Critical Care - Track #3
Eliminating Hospital Acquired Infections (HAIs) in a Critical Care Setting
9:35 am - 10:35 am
Early Progress Mobility Program for Ventilated Adult Critical Care Patients
Pam Bills, RN, CCRN, Washington Hospital Healthcare System
Disseminating Evidence-Based Practice: A Staff Nurse Council Takes Charge
Kathi Barnes, MS, RN, CNS, NEA_BC, CCRN, California Pacific Medical Center
Innovative Strategies Reduce Catheter-Related Blood Stream Infections in Three Adult ICUs
Hildy Schell, RN, MS, CCNS, UCSF Medical Center
Disseminating Evidence-Based Practice: A Staff Nurse Council Takes
Charge
Kathi Barnes, MS, RN, CNS, NEA_BC, CCRN, California Pacific
Medical Center
Innovative Strategies Reduce Catheter-Related Blood
Stream Infections in Three Adult ICUs
Hildy Schell, RN, MS, CCNS,
UCSF Medical Center
Presenters from all three facilities agreed on the positive impact of nurse-driven, physician supported, bedside
discussions on CL issues and the importance of placing an emphasis on working together.
Key factors included:
- Peer-to-peer (1:1) conversational teaching takes longer in the planning stages but implementation is quicker and there is more accountability for peer-based actions
- SEPSIS mnemonic = Screen Every Patient, Sepsis Is Sneaky
- Early mobility protocol has reduced ventilator days, time in the ICU and length of stay (LOS)
Two Innovative Critical Care Programs: An End of Life Program and a BMT Triage Program
10:55 am - 11:55 am
Making a Positive Difference for our actively dying patients and their families in the ICU
Cathy H. Schuster, RN, BSN, CCRN, UCSF Medical Center
At UCSF Medical Center, they are striving to make a positive difference with actively dying patients and their
families in the ICU after realizing that people plan for all the major events in their life except death, which usu-
ally catches us unaware. The UCSF Palliative Care Program has improved the appropriate utilization of crucial
care beds, use of resources and has created a positive effect on patient and family satisfaction with the care
experience.
Key factors in a strong end of life care program:
- Communicating effectively with patients
- Understanding that cultural nuances regarding end of life care need to be included in the program planning
- Improving education for physicians, RNs, pharmacists, everyone involved in palliative care
BMT (Blood and Marrow Transplant) ICU Utilization Project
Trisha Jenkins, RN, BSN, MPA, Stanford University Hospital
A Care Companion Program in a Critical Care Setting
2:20 pm - 3:20 pm
A Care Companion Program in a Critical Care Setting
Reverend Maryellen Garnier, RN, BS, Mdiv., El Camino Hospital
The Care Companion program at El Camino Hospital places specially trained volunteers in the Critical Care
unit. With backgrounds in medicine, social work or psychology, the volunteers are oriented to the
hospital environment and the flow of care in the unit. The Care Companion Volunteer helps the patient and
their family understand the processes in the CCU and connects them with supportive resources providing
psychosocial support and clarification of complex medical information. The program recognizes the crucial role
patients’ families play in the continuum of care in critical illness. This model of care actively promotes
family as an essential part of patient well-being. One nurse shared that she believes she has become a better
caregiver to her patients because of this program.
Family Centered Care addresses three basic needs:
- The need for INFORMATION
- The need for REASSURANCE and SUPPORT
- The need to BE NEAR THE PATIENT
Link to complete list of presentations and highlights from the 2010 Exchange
Download a pdf of the complete Highlights of the 2010 Exchange