Critical Care eNewsline: March 6, 2014

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March 6, 2014


ACTION - Register for live webinar

EVIDENCE - Symptoms of clinical depression

NEWS - News from the FDA

AACN NEWS - NTI Sunrise Sessions




One of the most common neurological events that may be misinterpreted as acute stroke is seizure with postictal Todd’s paralysis,


write Martinson K. Arnan and Rafael H. Llinas in “The Stroke Book,” 2nd ed., by Michel T. Torbey
and Magdy H. Selim, eds.



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Live webinar March 13: Clinical focus shifting from VAP to VAE

Learn about ventilator-associated events (VAEs), and the shift in perspective from the specific condition of ventilator-associated pneumonia (VAP) to a broader focus on VAE at AACN’s next live critical care webinar, “Proactively Preventing Ventilator-Associated Events,” Thursday, March 13, 10 a.m. PT. Join Suzi Burns, an independent consultant specializing in progressive care nursing and clinical nursing research, for a discussion on VAE and improving patient outcomes. Free registration includes the live event, implementation tools, an online discussion forum and access to the on-demand recording. Learn more and register.


Register for AACN Clinical Priorities 2014

AACN Clinical Priorities 2014 (formerly A Slice of AACN NTI), takes place April 15-17, MGM Grand, Las Vegas. Workshop topics include alarm management, healthy work environments, ethics and preventing healthcare-associated infections. The conference includes full-day clinical sessions on neuro/trauma/stroke, sepsis, cardiovascular and common clinical disorders in high acuity patients. Earn up to 22 CNE hours at this conference, which is designed for nurses who care for high acuity and critically ill patients in any adult unit, including intensive care, progressive, stepdown or trauma. Register by March 12 to obtain the early-bird discount: $485 for AACN members and $515 for nonmembers. The special hotel rate is $77/night plus tax and resort fees, if you reserve your room by March 24.


AACN scholarships enhance the value of AACN membership

Whether you seek learning through a national or local program, AACN scholarships support you in expanding your knowledge and skills. Start your learning journey on the Continuing Professional Development Scholarships page, where you’ll see the many opportunities AACN scholarships have supported, from health policy, evidence-based practice and leadership development to personal growth and communications. Then read Important Information for Scholarship Applicants before starting your online application. Email with questions.


Participate in a survey on ICU visitation

Samantha Flick, a master’s student at East Carolina University, Greenville, N.C., invites critical care nurses to participate in a study about their perceptions and practices regarding children visiting adult loved ones in a critical care setting. The confidential, online survey takes 15-25 minutes to complete. Email Flick or Priti Desai, assistant professor, if you have any questions.



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CNE article in AJCC discusses clinical depression

Depressed or Not Depressed: Untangling Symptoms of Depression in Patients Hospitalized With Coronary Heart Disease,” a CNE article in March’s American Journal of Critical Care (AJCC), finds that clinicians should be alert to clinical depression in patients hospitalized with coronary heart disease who have the cognitive/affective symptom cluster.


Study in AJCC reviews backrest elevation in VAP

March’s American Journal of Critical Care (AJCC) includes “Interface Pressure at Different Degrees of Backrest Elevation With Various Types of Pressure-Redistribution Surfaces,” which recommends a semirecumbent position of at least 30 degrees to prevent ventilator-associated pneumonia (VAP) but adds that increased head-of-bed elevation is linked to a higher risk for sacral pressure ulcers. Using backrest elevation up to 30 degrees is a suggested compromise.


Studies in March’s Critical Care Medicine include:

When Policy Gets It Right: Variability in U.S. Hospitals’ Diagnosis of Ventilator-Associated Pneumonia” notes that classification of ventilator-associated pneumonia is extremely variable, which provides support for “moving to a more objective definition of ventilator-associated complications.”

Central Venous Catheter Placement by Advanced Practice Nurses Demonstrates Low Procedural Complication and Infection Rates – A Report From 13 Years of Service” finds low complication rates, which suggests that “a centrally based service with specifically trained operators” may be beneficial by improving patient safety and organizational efficiencies.

