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Showing results for "sedation".

21. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
    January 01, 2017 - If the patient can’t go without sedation and complications for 4 hours, restart sedation at half dosage … and then titrate for pain and sedation. … Slide 20 Perceived Barriers to Sedation Protocols and SATs SAY: Despite the benefits of sedation … In this trial, 140 patients were randomized and given either routine sedation or no sedation at all. … Seventy were prescribed sedation, using propofol and then midazolam, while 70 were prescribed no sedation

22. Infographic: AHRQ Safety Program for Mechanically Ventilated Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/mvp-infographic-overview.pdf
    January 01, 2017 - Improve teamwork and communication • F F A T S E N I L T N ORFFOM O D SI W E H T P A T SEDATION … drainage endotracheal tube if intubated ≥ 72 hours Confirm head of bed elevation ≥ 30o Minimize sedation … Perform spontaneous breathing trial to wean patient off mechanical ventilation DELIRIUM MOBILITY SEDATION … Tailor goals to maximize mobility Minimize sedation level Assess then address delirium AHRQ Pub

23. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-factsheet.docx
    January 01, 2017 - What the Experts Say Society for Healthcare Epidemiology of America Recommends the interruption of sedation … should be paired.4 American Thoracic Society Recommends use of daily interruption (SAT) or lightening of sedation … to avoid constant heavy sedation and to facilitate and accelerate weaning; does not address SBT.5 Centers … Weaning from mechanical ventilation and sedation. Curr Opin Anesthesiol. 2012 Apr;25(2):164-9. … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated

24. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
    February 01, 2017 - such as the RASS score and the SAS (Riker Sedation-Agitation Scale). … In addition, delirium can be mistaken for anxiety, and incorrectly treated with sedation. … Slide 25: 2014 SHEA Compendium Update Say: If sedation is necessary, interrupt sedation at least … Use continuous sedation if boluses exceed three per hour. … Avoid deep sedation with a Richmond Agitation Sedation Scale (RASS) of -4/-5, as it appears to be harmful

25. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
    January 01, 2017 - such as the RASS score and the SAS (Riker Sedation-Agitation Scale). … In addition, delirium can be mistaken for anxiety, and incorrectly treated with sedation. … Slide 24 2014 SHEA Compendium Update SAY: If sedation is necessary, interrupt sedation at least … Use continuous sedation if boluses exceed three per hour. … Avoid deep sedation with a Richmond Agitation Sedation Scale (RASS) of -4/-5, as it appears to be harmful

26. Coordinated Spontaneous Awakening and Breathing Trials Protocol | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-protocol.html
    January 01, 2017 - If the patient passes the safety screen, all sedatives and analgesics used for sedation are stopped. … their eyes, look at their caregiver, squeeze the hand, or put out their tongue 3 or can go without sedation … Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated … Effect of a nurse-implemented sedation protocol on the incidence of ventilator-associated pneumonia.

27. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-protocol.docx
    January 01, 2017 - alone.4 This same technique, often called a readiness-to-wean, “wake up and breathe,” or coordinated sedation … open their eyes, look at their caregiver, squeeze the hand, or put out their tongue3 or can go without sedation … Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated … Effect of a nurse-implemented sedation protocol on the incidence of ventilator-associated pneumonia.

28. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
    February 01, 2017 - It includes information about when the patient was intubated, which sedation scale your unit uses, the … tool focuses on intubation and the assessment of sedation and delirium. … Slide 9: Sedation Scale Say: This field is for recording which sedation scale is used on your unit … Sedation Scale, RASS, or the Riker Sedation-Agitation Scale, SAS, some units may not employ either of … these scales or do not use a sedation scale at all.

29. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
    January 01, 2017 - It includes information about when the patient was intubated, which sedation scale your unit uses, the … tool focuses on intubation and the assessment of sedation and delirium. … Slide 8 Sedation Scale SAY: This field is for recording which sedation scale is used on your unit. … Slide 9 Sedation Scale SAY: While the majority of units will likely use the Richmond Agitation Sedation … or do not use a sedation scale at all.

30. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
    January 01, 2017 - Presentation: Program Overview Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation … mechanically ventilated patients in the intensive care unit (ICU) through delirium assessments and sedation … daily OR target light sedation Avoid deep sedation (Richmond Agitation-Sedation Scale [RASS] score of … Effectiveness of implementing a wake up and breathe program on sedation and delirium in the ICU. … Effectiveness of implementing a wake up and breathe program on sedation and delirium in the ICU.

