A Community of Exceptional Nurses
Connect with AACN
June 27, 2013
NEWS - CDC health advisory on synthetic opioid overdose
AACN NEWS - New webinar explores pain and sedation
RESOURCE - Guideline for adults with congenital heart disease
EVIDENCE - Study on post-cardiac arrest
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
Submit nominations for 2014 AACN Circle of Excellence awards
Nominate your peers and colleagues for the 2014 AACN Circle of Excellence awards, which recognize acute and critical care nurses who make a difference in the lives of patients and families. Up to 25 recipients will be selected by Dec. 31 and inducted into the Circle of Excellence Society. Nominations close Thursday, Aug. 1. Learn more and nominate.
Participate in study on family presence in adult critical care
Debra Stauffer, a PhD student at Washington State University in Spokane, invites critical care nurses to participate in a study about their perspectives on family presence in critical care and how factors in the practice environment may contribute to their decision to invite family presence. The confidential, online survey takes about 15 minutes to complete. Email Stauffer with questions.
CNE of the Month: Article in CCN recommends protocol for preventing VAP in children
“Preventing Ventilator-Associated Pneumonia in Children: An Evidence-Based Protocol,” a continuing nursing education (CNE) article in June’s Critical Care Nurse (CCN), provides recommendations for a bundled protocol to prevent ventilator-associated pneumonia (VAP) in children treated with mechanical ventilation in the ICU.
Hypocapnia and hypercapnia after cardiac arrest associated with poor neuro outcome
Hypocapnia and hypercapnia, which commonly occur after cardiac arrest, are associated with poor neurological outcome at hospital discharge, according to “Association Between Postresuscitation Partial Pressure of Arterial Carbon Dioxide and Neurological Outcome in Patients With Post-Cardiac Arrest Syndrome,” which Circulation published June 18.
New analysis of workarounds
May’s BMC Health Services Research includes “Nurses’ Workarounds in Acute Healthcare Settings: A Scoping Review,” which describes the characteristics of workarounds and finds they enable, but also may compromise, patient care. “The importance of displaying competency (image management), collegiality and organisational and cultural norms play a role in nurses’ use of workarounds,” the review notes.
CDC issues health advisory on treating synthetic opioid overdose
On June 20, the Centers for Disease Control and Prevention (CDC), Atlanta, issued “Recommendations for Laboratory Testing for Acetyl Fentanyl and Patient Evaluation and Treatment for Overdose With Synthetic Opioids” in response to recent deaths from an overdose of acetyl fentanyl, an injected synthetic opioid not approved by the U.S. Food and Drug Administration. The CDC recommends “increased vigilance” for patients who have symptoms of opioid overdose and an enzyme-linked immunosorbent assay that is positive for fentanyl.
Vaccine has decreased incidence of HPV
“Reduction in Human Papillomavirus (HPV) Prevalence Among Young Women Following HPV Vaccine Introduction in the United States, National Health and Nutrition Examination Surveys, 2003-2010” finds that within four years of adding the HPV vaccine to the routine immunization schedule for females, HPV decreased among those 14 to 19 years old. “The estimated vaccine effectiveness was high,” concludes the study, published online June 19 by The Journal of Infectious Diseases.
Recalls of endotracheal tube, ventilator, enteric coated aspirin
The U.S. Food and Drug Administration (FDA), Silver Spring, Md., recently announced three recalls:
On June 21, the FDA stated that Medtronic Xomed, Inc., Jacksonville, Fla., has recalled its NIM Trivantage EMG Endotracheal Tube because of complaints of cuff leak or deflation when the inflation valve cap is removed incorrectly — pulled off, instead of snapped-off sideways.
On June 20, the FDA noted that Respironics California, Inc., Carlsbad, has recalled the V60 ventilator because of a potential component failure that could cause loss of ventilator support without an alarm sounding.
On June 19, the FDA announced that Advance Pharmaceutical Inc., Holtsville, N.Y., recalled one lot of the over-the-counter product Rugby label Enteric Coated Aspirin Tablets, 81 mg, after receiving a complaint that a bottle contained acetaminophen 500 mg instead of aspirin.
