A short-term quality improvement initiative at UCHealth in Colorado helped change the culture of pulse oximetry use, reducing the off-label placement of sensors from 15% to less than 1% and reinforcing that different types of pulse oximeters are not interchangeable.
Registration is now open for AACN’s National Teaching Institute & Critical Care Exposition (NTI), to be held in Philadelphia, May 22-24, 2023. The NTI experience will address nearly 50 clinical and professional development topics and include the largest and most comprehensive trade show expressly for progressive and critical care nurses.
Researchers with University of Wisconsin–Madison School of Nursing analyzed the comments in open-ended responses from a survey about making decisions on major medical treatments to gain insight into the words used by patients and families and how they conceptualize the various treatments.
The American Association of Critical-Care Nurses announces the newest recipients of its annual research grants and invites clinicians and researchers to submit projects online by Oct. 28, 2022, for the next application cycle. AACN will award up to three $50,000 Impact Research Grants in 2023, as well as co-sponsoring the AACN-Sigma Critical Care Grant, with up to $10,000 in funding.
Michigan Medicine research suggests that administration of antibiotics with activity against anaerobic bacteria has a profound effect on the gut microbiome and, ultimately, an adverse impact on critically ill patients.
A short-term quality improvement initiative at Nebraska Medicine quickly reduced the incidence of facial pressure injuries and led to institution-wide adoption of different types of noninvasive oxygen delivery devices.
The American Association of Critical-Care Nurses has published an update to its landmark standards for tele-critical care nursing practice, offering specific recommendations for the development and enhancement of tele-critical care programs.
Nurses at critical access hospitals rate family behaviors and attitudes as dominant factors to providing end-of-life care, similar to their counterparts at large, urban medical centers, suggesting that caring for dying patients has much in common regardless of rural or urban location
Patients who are critically ill with COVID-19 are at exceptionally high risk for developing healthcare-associated pressure injuries, especially those related to medical devices, and clinicians must consider additional factors beyond those assessed with common classification tools.
A former medic in the Austrian military who is now a Michigan emergency physician has traveled to Ukraine to train hundreds of health care providers in trauma care.
Results from the American Association of Critical-Care Nurses’ national survey of 9,000-plus nurses underscore the ongoing impact of the COVID-19 pandemic on nurses and the benefits of creating healthy work environments to support nurse staffing, retention and optimal patient care.
Researchers at Montefiore Medical Center found that about 30% of ICU survivors could not complete a simple screening assessment for cognitive impairment at hospital discharge. About 47% of those who were able to complete the assessment scored at a level consistent with severe cognitive impairment.
Duke University Medical Center improved communication and collaboration between nurses and advanced practice providers in an ICU, with a standardized template to guide conversations. The effort also contributed to an improved sense of teamwork and other unexpected positive outcomes.
More than 80 progressive care and critical care nurses have been awarded scholarships to support their pursuit of CCRN or PCCN specialty nursing certification, thanks to donations to the American Association of Critical-Care Nurses from two groups of professional baseball healthcare providers.
Variations in practice and outdated protocols related to nasogastric feeding tubes can impact patient safety and lead to complications. U.S. healthcare organizations are currently transitioning to a new type of connectors, which provides an opportune time to review feeding tube insertion and care processes.
A pilot study at Maine Medical Center found that scores on the RAS and SASS sedation scales that were best associated with a patient’s ability to follow at least three commands are higher than the commonly recommended thresholds for each assessment tool.
Gloria McNeal, of National University, will receive the 2022 AACN Pioneering Spirit Award in recognition of her efforts to bring healthcare directly to those most in need and introduce telehealth and remote monitoring to critical care.
With conversations about COVID-19 vaccinations a likely centerpiece this holiday season, resources from the American Association of Critical-Care Nurses can help individuals prepare for potentially challenging discussions with family and friends who are hesitant about the vaccine.
During the initial surge of COVID-19 in the United States, pediatric critical care professionals were already experiencing high rates of moral distress as they faced the rapid emergence of complex ethical challenges and the potential impact of COVID-19 on their young patients and their communities.
American Association of Critical-Care Nurses launches Hear Us Out, a nationwide effort to report nurses’ reality from the front lines of the COVID-19 pandemic and urge those who have yet to be vaccinated to reconsider
A joint effort between the American Association of Critical-Care Nurses and projects funded by the U.S. Agency for International Development has made AACN’s free “COVID-19 Pulmonary, ARDS and Ventilator Resources” online course available in Spanish.
Un esfuerzo conjunto entre la Asociación Americana de Enfermeras de Cuidados Críticos (AACN) y los proyectos financiados por la Agencia de los Estados Unidos para el Desarrollo Internacional (USAID) ha hecho posible que el curso en línea gratuito de la AACN “Recursos sobre COVID-19, SDRA y Ventilación” esté disponible en español.
Lung surgery patients who utilize a comprehensive, evidence-based enhanced recovery after surgery (ERAS) program require fewer opioid prescriptions when discharged and this effect was sustained over the 4-year study period.
Contributions from PBATS and MLBTPA fund special scholarships for nurses ready to pursue CCRN or PCCN certification. This is the first time AACN professional development scholarships have been available to support its nursing certification programs.
The growing use of mechanical circulatory support may contribute to high levels of moral distress for clinicians who regularly care for ICU patients receiving the aggressive but life-sustaining therapy, according to a study by researchers at Columbia University Irving Medical Center.
