Critical Care Newsline — March 29, 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 29, 2012

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1. NEWS CMS announces new APRN initiative
2. NEWS Bleeding increases with novel drug
3. NEWS CMC and CSC exams based on new test plans launch June 20
4. CALL TO ACTION Vote for AACN Board and Nominating Committee
5. NTI 2012 Early-bird registration ends Thursday, April 5
6. CALL TO ACTION Preregister for certification exams at NTI by April 20
7. EVIDENCE Study in AJCC finds assessment can facilitate patient-family communication
8. RESOURCE Register for ultrasound course
9. RESOURCE AACN scholarships support EBP programs
10. CALL TO ACTION Register for ‘A Slice of AACN NTI’
11. CALL TO ACTION Apply for ISMP Safe Medication Management Fellowships
12. CALL TO ACTION Yale Heart Study asks nurses to promote survey
13. CE OF THE MONTH Study in AJCC finds poor correlation between bispectral index (BIS) and sedation scale
14. BOOKSTORE New pioneering guide for performance improvement
15. CLINICAL PRACTICE RESOURCES
16. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS CMS announces new APRN initiative
March 21, the Centers for Medicare & Medicaid Services (CMS), Baltimore, announced a call for applications for the Graduate Nurse Education Initiative, designed to boost the skills and supply of advanced practice RNs (APRNs). Under the four-year program, five selected hospitals receive reimbursement for providing APRN clinical training. Hospitals must partner with accredited schools of nursing and non-hospital community-based care settings. Apply by May 21.

2. NEWS Bleeding increases with novel drug
An investigational thrombin receptor antagonist — vorapaxar — reduced ischemic events in patients with stable atherosclerotic disease but increased bleeding, according to results of a large randomized trial, “Vorapaxar in the Secondary Prevention of Atherothrombotic Events,” which was published in The New England Journal of Medicine, March 24, and announced simultaneously at an American College of Cardiology meeting.

3. NEWS CMC and CSC exams based on new test plans launch June 20
CMC and CSC candidates planning to test on or after June 20, 2012, should use the new CMC and CSC Test Plans for study, which have been public since November 2011. Candidates planning to sit for the exam before June 20 should use the current test plans in the “CMC/CSC Exam Handbook” online.

4. CALL TO ACTION Vote for AACN Board and Nominating Committee
Cast your vote for the FY2013-15 AACN Board of Directors and FY2013 Nominating Committee. A responsibility of all AACN members, voting is an opportunity to shape our future leadership and help fulfill our vision of a healthcare system driven by the needs of patients and families. Read the candidate profiles on pages 13-24 of March’s AACN Bold Voices or at www.aacn.org/election, where you can vote or indicate your decision to abstain. For questions, contact Melinda Messenger, volunteer program specialist, at 1-800-394-5995, ext. 331 or volunteers@aacn.org. A response from 5 percent of eligible voters is required for a valid election; voting ends Thursday, April 19 at 11:59 p.m. ET.

5. NTI 2012 Early-bird registration ends Thursday, April 5
Are you a newer nurse or an experienced nurse with a new clinical focus? Are you looking for higher-level material or presentations by interdisciplinary faculty to broaden collaborative perspectives? Do you like self-study in addition to traditional lectures? Whatever your professional and personal development goals are, NTI has the learning opportunities to match. Search sessions. If you register by Thursday, April 5, you can save $76. Sign up for a hotel room through AACN Housing. Discounted rates are available until Tuesday, 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 Preregister for certification exams at NTI by April 20
The afternoon of Monday, May 21, AACN Certification Corporation will administer CCRN, PCCN, CCRN-E, CCNS, ACNPC and CNML specialty exams and CMC (cardiac medicine) and CSC (cardiac surgery) subspecialty exams on-site at the National Teaching Institute & Critical Care Exposition (NTI), Orlando, Fla. All exams are paper and pencil. Preregistration using a special NTI exam application is required. Payment of exam fees must accompany your NTI exam application and arrive at AACN no later than Friday, April 20.

7. EVIDENCE Study in AJCC finds assessment can facilitate patient-family communication
“Assessment by skilled bedside clinicians can reveal patients’ communication potential and facilitate useful augmentative and alternative communication tools and strategies for patients and their families,” concludes “Use of Augmentative and Alternative Communication Strategies by Family Members in the Intensive Care Unit,” in March’s American Journal of Critical Care (AJCC).

8. RESOURCE Register for ultrasound course
Advanced practice nurses may register for “Point-of-Care Ultrasound for the Emergency and Critically Ill Patient.” Offered by the Association for Medical Ultrasound, the course includes hands-on experiences and is scheduled for Aug. 3-5 in Las Vegas.

9. 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. 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.

10. 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.

11. 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 apply for AACN Special Interest Scholarships to participate in ISMP programs.

12. 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.

13. CE OF THE MONTH 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.

14. BOOKSTORE New pioneering guide for performance improvement
Performance Improvement for Healthcare: Leading Change With Lean, Six Sigma, and Constraints Management” is a pioneering guide for managing bottlenecks, eliminating waste, reducing errors and containing costs in healthcare organizations. Real-world case studies illustrate successful implementation. Access this reference and other new titles.

15. CLINICAL PRACTICE RESOURCES
Patient safety
March 21, The Joint Commission, Oakbrook Terrace, Ill., warned of potentially lethal over- or under-administration of insulin because of false readings when using a glucose meter and test strip combination that fails to differentiate glucose from other sugars in the blood such as maltose, xylose and galactose. The U.S. Food and Drug Administration, Silver Spring, Md., first identified the problem Aug. 13, 2009. Access a list of glucose/meter and test strip combinations that differentiate glucose.

Evidence
February’s Critical Care Medicine contains three studies of interest to nurses: 1) “Effects of Levosimendan on Mortality and Hospitalization,” a meta-analysis of randomized controlled studies, which concludes levosimendan “might reduce mortality in cardiac surgery and cardiology settings of adult patients;” 2) “Early Use of Noninvasive Positive Pressure Ventilation for Acute Lung Injury: A multicenter randomized controlled trial,” which finds the treatment reduces the need for intubation and lowers the episodes of organ failure but calls for a larger study; and 3) “Family Response to Critical Illness: Postintensive Care Syndrome-Family,” which reviews studies of strategies for assessing the need for professional referral and treating families with persistent psychological distress.

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
“A preceptor is an individual with demonstrated competence in a specific area who serves as a teacher/coach, leader/influencer, facilitator, evaluator, socialization agent, protector, and role model to develop and validate the competencies of another individual.” — Beth Ulrich, “Mastering Precepting: A Nurse’s Handbook for Success.”

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