Patient's Comfort & Safety - SICU - Part 1

Part 1 has two scenes,
First scene "Handoff, ICU, Bedside"
Family involvement, patient no conscious, RN returns, turning off med, double check of med at the pump and at site, plan for the day, target RASS and Pain Score, looking at SAT, NVPS.

Second scene "SAT, SBT - one hour later"
Patient is now a RASS-1, pain evaluation, CAM evaluation - hypoactive delirium, RN RTN discussion with patient and family about SBT, RT mentions STEER, conversation with family about baseline patient status, removal of restraint.

Please look for Part 2 to continue our program
http://www.youtube.com/watch?v=ui_EjM-zk9w

Category:

Education

Tags:

• Patient's Comfort Safety
• SICU
• ICU
• UCSD Medical Center
• Medical Education
• RN
• Registered Nurse
• Shift Changes
• Bedside Report
• Plan for the Day
• RASS
• Pain Score
• SAT
• SBT
• NVPS
• CAM Evaluation
• Physical Therapists
• Hypoactive Delirium
• STEER
• MD Rounds
• CAM Assessment
• precedex
• propofol
• neosynephrine
• ETT
• Orthostatic Blood Pressure

[SuperWarking]

I'm sorry but what exactly was the point of completing the mental status exam? After the the 3rd or 4th portion it was rather evident she had not successfully completed the exam