Bold Voices - May 2012 - (Page 21)

AT THE BEDSIDE UTI Prevention Lower Priority Than Other HAIs U.S. hospitals employ prevention practices for urinary tract infections (UTIs) at much lower rates than those for other major hospital-acquired infections (HAIs), reports a survey in the Journal of General Internal Medicine. “Preventing Hospital-Acquired Infections: A National Survey of Practices Reported by U.S. Hospitals in 2005 and 2009,” which covers changes in procedures during that time frame, says 90 percent of responding hospitals reported using prevention practices for central line-associated bloodstream infections (CLABSIs) and ventilator-associated pneumonia (VAP). HAIs occur in about 5 to 10 percent of patients, at a cost of $45 billion a year, notes related study information. The Joint Commission, Oakbrook Terrace, Ill., has established prevention of catheter-asso90 percent of the ciated UTIs as a hospitals used National Patient Safety Goal for CLABSI and VAP 2012. prevention practices. Although most non-federal hospitals surveyed increased prevention techniques to a moderate or large degree as a facility priority, more than 60 percent of VA hospitals did not change priorities, possibly because only non-federal facilities are impacted by Medicare’s 2008 cessation of payment for treating preventable infections. Despite the shift in priorities, however, a minority of hospitals reported using prevention practices for UTIs regularly. Among the common practices to prevent UTIs are reminders to remove catheters, clean insertion sites and use alternatives to indwelling devices. Visit, which also has tools for patients, and access AACN’s Practice Alert on catheter-associated UTIs at /cauti-alert. Women With Celiac Disease May Experience Depression Along with the physical issues associated with celiac disease, women who are afflicted can experience serious psychological symptoms that can impair quality of life, finds a recent study in Chronic Illness. A gluten-free diet is a common treatment for women with celiac disease, since gluten can damage the surface villi and impede nutrient absorption. But even when women adhere to their diets, “Psychiatric Comorbidities in Women With Celiac Disease” finds that a substantial subset still experiences clinically relevant psychological issues. Researchers from New York’s Syracuse University conducted a comprehensive Web-mediated survey of 177 women with celiac disease. The study assessed dietary compliance, illness symptoms, psychiatric functioning and disordered eating. It notes treatments focused on food can become excessive with women, leading to bulimia and anorexia. A significant minority also reported greater perceived stress and reduced mental health. The study suggests that patient well-being can potentially be improved. “Attending to the risk for extreme thoughts and behaviors related to eating and shape is a large area of opportunity for improving quality of life in women with celiac disease,” researchers state in a related article. Critical Care RNs Want a change from the bedside and greater flexibility? Ever wonder what it would be like to travel, explore new environments, and meet and train peers? Traveling Clinical Consultants/Educators needed for Medical Device education/support CSA provides and manages resources for several cutting edge medical device companies (pt monitoring, IV pumps, etc.). We are not a recruitment agency. Visit for more information about our company. Requirements include: Professional RN (BSN not req’d), 3 recent years of ICU, CCU, PICU or ED experience, HIGH level of initiative/accountability, interpersonal and presentation skills, computer and MS Office Suite application experience. Must live close to a major US airport for travel requirements and commit to 8-10 days of availability per month (with a commitment of 4-5 days per assignment, Monday through Friday, at least 2 weeks per month.) To be considered for this opportunity, send your resume to: Attending to the risk for extreme thoughts and behaviors related to eating and shape can improve quality of life. AACN BOLD VOICES MAY 2012 21

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

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Your NTI Checklist
AACN, Case Western Reserve University Announce Innovative DNP, PhD Collaboration
Patients at End of ICU Rounds Receive Less Face Time
Medical Panel Members Have Conflicts of Interest
Adverse Events Unreported
Penn Nursing Study: Nurse Burnout a Worldwide Problem
Low-Cost Changes to Nurses' Work Environment Also Benefit Patients
Hospital Workers Reluctant to Report Medical Errors
Flame of Excellence Awards
Circle of Excellence Awards
UTI Prevention Lower Priority Than Other HAIs
Children at Higher Risk for Infection in Intensive Care
Cameras, Feedback: Effective Tools to Enforce Hand Washing
In Our Journals
More Coronary Events Associated With Dabigatran
Certification Capsules
Publishing-related Events at NTI
Stay Connected at NTI
From the President

Bold Voices - May 2012