CriticalCare eNewsline — April 18, 2013

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April 18, 2013


AACN NEWS - Thank you, volunteers!

NEWS - Medical device alarm safety alert

EVIDENCE - Alteplase for pulmonary embolism

ACTION - AACN voting ends April 22




By being in control of one’s actions and using conscious effort to meet present goals, one can experience great happiness.


"Compassion Fatigue and Burnout in Nursing: Enhancing Professional Quality of Life,"
by Vidette Todaro-Franceschi



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Access new AACN Practice Alert on bathing

AACN has just released “AACN Practice Alert: Bathing the Adult Patient,” which provides free, online access to new evidence-based nursing practice guidelines. Challenging traditional bathing methods, the alert recommends protocols to prevent skin breakdown, reduce infection, shorten hospital stays and reduce costs. Access additional AACN Practice Alerts.


Voting for AACN Board and Nominating Committee ends April 22

April 22 is the last day to cast your vote for the AACN 2014-16 Board of Directors and 2014 Nominating Committee. Polls close at 11:59 p.m. ET. View candidate profiles online and cast your vote, or indicate your decision to abstain. A response of 5 percent of eligible voters is required for a valid election. For questions, contact Melinda Messenger-Stout, volunteer specialist, at 1-800-394-5995, ext. 331 or


Register for a free Sunrise Session at NTI

Sunrise Sessions, May 21 and 22, 7-8:30 a.m. ET, at the National Teaching Institute & Critical Care Exposition (NTI), Boston, are free, educational presentations where experts discuss a wide variety of topics on nursing practice. You must be registered for NTI and then reserve a seat in advance through the NTI Network; space is limited. Sessions include a plated breakfast and offer 1.0 continuing education recognition point (CERP).


Register for free 30-minute webinar on sepsis

Register for the second program in the free AACN Critical Care Webinar Series — “Sepsis Update: Early Identification and Management,” Thursday, May 9, presented by Thomas Ahrens. The program will explore recent improvements in the understanding and treatment of severe sepsis. Registration includes the live session, implementation tools for putting new practices in place and access to recorded archives. Learn more and register.


Respiratory nursing skills update at ATS conference

The American Thoracic Society (ATS), New York, is offering a full-day workshop, “WN1-Respiratory Nursing Skills Update,” on May 18 at its 2013 conference in Philadelphia (May 17-22). Register for the workshop only, which includes lectures and hands-on demonstrations, and awards 7.8 nursing continuing education contact hours, by sending your name, email and phone number to ATS will contact you to complete your registration. Nurses can also earn continuing education hours at several main conference sessions.


Apply for AACN scholarship to attend AONE’s Emerging Nurse Leader Institute

AACN is accepting scholarship applications for participation in Emerging Nurse Leader Institute, a workshop hosted by the American Organization of Nurse Executives (AONE), June 10-12, Portland, Ore.; Sept. 23-25, Baltimore; and Nov. 11-13, Chicago. Visit AACN’s scholarship webpage for application requirements. Email questions on the scholarship program, which is a benefit of AACN membership, to


Participate in survey on job satisfaction

Courtney Warren, a graduate nursing student at Albany State University, Ga., invites critical care nurses to participate in a study on job satisfaction. The online, confidential survey will take no more than 30 minutes to complete. Email Warren with questions, or call her at (229) 292-1317.



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CNE article in CCN reviews alteplase

"Alteplase Treatment of Acute Pulmonary Embolism in the Intensive Care Unit," a continuing nursing education (CNE) article in April's Critical Care Nurse (CCN), reviews the pharmacology of alteplase and discusses its use in treating acute pulmonary embolism.


CCN article discusses how staff created positive change

April's Critical Care Nurse (CCN) includes "Inequity of Patient Assignments: Fact or Fiction?" which describes how listening to staff nurses created positive change in a unit that embraced a healthy work environment and supported patient care.



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CDC announces shortage of tuberculin skin test antigen

On April 12, the Centers for Disease Control and Prevention (CDC), Atlanta, announced a nationwide shortage of tuberculin skin test (TST) antigens. Sanofi Pasteur, Swiftwater, Pa., manufacturer of TUBERSOL, a purified-protein derivative (PPD) product, expects the shortage to continue until at least the end of May. JHP Pharmaceuticals, Parsippany, N.J., which manufactures APLISOL, the other PPD tuberculin product approved by the U.S. Food and Drug Administration (FDA), Silver Spring, Md., notified the FDA that the product is on allocation and available in restricted quantity. The CDC recommends several approaches, including substituting interferon-gamma release assay (IGRA) blood tests for TST.


TJC issues alert on medical device alarm safety

On April 8, The Joint Commission (TJC), Oakbrook Terrace, Ill., issued “Medical Device Alarm Safety in Hospitals.” The sentinel event alert urges hospital leaders to take a “focused look” at this patient safety issue and includes recommendations to tailor alarm setting and limits for individual patients, provide training and education for clinical team members and set a strategy to reduce nuisance alarms.


FDA announces recall of remote alarm cables

On April 9, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced that Smiths Medical ASD, St. Paul, Minn., has recalled BCI Remote Alarm Cables, because in rare instances the cables aren’t transferring alarms when used with some remote nurse alarm systems.


