Critical Care Newsline — May 31, 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 31, 2012

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1. NEWS CDC recommends hepatitis C testing for all baby boomers
2. CALL TO ACTION 2013 AACN Circle of Excellence award nominations open
3. CALL TO ACTION Submit speaker abstracts for NTI 2013 by June 4
4. CALL TO ACTION Submit NTI evaluation forms for CNE, CERP credit by June 10
5. EVIDENCE Two new infection control studies provide clinical practice insights
6. RESOURCE AACN offers new version of dysrhythmia interpretation course
7. EVIDENCE CI-AKI can be persistent and lead to higher mortality, study says
8. RESOURCE Three organizations release statement on clinical research and practice
9. EVIDENCE Awareness of coronary aneurysm in patients with Kawasaki disease vital
10. EVIDENCE Clinical decision-support systems beneficial, but more data needed
11. CALL TO ACTION Register for ISMP medication safety program
12. CALL TO ACTION Participate in study on EI leadership’s impact on staff nurses
13. EVIDENCE Study in AJCC finds many nurses lack QT-interval monitoring skills
14. CE ARTICLE OF THE MONTH Study in AJCC finds sedation level affects comfort
15. NEW IN BOOKSTORE Learn the ABCs of trauma imaging
16. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS CDC recommends hepatitis C testing for all baby boomers
On May 18, the Centers for Disease Control and Prevention (CDC), Atlanta, issued draft guidelines proposing all baby boomers get tested one time for the hepatitis C virus. About one in 30 baby boomers is infected with hepatitis C, accounting for more than 75 percent of infected American adults, and most of them don’t know it. The CDC is accepting comments for the proposed recommendations through June 8. Final recommendations will be issued later this year.

2. CALL TO ACTION 2013 AACN Circle of Excellence award nominations open
Nominate peers and colleagues for the 2013 AACN Circle of Excellence awards, which recognize acute and critical care nurses who make a difference in the lives of patients and families. Up to 25 recipients will be selected by Dec. 31 and inducted into the Circle of Excellence Society. Nominations close Wednesday, Aug. 1. Learn more and nominate.

3. CALL TO ACTION Submit speaker abstracts for NTI 2013 by June 4
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.

4. CALL TO ACTION Submit NTI evaluation forms for CNE, CERP credit by June 10
If you attended this year’s National Teaching Institute & Critical Care Exposition (NTI), submit evaluation forms online or with a smartphone for continuing nursing education (CNE) and CERP credit by June 10, 11:59 p.m. PDT. You must complete both program and session evaluations to receive credit. After June 10, you may only print your certificate.

5. EVIDENCE Two new infection control studies provide clinical practice insights
June’s Infection Control & Hospital Epidemiology includes two studies of interest to nurses: 1) “Healthcare-Associated Infection and Hospital Readmission” finds that patients with healthcare-associated infections may be at risk of hospital readmission; and 2) “Preoperative Skin Antiseptic Preparations for Preventing Surgical Site Infections: A Systematic Review” suggests “preoperative antiseptic showers reduce bacterial flora and may be effective” in preventing surgical site infections, but more research is needed to determine the best antiseptic to use.

6. RESOURCE AACN offers new version of dysrhythmia interpretation course
AACN recently launched an updated version of its Basic ECG Interpretation E-Learning Course. The course — which helps healthcare professionals working with monitored patients to identify potential cardiac threats quickly and respond appropriately — features an eight-step process for analyzing and interpreting cardiac rhythms. The course provides an evidence-based interactive experience to enhance clinical decision-making at the bedside. New to the updated version is content on identifying and troubleshooting pacemaker rhythms. Earn 6.5 hours of continuing nursing education credit. Visit www.aacn.org/e-learning for more information on AACN E-Learning courses.

7. EVIDENCE CI-AKI can be persistent and lead to higher mortality, study says
In patients with moderate-to-severe renal dysfunction, persistent contrast-induced acute kidney injury (CI-AKI) is associated with higher mortality at five years than those with transient CI-AKI or without CI-AKI, according to “Persistent Renal Damage After Contrast-Induced Acute Kidney Injury: Incidence, Evolution, Risk Factors and Prognosis,” published online May 16 by Circulation. “The occurrence of CI-AKI can identify patients at increased risk of cardiovascular events,” the study concludes.

8. RESOURCE Three organizations release statement on clinical research and practice
The May 15 American Journal of Respiratory and Critical Care Medicine includes “An Official Multi-Society Statement: The Role of Clinical Research Results in the Practice of Critical Care Medicine” from the American College of Chest Physicians, American Thoracic Society and Society of Critical Care Medicine.

9. EVIDENCE Awareness of coronary aneurysm in patients with Kawasaki disease vital
Prevalence of Kawasaki Disease in Young Adults With Suspected Myocardial Ischemia” finds that 5 percent of patients with Kawasaki disease who had angiography to evaluate myocardial ischemia had a coronary aneurysm secondary to Kawasaki disease as the cause of their coronary disease. “Cardiologists should be aware of this special subset of patients who may benefit from medical and invasive management strategies that differ from the treatment of atherosclerotic CAD,” concludes the study, published online May 17 by Circulation.

10. EVIDENCE Clinical decision-support systems beneficial, but more data needed
Effect of Clinical Decision-Support Systems: A Systematic Review” finds that these systems are “effective at improving health care process measures across diverse settings, but evidence for clinical, economic, workload, and efficiency outcomes remains sparse.” The review, in the May 15 Annals of Internal Medicine, demonstrates the benefits of clinical decision-support systems “outside of experienced academic settings.”

11. 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.

12. CALL TO ACTION Participate in study on EI leadership’s impact on staff nurses
Participate in a research study on the effects of emotional intelligence (EI) leadership on the empowerment of staff nurses. The study is being conducted by Robin Dalton, a master’s student at Holy Names University, Oakland, Calif. You must have at least a BSN degree and a minimum of two years’ experience in critical care. Email Dalton if you would like to participate.

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

14. CE ARTICLE 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.

15. NEW IN BOOKSTORE Learn the ABCs of trauma imaging
ABC of Imaging in Trauma” is a practical guide for using CT, ultrasound and MRI scanning to diagnose disaster victims and patients with major trauma. Topics range from anatomical trauma areas such as chest, abdomen and spine to pregnancy and information on bullets, bombs and ballistics. Access this book and other new titles.

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
“Self-management on the job is a commitment to stretch emotionally, intellectually and behaviorally in pursuit of goals that are worthy of accomplishment.” 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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