Critical Care eNewsline: Jan. 9, 2014


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January 9, 2014


ACTION - ECMO live webinar

EVIDENCE - Adrenergic blockade in aSAH

NEWS - Diagnostic imaging standards

AACN NEWS - Free curriculum approval




Preceptees must be encouraged to speak up and not hold back because of fear of repercussions from physicians or others. Preceptors can find it helpful, for example, to role-play a situation where a patient is in trouble and it is difficult to get the attention of the physician.


Laurie Shiparski, in “Mastering Precepting: A Nurse’s Handbook for Success,” by Beth Ulrich



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Deadline Jan. 20: Help AACN support CNSs

AACN is updating AACN Scope and Standards for Clinical Nurse Specialists (CNSs) and invites comments on the proposed revisions. Read “Scope of Practice,” “Standards of Clinical Practice” and “Standards of Professional Performance.” The confidential, online survey includes links to these documents. Then follow the prompts to respond to questions associated with each section. As clinical experts, influencers and mentors, your input is extremely important to help AACN support the vital role of the CNS. Comments will be accepted through Monday, Jan. 20. If you have any questions, please email


Discover the what, why and how of ECMO at live webinar

Increase your understanding of extracorporeal membrane oxygenation (ECMO) and its nursing care implications by attending AACN’s next live critical care webinar, “ECMO: The Ultimate Support for the Cardiopulmonary System,” Thursday, Jan. 23, 10 a.m. PST. Join University of Minnesota Medical Center’s Michael Petty, cardiac clinical nurse specialist, and Nitasha Joyner, ECMO coordinator/perfusionist, for a discussion of this unique, evolving therapy and its current applications. Free registration includes the live event, implementation tools and resources, online discussion forum and access to the on-demand recording. Learn more and register.


Adult CCRN certification review course starts in February

AACN will offer an Adult CCRN certification review course, as a seven-part live webinar, beginning Monday, Feb. 17. This comprehensive course helps prospective CCRN candidates prepare for the exam by reaffirming clinical knowledge and removing uncertainty about what to expect. The 2.5-hour sessions will feature an interactive learning experience with teacher and peer-to-peer chats, knowledge check questions and support materials. The webinar awards 14.5 continuing nursing education (CNE) contact hours. The $159 (individual) or $999 (groups up to 30) fee includes 90-day access to this series of archived webinar recordings. Learn more and register.



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CNE article in AJCC discusses aneurysmal subarachnoid hemorrhage (aSAH)

"Cardiac Abnormalities After Aneurysmal Subarachnoid Hemorrhage: Effects of Beta-Blockers and Angiotensin-Converting Enzyme Inhibitors,” a continuing nursing education (CNE) article in January’s American Journal of Critical Care (AJCC), finds no concrete evidence that exposure to adrenergic blockade before aSAH provides protection from neurocardiac injury.


Study in AJCC on patient position changes

Cuff Pressure of Endotracheal Tubes After Changes in Body Position in Critically Ill Patients Treated With Mechanical Ventilation,” in January’s American Journal of Critical Care (AJCC), concludes that simple changes in patients’ positioning can result in potentially harmful cuff pressures.


Repair or replacement for mitral-valve regurgitation

Mitral-Valve Repair Versus Replacement for Severe Ischemic Mitral Regurgitation,” in the Jan. 2 issue of The New England Journal of Medicine, finds “no significant difference in left ventricular reverse remodeling or survival at 12 months” between mitral-valve repair or replacement.


Procalcitonin-guided therapy

Procalcitonin-Guided Therapy in Intensive Care Unit Patients With Severe Sepsis and Septic Shock - A Systematic Review and Meta-Analysis,” published Dec. 11, 2013, in Critical Care, concludes that the therapy is “a helpful approach to guide antibiotic therapy and surgical interventions without a beneficial effect on mortality.” The main benefit of procalcitonin-guided therapy is shorter duration of antibiotic treatment compared to standard care.


Special issue on pediatric TBI

November/December 2013’s Pediatric Nursing is a special issue on traumatic brain injury (TBI) in children that contains six articles, an editorial and four columns on the topic. It includes an overview of TBI, acute care management, the experiences of parents, the effect on siblings, prevention of head trauma and the role of school nurses.



