Critical Care eNewsline: May 1, 2014

  NTI 2014  

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May 1, 2014


ACTION - Nominations close May 31

EVIDENCE - Feeding-tube placement

NEWS - Sepsis increases postop thrombosis risk

AACN NEWS - Free webinar on HWEs




Establishing clear goals, measuring them, recognizing achievement and holding people accountable are the essence of effective performance management.


What You Accept Is What You Teach: Setting Standards of Accountability,” by Michael Henry Cohen”



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FY2016-18 Board and FY2016 Nominating Committee

Nominations are being accepted for the FY2016-2018 AACN Board of Directors and the FY2016 Nominating Committee (fiscal year is July 1-June 30). Have an impact on our AACN community and the future of nursing by submitting your nominations; deadline is May 31, 2014. Accountabilities and leadership requirements, available positions and nomination forms are posted online. For more information, contact Melinda Messenger-Stout, volunteer program specialist, at 1-800-394-5995, ext. 331 or


Participate in a survey on family presence during resuscitation

Glynda Cochran, a doctoral candidate at University of Texas Medical Branch, Galveston, invites critical care nurses to participate in a study exploring whether attitudes and beliefs about family presence during resuscitation can predict critical care nurses’ intention to allow this practice. The confidential, online survey takes 20 minutes or less to complete. Email Cochran or Alice Hill, project adviser, if you have any questions.


Share your expertise

Are you an APRN interested in international exchange? Consider an 11-day Global Engagement Institute (GEI) program to share your expertise with colleagues in Rwanda. Focus areas are neonatal care, emergency cardiac care, and infection prevention and control. Visit GEI’s website for more information.



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CNE article in AJCC discusses feeding-tube placement

Effectiveness of an Electromagnetic Feeding Tube Placement Device in Detecting Inadvertent Respiratory Placement,” a CNE article in May’s American Journal of Critical Care (AJCC), finds clinicians’ ability to place feeding tubes correctly by using such a device varies, and it questions the wisdom of eliminating radiographic confirmation of tube position before starting feedings.


Study in AJCC finds alarms remain patient safety issue

May’s American Journal of Critical Care (AJCC) includes “Attitudes and Practices Related to Clinical Alarms,” which finds that survey results from 2005-2006 compared to 2011 show no significant differences and that alarm hazards continue to be a significant patient safety concern.



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National Nurses Week 2014

“Nurses: Leading the Way” is the theme for National Nurses Week 2014. Access several suggestions for celebrating, and also register for “Transforming Health Care Through Nursing Leadership,” a free webinar May 7. The week of May 6-12, selected to coincide with Florence Nightingale’s birthday, May 12, celebrates nurses leading the way for patients, colleagues, organizations and the healthcare industry. We appreciate all that you do and thank you for your continuing excellence in practice.


National Critical Care Awareness and Recognition Month

National Critical Care Awareness and Recognition Month (NCCARM) honors the dedication and commitment of critical care professionals. With activities led by the Society of Critical Care Medicine, NCCARM is supported by American Association for Respiratory Care, American College of Chest Physicians, American Thoracic Society and AACN. Access ways to honor critical care nurses, including the tradition of wearing blue on Friday, May 16.


News from the FDA

April 18 and April 22, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, announced three recalls from Hospira, Lake Forest, Illinois:

Seven lots of Propofol Injectable Emulsion, 1%, 200 mg/20 mL (10 mg/mL), because of a glass defect on the interior neck of the vial

One lot of 1% Lidocaine HCI Injection,10 mg/mL, 30 mL single dose, preservative free, because of iron oxide particulate found in the solution and embedded in the glass vial

One lot of 0.25% Marcaine (Bupivacaine HCl Injection), 10 mL, single dose, preservative free, because of discolored solution with visible particles embedded in the glass



Sepsis increases postoperative thrombosis risk

Preoperative sepsis increases risk of thrombosis during and after surgery, according to a study of nearly 1.75 million surgical procedures that was presented at an American College of Cardiology meeting and reported online April 18 in Cardiology News. The more severe the sepsis, the greater the thrombosis risk; even early sepsis is associated with a 2.5-fold increased risk.



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AACN Practice Alert: Delirium Assessment and Management

Studies show that delirium in the ICU often goes undetected and therefore untreated, leading to delirium-associated costs of between $4 billion and $16 billion annually in the U.S. While no FDA-approved drugs are available to treat delirium, this AACN Practice Alert explains that implementing early assessment, prevention and detection protocols such as the described ABCDE bundle reduces risk factors. Access all AACN Practice Alerts, which are provided free of charge.



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Live Webinar: 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 and Patients,” Thursday, June 12, 10 a.m. PT. Join health educator and researcher 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.


A new option to access CNE transcripts and certificates

AACN introduces a new option for members and customers to access their CNE transcripts and certificates, including those for AACN conferences and external events where AACN provided CNE contact hours, plus access to these items on AACN’s CE Center:

Log in with your member/customer ID, and click on My Account

Click on Transcripts and Certificates under Continuing Education

Click on a particular conference, and print your certificate

Access and complete evaluations

Click on CEOnline, and print completed CNE



Come for the day. Learn for a lifetime.

Even one day at AACN’s National Teaching Institute & Critical Care Exposition (NTI), Denver, May 17-22, can benefit your practice. The learning opportunities, expert speakers and networking will transform an average day off into the experience of a lifetime. Daily rates for the main conference range from $210/AACN members to $260/nonmembers. Preconferences start at $99/members and $130/nonmembers. Check dates and times for sessions, Critical Care Exposition, certification exams and other activities, including the Moral Distress Summit, May 21.


New editions of ‘AACN Essentials’ textbooks

New third editions of two AACN-branded textbooks, written and edited by clinical experts in acute and progressive care nursing, are available at “AACN Essentials of Critical Care Nursing” covers basic to advanced critical care concepts. “AACN Essentials of Progressive Care Nursing” provides foundational information to equip nurses working in high acuity and progressive care, and those preparing for PCCN certification in progressive care.


Step Forward

From May's AACN Bold Voices
“What Were We Thinking?”— Vicki Good, AACN President 2013-2014



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AACN Cardiac Medication Pocket Reference Card

Author: AACN
(Pocket Cards, 2013)
Product Code:400801

This pocket reference card provides information on common cardiac medications, including loading and maintenance dosages, indications and contraindications. Quick reference drug categories: Antidysrhythmic Medications, Inotropic Drugs, Vasodilator Drugs.

Member Price: $2 (Non-Member: $4)





12-Lead ECG Clipboard

Author: T. Norton
(Clipboard, 2008)
Product Code:100131

Immediately identify areas of injury to the heart with this sturdy, legal-size clipboard imprinted with a 12-Lead ECG tracing. The tracing is color coded so you can determine specific coronary arteries based on the leads.

Member Price: $12 (Non-Member: $14)





Featured Career Opportunities





RN Float Pool - Evergreen Health

Kirkland, WA

EvergreenHealth is committed to providing the highest quality of care to our patients. EvergreenHealth has part-time, .6 FTE, night shift, float pool positions open.
Read more about this position


Cardiac Care Director – Inova Health System

Washington, DC area

Inova Alexandria Hospital, a 320 bed nationally recognized hospital in Washington DC area seeking Cardiac Care Director to lead MSICU/CVICU units, oversee 30 beds, 75 FTE’s.
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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