Critical Care Weekly Pulse Weekly

The Critical Care Weekly Pulse™, a weekly e-news publication packed with career empowerment resources including the latest clinical, industry, and product news, clinical education, market research, and of course, the most recently posted jobs requiring expertise in the critical care nursing and medicine. Over 10,000 clinicians now receive the Critical Care Weekly Pulse.

Read the most recent issue of the Critical Care Weekly Pulse™

Receive your own complimentary subscription to the Critical Care Weekly Pulse™

Sign Up Now!


Featured Articles

November 8, 2018

How Hospitals Can Prevent Dementia in ICU Patients

A checklist that focuses on pain assessment and exercise can help reduce intensive care unit patients' risk of developing long-term mental effects, such as dementia and confusion, NPR reports. Four things to know: 1. Following the checklist can cut a patient's risk of mental impairment after an ICU stay by 25 percent to 30 percent, said Eugene Wesley Ely, MD, professor of medicine at Vanderbilt University School of Medicine in Nashville, Tenn. This post-ICU condition is different than memory problems that may arise after heart surgery and general anesthesia in the elderly. Read More

Oral, Gut Decontamination Does Not Reduce Bloodstream Infections in ICU

Results of a randomized clinical trial showed that selective oral or digestive tract decontamination is not associated with reductions in ICU-acquired bloodstream infections caused by multidrug-resistant gram-negative bacteria among patients receiving mechanical ventilation with moderate to high antibiotic resistance prevalence. [Selective decontamination of the digestive tract (SDD)] and [selective oropharyngeal decontamination (SOD)] are routinely used in ICUs in the Netherlands, but their use has not been widely adopted in other countries, mainly because of limited efficacy data in settings with higher levels of antibiotic resistance and concern about emergence of antibiotic resistance, although the latter is not supported by meta-analyses,” Bastiaan H. Wittekamp, MD, PhD, of University Medical Center Utrecht in the Netherlands, and colleagues wrote in JAMA. Read More

Shoe Sole and Floor Contamination: A New Consideration in the Environmental Hygiene Challenge for Hospitals

It sounds like the beginnings of a riddle: What do we wear and walk on daily but never truly think about, especially in terms of pathogen transmission? Shoe soles and healthcare facility floors are the workhorses of the environment, and yet their capacity for aiding and abetting infectious agents remains unclear. Recent research seems to confirm what common sense already tells us -- that items which contact the floor are contaminated and could serve as vectors; despite daily cleaning of high-touch surfaces such as floors, it has already been shown that bacterial and viral contamination returns rather quickly. Read More

Machine-Learning System Could Aid Critical Decisions in Sepsis Care

Researchers from MIT and Massachusetts General Hospital (MGH) have developed a predictive model that could guide clinicians in deciding when to give potentially lifesaving drugs to patients being treated for sepsis in the ER. Sepsis is one of the most frequent causes of admission, and one of the most common causes of death, in the intensive care unit. But the vast majority of these patients first come in through the ER. Treatment usually begins with antibiotics and intravenous fluids, a couple liters at a time. If patients don’t respond well, they may go into septic shock, where their blood pressure drops dangerously low and organs fail. Then it’s often off to the ICU, where clinicians may reduce or stop the fluids and begin vasopressor medications, such as norepinephrine and dopamine, to raise and maintain the patient’s blood pressure. Read More

  • October 31, 2018

    Predicting C. difficile: Researchers Identify Cluster of Factors

    A cluster of factors may help predict which patients are likely to develop Clostridioides difficile, a potentially life-threatening disease commonly known as C. difficile or C. diff, a new study has found. And that could help in efforts to prevent infection, according to the researchers. Read More

    Facebook 'Viable Method' for Implementing Critical Care Ultrasound Curriculum

    Critical care ultrasound (CCUS) is an important skill for all critical care physicians to understand. However, currently there is no standard approach to how to teach CCUS. Researchers aimed to investigate the feasibility of implementing a CCUS curriculum via a social platform in order to evaluate the impact it has on fellow's self-perceived competency. Results found that utilizing a social media platform, like Facebook, provides benefits such as spaced learning, active participation, and an informal and personal learning environment.  Read More

