Critical Care eNewsline: Nov. 14, 2013

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November 14, 2013


NEWS - FDA announces recall

ACTION - Comment on risk assessment

EVIDENCE - Summary of VAP report in AJCC

AACN NEWS - PCCN study tool




Policy makers, in the end, must defer to those with the best science.


Jerry Cromwell, in “Nursing Leadership from the Outside In,” by Greer Glazer and
Joyce Fitzpatrick, eds.



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Respond to CCRN/CCRN-E Study of Practice survey by Nov. 17

A national sampling of CCRNs, CCRN-Es and non-certified critical care nurses received an invitation to participate in our 2013 National Critical Care Study of Practice. If you have an invitation with a survey link, please complete the survey, so we have the best information possible for decision making. The data from the study informs CCRN and CCRN-E future test plans and AACN’s development of the most relevant and needed resources for critical care nurses.


Comment on risk assessment by Nov. 20

The Joint Commission, Oakbrook Terrace, Ill., invites hospital staff to complete a survey, which takes about 10 minutes to complete, on their experience with conducting a proactive risk assessment on a high-risk process. The assessment is required every 18 months and promotes patient safety by reducing the risk of adverse events.


Scholarships for effective communication and influencer training

AACN members who register for training sponsored by VitalSmarts, including Crucial Conversations, Crucial Accountability, Change Anything and Influencer, save 20 percent. Find a scheduled workshop near you, and then apply for an AACN scholarship to attend. If you have questions about an AACN scholarship for these or other learning events, email


Submit poems to Pulse

Pulse, a magazine that “reveals the personal side of health care,” is requesting submissions of original poetry about giving and receiving healthcare, until Nov. 30. Accepted poems will be published from March 2014 through early 2015. Pulse also accepts original artwork, photographs and nonfiction first-person stories throughout the year.



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Summary of VAP report in AJCC

November’s American Journal of Critical Care (AJCC) includes “Developing a New, National Approach to Surveillance for Ventilator-Associated Events,” an executive summary of the report from the Centers for Disease Control and the Prevention Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group, Atlanta, that describes a three-tier, adult surveillance definition algorithm for ventilator-associated events.


CNE article in AJCC discusses child response to sibling death

Parents’ Report of Child’s Response to Sibling’s Death in a Neonatal or Pediatric Intensive Care Unit,” a continuing nursing education (CNE) article in November’s American Journal of Critical Care (AJCC), identifies six themes related to surviving children and finds that, regardless of age, children recognized their parents’ grief and tried to comfort them.


Strategy for obese patients receiving mechanical ventilation

Effects of Sitting Position and Applied Positive End-Expiratory Pressure on Respiratory Mechanics of Critically Ill Obese Patients Receiving Mechanical Ventilation,” in November’s Critical Care Medicine, concludes that “combining sitting position and applied positive end-expiratory pressure provides the best strategy.”


Pediatric risk of VTE

Venous Thromboembolism (VTE) After Trauma: When Do Children Become Adults?” published online Oct. 30 in JAMA Surgery, concludes, “The risk of VTE varies considerably across patient age and increases most dramatically at age 16 years, after a smaller increase at age 13 years.”



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FDA announces recall

On Nov. 6, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced that Baylis Medical Co., Montreal, Canada, has recalled its TorFlex Transseptal Guiding Sheath Kit, because the sheath could remove particulate matter from the dilator. “The particulate could potentially migrate into a patient’s bloodstream.”


ASA releases list of unnecessary tests

On Oct. 12, the American Society of Anesthesiologists (ASA), Park Ridge, Ill., released a list of tests or procedures commonly ordered but not always necessary in anesthesiology as part of Choosing Wisely, an initiative of the ABIM Foundation, Philadelphia. ASA recommendations include the following: Do not use pulmonary artery catheters routinely for cardiac surgery in patients with a low risk of hemodynamic complications, and do not routinely administer colloids for volume resuscitation.


Study in AJCC finds staffing affects caloric intake

Nurse to Bed Ratio and Nutrition Support in Critically Ill Patients” finds that more than half of patients fail to meet their daily calorie goals. Risk factors associated with the failure are the use of midazolam and fewer nurses per bed, according to the study in November’s American Journal of Critical Care (AJCC).



