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October 17, 2013
NEWS - Liver problems after dietary supplement
ACTION - AACN webinar on shivering in hypothermia
EVIDENCE - Higher nurse staffing lowers readmissions
RESOURCES - Change in NICU VAP surveillance
Advance care planning is a thoughtful, facilitated discussion that encompasses a lifetime of values, beliefs, and goals for the patient and family. It is not merely a discussion of medical treatment choices.”
“To Comfort Always: A Nurse’s Guide to End-of-Life Care,” by Linda Norlander
Apply by Oct. 18 for AACN scholarship to attend NIWI
For the fifth consecutive year, AACN will award continuing professional development scholarships to AACN members who wish to attend the 2014 Nurse in Washington Internship (NIWI) 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.
Oct. 24: Free webinar on catheter misconnections
The Institute for Safe Medication Practices (ISMP), Horsham, Pa., will offer a free webinar funded by Baxter, “Preventing Catheter and Tubing Misconnections: Risk Assessment and Interventions That Work,” Oct. 24, 1 p.m. ET. The webinar includes a discussion on a free tool to assess risk for tubing misconnections and interventions that have been implemented in hospitals. Learn more and register.
Oct. 30: Free webinar on health delivery
Join Anita Tucker, associate professor, Harvard Business School, Oct. 30, 2 p.m. ET, for her presentation on workflow disruptions, performance gaps and organizational factors that affect healthcare delivery. Register for the free webinar, sponsored by Improvement Science Research Network, San Antonio.
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.
Submit nominations for 2014 AACN Chapter Awards
Nominate chapters for the 2014 AACN Chapter Awards, which recognize exemplary efforts to make a difference in the healthcare profession and communities and further AACN’s mission, vision and values. Chapter award categories:
Excellence in Chapter Collaboration
Excellence in Chapter Leadership Development
Excellence in Community Education and Public Service
Excellence in Chapter Educational Programming
Excellence in Promoting the Value of Certification
AACN President’s Award for Chapters
Nominations for the AACN President’s Award for Chapters close Saturday, Feb. 15, 2014. All other nominations close Friday, Nov. 1, 2013. Learn more and nominate.
AACN live webinar on shivering in hypothermia
Does the troublesome — and dangerous — adverse effect of shivering complicate your temperature management efforts? Join critical care educator Mary Kay Bader Thursday, Nov. 14, 10 a.m. PT, for her live presentation, “All Shook-up: Managing Shivering in Therapeutic Hypothermia.” This free webinar will review the pathophysiology of shivering, assessment tools and interventions to counter shivering. Registration includes the live event, implementation tools and resources, online discussion forum and access to the on-demand recording. Learn more and register.
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 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 any questions.
CNE article in CCN notes communication algorithm improves family satisfaction
Use of an evidence-based structured communication algorithm that includes bundles of communication interventions at 24, 72 and 96 hours after ICU admission improves family satisfaction, according to “Improving Family Satisfaction and Participation in Decision Making in an Intensive Care Unit,” a continuing nursing education (CNE) article in October’s Critical Care Nurse (CCN).
Article in CCN describes coordinated post-cardiac arrest care
“From Door to Recovery: A Collaborative Approach to the Development of a Post-Cardiac Arrest Center,” in October’s Critical Care Nurse (CCN), describes how a hospital used a collaborative approach to develop processes, build consensus for protocols and provide support to staff and teams for creating a patient-focused approach to care for patients after out-of-hospital cardiac arrest.
Higher nurse staffing lowers readmission rates
“Hospitals With Higher Nurse Staffing Had Lower Odds of Readmissions Penalties Than Hospitals With Lower Staffing,” in October’s Health Affairs, finds that hospitals with higher nurse staffing have 25 percent lower odds of being penalized for hospital readmissions compared to similar hospitals with lower staffing.
New studies published in JAMA: The Journal of the American Medical Association
“Acute Skeletal Muscle Wasting in Critical Illness,” posted online Oct. 9, finds that muscle wasting in ICU patients occurs early and rapidly during the first week and is more severe in those with multiorgan failure.
“Induced Hypothermia in Severe Bacterial Meningitis: A Randomized Clinical Trial,” posted online Oct. 8, concludes, “Moderate hypothermia did not improve outcome in patients with severe bacterial meningitis and may even be harmful.”
