Critical Care Newsline — March 15, 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 15, 2012

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1. NEWS AACN awards research grants
2. NEWS CDC highlights steps for preventing C. difficile
3. CALL TO ACTION NTI’s Chapter Leadership Development Workshop
4. RESOURCE AACN scholarships support EBP programs
5. RESOURCE Build your own curriculum at NTI
6. CALL TO ACTION Celebrate Certified Nurses Day, March 19
7. CALL TO ACTION Register for ‘A Slice of AACN NTI’
8. CALL TO ACTION Apply for ISMP Safe Medication Management Fellowships
9. CALL TO ACTION Yale Heart Study asks nurses to promote survey
10. EVIDENCE Study in AJCC finds wide variation in gastric tube feeding assessment
11. CE ARTICLE Study in AJCC finds Braden Scale identifies patients at risk for pressure ulcers
12. RESOURCE AACN online pharmacology course is most comprehensive available
13. BOOKSTORE New NDNQI case studies book
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS AACN awards research grants
AACN recently awarded two Impact Research Grants — which will increase to three in 2013 — and five other grants with its partners, to drive change in clinical practice. Brigit Carter, Duke University School of Nursing, Durham, N.C., received an Impact Research Grant to study feeding intolerance in preterm infants. Jean Anne Connor, Children’s Hospital Boston, received the second 2012 Impact Research Grant to study the quality of care provided by pediatric cardiovascular nurses. AACN research grants — which fund projects that address gaps in clinical bedside research to support clinical inquiry and drive change in high acuity and critical care nursing practice — are available to established researchers and beginning researchers with mentors; principal investigators must be current AACN members. Submit AACN research grant applications online Sept. 1-Nov. 1. Visit www.aacn.org/grants.

2. NEWS CDC highlights steps for preventing C. difficile
March 6, the Centers for Disease Control and Prevention (CDC), Atlanta, released six steps for preventing C. difficile as part of its notice that infection rates remain at “historic highs.” Steps include the need to prescribe and use antibiotics carefully, isolate C. difficile patients immediately and test for C. difficile when patients have diarrhea while on antibiotics or within several months of taking them.

3. CALL TO ACTION NTI’s Chapter Leadership Development Workshop
Better than a pot of gold at the end of a rainbow, the Chapter Leadership Development Workshop (LDW), an NTI preconference May 20, will provide knowledge to help your chapter achieve its goals. At last year’s workshop more than 95 percent of the participants felt that LDW “would positively impact their chapter leadership role” and valued highly the networking time with other chapters and chapter advisors. Register today. Already registered for NTI and need to add LDW to your registration? Call Customer Care at (800) 899-2226.

4. RESOURCE AACN scholarships support EBP programs
AACN Continuing Professional Development Scholarships support University of Texas’ Summer Institute on Evidence-Based Practice (EBP) and other EBP programs that help AACN members achieve their career goals. Now in its 11th year, the Summer Institute — July 19-21 at the Grand Hyatt Riverwalk in San Antonio — builds capacity for healthcare providers to shape the future of healthcare quality and safety through translating evidence into practice. For more information, visit the event website. Learn more about AACN scholarship opportunities. Except for deadlines for targeted programs, AACN members can apply for scholarships anytime throughout the year.

5. RESOURCE Build your own curriculum at NTI
Build a curriculum to support your clinical or professional role, priority educational needs or hospital-wide or unit-improvement initiatives at this year’s National Teaching Institute & Critical Care Exposition (NTI) in Orlando, Fla., May 19-24. More than 300 high-quality learning opportunities presented by experts in the field will positively affect your nursing practice. Search sessions. If you’ve made plans to attend, register by Thursday, April 5, and save $76. Be sure to sign up for a hotel room through AACN Housing. Discounted rates are available until April 10. And don’t forget to order your NTI T-shirt at the presale price of $15 plus tax and $3 shipping until April 4. Proceeds from all T-shirt sales benefit AACN’s host chapter, Metropolitan Orlando.

