CriticalCare eNewsline — April 25, 2013

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April 25, 2013


NEWS - April 27: National Prescription Drug Take-Back Day

EVIDENCE - Improving in-hospital cardiac arrest

ACTION - Free AACN webinar on sepsis

EVIDENCE - Review of aortic stenosis




Despite the fact that individual nurses and other healthcare professionals are accountable and responsible for their practice and the fact that clinical support is available from clinical nurse educators, mentors, and nurse specialists, no one but the nurse manager has the authority or professional accountability to manage nursing practice.


Fast Facts for the Clinical Nurse Manager: Managing a Changing Workplace in a Nutshell,”
by Barbara Farquharson Fry



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There’s still time to register for a 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.


Join the AACN NTI Facebook page

Join the daily online conversation with the AACN community about NTI 2013 on our NTI Facebook page. Get the latest updates, insights and networking ideas to make the most of your NTI experience in Boston this year.


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.


Submit learning session abstracts for NTI 2014

Access submission guidelines for Live Educational Sessions at the National Teaching Institute & Critical Care Exposition (NTI), May 17-22, 2014, in Denver. Submit an abstract by 11:59 p.m. PT Monday, June 3, 2013.



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CNE of the Month: Article in CCN reviews aortic stenosis

Aortic Stenosis: Pathophysiology, Diagnosis, and Medical Management of Nonsurgical Patients,” a continuing nursing education (CNE) article in April’s Critical Care Nurse (CCN), provides an overview of this condition, including nursing considerations.


Patients with persistent AF who take digoxin don’t have higher mortality

Patients with paroxysmal and persistent atrial fibrillation (AF) who take digoxin as initial therapy do not have higher mortality or hospitalization, according to “Lack of Evidence of Increased Mortality Among Patients With Atrial Fibrillation Taking Digoxin: Findings From Post Hoc Propensity-matched Analysis of the AFFIRM Trial,” which the European Heart Journal first published online April 16.


Highly concentrated hypertonic saline reduces intracranial pressure

May’s Critical Care Medicine includes “High-Osmolarity Saline in Neurocritical Care: Systematic Review and Meta-Analysis,” which finds highly concentrated hypertonic saline such as 23.4 percent provides “a small volume solution with low cost and an over 50 percent reduction effect on raised intracranial pressure,” with only minor adverse effects.


Variations among cardiovascular risk calculators

Agreement Among Cardiovascular Disease Risk Calculators,” which Circulation posted online April 10, concludes the choice of calculator has an important impact on “both risk categorization and absolute risk estimates.”


Copper surfaces reduce rate of HAIs in ICUs

Patients in ICU rooms with copper alloy surfaces have “a significantly lower rate” of healthcare-acquired infections (HAIs) and/or colonization with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus than patients in standard rooms, according to “Copper Surfaces Reduce the Rate of Healthcare-Acquired Infections in the Intensive Care Unit,” in May’s Infection Control & Epidemiology.


Antidepressants have no effect on mortality after CABG

Antidepressants do not affect morbidity or mortality up to one year after coronary artery bypass graft (CABG) surgery, according to “Antidepressant Therapy in Patients Undergoing Coronary Artery Bypass Grafting: The MOTIV-CABG Trial,” which Annals of Thoracic Surgery first published online April 5. The study of 361 patients with a mean age of 67 years recommends antidepressant therapy for patients with coronary revascularization who are preoperatively depressed, unless contraindications exist.


Reduced cortisol metabolism in ICU patients

Reduced Cortisol Metabolism During Critical Illness,” in April 18’s The New England Journal of Medicine, finds reduced cortisol breakdown occurs in patients with a critical illness, but the “diagnostic and therapeutic implications for critically ill patients is unknown.”



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April 27: National Prescription Drug Take-Back Day

Sponsored by the Drug Enforcement Administration, Springfield, Va., National Prescription Drug Take-Back Day 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.


HCWs with respiratory illness should not care for patients

Respiratory Virus Shedding in a Cohort of On-Duty Healthcare Workers (HCWs) Undergoing Prospective Surveillance” finds that HCWs commonly work while ill and those with symptoms frequently have viral shedding. “HCWs should refrain from patient care duties while ill, and staffing contingencies should accommodate them,” concludes the study in April’s Infection Control & Hospital Epidemiology.


Improving survival after in-hospital cardiac arrest

Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations, A Consensus Statement From the American Heart Association,” in the April 16 Circulation, includes best practices such as institutional infrastructure, care pathways and process of care for each time interval — prearrest, intra-arrest and postarrest.



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Updated palliative care guidelines

Access “Clinical Practice Guidelines for Quality Palliative Care,” 3rd ed., from the National Consensus Project for Quality Palliative Care, Pittsburgh.


ISMP list of high-alert medications

Access the list of high-alert medications from the Institute for Safe Medication Practices (ISMP), Horsham, Pa., published in 2012.


CDC preparations for H7N9 virus

The Centers for Disease Control and Prevention (CDC), Atlanta, is taking pandemic preparedness precautions for the new avian influenza A (H7N9) virus, including developing a candidate vaccine virus, evaluating a diagnostic test kit and developing a serologic assay to test for antibodies against the H7N9 virus. China has reported an increasing number of cases of human infection with H7N9, but none have been reported outside that country.



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May 21: 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.


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 Key Ring

(Key Rings)
Product Code:402136

AACN logo engraved on a silver key chain.

Member Price: $6.25 (Non-Member: $7.00)





CMC Certification Review Course Online

Product Code:CMCOD

Based on the the 2012 test blueprint, this 11-hour program is designed for nurses preparing for AACN’s cardiac medicine subspecialty certification (CMC). The course also offers nurses who care for cardiovascular patients a convenient opportunity to deepen their level of cardiac knowledge and skill.

Member Price: $99.00 (Non-Member: $119.00)





MI Rule Visions: The 3D 12-Lead ECG Infarction Template

Author: Apex Innovations
(Transparancies, 2002)
Product Code:100132
ISBN: 9780972980111

An innovative tool making recognition of myocardial infarction and ischemia location in a 12 lead ECG rapid and simple! This color-coded template contains a wealth of references for ECG lead changes, reciprocal changes, culprit arteries, cardiac markers, lead placement and waveform norms.

Member Price: $28.50 (Non-Member: $29.95)





Fast Facts for Critical Care

Author: K. White
(Pocket Guide, 242 pages, 2011)
Product Code:128770

Bestseller for 2 years! Includes more than 200 color illustrations! Also now includes the new (2011) guidelines for BLS, ACLS, Stroke Code, Acute Coronary Syndrome, and Myocardial Infarction. Comes complete with a 6-ring binder!

Member Price: $44.50 (Non-Member: $46.95)





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


PCCN Certification Review Webinar




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