The Mysterious U Wave
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Hannibal, G. B. Tags: ECG Challenges Source Type: research

Creating Clinical Research Protocols in Advanced Practice: Part I, Identifying the Fit and the Aim
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Granger, B. B., Engel, J. Tags: Clinical Inquiry Source Type: research

Clostridium difficile Infection and Fecal Microbiota Transplant
Clostridium difficile infection (CDI) is a major source of morbidity and mortality for hospitalized patients. Although most patients have a clinical response to existing antimicrobial therapies, recurrent infection develops in up to 30% of patients. Fecal microbiota transplant is a novel approach to this complex problem, with an efficacy rate of nearly 90% in the setting of multiple recurrent CDI. This review covers the current epidemiology of CDI (including toxigenic and nontoxigenic strains, risk factors for infection, and recurrent infection), methods of diagnosis, existing first-line therapies in CDI, the role of fecal...
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Liubakka, A., Vaughn, B. P. Tags: Symposium New Interventions in Transplant Michael Petty Source Type: research

Antibody-Mediated Rejection in Solid Organ Transplant
This article provides readers with a broad overview of the immune system, discusses mechanisms of transplant rejection, and details prevention, detection, and treatment of antibody-mediated rejection in solid organ transplant. (Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Petty, M. Tags: Symposium New Interventions in Transplant Michael Petty Source Type: research

Balloon Pumps Inserted via the Subclavian Artery: Bridging the Way to Heart Transplant
Intra-aortic balloon pumps have traditionally been inserted via the femoral artery, limiting patients’ activity and exposing patients to complications of immobility. For patients awaiting cardiac transplant, these complications may threaten a successful outcome, or at the least, complicate recuperation after transplant. A novel approach to insertion of balloon pumps via the subclavian artery is presented here, including routine nursing care, complications and related nursing actions, and experience with and advantages of this method. A team approach to care of these patients, including rehabilitation and exercise pro...
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Murks, C., Juricek, C. Tags: Symposium New Interventions in Transplant Michael Petty Source Type: research

"Awake" Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplant
This article provides a review of relevant literature and discusses indications and complications of awake ECMO therapy, cannulation strategies, and nursing considerations for this patient population. (Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Kearns, S. K., Hernandez, O. O. Tags: Symposium New Interventions in Transplant Michael Petty Source Type: research

When You Think You Have Seen It All: New Interventions in Transplant
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Petty, M. Tags: Symposium Introduction Source Type: research

Clinical Trial of an Educational Program to Decrease Monitor Alarms in a Medical Intensive Care Unit
The objective of this study was to determine if a staff educational program on customizing alarm settings on bedside monitors decreased alarms in a medical intensive care unit (MICU). A preintervention, postintervention, nonequivalent group design was used to evaluate an educational program on alarm management in a convenience sample of MICU nurses. A 15-minute session was provided in a 1-week period. The outcome variable (number of alarms for low oxygen saturation via pulse oximetry [SpO2]) was determined from monitor log files adjusted by patient census. Data were collected for 15 days before and after the intervention. ...
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Brantley, A., Collins-Brown, S., Kirkland, J., Knapp, M., Pressley, J., Higgins, M., McMurtry, J. P. Tags: Features Source Type: research

Decision Support Tool to Improve Glucose Control Compliance After Cardiac Surgery
Hyperglycemia control is associated with improved outcomes in patients undergoing cardiac surgery. The Surgical Care Improvement Project metric (SCIP-inf-4) was introduced as a performance measure in surgical patients and included hyperglycemia control. Compliance with the SCIP-inf-4 metric remains suboptimal. A novel real-time decision support tool (DST) with guaranteed feedback that is based on the existing electronic medical record system was developed at a tertiary academic center. Implementation of the DST increased the compliance rate with the SCIP-inf-4 from 87.3% to 96.5%. Changes in tested clinical outcomes were n...
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Fedosov, V., Dziadzko, M., Dearani, J. A., Brown, D. R., Pickering, B. W., Herasevich, V. Tags: Features Source Type: research

Benefits of Oral Care for Acute and Critically Ill Children
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Williams, L. Tags: Certification Pediatric Perspectives Source Type: research

Programs That Support a Healthy Work Environment
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Blake, N. Tags: Ethics Creating a Healthy Workplace Source Type: research

The Nurse Practitioner as Surgical Assistant
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Sabol, V., White, T. Tags: Issues in Advanced Practice Source Type: research

e-Liability and e-Documentation
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Harrington, L. Tags: Technology Technology Today Source Type: research

Medication Therapy for Early-Onset Neonatal Sepsis
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - August 3, 2016 Category: Nursing Authors: Alexander, E., Susla, G. M., Moffett, S. M., Kitts, H. L., Henderson, S. J. Tags: Drug Update Source Type: research

Atrial Fibrillation: A Review of Treatments and Current Guidelines
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Hannibal, G. B., Copley, D. J., Hill, K. M. Tags: ECG Challenges Source Type: research