Critical Care eNewsline: June 5, 2014


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June 5, 2014


ACTION - Webinar on work environments

EVIDENCE - Harlequin syndrome

NEWS - CDC issues health advisory

AACN NEWS - Two conferences in Nashville




Focus is a blueprint for success, and by being focused on the goal, we position ourselves for success.


B Is for Balance: A Nurse’s Guide for Enjoying Life at Work and at Home,” by Sharon M. Weinstein



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Live webinar June 12: Do RN work environments impact patient outcomes?

Learn about the importance of creating and sustaining a healthy work environment (HWE) at AACN’s next live webinar, “Critical Impact: How Work Environments Affect Nurses, Patients,” Thursday, June 12, 10 a.m. PT. Join health educator Beth Ulrich to discuss the impact of work environment on patient outcomes, six standards for HWEs and starting a conversation about improving your work environment. Free registration includes the webinar, implementation tools, an online forum and access to the on-demand recording. CNE is offered at no charge for AACN members and $5 for nonmembers.


Participate in ethics discussion online

Johns Hopkins University School of Nursing and Berman Institute of Bioethics, Baltimore, invite nurses to participate in a national dialogue on ethical challenges facing the profession. Participants can comment through a series of blog posts and Twitter chats. The dialogue will lay important groundwork for an invitational summit on nursing ethics scheduled for August. For more information, read “What Keeps Nurses Up at Night?


Participate in survey on bedside technology and nursing workarounds in ICU

Jennifer Browne, a doctoral candidate at the University of Texas Health Science Center, San Antonio, invites critical care nurses to participate in a study exploring the solutions and workarounds that bedside nurses use when there is a mismatch between nursing workflow and computer or computer-use policies. The survey takes about 10-15 minutes to complete. Email Browne with your questions, or call her at (210) 296-7511.



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Article in CCN discusses Harlequin syndrome

Harlequin Syndrome as a Complication of Epidural Anesthesia,” in June’s Critical Care Nurse (CCN), discusses differential diagnoses for unilateral facial flushing and the pathophysiology of this rare complication.


CNE article in CCN reviews neuromonitoring techniques

June’s Critical Care Nurse (CCN) includes the CNE article “Neuromonitoring Indications and Utility in the Intensive Care Unit, which discusses indications, use and applicability to patient care for transcranial Doppler monitoring and electrophysiology.


Studies in June’s Critical Care Medicine include:

Arterial Catheters as a Source of Bloodstream Infection: A Systematic Review and Meta-Analysis,” which concludes these catheters are an unrecognized cause of bloodstream infections, and using a radial instead of a femoral site reduces infection risk.

The Interaction of Vasopressin and Corticosteroids in Septic Shock: A Pilot Randomized Controlled Trial,” which finds that patients who receive hydrocortisone in addition to vasopressin require a lower total dose and need a shorter duration of vasopressin therapy.


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CDC health advisory on polio vaccination for travel

On June 2, the Centers for Disease Control and Prevention (CDC), Atlanta, issued “Guidance to US Clinicians Regarding New WHO Polio Vaccination Requirements for Travel by Residents of and Long-Term Visitors to Countries With Active Polio Transmission,” a health advisory that cautions clinicians about possible new vaccination requirements for patients planning travel (longer than four weeks) to countries with ongoing poliovirus transmission. A May 5 statement from the World Health Organization, Geneva, names 10 such countries.


NIH pain database

On May 27, the National Institutes of Health (NIH), Bethesda, Maryland, issued a press release announcing the launch of “Interagency Pain Research Portfolio,” a database with information about pain research and training activities supported by the federal government. Search more than 1,200 research projects by theme, research type, pain condition and other categories.


HBV screening recommendations

On May 26, the U.S. Preventive Services Task Force, Rockville, Maryland, issued a bulletin with its recommendations on “Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults,” for those at high risk of infection, including people born in countries with a high prevalence of HBV infection and patients with a weakened immune system or undergoing hemodialysis. The U.S. strategy to eliminate HBV transmission includes universal vaccination of all infants at birth, catchup vaccination of adolescents and vaccination of high-risk groups.