Cornell Assessment of Pediatric Delirium: A Valid, Rapid, Observational Tool for Screening Delirium in the PICU*” concludes the “Cornell Assessment of Pediatric Delirium is a valid, rapid, observational nursing screen that is urgently needed for the detection of delirium in PICU settings.”


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News from the FDA

On Feb. 24, the Food and Drug Administration (FDA), Silver Spring, Md., announced that Teleflex Medical, Research Triangle Park, N.C., has recalled the ISIS HVT Tracheal Tube Cuffed with Subglottic Secretion Suction Port, because it may kink during use.

On Feb. 20, the FDA announced that Agila Specialties, Pittsburgh, has recalled 10 lots of Etomidate Injection 2 mg/mL – 10 mL and 20 mL because of the potential for small black particles in individual vials and a missing lot number and/or expiration date on the outer carton. All of the products have a Pfizer label.

On Feb. 20, the FDA announced that Respironics, Murrysville, Pa., has recalled approximately 600 Philips Respironics Trilogy Ventilators because of a potentially defective component on the power management board that could affect device function.


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Guideline summaries from AHRQ

The Agency for Healthcare Research and Quality (AHRQ), Rockville, Md., posted:

Long-term Medical Management of the Pediatric Patient After Liver Transplantation: 2013 Practice Guideline by the American Association for the Study of Liver Diseases and the American Society of Transplantation,” based on an article in the August 2013 Liver Transplantation

Aortic Valve and Ascending Aorta Guidelines for Management and Quality Measures,” based on a special report in April 2013’s The Annals of Thoracic Surgery.



Eliminating self-setting alarms reduces clinical alarm fatigue

Eliminating self-setting alarms reduces clinical alarm fatigue without requiring more resources or compromising patient safety, according to “Novel Approach to Cardiac Alarm Management on Telemetry Units,” published online Dec. 19, 2013, in Journal of Cardiovascular Nursing.



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Register for a free Sunrise Session at NTI

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 wide variety of topics on nursing practice. You must be registered for NTI and then reserve a seat in advance through NTI Network; space is limited. Sessions include a plated breakfast and offer 1.0 continuing education recognition point (CERP).


Join the AACN NTI Facebook page

Join the daily online conversation with the AACN community about NTI 2014 on our NTI Facebook page. Share the latest updates, insights and networking ideas to make the most of your NTI experience.


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.


Step Forward

From March's AACN Bold Voices
“Staying Whole”— Vicki Good, AACN President 2013-2014



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NTI t-shirt


Order your NTI T-shirt, featuring the 2014 artwork "Step Forward" in full color on a black background.

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





Time to Lead: The Ultimate Guide to Employee Engagement

Author: M.H. Cohen
(Book, 209 pages, 2011)
Product Code:128676
ISBN: 9781886624849

A practical resource on how to address your administrative responsibilities while increasing your presence with employees and customers. Each goal-focused exercise and self-assessment tool comes directly from the collective experiences of leaders like you.

Member Price: $18.95 (Non-Member: $19.95)





Featured Career Opportunities





RN Cardiac Catheterization Lab - Brookhaven Memorial Hospital

Patchogue, NY

Choose opportunity. Choose excellence. Choose Brookhaven. You may be eligible to receive our new $10,000 Special Incentive Bonus for experienced Cardiac Cath RNs!
Read more about this position


ICU Charge Nurse Needed – East Cooper Medical Center

Mount Pleasant, SC

Day Shift and Night Shift IUC Charge Nurse needed. Under the direction of the Department Director, provides direct and/or indirect, safe and effective professional nursing care.
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Clinical Education Consultant – Spacelabs Healthcare

Dallas/Oklahoma City

Spacelabs Healthcare has an exciting opportunity for a Clinical Educator in the Dallas – Oklahoma City area. You’ll be a key player and on-site educator during pre-sale, installation and post-sales activities.
Read more about this position






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