    Using Positive Deviance to Achieve Efficacy, Clarity in HAI Prevention

    The literature is replete with attempts to design and promote customized guidelines to reduce infections during the care continuum. Paradoxically, these efforts sometimes result in gray areas where many staff members are unaware of what is required of them, which then leads to confusion, frustration and uncertainty. Gesser-Edelsburg, et al. (2018) coined the phrase “gray areas” in this context to encompass the variety of situations on the care continuum that are not addressed in the accepted guidelines, and where staff members are unsure of how to proceed. Read More

    10 Hospital Objects That Breed Infection-Causing Bacteria

    Reader's Digest compiled a list of hospital objects that can hold large amounts of bacteria and other microbes, including elevator buttons, faucets and patient privacy curtains. Here are 10 hospital objects that have been found to breed infection-causing bacteria: 1. Privacy curtains. The privacy curtains that surround patients' beds can be contaminated with methicillin-resistant Staphylococcus aureus bacteria, according to a recent study. The researchers tracked the contamination of 10 freshly cleaned curtains. Within two weeks, about 90 percent of the curtains were colonized by MRSA bacteria. Read More

  • October 18, 2018

    Sink Traps are Surprising Source of Antibiotic-Resistant Bacteria in ICU

    During a nationwide outbreak of healthcare-associated infections of an antibiotic-resistant bacteria, an Israeli hospital traced repeated infections of patients in its intensive care unit (ICU) to an unexpected source--sink traps, according to a study published today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America. Read More

    New Studies Illustrate Need for Rigorous Review of Infection Preventionist Staffing Models Across Healthcare Systems

    Severe gaps in staffing and outdated coverage benchmarks point to the critical need for evaluating and updating standards for infection preventionist (IP) staffing levels, according to two new studies that explored infection prevention and control resourcing across a variety of healthcare settings. The studies were published in the American Journal of Infection Control (AJIC), the journal of the Association for Professionals in Infection Control and Epidemiology (APIC).  Read More

    C. difficile Survives Commercial Laundering of Hospital Bedsheets

    Commercial washing and drying under United Kingdom health care laundry policy failed to remove all Clostridium difficile, also known as Clostridioides difficile, spores on hospital bedsheets, according to study results published in Infection Control & Hospital Epidemiology. Our research found that standard laundering methods in U.K. hospitals failed to remove all traces of C. difficile, suggesting that linens could be another source of infection among patients and even other hospitals,” Katie Laird, PhD, head of the infectious disease research group in the school of pharmacy at De Montfort University, told Infectious Disease News. “These findings are significant because they could provide an explanation for otherwise unknown C. difficile outbreaks.” Read More

    Sepsis Surveillance Limited by Variations in Claims Data

    An analysis of records from nearly 200 hospitals showed that variations in the completeness and accuracy of claims data makes it difficult to compare sepsis rates and outcomes, according to findings presented at IDWeek. Researchers said meaningful comparisons may require the use of objective clinical data to facilitate improved sepsis surveillance. Read More

  • October 11, 2018

    Impact of a Nurse Intervention to Improve Sleep Quality in Intensive Care Units: Results from a Randomized Controlled Trial

    Researchers conducted this pilot randomized controlled trial in Spain to assess the effect a brief nurse intervention on sleep quality in patients in the intensive care unit (ICU). For this investigation, 40 patients admitted in hospital for valve cardiac surgery were randomly allocated to the control group (n=20), receiving usual care, and to the experimental group (n=20), receiving a nurse intervention the day before surgery and admission in the ICU. The investigators found that patients’ sleep quality was not improved by nurse intervention prior to ICU admission. Read More

    Digital Tool Quantifies Nurses’ Intuition and Predicts Potential Critical Situations

    Nurses often talk about having a sixth sense. A gut feeling says something is wrong with a patient, but putting that intuition into words and validating it can be hard. Perhaps a patient isn’t eating or drinking as much as the day before or the texture of their skin changed slightly. Maybe yesterday their mind was clear and today they are confused. These subtle changes could be early signs of a person’s health deteriorating, and they are picked up by a digital tool called the Rothman Index.  Read More

    Complexity of Work Environment Limits Nurses from Achieving a Healthy Lifestyle

    Research among nurses reports fewer than 10 percent meet physical activity guidelines and eat a healthy diet. The American Nurses Association underscored this issue by declaring 2017 as the Year of the Healthy Nurse. A new study published in the Journal of Nutrition Education and Behavior found that despite providing pedometers, a smartphone app, and access to a Facebook group, study participants were unable to change their diet and physical activity levels at the same time. Read More

