Critical Care eNewsline: April 24, 2014


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April 24, 2014


ACTION - Choosing Wisely webinar

EVIDENCE - ICU nurse environment and mortality

NEWS - News from the FDA

AACN NEWS - New app: AACN Bedside




Not everyone learns or learns best in the same way, or learns best in the same way in all situations.


Mastering Precepting: A Nurse’s Handbook for Success,” by Beth Ulrich



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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.


Apply for American Association of Colleges of Nursing leadership program

Apply by May 2, midnight ET, for the Leadership for Academic Nursing Program, July 27-31, Annapolis, Md. This program is designed to enhance the executive leadership skills of individuals in mid- to upper-level faculty positions who have experience in academic administration roles and aspire to lead the nursing academic unit, and individuals serving as chief academic administrators of nursing schools offering baccalaureate or graduate degrees who are new to the role. Learn more. AACN members may apply for an AACN continuing professional development scholarship to participate. Email with any questions.


Submit learning session abstracts for NTI 2015

Abstract submission is open for Live Educational Sessions at the National Teaching Institute & Critical Care Exposition (NTI), May 16-21, 2015, in San Diego. Please review the Guidelines for NTI Live Educational Abstracts before drafting and submitting your abstract. Abstract submission closes Monday, June 2, 2014.


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 of the Month: Article in CCN discusses psychological effects of HF

Pathophysiological Relationships Between Heart Failure and Depression and Anxiety,” a CNE article in April’s Critical Care Nurse (CCN), describes the relationships of the underlying pathophysiology of heart failure (HF), depression and anxiety.


Quality ICU nurse environment reduces mortality

Impact of Critical Care Nursing on 30-Day Mortality of Mechanically Ventilated Older Adults,” in May’s Critical Care Medicine, concludes, “Patients in hospitals with better critical care nurse work environments and higher proportions of critical care nurses with a bachelor’s degree in nursing” have a lower risk of mortality.


Clevidipine reduces blood pressure in AHF

In patients with hypertensive acute heart failure (AHF), clevidipine safely and rapidly reduces blood pressure and improves dyspnea more effectively than standard-of-care IV antihypertensive therapy, according to “Clevidipine in Acute Heart Failure: Results of the A Study of Blood Pressure Control in Acute Heart Failure – A Pilot Study (PRONTO),” in April’s American Heart Journal.


On-pump CABG associated with higher long-term survival

Long-Term Survival Following Coronary Artery Bypass Grafting (CABG): Off-Pump Versus On-Pump Strategies,” an online first article in April’s JACC: Journal of the American College of Cardiology, finds that in patients undergoing elective isolated CABG, long-term survival is higher in those who undergo on-pump surgery.


Restrictive RBC transfusions may reduce HAI

April 2’s JAMA: The Journal of the American Medical Association offers “Health Care-Associated Infection (HAI) After Red Blood Cell (RBC) Transfusion: A Systematic Review and Meta-Analysis,” which finds that a restrictive RBC transfusion strategy may reduce risk of HAI.


Need for palliative care in ICU assessed

About one in seven ICU admissions meets the triggers for palliative care consultation, according to “Estimates of the Need for Palliative Care Consultation Across United States Intensive Care Units Using a Trigger-Based Model,” in Feb. 15’s American Journal of Respiratory and Critical Care Medicine.



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News from the FDA

On April 3, the U.S. Food and Drug Administration (FDA), Silver Spring, Md., approved a new hand-held auto-injector that family members or caregivers can use to treat a person known or suspected to have an opioid overdose. Evzio (naloxone hydrochloride injection), from kaléo, Inc., Richmond, Va., rapidly delivers a single dose of naloxone, and the auto-injector can be carried in a pocket or stored in a cabinet.


ISMP best practices survey results

A survey on implementation of the 2014-2015 Targeted Medication Safety Best Practices for Hospitals, from the Institute for Safe Medication Practices (ISMP), Horsham, Pa., finds that although progress has been made, more work is needed. According to the March 27 alert, an expert advisory group selected the six targeted practices, which include measuring and expressing patient weights in metric units only and using oral liquid dosing devices that display only the metric scale.



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2014 immunization guideline summary

The National Guideline Clearinghouse at the Agency for Healthcare Research and Quality, Rockville, Md., posted a guideline summary of “Advisory Committee on Immunization Practices Recommended Immunization Schedule for Persons Aged 0 Through 18 Years – United States, 2014,” from the Centers for Disease Control and Prevention, Atlanta, based on an article published Feb. 7 in Morbidity and Mortality Weekly Report.


Role of inflammatory markers in neonatal sepsis

April’s Journal of Perinatology includes “Inflammatory Markers in Cord Blood or Maternal Serum for Early Detection of Neonatal Sepsis – A Systemic Review and Meta-Analysis,” which finds that for cord blood samples, interleukin-6 (IL-6) or procalcitonin can be used as a reliable rule-in and rule-out tool, but for maternal serum, only IL-6 is sufficient for rule-in diagnosis.



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New app: AACN Bedside

Download the new AACN Bedside app at for quick point-of-care reference to AACN essential clinical resources. Available from iTunes or Google Play Store, AACN Bedside connects you — via smartphone or tablet — to two popular reference tools: AACN Practice Alerts and AACN Pocket References. The app includes 10 Practice Alerts that are free of charge and 10 Pocket References, adapted from AACN’s top-selling laminated pocket cards, for 99 cents each.


New Sunrise Session

Sunrise Sessions, May 20 and 21, 7-8:30 a.m. MT, at the National Teaching Institute & Critical Care Exposition (NTI), Denver, are free, educational presentations where experts discuss a variety of topics on nursing practice. In addition to the new Sunrise Session we mentioned last week, we now have “Targeted Temperature Management (TTM) at 33°C vs. 36°C: Where Do We Go From Here?” (SRT 904), on Tuesday, supported by Bard Medical Division. You must be registered for NTI and then reserve a seat through NTI Network; space is limited. Sessions include a plated breakfast and offer 1.0 continuing education recognition point (CERP).


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 Lunch Tote

(Tote Bags)
Product Code:402109

Convenient. Green. Portable. Packing lunch 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 a freezable gel lid. Saves on plastic bags and also saves money from not eating out!

Member Price: $20 (Non-Member: $22)





"Role Development for the Nurse Practitioner"

Editor: J. Stewart, S. Denisco
(Book, 374 pages, 2014)
Product Code:128883
ISBN: 9781449694692

"Role Development for the Nurse Practitioner" provides unique insight into the roles and activities of nurse practitioners (NPs) from the perspective of authors with years of Family Nurse Practitioner (FNP) and Doctor of Nursing Practice (DNP) experience. It is the first textbook to focus solely on NP roles.

Member Price: $78.50 (Non-Member: $85.95)





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