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ICU Visitation Best Practice
ICU Visitation Best Practice
Current Evidence
Jennifer Martin and Cassie Ratza
University of Michigan-Flint
Overview
I. Need for Change
II. History
III. Evidence Review
IV. Change Innovation
V. Outcomes
VI. Impact on Unit
Change Project Purpose: Identify a clinical problem or innovation at a healthcare agency and design an evidence-based change innovation to address that problem/need for change.
Need for Change
New Rules and Regulations for Visitation
Healthcare Facilities Accreditation Program
Medicare and Medicaid Programs: Changes to the Hospital and Critical Access Hospital Conditions of Participation To Ensure Visitation Rights for All Patients
Problem Statement
Do relaxed visitation policies vs. restrictive visitation policies increase patient satisfaction in the ICU?
2006, The Institute for Healthcare Improvement advocates for liberal visiting hours in ICUs.
2009, The American College of Critical Care Medicine Task Force clinical practice guidelines call for the patient, family, and nurse to jointly determine the visitation schedule.
This then prompted the American Association of Critical-Care Nurses to recommend giving the option to family members to be present during CPR or invasive procedures.
2001, IOM recommended more patient-centered care through increased family involvement.
1962, U.S. Public Health Service recommended visits to be limited to 5 minutes every hour with close-by waiting rooms in critical care settings
1965, revision suggested visitation should be based on the patient’s condition and the unit’s ability to entertain the visitors.