Critical Care eNewsline — January 3, 2013

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January 3, 2013


NEWS - CDC: Evaluate meningitis patients for unrecognized infection

NEWS - EMS role in sepsis management

ACTION - Register for 'A Slice of AACN NTI'

ACTION - Participate in study on nurse turnover

RESOURCES - Stable ischemic heart disease guidelines




Here, the term mentoring is thought to be an offspring of human living, teaching, and learning, our giving and receiving wisdom in all relationships, in leadership, and through succession.


"Mentoring in Nursing: A Dynamic and Collaborative Process," 2nd ed., by Sheila Grossman



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Apply to take AACN's new ACNPC-AG certification exam

Download an application for the ACNPC-AG exam, AACN's new certification for adult-gerontology acute care nurse practitioners. ACNPC-AG is an entry-level advanced practice certification in alignment with the "Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education."


Participate in study on nurse turnover

Minnie Major, a doctoral student at Capella University, Minneapolis, is conducting a study to learn what nurses think about voluntary turnover in the hospital setting. Participate by completing the survey. Please email Major with questions.


'Dare To' join the online conversation in 2013

As part of your New Year's resolution, "Dare To" become an active member of the online AACN community. Join our discussions on Facebook and Twitter, and invite your friends and colleagues to join in, as well. Let us know the topics you'd like us to explore — after all, it's your community!


Register for 'A Slice of AACN NTI'

Register now for the fourth annual "A Slice of AACN NTI," April 1-5, MGM Grand, Las Vegas. Nationally recognized faculty from AACN's National Teaching Institute & Critical Care Exposition (NTI) will share their expertise in high acuity and critical care. You can earn up to 14 CNE hours for the preconferences and up to 17.75 CNE hours for the main conference, while networking with your colleagues from across the country. Register by Feb. 25 to obtain the early-bird registration discount.


Complete survey to enter drawing for gift certificate

We invite you to share your suggestions and comments on the revised AACN CriticalCare eNewsline by participating in a short survey. Once you complete the survey, you will be entered in a drawing for a $50 gift certificate for the AACN Online Bookstore.



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Study in AJCC finds functional decline in elderly with ACS predictive of poor outcomes

"Impact of Functional Decline on Outcome in Elderly Patients With Acute Coronary Syndromes," a study in January's American Journal of Critical Care (AJCC), finds that functional decline in elderly patients with acute coronary syndrome (ACS) is "predictive of poor outcomes."


CNE article in AJCC finds ventilator bundle team improves compliance with sedation vacation

"Dedicated Multidisciplinary Ventilator Bundle Team and Compliance With Sedation Vacation," a continuing nursing education (CNE) article in January's American Journal of Critical Care (AJCC), notes that in a large-volume tertiary center, a dedicated ventilator bundle rounding team might be more effective than the primary rounding team in achieving compliance with some bundle components.


Factors associated with ventricular arrhythmias after cardiac surgery

"Ventricular Arrhythmia After Cardiac Surgery: Incidence, Predictors, and Outcomes," published online Nov. 8, 2012, by the Journal of the American College of Cardiology, finds that older age, peripheral vascular disease, lower left ventricular ejection fraction and emergent surgery are associated with higher risk, but off-pump surgery is associated with lower risk.


Braden Scale may need modification for ICU patients

"Predictive Power of the Braden Scale for Pressure Sore Risk in Adult Critical Care Patients: A Comprehensive Review" finds that the subscales Sensory Perception, Mobility, Moisture and Friction/Shear are associated with an increased likelihood of pressure ulcer development in these patients, but the Activity and Nutrition subscales did not predict pressure ulcer development. "In order to more precisely quantify risk in the critically ill population, modification of the Braden Scale or development of a critical care specific risk assessment tool may be indicated," concludes the study in November/December 2012's Journal of Wound, Ostomy and Continence Nursing.



