Critical Care Newsline — May 10, 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 10, 2012

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1. CALL TO ACTION Last chance to register for LDW
2. CALL TO ACTION Adult CCRN Certification Review Course live webinar
3. RESOURCE AACN revises online Essentials of Pediatric Critical Care Orientation
4. CALL TO ACTION Register for the Nursing Alliance Leadership Academy
5. CALL TO ACTION Plan your NTI experience
6. EVIDENCE Simplified risk score predicts mortality after CABG
7. EVIDENCE Cardiac complications of CAP associated with higher mortality, study says
8. EVIDENCE Study finds stroke centers improve outcomes and are cost effective
9. EVIDENCE JAMA study finds patients with CDIE have high rate of valve infection
10. EVIDENCE Some VLBW infants’ outcomes better at Magnet hospitals, JAMA study says
11. AACN NEWS Election results are in!
12. FACEBOOK The impact of young nurses on the profession
13. CALL TO ACTION Participate in study on burnout in critical care nurses
14. EVIDENCE Study in AJCC finds diary for family members may ease stress
15. CE ARTICLE Study in AJCC finds many nurses lack QT-interval monitoring skills
16. RESOURCE HHS celebrates Nurses Week
17. CALL TO ACTION Participate in worldwide Florence Nightingale Commemorative Moment
18. BOOKSTORE In the words of Florence Nightingale
19. CLINICAL PRACTICE RESOURCES
20. AACN RESOURCES Find jobs at NursePath.com
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1. CALL TO ACTION Last chance to register for LDW
Not registered for the Chapter Leadership Development Workshop (LDW) during NTI on Sunday, May 20? Come and learn information to successfully manage and lead your chapter in fulfilling AACN’s mission. Your chapter can still qualify for the $435 stipend for this preconference — just register and attend LDW, and after NTI your chapter will receive the stipend. Register today. Already registered for NTI and need to add LDW to your registration? Contact Customer Care at (800) 899-2226.

2. 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.

3. RESOURCE AACN revises online Essentials of Pediatric Critical Care Orientation
AACN 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. CALL TO ACTION Register for the Nursing Alliance Leadership Academy
Register by July 5 and save on the Nursing Alliance Leadership Academy (NALA), Aug. 18-19 in Louisville, Ky. Enjoy the opportunity to network and build relationships with your counterparts from other organizations. Visit the NALA website for more information. AACN Continuing Professional Development Scholarships support NALA and other programs that help members enrich their careers and acquire knowledge and skills beyond traditional academic nursing.

5. CALL TO ACTION Plan your NTI experience
If you are attending this year, spend some time before you leave getting organized. An amazing NTI experience begins with a good plan. Use our template materials to identify your learning goals and then search sessions by topic, level or day of the week to create your customized schedule. For tips on how to prepare for NTI and what you need to know to navigate the conference, watch our NTI Experience videos.

6. EVIDENCE Simplified risk score predicts mortality after CABG
A simplified risk score “accurately predicts” risk of mortality after coronary artery bypass graft (CABG) surgery and can be helpful in making treatment decisions according to “A Risk Score for Predicting Long-Term Mortality Following Coronary Artery Bypass Graft Surgery,” published online April 30 by Circulation.

7. EVIDENCE Cardiac complications of CAP associated with higher mortality, study says
May 1 Circulation contains “Cardiac Complications in Patients with Community-Acquired Pneumonia (CAP): Incidence, Timing, Risk Factors, and Association with Short-Term Mortality,” which finds that new or worsening heart failure, new or worsening arrhythmias or myocardial infarction in patients with CAP are common and “associated with increased short-term mortality.”

8. EVIDENCE Study finds stroke centers improve outcomes and are cost-effective
Primary stroke centers are cost-effective and improve outcomes in patients with acute ischemic stroke, according to “The Cost-Effectiveness of Primary Stroke Centers for Acute Stroke Care,” published online April 25 by Stroke.

