A
The A in the ABCDEF bundle stands for this.
What is Assess Pain
The B in the ABCDEF Bundle stands for this
What is: Both: Spontaneous Awakening Trial and Spontaneous Breathing trial
The C in the ABCDEF Bundle stands for this.
What is choice of sedation and analgesia
The D in the ABCDEF bundle stands for this.
What is delirium
The E and the F in the ABCDEF Bundle stands for this.
What is Early mobilization and Family involvement
List 2 examples of when to assess for pain
- Prior to painful procedures
- Beginning of shift
- Significant VS fluctuation
- Per unit standards
- Pain reassessment
- With analgesic drip titrations
This intervention must be done prior to stopping sedation for an SAT.
What is an SAT safety screen.
What is the Richmond Agitation-Sedation Scale/ RASS
The CAM-ICU is assessed at this frequency
What is every 12 hours
This is the name of the tool used to assess your patient's safe mobility level
BMAT (bedside mobility assessment tool)
This is the appropriate pain scale for ICU patients who are unable to self report pain
What is CPOT
During an SAT, SBT, and weaning trial, this is the frequency that VS are monitored.
What is 15 minutes.
Name 2 properties that would be considered ideal for a sedation drip.
Rapid onset and rapid offset
Predictable dose-response relationship
Ease of administration
Lack of drug accumulation
Few adverse effects
Minimal drug interactions
Cost-effectiveness
Promotion of natural sleep
This is the tool used to assess for ICU Delirium.
What is the CAM-ICU
This is the frequency that BMAT is completed.
Every 12 hours
You would suspect this when fluctuations in VS occur.
What is pain
If the patient fails either the SAT, SBT, or weaning trial, this is what you do to restart sedation.
What is restart all titratable sedation/analgesic infusions at half of last documented rate. Resume non titratable meds at last ordered rate.
When treating patients with agitation, this is the level of sedation that would be ideal for those patients.
What is lighter levels of sedation (deep sedation or coma should be avoided)
Delirium affects up to this percentage of ICU patients.
What is 80%
This must be completed prior to mobilizing your ICU patient and prior to completing the BMAT
The Early Mobilization Safety Screen
This is the expected intervention for ICU patients who will have a painful procedure.
What is administer pre-procedural analgesia and/or non-pharmacological interventions.
This is the name of the orderset that contains the SAT, SBT, weaning trial per protocol.
What is the "mechanical ventilation subphase"
- Prolonged mechanical ventilation
- delirium
- prolonged ICU/hospital stay
- increased mortality
Name 3 potential causes of delirium
Stop - consider sedatives, review medications
THINK - Toxins, hypoxemia, infection, immobilization, nonpharmacologic interventions, K+ (electrolyte imbalances)
Medicate - Utilize nonbenzodiazepine sedatives.
Name 2 benefits of family presence and flexible visitation
Decrease anxiety, confusion, and delirium
Reduction in cardiovascular complications
Decrease ICU lengths of stay
Providing feelings of security
Increase in quality, safety, and patient satisfaction