1. Victoria Hospital, Critical Care Trauma Center (CCTC)
Delirium:
Moving from Screening to Management

2. Our Team
Critical Care Trauma Centre (CCTC) 30 Bed Adult Medical-Surgical-Trauma Intensive Care Unit
Dr. Claudio Martin (Faculty)
Brenda Morgan (Chair-Clinical Nurse Specialist)
Dawna VanBoxmeer (Manager), Alison Rowlands (Co-ordinator CCTC)
Krista Shea (Educator)
Sherri Barton (RN)
Amber Davis (RN)
Julie Esbaugh (RN)
Angela Walsh (RN)
Elke Bohdanowicz (Pharmacist)
Dr. Jennifer Barr (Psychiatrist)

3. Healthcare Provider Perception Study Evaluation of Delirium Project
Collection January – February, 2012ed
Data collection ends November 30, 2012
Completed July 30, 2012ed

4. Implementation of Routine Delirium Screening Protocol
Inservicing completed on the significance of delirium and method for delirium screening (August 2012):
92.1% (N130) of nursing staff
60% (N3) of Physiotherapists
3% (N2) of Respiratory Therapists
Web-based education and Delirium Resource Centre launched
3 Step Approach to Delirium Screening:
Assess pain, treat and titrate pain medications (Tools: self-report, Numeric and visual analog, Critical Care Pain Observation Tool (CPOT)
Assess sedation level and titrate medications (Tools: VAMASS)
Screen for Delirium using Intensive Care Delirium Screening Checklist

5. Web-Based Delirium Resource
Prevention launch December 3, 2012
Module 2: Prevention/Management December 3, 2012
Management launch December 3, 2012
16-Nov-18
Delirium and Med Rec Collaborative

6. Changes to Documentation
Revised Assessment & Intervention Flowsheet (Neuro Assessment)
Fluctuation
Reminder to document sleep-cycle (Days and Nights) on 24 H Graphic
16-Nov-18
Delirium and Med Rec Collaborative

7. Family Education: Website/Brochure

8. Bedside Tools

9. Delirium and Med Rec Collaborative
Implementation of Routine Delirium Screening Protocol (August 30, 2012)
16-Nov-18
Delirium and Med Rec Collaborative

10. Prevention and Management Protocol
Launch: December 3, 2012
16-Nov-18
Delirium and Med Rec Collaborative

11. Prevention and Management Protocol
Bedside Appendices
16-Nov-18
Delirium and Med Rec Collaborative

12. Delirium Prevention Model
Test Yourself!

13. Next Steps
Education and roll out of prevention and management guidelines (December ‘12)
Ongoing compliance monitoring
Evaluation and tweaking
Phase III:
Introduction of “About Me” (January-February ‘12)
ETOH prophylaxis protocol (January-February ’13)
Trial of patient diaries (January-February ’13)
Early mobilization CQI (January ’13)