Better patient monitoring to prevent adverse PCA events
Analysis has shown “a four-fold higher risk of harm” with patient-controlled analgesia (PCA) errors than with other medication errors, according to “Fatal PCA Adverse Events Continue to Happen … Better Patient Monitoring Is Essential to Prevent Harm,” published by the Institute for Safe Medication Practices (ISMP), Horsham, Pa., in the May 30 ISMP Medication Safety Alert! The article outlines parameters for monitoring, including pain, sedation and respiratory assessments.
Guideline for care of adults with congenital heart disease
Access the Agency for Healthcare Research and Quality, Rockville, Md., summary of “Best Evidence Statement (BESt): Care of Adults With Congenital Heart Disease,” from Cincinnati Children’s Hospital Medical Center.
Tele-ICU Nursing Guidelines
“AACN Tele-ICU Nursing Practice Guidelines” brings consistency in nursing practice across new and existing tele-ICUs, serving as a benchmark for the growing number of RNs who practice within the tele-ICU model of care. The document defines tele-ICU nursing and identifies the guidelines and essential elements to help tele-ICU nurses, managers and program directors evaluate their individual or unit practice. Download the guidelines as a free PDF or purchase a booklet through AACN’s website.
Verbal abuse reduces job satisfaction and organizational commitment
Nurses who experience verbal abuse from nurse colleagues report lower job satisfaction and less organizational commitment, according to “Verbal Abuse From Nurse Colleagues and Work Environment of Early Career Registered Nurses,” published online April 29 by the Journal of Nursing Scholarship.
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.
Exam eligibility option for CCRN, CCRN-E, PCCN, CMC, CSC effective July 1
A new exam eligibility option will be available July 1, for candidates applying for the AACN specialty or subspecialty certifications listed above. This new option will benefit nurses who have an extensive practice background (at least five years) caring directly for acutely and/or critically ill patients, but who do not meet the current practice eligibility requirement. The current practice eligibility requirement will remain an option; qualified candidates must meet one of the two practice eligibility options.
From June's AACN Bold Voices
“Dare To: What Have We Learned?” — Kathryn Roberts, AACN President 2012-2013
Let your patients know that they are in certified hands. This executive style pen is a great accessory for important meetings with colleagues, patients and their families.
Member Price: $5.00 (Non-Member: $6.00)
The Nurse Manager's Guide to Innovative Staffing
Author: J. Mensik
(Book, 254 pages, 2013)
Nurse Managers, are you struggling with staffing schedules, productivity, and quality of care? Face it, managing day to day issues-such as how to staff, schedule, assess tradeoffs, maintain morale, deal with schedule hogs, and effectively run a unit-is a difficult job and something that you were never trained to do in nursing school. What you need is a book that provides easy to understand examples to obtain quality outcomes, staff satisfaction, and patient satisfaction.
Member Price: $28.00 (Non-Member: $29.95)
Arterial Blood Gases Made Easy
Author: I. Hennessey, A. Japp
(Pocket Guide, 152 pages, 2007)
This book covers all aspects of the arterial blood gas in a simple, user-friendly manner. The first part explains the technique, the values obtained and common patterns of abnormalities, while the second part comprises a series of worked examples and case scenarios to allow the reader to put this system into practice.
Member Price: $32.25 (Non-Member: $33.95)
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)
Featured Career Opportunities
CVICU and CVOR RNs – Mercy Health
Mercy Health is seeking experienced CVICU and CVOR RNs for our new state-of-the-art, 250-bed Mercy Health – West Hospital, opening this fall.
Read more about this position
Cardiac Step-Down RNs – Kadlec Regional Medical Center
Our Cardiac Unit is expanding! Home to 2013 Circle of Excellence Winner & Beacon Designated ICU, Kadlec is a 270 bed regional hospital located in Washington state wine country.
Read more about this position
If you do not wish to receive email updates from AACN, please reply to firstname.lastname@example.org
Do you have a comment, question or story idea for CriticalCare eNewsline? Send your email to email@example.com
UPDATE YOUR OWN INFORMATION ONLINE
Did you know you can update your demographic profile, including your email address, online?
Simply log in using your membership or customer identification number.
American Association of Critical-Care Nurses (AACN), 101 Columbia, Aliso Viejo, CA 92656
Learn more about what we have to offer based on your role in the industry.