Critical Care eNewsline: Jan. 23, 2014

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January 23, 2014


ACTION - Nominate for chapter awards

EVIDENCE - Delirium recovery

NEWS - OSHA resource

AACN NEWS - AACN Clinical Priorities 2014




Although the transition from assisted to spontaneous ventilation traditionally has been referred to as ‘weaning,’ the process does not have to be gradual or time-consuming,


write Kristin Hudock and Paul N. Lanken in “The Intensive Care Unit Manual,” 2nd ed., by Paul N. Lanken, Scott Manaker, Benjamin A. Kohl, and C. William Hanson III



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Ask the expert: Live Q&A on clinical alarm system safety goal

On Feb. 13, 10 a.m. PST, AACN Critical Care Webinar Series presents “Live Q&A: Alarm Management Implementation Revisited.” This live question-and-answer session featuring Johns Hopkins’ Maria Cvach is a continuation of AACN’s June 2013 Alarm Management webinar. The free event will focus on practical implementation of alarm management protocols aligned with The Joint Commission’s clinical alarm National Patient Safety Goal. Registered webinar participants are encouraged to submit questions to the presenter in advance of the event through AACN’s Webinar Series Learn Network. Learn more and register.


Submit nominations for President’s Award for Chapters

Nominate chapters for the 2014 AACN President’s Award for Chapters, which recognizes exemplary efforts to make a difference in the healthcare profession and communities and further AACN’s mission, vision and values. Nominees demonstrate how the chapter has exemplified the association’s theme — Step Forward — throughout the year. Access award details; nominations close Saturday, Feb. 15 (nomination period for other chapter awards has closed). More information at end of Web page.


Register for CACCN conference by Jan. 31

Our colleagues at the Canadian Association of Critical Care Nurses, London, Ontario, invite AACN’s community to submit presentation abstracts for Dynamics 2014, their annual conference, Sept. 21-23, in Quebec City, Quebec. Topics such as creating and sustaining a culture of excellence, AACN’s Healthy Work Environment Standards and the Beacon Award for Excellence would align with this year’s theme, “Speaking From Experience: Integrating Excellence as a Culture.” The deadline is Jan. 31; email questions to



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Study in AJCC finds genetic variations affect delirium recovery

Interleukin 6 and Apolipoprotein E as Predictors of Acute Brain Dysfunction and Survival in Critical Care Patients,” in January’s American Journal of Critical Care (AJCC), finds that genetic variations in apolipoprotein E and serum levels of this protein can contribute to the likelihood of a patient’s recovery from delirium during critical illness.


CNE of the Month: Article in AJCC finds fatigued nurses concerned about decisions

Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses” a continuing nursing education (CNE) article in January’s American Journal of Critical Care (AJCC), finds fatigued nurses are more likely to express concern that they made a wrong decision about a patient’s care.


Tight glycemic control doesn’t affect outcomes in pediatric ICU

A Randomized Trial of Hyperglycemic Control in Pediatric Intensive Care,” published Jan. 9 in The New England Journal of Medicine, concludes that tight glycemic control had no significant effect on the number of days patients were alive and free from mechanical ventilation 30 days after randomization, although hypoglycemia occurred more often with tight glucose control compared to conventional control.


Two studies in Critical Care

The Effect of Continuous Versus Intermittent Renal Replacement Therapy on the Outcome of Critically Ill Patients With Acute Renal Failure (CONVINT): A Prospective Randomized Controlled Trial,” published Jan. 10, finds no statistically significant differences between continuous and intermittent modalities related to mortality, renal-related outcome measures or survival 14 days after renal replacement therapy.

Albumin Versus Crystalloid Solutions in Patients With the Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis,” published Jan. 9, finds “colloid therapy with albumin improved oxygenation but did not affect mortality,” although there is a high need for more randomized controlled trials.


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OSHA launches educational website

On Jan. 15, the Department of Labor’s Occupational Safety and Health Administration (OSHA) launched an educational website, Worker Safety in Hospitals, with resources to help hospitals prevent worker injuries, assess workplace safety needs, enhance safe patient handling programs, and implement safety and health management systems. The materials include fact books, self-assessments and best practice guides.


News from the FDA

On Jan. 14, the Food and Drug Administration (FDA), Rockville, Md., recommended that healthcare professionals stop prescribing and dispensing prescription combination drug products that contain more than 325 mg of acetaminophen per tablet, capsule or other dosage unit. No data show that taking more than 325 mg of acetaminophen per dosage unit provides additional benefit, and limiting the amount reduces the risk of severe liver injury.



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Managing PAD and early mobility

ICU Liberation, a website from the Society of Critical Care Medicine, Mount Prospect, Ill., provides a variety of resources — including guidelines, assessment tools, protocols and implementation strategies — to manage pain, agitation and delirium (PAD) and early mobility in the ICU.


Cardiac rhythm guideline

The National Guideline Clearinghouse at the Agency for Healthcare Research and Quality, Rockville, Md., posted a guideline summary of “2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities,” published Dec. 19, 2012, in Circulation.



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Register to attend NTI

Early-bird registration is open for the National Teaching Institute & Critical Care Exposition (NTI), May 17-22, the premier conference for high acuity and critical care nurses, which takes place in Denver this year. Register by Thursday, April 3, and save $76. Be sure to sign up for a hotel room through AACN Housing. Early booking is strongly advised to ensure the best selection.


Registration is now open for AACN Clinical Priorities 2014

Register to attend AACN Clinical Priorities 2014 (formerly known as A Slice of AACN NTI), April 15-17, MGM Grand, Las Vegas. Workshop topics include alarm management, healthy work environments, ethics and preventing healthcare-associated infections. The program includes full-day clinical sessions on neuro/trauma/stroke, sepsis, cardiovascular and common clinical disorders in high acuity patients. You can earn up to 22 CNE hours by attending the conference, designed for nurses who care for high acuity and critically ill patients in any type of adult unit, including intensive care, progressive, stepdown or trauma. Register by March 12 to obtain the early-bird registration discount.


Step Forward

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



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NTI 2014 T-Shirt


Order the popular NTI T-shirt in advance and save. These custom shirts feature the 2014 theme in full color on a black t-shirt.

Member Price: $15.00 (Non-Member: $15.00)





The Clinical Practice of Neurological and Neurosurgical Nursing, 7th Ed.

Author: J. Hickey
(Book, 816 pages, 2013)
Product Code:128637
ISBN: 9780781795296

The new Seventh Edition of the award-winning classic prepares its users to deliver expert care in this most challenging nursing specialty. It addresses neuroanatomy, assessment, diagnostic evaluation and management of the complete range of neurological disorders for which nurses provide patient care, including trauma, stoke, tumors, seizures, headache, aneurysms, infections, degenerative disorders and features new chapters on neurological critical care and peripheral neuropathies.

Member Price: $108.00 (Non-Member: $114.00)





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.
Read more about this position


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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