Critical Care eNewsline: April 10, 2014


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April 10, 2014


ACTION - PCCN review starts April 21

EVIDENCE - Palliative care teams

NEWS - April 16: National Healthcare Decisions Day

AACN NEWS - NTI workshop




Exceptional presenters learn as much as they can about their audience before presenting to them.


The Exceptional Presenter: A Proven Formula to Open Up! and Own the Room,” by Timothy J. Koegel



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Vote in Election 2014: Your Voice Matters!

Cast your vote for the FY2015-2017 AACN Board of Directors and the FY2015 Nominating Committee. Voting is an opportunity to shape our future leadership and help fulfill our vision of a healthcare system driven by the needs of patients and families. Candidate profiles are in March’s AACN Bold Voices or at, where you can vote or indicate your decision to abstain. Voting ends Monday, April 21, 11:59 p.m. ET.


Live PCCN certification review course

AACN is offering a live, seven-part PCCN certification review course beginning Monday, April 21, to help prospective PCCN candidates prepare for the exam by reaffirming clinical knowledge and increasing test-taking confidence. Presented by Carol Rauen, each 2.5-hour session features interactive learning, exam practice questions and support materials. Available for individuals ($159) and groups up to 30 ($999), the course includes 90-day access to archived session recordings and 15.1 CNE hours. Learn more and register.


Choosing Wisely at AACN’s next live webinar

Learn about routine tests and procedures that may be overused in critical care settings by attending “Choosing Wisely in Critical Care: Nurses Taking Action,” Thursday, May 1, 10 a.m. PT. Developed by the Critical Care Societies Collaborative — of which AACN is a member — this evidence-based list of practices is part of the ABIM Foundation’s Choosing Wisely® campaign. The University of Pennsylvania’s Deborah Becker will discuss the five practices to question and nurses’ role in implementation. Registration is free and includes supplemental tools.


Participate in a survey on family presence during resuscitation

Glynda Cochran, a doctoral candidate at the University of Texas Medical Branch, Galveston, invites critical care nurses to participate in a study exploring whether attitudes and beliefs about family presence during resuscitation can predict critical care nurses’ intention to allow this practice. The confidential, online survey takes 20 minutes or less to complete. Email Cochran or Alice Hill, project adviser, if you have any questions.



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CNE article in CCN discusses palliative care teams for patients with LVAD

Destination to Nowhere: A New Look at Aggressive Treatment for Heart Failure – A Case Study,” a CNE article in April’s Critical Care Nurse (CCN), discusses the appropriate use of palliative care teams to address preparedness planning for patients with a left ventricular assist device (LVAD) used as destination therapy.


Studies from March 31’s The New England Journal of Medicine:

Aspirin in Patients Undergoing Noncardiac Surgery” finds that administering aspirin before surgery and throughout the early postsurgical period does not reduce mortality or nonfatal myocardial infarction, but increases the risk of major bleeding.

Clonidine in Patients Undergoing Noncardiac Surgery” concludes that administration of low-dose clonidine does not reduce mortality rate or nonfatal myocardial infarction, but does increase the risk of hypotension and nonfatal cardiac arrest.


Restrictive transfusion protocol safe

Safe Application of a Restrictive Transfusion Protocol in Moderate-Risk Patients Undergoing Cardiac Operations,” posted online March 21 in The Annals of Thoracic Surgery, notes the protocol is safe and has significant potential to reduce transfusions in these patients and increase the safety of cardiac operations.


Communication reduces readmissions

Interdisciplinary Rounds and Structured Communication Reduce Re-Admissions and Improve Some Patient Outcomes,” online March 20 in WJNR: Western Journal of Nursing Research, finds that the Situation-Background-Assessment-Recommendation (SBAR) protocol, a readmissions risk assessment and daily interdisciplinary rounds in medical-surgical units improve compliance with Foley catheter removal and reduce readmissions.



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Seventh annual National Healthcare Decisions Day, April 16

April 16 is National Healthcare Decisions Day (NHDD), a grassroots initiative to encourage people to talk about their end-of-life preferences with family, friends and healthcare providers and to complete an advance directive. The NHDD website provides detailed information, forms and resources.


