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March 21, 2013
NEWS - Arrhythmia with azithromycin warning
AACN NEWS - Introducing NTI Network
EVIDENCE - Use of nasal bridle for securing tubes
ACTION - Join the AACN NTI Facebook Page
Ageism or age discrimination is rampant in the United States. In a culture that worships youth and beauty, older adults are often portrayed as helpless or demented, a characterization that is far from the truth. ”
“Nursing Care of the Hospitalized Older Patient,” by Terry Mahan Buttaro and Kate A. Barba, eds.
American Diabetes Association Alert Day
On March 26, American Diabetes Association Alert Day, encourage the public to take the Diabetes Risk Test to determine if they are at risk for developing type 2 diabetes — and take the test yourself. Diabetes strikes nearly 26 million children and adults in the United States, and more than a quarter of them — seven million — do not know they have it. An additional 79 million adults have prediabetes.
AACN Critical Care Webinar Series
AACN is launching a series of live monthly webinars designed to provide current evidence-based practices and implementation tools for acute and critical care nurses. The AACN Critical Care Webinar Series features free 30-minute presentations by nationally recognized speakers on a variety of clinical topics. Educator and author Kathleen Vollman kicks off the series Thursday, April 18, at 10 a.m. PT with her presentation, “Evidence vs. Tradition: Examining the Science of Bathing Critically Ill Adults.” Learn more and register.
Participate in survey on ICU bereavement practices
Jennifer McAdam and Alyssa Erikson, nurse researchers from Samuel Merritt University, Oakland, Calif., are seeking nurse managers of adult ICUs to participate in a study on bereavement practices offered by adult ICUs in the U.S. After completing the confidential online survey, which takes about 10 minutes, the first 200 respondents can submit their email address to receive a $5 e-gift card from Starbucks. Email McAdam with questions or call her at (415) 218-3986.
Join the AACN NTI Facebook Page
Join the daily online conversation with the AACN community about NTI 2013 on our NTI Facebook page. Get the latest updates, insights and networking ideas to make the most of your NTI experience in Boston this year.
Submit facilitator abstracts for NTI 2014
Please read the submission guidelines for Live Educational Sessions at the National Teaching Institute & Critical Care Exposition (NTI), May 17-22, 2014, in Denver. Submit an abstract by 11:59 p.m. PT Monday, June 3, 2013.
Nasal bridle works well for burn patients, study in AJCC finds
Using a nasal bridle to secure nasally inserted enteral tubes in burn patients results in fewer tube insertions and abdominal radiographs per tube day compared to traditional adhesive tape, according to “Outcomes of Nasal Bridling to Secure Enteral Tubes in Burn Patients” a study in March’s American Journal of Critical Care (AJCC).
CNE article in AJCC
“Pain After Lung Transplant: High-Frequency Chest Wall Oscillation vs Chest Physiotherapy,” a continuing nursing education (CNE) article in March’s American Journal of Critical Care (AJCC), finds that oscillation results in lower pain scores after treatment and is preferred by patients with a bilateral lung transplant.
Fibrinolysis with timely coronary angiography
Fibrinolysis with “timely coronary angiography” resulted in effective reperfusion in patients with early ST-segment elevation myocardial infarction who could not have primary percutaneous coronary intervention (PCI) within one hour after first medical contact, according to “Fibrinolysis or Primary PCI in ST-Segment Elevation Myocardial Infarction,” in the March 10 New England Journal of Medicine.
Nature-based sounds reduce anxiety
“Effect of Nature-based Sounds’ Intervention on Agitation, Anxiety, and Stress in Patients Under Mechanical Ventilator Support: A Randomised Controlled Trial,” published online Dec. 17, 2012, by International Journal of Nursing Studies, finds that ICU patients who listened to 90 minutes of nature-based sounds had lower blood pressure, anxiety and agitation levels than those who didn’t listen to the sounds.
Similar outcomes for elderly CABG patients
“Off-Pump versus On-Pump Coronary-Artery Bypass Grafting (CABG) in Elderly Patients,” a study of 2,539 patients 75 or older published March 11 by The New England Journal of Medicine, finds “no significant difference” between the two groups in death, stroke, myocardial infarction, repeat revascularization or new renal-replacement therapy within 30 days and at 12 months after surgery.
