Critical Care eNewsline: May 8, 2014

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May 8, 2014


ACTION - Sedation and pain

EVIDENCE - Antimicrobial resistance major threat

NEWS - Alarm management

AACN NEWS - ‘AACN Essentials’ book signing




[C]ritical thinking doesn’t mean simply being critical. It means not accepting information at face value without carefully evaluating it.


Critical Thinking, Clinical Reasoning, and Clinical Judgment: A Practical Approach,” 5th ed.,
by Rosalinda Alfaro-LeFevre



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Register for conference on delirium

Register to attend the 4th annual conference of the American Delirium Society (ADS), June 1-3, Baltimore. Preconferences include “Delirium 101,” a half-day course on the fundamentals of delirium and how to recognize it, and “ICU Delirium: An Old Syndrome with New Solutions.” A workshop on prevention and treatment of delirium in ICUs is also scheduled. ADS notes that each year more than 7 million hospitalized Americans have delirium.


Participate in survey on family presence during resuscitation

Kelly Powers, a doctoral candidate at the University of Nevada School of Nursing, Las Vegas, invites critical care nurses to participate in a study to evaluate the effect of an online learning module on critical care nurses’ perception and self-confidence for implementing family presence during resuscitation. Email Powers if you have any questions.



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Study in AJCC finds sedation may mask pain in intubated patients

May’s American Journal of Critical Care (AJCC) includes “Discovery of Unexpected Pain in Intubated and Sedated Patients,” which finds that sedation may mask uncontrolled pain for intubated patients and prevent them from communicating this condition to a nurse.


CNE article in AJCC finds positive attitude key to guideline adherence

Adherence to Institution-Specific Ventilator-Associated Pneumonia Prevention Guidelines,” a CNE article in May’s American Journal of Critical Care (AJCC), finds that the most consistent facilitator of adherence to the guidelines is nurses’ positive attitude toward them.


ICU readmission of trauma patients

Characteristics and Risk Factors of Trauma Patients Readmitted to the ICU Within the Same Hospitalization,” in January/February’s Journal of Trauma Nursing, finds characteristics for readmission include increased age and diabetes, and risk factors include increased time between injury and ICU admission, admission from surgery or another hospital and a higher Injury Severity Score.



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May 12: International Nurses Day

International Nurses Day is celebrated May 12, the birthday of Florence Nightingale, who is considered the founder of modern nursing. Each year, the International Council of Nurses, Geneva, Switzerland, prepares and distributes a kit with educational materials.


CDC announces first case of MERS in U.S.

On May 3, the Centers for Disease Control and Prevention (CDC), Atlanta, announced its first report of a case of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection in the U.S. The patient is in a hospital in Indiana after flying from Saudi Arabia to Chicago via London, then taking the bus to Indiana. According to the CDC, this first U.S. case represents a very low risk to the public. A CDC Health Advisory provides background and recommendations, and the CDC has online information for healthcare providers. MERS was first reported in 2012, with 401 confirmed cases to date, all of which originated in six countries in the Arabian Peninsula.


WHO report calls antimicrobial resistance serious threat to health

Antimicrobial resistance is a serious, worldwide threat to public health, according to “Antimicrobial Resistance: Global Report on Surveillance 2014,” which the World Health Organization (WHO), Geneva, released April 30. WHO says resistance is “happening right now in every region of the world.” Access an infographic on the report.


News from the FDA

On May 2, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, announced that Baxter Healthcare, Deerfield, Illinois, recalled the Sigma Spectrum Infusion Pump with Master Drug Library, because it incorrectly detects that the pump’s door is open, which can interrupt therapy.

On May 2, the FDA announced that Hospira, Lake Forest, Illinois, recalled Abbott Acclaim Infusion Pumps and Hospira Acclaim Encore Infusion Pumps, because of reports of broken door assemblies.

On April 29, the FDA announced that HeartWare, Miami Lakes, Florida, recalled its Ventricular Assist System, because of reports the driveline connector locking mechanism failed to engage.


American Stroke Month

May is American Stroke Month, the annual campaign of the American Heart Association and American Stroke Association, Dallas, to increase awareness and educate Americans that stroke — the fourth-leading cause of death and the leading cause of preventable disability in the U.S. — is largely preventable, treatable and beatable. Access campaign tools and resources for healthcare professionals.



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Alarm management resources

Although the Alarm Systems Management Webinar Series just ended, free access to recorded webinars and resources is available. The recording of the April 29 live webinar, “Educating and Training Your Staff: Circling Back to Your Policies and Procedures” — the last one in the series — is ready to view, and CNEs are available. Sponsored by AACN, the Healthcare Technology Safety Institute (HTSI) and other leaders, the series helps healthcare teams comply with The Joint Commission’s 2014 National Patient Safety Goal regarding alarms. HTSI is an initiative of the AAMI (Association for the Advancement of Medical Instrumentation) Foundation, Arlington, Va.


Recommended practices

On April 23, Catheterization & Cardiovascular Interventions posted “Transcatheter Aortic Valve Replacement Program Development: Recommendations for Best Practice,” which concludes, “Programmatic success and patient outcomes depend on the development of a comprehensive and collaborative program tailored to TAVR.”



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Maximize your NTI experience

Get the most from your NTI journey with AACN’s NTI ActionPak: Plan, Learn, Act. Designed by nurses for nurses, NTI ActionPak provides tools to help you plan, learn and act on your conference education and activities. From concurrent sessions and networking to the latest resources and new products, ActionPak helps you organize your NTI experience and share it back home on your unit. ActionPak is on the AACN website, and a Learning Action Journal will be in your NTI attendee bag.


‘AACN Essentials’ book signings at NTI

Suzanne Burns, editor of the new third editions of “AACN Essentials of Critical Care Nursing” and “AACN Essentials of Progressive Care Nursing,” will sign books and bookplates at NTI, Sunday, May 18, 2:30-3:30 p.m., and Monday, May 19, 1:45-2:30 p.m., in the AACN Community Center. On Tuesday, May 20, 11 a.m.-1:30 p.m., she will also be signing next to the McGraw-Hill booth (#933) in the exhibit hall. Both books are available at


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.


Step Forward

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



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Adult CCRN/CCRN-E Certification Review Course on CD-ROM (PC)

Author: B. Leeper, MK Bader, C. Rauen, S. Burns
Editor: AACN
(CD Rom, 2011)
Product Code:301950

AACN offers this comprehensive review course to help prepare you for the certification exam given by AACN Certification Corporation that offers 14.5 CNE hours for the entire course. AACN members receive 14.5 contact hours at no additional charge; fee for nonmembers is $25.

Member Price: $179 (Non-Member: $199)





AACN Water Bottle

Product Code:402111

Stay hydrated with this BPA-free stainless steel-rim water bottle. A great companion for the busy professional.

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





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


Acute Care Nurse Practitioner – Mount Carmel Health System

Columbus, OH

Mount Carmel, one of the largest healthcare systems in central Ohio, is seeking acute care nurse practitioners for fulltime positions in our intensive care units.
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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