9. EVIDENCE JAMA study finds patients with CDIE have high rate of valve infection
Patients with cardiac device infective endocarditis (CDIE) have a high rate of valve infection and high in-hospital and one-year mortality rates, especially if the infection involved a valve, according to “Clinical Characteristics and Outcome of Infective Endocarditis Involving Implantable Cardiac Devices,” published April 25 by The Journal of the American Medical Association (JAMA). “Early device removal is associated with improved survival at 1 year,” the study concludes.

10. EVIDENCE Some VLBW infants’ outcomes better at Magnet hospitals, JAMA study says
Infants with very low birth rate (VLBW) born in hospitals with Magnet designation had “significantly lower” rates for seven-day mortality, hospital infection and severe intraventricular hemorrhage, but not for 28-day or hospital stay mortality, according to “Association Between Hospital Recognition for Nursing Excellence and Outcomes of Very Low-Birth-Weight Infants,” a study of 72,235 VLBW infants published April 25 by The Journal of the American Medical Association (JAMA).

11. AACN NEWS Election results are in!
Thanks to all who voted. To meet your new Board and Nominating Committee members, visit the election results page on our website.

12. FACEBOOK The impact of young nurses on the profession
Young people are choosing the nursing profession in record numbers. How is this influx of young people impacting our profession? Join the conversation with the online AACN community on our Facebook page, and “like” us while you’re there.

13. 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.

14. EVIDENCE Study in AJCC finds diary for family members may ease stress
May’s American Journal of Critical Care (AJCC) contains “Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot Study,” which found that family members who kept a diary outlining details of the patient’s stay in the ICU had lower levels of symptoms of posttraumatic stress disorder three months later.

15. CE ARTICLE Study in AJCC finds many nurses lack QT-interval monitoring skills
Quasi-Experimental Study to Improve Nurses’ QT-Interval Monitoring: Results of QTIP Study,” a continuing education (CE) article in May’s American Journal of Critical Care (AJCC), finds that nurses’ ability to perform QT-interval monitoring is “extremely poor.” An unacceptable amount of error persists even after education. “Accurate computer-assisted methods are needed to reduce the error associated with manual QT-interval monitoring,” the study concludes.

16. RESOURCE HHS celebrates Nurses Week
The Department of Health & Human Services celebrates Nurses Week with a webpage that features a video from Secretary Sebelius and Dr. Mary Wakefield talking about nurses and the Affordable Care Act, an infographic highlighting nurse-focused resources from the Health Resources and Services Administration (HRSA) and links to HRSA resources.

17. CALL TO ACTION Participate in worldwide Florence Nightingale Commemorative Moment
The American Holistic Nurses Association (AHNA) invites every nurse around the world to pause and observe a moment of silence in celebration of Florence Nightingale (1820-1910), the founder of modern nursing, on May 12 at noon. The goal is to reach every nurse in the world with the fundamental principles of holistic nursing. AHNA originated the Florence Nightingale Commemorative Moment in 2000 as a celebration of nursing's founder. More information about the 13th annual Nightingale Moment and tips on how to celebrate can also be found at the event website.

18. BOOKSTORE In the words of Florence Nightingale
May 12 is Florence Nightingale’s birthday and also International Nurse’s Day, making this month the perfect time to read “Florence Nightingale's Notes on Nursing and Notes on Nursing for the Labouring Classes.” This commemorative book presents Nightingale’s unabridged edition in its original form for the first time since its publication in July 1860. Access this book and other titles.

19. CLINICAL PRACTICE RESOURCES
Guidelines
May’s Critical Care Medicine contains “Guidelines for Intensive Care Unit Design” from the American College of Critical Care Medicine, Mount Prospect, Ill.

20. 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
“Great leaders are great learners. And challenge is the crucible for greatness. Exemplary leaders are pioneers at taking the initiative in searching for innovative ways to improve their own work, that of their teams, and their organizations. Rejecting the status quo, they experiment and take risks, treating the inevitable mistakes as important learning opportunities and creating a safe environment in which others can learn from failures as well as from successes.” James M. Kouzes and Barry Z. Posner, “The Five Practices of Exemplary Leadership: Nursing.”

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