Adult Surviving Sepis Campaign Guidelines (Hour-1 Bundle)
Children's Surviving Sepsis Campaign Guidelines
Adult ICU Liberation Guidelines and Bundle (A-F)
Management of Adults with COVID-19
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Implement the A-F elements of the ICU Liberation Bundle to improve outcomes while transforming culture.
The “A” element of the ICU Liberation Bundle (A-F) consists of assessing, preventing, and managing pain. Pain is an unpleasant sensory and emotional experience that is best reported by the person who is experiencing it, although self-reporting can be a challenge in the ICU. The inability to communicate verbally does not negate the possibility that a patient is experiencing pain.
The PADIS guidelines recommend:
Opioids Commonly Used in the Adult ICU:
Abbreviations: CI = continuous infusion, LD = loading dose.
2018 PADIS Guidelines for Nonopioid Analgesia:
The “F” element of the ICU Liberation Bundle (A-F) consists of family engagement and empowerment. The “F” element focuses on promoting family presence in the ICU and identifying strategies to engage and empower families. Engaging families in the care of their loved one during critical illness has positive impact on quality and safety and can decrease anxiety, confusion, and agitation.
Family- and patient-centered care focuses on the following characteristics:
The Minimum Data Set Toolkit is provided for multiprofessional critical care teams to measure their practice for performance improvement. The toolkit includes data and compliance definitions, a spreadsheet for data collection, and input and compliance reports. It explains how to understand and use the data for continuous process improvement. The ICU Liberation Implementation Framework Binder Booklet, which provides guidance on implementing the A-F elements of the ICU Liberation Bundle, is now included with the toolkit. SCCM also provides additional ICU Liberation resources to get familiar with the PADIS Guidelines and the ICU Liberation Bundle, including links to the guidelines, success stories, and teaching slides.
The SCCM Licensing Team can provide details about bringing training to your institution.