A new EMS transport policy implemented in Chicago showed that sending patients suspected of experiencing large vessel occlusion directly to comprehensive stroke centers led to an increase in the use of endovascular therapy, an important treatment for acute ischemic stroke.
The burn ICU at UNC Medical Center refined its alarm management strategy, reducing nonactionable and false alarms from baseline mean of 100+ per bed per day and developing new skin preparation practices to improve monitoring for ICU patients with injured skin.
A designated proning team — composed of about 70 OR nurses, OR assistants and outpatient physical therapists — became a key part of the COVID-19 care provided by Massachusetts General Hospital, responding around-the-clock to patients who needed turning and allowing critical care clinicians to focus on other aspects of care.
Colorado pediatric nurse Beth Wathen is the new president of the board of directors for the American Association of Critical-Care Nurses (AACN), the world’s largest specialty nursing organization.
AACN Certification Corporation — the credentialing arm of the American Association of Critical-Care Nurses (AACN) offers 15 specialty, subspecialty and advanced practice nursing certification programs. Lisa Falcón, of Robert Wood Johnson University Hospital, serves as chair of the national board.
Research published in American Journal of Critical Care explores the barriers to out-of-bed patient mobility practices as identified by nurses in a medical ICU at Yale New Haven Hospital. In the study, all 105 patients met early mobility criteria, but none were mobilized for out-of-bed activities.
Only center in the world with this combination of distinctions
Data sharing among 40 Michigan hospitals about the care and outcomes for thousands of inpatients with COVID-19 has led to reduced variation and findings that could inform care anywhere, including approaches for preventing blood clots and reducing overuse of antibiotics, as well as a risk prediction tool.
High rates of variability in extubation times among cardiac surgery patients in Duke University Hospital’s cardiothoracic intensive care unit led to a new fast-track extubation protocol and redesigned care processes. As a result, more patients were extubated within six hours after being admitted to the ICU after surgery.
The American Association of Critical-Care Nurses expects 6,000+ progressive and critical care nurses to attend its virtual National Teaching Institute & Critical Care Exposition (NTI, #NTI2021) May 24-27.
Journal article details staffing, space and supply considerations to integrate critical care-specific needs into disaster response planning. The article is part of a symposium in AACN Advanced Critical Care on trauma patient care.
Mary Beth Happ, from The Ohio State University College of Nursing, is the 40th recipient of AACN’s Distinguished Research Lecture award. Her research focuses on improving care and communication with communication-impaired patients, families and clinicians in high acuity and critical care settings.
An initiative at UPMC Williamsport used education and practice-related interventions to quickly reduce CAUTI rates and lay the groundwork for hospital-wide implementation with long-term impact. The bundle included a daily checklist and nurse-driven removal protocol for discontinuing indwelling catheter use.
The 18 nurses who receive the Circle of Excellence award from AACN this year demonstrate an exceptional commitment to achieving excellent outcomes in the care of acutely and critically ill patients and their families, with solution-oriented approaches to challenges, including the COVID-19 pandemic.
AACN’s National Teaching Institute & Critical Care Exposition will offer a fully immersive, interactive conference experience May 24-27, delivering the education and inspiration critical care nurses deserve and the flexibility they need.
Data from five years of in-person rapid mortality reviews of 500+ ICU patient deaths at a Los Angeles hospital not only identified immediate concerns related to patient care but also yielded valuable insights on potentially preventable patient deaths and areas for hospital improvement initiatives.
A new paper published online in the Annals of the American Thoracic Society provides a roadmap that critical care clinicians’ professional societies can use to address burnout. While strongly needed prior to the COVID-19 pandemic, the roadmap has taken on even greater urgency due to reports of increasing pandemic-related burnout.
More than 200 units from 149 U.S. hospitals earned the AACN Beacon Award for Excellence between Jan. 1, 2020, and Dec. 31, 2020.
An analysis of CPR interventions after in-hospital cardiac arrests found that the number of pauses in chest compressions greater than 10 seconds consistently impacted survival rates. The study appears to be the first to assess participants at four milestones during their hospital stay.
Nurses play a crucial role in helping to reduce the stress experienced by family members of critically ill patients, according to an article in Critical Care Nurse. A review of relevant research studies (2007-2019) found that, regardless of the patient’s age, family members’ stress fell into four main categories.
In a new research letter published online in the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine, researchers examine whether preprint data on the use of the corticosteroid dexamethasone influenced clinical practice in treating COVID-19 critical care patients throughout Australia.
A $200,000 grants from Edwards Lifesciences Foundation will support the expansion of the AACN CSI Academy nurse leadership and innovation program to 10 cardiac surgery critical care and/or progressive care units that provide care to a significant proportion of patients from underserved populations, with an emphasis on Black communities.
UHealth – the University of Miami Health System, the University of Miami Leonard M. Miller School of Medicine, and 4DMedical recently announced the creation of the Functional Lung Imaging Research Program in the Department of Medicine’s Division of Pulmonary, Critical Care and Sleep Medicine at the Miller School.
Critical care nurses are ideally positioned to drive full integration of palliative care into the care of all patients who are seriously ill, including patients with COVID-19.
Critical care researchers and veterans are bringing devices used to stop hemorrhage bleeds on the battlefield to civilian life.