Critical Care Newsline — October 25, 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.

Oct. 25, 2012

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1. NEWS CDC updates clinicians on fungal infection outbreak
2. NEWS AACN CSI Academy expands to North Carolina
3. CALL TO ACTION Submit nominations for 2013 AACN Chapter Awards
4. NTI Reserve hotel rooms for NTI, May 18-23, in Boston
5. EVIDENCE Early, deep sedation in ventilated ICU patients predicts mortality
6. CNE OF THE MONTH Sharpen your hematologic assessment skills with article in CCN
7. RESOURCE AACN offers RSS feeds
8. EVIDENCE Daily sedation interruption in ventilated ICU patients on sedation protocol doesn’t reduce length of ventilation
9. PATIENT SAFETY The Joint Commission releases sentinel event statistics
10. EVIDENCE CDC recommends HCV testing for all baby boomers
11. NEW IN BOOKSTORE Resource for managing neurocritical care patients
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS CDC updates clinicians on fungal infection outbreak
According to the latest information from the Centers for Disease Control and Prevention (CDC), a total of 304 cases of fungal meningitis and joint infections associated with a contaminated, preservative-free methylprednisolone acetate (80 mg/mL) prepared by the New England Compounding Center (NECC), Framingham, Mass., have been reported in 16 states, resulting in 23 deaths. The CDC and the Food and Drug Administration (FDA) recommend the following: 1) contact patients who received an injection with the recalled lots, 2) stop using any products from NECC and 3) review updated clinical guidance documents. The CDC and FDA confirmed the presence of a fungus in unopened medication vials from one of the three implicated lots from NECC. The FDA also received two reports of possible fungal infections related to an injectable ophthalmic drug and a cardioplegic solution produced by NECC. 

2. NEWS AACN CSI Academy expands to North Carolina
AACN continues nationwide implementation of AACN Clinical Scene Investigator (CSI) Academy with the addition of seven hospitals from Raleigh-Durham, N.C. An innovative, 16-month, hospital-based nurse leadership and skill-building program, AACN CSI Academy provides hands-on training that empowers bedside nurses to measurably improve patient outcomes and the bottom-line impact to hospitals. AACN past president Caryl Goodyear-Bruch, Children’s Mercy Hospitals and Clinics, Kansas City, Mo., will serve as faculty lead for the North Carolina cohort.

3. CALL TO ACTION Submit nominations for 2013 AACN Chapter Awards
Nominate chapters for the 2013 AACN Chapter Awards, which recognize exemplary efforts to make a difference in the healthcare profession and communities and further AACN’s mission, vision and values. The chapter award categories:

  • Excellence in Chapter Collaboration
  • Excellence in Chapter Leadership Development
  • Excellence in Community Education and Public Service
  • Excellence in Chapter Educational Programming
  • Excellence in Promoting the Value of Certification
  • AACN President’s Award for Chapters

Nominations for the AACN President’s Award for Chapters close Friday, Feb. 15, 2013. All other nominations close this Thursday, Nov. 1, 2012. Learn more and nominate.

4. NTI Reserve hotel rooms for NTI, May 18-23, in Boston
The annual National Teaching Institute & Critical Care Exposition (NTI) takes place in Boston, May 18-23, 2013. AACN Housing is now accepting reservations for hotel rooms. Discounted rates are available until April 2, but early booking is strongly advised to ensure the best selection. Register online or call (800) 340-1840.

5. EVIDENCE Early, deep sedation in ventilated ICU patients predicts mortality
Early Intensive Care Sedation Predicts Long-Term Mortality in Ventilated Critically Ill Patients” notes that early, deep sedation is an independent predictor of delay in extubation, hospital death and 180-day mortality, according to the Oct. 15 American Journal of Respiratory and Critical Care Medicine.

6. CNE OF THE MONTH Sharpen your hematologic assessment skills with article in CCN
Beyond the Bloody Mess: Hematologic Assessment,” a continuing nursing education (CNE) article in October’s Critical Care Nurse (CCN), discusses the hematologic assessment of an elderly patient who was taking warfarin for chronic atrial fibrillation and experienced serious hemorrhaging after she fell.

7. RESOURCE AACN offers RSS feeds
AACN’s RSS feeds automatically deliver important critical care and high acuity nursing information directly to you, keeping you up-to-date on the latest news, evidence-based practices, clinical resources and peer-reviewed articles. RSS gathers online information in one convenient place, eliminating the need to search the Web for content. AACN’s RSS subscriptions currently include a general AACN news feed plus feeds for American Journal of Critical Care and Critical Care Nurse. Learn more and subscribe.

8. EVIDENCE Daily sedation interruption in ventilated ICU patients on sedation protocol doesn’t reduce length of ventilation
Adding a daily sedation interruption doesn’t decrease the length of mechanical ventilation or ICU stay in patients receiving a sedation protocol, according to “Daily Sedation Interruption in Mechanically Ventilated Critically Ill Patients Cared for With a Sedation Protocol: A Randomized Controlled Trial,” published online Oct. 17 by JAMA: The Journal of the American Medical Association.

9. PATIENT SAFETY The Joint Commission releases sentinel event statistics
On Oct. 18, The Joint Commission, Oakbrook Terrace, Ill., released the following new sentinel event data reports: Summary, General Information, Event Type by Year and Root Causes by Event Type.

10. EVIDENCE CDC recommends HCV testing for all baby boomers
Based on systematic reviews of evidence, adults born from 1945 to 1965 should get tested one time for the hepatitis C virus (HCV), according to “Hepatitis C Virus Testing of Persons Born During 1945 to 1965: Recommendations From the Centers for Disease Control and Prevention (CDC),” in the Aug. 16 Annals of Internal Medicine. Those with HCV infection should receive a brief alcohol screening and intervention as indicated, followed by referral for appropriate care and treatment.

11. NEW IN BOOKSTORE Resource for managing neurocritical care patients
Emergency Management in Neurocritical Care” is packed with tips to improve your care of patients with acute neurological illness and help you perform better in pressure situations. Topics include acute management of neurological emergencies, cerebrovascular critical care, infections of the nervous system and neuromuscular complications in the ICU. Access other books and resources in AACN’s Online Bookstore.

12. CLINICAL PRACTICE RESOURCES
Evidence
Efficacy and Safety of the Novel Oral Anticoagulants in Atrial Fibrillation: A Systematic Review and Meta-Analysis of the Literature,” online Oct. 15 in Circulation, finds that these drugs “are associated with an overall clinical benefit” compared to vitamin K antagonists.

Resources
Access the new “Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship,” from the Agency for Healthcare Research and Quality, Rockville, Md. The toolkit answers questions that hospitals commonly have about how to set up an antimicrobial stewardship program.

13. 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
“Knowing how each participant fits into the whole picture of your preceptor’s learning experience is essential for your role development as a preceptor.” Susan Ullrich and Ann Haffer, “Precepting in Nursing: Developing an Effective Workforce.”

Dare To
From October’s AACN Bold Voices
Dare to Compete” — Kathryn Roberts, AACN President 2012-2013
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