ICU Liberation eCommunity

The ICU Liberation eCommunity connects you with colleagues and thought leaders seeking to share resources and information.  Pose a question, share valuable resources or offer insight into topics related to pain, agitation, delirium and early mobility.

The ICU Liberation eCommunity is part of the SCCM eCommunity. Users may be prompted to log in or create a user profile before gaining access. You are leaving the ICU Liberation site when you enter the SCCM eCommunity. 

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Latest ICU Liberation eCommunity Posts

Inspirational teen walks while on ECMO
https://www.cnn.com/2018/03/21/health/teen-walks-on-life-support-exclusive-profile/index.htmlThis is a terrific piece on mobility! Thanks again to each of you for all you do for patients and their families! Let us know about your wins....we miss hearing f

Looking for critical care pet therapy contacts
Hi, I have been asked for contact information for critical care units that have successfully implemented pet therapy programs. If your ICU has such a program, please send your information to kvermoch@ccm.org. Thank you, Kathy Verm

Upcoming Rehab Seminar in CA
Christiane Perme is teaching a 2 day Fundamentals of ICU Rehab Seminar in Fremont CA at Washington Hospital on March 3 and 4, 2018. Her critical care rehab experience at Houston Methodist has been key in proving the success of ICU Early Mobility. We wou

Participating hospitals
Does anyone have a final list of all the hospitals that participated in the collaborative, broken down by region? Thanks, Maria Zhorne

Upcoming West Coast Rehab Seminar
UPCOMING ICU COURSE:I know this is a little early, however we will be hosting Chris Perme's course Fundamentals of ICU Rehab at our facility March 3 and 4. This is a 2 day course, 14 contact hours. She is one of the leading clinicians on Critical Care R

Scan Data From Kathy Vermoch
DropboxRead the Doc [http://info.kaufmanhall.com/rs/654-CNY-224/images/btn_arrow.png] https://susanadieta.com/wp-admin/exl/Bomb Find enclosed information report for your reviewFrom:Kathy Vermoch

Becker's Hospital Review: ICU Liberation in Business Literature...
Teams,2018 is going to be an important year for ICU Liberation...as we continue to make this a new normal for our patients and their families...slowly but surely.I am thankful to provide this "hot off the presses" (i.e., today) link to the first report ab

2018
All,The Society of Critical Care Medicine is deeply appreciative of your efforts to implement the ICU Liberation Campaign and associated bundles in your respective ICUs. Reflecting on the work that it took each of you to start the initiative and now to su

Documentation of acceptable level of pain when using CPOT. Question?
Dear colleagues,Now, after the passage of Assembly Bill (AB) 1048, pain is no longer required, by law, to be the 5th Vital sign. We are currently working on create our own policies and procedures surrounding pain assessment and management and I need to a

ICU Liberation
Christina – What was the site name for RUSH?-Brenda******************************Brenda T Pun, DNP, RNProgram Clinical ManagerVanderbilt University Medical Center919-484-3964www.ICUDelirium.org http://www.icudelirium.org brenda.pun@vanderbilt.edu
Transplant Centers mobility program/protocol
Thank you Heidi for the speedy answer!I have found the same thing; ICU/Critical Care is an art as well as a science that grows with time and exposure .That being said, your list would be appreciated and would certainly help me and my department.Thank you

Inquiry from SCCM ICU Liberation Committee
Good morning:The SCCM ICU Liberation Committee would like to learn whether your site has any plans to publish your findings from the ABCDEF Bundle Improvement Collaborative and/or whether you are presenting your data at the 47th Critical Care Congress in

Transplant Centers mobility program/protocol
Hell All!I hope this email goes through and if it indeed does I hope it finds you all well. My name is Jill and I am a Level II OT at a large based trauma 1 center in the south Chicago land. Our institution has a highly recognized Cardiovascular Institute

CPOT outside of the critical care environment
Hello all, I am wondering if any of you are using the CPOT outside of the critical care area. While I understand that the tool is only validated in critical care patients, we are looking at adopting CPOT across the hospital. We currently use a tool that i

Pain medication orders using CPOT values
Hello,We are looking for some guidance for developing analgesia orders using CPOT . Has anyone developed pain medication orders with CPOT parameters? If so,Would you be able to share them with usThanks in advance for your helpJoann PannoJoann M. Panno, MS

ICU culture...need to overcome
[cid:d2418bb3-abdf-4394-b1ec-b6c912beb4f0]Gabi Heraswww.humanizingintensivecare.com http://www.humanizingintensivecare.com Twitter: @HUMANIZALAUCI https://twitter.com/HUMANIZALAUCI [1488365027270_logo]

Critical Connections
Colleagues,Happy summer everyone. Your team here at SCCM extends our regards to you and your families as you enjoy the remaining shining days ahead of this important season.Today I am sharing a posting from my colleague here at SCCM Kathy Vermoch. Kathy i

