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April 6, 2009

Dear Subscriber,

The Institute for Healthcare Improvement's 5 Million Lives Campaign features a set of bundled practices to reduce central line infections. The bundle practices are aimed primarily at preventing infection at the time of insertion, however the risk of introducing bacteria at the insertion site is present during dressing changes as well.

A recent study in the Journal of the American Medical Association reveals a decrease in catheter-related infections when a sponge containing chlorhexidine gluconate is part of the dressing. The study also demonstrates that the frequency of changing unsoiled dressings every 7 days appears safe. Read the press release and examine the article abstract.

A Broad-Spectrum Look at Catheter-Related Bloodstream Infections: Many Aspects, Many Populations
I.V. Essentials: Identifying and Preventing Central Line Infections
Central Venous Access Devices
Targeting Therapy with Central Venous Access Devices CE
I.V. ROUNDS: Managing Vascular Access Device Occlusions, Part 1
I.V. ROUNDS: Managing Vascular Access Device Occlusions, Part 2

Read more on this topic and about central venous access devices by exploring the articles in NursingCenter's "More Resources." Also, be sure to check out our latest word-search puzzle, Dress with care.

Don't miss our next issue about the importance of evidence-based practice, plus new articles and CEs.

Lisa Bonsall, MSN, RN, CRNP
Clinical Edito

Every surgical patient needs to be assessed preoperatively for cardiac risk. Take some time to read Focusing on the Surgical Patient with Cardiac Problems.
(2.1 contact hour)

Bowel obstruction can be a serious condition. Review critical information about early detection and treatment by exploring Bowel Obstruction: Backup along the 750.
(2.5 contact hours) Nursing Made Incredibly Easy!

Learn the difference between pluripotent cells and multipotent cells and understand the potential of stem cells for therapeutic use. Don't miss Introduction to Stem Cell Therapy.
(2.5 contact hours)
Journal of Cardiovascular Nursing

Every patient is at risk for sepsis and early detection and intervention is imperative to prevent progression of this condition. Find out what every clinician should know about Recognizing Sepsis in the Adult Patient.
(2.1 contact hours)
AJN, American Journal of Nursing

Review our Recommended CE list on stem cell therapy, grief and bereavement Care, an ounce of prevention...


Change can be overwhelming, even a little scary. Discover the benefits of a change in documentation procedures in a Florida hospital by reading Automated Clinical Documentation: Does It Allow Nurses More Time for Patient Care?
CIN: Computers, Informatics, Nursing

Take a closer look at the different types of pain by reading PAIN POINTERS: One Size Doesn't Fit All: Acute Vs. Persistent Pain.
Nursing Made Incredibly Easy!

Be careful and vigilant with each I.V. insertion, no matter how much experience you have. Don't miss CHALLENGES IN MANAGEMENT: What if... You're Starting an IV and the Catheter Breaks off in the Vein?
Journal of Ambulatory Care Management

Complications caused by oropharyngeal bacteria can increase length of stay and costs, and even be fatal. Review the importance of frequent assessment and care in Brush Up On Oral Assessment and Care.

Browse our Recommended Readings on tips for nurse managers regarding jobs, cardiovascular health in women, monitoring laboratory values, and more.

Hospital Acquired Conditions: Prevent and Reduce the Impact

New CMS mandate presents challenges to nursing staff. Reducing the incidence of hospital acquired conditions, including pressure ulcers, catheter-related bloodstream infections and surgical site infections, is not only critical to patient care, it is crucial to minimizing the financial impact on the hospital.

Click here for key strategies


Read the articles in the latest Featured Journal online only on NursingCenter. The Featured Journal gives you the opportunity to get acquainted with the kind of coverage and clinical information it has to offer. Get to know our journals. The current Featured Journal is...


We've recently launched a new search tool here on Be sure to check it out at the top of our home page. You can search for articles and information on and at peer-recommended sites. Also, on the search page, notice the helpful menus on the left, which allow you to broaden or narrow your search, and even repeat your search using related terms.


Webcast: A New Look at the Old
Immobility and Functional Decline: Avoiding the Spiral
Older adults immobilized with bedrest, and tethered with foley catheters, IVs, and other devices that restrict mobility, can begin to lose functional capacity (a process known as deconditioning) within 48 hours.

Listen to the science and see how one facility is changing its policies and practices to create an elder-friendly environment that puts function first! This 30-minute video, will help all healthcare professionals look at their practices with a fresh eye and identify simple changes that prevent complex problems. Managers and administrators will also appreciate the perspectives presented in this program.

View the Webcast! for more details.


The FDA has approved the following new indications:

  • Symbyax (olanzapine and fluoxetine hydrochloride) capsules - for the acute treatment of treatment-resistant depression
  • combination of Zyprexa (olanzapine) and fluoxetine (Prozac) - for the acute treatment of bipolar depression and treatment-resistant depression
  • Tygacil (tigecycline) - to treat adult patients with community-acquired bacterial pneumonia caused by susceptible strains of indicated pathogens
  • Lexapro (escitalopram oxalate) - for the acute and maintenance treatment of major depressive disorder in adolescents 12 to 17 years of age

See more drug news.



Fast-Track RN to MSN (Bridge Program) - Earn both your BS/MS in Nursing in 1/2 the time at 1/2 the cost from Regis University.

Hospital Observation Services
Nursing documentation is essential for payment

Not everyone in an inpatient bed is an inpatient. Some of these individuals are actually admitted under outpatient observation status. The problem is, staff nurses often don't distinguish between the two in their documentation. Which means the hospital doesn't get paid for reimbursable services provided to patients under observation. In other cases, patients are placed under observation status when they shouldn't be. Join us for an April 22 audio seminar that will focus on distinguishing between inpatient and outpatient observation status, as well as the nurse documentation required to support billing for observation services. Click here, or call MedLearn at 800-252-1578.


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