1. St Claire Regional Medical Center Courtney Hollingsworth RN BSN

2. About Us Located in Morehead KY 159 Bed Regional Referral Center 14 bed ICU 31 medical specialties

3. What was our project? ICU Delirium To decrease the incidence of Delirium in the ICU  ABCDE Bundle A irway B reathing C oordination D elirium Assessment E arly Mobility

4. What was our project? – ABCDE Bundle A irway B reathing C oordination – SAT Safety Screen, SAT – SBT Safety Screen, SBT D elirium Assessment – CAM-ICU, RASS, CPOT, E arly Mobility – PROM ( unconscious patients) – Progressive mobility Sitting on the edge of the bed Standing at the bedside, active transfer to a chair Ambulation

5. What Did We Learn? Need a Physician Champion!!!! Promote early for staff buy in. Don’t reinvent the wheel. Staff Champions

6. What Barriers Did We Encounter? Early physician involvement – Creating the ABCDE Bundle Many hats Unable to do a site visit to Vanderbilt

7. How Did We Overcome These Barriers? Early Physician Involvement – We had to go to the physicians personally Many Hats – Frequent meetings and delegation Reached out to Vanderbilt contact (Leanne Bohem)

8. What Learnings Can Be Applied to Other Improvement Projects? Obtain a physician champion at the beginning Use of a Timeline Small Interdisciplinary work group Find out who does it best and reach out to them

9. What Can Others Learn From Our Journey? Size vs. Time Give yourself plenty of time to get it right Having a couple of GREAT grant writers helps Getting a Grant from the K-HEN helps

10. Questions?