    Early Dialysis Not Better for Septic Shock Patients with Acute Kidney Injury

    Early renal replacement therapy for patients in the initial phase of septic shock who have severe acute kidney injury is no better than delayed therapy, according to a French study of 488 patients that was stopped early for futility. After 90 days, 58% in the early treatment group had died vs 54% among patients whose treatment was delayed 48 hours to see if renal recovery would occur. In many cases, kidney function returned spontaneously. Results of the study, a multicenter, randomized trial known as IDEAL-ICU, were published online October 10 in the New England Journal of Medicine. Read More

  • October 3, 2018

    Severe Infections Rising Among Americans with Diabetes

    The number of Americans with diabetes who wind up in hospitals with serious infections, or who develop them while in the hospital, is on the rise. Between 2010 and 2015, the number of diabetics hospitalized for infections rose 52 percent (from 16 per 1,000 people to 24 per 1,000), according to researchers from the U.S. Centers for Disease Control and Prevention. "People with diabetes are more susceptible to in-hospital infections as compared with people without diabetes, and this risk is increasing," said lead researcher Jessica Harding, from the CDC's Division of Diabetes Translation. Read More

    Opt-Out Testing for HIV, Hepatitis C Could Improve Diagnoses in the ED

    A new study from screening results performed at a pair of Oakland-based hospital systems found that automated, routine testing for HIV and hepatitis C virus (HCV) conducted in integration with standard nursing workflow could increase the prevalence of caught diagnoses for both diseases. The obvious end-result would be more timely care for patients unlikely to be tested outside of an emergency department (ED) setting—namely, younger patients. Read More

    Study Explores Impact of Hand-Drying Method on Contamination and Bacteria Levels in Hospital Washrooms

    Laboratory and in situ studies have demonstrated that some hand drying methods are associated with a greater risk of dissemination of residual microbes from hands after (especially suboptimal) handwashing. In this latest study, supported by a grant from ETS, two toilets per hospital were observed – each had paper towel dispensers and jet air hand dryers, but only one of these was available to use at any given time – the hand drying method was changed every four weeks. The toilets were frequented by patients, visitors and staff. Bacterial contamination levels were measured over 12 weeks. Target bacteria included methicillin susceptible (MSSA) and resistant Staphylococcus aureus (MRSA), enterococci and enterobacteria, including ESBL (extended-spectrum β-lactamase) bacteria. Read More

  • September 25, 2018

    Recent Developments in Surgical Sepsis

    It is almost a century since Moynihan famously noted that, “every surgical operation is an experiment in bacteriology.” While the basic components of that experiment (the host, the bacterial flora and the factors which alter the balance between bacterial capacity for invasion and host resistance) have not changed, the outcome of surgical procedure, even when complicated by infection, has improved markedly. Read More

    Cath Lab Pre-Activation Beneficial But Not Routine in STEMI

    Fewer than half of patients with STEMI who were transported by emergency medical services had catheterization laboratory pre-activation before they arrived at the hospital, despite a suggestion of mortality benefit from cath lab pre-activation, according to a study published in JACC: Cardiovascular Interventions. Read More

    Hospitals Could Reduce HAIs by up to 55%

    A large systematic review and meta-analysis showed that hospitals could reduce health care-associated infections, or HAIs, by 35% to 55% with systematic implementation of evidence-based infection prevention and control measures.
    The findings were published in Infection Control & Hospital Epidemiology.
    Read More

    Biomarker-Guided Antimicrobial Stewardship: The Next Target, or Missing the Mark?

    Sepsis is a common and serious condition that can lead to significant morbidity and mortality. Because early and effective antibiotic therapy is a critical component of treatment, there is ongoing interest in increasingly rapid and reliable diagnosis. In conjunction with clinical evaluation, biomarkers have emerged as potentially useful diagnostic tools and may additionally have a role later in therapy to evaluate clinical response and guide cessation of antibiotics. Read More

  • September 13, 2018

    Clinical Education On-Demand! "Stressing the Dressing: Reducing Vascular Access Device Complications"

    View Today

    Vasopressors May Contribute to ICU-Related Weakness

    Treatment with vasopressor medications was associated markedly increased risk for developing intensive care unit (ICU)-associated weakness among critically ill patients on mechanical ventilation, researchers said. Read More

