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September 5, 2013
NEWS - September is Sepsis Awareness Month
AACN NEWS - Search for AACN chief executive officer
EVIDENCE - Nurse, physician communication on night shift
ACTION - Submit NTI2014 poster abstracts by Sept. 13
Pathogenic bacteria are both wonderful and horrible little creatures that self-replicate and survive in the rather harsh and hostile environment of the human body. ”
“Antibiotic Basics for Clinicians: The ABCs of Choosing the Right Antibacterial Agent,”
by Alan R. Hauser
Submit poster abstracts for NTI2014 by Sept. 13
Submit poster abstracts for the National Teaching Institute & Critical Care Exposition (NTI) — Saturday, May 17, to Thursday, May 22, 2014, in Denver — in three categories: Research, Evidence-based Solutions and Chapter Best Practice. Read the Poster Abstract Submission Guidelines first.
Sept. 17-20: AACN Progressive Care Pathways, MGM Grand, Las Vegas
With faculty experts who understand firsthand the challenges of caring for “not quite ICU” patients, the evidence-based content will address a wide range of progressive care patients’ needs and provide direct clinical application of the evidence. The conference is ideal for nurses practicing in stepdown, intermediate, telemetry, transitional, high acuity, direct observation or med-surg units who treat patients who are moderately stable with a high risk of becoming unstable. Learn more and register.
Sept. 18-20: AACN Nurse Manager Priorities, MGM Grand, Las Vegas
For inpatient nurse managers and charge nurses at the point of care, this beyond-the-basics conference includes forward-thinking influential leaders who will guide learning. The content focuses on a nurse manager’s three critical responsibilities — managing the business, managing people and managing yourself. Join interactive case studies, lively discussions and presentations on management issues that are fundamental to nurse leaders in critical care. Learn more and register.
Sign up for free 30-minute webinar on delirium, Sept. 19
Get help implementing delirium monitoring and management strategies — register for the next program in the free AACN Critical Care Webinar Series. On Thursday, Sept. 19, Leanne Boehm of Vanderbilt University will present “Delirium Challenge: Assessing, Managing in Acute/Critical Care.” Boehm’s webinar will explore the latest thinking around delirium monitoring tools and operationalizing best practices. The event is the second session in a three-part webinar miniseries devoted to interpreting new pain, agitation and delirium (PAD) guidelines. Registration includes the live session, implementation tools and resources, an online discussion forum and access to the on-demand recording. Learn more and register.
CNE article in AJCC identifies dosing pattern for lorazepam, haloperidol
“Patterns of Opiate, Benzodiazepine, and Antipsychotic Drug Dosing in Older Patients in a Medical Intensive Care Unit,” a continuing nursing education (CNE) article in September’s American Journal of Critical Care (AJCC), indicates a positive association between dose levels of lorazepam and haloperidol during evening shifts compared to other shifts. More research is needed to determine potential causes and to evaluate the effect on sleep deprivation and delirium.
Study in AJCC finds nurse, physician communication patterns vary on night shift
Nurses often think on-call physicians don’t grasp the urgency or complexity of a clinical situation, according to “Perceptions of Nurses and Physicians of Their Communication at Night About Intensive Care Patients’ Pain, Agitation, and Delirium.” The study, in September’s American Journal of Critical Care (AJCC), finds that how nurses and physicians triage common issues related to pain, agitation and delirium, and how they exchange recommendations about resolving issues differ substantially.
Breath-stacking asynchrony during assist-control-mode ventilation
"Impact of Ventilator Adjustment and Sedation-Analgesia Practices on Severe Asynchrony in Patients Ventilated in Assist-Control Mode,” in September’s Critical Care Medicine, concludes that “compared with increasing sedation-analgesia, adapting the ventilator to patient breathing effort reduces breath-stacking asynchrony significantly and often dramatically.”
Longer QRS duration indicates patients benefit from CRT-D
Among patients who receive a cardiac resynchronization therapy defibrillator (CRT-D), those who have a left bundle branch block (LBBB) and QRS duration of 150 ms or more are at lower risk for mortality and readmission, compared to those with an LBBB and a shorter QRS duration or those with no LBBB, regardless of QRS duration, according to “QRS Duration, Bundle-Branch Block Morphology, and Outcomes Among Older Patients With Heart Failure Receiving Cardiac Resynchronization Therapy,” in Aug. 14’s JAMA: The Journal of the American Medical Association.
