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July 4, 2013
NEWS - New safety goal for alarm management
AACN NEWS - NTI photos
EVIDENCE - Thirst in ICU patients
EVIDENCE - Stop-cursor method reliable
Feedback is, first and foremost, about learning, developing, and changing.”
"Giving Feedback: Expert Solutions for Everyday Challenges,"
by Harvard Business School Press
Sept. 22-24: CACCN conference
The Canadian Association of Critical Care Nurses (CACCN), based in Toronto, 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.
2013 Cherokee Inspired Comfort Award
Nominate a colleague for the 2013 Cherokee Inspired Comfort Award, sponsored by Cherokee Uniforms, Chatsworth, Calif. Recognizing healthcare professionals who have taken extraordinary and inspiring steps to serve their patients and communities, the award offers prizes such as a Caribbean cruise for two, paid membership in any clinical association and an all-expense-paid trip to any clinical conference in the continental U.S. For every healthcare professional nominated until the Aug. 1 deadline, Cherokee Uniforms will donate $1 to Nurses House, Guilderland, N.Y., a national fund that provides short-term financial assistance to RNs facing serious hardship.
Study in AJCC finds stop-cursor method for hemodynamic measurement reliable
"Accuracy of Stop-Cursor Method for Determining Systolic and Pulse Pressure Variation," in July's American Journal of Critical Care (AJCC), finds this method of functional hemodynamic measurement is familiar to bedside clinicians and can be performed reliably. No clinically significant differences were found between the stop-cursor method and three arterial-based hemodynamic functional indicators.
CNE article in AJCC reviews thirst in ICU patients
"Thirst in Critically Ill Patients: From Physiology to Sensation," a continuing nursing education (CNE) article in July's American Journal of Critical Care (AJCC), reviews the pathophysiology of thirst and discusses interventions to relieve this distressing sensation.
Chronic kidney disease doesn't increase mortality risk after TAVR
"Transcatheter Aortic Valve Replacement (TAVR): Does Kidney Function Affect Outcome?" concludes that chronic kidney disease doesn't increase the risk of mortality and acute kidney injury (AKI) after TAVR, but AKI after TAVR is associated with increased mortality risk. The study, which the Annals of Thoracic Surgery posted online June 15, adds that the amount of contrast agent given during the procedure doesn't affect the risk of AKI.
Life-sustaining treatment in older adults; sedation in pediatric ICU
Intensive Care Medicine recently released two studies of interest to nurses. "The ETHICA Study (Part I): Elderly's Thoughts About Intensive Care Unit Admission for Life-Sustaining Treatments," posted online June 14, finds that independent older people are "rather reluctant" to accept life-sustaining treatment. "Optimal Sedation in Pediatric Intensive Care Patients: A Systematic Review," posted online June 19, finds sedation is often "suboptimal" and that oversedation is more common than undersedation.
Studies on osmolarity saline, mortality after hospital discharge and critical care
May's Critical Care Medicine contains three studies relevant to nurses:
"High-Osmolarity Saline in Neurocritical Care: Systematic Review and Meta-Analysis" concludes that concentrated hypertonic saline, such as 23.4 percent, "provides a small volume solution with low cost" and reduces increased intracranial pressure by more than 50 percent.
"Mortality After Hospital Discharge in ICU Patients" finds that mortality in the first few months after discharge is "substantial," with most patients also having an increased risk of mortality in subsequent years.
"Increasing Critical Care Admissions From U.S. Emergency Departments, 2001-2009" concludes the amount of critical care being provided in emergency departments has increased significantly over the past decade, with the average time tripling from 1.8 to 5.6 hours each day.
TJC safety goal on alarm management
On June 25, The Joint Commission (TJC), Oakbrook Terrace, Ill., posted a new National Patient Safety Goal on Alarm Management. Starting in January 2014, hospitals must establish alarms as an "organizational priority" and identify the most important alarms to manage. Effective in January 2016, hospitals must implement specific components of policies and procedures, including providing education about alarm management. Also, read AACN's new practice alert: "Alarm Management."
Recent FDA recommendations:
"On June 24, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced hydroxyethyl starch solutions should not be used in critically ill adult patients because of increased risk of renal injury, excess bleeding (particularly in patients undergoing open heart surgery) and mortality.
On June 13, the FDA recommended that medical device manufacturers and healthcare facilities ensure appropriate safeguards are in place to reduce the risk of failure from cyberattack. The FDA has "become aware of cybersecurity vulnerabilities and incidents that could directly impact medical devices or hospital network operations."
The FDA is expected to soon publish a new rule that requires drug manufacturers to report discontinuances or interruptions in the manufacturing of certain key drugs, according to an article posted online June 19 by Health Data Management. The rule has been sent to the Office of Management and Budget for final review.
Survey finds healthcare professionals have high job satisfaction
Healthcare professionals are the third most satisfied group of employees, behind engineering and finance, according to survey results released June 18 by Monster.com. Registered nurses, physical therapists and occupational therapists are currently the top three occupations in demand.
Recommendations for hepatitis C virus screening
Access "Screening for Hepatitis C Virus Infection in Adults: U.S. Preventive Services Task Force Recommendation Statement," published online June 25 by Annals of Internal Medicine.
Falls prevention webinar resources
Download the narrated slide show of the webinar "Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care" from the Agency for Healthcare Research and Quality, Rockville, Md.
Consensus statement on implantable electronic devices
Access the Agency for Healthcare Research and Quality, Rockville, Md., summary of "HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in Patients Nearing End of Life or Requesting Withdrawal of Therapy," which Heart Rhythm published in July 2010.
Relive NTI2013 — View the photo albums on the NTI Facebook page
#NTI2013 in Boston was so much fun: We celebrated, learned, networked, laughed and renewed ourselves. Relive it all now by viewing the photo albums and sharing your thoughts on our NTI Facebook page.
AACN webinar explores pain and sedation in critically ill patients
Do you ever find it challenging to evaluate patient data about pain and agitation and determine the best treatment? Join AACN on Thursday, Aug. 8, 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, Nashville, Tenn., the 30-minute live session will focus on identification of valid and reliable assessment tools and implementation of evidence-based interventions. The webinar is the first session in a three-part miniseries interpreting Clinical Practice Guidelines for Pain, Agitation and Delirium (PAD). Learn more and register.
From July's AACN Bold Voices
"Step Forward" — Vicki Good, AACN President 2013-2014
The June 27 issue of CriticalCare eNewsline contained an error in the quote. It should read: "Normal vital signs are not always appropriate vital signs in the seriously ill or injured patient. Tachycardia and tachypnea are usually appropriate when the child is in distress. Hypotension may be only a late sign of shock in children." "Nursing Care of the Critically Ill Child," 3rd ed., by Mary Fran Hazinski
We regret the error.
AACN Ceramic To Go Mug
The porcelain that looks like a paper cup!
• 11-oz. capacity
• Soft, silicone lid
• Thermal design keeps liquids hot
• Packaged in eco-friendly box
• Microwave and dishwasher safe
Member Price: $12.00 (Non-Member: $15.00)
Tarascon Palliative Medicine Pocketbook
Author: B. D. Moses
(Pocket Guide, 168 pages, 2013)
Tarascon Palliative Medicine Pocketbook is the only shirt-pocket sized, quick reference guide for having those difficult conversations with patients and family members who require palliative and hospice care.
Member Price: $18.95 (Non-Member: $19.95)
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