Critical Care eNewsline: May 15, 2014

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May 15, 2014


EVIDENCE - RRS barriers

NEWS - FDA approves Zontivity tablets

RESOURCES - Falls assessment tool

AACN NEWS - Election results are in




Searching skills are a necessity for all health professionals who want to stay up to date with best practice, particularly with the vast increase in research publication and improved access to research via open access journals.


Searching Skills Toolkit: Finding the Evidence,” 2nd ed., by Caroline De Brún and
Nicola Pearce-Smith



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Register for spinal cord injury webinar – today!

Register for “Spinal Cord Injury Support Options Post-Rehab Including Continence Care Program From Hollister,” a free webinar on May 15, 3-4 p.m. ET. The event is part of a webinar series from the National Spinal Cord Injury Association, Jackson Heights, New York.


NINR to hold free lecture on ECG monitoring

On May 20, 10:30-11:30 a.m. ET, the National Institute of Nursing Research (NINR), Bethesda, Maryland, offers the first of two Director’s Lectures for 2014 — “Electrocardiographic Monitoring: Two Decades of Discovery,” presented by Barbara Drew, the David Mortara Distinguished Professor of Physiological Nursing and clinical professor of medicine in cardiology at the University of California, San Francisco. The event, which will be held at the National Institutes of Health in Bethesda, is free and no registration is required. The program also will be streamed live and archived.


Call for public comment on revision of ANA Code of Ethics – deadline June 6

“The Code of Ethics for Nurses with Interpretive Statements” is foundational for every RN’s practice. The American Nurses Association is in the process of revising this document, which is posted for review and comment. ANA encourages you to read the document in its entirety before posting comments. This will help you understand the flow and organization of content under nine provisions. Then, please post your comments related to the preface and each provision. The comment period is open until June 6.


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 with your questions, or call her at (201) 669-2400.


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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Study in AJCC identifies RRS barriers

May’s American Journal of Critical Care (AJCC) includes “Barriers to Calling for Urgent Assistance Despite a Comprehensive Pediatric Rapid Response System,” which identifies barriers that may limit rapid response system (RRS) effectiveness. Addressing these barriers may enhance the impact of RRS on rates of cardiac arrest, respiratory arrest and mortality outside the ICU.


CNE article in AJCC compares airway management practices

Comparison of Airway Management Practices Between Registered Nurses and Respiratory Care Practitioners,” a CNE article in May’s American Journal of Critical Care (AJCC), finds that airway management practices have improved, but there are opportunities to develop shared policies and procedures based on current evidence.


Benefits of tele-ICUs

Tele-ICUs may increase quality of care, decrease mortality and reduce costs, according to “Expanding Technology in the ICU: The Case for the Utilization of Telemedicine,” a 10-year review study in May’s Telemedicine and e-Health.


Early RRT may shorten ICU stay

Early Versus Late Initiation of Renal Replacement Therapy in Critically Ill Patients With Acute Kidney Injury After Cardiac Surgery: A Systematic Review and Meta-analysis,” published online April 14 in Journal of Cardiothoracic and Vascular Anesthesia, finds that early RRT is associated with lower 28-day mortality and shorter ICU stays, although the conclusion is based on 11 studies of various qualities.



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News from the FDA

On May 8, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, approved Zontivity (vorapaxar) tablets, manufactured by Merck Sharp & Dohme, a subsidiary of Merck & Co., Whitehouse Station, New Jersey, to reduce the risk of heart attack, stroke, cardiovascular death and need for procedures to restore blood flow to the heart in patients with a previous heart attack or blockages in the arteries to the legs. It is the first in a new class of drugs called protease-activated receptor-1 (PAR-1) antagonists.


ICU patients and HAI

In low- and middle-income countries, 30 percent of ICU patients will acquire a healthcare-associated infection (HAI), and many will be resistant to antibiotics, according to a new survey from the World Health Organization (WHO), Geneva. In a May 2 press release, WHO recommends healthcare workers follow proper hand hygiene to reduce HAI.



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Updated strategies to prevent infections

June’s Infection Control & Hospital Epidemiology includes “Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update” and “Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals: 2014 Update,” which highlight practical recommendations in a concise format.


New falls assessment tool is clinically useful

May’s JONA: The Journal of Nursing Administration includes “The Baptist Health High Risk Falls Assessment: A Methodological Study,” which concludes the assessment is “clinically useful for adult inpatients across acute care settings.”



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2014 election results

Thank you to everyone who participated in AACN’s 2014 election. We invite you to visit the election results page to view the biographies of the new members of the AACN Board of Directors and Nominating Committee. Terms for newly appointed members begin July 1.


Sign up for editorial consults at NTI

A limited number of editorial consults are still available for NTI 2014. The editors of American Journal of Critical Care, Critical Care Nurse and AACN Advanced Critical Care are offering 15-minute in-person consults in the publishing booth (#1013) May 20-22. If you are interested, please attend the Q&A panel session, “Publishing in AACN Critical Care Journals,” in Room Mile High 4B, Monday at 12:15 p.m. or visit the publishing booth during exhibit hours to sign up. Meet with editors without an appointment during open Meet the Editors times Tuesday or Wednesday in the publishing booth.


Top 5 benefits of the Chapter LDW

Chapter members benefit in many ways by attending the Chapter Leadership Development Workshop (LDW) each year at NTI. Here are the top five benefits identified by last year’s participants: 1) Engaging Members, 2) Networking, 3) Best Practices, 4) Tools/Resources, 5) Leadership. Join us to discover how your chapter can benefit. Register on-site at NTI for class code PC127, Sunday, May 18. Learn more.


Step Forward

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



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Respiratory Nuts and Bolts: A Quick Reference Guide for Medical Professionals

Author: M. Fischer
(Book, 127 pages, 2013)
Product Code:128906
ISBN: 9780982585610

Do you want to learn more about respiratory? Do you want answers to some of the most common questions? This exciting new book is a culmination of every class the author has taught for the nursing population. For the first time you can get all of this popular material in one book. It is an easy to understand approach to many of the respiratory functions nursing is expected to be cross trained in. This book also contains all of the material in “Mechanical Ventilation Made Easy” which has had international success.

Member Price: $18 (Non-Member: $19.95)





Fit Nurse: Your Total Plan for Getting Fit and Living Well

Author: G. Scholar)
(Book, 224 pages, 2010)
Product Code:330113
ISBN: 9781930538948

"Fit Nurse" will empower you to make a difference in your life with •Comprehensive wellness plans that work
•Practical tips for improving your life
•Inspiration for reaching your goals
•Methods for increasing your energy level
•Proven professional advice on nutrition, fitness, weight management and improving back pain — from someone who has been helping nurses with their health and fitness for more than 10 years.

Member Price: $23.75 (Non-Member: $24.95)





Featured Career Opportunities





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


Registered Nurse ICU ($10K Sign on) –Atlanta Medical Center

Atlanta, GA

Atlanta Medical Center is an award winning facility-2 hospital campuses (AMC Main - Level I Trauma + Teaching -AMC South – Community) $10K Sign- on Bonus, Relocation.
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ICU Nurse RN – ASA Professionals, LLC

Enid, OK

ICU Nurse RN job openings available with a top-notch critical care department in the expanding and family oriented city of Enid, Oklahoma. Flexible schedules available.
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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