Critical Care Newsline — May 3, 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.

May 3, 2012

********************************************
1. NEWS Happy National Nurses Week
2. NEWS National Critical Care Awareness and Recognition Month
3. NEWS AACN launches revised online Essentials of Pediatric Critical Care Orientation
4. EVIDENCE Factors predict family dissatisfaction with ICU
5. EVIDENCE Study describes PICU bed utilization
6. EVIDENCE Study in AJCC finds patients without a partner are more likely to be readmitted
7. CALL TO ACTION Adult CCRN Certification Review Course live webinar
8. GUIDELINES Updated migraine guidelines released
9. FACEBOOK In the right place at the right time: Join the conversation
10. CALL TO ACTION Submit questions for Beacon award recipients at NTI
11. CALL TO ACTION Plan your NTI experience
12. CALL TO ACTION Submit speaker abstracts for NTI 2013
13. CALL TO ACTION Apply for AACN scholarship to attend AONE’s Emerging Nurse Leader Institute
14. CALL TO ACTION Participate in study on burnout in critical care nurses
15. CE ARTICLE Study in AJCC finds sedation level affects comfort
16. NEW IN BOOKSTORE Neuro reference tool
17. CLINICAL PRACTICE RESOURCES
18. AACN RESOURCES Find jobs at NursePath.com
********************************************

1. NEWS Happy National Nurses Week
“Nurses: Advocating, Leading, Caring” is the theme for this year’s National Nurses Week, May 6-12; International Nurses Day is celebrated May 12, which is also Florence Nightingale’s birthday. The week celebrates the many ways nurses provide safe and high-quality patient care. Please give yourself the same great care that you give your patients and their families. Thank you for your excellence in practice.

2. NEWS National Critical Care Awareness and Recognition Month
May marks National Critical Care Awareness and Recognition Month (NCCARM), supported by AACN, Society of Critical Care Medicine, American College of Chest Physicians, American Thoracic Society and American Association for Respiratory Care. NCCARM honors the dedication and commitment that critical care teams demonstrate while caring for patients and their families. Learn ways to celebrate NCCARM, including wearing blue on Friday, May 18.

3. NEWS AACN launches revised online Essentials of Pediatric Critical Care Orientation
AACN recently launched a new version of its Essentials of Pediatric Critical Care Orientation (EPCCO) course. Developed in partnership with Children’s Hospital Association, EPCCO provides comprehensive, Web-based knowledge and tools to care for the most vulnerable patients. Using a body systems approach, the updated course incorporates the latest evidence-based content and clinical practices for acutely ill pediatric patients, including new information on pharmacology and medications. Earn 47.5 hours of continuing nursing education credit. Visit www.aacn.org/e-learning for information on other AACN E-Learning courses.

4. EVIDENCE Factors predict family dissatisfaction with ICU
Factors on ICU admission that predict a family’s low satisfaction are “living in the same city as the hospital, disagreement within the family regarding care, having a cardiac comorbidity but being hospitalized in a noncardiac-care intensive care unit, and living in a different household than the patient,” according to “Predictors and Correlates of Dissatisfaction With Intensive Care” in May’s Critical Care Medicine.

5. EVIDENCE Study describes PICU bed utilization
Non-critical care services in the pediatric intensive care unit (PICU) account for 18 percent of observed hours, according to an observational study in April’s Journal of Hospital Medicine. Not having a bed for new patients was associated with one or more PICU beds being used for “non-critical care activities,” states “Direct Observation of Bed Utilization in the Pediatric Intensive Care Unit.”

6. EVIDENCE Study in AJCC finds patients without a partner are more likely to be readmitted
Association of Partner Status and Disposition With Rehospitalization in Heart Failure Patients,” in May’s American Journal of Critical Care (AJCC), finds that not having a partner predicted readmission, and older patients who were discharged to a skilled nursing facility had lower readmission rates. “Strategies to provide social support during discharge planning may have an effect on hospital readmission rates,” the study says.

7. CALL TO ACTION Adult CCRN Certification Review Course live webinar
Beginning June 4, attend a multi-session Adult CCRN Certification Review Course live webinar. Certification review experts, including Mary Kay Bader and Suzi Burns, present sessions with practice questions, live polling and text chat that focus on cardiovascular, pulmonary, neurologic, endocrine and other topics. Earn 14.5 hours of continuing nursing education credit. Requires Internet access.

8. GUIDELINES Updated migraine guidelines released
Access “Evidence-Based Guideline Update: Pharmacologic Treatment for Episodic Migraine Prevention in Adults,” from the American Academy of Neurology, Minneapolis, and the American Headache Society, Mount Royal, N.J., published April 24 in Neurology.

9. FACEBOOK In the right place at the right time: Join the conversation
Registered Nurse Amy Tipton was in the right place at the right time to save a stranger’s life at her daughter’s softball game. Let us know about the times your nursing expertise enabled you to help someone outside the hospital setting. Join the conversation with the online AACN community on our Facebook page, and “like” us while you’re there.

