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March 27, 2014
ACTION - Vote in Election 2014
EVIDENCE - Glucose monitoring
NEWS - Communication training
AACN NEWS - New at NTI
Quality is an expectation of health care.”
“The Clinical Practice of Neurological and Neurosurgical Nursing,” 7th ed., by Joanne Hickey
Vote in Election 2014: Your Voice Matters!
Vote for the FY2015-2017 AACN Board of Directors and the FY2015 Nominating Committee. Voting is an opportunity to shape our future leadership and help fulfill our vision of a healthcare system driven by the needs of patients and their families. Please know that your participation is extremely important. Candidate profiles are included in March’s AACN Bold Voices or at www.aacn.org/election, where you also can vote or indicate your decision to abstain. Voting ends April 21, 11:59 p.m. ET.
NTI 2014: Early-bird registration ends April 3
Don’t miss the opportunity to save $76 on your registration fees for the National Teaching Institute & Critical Care Exposition (NTI), May 17-22, in Denver.
Preregister for certification exams at NTI
Paper and pencil administration of the CCRN, CCRN-E, PCCN, CCNS, ACNPC, ACNPC-AG and CNML specialty exams, and the CMC and CSC subspecialty exams will be offered on-site at NTI Monday afternoon, May 19. Preregistration using a special NTI exam application is required. Payment of exam fees must accompany your application and arrive at AACN no later than Friday, April 18.
Study in AJCC finds arterial catheter effective for glucose monitoring
Using blood obtained via an arterial catheter is safe and effective for glucose monitoring in patients undergoing intensive insulin therapy, with no increase in complications from catheterization, according to “Arterial Catheter Setup for Glucose Control in Critically Ill Patients: A Randomized Controlled Trial,” in March’s American Journal of Critical Care (AJCC).
CNE of the Month: 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.
Questioning value of sepsis protocols, central hemodynamic monitoring
“A Randomized Trial of Protocol-Based Care for Early Septic Shock,” published March 18 in The New England Journal of Medicine, finds that protocol-based therapy has no advantage over treatment based on physician judgment in terms of morbidity and mortality, and central hemodynamic monitoring doesn’t provide significant benefit. Early identification of sepsis and prompt treatment with antibiotics and other measures are important for reducing mortality.
Nurses improve enteral nutrition
Having nurses responsible for implementing a standard operating procedure for nutrition leads to an earlier start for enteral feeding and more frequent assessment of caloric goals, according to “Improvement of Enteral Nutrition in Intensive Care Unit Patients by a Nurse-Driven Feeding Protocol,” posted online March 7 in Nursing in Critical Care.
Predicting risk of complication
“Hospital Readmission After Noncardiac Surgery: The Role of Major Complications,” online March 5 in JAMA Surgery, finds that unplanned readmissions are common in patients who experience postoperative complications and can be predicted through the American College of Surgeons National Surgical Quality Improvement Program.
Communication training now available
SPEACS-2 Communication Skills Training, from The Ohio State University College of Nursing, Columbus, is an innovative online program for ICU nurses, designed to enhance assessment and communication skills with ICU patients who are nonvocal. The program, which offers 1.0 contact hour of continuing education, includes a 60-minute self-guided program, downloadable pocket reference guides on ready-to-use communication techniques, references and resource guides, and implementation tips.
Tele-ICU nursing guidelines
“AACN Tele-ICU Nursing Practice Guidelines” brings consistency in nursing practice across new and existing tele-ICUs, serving as a benchmark for the growing number of RNs who practice within the tele-ICU model of care. The document defines tele-ICU nursing and identifies the guidelines and essential elements to help tele-ICU nurses, managers and program directors evaluate their individual or unit practice. Download the guidelines as a free PDF, or purchase a booklet on AACN’s website.
Family Presence: Visitation in the Adult ICU
The unrestricted presence and participation of patients’ family members and friends has wide-reaching benefits for patients, both medically and psychologically. This AACN Practice Alert outlines administrative and practical considerations for implementing less-restrictive access to the bedside for these partners in care. Access other AACN Practice Alerts, all of which are provided free of charge.
New at NTI: More than 60 sessions for APRNs
The Advanced Practice Institute (API) at NTI, in Denver, May 17-22, offers up to 35 CNE hours. New this year, the API program includes up to 20 pharmacology hours. The wide range of topics includes healthcare reform, the APRN value proposition and healthy work environments. In addition to pharmacology sessions, clinical sessions include advanced imaging with differential diagnosis, nutrition and pain management. The preconferences present opportunities for hands-on experiential learning with sessions providing deeper coverage on topics relevant to practice.
Choosing Wisely® at AACN’s next live webinar
Learn about routine tests and procedures that may be overused in critical care settings by attending “Choosing Wisely in Critical Care: Nurses Taking Action,” Thursday, May 1, 10 a.m. PT. Developed by the Critical Care Societies Collaborative — of which AACN is a member — this evidence-based list of practices is part of the ABIM Foundation’s Choosing Wisely campaign. The University of Pennsylvania’s Deborah Becker will discuss the five practices to question and the nurse’s role in implementation. Registration is free and includes supplemental tools.
From March's AACN Bold Voices
“Staying Whole”— Vicki Good, AACN President 2013-2014
PCCN Soft-shell Vest
Add a cozy layer with our Soft Shell Vest. The polyester stretch woven shell is bonded to polyester microfleece for core insulation and windproof protection. These highly breathable vests have four-way stretch for easy movement and a laminated film insert for water resistance.
Member Price: $54.00 (Non-Member: $60.00)
Medical Translation Visual Phrasebook
Author: N. Bobenhouse
(Book, 121 pages, 2013)
Communicate with your non-English-speaking patients even when no translator is available - you just flip the pages and point!
Member Price: $20.00 (Non-Member: $22.00)
Featured Career Opportunities
Clinical Education Consultant – Spacelabs Healthcare
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.
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