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ABCDE Bundle in Transition
Transcript of ABCDE Bundle in Transition
Short Term Wins
Weave Change into Culture
Judy, Ellen, Niki, Becky, Dan
Dr. Ahmed, Beth, Amy, Becky
Kalsang, Michaela, Maureen, Minette, Elisa
Kalsang, Michaela, Carol, Maureen, Steve
Doug, Arlene, Raquel, Lourdes, Ivan, Catherine G., Susan, Jennifer T. Joshua, Brenda, Cathy, Anita, Marilou, Wendy, Laura, Chelestina, Deborah W., Debra M., Melissa, Darrell, Andrea, Andrew, Dawn, Micheline, Ron, Neeta, Rachel S., Annabelle
Informatics: RASS monitoring
Leads: Compliance with ABCDE Bundle
Measuring Sticks: Vent days, ICU stay, tracheostomy cases
RASS tool training, lighten up on sedation
Avoid benzodiazepines, promote analgosedation
Bedside reporting confirming current RASS score
Chest x-ray as ordered
Ensure sedation vacation and awakening trial
Respiratory Care Practitioners:
Perform breathing trials when patient is awake
ABGs as ordered
Ensure proper choice of sedatives
Provide Nurses with PRN boluses of pain meds and sedatives
Educate through Huddle, emails, Face-to-face communication
Sedation Care Plan
Pulmonary Vent Bundle Care Plan
hoice of Sedation
Lighten Up Sedation and Engage the Patient More
Prevent Muscle Weakness
Reorient the Patient to His Environment
ABCDE bundle does NOT mean automatic extubation
Still intubated but walking already!!
"The only way you can sustain a permanent change is to create a new way of thinking, acting, and being."
- by Jennifer Hudson