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AACN Practice Alert on alarm management

The AACN Practice Alert: Alarm Management provides free access to new evidence-based guidelines recommended by AACN to reduce alarm fatigue, a major patient safety concern. The alert outlines seven expected nursing practices to better manage alarms for improved patient care, safety and satisfaction — and a quieter, more effective work environment. Access additional AACN Practice Alerts.


Celiac disease guidelines

Visit the website of the National Guideline Clearinghouse, Agency for Healthcare Research and Quality, Rockville, Md., for a summary of “ACG (American College of Gastroenterology) Clinical Guidelines: Diagnosis and Management of Celiac Disease,” published in May’s AJG: The American Journal of Gastroenterology.



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Submit nominations for President’s Award for Chapters

Nominate chapters for the 2014 AACN President’s Award for Chapters, which recognizes exemplary efforts to make a difference in the healthcare profession and communities and further AACN’s mission, vision and values. Nominees demonstrate how the chapter has exemplified the association’s theme — Step Forward — throughout the year. Access award details; nominations close Saturday, Feb. 15, 2014 (nomination period for the other chapter awards has closed). More information at end of Web page.


Practice PCCN Exam Questions, now with answer rationales

Based on the PCCN Test Plan, this 68-page booklet contains 120 items with answer rationales, exam bibliography and test plan. A study tool for progressive care nurses preparing for the PCCN Adult certification exam, this new booklet (with answer rationales added) replaces the previous one. It is still offered at the same low price ($12 member/$14 nonmember).


Discount for PCCN Certification Review On-Demand

AACN offers nurses who seek PCCN certification a comprehensive review course to help prepare for the exam. For a limited time, the on-demand version of the PCCN course is offered at a 50 percent discount when purchased with the exam. Based on a live webinar presented by progressive care expert Carol Rauen, the course features interactive learning and offers 13 hours of CNE. Discounted on-demand prices for members/nonmembers are $79.50/$99.50 through April 2014. Without the exam, on-demand prices are $159/$199. The CD-ROM costs $189/$226. Learn more, and purchase the course.


Step Forward

From November's AACN Bold Voices
"Giving Thanks … for Failure"— Vicki Good, AACN President 2013-2014



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AACN Lunch Bag Set with Storage Containers

(Tote Bags)
Product Code:402109

Convenient. Green. Portable. Packing lunch for work is a breeze since everything you need is right at your fingertips. Keep food fresh in this handy lunch cooler complete with tumbler and snack container with freezable gel lid.

Member Price: $20.00 (Non-Member: $22.00)





Infusion Nurses Society Flushing Protocols

Author: Infusion Nurses Society
(Pocket Cards, 5 pages, 2008)
Product Code:128167

The three-card set provides guidance on saline flushes, heparin locking, and drug incompatibilities. In addition, it provides the clinician with protocols for use in the pediatric/neonate population, along with information to help prevent complications associated with occluded catheters.

Member Price: $10.25 (Non-Member: $13.00)





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ICU & CVICU RNs - Mercy Health was recently chosen as one of the Top 15 Health Systems in the US. Join our team and experience Total Career Wellness.
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Join our team of professionals to make the Critical Difference at Idaho's top-rated hospital.
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ICU Travel Nurse – Earn $45/hr

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Be in NYC for the Holidays, while working as a travel nurse. Earn $45/hr, $2,340/wk – 8 wk assignment.
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Sentara's Heart Hospital is searching for experienced ICU Nurses. Full Time Days and Nights Positions Available. ICU Experience Required.
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A Clinical Supervisor Registered Nurse is a highly qualified, expert clinician who possesses advanced care skills and has demonstrated strong critical thinking skills in the face of change, intervention, and crisis.
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Special Procedures Tech - Alaska Regional Hospital

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Special Procedures Tech assists Physicians in performing and completing invasive, interventional and therapeutic procedures..
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Clinical Practice Specialist - American Association of Critical-Care Nurses

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The Clinical Practice Specialist leads the development, review and validation of acute and critical care nursing content for designated AACN learning products and services.
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Clinical Practice Specialist – American Association of Critical-Care Nurses

Telecommute or Aliso Viejo, CA

The Clinical Practice Specialist will support the Beacon Award for Excellence; AACN’s online Practice Resource Network, liaison activities with external organizations and provide oversight for online clinical content.
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