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March 17, 2009

Dear Subscriber,

Welcome... Critical Care Insider, brought to you by the editors of Nursing2009 Critical Care in conjunction with
. Written especially for busy nurses like you, Critical Care Insider delivers the latest clinical practice breakthroughs to help meet your information needs in today's fast-paced critical care environment.

You're receiving this issue of Critical Care Insider because you've indicated in your NursingCenter profile that your primary area of practice is critical care, or because you've subscribed to a related Lippincott Williams & Wilkins nursing journal. We'll be sending you up to five more issues of this enewsletter as a chance to become acquainted with us. If you want to continue receiving this free monthly eNews, please either update your NursingCenter profile (just select the Critical Care Insider checkbox) or join now to become a member of NursingCenter. If we don't hear from you after the sixth issue, we'll automatically remove you from the email list. Or, if you'd prefer, you may unsubscribe from this list at any time by following the instructions at the bottom of this email.

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In Brief
A recent retrospective study and an accompanying editorial published in Critical Care Medicine reported an increased risk of serious bleeding events and fatal outcomes in patients with sepsis and baseline bleeding risk factors who received Xigris (drotrecogin alfa activated). More

A recent study reveals that Precedex (dexmedetomidine hydrochloride) provides comparable effectiveness to midazolam for sedation of mechanically ventilated ICU patients. More

New methods are on the horizon to improve stroke treatment and prevention. More

The FDA has determined that treatment with zonisamide, which is used as adjunctive therapy to treat partial seizures in adults with epilepsy, can cause metabolic acidosis in some patients. More

  Brush up on your knowledge of postoperative needs of patients who have undergone CABG. Examine Caring for a Patient after Coronary Artery Bypass Graft Surgery, for important information organized by body system. More
  Understand the origins of indecisiveness in family members of critically ill patients and learn strategies to educate and empower them by reading LEADERSHIP DIMENSION: Empowering Family Members in End-of-Life Care Decision Making in the Intensive Care Unit. More
  Patients who have undergone lung transplantation require a comprehensive, interdisciplinary plan of care. Review the critical components involved, which include ventilatory and hemodynamic management, immunosuppression, wound care, rehabilitation, infection control and treatment, and early detection of rejection. Don't miss Management of the Patient Undergoing Lung Transplantation: An Intensive Care Perspective. More
  As the population ages and the acuity of hospitalized patients increases, the need for critical care nurses is on the rise. Learn how one unit improved its preparation of new critical care nurses by reading From Novice to Advanced Beginner: The Critical Care Internship. More 
  Review the primary and secondary assessment surveys to be completed when a trauma patient arrives to the emergency department. Be sure to explore Responding To Trauma: Your Priorities In The First Hour. More  
Want to get published?
  Have you ever thought about being published in a major journal? Lippincott Williams & Wilkins is currently accepting articles for several journals. For more information, visit CEConnection Accounts Improve Staff Development
  CEConnection Accounts help you recruit and retain nurses by making it easy for them to fulfill their educational needs. They provide convenient access to the most timely and authoritative CE activities from 28 of the leading nursing journals. Institutions can purchase CE for their nurses at bulk-rate savings of up to 40%. More

Learning Center
  How Proper Documentation May Reduce Your Lawsuit Risk
Good documentation can help you defend yourself in a malpractice lawsuit, and it can also keep you out of court in the first place. You have to make sure it's complete, correct, and timely. If it's not, it could be used against you in a lawsuit. Download the Special Report Now

Coming in Critical Care Insider eNews April Issue:
  • Update on ventricular assist device technology
  • Atrioventricular blocks

Featured Employer
It's the Critical Care RN opportunity you've been waiting for!
Where co-workers are more like family and the hospital looks to you to help set new standards for care. A 250-bed facility in the heart of northwest Las Vegas, MountainView Hospital is known for a low nurse-to-patient ratio and specialty adult and pediatric ICUs. Learn more and apply today!

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.

Sponsored Links

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