    Men Place Less Value on Care-Oriented Careers Like Nursing

    Men assign less importance to care-oriented careers than women do, possibly because men internalize different values than women, suggests new research from the University of British Columbia. While women are significantly underrepresented in science, technology, engineering and math (STEM) fields, making up just nine to 16 per cent of engineers and 21 per cent of computer programmers in the U.S., men are even more markedly underrepresented in healthcare, early education, and domestic (HEED) careers. They make up only 10 per cent of nurses and four per cent of preschool and kindergarten teachers in the U.S., according to the U.S. Bureau of Labor Statistics. Read More

    Caffeine Consumption May Extend Life Expectancy for People with Kidney Disease

    A new study in Nephrology Dialysis Transplantation indicates that consuming more caffeine may help reduce the risk of death for people with chronic kidney disease. An inverse relationship between coffee consumption and mortality has been reported in the general population. However, the association between caffeine consumption and mortality for people with chronic kidney disease remains uncertain. The researchers hypothesized that caffeine consumption might be associated with lower mortality among participants with chronic kidney disease. Read More

    Guidance for Preventing C. difficile in Neonatal Intensive Care

    Newborns require special diagnosis and treatment considerations for an infectious diarrhea known as Clostridioides difficile (C. difficile) infection, according to a new evidence-based white paper published today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America. The publication is in conjunction with the release of a companion review by the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee (HICPAC) and recommends against routine testing for C. difficile in neonatal patients and suggests evaluating first for more common causes of diarrhea. Read More

  • August 29, 2018

    Certain Antibiotic-Resistant Infections on the Rise

    Nearly six percent of urinary tract infections analyzed by a California emergency department were caused by drug-resistant bacteria in a one-year study period, according to new research in Annals of Emergency Medicine. The bacteria were resistant to most of the commonly used antibiotics. And, in many cases, patients had no identifiable risk for this kind of infection, the study found. Read More

    Therapeutic Algorithm May Guide Empiric Therapy in Pneumonia

    An algorithm based on risk factors for resistant pathogens and illness severity can simplify pneumonia treatment, improve the accuracy of empiric therapy, reduce mortality, and help avoid overusing broad spectrum therapy in some patients, according to new findings published in Clinical Infectious Diseases. Read More

    Investigating an Elizabethkingia anophelis Cluster in a Pediatric ICU

    Intensive care units (ICUs) are the last place infection preventionists want to see an outbreak. There is no “good” location for an outbreak, but an ICU is perhaps one of the worst, as the sickest, most vulnerable patients are cared for in such units. Like an oncology unit, an ICU experiencing cases of infection with an unusual organism can represent a canary in the coal mine. Elizabethkingia bacteria are found in soil, river water, and reservoirs; however, they tend to only cause disease for those with weakened immune systems. The most common manifestations are meningitis and respiratory infections. Read More

    Discharging Patients Home from ICU Poses No Added Risk

    Direct discharge home from the ICU does not increase health care utilization or mortality, according to research published in JAMA Internal Medicine. Read More

  • August 22, 2018

    TODAY - August 22nd Complimentary Clinical Education Webcast: "Stressing the Dressing: Reducing Vascular Access Device Complications" Featuring, Russel Nassof, JD - Space is limited! Register for the live event or to receive a recorded copy of the presentation.

    Register Now

    Effectively Expressing Empathy to Improve ICU Care

    In nearly every intensive care unit (ICU) at every pediatric hospital across the country, physicians hold numerous care conferences with patients' family members daily. Due to the challenging nature of many these conversations -- covering anything from unexpected changes to care plans for critically ill children to whether it's time to consider withdrawing life support -- these talks tend to be highly emotional. Read More

    New Elective Gives UAH Students Preview of the Ups and Downs of Critical Care Transport Nursing

    If the idea of trying to save someone’s life isn’t panic-inducing enough, try doing it in mid-air with limited room to maneuver and the whir of helicopter blades drowning out any chance of direct communication. For Ron Bolen (MSN, RN, CCRN, CEN, CFRN), however, it’s all in a day’s work. And now he’s imparting that knowledge to a new generation of nursing students in his undergraduate-level Critical Care Transport Nursing course at The University of Alabama in Huntsville (UAH).  Read More

