1 / 8

AACN Practice Alert: Delirium Assessment and Monitoring

AACN Practice Alert: Delirium Assessment and Monitoring. Suad Ali, Nicki Croel, Vaughn Lovell & Chelsey Treglia. Objectives. Review the background of AACN standards and practice alerts Provide an overview of AACN ICU Delirium P ractice Alert

iain
Download Presentation

AACN Practice Alert: Delirium Assessment and Monitoring

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. AACN Practice Alert: Delirium Assessment and Monitoring Suad Ali, Nicki Croel, Vaughn Lovell & Chelsey Treglia

  2. Objectives • Review the background of AACN standards and practice alerts • Provide an overview of AACN ICU Delirium Practice Alert • Define evidence-based nursing interventions for ICU delirium • Discuss improving quality and safety and the influence of standards of care

  3. The AACN • American Association of Critical-Care Nurses • “Patients and their families rely on nurses at the most vulnerable times of their lives. Acute and critical care nurses rely on AACN for expert knowledge and the influence to fulfill their promise to patients and their families. AACN drives excellence because nothing less is acceptable” (American Association of Critical-Care Nurses [AACN], 2014). • Levels of evidence • Level A-E, & M

  4. Practice Alert Summary • “Delirium is an acute change in consciousness that is accompanied by inattention and either a change in cognition or perceptual disturbance” (AACN, 2014). • Expected Practice: • Implement delirium assessment for all critically ill patients using validated tools such as the Confusion Assessment Method for the ICU (CAM-ICU) or Intensive Care Delirium Screening Checklist (ICDSC) (Level B) • Create strategies to decrease delirium risk factors, including early exercise (Level B) • Be cautious with benzodiazepine use, giving only what is needed (Level C) • Consider whether to adopt a core bundle like the ABCDE bundle (Level E)

  5. Influence on Standards of Care • Assessment • Planning • Interventions • Collaboration

  6. Improving Quality & Safety of Healthcare Delivery • THIINK mnemonic for early recognition of cause • Toxic Situation • Hypoxia, • Infection / sepsis • Immobilization • Nonpharmacologic Interventions • K+ (Potassium or electrolyte problems) • Reliable and valid assessment tools • Medication precautions and reviews • Implementation of ABCDE bundle

  7. Summary • The complications associated with delirium are serious and can be debilitating • Practice alerts give guidelines to critical care nurses by enabling them to use current recommendations and best practice when providing care.

  8. References American Association of Critical Care Nurses. (2013). History of AACN. Retrieved from http://www.aacn.org/wd/mainpages/content/aboutus.content?menu=AboutUs American Association of Critical Care Nurses. (2013). Delirium assessment and management. Retrieved from http://www.aacn.org/wd/practice/content/practicealerts/delirium-practice-alert.pcms?menu=practice

More Related