CDC warns of liver problems after using dietary supplement
On Oct. 9, the Centers for Disease Control and Prevention (CDC), Atlanta, issued a health advisory related to patients developing acute hepatitis and sudden liver failure of unknown cause after using a dietary supplement for weight loss or muscle building. Of 29 patients in Hawaii with acute hepatitis, 83 percent reported using OxyELITE Pro, manufactured by USPlabs, Dallas, during 60 days before the illness; the company has stopped distributing the product. The CDC advises clinicians to ask patients with acute hepatitis about their dietary supplements and report cases that meet the provided definition.
FDA requests risk evaluation for XARELTO
In August, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., required Janssen Pharmaceuticals, Titusville, N.J., to communicate the following information about XARELTO, which is used to treat patients with nonvalvular atrial fibrillation: 1) prematurely discontinuing XARELTO without starting an alternative anticoagulant puts patients at increased risk for thrombotic events, and 2) not taking XARELTO with the evening meal can lead to decreased efficacy. Access safety information.
Registration closed, but recorded webinars available
Since maximum enrollment has been reached, registration is now closed for the seven-part Alarm Systems Management Webinar Series sponsored by AACN, the Health Care Technology Safety Institute (HTSI) and seven other industry leaders. However, free access to recorded webinars and resources is available following each webinar. The series is designed to prepare multidisciplinary healthcare teams to comply with The Joint Commission’s 2014 National Patient Safety Goal regarding alarms. The series continues Oct. 30; and CNEs are available for viewing recorded webinars. HTSI is an initiative of the AAMI (Association for the Advancement of Medical Instrumentation) Foundation, Arlington, Va.
Universal glove and gown use in ICU
The use of gloves and gowns when caring for ICU patients doesn’t significantly reduce methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus (VRE) in cultures obtained on admission and discharge from the ICU, according to “Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized Trial,” published online Oct. 4 in JAMA: The Journal of the American Medical Association. Use of gloves and gowns reduced the risk of patients developing MRSA, but further research is needed.
New definition of pediatric malnutrition
“Defining Pediatric Malnutrition: A Paradigm Shift Toward Etiology-Related Definitions,” in July’s JPEN: Journal of Parenteral & Enteral Nutrition, discusses a new classification system that incorporates chronicity, etiology, mechanisms of nutrient imbalance, severity of malnutrition and its impact on outcomes. Depending on cause, malnutrition is illness related (disease/injury), or non-illness related (environmental/behavioral factors) or both.
Change in NICU VAP surveillance
The Centers for Disease Control and Prevention (CDC), Atlanta, has announced that in 2014, in-plan neonatal ICU (NICU) ventilator-associated pneumonia (VAP) surveillance will no longer be available as part of the National Healthcare Safety Network, the CDC’s system for national surveillance of healthcare-associated infections and other events associated with healthcare settings.
Reserve hotel room for NTI2014, May 17-22
AACN’s annual National Teaching Institute & Critical Care Exposition (NTI) takes place in Denver, May 17-22, 2014. AACN Housing is offering discounted rates for hotel rooms until April 1, but early booking is advised to ensure the best selection. Reserve your room online, or call (800) 340-1840.
New York hospitals join AACN CSI Academy
Nationwide implementation of AACN Clinical Scene Investigator (CSI) Academy continues with the addition of seven hospitals in the New York metropolitan area. AACN CSI Academy is an innovative, hospital-based nurse leadership and skill-building program designed to empower staff nurses as change agents who measurably improve patient outcomes and fiscal results. AACN past president Debbie Brinker and past AACN board member Marian Altman — both nurse educators — will serve as faculty co-leads for the 16-month New York program. Currently, 42 hospitals participate in AACN CSI Academy.
From October's AACN Bold Voices
"It’s the ‘I’ Word" — Vicki Good, AACN President 2013-2014
AACN Fleece Jackets
Stay warm this winter with these soft fleece jackets.
Member Price: $41.00 (Non-Member: $45.00)
Respiratory Nuts and Bolts: A Quick Reference Guide for Medical Professionals
Author: M. Fischer
(Book, 127 pages, 2013)
Many nurses are not taught all that they may need to know on the topic of respiratory therapy, as it was expected that respiratory would be handling a majority of these tasks. You may have picked up bits and pieces along the way, but you still need to know more to be proficient at these tasks. This book will give you the tools that you need.
Member Price: $18.00 (Non-Member: $19.95)
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