Critical Care Newsline — September 20, 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. 20, 2012

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1. NEWS AACN PEARL: Implementing the ABCDE Bundle at the Bedside
2. NEWS Apply for AACN’s scholarship for NIWI by Oct. 15
3. CALL TO ACTION Apply for AACN research grants
4. CALL TO ACTION Progressive care nurses: Register for ‘AACN Progressive Care Pathways’
5. EVIDENCE Radiographic confirmation of feeding tube position not adequately used, according to study in AJCC
6. CNE ARTICLE Charlson Comorbidity Index might improve detection of cardiorespiratory instability, study in AJCC says
7. EVIDENCE Tight glycemic control after pediatric cardiac surgery doesn’t reduce mortality
8. MEMBER BENEFIT CNML certification review course; AACN members save money
9. CALL TO ACTION Participate in a study on nurses’ perceptions of culture of safety
10. CALL TO ACTION Complete a survey on safety issues for ICU patients with respiratory conditions by Sept. 21
11. NEW IN BOOKSTORE 25th anniversary edition of leadership classic
12. CLINICAL PRACTICE RESOURCES
13. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS AACN PEARL: Implementing the ABCDE Bundle at the Bedside
AACN PEARL — an acronym for Practice, Evidence, Application, Resources and Leadership — is an online collection of evidence-based tools and resources for sharing critical learning with peers, new staff nurses and hospital leadership. This inaugural PEARL focuses on the ABCDE Bundle and includes ABCDE Bundle tools and customizable resources to implement change in a patient care unit. AACN PEARL, which was introduced to attendees of AACN’s 2012 National Teaching Institute & Critical Care Exposition, is now available to the entire AACN community.

2. NEWS Apply for AACN’s scholarship for NIWI by Oct. 15
For the fourth year, AACN is offering scholarships for the Nurse in Washington Internship (NIWI) program — March 24-26, 2013, Washington, D.C. Sponsored by the Nursing Organizations Alliance, this three-day internship teaches clinicians how to advance healthcare agendas through the legislative process. Scholarship applicants must be AACN members. Deadline to apply with AACN: Monday, Oct. 15.

3. CALL TO ACTION Apply for AACN research grants
AACN invites clinicians and researchers to apply for its research grants, which range from $10,000 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.

4. CALL TO ACTION Progressive care nurses: Register for ‘AACN Progressive Care Pathways’
AACN and Contemporary Forums continue their collaboration with the second annual “AACN Progressive Care Pathways” conference, Oct. 14-17, Paris Hotel, Las Vegas. If your clinical unit is called stepdown, intermediate, telemetry, transitional, subacute, direct observation or even the emergency department, or if it’s a med-surg unit that receives patients directly from the ICU, this conference is for you. Attend a preconference on progressive care pharmacology, and stay for the main conference with topics such as “How to Manage Cardiac Emergencies Like a Pro.” Register. Earn up to 25.25 contact hours.

5. EVIDENCE Radiographic confirmation of feeding tube position not adequately used, according to study in AJCC
Blind Insertion of Feeding Tubes in Intensive Care Units: A National Survey,” in September’s American Journal of Critical Care (AJCC), finds that despite recommendations from many national organizations, obtaining radiographic confirmation for correct positioning of a blindly inserted feeding tube before the tube’s first use is “not adequately implemented.”

6. CNE ARTICLE Charlson Comorbidity Index might improve detection of cardiorespiratory instability, study in AJCC says
Although the relationship between the Charlson Comorbidity Index and cardiorespiratory instability was “weak,” according to “Characteristics of Patients With Cardiorespiratory Instability in a Step-down Unit,” a continuing nursing education (CNE) article in September’s American Journal of Critical Care (AJCC), adding the index to current surveillance systems “might improve detection of instability.”

7. EVIDENCE Tight glycemic control after pediatric cardiac surgery doesn’t reduce mortality
Tight Glycemic Control Versus Standard Care After Pediatric Cardiac Surgery,” published online Sept. 7 by The New England Journal of Medicine, finds that tight control doesn’t “significantly change the infection rate, mortality, length of stay or measures of organ failure, as compared with standard care.”

8. 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.

9. 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.

10. CALL TO ACTION Complete a survey on safety issues for ICU patients with respiratory conditions by Sept. 21
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.

11. NEW IN BOOKSTORE 25th anniversary edition of leadership classic
The 25th anniversary edition of the best-selling classic “The Leadership Challenge: How to Make Extraordinary Things Happen in Organizations, 5th ed.” has been completely revised and updated. Authors James Kouzes and Barry Posner include more than 100 all-new case studies and examples, focus on the toughest organizational challenges facing leaders today, and address changes in how and why people work. Access other books and resources in AACN’s Online Bookstore.

12. CLINICAL PRACTICE RESOURCES
Evidence

October’s Infection Control & Hospital Epidemiology includes “Predictors of Hospital-Acquired Urinary Tract-Related Bloodstream Infection,” which identifies risk factors such as neutropenia, renal disease and receipt of immnunosuppressants, insulin and antibacterials.

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
“Can the four generations of nurses work together? They must if the profession is to survive,” writes Fay Bower in “The Power of Ten 2010-2013: Nurse Leaders Address the Profession’s Ten Most Pressing Issues,” by various authors.

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