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New and revised diagnostic imaging standards

On Dec. 20, 2013, The Joint Commission, Oakbrook Terrace, Ill., announced changes to its standards for accredited hospitals, critical access hospitals and ambulatory healthcare organizations that provide diagnostic imaging services. Areas addressed include documentation of CT radiation dose in patients’ clinical record and meeting the needs of the pediatric population through imaging protocols. Phase one changes take effect July 1, with phase two changes in 2015.


Editorial encourages research-practice link

Stepping Forward in Practice Through Research,” an editorial in January’s American Journal of Critical Care (AJCC), emphasizes the strong relationship between research and bedside practice and encourages members of the critical care team to use evidence to improve outcomes for each patient. The co-editors also introduce an annual feature in this issue — an article that highlights significant research published in AJCC during the previous year.


Prepare to celebrate Certified Nurses Day 2014

Certified Nurses Day recognizes and honors certified nurses and encourages eligible nurses to become certified. The American Nurses Credentialing Center, Silver Spring, Md., selected March 19 as Certified Nurses Day to honor the birthday of the late Margretta “Gretta” Madden Styles. An international pioneer of nursing certification and longtime friend of AACN and AACN Certification Corporation, Styles designed the first comprehensive study of nurse credentialing. Access more information, and please send your success stories and any photos to, with “Celebrate Certified Nurses” in the subject line.



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Screening criteria for palliative and ICU resource utilization

Using criteria to prompt early referral for palliative care consultation seems to “reduce utilization of ICU resources without changing mortality,” according to “Choosing and Using Screening Criteria for Palliative Care Consultation in the ICU: A Report From the Improving Palliative Care in the ICU (IPAL-ICU) Advisory Board,” published in October 2013’s Critical Care Medicine.


AACN Practice Alert on assessing pain

The AACN Practice Alert titled Assessing Pain in the Critically Ill Adult provides quick access to evidence-based nursing practices recommended by AACN to gauge pain in adults who may not be able to self-report. The alert outlines four nursing practices — with supporting evidence — to better assess pain in critically ill adults to optimize outcomes and improve patient satisfaction. Access other AACN Practice Alerts; all are provided free of charge.



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Apply for ISMP Safe Medication Management Fellowship

The Institute for Safe Medication Practices (ISMP), Horsham, Pa., is accepting applications for two 12-month ISMP Safe Medication Management Fellowships, starting in July. Based in the ISMP office near Philadelphia, fellows learn and collaborate with leading experts to develop and implement interdisciplinary error-prevention strategies that reduce the risk of medication errors, and work on communication and education initiatives for healthcare professionals and the public. Access more information and an application. ISMP application deadline: March 31. AACN members may apply for an AACN continuing professional development scholarship to participate in the program.


Free curriculum approval for ACNP, CNS graduate programs

AACN’s free curriculum approval process is open to all graduate programs that have transitioned to a Consensus Model-based curriculum for acute care nurse practitioners (ACNPs, adult-gero) and/or clinical nurse specialists (CNSs, adult-gero, pediatric or neonatal) — wellness through acute care. Curriculum approval does not require a contract between AACN and the school. Start the process.


Step Forward

From January's AACN Bold Voices
"Getting Gritty"— Vicki Good, AACN President 2013-2014



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AACN Brushed Twill Cap

Product Code:402116

Looking to switch out your ball cap for something new? Keep it cool and casual this season with this stylish AACN baseball style cap.

Member Price: $13.00 (Non-Member: $16.00)





The 12-Lead ECG in Acute Coronary Syndrome

Author: T. Phalen, B. Aehlert
(Book, 228 pages, 2011)
Product Code:100146
ISBN: 9780323077859

Using an easy-to-understand, step-by-step approach, this book describes how to accurately interpret 12-lead ECGs for effective recognition and treatment of patients experiencing ACS. This 3rd edition simplifies learning with a new three-step method for interpreting 12-lead ECGs, first exposing you to new information, then offering examples, and finally asking you to apply your knowledge

Member Price: $61.75 (Non-Member: $64.95)





Featured Career Opportunities





RN's - CCU - Wise Regional Health System

Decatur/North Ft. Worth, TX

Wise Regional Health System's new North Ft. Worth Hospital-Parkway Surgical & Cardiovascular Hospital is opening March 2014! Full time Day & Night positions, plus PRN are available.
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Registered Nurses - Saint Alphonsus Health System

Boise or Nampa, ID

Join our team of professionals to make the Critical Difference at Idaho's top-rated hospital.
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