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May 30, 2013
NEWS - Check heparin labels
ACTION - Join the NTI experience on Facebook
EVIDENCE - ICD leads in children
AACN NEWS - CNE/CERP NTI evaluations due June 14
All innovation is change, but not all change is innovation.”
“Transitioning Into Hospital Based Practice: A Guide for Nurse Practitioners and Administrators,”
by Mona N. Bahouth, Kay Blum and Shari Simone, eds.
Continue your NTI experience by sharing on Facebook
Let us know what you thought about the 2013 National Teaching Institute & Critical Care Exposition (NTI). Join the discussion on our NTI Facebook page and post your photos. We look forward to seeing you at next year's NTI, in Denver, May 17-22.
Submit learning session abstracts for NTI 2014
Access 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.
Participate in survey on end-of-life discussions with families
Susan Rackley, a graduate nursing student at Southern Nazarene University in Bethany, Okla., invites critical care nurses to participate in a study on their comfort with discussing end-of-life issues with families. Completing and submitting the confidential, online survey is considered consent to participate in the study. Email Rackley with questions.
CNE of the Month: Article in AJCC reports rapid response teams function well
"Rapid Response Teams: Qualitative Analysis of Their Effectiveness," a continuing nursing education (CNE) article in May's American Journal of Critical Care (AJCC), finds that rapid response teams function well in managing patients at risk or in crisis, but training may be necessary because teamwork and communication are critical aspects of an effective team.
Study in AJCC describes decision making in ventilation and weaning
“Role Responsibilities in Mechanical Ventilation and Weaning in Pediatric Intensive Care Units: A National Survey," in May's American Journal of Critical Care (AJCC), finds that key decisions regarding ventilation and weaning are made collaboratively by nurses and physicians, but nurses are limited in their ability to adjust ventilator settings independently, perhaps because standardized competency programs are lacking, and non-physician-led weaning protocols and automated systems are used infrequently.
Early tracheostomy in patients on mechanical ventilation
Performing a tracheostomy within four days of ICU admission for patients receiving mechanical ventilation is not associated with reduced 30-day mortality, according to "Effect of Early vs. Late Tracheostomy Placement on Survival in Patients Receiving Mechanical Ventilation: The TracMan Randomized Trial," in May 22's JAMA: The Journal of the American Medical Association.
ICD lead performance in children and in patients with CHD
“A Multi-Institutional Study of Implantable Defibrillator Lead Performance in Children and Young Adults: Results of the Pediatric Lead Extractability and Survival Evaluation (PLEASE) Study," which Circulation published online May 21, concludes that implantable cardioverter-defibrillator (ICD) leads in children and in patients with congenital heart disease (CHD) "have an age-related suboptimal performance."
Early PN in patients with relative contraindications to EN
"Early Parenteral Nutrition (PN) in Critically Ill Patients With Short-Term Relative Contraindications to Early Enteral Nutrition (EN): A Randomized Controlled Trial," published online May 20 by JAMA: The Journal of the American Medical Association, finds that compared to standard care, early PN significantly reduces the length of invasive ventilation but does not significantly reduce ICU stay or day-60 mortality.
Athletes with ICD can safely participate in sports
"Safety of Sports for Athletes With Implantable Cardioverter-Defibrillators (ICDs): Results of a Prospective, Multinational Registry," in the May 21 Circulation, concludes that many athletes with an ICD can participate in "vigorous and competitive sports without physical injury or failure to terminate the arrhythmia despite the occurrence of both inappropriate and appropriate shocks."
Prone positioning reduces mortality from ARDS
Early use of prolonged prone positioning for patients with severe acute respiratory distress syndrome (ARDS) significantly reduces mortality at 28 days and at 90 days, according to "Prone Positioning in Severe Acute Respiratory Distress Syndrome," which The New England Journal of Medicine posted online May 20.
Check heparin labels carefully
As of May 1, manufacturers of Heparin Lock Flush Solution, USP and Heparin Sodium Injection, USP must clearly state the strength of the entire container of medication followed by how much medication is in 1 milliliter (mL). These modifications eliminate the need to calculate the total amount of heparin medication in a product containing more than 1 mL, which reduces the risk of medication error. Products with the old labels and the new labels are on the marketplace during this transition, creating the potential for errors. Check heparin vial labels carefully, separate old-label stock from new and consider independent double-checks for administering heparin. Access resources and a recorded webinar from the U.S. Pharmacopeial Convention, Rockville, Md.
Reducing adverse events after hospital discharge
Access "Adverse Events After Hospital Discharge," a patient safety primer from the Agency for Healthcare Research and Quality, Rockville, Md., which provides background and research-based information to help hospital staff reduce the number of adverse events that cause readmissions.
CNE/CERP NTI evaluation forms due June 14
If you attended this year's National Teaching Institute & Critical Care Exposition (NTI), submit your evaluation forms online or through your mobile device for continuing nursing education (CNE) and CERP contact hours by June 14, 11:59 p.m. PDT. You must complete both program and session evaluations to receive credit. After June 14, you may only print your certificate.
Study Tools for New PCCN Exam
AACN study tools — including updated "Practice PCCN Exam Questions" — will help you prepare for the new PCCN exam, which launches June 26. The new, expanded "PCCN Self-Assessment Exam" (SAE) has 75 items with rationale at the same $45 price. The SAE offers 18 CERPS and also can help you prepare for the current test.
From May's AACN Bold Voices
"Dare to Give an 'A'"— 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: $32.75 (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.
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