Critical Care Newsline — September 13, 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. 13, 2012

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1. NEWS Commentary highlights proposed definitions for ARDS and VAP
2. NEWS ASPEN updates parenteral nutrition product shortage list
3. CALL TO ACTION Nominate for 2014 Distinguished Research Lectureship
4. EVIDENCE Modified NEOMOD scoring system safe and accurate for pre-term infants, study in AJCC finds
5. CNE ARTICLE Chlorhexidine better than soap and water in bath basins, study in AJCC says
6. MEMBER BENEFIT CNML certification review course; AACN members save money
7. CALL TO ACTION Complete your profile for certification volunteer positions
8. CALL TO ACTION Participate in a study on nurses’ perceptions of culture of safety
9. CALL TO ACTION Apply for AACN research grants
10. NTI Give the gift of learning and networking
11. CALL TO ACTION Complete a survey on safety issues for ICU patients with respiratory conditions
12. PATIENT SAFETY FDA warns against Revatio for children with PAH
13. BOOKSTORE SPOTLIGHT When nurses hurt nurses
14. CLINICAL PRACTICE RESOURCES
15. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS Commentary highlights proposed definitions for ARDS and VAP
What You Call It DOES Matter: New Definitions of ARDS and VAP,” in September’s American Journal of Critical Care, discusses proposed definitions for acute respiratory distress syndrome (ARDS) and ventilator-associated pneumonia (VAP), including the challenges of making and applying definitions.

2. NEWS ASPEN updates parenteral nutrition product shortage list
The American Society for Parenteral and Enteral Nutrition (ASPEN), Silver Spring, Md., has updated its list of parenteral nutrition product shortages. Download recommendations for managing product shortages, and report adverse events related to shortages to the Institute for Safe Medication Practices’ National Medication Errors Reporting Program.

3. CALL TO ACTION Nominate for 2014 Distinguished Research Lectureship
Nominate a nationally recognized nurse researcher, who must be an AACN member, to be the next AACN Distinguished Research Lecturer. Honorees represent a legacy of contributions to acute and critical care nursing. Now funded by a grant from Philips Healthcare, Andover, Mass., the award recognizes nurses whose program of research significantly influences high acuity and critical care. Submit nominations by Saturday, Dec. 1.

4. EVIDENCE Modified NEOMOD scoring system safe and accurate for pre-term infants, study in AJCC finds
The modified Neonatal Multiple Organ Dysfunction (NEOMOD) scoring system is a safe and accurate tool for determining mortality rate and dysfunction of multiple organ systems affecting mortality in pre-term infants, according to “A New Scoring System for Evaluation of Multiple Organ Dysfunction Syndrome in Premature Infants” in September’s American Journal of Critical Care (AJCC).

5. CNE ARTICLE Chlorhexidine better than soap and water in bath basins, study in AJCC says
Chlorhexidine Bathing and Microbial Contamination in Patients’ Bath Basins,” a continuing nursing education (CNE) article in September’s American Journal of Critical Care (AJCC), finds that using chlorhexidine gluconate instead of soap and water to bathe patients reduces microbial growth in bath basins, “drastically” lowering the risk for hospital-acquired infections.

6. MEMBER BENEFIT CNML certification review course; AACN members save money
The American Organization of Nurse Executives (AONE) is offering AACN members the AONE member registration rate for “CNML Essentials Review Course,” a certification preparation course in New Orleans, Thursday, Oct. 11. The registration fee of $270 includes course materials, a continental breakfast and lunch. Please contact Kourtney Sproat at AONE, (312) 422-2818 or ksproat@aha.org to sign up.

7. CALL TO ACTION Complete your profile for certification volunteer positions AACN Certification Corporation plans to invite interested certified nurses from the volunteer database to apply for work in the first half of 2013: 1) Exam Development Committee for the PCCN certification exam, and 2) the Study of Practice Task Force for CCRN/CCRN-E Adult and CCRN Neonatal and Pediatric exams to develop the survey for the upcoming National Study of Acute and Critical Care Practice. The Study of Practice updates and refreshes the CCRN and CCRN-E certification exam test plans. To be considered as a volunteer for these opportunities, create a profile or update an existing one by Monday, Oct. 1. Include exam development, item writing and review panel as keywords under interests. Read about AACN’s volunteer program.

8. CALL TO ACTION Participate in a study on nurses’ perceptions of culture of safety
Kathryn Whalen, a doctoral student at Regis College, Weston, Mass., is conducting a research study on critical care nurses’ perceptions of the culture of safety in their workplace. The survey takes about 10 minutes to complete. Email Whalen if you have questions.

9. CALL TO ACTION Apply for AACN research grants
AACN invites clinicians and researchers to apply for its research grants, which range from $1,500 to $50,000. They fund priority projects that address gaps in clinical research and support the translation of these findings to bedside nurses. Applications must be submitted online by Thursday, Nov. 1. Learn more and get started.

10. NTI Give the gift of learning and networking
Start planning for the National Teaching Institute & Critical Care Exposition (NTI) — Saturday, May 18, to Thursday, May 23, 2013, in Boston, with an AACN gift certificate. Give a nurse colleague access to NTI’s essential knowledge, resources and networking opportunities. If you order between now and Oct. 19 you will receive the NTI 2012 price.

11. CALL TO ACTION Complete a survey on safety issues for ICU patients with respiratory conditions
The National Patient Safety Foundation (NPSF), Boston, is conducting a survey to identify unmet education needs related to patient safety issues associated with respiratory conditions in adult ICU patients. NPSF will use the results to develop new patient safety education resources. Deadline: Sept. 21. Email Caitlin Lorincz if you have questions.

12. PATIENT SAFETY FDA warns against Revatio for children with PAH
On Aug. 30, the U.S. Food and Drug Administration, Silver Spring, Md., warned that Revatio (sildenafil) should not be prescribed to children for pulmonary arterial hypertension (PAH). A clinical trial found that a high dose of Revatio increased the risk of mortality compared to a low dose, but low doses aren’t effective in improving exercise ability. Treatment of PAH in children with this drug is an off-label use.

13. BOOKSTORE SPOTLIGHT When nurses hurt nurses
Tired of nurse bullies or being bullied yourself? “When Nurses Hurt Nurses: Overcoming the Cycle of Nurse Bullying” examines the causes and provides ways to diffuse a confrontational situation. Access other books and resources in AACN’s Online Bookstore.

14. CLINICAL PRACTICE RESOURCES
Patient safety
On Aug. 31, the U.S. Food and Drug Administration, Silver Spring, Md., announced I-Flow Corporation, Lake Forest, Calif., has recalled its On-Q Pump with ONDEMAND Bolus Button, because the button may not lock in the down position, causing higher-than-expected infusion rates.

Evidence
Low Sodium Versus Normal Sodium Diets in Systolic Heart Failure (HF): Systematic Review and Meta-Analysis,” published online Aug. 21 in Heart, concludes, “Compared with a normal sodium diet, a low sodium diet significantly increases morbidity and mortality in systolic HF.”

Guidelines
Access “Improving Medication Management for Older Adult Clients” from the John A. Harford Foundation Center of Geriatric Nursing Excellence, University of Iowa College of Nursing, Iowa City.

15. 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
“For an organization to provide state-of-the art care, the capital budget is one that nurse managers must embrace at the unit level, so that they have updated equipment in order to render safe patient care.” Al Rundio, “The Nurse Manager’s Guide to Budgeting & Finance.”

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