National Prescription Drug Take-Back Day: April 27

National Prescription Drug Take-Back Day, sponsored by the Drug Enforcement Administration, Springfield, Va., takes place Saturday, April 27, 10 a.m.-2 p.m. local time, at collection sites across the country. Addressing the public health issue of prescription drug abuse, the event encourages safe disposal of unwanted, unused prescription drugs. During the five previous events, more than 2 million pounds of prescription drugs was collected. Find a collection site near you.


Valley Fever increasing in some states in Southwest

On March 28, the Centers for Disease Control and Prevention (CDC), Atlanta, announced the incidence of Valley Fever (Coccidioidomycosis), a fungal respiratory infection, "dramatically increased" in several southwestern states from 1998 through 2011. Valley Fever is caused by inhaling the fungus Coccidioides, which lives in the soil in the southwestern U.S. Not everyone gets sick, but those who do typically have flu-like symptoms. A lab test is used to diagnose Valley Fever, and more than 40 percent of those who are ill may require hospitalization.



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Revised sepsis and septic shock guidelines

Access "Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012" an update of the 2008 guidelines.


Tele-ICU nursing guidelines

"AACN Tele-ICU Nursing Practice Guidelines" is the first authoritative document to define guidelines specifically for the emerging subspecialty of tele-ICU nursing practice. The document identifies the essential elements to help tele-ICU nurses, managers and program directors evaluate their individual or unit practice. The guidelines can be downloaded as a free PDF. A print version of the booklet is available for $10 for AACN members and $25 for nonmembers.



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Celebrate National Volunteer Week, April 21-27

AACN applauds the difference our volunteers make in our community of nurses and, ultimately, in the lives of critical care patients and their families. Thank you for donating your time and energy through your local chapters, as AACN ambassadors or through other volunteer-supported projects. Your work enhances AACN's mission.


Annual AACN Community Forum at NTI

The annual AACN Community Forum will take place at the National Teaching Institute & Critical Care Exposition (NTI) on Tuesday, May 21, from 11:45 a.m.-1 p.m. Join other NTI attendees in a conversation with AACN's elected and volunteer leaders, ask questions and offer feedback as an engaged member of the AACN community. Submit questions for the forum in advance by Sunday, May 12.


New at NTI: One-day Patient Safety Summit

The Patient Safety Summit at the National Teaching Institute & Critical Care Exposition (NTI) in Boston, Wednesday, May 22, 8:45 a.m.-4 p.m., will help participants improve patient outcomes and their hospital's bottom line. It will feature renowned industry experts, including Lucian Leape, a founder of the National Patient Safety Foundation, Boston. Topics include alarm fatigue, electronic health records and infusion systems. The one-day program is free for NTI attendees, but you must register in advance. Come for the day if you live in the Boston area.


Dare To

From April's AACN Bold Voices
"Dare to Pay It Forward (or Back)"— Kathryn Roberts, AACN President 2012-2013



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AACN Lunch Bag Set with Storage Container

(Tote Bags)
Product Code:402109

Convenient. Portable. Packing lunch for work is a breeze since everything you need is right at your fingertips. Keep food fresh in this handy lunch cooler complete with tumbler and snack container with freezable gel lid.

Member Price: $20.00 (Non-Member: $22.00)





Infusion Nurses Society Flushing Protocols

Author: Infusion Nurses Society
(Pocket Cards, 5 pages, 2008)
Product Code:128167

This valuable resource was created to address the many issues associated with the process of flushing vascular access devices. The three-card set provides guidance on saline flushes, heparin locking, and drug incompatibilities. In addition, it provides the clinician with protocols for use in the pediatric/neonate population, along with information to help prevent complications associated with occluded catheters.

Member Price: $10.25 (Non-Member: $11.00)





Peer Review In Nursing: Principles for Successful Practice

Author: B. Haag-Heitman, V. George
(Book, 252 pages, 2011)
Product Code:120569
ISBN: 9780763790400

Peer Review in Nursing: Principles for a Successful Practice is the first nursing publication that approaches the definition and implementation strategies for peer review within an organizational setting. Using a professional model, with shared governance as a framework, the authors discuss the difference between manger initiated staff performance evaluation of the past and the true peer review aspects of professional practice for the future.

Member Price: $58.85 (Non-Member: $61.95)





Pedi-Wheel, 4th Ed.

Author: J. Rose, H. Don, S. DeBoer
(Pocket Cards, 2011)
Product Code:131103
ISBN: 9780983816409

Turn the dial to your patient's age on one side and the following information appears in the window: average weight, blood pressure, heart rate, respiratory rate, suggested sizes for ET tubes and laryngoscope blades, as well as the average length of a properly inserted ET tube at the teeth or gum line.

Member Price: $14.00(Non-Member: $15.00)





Featured Career Opportunities





Critical Care RNs – The Jewish Hospital - Mercy Health

Cincinnati, OH

Growth at The Jewish Hospital – Mercy Health has created the need for additional experienced registered nurses in our critical care areas.
Read more about this position


CVICU Travel Nurse / CVICU RN / Cardiovascular ICU – trustaff

Sacramento, CA

Over $1900/wk. take home pay. Urgent need for experienced CVICU RNs, 12-hour nights travel positions in Northern California.
Read more about this position


Critical Care Nurses – Inova

Alexandria, VA

Inova Mount Vernon Hospital currently has both full- and part-time career opportunities in the Critical Care Unit (CCU) for qualified Critical Care Registered Nurses.
Read more about this position




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Cleveland Clinic


Sepsis Update: Early Identification and Management


Bathing the Adult Patient


Election 2013


PCCN Certification Review Webinar




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