Critical Care eNewsline: May 29, 2014

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May 29, 2014


EVIDENCE - Insulin infusion protocol

NEWS - CDC updates MERS recommendations


AACN NEWS - Evaluations due June 14




It is feedback — or other people’s responses to behaviors, processes, or results — that fosters positive change and increases self-awareness.


Giving Feedback: Expert Solutions to Everyday Challenges,” by Harvard Business School



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Nominate for AACN Board and Nominating Committee by May 31

Submit nominations for the FY2016-18 AACN Board of Directors and the FY2016 Nominating Committee by May 31. Accountabilities and leadership requirements, available positions and nomination forms are posted online. For more information, contact Melinda Messenger-Stout, volunteer program specialist, (800) 394-5995, ext. 331;


Comment on revision of ANA Code of Ethics by June 6

“The Code of Ethics for Nurses with Interpretive Statements” is foundational for every RN’s practice. The American Nurses Association (ANA) is in the process of revising this document, which is posted for review and comment. ANA encourages you to read the entire document. Then, post your comments on the preface and each provision by 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.



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Study in AJCC discusses benefits of insulin infusion protocol

Glycemic Control in Cardiac Surgery: Implementing an Evidence-Based Insulin Infusion Protocol,” in May’s American Journal of Critical Care (AJCC), concludes that increasing nurses’ knowledge of glycemic control and implementing an insulin infusion protocol targeting moderate glycemic control are effective for treating acute hyperglycemia after cardiac surgery with decreased incidence of hypoglycemia.


CNE of the Month: Article in AJCC finds nurses’ positive attitude is key

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.


Studies in May’s Critical Care Medicine:

Feasibility and Economic Impact of Dedicated Hospice Inpatient Units for Terminally Ill ICU Patients” concludes such units are feasible and potentially significant sources of cost savings.

Effectiveness and Safety of the Awakening and Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle” finds patients managed with the bundle spend more days breathing without assistance, experience less delirium and are more likely to be mobilized during their ICU stay.


Nurses, physicians differ on reasons for inappropriate ICU care

Although providers agree inappropriate care in the ICU is an issue, nurses believe the problem is physician lack of initiative and poor communication, while physicians cite prognostic uncertainty, according to “Inappropriate Care in European Intensive Care Units: Confronting Views From Nurses, Junior and Senior Physicians,” posted online May 15 in CHEST.


Quality of PICU nutrition algorithms varies

Nutrition Algorithms and Bedside Nutrient Delivery Practices in Pediatric Intensive Care Units: An International Multicenter Cohort Study” finds that most PICUs don’t use algorithms for enteral nutrition (EN) and among those that do, few are consistent with national guidelines. Less than one-third of patients on mechanical ventilation receive optimal EN delivery, according to the study in June’s Nutrition in Clinical Practice.



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CDC updates MERS recommendations, offers webinar recording

On May 28, the CDC and the Association for Professionals in Infection Control and Epidemiology (APIC), Washington, presented a webinar on MERS infection prevention and preparedness strategies. Register for the on-demand recording (free for APIC members).

On May 15, the Centers for Disease Control and Prevention, Atlanta, updated its recommendations for managing hospitalized patients with Middle East Respiratory Syndrome Coronavirus (MERS-CoV) related to the duration of infection control precautions, management of ill healthcare professionals, visitor considerations, aerosol-generating procedures and hand hygiene. Access the CDC’s MERS preparedness checklist for healthcare providers and the one for healthcare facilities.


FDA announcement

On May 21, the U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, announced that CareFusion, San Diego, recalled the Alaris pump module model 8100, version 9.1.18, because a possible software failure may result in the pump not properly delaying an infusion when the Delay Until option or Multidose feature is used.


New clinical guidelines for brain tumors

The American Brain Tumor Association, Chicago, and the American Association of Neuroscience Nurses, Chicago, released “Care of the Adult Patient With a Brain Tumor,” the first clinical practice guidelines for these patients, as noted in a May 12 press release.



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AHRQ toolkit on KPC

The Agency for Healthcare Research and Quality (AHRQ), Rockville, Maryland, published a toolkit to help hospitals prevent Klebsiella pneumoniae carbapenemase (KPC). “Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit” helps organizations implement KPC prevention guidelines from the Centers for Disease Control and Prevention, Atlanta.


Safety monograph

Improving Patient and Worker Safety,” a monograph from The Joint Commission, Oakbrook Terrace, Illinois, discusses high-reliability concepts and includes examples of activities and interventions that improve safety. The monograph also identifies patient and worker safety synergies.



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CNE/CERP/Pharma evaluations due June 14

Track your evaluation of every NTI/API, ExpoEd, Sunrise and Poster session you attend. Enter your program and session evaluations and print your certificate at Copies of CNE/CERP/Pharma certificates issued are maintained at AACN in a secure, password-protected file for six years. You may enter evaluation information online during NTI or at home until midnight PT, June 14. After that date, you may only print your certificate.


Discount for PCCN certification review on-demand

AACN offers nurses who seek PCCN certification a comprehensive review course to help prepare for the exam. Through October, the on-demand version of the PCCN course is offered at a 50 percent discount when purchased with the exam application. Based on a live webinar presented by Carol Rauen, the course features interactive learning and 13 hours of CNE. Discounted on-demand prices for members/nonmembers are $79.50/$99.50 through October. Without the exam, on-demand prices are $159/$199. The CD-ROM costs $179/$199. Learn more, and purchase the course.


Step Forward

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



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Preceptor Handbook - From Staff Nurse to Preceptor Training Program

Author: J. Grif Alspach
(Book, 70 pages, 2000)
Product Code:120550

This handbook is for registered nurses taking the preceptor class. Strategies and tools help RNs become preceptors.

Member Price: $8 (Non-Member: $11)





PCCN Retractable Badge Holder

(Badge Holders)
Product Code:402500

This retractable PCCN badge holder features a reinforced vinyl strap button and clip backing for easy attachment to pockets, bags or belts.

Member Price: $3 (Non-Member: $3.50)





Featured Career Opportunities





Critical 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.
Read more about this position


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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