Critical Care Newsline — March 1, 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. In each issue, you’ll find links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and websites that will keep you informed on issues affecting nurses and the nursing profession.

March 1, 2012

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1. NEWS Celebrate Certified Nurses Day
2. CALL TO ACTION Apply for ISMP Safe Medication Management Fellowships
3. CALL TO ACTION Register for ‘A Slice of AACN NTI’
4. EVIDENCE AJCC publishes review of peripartum cardiomyopathy guidelines
5. RESOURCE ROI Toolkit helps you make a strong case for attending NTI
6. EVIDENCE CCM publishes studies on dopamine, guidelines and delirium prophylaxis
7. EVIDENCE BNP associated with higher risk of AKI after cardiac surgery
8. EVIDENCE Circulation publishes survival predictive model for CABG
9. RESOURCE AACN online pharmacology course is most comprehensive available
10. WEAR YOUR NTI SPIRIT Advance discounted sale of NTI 2012 T-shirts
11. CE ARTICLE Study in AJCC finds poor correlation between bispectral index (BIS) and sedation scale
12. BOOKSTORE New reference for cardiac surgery nurses
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS Celebrate Certified Nurses Day
Certified Nurses Day recognizes and honors certified nurses and encourages eligible nurses to become certified. The American Nurses Credentialing Center, Silver Spring, Md., selected March 19 as Certified Nurses Day to honor the birthday of the late Margretta “Gretta” Madden Styles. An international pioneer of nursing certification and longtime friend of AACN and AACN Certification Corporation, Styles designed the first comprehensive study of nurse credentialing. Please submit your success stories as well as photos of your celebrations, which may be posted online or in a photo album on Facebook.

2. CALL TO ACTION Apply for ISMP Safe Medication Management Fellowships
The Institute for Safe Medication Practices (ISMP), Horsham, Pa., is accepting applications for two learning opportunities in medication error prevention that start in July. The 12-month ISMP Fellowship will be held at ISMP’s office. For the FDA-ISMP Safe Medication Management Fellowship the candidate will spend six months at ISMP and six at the U.S. Food and Drug Administration (FDA), Silver Spring, Md. These programs help prepare healthcare professionals lead the way in medication safety. Relocation to each area is required. Access further information, qualifications and applications. Applications can also be requested by calling (215) 947-7797 or via email. Application deadline: March 30.

3. CALL TO ACTION Register for ‘A Slice of AACN NTI’
Contemporary Forums and AACN continue their collaboration with the third annual “A Slice of AACN NTI,” April 9-13, Paris Hotel, Las Vegas. Nationally recognized faculty from AACN’s National Teaching Institute & Critical Care Exposition (NTI) will share their expertise in high acuity and critical care. You can earn up to 30.5 CE hours while networking with your colleagues from across the country.

4. EVIDENCE AJCC publishes review of peripartum cardiomyopathy guidelines
Peripartum Cardiomyopathy: Review and Practice Guidelines” appears in March’s American Journal of Critical Care (AJCC). The article is a review of the practice guidelines for peripartum cardiomyopathy, a type of dilated cardiomyopathy of unknown origin, which occurs in previously healthy women in the final month of pregnancy and up to five months after delivery.

5. RESOURCE ROI Toolkit helps you make a strong case for attending NTI
To help you discuss the value of attending the National Teaching Institute & Critical Care Exposition (NTI) — May 19-24, Orlando, Fla. — with your manager, visit our ROI Toolkit webpage for customizable templates, including a sample letter, value of attending worksheet and postconference report that you can share with your team in advance. If you’ve already made plans to attend, register by Thursday, April 5, and save $76. And be sure to sign up for a hotel room through AACN Housing. Discounted rates are available until April 10, but early booking is strongly advised to ensure the best selection.

6. EVIDENCE CCM publishes studies on dopamine, guidelines and delirium prophylaxis
March’s Critical Care Medicine (CCM) contains three studies of interest to nurses: 1) “Dopamine Versus Norepinephrine in the Treatment of Septic Shock: A Meta-Analysis,” which concludes that dopamine is associated with greater mortality and more arrhythmic events; 2) “Deviations From Evidence-based Clinical Management Guidelines Increase Mortality in Critically Injured Trauma Patients,” a randomized, multicenter study of recombinant factor VII that used guidelines for damage control, transfusion and mechanical ventilation; and 3) “Haloperidol Prophylaxis Decreases Delirium Incidence in Elderly Patients After Noncardiac Surgery: A Randomized Controlled Trial,” which states that the low-dose intravenous haloperidol was “well-tolerated.”

7. EVIDENCE BNP associated with higher risk of AKI after cardiac surgery
Pre-Operative Serum Brain Natriuretic Peptide (BNP) and Risk of Acute Kidney Injury (AKI) After Cardiac Surgery” found that elevated BNP increases the risk of postoperative AKI in high-risk patients having cardiac surgery. “… preoperative BNP may be a valuable component of future efforts to improve preoperative risk stratification and discrimination among surgical candidates,” concludes the study published online Feb. 9 by Circulation.

