Pain Assessment
What pain assessment tool is used for an alert patient who can self-report?
What is the Numeric Rating Scale (NRS)
What does SAT stand for?
Spontaneous awakening trial
What assessment tool is commonly used to screen ICU patients for delirium?
CAM-ICU
Name one benefit of early mobility.
Reduced ICU-acquired weakness, shorter LOS, etc.
What does the "F" in the ABCDEF Bundle stand for?
Family engagement and empowerment
What pain assessment tool evaluates facial expression, body movements, muscle tension, and ventilator compliance?
What is the CPOT
What does SBT stand for?
Spontaneous breathing trial
What type of delirium is often characterized by lethargy and withdrawal?
Hypoactive delirium
Before mobility, what type of stability should be assessed?
Hemodynamic
Name one way families can participate in ICU care.
Reorientation, rounds, mobility encouragement, etc.
A ventilated patient cannot communicate pain verbally. What assessment tool is most appropriate?
What is the CPOT
What daily ICU practice helps identify readiness for ventilator liberation?
SAT/SBT
Name one modifiable risk factor for ICU delirium.
Benzodiazepines, sleep disruption, immobility, etc.
What mobility activity typically follows sitting at the edge of the bed?
Standing
Why is family engagement important in ICU Liberation?
Improves communication and patient-centered care
Why should pain be treated before increasing sedation?
Untreated pain may be the cause of agitation.
During an SBT, a patient's respiratory rate increases to 40 breaths/min. What should occur?
Terminate the trial
A CAM-ICU positive patient becomes confused. What should the nurse assess first?
Reversible causes
Name one equipment-related barrier to mobility.
Mechanical ventilation, lines, drains, ECMO, etc.
During rounds, a family member asks how they can help. What is an appropriate nursing response?
Encourage participation in reorientation and care activities
A patient has RASS +2, CPOT 6, and HR 120 bpm. Which intervention should occur before increasing sedation?
Assess and treat pain
A patient has RASS -3, no SAT attempted, and remains ventilated. What should be discussed first during rounds?
Sedation reduction/SAT readiness
A 78-year-old ventilated patient receiving midazolam develops delirium. Which ABCDEF component most directly addresses this risk?
Choice of analgesia and sedation
A patient is awake, following commands, and hemodynamically stable. What mobility intervention should be considered?
Progressive mobility/ambulation as tolerated
Which ICU Liberation activity reviews pain, sedation, delirium, mobility, and family engagement daily?
ICU Liberation rounds (or multidisciplinary rounds)