This issue of Critical Care Nursing Clinics, Guest Edited by Debora Simmons, RN, MSN, CCRN, CCNS, will feature such article topics as: Cause Mapping Critical Events; Blood Bank Safety in the ICU; Patient Safety in Perinatal Care; High Risk Drugs in Critical Areas; Enteral Feeding Tubing Misconnections; Safe Practices for Enteral Nutrition; Negotiating Safety; Device Complexity and Human Factors; Decreasing Risk; Delirium in ICU; and Voice of the Patient.

Pain Management, An Issue of Critical Care Nursing Clinics of North America

This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.

In this issue of Critical Care Nursing Clinics, guest editor Dr. Jeanette Vaughan brings her considerable expertise to the topic of Evidenced-Based Trauma Pearls. Top experts in the field provide evidence-based pearls on key topics such as airway management, spinal cord injuries, chest trauma, geriatric frailty trauma, TBI, falls, trauma and the obstetric patient; and more. - Contains 13 relevant, practice-oriented topics including the multidisciplinary team in critical care; ethical dilemmas in critical care; LGBT+ and trauma; social determinants of health in trauma patients; victim mental health trauma; and more. - Provides in-depth clinical reviews on evidenced-based trauma pearls, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Dr. Wung is addressing an important component of critical care nursing: the role of technology in patient care. She has assembled top authors to provide current clinical information in the following areas: Sensory overload and technology in critical care; Alarm fatigue; Nurse-technology Interactions; Safety steps to prevent Infusion errors; Product design and medical devices for nurses ; Technologies to assess physiologic parameters (hemodynamics/cardio output); Technologies to support hemodynamics (e.g., balloon pump. ECMO, etc); Interactive computer programs for application of critical thinking skills; Information technology Electronic health records (EHR); Real-time detection of clinical care deviations in ICU; Medication safety technology; and eICU/iCARE. Readers will come away with the updates they need to improve patient outcomes.

In consultation with Consulting Editor, Dr. Jan Foster, Drs. Garbee and Danna have put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Quality Outcomes and Costs. Clinical review articles are specifically devoted to the following: Information Technology, Electronic Medical Records, and Practice Alerts; Telehealth Use to Promote Quality Outcomes and Reduce Costs; Impact of a Mobility Team on ICU Patient Outcomes; MACRA and MIPS Impact on Quality and Cost Outcomes; Leadership’s Impact on Quality, Outcomes, and Costs; Big Data Sets Use for Quality, Outcomes, and Cost; Pediatric Quality Metrics Related to Quality Outcomes and Cost; Geriatric Outcomes Related to Quality and Cost; Mental Health/Behavioral Health Metrics; Obstetric Quality Outcomes and Cost; Emergency Department Throughput; and Veteran Outcomes. Readers will come away with the latest information they need to improve quality and improve out comes in critically ill patients.

Dr. Chapa has assembled top-notch authors to write clinical reviews on the important topic of psychologic issues in the ICU. The issue focuses not only psychologic issues of patients in the ICU but also on issues facing critical care nurses working in the ICU. Articles are devoted to the following topics: Caring for the Caregiver in the ICU; Delirium vs. Dementia in ICU; Pediatric Delirium in ICU; Sarcopenia and Psychosocial Variables in ICU; Impact of Early Mobility in ICU on Psychological Issues; Intensive Care Syndrome; PTSD in ICU Nurses; Burnout Syndrome; Management Strategies in the ICU to Improve Psychosocial outcomes; and Psychologic Issues of Patient Transition from Intensive Care to Palliative Care. Readers will come away with current information they need to provide quality care with positive patient outcomes.

This issue of Critical Care Nursing Clinics, Guest Edited by Margaret M Ecklund, MS, RN, CCRN, ACNP-BC, will focus on Winter Health Challenges, with article topics including: Near Drowning and Multiple Organism Aspiration; Geriatric Perils: Falls and Complications; Vitamin D Deficiency; Gastroenteritis and Surgical Perils; Frostbite; Rural Trauma; Respiratory failure and adult influenza; RSV; Diabetes and Seasonal Depression; and Holiday Heart Disease.

With collaboration from Consulting Editor, Dr. Jan Foster, Dr. Beth Diehl has created a current issue that updates the topic of neonatal nursing. Expert authors have contributed clinical reviews that address the following topics: Family Centered Care and Multidisciplinary Rounding in the NICU; Standardized Feeding Protocols and NEC; Preventing Hypoglycemia: Finding the Sweet Spot; The EMR and Big Data in Neonatology; Fetal Surgery and Delayed Cord Clamping: Neonatal Implications; Neonatal Encephalopathy: Current Management and Future Trends; Modes of Neonatal Ventilation; Neonatal Resuscitation: NRP 7th Edition Practice Integration; Neonatal Pain: Perceptions and Current Practice; Neuroprotective Developmental Care for the Preterm Infant in the first 72 Hours of Life; NAS: An Uncontrollable Epidemic; and Neonatal Transport: Current Trends and Practices. Readers will come away with the current clinical information they need to improve patient outcomes in the NICU.

APRNs are essential to deliver healthcare in today’s complex environment. Certified Registered Nurse Anesthetists have met that challenge for over 150 years. Nurse Anesthetists have shifted from the intensive care unit as critical care nurses into the operating room arena. The operating room is an environment that is uniquely challenging. A critical care background is essential to meet these challenges, and all Certified Registered Nurse Anesthetists share that experience. The topic; "Certified Registered Nurse Anesthesia: Critical Care Nursing in the Operating Room", highlights critical care nursing as it is applied in the operating room setting. Critical care nurses will appreciate the knowledge base that is essential for the anesthetist. As healthcare reform demands greater efficiency, more and more procedures are performed outside the operating room. The line between the Operating Room, ICU and Interventional Radiology will become less defined. Critical care nurses are, and will be more involved in patient care while an anesthetic is administered. It is the goal of this proposed monograph to share knowledge and experience so that ICU nurses will learn more about caring for the anesthetized patient.