Bold Voices - March 2013 - (Page 27)

AT THE BEDSIDE Meeting Veterans’ Healthcare Needs An online continuing education (CE) program provides clinicians with essential information on the health condition and needs of American military veterans returning from active duty in combat zones. “Meeting the Healthcare Needs of America’s Military Veterans” aims to teach professionals outside federal healthcare systems about the variety of physical and psychological conditions they are likely to encounter when treating veterans of Iraq and Afghanistan. Many conditions will differ from those faced by veterans of earlier wars, in part because of the delayed onset of warrelated illnesses, the increased percentage of female soldiers and advances in equipment and combat medicine producing the highest casualty survival rate yet, more than 90 percent. Topics covered by the course offered by include health assessments and eligibility for benefits from the Department of Veterans Affairs, traumatic amputations, blast-related injuries, posttraumatic stress disorder, depression, substance use disorders, suicide, hearing difficulties and interprofessional approaches to serving veterans’ needs. Clinicians also receive links to resources for patients who are veterans. Because of the variety of veterans’ potential needs, the Many conditions differ from those course is recommended for faced by veterans of earlier wars. nurses, physicians, audiologists, nutritionists, occupational therapists and speech language pathologists. Veterans frequently require coordination across disciplines, so the interprofessional approach requires all members of the care team to have essential knowledge. Antibacterial Agent Strategy Leads to 37 Percent MRSA Reduction Using antibacterial agents on all ICU patients led to a 37 percent reduction in methicillin-resistant Staphylococcus aureus (MRSA) and a 44 percent decrease in all bloodstream infections, notes a 43-hospital study. “Randomized Evaluation of Decolonization vs. Universal Clearance to Eliminate MethicillinResistant Staphylococcus aureus in ICUs,” presented at ID Week 2012 in San Diego, finds that a universal decolonization strategy — bathing patients with chlorhexidine and using mupirocin to decolonize MRSA in the nose — is more effec- tive than standard screening and isolation methods. “It also eliminated the need for surveillance cultures and reduced the need for isolation precautions,” the study notes. In a related article in MedPage Today, Susan Huang, associate professor of infectious diseases at the University of California Irvine School of Medicine, says the trial provides strong evidence that removing bacteria from the skin and nose is highly effective in preventing serious infection in high-risk ICU patients. “Our study suggests that treating all ICU patients with this strategy is beneficial,” Huang says in the article, adding the approach may “make screening for drug-resistant organisms unnecessary.” The study was recognized at ID Week as compelling enough to change standard practice. “A 44 percent reduction in infection,” Huang says in the article, “is very promising for improving medical care and protecting highly vulnerable patients.” Even though it showed promising results, researchers stress that the study is preliminary and should not be used to change practice until it is published in a peer-reviewed journal. AACN BOLD VOICES MARCH 2013 27

Table of Contents for the Digital Edition of Bold Voices - March 2013

Front/Digital Edition Viewing Guide
Another Angle
Design an NTI Just for You
New Guidelines Set Practice Framework for Tele-ICU NursingPractice
New Methods Increase Speed of Sepsis Diagnosis
High Blood Pressure Can Injure the Brain of Young Adults
Recurrent Hypoglycemia May Not Impair Long-Term Development of Preterm Infants
Superstorm Sandy Hospital Evacuation Decisions Questioned
New STEMI Guidelines Focus on Symptom Recognition, Ease of Use
Early Communication About Resuscitation Improves EOL Quality
Vote Now for AACN Board, Nominating Committee Members
Simple Measures Reduce Pneumonia
Fresh Blood in the ICU
Meeting Veterans’ Healthcare Needs
In Our Journals
Checklists May Reduce Venous Thromboembolism
Certification Capsules
Chapter Leadership Workshop @NTI 2013
Wear Your NTI Pride on May 20
Dare To

Bold Voices - March 2013