6. CALL TO ACTION Celebrate Certified Nurses Day, March 19
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.

7. 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. Earn up to 30.5 CE hours while networking with your colleagues from across the country. Online registration deadline: April 8, or register on-site with a credit card or cash.

8. 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 to 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. AACN members may submit applications for AACN Special Interest Scholarships to participate in ISMP programs.

9. CALL TO ACTION Yale Heart Study asks nurses to promote survey
The Yale Heart Study, funded through a grant from the National Health, Lung and Blood Institute of the National Institutes of Health, Bethesda, Md., asks nurses to encourage patients to participate in this research of the care-seeking behavior and experiences of people who have had an acute myocardial infarction or acute coronary syndrome episode. The online survey, approved by the Yale University Institutional Review Board, takes 30 to 60 minutes to complete. Nurses can download a newsletter paragraph describing the study and download or order free copies of flyers, posters and bookmarks. Email Angelo Alonzo for more information.

10. EVIDENCE Study in AJCC finds wide variation in gastric tube feeding assessment
Monitoring for Intolerance to Gastric Tube Feedings: A National Survey” finds that critical care nurses’ practices for assessing intolerance to gastric tube feeding vary widely, and in many cases the variations unnecessarily reduce the delivery of calories to patients. “Protocols based on current enteral nutrition guidelines must be developed and implemented in practice settings,” concludes the study in March’s American Journal of Critical Care (AJCC).

11. CE ARTICLE Study in AJCC finds Braden Scale identifies patients at risk for pressure ulcers
Patient-specific and Surgical Characteristics in the Development of Pressure Ulcers,” a continuing education (CE) article in March’s American Journal of Critical Care (AJCC), finds that scores on the Braden Scale at admission can be used to identify patients at increased risk for pressure ulcers. For other high-risk factors, such as low body mass index and long operative procedures, appropriate clinical interventions to manage these conditions can help prevent pressure ulcers.

12. 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.

13. BOOKSTORE New NDNQI case studies book
Like its 2007 and 2009 companion volumes, the 2011 “NDNQI Case Studies in Nursing Quality Improvement” provides evidence-based insights and a step-by-step guide on how to use NDNQI data to improve the quality of care, discusses how to apply the lessons of the book’s 11 case studies, includes an overview of quality improvement and a listing of online and written resources and contains an appendix listing the NDNQI measures by category. Access this reference and other new titles.

14. CLINICAL PRACTICE RESOURCES
Patient safety
Download the new “Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation,” which provides step-by-step instructions on how to improve medication reconciliation, from planning to pilot testing, implementation and evaluation. The toolkit, from the Agency for Healthcare Research and Quality, Rockville, Md., includes a workbook to aid implementation.

Evidence
Percutaneous Coronary Intervention (PCI) in Patients With Severe Aortic Stenosis (AS): Implications for Transcatheter Aortic Valve Replacement” in the Feb. 28 Circulation, finds that “PCI can be performed in patients with severe symptomatic AS and coronary artery disease without an increased risk of short-term mortality compared with propensity-matched patients without AS.”

The March 6 Annals of Internal Medicine includes “Surrogate Decision Makers’ Interpretation of Prognostic Information: A Mixed-Methods Study,” a study of 80 surrogates of critically ill patients, which concludes, “Inaccurate interpretations of physicians’ prognostications by surrogates arise partly from optimistic biases rather than simply from misunderstandings.”

Resource
Feb. 29, The Joint Commission, Oakbrook Terrace, Ill., announced the free 2012 SAFE CARE Patient Safety Education Program, which enables patients and families to access safety videos on their own smartphones through QR codes on posters that hospitals hang in patient rooms, or by texting the word “SAFE” to 411247 to receive a link to SAFE CARE’s safety video library. Topics include hand hygiene, preventing infections, avoiding medication errors and patient falls.

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
“Engaged leaders utilize their employees as internal consultants. They spend a significant amount of time listening to employees, accessing their opinions and attitudes on issues that affect the work unit. By listening, leaders develop a better understanding of employees’ knowledge, skill sets, personalities, ambitions, goals, problems, pressures and interests. Listening creates a relationship based on mutual respect and cooperation.” — 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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