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Free recorded webinar on worker fatigue

Register for a free, 60-minute recorded webinar, “Worker Fatigue: Implications for Patient & Staff Safety,” offered by TeleTracking, Pittsburgh, in conjunction with The Joint Commission, Oakbrook Terrace, Illinois. The recorded webinar provides information on standard requirements from The Joint Commission and how hospitals can improve patient and worker safety.


Healthy Work Environment Assessment Tool

Access AACN’s Web-based Healthy Work Environment Assessment Tool, so you and your team can measure your work environment’s health against AACN’s Standards for Establishing and Sustaining Healthy Work Environments.



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Live webinar: Alternative methods for evaluating hemodynamic status

Learn about the use of functional hemodynamic parameters to evaluate the fluid status of patients in critical care units at AACN’s live webinar, “Integrating Functional Hemodynamics at the Point of Care,” Thursday, July 10, 10 a.m. PT. Elizabeth Bridges, associate professor and nurse researcher, University of Washington, Seattle, will discuss the validity of alternative hemodynamic monitoring options and present case studies on how to integrate these new parameters into bedside practice. Free registration includes the webinar, implementation tools, an online forum and access to the on-demand recording. CNE is offered at no charge for AACN members and $5 for nonmembers.


2015 AACN Circle of Excellence award nominations open

Nominate your peers and colleagues for the 2015 AACN Circle of Excellence awards, which recognize acute and critical care nurses who make a difference in the lives of patients and families. Up to 25 recipients will be selected by Dec. 31 and inducted into the Circle of Excellence Society. Nominations close Friday, Aug. 1. Learn more and nominate.


AACN Progressive Care Pathways, Sept. 28-Oct. 1, Gaylord Opryland Resort & Convention Center, Nashville

Is your clinical unit called stepdown, intermediate, telemetry, transitional or direct observation? These progressive care areas receive patients directly from ICU who require high-intensity nursing care and a high level of surveillance. During the fourth annual Progressive Care Pathways conference, interact with your peers, hear from progressive care experts, and learn about innovative and exciting evidence-based strategies. Hot topics include management of bedside cardiac monitoring, pain assessment and social media. Visit


AACN Nurse Manager Priorities, Sept. 28-Oct. 1, Gaylord Opryland Resort & Convention Center, Nashville

Today’s changing healthcare environment, more than ever, requires strong leaders. Authentic leaders skilled in managing the business, people and themselves. At this fourth annual conference, learn innovative leadership tools and strategies when you engage with facilitators and peers in leadership roles. Hot topics include benchmarking and productivity, managing a healthy work environment, the art of recruiting and creating a culture of accountability. Visit


Step Forward

From June's AACN Bold Voices
“Step Forward. And Pause”— Vicki Good, AACN President 2013-2014



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"AACN Essentials of Critical Care Nursing," 3rd ed.

Author: S. Burns
(Book, 624 pages, 2014)
Product Code:128750
ISBN: 9780071822794

Covering basic to advanced critical care concepts, this evidence-based resource provides an essential foundation for the nursing care of critically ill patients. It is ideal for nurses beginning their critical care career and experienced nurses who can use this user-friendly resource for both essential and advanced concepts. ECG rhythm interpretation and treatment and pharmacology also make it an excellent resource for progressive care nurses.

Member Price: $71 (Non-Member: $79)





CCRN Water Bottle

Product Code:402123

Stay hydrated with this stylish BPA-free, stainless steel-rim water bottle.

Member Price: $12 (Non-Member: $15)





Featured Career Opportunities





Critical Care Nurses - JFK Medical Center

Edison, NJ

Join us today in the following role: Critical Care Nurses – Nights. Exceptional Care. Exceptional People.
Read more about this position


REGISTERED NURSE – ICU - Emerald Health Services

Orange County, CA

Want to live and work within a five mile radius to one of the most gorgeous beaches in Southern California?
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Telemetry and Cardiovascular RN Opportunities - Northridge Hospital Medical Center

Northridge, CA

We currently have a number of full-time RN Staff openings in our Telemetry and Telemetry CVU units. We have both day and night shift opportunities available.
Read more about this position


Medical Information Associate, Medical Affairs - Baxter Healthcare Corporation

Round Lake, IL

The Medical Information Associate will receive, research, and respond to internal and external medical information inquiries related to the Baxter Renal Gambro product portfolio.
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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