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August 1, 2013
NEWS - FDA limits use of oral ketoconazole
AACN NEWS - Resources to manage alarm fatigue
AACN NEWS - New department in CCN
EVIDENCE - Early goal-directed sedation beneficial
Financial savvy is critical for nurses in any role. We are in the business of caring, but it is a business.”
“Claiming the Corner Office: Executive Leadership Lessons for Nurses,”
by Connie Curran and Therese Fitzpatrick
Webinar next week: Pain and sedation in critically ill patients
Join AACN on Thursday, Aug. 8, at 10 a.m. PDT for the next event in our Critical Care Webinar Series, “Pain and Sedation: Managing and Assessing in the Critically Ill.” Presented by Brenda Pun of Vanderbilt University Medical Center, the 30-minute live session will focus on identification of valid and reliable assessment tools and implementation of evidence-based interventions. The free webinar is the first session in a three-part miniseries interpreting the Society of Critical Care Medicine’s “Clinical Practice Guidelines for the Management of Pain, Agitation and Delirium in Adult Patients in the Intensive Care Unit.” Learn more and register.
Sept. 22-24: CACCN conference
The Canadian Association of Critical Care Nurses (CACCN) invites AACN members to attend “Shattering the Silence: Voices of Advocacy in Critical Care Nursing” in Halifax, Nova Scotia. Register by Aug. 16 and save. This year marks CACCN’s 30th anniversary.
Submit poster abstracts for NTI 2014
Submit poster abstracts for the National Teaching Institute & Critical Care Exposition (NTI) — Saturday, May 17, to Thursday, May 22, 2014, in Denver — in three categories: Research, Evidence-based Solutions and Chapter Best Practice. Read the Poster Abstract Submission Guidelines first. Submission deadline: Friday, Sept. 13.
Dec. 31, 2014: deadline to take ACNPC, CCNS exams
If you plan to take the ACNPC or CCNS exam, be sure to allow enough time to apply for and pass the exam. AACN Certification Corporation will not offer the ACNPC and CCNS (A, P and N) exams for initial certification after Dec. 31, 2014. Current ACNPCs and CCNSs may continue to renew their certification into the future, as long as it does not lapse. New Consensus Model-based APRN exams, ACNPC-AG (available now) and ACCNS (-AG, -P and -N) launch in 2013 and 2014. Learn more about the new exams.
CNE article in CCN discusses craniosynostosis
“Craniosynostosis: Caring for Infants and Their Families,” a continuing nursing education (CNE) article in August’s Critical Care Nurse (CCN), discusses definitions, diagnosis, treatment and parental support.
Pilot study finds early goal-directed sedation is beneficial
“Early Goal-Directed Sedation Versus Standard Sedation in Mechanically Ventilated Critically Ill Patients: A Pilot Study,” in August’s Critical Care Medicine, finds that early goal-directed sedation is safe, reduces the use of propofol and benzodiazepines, and decreases the need for physical restraints.
Model for huddling developed
“Huddling for High Reliability and Situation Awareness,” published online June 6 in BMJ Quality & Safety, identifies the following benefits of huddling: improved efficiencies and quality of information sharing, and increased levels of accountability, empowerment and sense of community. The model developed based on these themes may help design ways to evaluate huddle implementation efforts.
Incidence of fever in ICU patients decreases significantly
From 2004 to 2009, the incidence of fever on ICU admission dropped from 50.1 percent of all patients to 25.5 percent, according to “Fever in Adult ICUs: An Interrupted Time Series Analysis.” Bloodstream infections, ICU mortality and ordering of blood cultures didn’t change during the study period, which “calls into question the importance of fever during the diagnostic evaluation of critically ill patients,” notes the study in August’s Critical Care Medicine.
On July 26, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced that Nizoral (ketoconazole) oral tablets, a product of Janssen Pharmaceuticals, Titusville, N.J., should not be used as a first-line treatment for any fungal infection, because it can cause severe liver injury, adrenal insufficiency and harmful drug interactions with other medications. The FDA has approved label changes and added a new Medication Guide.
On July 23, the FDA announced that Codman & Shurtleff, Raynham, Mass., has recalled the MedStream Programmable Infusion Pump, because the fill level sensor may malfunction. On June 7, the company notified consignees of the potential problem and directed clinicians to evaluate the accuracy of the fill level sensor during patients’ next scheduled refill session, or sooner if patients are symptomatic.
Caregivers in patient-centered care
“The Critical Role of Caregivers in Achieving Patient-Centered Care,” published online July 18 in JAMA: The Journal of the American Medical Association, discusses the role of caregivers, including implications for the healthcare system.
ActionPak: Tools and resources to combat alarm fatigue
AACN has long recognized the increasing challenge to patient safety posed by clinical alarms. To better support nurses, units and hospitals in addressing this complex problem, AACN introduces NTI ActionPak: Strategies for Managing Alarm Fatigue. Now available to all AACN members, this clinical toolkit — developed in collaboration with leading subject matter experts and based on learning from the AACN 2013 National Teaching Institute & Critical Care Exposition (NTI) — provides evidence-based strategies, resources and best practices for reducing the impact of environmental alarms to improve patient safety and increase workplace effectiveness. ActionPak resources consist of tools to share learning and implement changes.
New department in CCN starts with August issue
Critical Care Nurse (CCN), AACN’s bimonthly clinical practice journal for high acuity, progressive and critical care nurses, added a new department this month. CCN will publish summaries of Cochrane Collaboration research reviews relevant to critical care nursing in the new Cochrane Review Summary in the April, August and December issues. The topic of this month’s Cochrane Review Summary is the effectiveness of intravenous N-acetylcysteine for treating critically ill patients with systemic inflammatory response syndrome or sepsis in the ICU.
Search for AACN chief executive officer
AACN seeks to fill the position of the retiring CEO. The position is based in Aliso Viejo, Calif., with a master’s degree preferred, ideally in healthcare or finance. A successful candidate will know, understand and have passion for AACN’s mission and vision, ready to make a significant national impact on nursing and healthcare. Critical for success are visionary leadership and strategic thinking with the ability to form strong internal and external partnerships, build trust and create healthy work environments. Learn more and apply.
Review courses for prospective CMC and CSC certificants
To assist CMC (cardiac medicine) and CSC (cardiac surgery) subspecialty certification candidates better prepare for their exam, AACN offers certification review courses online and on CD-ROM. Based on and fully aligned with the cardiac subspecialty certification test plans adopted in 2012, the courses provide comprehensive, topic-specific content with knowledge checks throughout. The CMC review, presented by Leanna Miller, offers 11.0 CNE hours; the CSC review, presented by Myra Ellis, offers 12.4 CNE hours. Both versions are available through AACN’s online bookstore, where members receive a significant discount.
From August's AACN Bold Voices
"What Is Your Wake?" — Vicki Good, AACN President 2013-2014
12-Lead ECG Clipboard
Author: T. Norton
Immediately identify areas of injury to the heart with this sturdy, legal-size clipboard imprinted with an actual 12-Lead ECG tracing.
Member Price: $12.00 (Non-Member: $14.00)
Cardiac Surgery Advanced Life Support Course Manual, 2nd Ed.
Author: J. Dunning
(Book, 87 pages, 2012)
This teaches everything you need to know about caring for the critically ill patient after Cardiac Surgery and also the protocol for arrests after Cardiac Surgery as Ratified by the European Association of Cardiothoracic Surgery and The European Resuscitation Council.
Member Price: $17.00 (Non-Member: $17.90)
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