    Trust, Access Confer Success in Community-Based Hypertension Management

    Hypertension is a well-established, powerful risk factor for CVD and stroke, especially in black individuals, but the challenge lies in identifying and deploying the most efficient strategy to prevent and control BP. According to the CDC, 1 in 3 U.S. adults has hypertension, defined as 140 mm Hg over 90 mm Hg or above or use of antihypertensive medication, and nearly half of those with hypertension have not achieved control. In addition, an estimated 13 million U.S. adults with hypertension do not know that they have the condition and, thus, are not receiving treatment. Read More

    If You’re a Nurse, You’re a Patient Advocate

    Most nurses don’t wear nursing caps any longer, but we still wear many hats. And the advocate hat is one we never take off. At times, the work we do is routine. At other times it is complex and critical. But it always is patient-centered. We are assessors, planners, providers and care evaluators. We are technicians and researchers, managers, leaders and educators. And we are nurse advocates. Read More

  • August 16, 2018

    Clinical Education Webcast: "Stressing the Dressing: Reducing Vascular Access Device Complications" Featuring, Russel Nassof, JD - Space is limited!

    Register Now

    The Intensivist Shortage: Is There a Way Around It?

    In the ICU, the numbers just don't add up. There is a significant shortage of intensive care specialists, and despite efforts by hospitals to recruit more intensivists, there are not enough to provide quality care to intensive care unit patients. And according to one study, “the shortage of full-time intensivists is most likely 5-10 times more pronounced” than it is generally considered to be - because “the bulk of CCM board certificates are allocated to part-time physicians.” While a part-time intensivist is better than none, it is far from an ideal situation. Read More

    UCLA Pilot Project Fulfills Patient Wishes to Improve End-of-Life Experience

    Researchers at UCLA have launched a pilot project designed to fulfill small wishes from critically ill patients in hopes of improving their end-of-life experience. The program — offered to patients in the ICU — will expand later this year to include the oncology unit at UCLA Santa Monica Hospital.  Read More

    Engaging Leaders in CAUTI Prevention Efforts

    Including senior leaders in CAUTI prevention is a critical aspect of the design and implementation of infection prevention programs. Implementing a program to successfully reduce catheter-associated urinary tract infections requires a multipronged approach, dedicated resources, and leadership support from the highest levels of an organization. Senior leaders of healthcare organizations are responsible for navigating the constantly changing landscape of healthcare quality, financial, and regulatory issues. Read More

    Very Empty (and Very Full) Hospitals Have Lowest C. Diff Risk

    Patients are three times likelier to contract the dangerous infection when a hospital is at midlevel occupancy, a new way of tracking the data finds. Hospitals spend a lot of time and effort to protect their patients from developing new infections — especially dangerous ones that can pose a greater health threat than whatever brought that person in for care. But this massive effort has been missing a key element, according to University of Michigan and Rand Corp. researchers. Read More

  • August 8, 2018

    Clinical Education Webcast: "Stressing the Dressing: Reducing Vascular Access Device Complications" Featuring, Russel Nassof, JD - Space is limited!

    Register Now

    PPE Donning and Doffing Reveals Gaps in Knowledge and Practice

    The best-designed and engineered items of personal protective equipment (PPE) will fail healthcare workers and their patients if the PPE is donned or doffed incorrectly and contamination is spread. Knowing that seeing is believing, researchers at the University of Pittsburgh Medical Center (UPMC) Presbyterian Hospital secured the consent of healthcare personnel to videotape how they gowned and gloved, and other related clinical practices. Kang, et al. (2017) discovered that healthcare personnel contaminated themselves in almost 80 percent of the PPE simulations. Read More

    Travel Time Has Major Impact on Nurse Staffing Ratios in Neurocritical Care Units

    For specialist nurses on neurocritical care units, accompanying patients for imaging scans and other procedures has a major impact on nurse staffing ratios. "Patients in a neurologic critical care unit require more staffing to account for the frequent neurologic assessments, charting, and traveling," according to the workflow study. The study led to the addition of staff members, including a new "circulating nurse" position, with the goals of improving patient care and nurse retention rates.  Read More

    Not in The Medical Textbooks: How Doctors Find a Way to Tell Families That Their Relative Has Died

    One of the most overlooked aspects of medicine at public hospitals across India is the communication of the news of death. Unfortunately, there is nothing in the medical education curriculum about how to tell a patient’s family, friends and attendants that he or she has died. There is little to prepare doctors for the various difficulties they may face in conveying such news. Across the country, the news of death has increasingly led to violence against doctors. Read More

    Antimicrobial Lock Solutions Are Cost-Effective for Preventing Central Line-Associated Bloodstream Infections

    Antimicrobial lock solutions are an effective clinical and cost-effective strategy for preventing central line-associated bloodstream infections (CLABSI), according to new findings published in Clinical Infectious Diseases. Recent studies show that the prophylactic use of antimicrobial locks can reduce the incidence of CLABSI, and the Centers for Disease Control and Prevention (CDC) recommends their use in patients who have experienced multiple prior episodes of CLABSI. Read More

  • August 1, 2018

    Clinical Education Webcast: "Stressing the Dressing: Reducing Vascular Access Device Complications" Featuring, Russel Nassof, JD - Space is limited!