Sepsis Awareness Month
Did you know that September is Sepsis Awareness Month, and Sept. 13 is World Sepsis Day? Even though sepsis kills 258,000 people every year, fewer than half of Americans have heard of it. Visit sepsisalliance.org for tools to help you speak to patients and families. Sepsis Alliance also provides resources for patients, families and survivors to connect and support each other through social media, including its Facebook page. For more resources on improving sepsis survival, visit the Surviving Sepsis Campaign website.
Delirium screening in the ICU
“Implementing Delirium Screening in the ICU: Secrets to Success,” in September’s Critical Care Medicine, reviews delirium screening tools available in the ICU and common pitfalls that may occur during screening.
AHRQ campaign helps Hispanics compare treatment options
Toma las riendas: (Take the reins), a campaign from the Agency for Healthcare Research and Quality (AHRQ), Rockville, Md., encourages Hispanics to “take control of their health and explore treatment options.” The campaign includes an option for patients and caregivers to receive health text messages; a phone number to obtain free print copies of clinician and consumer research summaries from AHRQ’s Effective Health Care program; and a Spanish-language Facebook page.
Search for AACN chief executive officer
AACN seeks to fill the position of the retiring CEO. The position is based in Aliso Viejo, Calif., with a master’s degree preferred, ideally in healthcare or finance. A successful candidate will know, understand and have passion for AACN’s mission and vision, and be ready to make a significant national impact on nursing and healthcare. Critical for success are visionary leadership and strategic thinking with the ability to form strong internal and external partnerships, build trust and create healthy work environments. Learn more and apply.
Register for TRENDS conference by Sept. 27, and save
Join your colleagues for more than 75 education sessions, exhibits and networking opportunities at “TRENDS in Critical Care Nursing,” Oct. 1-4 in King of Prussia, Pa., in the Philadelphia area. Sponsored by AACN and AACN’s Southeastern Pennsylvania Chapter, the conference includes tracks on stroke and novice critical care nursing – and a special manager and leader preconference workshop Sept. 30. Register by Friday, Sept. 27 and save, compared to on-site registration. Earn up to 37.5 contact hours and 37.5 CERPs (continuing education recognition points). The preconference workshop offers 6.0 contact hours.
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 Vanderbilt University’s 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.
AACN offers scholarships to attend Nurse in Washington Internship
The Nurse in Washington Internship (NIWI), held annually in Washington, D.C., teaches nurses how to advance healthcare agendas though the legislative process and influence policy at local and national levels. For the fifth consecutive year, AACN will award continuing professional development scholarships to support AACN members who attend the 2014 program. Although you must register separately for NIWI this fall, you may apply with AACN first. Access AACN scholarship information before completing your application. Friday, Oct. 18 is the deadline to apply for an AACN scholarship to attend NIWI. Email email@example.com if you have questions.
Apply for an AACN research grant
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 Nov. 1. Learn more and get started.
From September's AACN Bold Voices
"The Gift of Courage" — Vicki Good, AACN President 2013-2014
NTI 2014 Step Forward Note Cards Set of 10
Sending a note or thank you card is the perfect way to express yourself anytime. Let your friends and colleagues know you care whether you're marking a special occasion, saying thanks or just keeping in touch. A personal note on a beautiful card will make a lasting impression.
Member Price: $5.00 (Non-Member: $7.00)
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)
Featured Career Opportunities
Experienced Registered Nurses - Florida Hospital Altamonte
Altamonte Springs, FL
Florida Hospital Altamonte Experienced RN Hiring Event September 26, 2013, 9:00am – 3:00pm, 601 East Altamonte Drive, Altamonte Springs, FL 32701, (Chatlos Conference Room within Florida Hospital Altamonte).
Read more about this position
Seasonal RNs – HCA North Texas
Dallas/Fort Worth Metro area, TX
HCA North Texas’ Seasonal RN Program makes it possible for you to score big both in earnings and experience.
Read more about this position
RN CARDIOVASCULAR ICU- TriHealth Heart Institute
TriHealth and its award-winning Magnet hospitals provide a wide range of clinical, educational, preventive and social programs. Join our team of professionals!
Read more about this position
Certification Practice Specialist – American Association of Critical-Care Nurses
Telecommute or Aliso Viejo, CA
The Certification Practice Specialist participates in the development, review and validation of acute and critical care nursing content for AACN's certification products.
Read more about this position
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