Critical Care Newsline — May 24, 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 24, 2012

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1. NEWS HHS and CCSC announce HAI Awards
2. NEWS TJC releases new monograph on preventing CLABSIs
3. CALL TO ACTION Submit nominations for board, nominating committee
4. RESOURCE Failure to use smart pumps poses legal risk
5. EVIDENCE PCCM publishes new pediatric ICU studies
6. RESOURCE Access NTI webcasts
7. FACEBOOK Share your thoughts about NTI
8. RESOURCE AACN releases updated Essentials of Pediatric Critical Care Orientation
9. CALL TO ACTION Register for ISMP medication safety program
10. CALL TO ACTION Participate in study on burnout in critical care nurses
11. CALL TO ACTION Submit speaker abstracts for NTI 2013
12. EVIDENCE Study in AJCC says nurses can help standardize nutritional practices
13. CE OF THE MONTH Study in AJCC finds sedation level affects comfort
14. NEW IN BOOKSTORE A toolkit for new nurse managers
15. CLINICAL PRACTICE RESOURCES
16. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS HHS and CCSC announce HAI Awards
The U.S. Department of Health and Human Services (HHS) and the Critical Care Societies Collaborative (CCSC) — a partnership of American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine and AACN — recently announced the 2012 awards recognizing 12 hospital and healthcare facilities for their efforts to eliminate healthcare-associated infections (HAIs). In addition, 14 healthcare organizations received an honorable mention. For additional information, refer to AACN’s news release on the awards, HHS Action Plan to Prevent Healthcare-Associated Infections and Partnership for Patients.

2. NEWS TJC releases new monograph on preventing CLABSIs
On May 16, The Joint Commission (TJC), Oakbrook Terrace, Ill., released “Preventing Central Line-Associated Bloodstream Infections (CLABSIs): A Global Challenge, A Global Perspective,” a monograph containing current evidence-based guidance and resources for preventing CLABSIs.

3. CALL TO ACTION Submit nominations for board, nominating committee
As a member of the AACN community, act on your unique privilege to help shape the future of nursing and fulfill our pledge to patients and their families by nominating candidates as volunteer leaders. Submit your nominations for the FY2014-16 Board of Directors and FY2014 Nominating Committee. Accountabilities and leadership requirements, available positions and nomination forms are posted at www.aacn.org/nominations. Contact AACN’s Governance Department at (800) 394-5995, x331 or volunteers@aacn.org for more information. Deadline: Thursday, May 31.

4. RESOURCE Failure to use smart pumps poses legal risk
The March/April Patient Safety & Quality Healthcare contains “Smart Pump Workarounds: What’s the Legal Risk?” which discusses potential legal risks when nurses don’t use available smart pumps as well as strategies for improving compliance, such as ongoing communication, information about “good catches” and developing evidence-based limits and alerts.

5. EVIDENCE PCCM publishes new pediatric ICU studies
May’s Pediatric Critical Care Medicine (PCCM) contains four studies of interest to nurses: 1) “Fluid Overload Is Associated With Impaired Oxygenation and Morbidity in Critically Ill Children” finds these negative effects in 80 children who did not receive renal replacement therapy; 2) “Use of Venovenous Extracorporeal Life Support in Pediatric Patients for Cardiac Indications: A Review of the Extracorporeal Life Support Organization Registry” states, “Venovenous extracorporeal life support appears to be an appropriate choice in some children with cardiac failure but better definition of this population is needed;” 3) “Transition From Neonatal Intensive Care Unit to Special Care Nurseries: Experiences of Parents and Nurses” finds that parents and nurses report transitional arrangements are inadequate, with parents feeling excluded during the transfer and experiencing difficulty in adjusting to the new setting; and 4) “Posttraumatic Stress Disorder in Children and Their Parents Following Admission to the Pediatric Intensive Care Unit: A Review” finds children and parents “report significant rates of posttraumatic stress disorder.”

6. RESOURCE Access NTI webcasts
Presented by GE Healthcare and AACN, some of the best webcasts from AACN’s National Teaching Institute & Critical Care Exposition (NTI), May 19-24, Orlando, Fla., are available at www.aacn.org/ntiwebcasts.

7. FACEBOOK Share your thoughts about NTI
Tell us about your experiences, and let us know what you thought about NTI 2012. Join the discussion on our Facebook page, and “like” us while you’re there.

8. RESOURCE AACN releases updated Essentials of Pediatric Critical Care Orientation
AACN has launched a new version of Essentials of Pediatric Critical Care Orientation (EPCCO) course. Developed by 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. Earn 47.5 hours of continuing nursing education. Visit www.aacn.org/e-learning for information on other AACN E-Learning courses.

9. CALL TO ACTION Register for ISMP medication safety program
The Institute for Safe Medication Practices (ISMP), Horsham, Pa., is offering “ISMP Medication Safety Intensive,” a two-day course designed to help you maximize your effectiveness in meeting medication safety challenges. Program dates are June 21-22 in Boston and Nov. 30-Dec. 1 in Las Vegas. Register early to save. AACN Continuing Professional Development Scholarships support this and other programs that help members enrich their career and acquire knowledge and skills beyond traditional academic nursing.

10. 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.

11. 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.

12. EVIDENCE Study in AJCC says nurses can help standardize nutritional practices
Optimizing Nutrition in Intensive Care Units: Empowering Critical Care Nurses to Be Effective Agents of Change,” a study in May’s American Journal of Critical Care (AJCC), states that using nurses as agents of change will help standardize nutritional practices and ensure that critically ill patients are fed optimally.

13. CE OF THE MONTH 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.

14. NEW IN BOOKSTORE A toolkit for new nurse managers
The Business of Nurse Management: A Toolkit for Success” provides time-tested tools, templates and guidance that help new nurse managers, administrators and educators effectively manage staff and supplies while promoting quality patient care. Topics include supply chain management, budgeting, purchasing, reimbursement, Six Sigma and change management. Access this book and other new titles.

15. CLINICAL PRACTICE RESOURCES
Patient Safety
On May 14, the U.S. Food and Drug Administration, Silver Spring, Md., announced Hospira, Inc., Lake Forest, Ill., has recalled one lot of Hydromorphone Hydrochloride Injection 1 mg/mL because of reports that a single Carpuject contained more than the 1 mL labeled fill volume.

Guidelines
Access the “Diagnosis and Evaluation of Chronic Heart Failure,” which compares guidelines from the European Society of Cardiology, Heart Failure Society of America, National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand and Scottish Intercollegiate Guidelines Network.

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
“You are not just representing yourself on the job. You are representing all those who came before you and you are setting the stage for those who will follow you.” Michael Henry Cohen, “The Power of Self Management: Pride and Professionalism for a Successful Career.”

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