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October 10, 2013
NEWS - FDA announcements
AACN NEWS - Start planning for NTI2014
ACTION - Comment on performance measures for dysphagia
EVIDENCE - Administration of IV prostacyclins
Nurse managers and executives are expected to understand and use financial and forecasting tools to develop and justify budgets and to minimize the cost of staff and supplies.”
“Financial Management for Nurse Managers and Executives,” 4th ed., by Steven A. Finkler, Cheryl Jones and Christine T. Kovner
Oct. 17: Progressive mobility webinar completes AACN’s PAD miniseries
Join AACN Thursday, Oct. 17 at 10 a.m. PT for “Executing Evidence-based Progressive Mobility in the ICU,” a free, live webinar presented by Cheryl Esbrook and Brenda Pun. The third and final program in a miniseries devoted to implementation of new pain, agitation and delirium (PAD) guidelines, this 30-minute webinar will discuss long-term outcomes of critical illness survivors, evidence supporting early progressive mobility in the ICU and common obstacles faced when implementing mobility programs. Learn more and register.
Apply by Oct. 18 for AACN scholarship to attend NIWI: March 30-April 1, 2014
The Nurse in Washington Internship (NIWI), held annually in Washington, D.C., teaches nurses how to advance healthcare agendas through the legislative process and influence policy at local and national levels. For the fifth consecutive year, AACN will award continuing professional development scholarships for AACN members who wish to attend the 2014 program, March 30 to April 1. You must register separately for NIWI. Access AACN scholarship information, and then apply for an AACN scholarship to attend NIWI, no later than Friday, Oct. 18. Email firstname.lastname@example.org with questions.
Comment by Oct. 21 on performance measures for dysphagia in ischemic stroke
The American Heart Association/American Stroke Association Stroke Performance Oversight Committee, Dallas, invites public comments on performance measures for dysphagia in patients with acute ischemic stroke. Deadline for comments is Oct. 21.
Apply for an AACN research grant online by Nov. 1.
AACN invites clinicians and researchers to apply for its grants, which range from $10,000 to $50,000. They fund priority projects that address gaps in clinical research and support the translation of these findings to bedside nurses. Applications must be submitted online by Friday, Nov. 1. Learn more and get started.
Hospitals asked to participate in survey on NG feeding tubes
The New Opportunities for Verification of Enteral Tube Location (NOVEL) Project, sponsored by the American Society for Parenteral and Enteral Nutrition, Silver Spring, Md., invites hospitals to participate in a one-day prevalence study of nasogastric (NG) feeding tubes in infants and children. The information will aid research designed to better understand the risks of NG tube placement verification. Email Sharon Irving if your hospital would like to participate.
Participate in survey on nurses’ intent to speak up about patient safety concerns
Deborah Crumpler, a doctoral candidate at The University of Texas at Tyler, College of Nursing, invites critical care nurses to participate in a survey on the influence of attitudes and beliefs on nurses’ intention to speak up about patient safety concerns. Email Crumpler with questions.
CNE article in CCN reviews safe administration of IV prostacyclins
“Safety Recommendations for Administering Intravenous Prostacyclins in the Hospital,” a continuing nursing education (CNE) article in October’s Critical Care Nurse (CCN), reviews safety measures in administration of high-risk intravenous (IV) medications and describes a set of recommendations for the infusion of prostacyclins.
ICU patients’ risk for long-term cognitive impairment
ICU patients are at “high risk for long-term cognitive impairment,” according to “Long-Term Cognitive Impairment After Critical Illness,” published Oct. 3 in The New England Journal of Medicine. A longer duration of delirium is associated with worse global cognition and worse executive function at 3 and 12 months.
Neurologically critically ill patients can be screened for pain, sedation and delirium
“Evaluating Pain, Sedation, and Delirium in the Neurologically Critically Ill - Feasibility and Reliability of Standardized Tools: A Multi-Institutional Study” finds that pain and sedation can be assessed in neurologically critically ill patients, and most patients can be screened for delirium with excellent inter-rater reliability. “Increased proportion of Intensive Care Delirium Screening Checklist items is associated with worse outcomes,” concludes the study in August’s Critical Care Medicine.
Preoperative hematocrit predicts adverse outcomes after CABG
Preoperative hematocrit is a “powerful independent predictor of perioperative mortality as well as renal failure and deep sternal wound infection” in patients undergoing primary coronary artery bypass graft (CABG) surgery, according to “Preoperative Hematocrit Is a Powerful Predictor of Adverse Outcomes in Coronary Artery Bypass Graft Surgery: A Report From The Society of Thoracic Surgeons Adult Cardiac Surgery Database,” posted online Sept. 23 in The Annals of Thoracic Surgery.
