Bold Voices - August 2012 - (Page 13)

AT THE BEDSIDE First-Ever Nurses Float Joins The 2013 Tournament of Roses Parade fter six years of planning, a float will honor and celebrate nurses in the 2013 Tournament of Roses Parade in Pasadena, Calif. Appropriately named “A Healing Place,” the float — which will debut in the televised Jan. 1, 2013, event — depicts an elaborate woodland scene fi lled with deer, rabbits, owls and butterflies framed against a lush canopy of trees and plants. Why 2013? A nurse is president of the Tournament of Roses for the first time in the parade’s 124-year history. As president, perioperative nurse Sally Bixby brings 19 years of progressive volunteer experience with the parade. According to the float’s website, the colorful design reflects nurses’ qualities — caring, commitment, compassion, confidence, conscientiousness and intelligence. “The qualities of a nurse make it possible to create A Healing Place anywhere and under any circumstance,” the site adds. Project planning is spearheaded by Bare Root Inc. DBA Flowers 4 the Float, a nonprofit organization formed by five nurses in 2007 to raise funds, design and oversee construction of this unique homage to nurses. The organization hopes the visibility will encourage potential nurses to learn about and enter the profession. You can support their effort with online donations at Remaining funds will be used for grants and scholarships after the 2013 float has been constructed. A Nurse becomes its president in the Tournament of Roses’ 124th year. Military Use of TXA Improves Coagulopathy and Survival Using tranexamic acid (TXA) with blood component-based resuscitation for combat casualties improves measures of coagulopathy and survival, especially in patients who require massive transfusion, a study fi nds. “Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study,” in Archives of Surgery, fi nds “treatment with TXA should be implemented into clinical practice as part of a resuscitation strategy following severe wartime injury and hemorrhage.” In the two-year study, researchers at the U.S. Army Institute of Surgical Research, Fort Sam Houston, Texas, analyzed 896 combat-injured patients, including 293 who received TXA intravenously within one hour of injury. Despite having more severe injuries, patients treated with TXA had a 17.4 percent unadjusted mortality rate compared to 23.9 percent for those who weren’t. Those who received massive transfusion benefited even more — 14.4 percent mortality compared to 28.1 percent. “This study demonstrates a positive impact of TXA for blood component-resuscitated combat casualties,” according to an online post from the Society of Critical Care Medicine (SCCM), Mount Prospect, Ill. “The administration of TXA helps to better correct trauma-associated coagulopathies and appears to improve survival, especially in those patients with massive transfusion.” The SCCM post notes limitations that include variability in dosage and timing of TXA. There also may be a survivorship bias, because cause and time of death could not be determined based on the nature of the study. Patients who received TXA had a higher rate of thromboembolic events, although the number was too small to make independent risk assessments. AACN BOLD VOICES AUGUST 2012 13

Table of Contents for the Digital Edition of Bold Voices - August 2012

Front/Digital Edition Viewing Guide
Another Angle
‘AACN CSI Academy’ National Leadership Program Launches
Canadian Dynamics 2012: ‘Speak Up, Speak Out’
Grana Padano May Lower Blood Pressure
New Medicare Patient Satisfaction Requirement Misses Mark, Nurse Argues
FDA, The Joint Commission Aim to Reduce Alarm Fatigue
Fast Food in Hospitals Counters Goal of Healthy Eating
New Federal Hospital Visitation Standards
Nurse Obesity Linked to Long Hours
First-Ever Nurses Float Joins the 2013 Tournament of Roses Parade
AMA Urges Greater Focus on Ambulatory Patient Safety
Minimally Invasive Heart Valve Procedure Increases Patient Survival
Older Patients' in ICU at High Risk for HAI
Tele-ICU Symposium Explores Leading-Edge Technology
In Our Journals
Certification Capsules
Dare To
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
From the President

Bold Voices - August 2012