Critical Care Newsline — September 27, 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. 27, 2012

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1. CALL TO ACTION Complete a profile for certification volunteer positions by Oct. 1
2. CALL TO ACTION Apply for AACN’s scholarship for NIWI by Oct. 15
3. COMMENTARY Editorial in AJCC highlights proposed definitions for ARDS and VAP
4. CNE OF THE MONTH Article in AJCC discusses patients’ understanding of advance directives
5. CALL TO ACTION Nominate for 2014 Distinguished Research Lectureship
6. EVIDENCE Massage therapy decreases pain after cardiac surgery
7. NTI Give the gift of learning and networking
8. EVIDENCE Excess sound levels in ICU rooms
9. MEMBER BENEFIT CNML certification review course; AACN members save money
10. CALL TO ACTION Participate in a study on nurses’ perceptions of culture of safety
11. CALL TO ACTION Submit nominations for 2013 AACN Chapter Awards
12. NEW IN BOOKSTORE Game-based teaching and simulation resource
13. CLINICAL PRACTICE RESOURCES
14. AACN RESOURCES Find jobs at NursePath.com
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1. CALL TO ACTION Complete a profile for certification volunteer positions by Oct. 1
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.

2. CALL TO ACTION 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. COMMENTARY Editorial in AJCC 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.

4. CNE OF THE MONTH 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.

5. 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.

6. EVIDENCE Massage therapy decreases pain after cardiac surgery
Massage Therapy for Cardiac Surgery Patients – A Randomized Trial,” published online Sept. 7 by The Journal of Thoracic and Cardiovascular Surgery, concludes, “Massage therapy significantly reduced the pain, anxiety, and muscular tension and improves relaxation and satisfaction after cardiac surgery.”

7. 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.

8. EVIDENCE Excess sound levels in ICU rooms
The Sound Environment in an ICU Patient Room – A Content Analysis of Sound Levels and Patient Experiences” finds that sounds levels were “higher than desirable.” Most patients did not think the sounds were disturbing, but some experienced fear, according to a study of 13 patients in October’s Intensive and Critical Care Nursing.

9. 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.

10. 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.

11. 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 Thursday, Nov. 1, 2012. Learn more and nominate.

12. NEW IN BOOKSTORE Game-based teaching and simulation resource
Game-Based Teaching and Simulation in Nursing and Healthcare” provides practical strategies for developing, integrating and evaluating game-based learning methods. Case studies demonstrate the practical application of harnessing technology as a teaching/learning device. Access other books and resources in AACN’s Online Bookstore.

13. CLINICAL PRACTICE RESOURCES
Patient safety
On Sept. 18, the U.S. Food and Drug Administration, Silver Spring, Md., expanded its caution about SimplyThick. Since May 2011, 22 infants who were fed the product have developed necrotizing enterocolitis; seven of those infants died. The FDA “wants everyone involved in the care of a baby to be aware of the potential risk before deciding whether to feed SimplyThick to infants of any age.”

Evidence
October’s Critical Care Medicine contains three articles of interest to nurses: 1) “Quality Improvement and Cost Savings After Implementation of the Leapfrog Intensive Care Unit Physician Staffing Standard at a Community Teaching Hospital” finds significant reductions in ICU length of stay, ventilator-associated pneumonia and central venous access infection, and a one-year return on investment of 105 percent; 2) “Continuous Electroencephalography Monitoring for Early Prediction of Neurological Outcome in Postanoxic Patients After Cardiac Arrest: A Prospective Cohort Study” finds that in patients who received hypothermia, “electroencephalogram monitoring during the first 24 hours after resuscitation can contribute to the prediction of both good and poor neurological outcome;” and 3) “Tracheostomy Practice in Adults With Acute Respiratory Failure” recommends waiting for two weeks after the onset of acute respiratory failure to perform a tracheostomy in most patients and using percutaneous dilational tracheostomy as the preferred technique.

Association Between Intensive Care Unit-Acquired Dysglycemia and In-Hospital Mortality,” published online Sept. 11 by Critical Care Medicine, found the risk of mortality “progressively increased” with the severity and duration of deviation from normal glucose levels and with increased variability.

Guidelines
Access a summary of “Humidification During Invasive and Noninvasive Mechanical Ventilation: 2012” guidelines from the American Association for Respiratory Care, Irving, Texas.

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

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