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CDC: Evaluate patients with fungal meningitis for unrecognized spinal infection

Patients who received contaminated methylprednisolone acetate from the New England Compounding Center in Framingham, Mass., should be evaluated for possible "unrecognized, localized spinal or paraspinal infection," according to a Dec. 20, 2012, alert from the Centers for Disease Control and Prevention (CDC), Atlanta. Magnetic Resonance Imaging findings show that "among patients with no previous evidence of infection, and with new or worsening symptoms at or near the site of their injection," more than half had findings suggesting a localized spinal or paraspinal infection, including epidural abscess, phlegmon, arachnoiditis, discitis or vertebral osteomyelitis.


EMS personnel may have vital role in identifying, managing sepsis

The rate of severe sepsis is 3.3 per 100 emergency medical services (EMS) encounters, compared to 2.3 for acute myocardial infarction, and more than 40 percent of all severe sepsis hospitalizations arrive at the emergency department after EMS transport, according to "Severe Sepsis in Pre-Hospital Emergency Care Analysis of Incidence, Care, and Outcome." Because rapid diagnosis and treatment of sepsis is key, "the pre-hospital interval may represent an important opportunity for recognition and care of sepsis," concludes the study in the Dec. 15, 2012, American Journal of Respiratory and Critical Care Medicine.


High-frequency ventilator patient circuits recalled

On Nov. 19, 2012, the U.S. Food and Drug Administration, Silver Spring, Md., announced Bunnell, Inc., Salt Lake City, Utah, recalled its Life Pulse High-Frequency Ventilator Patient Circuits because melted insulation can cause sparking and smoke.



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New guidelines for stable ischemic heart disease

Access "2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons," published online Nov. 19 by Circulation.


Clinical practice guidelines

Access "Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit: Executive Summary," in the January American Journal of Health-System Pharmacy.



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New Year reminders for certified nurses

The New Year is a good time to:

Check the expiration date of your AACN certification by verifying your certification online.

Assess whether you are on track with your renewal requirements. If you have questions, refer to the relevant renewal handbook.

Learn about the APRN Consensus Model. If you are a current or aspiring advanced practice nurse, the model may affect your graduate education, practice as an APRN, certification and licensure. Access resources.


Faster, easier access to AJCC and CCN websites

AACN members now can log directly onto the American Journal of Critical Care (AJCC) and Critical Care Nurse (CCN) websites using their AACN member/customer ID and password. A blue AACN LOG-IN button was added to the journal home pages to expedite the log-in process. If you've forgotten your ID or password, call (800) 899-AACN (2226).


Dare To

From January's AACN Bold Voices
"Dare to Let Go"— Kathryn Roberts, AACN President 2012-2013



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CCRN Retractable Badge Holder

(Badge Holders)
Product#: 402098

Versatile and convenient, this CCRN retractable badge holder features a reinforced vinyl strap button and clip backing for easy attachment to pockets, bags or belts. Makes a great gift. Order one for every CCRN in your unit.

Member Price: $3.00 (Non-Member: $3.50)





Advanced Practice Nursing of Adults in Acute Care

Author: J. Whetstone-Foster, S. Prevost
(Book, 752 pages, 2012)
ISBN: 9780803621626
Product#: 128100

Written by a Clinical Nurse Specialist for Clinical Nurse Specialists, this text explores the expanding roles and responsibilities of the CNS from core competencies and theoretical foundations for practice to caring for the hospitalized adult to shaping the healthcare system through the CNS spheres of influence.

Member Price: $114.00 (Non-Member: $120.00)





Introduction to Basic Cardiac Dysrhythmias

Author: S. Atwood, C. Stanton, and J. Storey Davenport
(Book, 416 pages, 2011)
ISBN: 9780323085328
Product#: 100180

Key Features include these tools to reinforce your understanding of key concepts and encourage you to apply your knowledge: Case Studies, flashcards, puzzles, more than 325 practice strips, and updated with the 2010 ACLS guidelines.

Member Price: $52.25 (Non-Member: $54.95)





The Ultimate Guide to Competency Assessment in Health Care, 3rd Ed.

Author: D. Wright
(Book, 232 pages, 2005)
ISBN: 9781886624207
Product#: 128663

This edition includes lots of new forms and tools to help you design competencies that are creative and compliant with the current JCAHO standards.

Member Price: $33.20 (Non-Member: $34.95)






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