Critical Care Newsline — September 6, 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.

Sept. 6, 2012

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1. NEWS CDC issues health advisory for hantavirus
2. NEWS AACN digital editions upgraded, even easier to use
3. NEWS NIH launches trial on use of anti-inflammatory drug to prevent CV events
4. NEWS The Joint Commission releases revised elements of performance
5. CALL TO ACTION September is Sepsis Awareness Month
6. NTI Don’t miss Sept. 14 deadline for submitting NTI 2013 poster abstracts
7. CALL TO ACTION Apply for DAISY Foundation nursing research and EBP grants
8. EVIDENCE ICU staff accepts organ donation after pediatric cardiac death, study in AJCC finds
9. CNE ARTICLE Article in AJCC discusses patients’ understanding of advance directives
10. EVIDENCE Barriers to EBP continue despite nurse support
11. CALL TO ACTION Complete a survey on compassion fatigue resources for ICU nurses
12. BOOKSTORE SPOTLIGHT Infusion Nurses Society Flushing Protocols
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS CDC issues health advisory for hantavirus
On Aug. 31, the Centers for Disease Control and Prevention (CDC), Atlanta, advised heathcare providers to be alert for signs and symptoms of hantavirus pulmonary syndrome (HPS) in people with recent exposure to rodents or a history of travel to Yosemite National Park in California during June and August. Since June 10, six confirmed case of HPS have been associated with staying at the park; two of the six have died.

2. NEWS AACN digital editions upgraded, even easier to use
AACN recently upgraded the digital editions of its three member publications. This month, AACN Bold Voices and American Journal of Critical Care get the upgrades, with Critical Care Nurse following in October. Digital editions now feature simpler navigation with fewer clicks, more options, an intuitive toolbar and easier sharing. Learn more. This is also a great time to “Go Digital.”

3. NEWS NIH launches trial on use of anti-inflammatory drug to prevent CV events
On Aug. 22, the National Heart, Lung, and Blood Institute, part of the National Institutes of Health (NIH), Bethesda, Md., launched an international, multi-site, randomized clinical trial to determine if methotrexate, used as an anti-inflammatory agent, prevents cardiovascular (CV) events, such as stroke, heart attack and CV death in patients at high risk for them. The Cardiovascular Inflammation Reduction Trial will enroll 7,000 patients at 350 to 400 sites across the U.S. and Canada over the next 2.5 years. Site selection starts this November, and patient recruitment starts in March 2013.

4. NEWS The Joint Commission releases revised elements of performance
On Aug. 27, The Joint Commission, Oakbrook Terrace, Ill., released prepublication standards — revisions to elements of performance — for hospitals that use Joint Commission accreditation for deemed status. Issues addressed by the revisions include verbal orders; deletion of the requirement related to qualifications of staff administering blood transfusions and intravenous medication; processes for the use of pre-printed and electronic standing orders, order sets and protocols for medication orders; and reporting requirements for the death of a patient in restraints.

5. CALL TO ACTION September is Sepsis Awareness Month
Did you know that September is Sepsis Awareness Month? According to a recent poll, fewer than half of Americans have heard of sepsis. Visit sepsisalliance.org for tools to help you speak to patients and their families. Sepsis Alliance also provides resources for patients, families and survivors to connect and support each other through social media, including its Facebook page.
For more resources on improving sepsis survival, visit the Surviving Sepsis Campaign website.

6. NTI Don’t miss Sept. 14 deadline for submitting NTI 2013 poster abstracts
Submit poster abstracts for the National Teaching Institute & Critical Care Exposition (NTI) — Saturday, May 18, through Thursday, May 23, 2013, in Boston — in three categories: Research, Evidence-based Solutions and Chapter Best Practice. Read the Poster Abstract Submission Guidelines first.

7. CALL TO ACTION Apply for DAISY Foundation nursing research and EBP grants
The DAISY Foundation, Glen Ellen, Calif., encourages nurses seeking to improve treatment of patients with autoimmune diseases and cancer to apply for a research or evidence-based practice (EBP) grant through the J. Patrick Barnes Grant program. Two types of grants are available: research grants up to $5,000 for studies that involve clinical research directly benefiting patients and/or families; and EBP grants up to $2,000 that use patient-focused data to study and develop improved nursing practices. Submit a letter of intent by Sept. 14; if your letter is accepted, you must submit a grant application by Nov. 2.

8. EVIDENCE ICU staff accepts organ donation after pediatric cardiac death, study in AJCC finds
Multidisciplinary staff in a pediatric ICU “has accepted organ donation after cardiac death and has fully integrated this kind of donation without reported differences from their acceptance of donation after brain death,” concludes “Organ Donation After Cardiac Death in Children: Acceptance of a Protocol by Multidisciplinary Staff,” in September’s American Journal of Critical Care (AJCC).

9. CNE ARTICLE Article in AJCC discusses patients’ understanding of advance directives
Reasons for Noncompletion of Advance Directives in a Cardiac Intensive Care Unit,” a continuing nursing education (CNE) article in September’s American Journal of Critical Care (AJCC), finds that although current practice meets Patient Self-Determination Act requirements, asking “Do you have an advance directive?” doesn’t accurately reflect a patient’s understanding.

10. EVIDENCE Barriers to EBP continue despite nurse support
Although nurses “believe” in evidence-based practice (EBP), barriers such as resistance from colleagues, nurse leaders and managers continue, according to a survey in September’s Journal of Nursing Administration. Responses differed in nurses from Magnet vs. non-Magnet organizations and nurses with or without a master’s, notes “The State of Evidence-Based Practice in U.S. Nurses: Critical Implications for Nurse Leaders and Educators.”

11. CALL TO ACTION Complete a survey on compassion fatigue resources for ICU nurses
Kristen Linton, a graduate nursing student at DePaul University, Chicago, is conducting a survey to investigate resources on compassion fatigue for ICU nurses. It should take you less than 15 minutes to fill out. Email Linton if you have questions.

12. BOOKSTORE SPOTLIGHT Infusion Nurses Society Flushing Protocols
The Infusion Nurses Society (Norwood, Mass.) Flushing Protocols for flushing vascular access devices provide guidance on saline flushes, heparin locking, drug incompatibilities and how to prevent complications from occluded catheters. The protocols include pediatric and neonatal patients. Access additional resources in AACN’s Online Bookstore.

13. CLINICAL PRACTICE RESOURCES
Patient safety
On Aug. 24, the U.S. Food and Drug Administration, Silver Spring, Md., announced CareFusion Corp., San Diego, has recalled its Alaris PC unit, model 8100, because of motor stalls during infusion.

Evidence
Elderly Patients Are at Higher Risk for Poor Outcomes After Intra-Arterial Therapy (IAT),” despite comparable rates of reperfusion and significant hemorrhage, according to research published online June 28 in Stroke. “The use of IAT in the elderly should be performed after a careful analysis of the potential risks and benefits,” the study concludes.

14. 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
“What makes someone a dreamer is the ability to envision a possibility for the future and then make that vision a reality, one step at a time.” Sharon M. Weinstein, “B Is for Balance: A Nurse’s Guide for Enjoying Life at Work and at Home.”

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