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December 5, 2013
ACTION - Book your hotel for NTI2014
EVIDENCE - Permissive hypotension
NEWS - News from the FDA
AACN NEWS - New CEO announced
In any complex practice, the practitioner must develop a rich experiential base in order to enter under-determined or ambiguous situations with a sense of salience; that is, recognize what is most urgent or significant … The lack of a sense of salience is at the heart of the problem of the inexperienced learner of any practice.”
“Clinical Wisdom and Interventions in Acute and Critical Care: A Thinking-in-Action Approach,”
2nd ed., by Patricia Benner, Patricia Hooper Kyriakidis and Daphne Stannard
Reserve your hotel for NTI2014
Reserve your hotel for AACN’s National Teaching Institute & Critical Care Exposition (NTI), which is in Denver, May 17-22, 2014. Book early through the AACN Housing Bureau for the best selection and discounted rates, since reservations are assigned on a first-come, first-served basis. After April 1, 2014, reservations are subject to availability. Call (800) 340-1840 if you have questions.
Submit nominations for President’s Award for Chapters
Nominate chapters for the 2014 AACN President’s Award for Chapters, which recognizes exemplary efforts to make a difference in the healthcare profession and communities, and further AACN’s mission, vision and values. Nominees demonstrate how the chapter has exemplified the association’s theme — Step Forward — throughout the year. Access award details; nominations close Feb. 15, 2014 (nomination period for other chapter awards is closed). Learn more.
CNE article in CCN discusses permissive hypotension
“Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?” a continuing nursing education (CNE) article in December’s Critical Care Nurse (CCN), finds permissive hypotension may be beneficial when treating bleeding in trauma patients.
Functional decline common after severe sepsis
November’s Pediatric Critical Care Medicine contains “Functional Outcomes in Pediatric Severe Sepsis: Further Analysis of the Researching Severe Sepsis and Organ Dysfunction in Children: A Global Perspective Trial,” which concludes, “Decline in functional status 28 days after onset of severe sepsis is a frequent and potentially clinically meaningful event.”
AVR studies in JAMA
On Nov. 20, JAMA: The Journal of the American Medical Association published two studies on aortic valve replacement (AVR):
“Trends in Aortic Valve Replacement for Elderly Patients in the United States, 1999-2011” finds that over those 12 years, the rate of surgical AVR for elderly patients “increased and outcomes improved substantially.”
In an analysis of more than 7,700 patients, “Outcomes Following Transcatheter Aortic Valve Replacement in the United States” finds the devices were successfully implanted in 92 percent of patients, the overall mortality rate in the hospital was 5.5 percent and stroke rate was 2 percent.
Temperature management after cardiac arrest
“Targeted Temperature Management at 33°C Versus 36°C After Cardiac Arrest,” in the Nov. 17 issue of The New England Journal of Medicine, finds that both temperatures are equally beneficial in unconscious survivors of out-of-hospital cardiac arrest.
Study of dexmedetomidine for ICU sedation
“A Randomized, Double-Blind Pilot Study of Dexmedetomidine Versus Midazolam for Intensive Care Unit Sedation: Patient Recall of Their Experiences and Short-Term Psychological Outcomes,” which the Journal of Intensive Care Medicine posted online Nov. 12, finds that transitioning from benzodiazepine to dexmedetomidine in patients who qualify for daily awakenings may decrease delirium and facilitate memory of ICU experiences but could lead to anxiety, depression or acute stress disorder.
News from the FDA
On Nov. 28, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced that Abbott, Abbott Park, Ill., has recalled 20 lots of FreeStyle and FreeStyle Lite Blood Glucose Test Strips, because they may produce erroneously low blood glucose results when used with the FreeStyle Blood Glucose Meter or the FreeStyle Flash Blood Glucose Meter (neither of which have been in production since 2010), as well as the OmniPod Insulin Management System.
On Nov. 27, the FDA announced that Baxter Intl., Deerfield, Ill., has recalled one lot of Nitroglycerin in 5% Dextrose Injection, because particulate matter was found in one vial.
On Nov. 25, the FDA announced that Hospira, Lake Forest, Ill., has recalled its GemStar Infusion System, because proximal and distal pressure sensor calibration can drift, causing failure to detect occlusions or producing false occlusion alarms.
On Nov. 20, the FDA warned healthcare professionals about the rare but serious risk of heart attack and death with use of the cardiac nuclear stress test agents Lexiscan (regadenoson) and Adenoscan (adenosine) and has approved changes to the drug labels to reflect this information. Healthcare professionals should avoid using these drugs in patients with signs or symptoms of unstable angina or cardiovascular instability.
On Nov. 19, the FDA announced that Medtronic Vascular, Danvers, Mass., is recalling Medtronic Interventional Guidewires and ATTAIN HYBRID® Guidewires, because of the potential for the polytetrafluroethylene coating to delaminate and detach from the guide wire.
Study tools for PCCN exam
AACN study tools, including “Practice PCCN Exam Questions,” now with rationales for all 120 items, will help candidates prepare for the PCCN exam. “PCCN Self-Assessment Exam (SAE)” has 75 items with rationales, using the same software as computer-based exams, at a price of $45. The SAE offers 18 CERPs and also can help candidates prepare for the exam.
Joint Commission toolkit
On Nov. 20, The Joint Commission, Oakbrook Terrace, Ill., released a toolkit titled “Preventing Central Line-Associated Bloodstream Infections: Useful Tools, An International Perspective.” Along with the 2012 monograph “Preventing Central Line-Associated Bloodstream Infections–A Global Challenge, A Global Perspective,” the toolkit provides the most current information and guidance on practices and technology, as well as tools, resources and education for preventing CLABSI.
AACN announces new CEO
Dana Woods becomes AACN’s chief executive officer effective Jan. 1, 2014, upon Wanda Johanson’s retirement. President Vicki Good announced that Woods was selected during an extensive national search based on her broad and deep knowledge of the nursing profession and AACN, coupled with extensive mission-driven business administration experience.
New department in CCN continues with December issue
Critical Care Nurse (CCN), AACN’s bimonthly clinical practice journal for high acuity, progressive and critical care nurses, added the new department Cochrane Review Summary in the August issue. CCN now publishes these summaries of Cochrane Collaboration research relevant to critical care nursing in the April, August and December issues. The topic of December’s Cochrane Review Summary is Surfactant Therapy for Bronchiolitis in Critically Ill Infants.
A holiday gift for members
AACN offers members a 10 percent discount on all AACN bookstore purchases until Dec. 25. If an item is already discounted, you will receive either the 10 percent holiday discount or the product discount, whichever is greater. You don’t need a promotional code; the discount will be automatically applied at checkout.
From December's AACN Bold Voices
"Blend or Balance?"— Vicki Good, AACN President 2013-2014
AACN Lunch Bag Set with Storage Containers
Convenient. Green. 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)
Game-Based Teaching and Simulation in Nursing and Healthcare
Author: E. Bauman
(Book, 265 pages, 2013)
This innovative text provides practical strategies for developing, integrating, and evaluating new and emerging technology, specifically game-based learning methods, useful in nursing and clinical health sciences education. The text draws upon existing models of experiential learning such as Benner's "thinking-in-action" and "novice-to-expert" frameworks, and introduces current theories supporting the phenomenon of the created learning environment.
Member Price: $52.50 (Non-Member: $60.00)
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