Critical Care eNewsline: June 12, 2014


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June 12, 2014


ACTION - Evaluations due June 14

EVIDENCE - Cardiac diagnostic tests

NEWS - CDC measles report

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Asking questions is a direct path to exploring, growing, learning,


writes Mary Fran Tracy in “A Daybook for Critical Care Nurses,” by Eileen Gallen Bademan, ed.



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CNE/CERP/Pharma evaluations due June 14

Track your evaluation of every NTI/API, ExpoEd, Sunrise and Poster session you attended at NTI in Denver, May 17-22. Enter your program and session evaluations, and print your certificate at Copies of CNE/CERP/Pharma certificates issued are maintained at AACN in a secure, password-protected file for six years. You may enter evaluation information online until midnight PT, June 14. After that date, you may only print your certificate.


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. Researcher Elizabeth Bridges 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.


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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CNE article in CCN reviews cardiac diagnostic tests

Cardiac Diagnostic Testing: What Bedside Nurses Need to Know,” in June’s Critical Care Nurse (CCN), reviews common noninvasive cardiac diagnostic tests, specifically those used in diagnosing coronary heart disease.


Clinicians reluctant to discuss EOL care with heart failure patients

Healthcare providers are reluctant to discuss end-of-life (EOL) care with heart failure patients and their families, because “they feel uncomfortable broaching the topic or lack time,” according to a new study presented June 4 at the Quality of Care and Outcomes Research 2014 Scientific Sessions in Baltimore.


June’s Critical Care Medicine includes the following studies:

Randomized ICU Trials Do Not Demonstrate an Association Between Interventions That Reduce Delirium Duration and Short-Term Mortality: A Systematic Review and Meta-Analysis” concludes the current evidence doesn’t support that ICU interventions for reducing delirium reduce short-term mortality.

Quality of Communication in Interpreted Versus Noninterpreted PICU Family Meetings” finds that physician-family communication is poor overall. The study, which analyzed 21 English and nine Spanish family meetings, suggests physicians can improve communication at these meetings by “increasing the use of elements of shared decision-making, improving the balance between physician and family speech, and decreasing the complexity of physician speech.”


Electronic decision-support tools increase compliance

Optimizing Care of Adults With Congenital Heart Disease in a Pediatric Cardiovascular ICU Using Electronic Clinical Decision Support,” in June’s Pediatric Critical Care Medicine, concludes that decision support tools increase compliance with “national adult postoperative performance measures.”



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Cases of measles exceed reported record

On May 29, the Centers for Disease Control and Prevention (CDC), Atlanta, reported 288 cases of measles from Jan. 1 through May 23, which surpasses the highest reported yearly total since measles elimination was declared in the U.S. in 2000. The article, in MMWR: Morbidity and Mortality Weekly Report, states, “The large number of cases this year emphasizes the need for health-care providers to have a heightened awareness of the potential for measles in their communities and the importance of vaccination to prevent measles.”


Recorded webinar on enteral connectors

Raising Awareness: New Enteral Connectors,” a one-hour webinar from A.S.P.E.N., Silver Spring, Maryland, recorded April 30, discusses the features of the new enteral connector standards and the timeline for implementation and transition. CE is available for a fee.



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AACN Practice Alert: ‘Prevention of Aspiration’

Critically ill patients, especially those who are tube-fed, may experience micro-aspirations, which greatly increase the risk of pneumonia and other complications. This AACN Practice Alert offers a checklist for aspiration prevention, including head-of-bed elevation, assessment of sedation levels and feeding-tube placement. Access other AACN Practice Alerts, all of which are provided free of charge.


Heart Healthy Toolbox resource center

A Heart Healthy Toolbox: Lifestyle Change Tools for Health Care Professionals & Their Patients, from the Preventive Cardiovascular Nurses Association, Madison, Wisconsin, is a compilation of resources that support heart-healthy lifestyle education for adult patients in cardiology and primary care settings. You can download tools for exercise, healthy eating, goal setting and many others.



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AACN online bookstore offers free shipping for members

Enjoy a new benefit of AACN membership throughout 2014: free shipping on AACN online bookstore purchases of more than $50, before taxes. (Registration fees for conferences, other educational offerings and certification exams do not count toward total cost of shipped products.) No promo code is needed for this member appreciation discount, which is applied automatically at checkout. If you aren’t a member, join now to enjoy this incentive, plus many more benefits of belonging to our AACN community of exceptional nurses.


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 Progressive Care Nursing," 3rd ed.

Editor: S. Burns
(Book, 560 pages, 2014)
Product Code:128765
ISBN: 9780071822923

Written by clinical experts in acute care nursing, this textbook provides foundational information, whether you work in progressive care or want to prepare for the certification exam in progressive care nursing. It's a concise presentation of essential information for the safe and competent care of adult progressive care patients and their families.

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





CCRN Lanyard

(Badge Holders)
Product Code:402170

Royal blue lanyard eyeglass/badge holder repeats CCRN logo. Order one for each CCRN on your staff.

Member Price: $3.50 (Non-Member: $4)





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