10. CALL TO ACTION Submit questions for Beacon award recipients at NTI
Do you have a question for recipients of the Beacon Award for Excellence? Please submit questions to be considered for inclusion in two special NTI sessions featuring panelists from units that received the Beacon award.

11. CALL TO ACTION Plan your NTI experience
There are only about two weeks until this year’s National Teaching Institute & Critical Care Exposition (NTI), May 19-24. If you haven’t done so, you still have time to register. If you’ve registered, plan your schedule and special events. Search for sessions by title, track and day, and find exhibitors at the Critical Care Exposition. Stop by the Host Chapter Booth at the conference for suggestions from local colleagues on what to see and do in the area. Explore Orlando.

12. CALL TO ACTION Submit speaker abstracts for NTI 2013
Please read the submission guidelines for Live Educational Sessions at the National Teaching Institute & Critical Care Exposition (NTI), May 18-23, 2013, in Boston. Submit an abstract by Monday, June 4.

13. CALL TO ACTION Apply for AACN scholarship to attend AONE’s Emerging Nurse Leader Institute
AACN is accepting scholarship proposals for participation in Emerging Nurse Leader Institute, a workshop hosted by the American Organization of Nurse Executives (AONE), June 11-13, Charleston, S.C. or Nov. 5-7, Chicago. Qualified applicants must be current members of both AACN and AONE. Visit AACN’s scholarships webpage for details on the application requirements. Email scholarships@aacn.org with questions on the scholarship program, which is a benefit of AACN membership.

14. CALL TO ACTION Participate in study on burnout in critical care nurses
Participate in a research study on burnout in critical care nurses. The study is being conducted by Abbey Unes, a masters student at Bradley University, Peoria, Ill., and takes about 15 minutes to complete. Email Unes if you have questions.

15. CE ARTICLE Study in AJCC finds sedation level affects comfort
Sedation in Adults Receiving Mechanical Ventilation: Physiological and Comfort Outcomes,” a continuing education (CE) article in May’s American Journal of Critical Care (AJCC), finds that level of sedation most likely does not affect the stability of physiological status but does have an effect on comfort. For bedside applications, see AJCC’s related Patient Care Page.

16. NEW IN BOOKSTORE Neuro reference tool
The “3-Panel Neuroscience Ruler/Pocket Card,” from United Network for Organ Sharing, Richmond, Va., includes organ donation and brain death criteria, brain stem apnea reflex, an apnea test, Glasgow Coma Scale and six neurological outcome scales. Access this tool and other new titles.

17. CLINICAL PRACTICE RESOURCES
Patient safety
On April 20, the U.S. Food and Drug Administration, Silver Spring, Md., warned of possible risks, including renal impairment, hypotension and hyperkalemia, when using blood pressure medications containing aliskiren (Tekturna), manufactured by Novartis, East Hanover, N.J., with angiotensin converting enzyme inhibitors and angiotensin receptor blockers. These drug combinations are contraindicated in patients with diabetes and should be avoided in patients with moderate to severe renal impairment.

On April 18, the U.S. Food and Drug Administration, Silver Spring, Md., announced that Hospira, Inc., Lake Forest, Ill., has recalled Morphine Sulfate Carpujects 4 mg/mL, because two syringes contained more than the labeled volume.

On March 20, the National Medication Errors Reporting Program, operated by the Institute for Safe Medication Practices, Horsham, Pa., warned that the local anesthetic Exparel (bupivacaine liposome injectable suspension), manufactured by Pacira Pharmaceuticals, Inc., Parsippany N.J., may be administered by the wrong route because the suspension looks similar to propofol.

Evidence
May’s Critical Care Medicine contains: 1) “The Relationship Between Organizational Culture and Family Satisfaction in Critical Care,” which concludes, “Positive relationships between measures of organizational and safety culture and family satisfaction suggest that by improving organizational culture, we may also improve family satisfaction”; and 2) “Effectiveness of Stepwise Interventions Targeted to Decrease Central Catheter-Associated Bloodstream Infections,” which finds “progressive reduction of central catheter-associated bloodstream infection rates after the stepwise implementation of chlorhexidine ‘scrub-the-hub’ and daily baths in surgical intensive care units.”

On-Pump Versus Off-Pump Coronary Artery Bypass Surgery in Elderly Patients: Results From the Danish On-Pump Versus Off-Pump Randomization Study (DOORS),” published online April 20 by Circulation, finds that both procedures are safe and improve quality of life in patients older than 70 years, but “non-inferiority” of the off-pump procedure “could not be confirmed.”

18. 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
“Health professionals are under continuous pressure to work with information, to make use of it themselves for their own professional development and to help their patients find and use it and so participate in decision-making for their own care. Evidence-based health care, which all clinicians are encouraged to practice, requires the ability to navigate the research literature. Evidence is accumulating faster than ever before, and staying current is essential for quality patient care.” Trisha Greenhalgh and Jeanette Buckingham, in “How to Read a Paper: The Basics of Evidence-Based Medicine,” 4th ed., by Trisha Greenhalgh.

Together. Stronger. Bolder.
From May’s AACN Bold Voices
So Much Together” — Mary Stahl, AACN President 2011-2012
******************************************************************************

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.