    Register Now

    Single-Room ICU Design Contributes to the Reduction of Cross-Transmission of MDROs

    Cross-transmission of nosocomial pathogens occurs frequently in intensive care units (ICU). The aim of this study was to investigate whether the introduction of a single room policy resulted in a decrease in transmission of multidrug-resistant (MDR) bacteria in an ICU. The researchers conclude that single-room ICU design contributes significantly to the reduction of cross transmission of MRD-bacteria. Read More

    Adrenaline Use Discouraged as Heart Attack Treatment

    A new study shows that using adrenaline in cardiac arrests nearly doubles the survivors’ risk of severe brain damage. The study included 8,007 patients in cardiac arrest who were allocated randomly to be given either adrenaline or a salt-water placebo. All those involved in the trial, including ambulance crews and paramedics, were unaware which of the two treatments the patient received. Read More

    New Prevention Bundle Significantly Reduces Pediatric Health Care-Associated Viral Infections

    Pediatric health care-associated viral infections, or HAVIs, were significantly reduced by the development, implementation and refinement of targeted prevention practices, according to findings published in Infection Control & Hospital Epidemiology. “The application of standard prevention bundles has proven successful in the reduction of other health care-associated infections, such as central line-associated bloodstream infections or catheter-associated urinary tract infections, but the application of a comprehensive bundle to prevent HAVI has not been previously described." Read More

    Nursing Notes Can Predict Survival Rates of ICU Patients

    Sentiments in the notes of ICU nurses are good indicators of whether patients will survive, according to researchers from the University of Waterloo in Ontario, Canada. Hospitals can already predict the 30-day survival of ICU patient through severity of illness scores, which include lab results, vital signs and physiological and demographic characteristics gathered within 24 hours of admission. Using a large publicly available ICU database, researchers looked at patient data from 2001 to 2012, considering 27,000 patients and the nursing notes. The study was recently published in the journal PLoS One. Read More

  • July 25, 2018

    Clinical Education Webcast: "Stressing the Dressing: Reducing Vascular Access Device Complications" Featuring, Russel Nassof, JD - Space is limited!

    Register Now

    Reducing Delirium in Older Patients After Surgery

    A drug that reduces delirium in postoperative patients may work by preventing the overactivity of certain receptors in brain cells, according to a new study published in June 2018 in the Online First edition of Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA). The researchers say the findings could lead to more widespread use of the drug, dexmedetomidine, and speed the development of new treatments for postoperative delirium with fewer side effects. Read More

    Pediatric Sepsis Care Within an Hour Decreases Chance of Death, Largest Ever Analysis Finds

    More than 1 in 10 children hospitalized with sepsis die, but when a series of clinical treatments and tests is completed within an hour of its detection, the chances of survival increase considerably, according to a new analysis led by the University of Pittsburgh School of Medicine. Read More

    Diaries Can Help ICU Patients, Families

    The care of patients in the Intensive Care Unit involves some advanced measures, like sedation. That can lead to some frightening memories and some mental health concerns after discharge. "Patients have a number of issues after they've been released from ICU, including depression and anxiety," CRMC Critical Care Educator April Jarvis said. It's called Post-Intensive Care Syndrome, and it's so new, there isn't a lot of data on it. Craig heard an idea at a conference about how something as simple as keeping a diary can help patients. Read More

    Infection Prevention Staffing Needs May Be Underestimated

    A comprehensive assessment of health care organization composition and structure is necessary before determining infection preventionist (IP) staffing needs, according to a study published recently in the American Journal of Infection Control. Providence St. Joseph Health System in Renton, Wash., and colleagues describe a large nonprofit health care system's approach at quantifying the actual number of IP and relative support staff needed to build and sustain effective infection prevention programs. Read More