8. EVIDENCE Circulation publishes survival predictive model for CABG
Predictors of Long-Term Survival Following Coronary Artery Bypass Grafting (CABG) Surgery: Results From The Society of Thoracic Surgeons Adult Cardiac Surgery Database (The ASCERT Study),” published online Feb. 23 by Circulation, presents a long-term survival prediction model for isolated CABG. “This provides valuable information for shared decision-making, comparative effectiveness research, quality improvement and provider profiling,” concludes the study of nearly 350,000 patients from more than 900 hospitals.

9. RESOURCE AACN online pharmacology course is most comprehensive available
AACN: Critical Care Pharmacology — an online course launched in early February — is the most comprehensive, evidence-based pharmacology course available. New and experienced nurses will further develop their competencies in safe drug administration, which leads to optimal patient outcomes. The interactive course features a case study format that encourages critical thinking skills. AACN partnered with Elsevier | MC Strategies, in cooperation with the American Society of Health-System Pharmacists, Bethesda, Md., to create this course. Completion of AACN: Critical Care Pharmacology earns users 13.5 CNE credit hours — all of which fulfill APRN pharmacology CNE requirements. AACN: Critical Care Pharmacology can be purchased from AACN.

10. WEAR YOUR NTI SPIRIT Advance discounted sale of NTI 2012 T-shirts
Order your official NTI 2012 T-shirt from the online AACN Bookstore, and plan to wear it at the opening session, Monday, May 21, in honor of AACN President Mary Stahl. The shirts are black with the “Together. Stronger. Bolder.” artwork on the back and a small NTI logo on the front. The presale price is $15 plus tax and $3 shipping until Wednesday, April 4. Both black and white T-shirts will be available on-site at NTI for $20 each. Proceeds from all T-shirt sales benefit AACN’s host chapter, Metropolitan Orlando.

11. CE ARTICLE Study in AJCC finds poor correlation between bispectral index (BIS) and sedation scale
Bispectral Index Values, Sedation-Agitation Scores and Plasma Lorazepam Concentrations in Critically Ill Surgical Patients,” a continuing education (CE) article in March’s American Journal of Critical Care (AJCC), finds poor correlation between the BIS and scores on the Sedation-Agitation Scale. Correlation between the BIS and the plasma concentration of lorazepam was modestly better, but insufficient for clinical utility.

12. BOOKSTORE New reference for cardiac surgery nurses
Fast Facts for the Cardiac Surgery Nurse” is a succinct yet comprehensive reference tool that covers the time from pre-op to recovery period, with a special focus on the prevention and management of commonly seen postoperative complications. This new addition to the Fast Facts series provides quick access to frequently used information for the care of cardiac surgery patients. Access this reference and other new titles.

13. CLINICAL PRACTICE RESOURCES
Patient safety
The U.S. Food and Drug Administration, Silver Spring, Md., notes that on Feb. 22, American Regent, Shirley, N.Y., announced a voluntary recall of phenylephrine HCl Injection, USP, 1% 5 mL vial, lot 0693, because of visible particles found in some retained samples of this lot. Access other recalls of American Regent Injectable Products.

On Feb. 23, the U.S. Food and Drug Administration, Silver Spring, Md., announced Smiths Medical, Dublin, Ohio, has recalled selected Bivona Neonatal, Pediatric and Flextend Tracheostomy Tubes because of difficulty in disconnecting accessories from the connectors of the affected tubes.

On Feb. 9, the Institute for Safe Medication Practices (ISMP), Horsham, Pa., released results of its survey of high-alert medications. Findings were similar to the 2007 survey, with a few exceptions, including antithrombotics rising from eighth to third most frequent medication/class considered a high-alert medication and increases in the number of respondents who felt subcutaneous insulin, oxytocin and parenteral nutrition should be considered high-alert medications. Results will be used to update the “ISMP List of High-Alert Medications for Acute Care Settings.”

Guidelines
Access “A Call to Action: Women and Peripheral Artery Disease, A Scientific Statement From the American Heart Association,” published online Feb. 15 by Circulation.

January’s Anesthesia & Analgesia includes “Special Article: Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists.”

14. 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
“As an engaged leader, you do not rely on your authority to achieve positive outcomes. Employees follow you not because they fear you, but because they identify with you and your vision for the work unit. Your credibility is established by simply telling employees who you are and what you’re about. Then you become that person. You lead by example, which is the highest form of leadership. You remain true to your values and steadfast in your pursuit of excellence.” — Michael Henry Cohen, “Time to Lead: The Ultimate Guide to Employee Engagement.”

Together. Stronger. Bolder.
From March’s AACN Bold Voices
Our Personal Catalysts” — Mary Stahl, AACN President 2011-2012
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