News from the FDA:

On April 2, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., announced that Dräger, Telford, Pa., recalled the optional PS500 Power Supply Unit used with Evita V500 and Babylog VN500 ventilators, because the device may fail to indicate a low battery.

On March 31, the FDA clarified its August 2012 warning for Revatio (sildenafil), manufactured by Pfizer, New York, stating that its use, “particularly chronic use, is not recommended in children,” adding, “there may be situations in which the benefit-risk profile of Revatio may be acceptable in individual children, for example, when other treatment options are limited and Revatio can be used with close monitoring.”


Toolkit in development

Transforming the Acute Care Environment: A Web-Based Patient-Centered Toolkit,” in Journal of Hospital Medicine, March abstracts supplement, notes Brigham and Women’s Hospital in Boston is developing this toolkit, which includes a microblog for patients to ask questions and receive answers. The microblog is accessible to every provider the patient is seeing. The toolkit will be evaluated through a study of 4,500 patients.



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TeamSTEPPS 2.0

The Agency for Healthcare Research and Quality, Rockville, Md., is offering a revised TeamSTEPPS core curriculum, TeamSTEPPS® 2.0, an evidence-based system that improves teamwork and communication skills, to optimize patient outcomes. Since it was introduced in 2006, thousands of healthcare organizations have used this program to help build a culture of safety.


Alarm management resources

Although registration for the Alarm Systems Management Webinar Series is closed, free access to recorded webinars and resources is available after each webinar. The recording of the March 25 live webinar, “Current Challenges With Ventilator Alarms,” is ready to view, and CNEs are available. Sponsored by AACN, the Healthcare Technology Safety Institute and other leaders, the series helps healthcare teams comply with The Joint Commission’s 2014 National Patient Safety Goal regarding alarms.



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New, four-part series at NTI

Would you like to impact change on your unit — and implement evidence-based knowledge or best practices? “Introduction on How to Impact Clinical and Fiscal Outcomes,” a four-part workshop, is available to all NTI participants, May 19, 20 and 21. Based on proven change management tools used in AACN’s Clinical Scene Investigator (CSI) Academy, the sessions are designed to help participants gain new skills in determining fiscal impact for clinical outcomes, influencing others, developing targeted messaging for both key stakeholders and marketing projects, and data management. Advance reservations are required through NTI Network after you register for NTI. To view outcomes achieved by CSI Academy participants, visit the AACN CSI Academy Innovation Database.


Step Forward

From April's AACN Bold Voices
“Moral Distress: It's Not Going Away”— Vicki Good, AACN President 2013-2014



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AACN Brushed Cap

Product Code:402116

Keep it cool and casual with this AACN baseball-style cap.

Member Price: $13 (Non-Member: $16)





Palliative Care: Core Skills and Clinical Competencies, 2nd Ed.

Author: L. Emanuel, L. Librach
(Book, 752 pages, 2011)
Product Code:140328
ISBN: 9781437716191

Learn about providing high-quality care to patients with serious illnesses. Clearly written with convenient online access, this resource is your ultimate guidebook to the practice of palliative care.

Member Price: $70.25 (Non-Member: $73.95)





Featured Career Opportunities





Clinical Nurse Educator – Adult Critical Care

UCSF Medical Center - San Francisco, CA

Requires Master’s degree in nursing; current CA RN license; current BCLS; 3+ years’ clinical experience in Adult Critical Care; and experience in teaching and/or training.
Read more about this position


Experienced RN Staff- Loma Linda University Medical Center – Murrieta

Murrieta, CA

Working for LLUMC-Murrieta is more than a job, it’s a calling. We seek professionals who excel in their fields and have a heart for patient-centered care.
Read more about this position


Clinical Practice Specialist – American Association of Critical-Care Nurses

Telecommute or Aliso Viejo, CA

The Clinical Practice Specialist will support the Technology Based Learning team that develops AACN’s e-learning programs.
Read more about this position






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