Bold Voices - December 2011 - (Page 7)

AT THE BEDSIDE New Privacy Recommendations for Storing Newborn Screening Specimens In recent years, consumer communities have raised concerns about potential uses of residual newborn screening specimens and questions about patient and family privacy. In response, the Secretary of Health and Human Services’ Advisory Committee on Heritable Disorders in Newborns and Children released new recommendations. A report appears in July’s Genetics in Medicine. The recommendations call for every “state to develop clear policies regarding the disposition of dried blood specimens after (newborn screening) tests are completed, including who may access and use the samples and for what purposes.” Lilly Withdraws Xigris Following Poor Study Performance Pharmaceutical company Eli Lilly has voluntarily withdrawn activated drotrecogin alfa — commercially available as Xigris — following a recent study that “failed to show a survival benefit for patients with severe sepsis and septic shock.” The drug had been available for treating severe sepsis in high-risk patients in the United States for nearly a decade, but performed poorly in the PROWESS-SHOCK clinical trial in which it showed no statistically significant difference over placebo. Clinical trial showed no statistically significant difference over placebo. The U.S. Food and Drug Administration (FDA) informed healthcare professionals and the public of the surprise withdrawal in October, recommending that: • Xigris treatment should not be started in new patients. • Xigris treatment should be stopped in patients being treated with Xigris. • All remaining Xigris product should be returned to the supplier from which it was purchased. Find links to FDA drug safety communication and the company’s announcement in this issue’s digital edition at /aacnboldvoices. Every state should develop policies for disposition of dried blood specimens after newborn screening. While the committee “emphasizes that there are ‘no documented cases of harm’ resulting from the use of stored blood specimens,” it acknowledges concerns about “discrimination, psychological harm, identification of paternity, and social injustices.” Pain Management Education May Help Parents of Preemies Parents who are taught to recognize and respond to signs of pain in their premature babies are more confident in caring for them once they leave the hospital, a study fi nds. “Parent Involvement in Pain Management for NICU Infants: A Randomized Controlled Trial,” in a recent Pediatrics, notes that while the study provides “no evidence of a reduction in Parents learn to recognize and respond NICU-related to signs of their premature infant’s pain. stress for parents who receive” an educational intervention about infant pain management, parents in the intervention group were “better prepared to take an active role in infant pain care and had more positive views about their role attainment in the post-discharge period.” In a related Reuters Health article, lead author Linda Franck, University of California, San Francisco, says, “When they went home, parents who received the intervention felt more confident and competent in understanding their baby’s stress cues and in comforting their baby.” Franck notes the importance of parenting confidence at home, since there’s no backup attention from medical staff. “It’s a really vulnerable time for them,” she says. AACN BOLD VOICES DECEMBER 2011 7

Table of Contents for the Digital Edition of Bold Voices - December 2011

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Dec. 19 Deadline: National Awards Recognize Excellence, Leadership in HAI Prevention
Box Office Hit 'Contagion' Raises Questions About Virus
New Privacy Recommendations for Storing Newborn Screening Specimens
Motor Training Can Advance Social Development in Infants With Autism
In-Hospital Mobility Benefits Older Patients
NSAIDs May Harm Patients with Heart Disease, Hypertension
Pain Code' Encourages Use of Maximum Dosage
FDA's Treatment Recommendations for Simvastatin 80
Study Identifies Predictors of Sudden Cardiac Death Versus Surviving Heart Attack
Study Seeks Initiator of Post-Trauma Intestinal Cell Damage
Australian Study: 'How Dangerous is a Day in Hospital'
In Our Journals
ICU Staff Composition May Decrease Burnout
Use of Manikins May Improve Emergency Care
Celebrate Certification
AACN Financials
From the President

Bold Voices - December 2011