Bold Voices - August 2013 - (Page 16)

AT THE BEDSIDE Hospitals Better at Preventing CLABSIs Lessons learned provide a foundation for national prevention of other HAIs. 16 U.S. hospitals prevented up to 198,000 central line-associated bloodstream infections (CLABSIs) in critical care patients over the past two decades, according to “National Estimates of Central Line-Associated Bloodstream Infections in Critical Care Patients,” an analysis in Infection Control & Hospital Epidemiology. Despite the apparent success, researchers at the Centers for Disease Control and Prevention (CDC) in Atlanta estimate there were about 15,000 hospital-onset CLABSIs in critical care settings in 2010, primarily in medium and large teaching hospitals. Although it’s unclear what percentage of the remaining CLABSIs were preventable with current infection controls, the article suggests these larger facilities “should be specifically targeted with interventions.” Using data collected from 1990 to 2010, the CDC estimates that 462,000 to 636,000 CLABSIs occurred in non-neonatal critical care patients in the United States during that 20-year period. That’s 104,000 to 198,000 fewer CLABSIs than would have occurred if rates had remained unchanged since 1990, the article notes. “These findings suggest that technical innovations and dissemination of evidence-based CLABSI prevention practices have likely been effective on a national scale,” the article states. Such innovations include the introduction of alcohol-based hand rubs in healthcare facilities, use of antimicrobial catheters and chlorhexidine insertion site patches, and implementation of infection control bundles. The article acknowledges the findings are subject to several limitations, including differences in surveillance data, and that more work remains to prevent hospital-onset CLABSI in critical care patients. “Given the high mortality and excess healthcare costs associated with CLABSIs, these infections still have a major impact on patients and the healthcare system,” the article adds. Nevertheless, the analysis points to substantial progress in the prevention of hospital-onset CLABSIs over the past 20 years. “Lessons learned from this success have already provided a foundation for efforts to prevent other important HAIs (healthcare-associated infections) on a national scale.” Online Program Helps Military Service Members, Veterans Become Nurses T he eLine Military Program helps service members and veterans transfer their training and experience to credits for nursing education, according to an online article published by Texas A&M University, Corpus Christi. The program provides students with access to courses that can lead to a BSN, preparation for the NCLEX-RN and job placement assistance. Students live all over the world, from the U.S. to Afghanistan, England, Germany and Iraq. Texas A&M program is “College of Nursing and Health Sciences Chosen for White House Forum” discusses the need for such education to increase the number of nurses in the accessible across the world workforce: “Since its inception in 2011, 427 military service members (60 to students in U.S. military. percent veterans and 40 percent active duty) have been enrolled in the eLine Military Program,” the article notes. Recently, Mary Jane Hamilton, dean of nursing and health sciences at Texas A&M, participated in the White House Forum on Military Credentialing and Licensing. Hamilton also serves on the Advanced Medical Operations Industry Roundtable to help develop strategies to better transfer experience and training to certification and licensure.

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

Bold Voices - August 2013
Another Angle
Seamless Staff Leadership Transition Is Goal of AACN's CEO Search
A Pool of Exceptional Talent
Progressive Care Nurses: A Conference, Las Vegas and CNEs Just for You
Communication Is Critical to Avoid Readmissions
Hospital Deaths Decrease Slightly Over 10 Years
Leapfrog Rates Hospital Safety Performance
Patient Safety Threatened by Insufficient Nurse Staffing, Fatigue
Number of Americans With Dementia, Cost of Care to Double by 2040
Updated HHS Standards Support Improved Cultural and Linguistic Competency
Decrease Noise Levels to Improve Patient Outcomes
Alarm Management (AACN Practice Alert)
Survey Reports High Levels of Burnout, Job Seeking
New HIPAA Rule Seeks to Balance Patients' Privacy Protection
Pet Ownership May Be Heart-Friendly
Hospitals Better at Preventing CLABSIs
Online Program Helps Military Service Members, Veterans Become Nurses
Clot Busters Safe for Patients With Stroke Who Take Aspirin
Updated Stroke Definition Reflects New Knowledge, Advances
In Our Journals
Antibiotics May Relieve Back Pain in Certain Cases
Certification Capsules
AACN Members, Friends Inducted as AANP Fellows
Empowered ED Case Managers
New CCN Resource Expands Reader Access to Nursing Care Studies
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
Nurse Leaders, Aspiring Nurse Leaders: Get Ready for Las Vegas, Sept. 18-20
AACN Scholarships Support Your Learning Journey
What Is Your Wake? (From the President)

Bold Voices - August 2013