1 / 8

Humber River Regional Hospital

Humber River Regional Hospital. Delirium CAM-ICU. Background. Humber River Regional Hospital is one of Canada’s largest regional acute care hospitals Serving a catchment area of more than 850,000 people in the Northwest GTA The hospital currently operates on 3 sites with a total of 549 beds

linnea
Download Presentation

Humber River Regional Hospital

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Humber River Regional Hospital Delirium CAM-ICU

  2. Background • Humber River Regional Hospital is one of Canada’s largest regional acute care hospitals • Serving a catchment area of more than 850,000 people in the Northwest GTA • The hospital currently operates on 3 sites with a total of 549 beds • Our Critical Care Units are located at 2 of our sites with a total of 28 beds • We look to our patients to share their hospital experiences with us in guiding us towards developing plans for success and improvement across the organization

  3. Aim • Identify Critical Care patients at risk of delirium with the use of CAM-ICU at both of our sites Goals/Objectives: • To implement delirium protocol in the ICU by December 2012 • To assess the impact of the protocol on current self extubation rates • Early identification of patients with delirium

  4. Team Members • Yemi Adebayo- Manager Finch ICU • Sarah Morris- CPL Church ICU • Claudia Mitchell- Manager Church ICU • Dr Terry Cooligan- Intensivist • MojganKhoravis-Babadi- Pharmacist • Paula Abramczyk-Cazes- Social Worker • Jinhee Oh- Pharmacist • Cecile Marville- Williams- Sponsor

  5. Results • Compliance with use of the Richmond Agitation Sedation Score in documentation • Identifying and reporting symptoms of delirium in daily rounds

  6. Changes Tested • Started to look at incidence of delirium among patients during daily rounds • Compliance to Richmond Agitation Sedation Scale (RASS) • Roll out of our ICU daily rounds sheet which includes daily assessment of delirium • Staff’s understanding of the tool-pocket cards • Incorporated early mobilization in daily goal

  7. Lessons Learned • Need for staff to understand the causes of delirium, including medications (eg Benzodiazepines) and other predisposing factors • Need for education for appropriate use of CAM-ICU • To develop delirium screen in meditech to improve documentation • Include delirium screening into our safety crosses

  8. Next Steps • Testing the tool • Audit incidence of delirium-numerator/denominator • Auditing CAM compliance • Ongoing huddle on the risk factors of delirium • Head of bed display

More Related