New studies in October’s Critical Care Medicine
“Impact of Critical Care Telemedicine Consultations on Children in Rural Emergency Departments” finds that quality of care is “higher for patients who received consultations with telemedicine than for patients who received either telephone or no consultation.”
“RBC Transfusion Practices Among Critically Ill Patients: Has Evidence Changed Practice?” suggests that “evidence supporting restrictive RBC transfusion thresholds may not be uniformly translated into practice in different hospital settings.”
October is National Breast Cancer Awareness Month
During October, National Breast Cancer Awareness Month, encourage regular breast screening to promote early detection of cancer. Download a toolkit with more ideas. About one in eight women born in the U.S. today will get breast cancer at some point during her life, and more than 2,000 men are diagnosed with breast cancer each year.
New module focuses on patient and family engagement
“Patient and Family Engagement,” the newest module in the Comprehensive Unit-Based Safety Program toolkit from the Agency for Healthcare Research & Quality, Rockville, Md., focuses on making sure patients and families understand what is happening during the patient’s hospital stay, are active participants in the patient’s care and are prepared for discharge.
Bath salts involved in more than 20,000 drug-related ED visits in 2011
Bath salts were involved in 22,904 of the nearly 2.5 million emergency department (ED) visits related to drug misuse or abuse in 2011, according to a Sept. 17 report from the Substance Abuse and Mental Health Services Administration, Rockville, Md.
On Oct. 1, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced that CareFusion, San Diego, recalled its AVEA ventilators. When using the neonatal hotwire flow sensor, the tidal volume could be underreported, causing the patient to receive a higher than expected tidal volume.
On Oct. 2, the FDA announced that Hospira, Lake Forest, Ill., recalled one lot of metoclopramide injection and two lots of ondansetron injection, because glass strands were found on the inside of vial walls.
Film available for community screening
The award-winning film “Where Soldiers Come From” examines a group of young men as they change from reckless teenagers to soldiers looking for roadside bombs in Afghanistan to 23-year-old veterans dealing with posttraumatic stress disorder. In time for a Veterans Day event, the film’s producers have launched a tool that makes it easy to set up a community screening. (Veterans Day is Nov. 11.)
Health insurance information
The Health Resources and Services Administration (U.S. Department of Health and Human Services) offers a Provider Marketplace Toolkit to help answer your patients’ and your own questions about the Affordable Care Act, how to enroll in the required health insurance coverage and possible financial assistance. You can also direct people to HealthCare.gov (Spanish: CuidadoDeSalud.gov) for state-specific information or 1-800-318-2596 (TTY: 1-855-889-4325) to ask questions and sign up for coverage. Another resource is “Health Insurance Enrollment,” from the Robert Wood Johnson Foundation, Princeton, N.J., which provides information for individuals, families, small businesses and those who want to help others enroll.
Access the “Always Use Teach-back!” training toolkit, which includes videos, an interactive learning module, links to resources and coaching tips to help managers and supervisors empower staff to use teach-back.
Pediatric sepsis therapies
“Pediatric Sepsis: Challenges and Adjunctive Therapies,” in April’s Critical Care Clinics, reviews adjunctive therapies for sepsis and highlights opportunities to meet challenges in the field.
Start planning your NTI2014 adventure
It’s time to start planning your experience at AACN’s National Teaching Institute & Critical Care Exposition (NTI), which is in Denver next year, May 17-22:
The AACN Housing Bureau is now open for hotel reservations. Book early for the best selection and discounted rates, since reservations are assigned on a first-come, first-served basis. After April 1, 2014, reservations are subject to availability. Call (800) 340-1840 if you have questions.
Use the NTI return on investment (ROI) toolkit to build a case for your organization to support your attendance at NTI. A strong way to connect value is to link your organization’s goals to NTI’s educational opportunities. Download the ROI toolkit.
Start exploring all that Denver has to offer, including 300 days of sunshine a year and the largest park system in the country.
From October's AACN Bold Voices
"It’s the ‘I’ Word" — Vicki Good, AACN President 2013-2014
AACN Retractable Badge Holder
High-quality retractable badge reel in white featuring AACN logo in white on royal blue background. Reinforced vinyl strap with snap buttons and clip.
Member Price: $3.00 (Non-Member: $3.50)
Cardiac Surgery Advanced Life Support Course Manual, 2nd Ed.
Author: J. Dunning
(Book, 87 pages, 2012)
This teaches everything you need to know about caring for the critically ill patient after Cardiac Surgery and also the protocol for arrests after Cardiac Surgery as Ratified by the European Association of Cardiothoracic Surgery and The European Resuscitation Council.
Member Price: $17.00 (Non-Member: $17.90)
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