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August 15, 2013
AACN NEWS - Search for AACN chief executive officer
NEWS - Infusion pump recalls
ACTION - AACN conferences in Las Vegas
ACTION - Free AACN webinar on delirium
In an emergency situation, establishing adequate ventilation and oxygenation assumes primary importance. Too frequently, inexperienced personnel believe that this requires immediate intubation; however, attempts at intubation may delay establishment of an adequate airway.”
“Irwin & Rippe’s Procedures, Techniques and Minimally Invasive Monitoring in Intensive Care Medicine,” 5th ed., by Richard S. Irwin, James M. Rippe, Alan Lisbon and Stephen O. Heard
Help Revise ANA Code of Ethics
Apply to help the American Nurses Association (ANA) revise the “Code of Ethics for Nurses with Interpretive Statements." The ANA is seeking applications to serve on a steering committee and an advisory committee. This is a unique opportunity to influence the ethical standards expected across the nursing profession. Complete an application by Aug. 21.
Sept. 17-20: AACN Progressive Care Pathways, MGM Grand, Las Vegas
With faculty experts who understand firsthand the challenges of caring for “not quite ICU” patients, the evidence-based content will address a wide range of progressive care patients’ needs and provide direct clinical application of the evidence. The conference is ideal for nurses practicing in stepdown, intermediate, telemetry, transitional, high acuity, direct observation or med-surg units who treat patients who are moderately stable with a high risk of becoming unstable. Early-bird deadline: Register by Aug. 20 and save.
Sept. 18-20: AACN Nurse Manager Priorities, MGM Grand, Las Vegas
For inpatient nurse managers and charge nurses at the point of care, this beyond-the-basics conference includes forward-thinking influential leaders who will guide learning. The content focuses on a nurse manager’s three critical responsibilities — managing the business, managing people and managing yourself. Join interactive case studies, lively discussions and presentations on management issues that are fundamental to nurse leaders in critical care. Early-bird deadline: Register by Aug. 20 and save.
Register for free 30-minute webinar on delirium, Sept. 19
Get help implementing delirium monitoring and management strategies — register for the next program in the free AACN Critical Care Webinar Series. On Sept. 19, Leanne Boehm of Vanderbilt University will present “Delirium Challenge: Assessing and Managing in Acute/Critical Care.” Boehm’s webinar will explore the latest thinking around delirium monitoring tools and operationalizing best practices. The event is the second session in a three-part webinar miniseries devoted to interpreting new pain, agitation and delirium (PAD) guidelines. Registration includes the live session, implementation tools and resources, an online discussion forum and access to the on-demand recording. Learn more and register.
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 contact hours; the CSC review, presented by Myra Ellis, offers 12.4 CNE contact hours. Both versions are available through AACN’s online bookstore, where members receive a significant discount.
CNE article in CCN notes physical, emotional distress in parents of infants in NICU
“Parents’ Responses to Stress in the Neonatal Intensive Care Unit,” a continuing nursing education (CNE) article in August’s Critical Care Nurse (CCN), finds that stress experienced by parents of infants in the NICU is associated with a constellation of physical and emotional outcomes comprising anxiety, depression, fatigue and sleep disruption.
Studies analyze CLABSI in PICCs
Two articles in September’s Infection Control & Hospital Epidemiology analyze infections in peripherally inserted central catheters (PICCs):
"The Risk of Bloodstream Infection Associated With Peripherally Inserted Central Catheters Compared with Central Venous Catheters in Adults: A Systematic Review and Meta-Analysis” finds that hospitalized patients with a PICC “may be just as likely” as patients with a central venous catheter to experience central line-associated bloodstream infection (CLABSI).
“Early Onset Versus Late Onset Peripherally Inserted Central Venous Catheter Infections: An Analysis of Risk Factors and Microbiology” describes microbiology patterns in 265 patients with PICC CLABSI. Patients with a late-onset infection were more likely to have had the catheter inserted for delivery of antibiotics.
Nurse manager turnover has negative effect on patient outcomes
July’s Journal of Nursing Management contains “The Effect of Nurse Manager Turnover on Patient Fall and Pressure Ulcer Rates,” which finds that nurse manager turnover and ICU status are associated with more pressure ulcers, while medical/surgical unit status is associated with more falls. “Stable nursing management, strategic interim management and long-term succession planning may reduce adverse patient events,” concludes the study of 23 nursing units in two hospitals.
Positive nurse-to-nurse relationships essential for healthy workplace
Positive nursing relationships are the key to establishing a healthy workplace, notes “Understanding Nurse-to-Nurse Relationships and Their Impact on Work Environments,” a study in May/June’s MEDSURG Nursing on how direct-care nurses relate to each other in daily interactions.
FDA announces infusion pump recalls
The U.S. Food and Drug Administration (FDA), Silver Spring, Md., recently listed two infusion pump recalls:
On Aug. 12, the FDA announced that Iradimed Corp., Winter Park, Fla., has recalled MRidium 3860+ Infusion Systems equipped with the MRidium 1145 Dose Error Reduction System Drug Library Kit. The system can potentially give an incorrect recommended value for the pump infusion rate during the initial infusion setup.
On Aug. 7, the FDA announced that CareFusion Corp., San Diego, has recalled the Alaris PC unit (model 8015 with software version 9.12), part of the Alaris infusion pump. A voltage difference in the unit may disrupt communication between the main processor and the keyboard processor, causing medication delivery to be discontinued.
Updated guidelines for managing occupational HIV exposure
September’s Infection Control & Hospital Epidemiology includes “Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis.”
New AACN Practice Alert on pain assessment
AACN offers a new Practice Alert: Assessing Pain in the Critically Ill Adult. It provides quick access to evidence-based nursing practices recommended by AACN to gauge pain in adults who may not be able to self-report. The alert outlines four nursing practices — with supporting evidence — to better assess pain in critically ill adults to optimize outcomes and improve patient satisfaction. Access other AACN Practice Alerts; all are provided free of charge.
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.
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, and be 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.
Contribute to the evidence: Apply for an AACN grant, Sept. 1-Nov. 1
AACN invites clinicians and researchers to apply for its grants, which range from $10,000 to $50,000 (each principal investigator must be an AACN member). The grants fund research that drives change in high acuity and critical care nursing projects, and they support the translation of the findings to bedside nurses. Applications open Sept. 1 and must be submitted online by Nov. 1. Learn more and get started. If you are a researcher or a past AACN grant recipient, you might want to serve on the review panel that selects the next awardees. Email firstname.lastname@example.org and attach your curriculum vitae.
From August's AACN Bold Voices
"What Is Your Wake?" — Vicki Good, AACN President 2013-2014
CrashCards Pediatric Emergency Resuscitation, 2nd Ed.
(Pocket Cards, 2011)
Be ready for your next pediatric emergency. When there's no time for calculations, no room for error, there's CrashCards™. Twelve 2-sided (24 sides), pocket-sized cards, 3X5 inches, ring-bound, easily displayed open. Seven color-coded precalculated medication tables according to age/kg/lbs.
Member Price: $20.95 (Non-Member: $22.00)
AACN Scope and Standards for Acute Care Nurse Practitioner Practice
Author: Advanced Practice Work Group
Editor: L. Bell
(Book, 40 pages, 2012)
AACN Scope and Standards for Acute Care Nurse Practitioner Practice describes and measures the expected level of practice and professional performance for acute care nurse practitioners (ACNPs), incorporating advances in scientific knowledge, clinical practice, technology and other changes in the dynamic healthcare environment.
Member Price: $10.00 (Non-Member: $25.00)
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