FDA warns of arrhythmia with azithromycin
On March 12, the U.S. Food and Drug Administration (FDA), Rockville, Md., strengthened its warning on the risk of QT interval and torsades de pointes associated with azithromycin (Zithromax or Zmax, manufactured by Pfizer, New York). The action came after the FDA further reviewed “Azithromycin and the Risk of Cardiovascular Death,” a study in the May 17, 2012 New England Journal of Medicine, and a study from the manufacturer. The drug label’s warning and precautions section was updated. Patients at particular risk for developing torsades de pointes include those with QT interval prolongation, hypokalemia, hypomagnesemia or bradycardia, and those taking drugs known to prolong the QT interval. Elderly patients may be more susceptible to drug-associated effects on QT interval.
Toolkit to reduce hospital readmissions
“Re-Engineered Discharge (RED) Toolkit” was developed by Boston University through a contract with the Agency for Healthcare Research and Quality, Rockville, Md. Research shows that RED reduces readmissions and visits to the emergency department after hospital discharge.
Practice Alert: Prevention of Aspiration
Critically ill patients, especially those who are tube-fed, may experience micro-aspirations, which greatly increase the risk of pneumonia and other complications. This AACN Practice Alert offers a checklist for aspiration prevention, including head-of-bed elevation, assessment of sedation levels and feeding-tube placement. Access additional AACN Practice Alerts.
Introducing NTI Network
NTI Network, our online community for NTI participants, is a new way to connect with other attendees at the National Teaching Institute & Critical Care Exposition (NTI), May 18-23, Boston. Get a head start on planning your week and networking with colleagues and friends. Just a few of the things you can do on NTI Network:
Reserve your seat for free ticketed events, including Sunrise Sessions and the Patient Safety Summit
Identify attendees with similar interests and receive suggestions on people to meet
Personalize your attendee profile with a bio, photos, interests and links to your other social media sites, such as Facebook or LinkedIn
Participate in online conversations based on your areas of interest
Once you are registered for NTI, you need to sign up separately for our online community. Access the NTI Network Guide for further instructions. Register for NTI Network.
New CSC Subspecialty Certification Review Course
Candidates for AACN’s CSC (cardiac surgery) subspecialty certification exam now have access to a new online certification review course. Based on and fully aligned with the CSC test plan adopted in 2012, the course provides comprehensive, topic-specific content and review questions and offers 12.4 CNE hours. The course is intended to help prospective CSC certificants prepare for the exam by reaffirming clinical knowledge and removing uncertainty about what to expect. Presented by nurse educator Myra Ellis, the course is available on-demand from the AACN website and may be purchased in AACN’s online bookstore for $99 members/$119 nonmembers.
From March's AACN Bold Voices
"Dare to Make It 'All About Me'"— Kathryn Roberts, AACN President 2012-2013
NTI 2013 Magnet - Dare To…
3 piece magnet set featuring the NTI 2013 theme Dare To.
Member Price: $6.95 (Non-Member: $6.95)
2013 Y-Site Compatibility of Critical Care Admixtures Wall Chart
(Poster, 1 pages, 2013)
The Critical Care Admixtures Wall Chart reports on the compatibility of IV drugs commonly administered to patients in a critical care setting and includes antibiotics, vitamins, tpn and other drugs.
Member Price: $17.00 (Non-Member: $18.00)
Nurse Manager Engagement: Strategies for Excellence and Commitment
Author: B. Mackoff
(Book, 210 pages, 2013)
Nurse Manager Engagement: Strategies for Excellence and Commitment is based on the groundbreaking and highly regarded national "Nurse Engagement Study" project funded by The Robert Wood Johnson Foundation. The book builds upon the key ideas in the study by including examples from Dr. Mackoff’s conversations and key teaching points from her work with several hundred nurse managers in the three years following this innovative study.
Member Price: $66.00 (Non-Member: $69.95)
Author: A. Cohen, D. Bradford
(Book, 244 pages, 2012)
Learn to overcome your difficulties with a boss who is uninterested in your concerns, or resistant to giving needed support. Or discover how to win the cooperation of senior managers who are hard to reach, and hard to sell on your ideas, products, or services.
Member Price: $23.75 (Non-Member: $24.95
Featured Career Opportunities
CV/CICU (Cardio Vascular) ICU RNs – Presence Saint Joseph Medical Center
Presence Saint Joseph Medical Center offers the widest range of inpatient and outpatient medical services in Will County.
Read more about this position
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