland, Calif. You must have a minimum of two years’ experience in a critical care setting within an acute care facility. Email Dalton if you have questions.

11. EVIDENCE Hypothermia has long-term benefits for neonatal encephalopathy, study says
Childhood Outcomes After Hypothermia for Neonatal Encephalopathy,” published May 31 by The New England Journal of Medicine, found that children who had received whole-body hypothermia for moderate or severe neonatal encephalopathy had a lower death rate without higher disability rates at age 6-7 years.

12. CALL TO ACTION Nominate a colleague for 2012 Inspired Comfort Award
Nominate a colleague for the 2012 Cherokee Inspired Comfort Award, sponsored by Cherokee Uniforms, Chatsworth, Calif. Recognizing healthcare professionals who demonstrate exceptional service, sacrifice and innovation in patient care, the award offers prizes such as a Caribbean cruise for two and a trip to a 2013 U.S. medical conference. For every healthcare professional nominated until the June 30 deadline, Cherokee Uniforms will make a donation to Nurses House, Guilderland, N.Y., a national fund that provides short-term financial assistance to RNs facing serious hardship.

13. EVIDENCE Article in CCN discusses nursing care for patients with hyponatremia
Hyponatremia Caused by Polydipsia,” in June’s Critical Care Nurse (CCN), states nursing care to ensure safe outcomes for patients with hyponatremia involves multidisciplinary collaboration, close monitoring of serum sodium levels and intake and output, and assessment for neurological changes.

14. CNE ARTICLE Article in CCN presents EOL case study on withdrawing mechanical ventilation
Withdrawal of Life-Sustaining Treatment: A Case Study,” a continuing nursing education (CNE) article in June’s Critical Care Nurse (CCN), presents the nursing aspects of managing an adult patient undergoing withdrawal of mechanical ventilation as an end-of-life (EOL) procedure.

15. NEW IN BOOKSTORE Guide for evidence-based practice
A new guide can help you enhance your skills in evidence-based practice. “Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines,” 2nd ed., covers practical guidelines for the model and includes a question and development tool, an evidence rating scale, appraisal forms and evidence summary documents. Access this book and other new titles.

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
“Successful management depends on the business acumen and experience of the manager who serves in a leadership capacity to inspire high-quality care.” Nancy Bateman, “The Business of Nurse Management: A Toolkit for Success.”

Together. Stronger. Bolder.
From June’s AACN Bold Voices
The Energy of Community” — Mary Stahl, AACN President 2011-2012
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