31. Annual Sustainability Work Plan: Caring for Mechanically Ventilated Patients | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/sustainability/workplan.html
    January 01, 2017 - on and monitor how many of your mechanically ventilated patients receive a RASS (Richmond Agitation-Sedation … Scale) or SAS (Riker Sedation-Agitation Scale) sedation assessment. 7 consecutive days per quarter … collect data on and monitor how many of your mechanically ventilated patients receive a RASS or SAS sedation

32. Contributor (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docx
    October 01, 2024 - Minimize sedation.2-5 Determine a clear plan and targets for sedation. … Conduct daily sedation awakening trials, unless contraindicated. … Coordinate concurrently with sedation awakening trials.

33. AHRQ_Brand_NameOnly (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-workplan.docx
    January 01, 2017 - on and monitor how many of your mechanically ventilated patients receive a RASS (Richmond Agitation-Sedation … Scale) or SAS (Riker Sedation-Agitation Scale) sedation assessment. 7 consecutive days per quarter … collect data on and monitor how many of your mechanically ventilated patients receive a RASS or SAS sedation

34. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
    January 01, 2017 - • Target a sedation level and perform a structured assessment of sedation level using a validated … sedation scale (e.g., Richmond agitation sedation scale [RASS] or Riker sedation-agitation scale [SAS … Set a target sedation goal of no or light sedation and work to achieve that level. … protocol targeting light sedation and incorporating daily sedation interruptions. … Light sedation targets required provider education, standard sedation practices with a revised sedation

35. Overview: Getting Patients Off the Ventilator Faster: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
    February 01, 2017 - Minimize sedation level. Use SAT with validated sedation scale daily. … Manage ventilated patients without sedation whenever possible. 16. … Slide 25: 2014 SHEA Compendium Update 16 Interrupt sedation once a day (SAT). … Use continuous sedation if boluses exceed 3 per hour. … Avoid deep sedation; instead, target awake or alert.

36. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
    February 01, 2017 - The second intervention is interrupting daily sedation and minimizing sedative use. … Heavily sedated patients are not able to safely participate in a mobility program, and so targeting light sedation … and interrupting sedation daily enable them to remain alert and cooperative. … Using structured assessments of sedation and delirium through validated scales might more effectively … target light sedation levels for your patient and mitigate and treat delirium.

37. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
    January 01, 2017 - The second intervention is interrupting daily sedation and minimizing sedative use. … Heavily sedated patients are not able to safely participate in a mobility program, and so targeting light sedation … and interrupting sedation daily enable them to remain alert and cooperative. … Using structured assessments of sedation and delirium through validated scales might more effectively … target light sedation levels for your patient and mitigate and treat delirium.

38. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
    January 01, 2017 - level Use SAT with validated sedation scale daily Assess readiness to wean daily with SBT Assess then … AHRQ Safety Program for Mechanically Ventilated Patients 24 2014 SHEA Compendium Update16 Interrupt sedation … as needed Use continuous sedation if boluses exceed 3 per hour Avoid continuous benzodiazepines in most … Overview ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 26 Interrupt sedation daily … necessary to restart, use lowest dose possible to maintain target level of consciousness Avoid deep sedation

39. Nurse-Driven Early Mobility Protocols: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
    January 01, 2017 - Mobility Say: Image: Graphic illustrating the relationship of three aspects of early mobility (sedation … : (RASS, SAS), Delirium: (ICDSC,CAM-ICU), Sedation Vacation. … Method for the ICU; ICDSC = Intensive Care Delirium Screening Checklist; RASS = Richmond Agitation-Sedation … Scale; SAS = Sedation-Agitation Scale. … If the patient does not open his or her eyes to verbal stimulation due to the use of sedation-related

40. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-slides.pptx
    January 01, 2017 - Delirium Multidisciplinary Approach Ventilator Weaning Sedation Vacation (RASS, SAS) (ICDSC, CAM-ICU … Method for the ICU; ICDSC = Intensive Care Delirium Screening Checklist; RASS = Richmond Agitation-Sedation … Scale; SAS = Sedation-Agitation Scale Nurse-Driven Early Mobility ‹#› AHRQ Safety Program for Mechanically … Sedation, delirium, and mechanical ventilation: the “ABCDE” approach. … Sedation, delirium, and mechanical ventilation: the “ABCDE” approach.