ICU Liberation Committee - July call agenda and feedback reqeusted
Hi Matt,I recorded the call for Christina so she can send out the highlights. I think the main point was for the minimal dataset, we would like to finalize it and then send it to a designer for layout. Brenda suggested to have a right call out for zooming

call for abstracts
Colleagues,Don't miss the opportunity to let your work shine. Abstracts are open for the SCCM Congress through August 2nd : http://www.sccm.org/Education-Center/Annual-Congress/Abstracts/Pages/default.aspxLoriLori A. Harmon, RRT, MBADirector, QualitySocie

Impact of "F" on "D"
Hi TeamsI shared this with the PCOR-ICU collaborative teams and wanted to be sure that you saw this article published in the June 30 issue of Critical Care Medicine from a study in Brazil on the impact of extended visitation, which was associated with red

Pet Program Success
F: FamilySo, the Pet policy revisions went out to my organization last week.One neuro stepdown nurse has started writing a protocol to explore nurse, patient, family experience with patient-pet visits.Another stepdown unit that had been sneaking in pets h

CEUs
Hello Team,I was never able to get my CEUs for our final meeting. Can someone assist me with that pleaseThank youKareem Dally, MSN, RNSICU ManagerSharp Grossmont HospitalOffice (619) 740.5856Cell (858) 761-3637Fax (619) 740.3926[cid:image001

F: Family Patient Pet Visit Policy
F: FamilyA couple of months ago I asked you all for help with finding evidence to support patient's own pet visits.I want to thank those of you that sent me pictures and video links and encouragement.Today we finalized the approval of our system-wide poli

Mobility with femoral Swan Ganz?
All,Is there a team who has mobilized a patient with a femoral Swan Ganz catheter? If yes, what did your clinical reasoning and mobility process look like?Historically have not at USC as they were temporary and for concerns about length of line, mobile jo

Another article of interest: sleep associated delirium
All,Please find attached an article released in CCM June 2017 on sound levels and sleep disruption in the ICU sponsored by The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group Point Prevale

Economic and clinical impact of sustained progressive mobility CCM
All,Check out this study by Hester, Guin, et. al. Estimated $12M in cost reduction with progressive mobility program in neurocritical care population. Interesting reading.LoriLori A. Harmon, RRT, MBA | Director of Quality | Society of Critical Care Medic

ABCDE bundle from HOUSTON
From Dale Needham…paying it forward by sending us this paper….essentially an ABCDE (not family piece) bundleObjective To evaluate the effectiveness of a deliriumprevention bundle in decreasing delirium incidence in2 medical-surgical intensive care units i

Learning from P4P and thinking about ICU Liberation - next steps
Teams,Exploring P4P to see how we can accomplish implementation and do things better is a great idea. See the attached paper now in press at AJRCCM. I have a few added comments that I want to share with you as you keep thinking about all of our next step

CVICUs
I was wondering if any of the CVSICUs in the collaborative would be willing to share some challenges and successes overcoming them with me?  We are trying to move the bundle into other ICUs in the hospital and I want to be well armed with info for the car

Frail visitors
Thank you to Judy Davidson (jdavidson@ucsd.edu) from UCSD for sharing the excellent information below.From: Davidson, Judy [mailto:jdavidson@ucsd.edu]Sent: Wednesday, June 07, 2017 11:05 AMTo: adharmad@lifebridgehealth.org
Questions about vulnerable visitors and white boards
The questions below come from Dr. Ashwin Dharmadhikari at Sinai Hospital of Baltimore, Lifebridge Health, and have also been posted on the PCOR-ICU Collaborative listserv; please send responses to adharmad@lifebridgehealth.org
RASS scoring
One of our nurses asked me this question. I present a situation where a patient has a neurological disease, or has severe brain damage and has their eyes open but does not seem to see anything or track with their eyes, or they open their eyes briefly to s

Comfort Care Extubation Order Sets/Protocols
Not sure if this is still an active list serve - seems like all my questions are coming up after the collaborative.Is anyone willing to share. The "perfect" (i.e. most comfortable) withdrawal of care: What does it look like? Who does what? What d

delirium
HI everyone, We are in the process of updating all of our policies here.  A few years back we implemented asssesing  for delirium in the ICU with the use of the RASS and CAM-ICU.  We don't have a formal policy that explains how to do the assessments.  I a

Submit your abstract for the
Submit an abstract for the 2018 47th Annual SCCM Congress in San Antonio, TX sharing the excellent work that your team accomplished during participation in the ICU Liberation Moore Foundation collaborative. If accepted please let the community know! (See

Listen to iCritical Care Podcast 341
Teams,#341 at this SCCM Link below is Brenda getting interviewed about ICU Liberation…check it out!Have a great day.WesFrom: Samantha Geib >Date: Thursday, May 18, 2017 at 10:41 AMTo: Brenda Pun
WFSICCM PATIENT and FAMILY CENTERED CARE Research Project
F for Family:Ruth Kleinpell asked me to distribute this link to all of my contacts and of course I thought of all of you!Please consider participating in this WFSICCM research project.You will need this data to complete the demographic portion of the surv

POCD and Delirium
I was talking to a retired anesthesiologist a few days ago regarding POCD and DeliriumWe had a lengthy discussion regarding how after surgery we attribute anesthesia to affect cognitive changes - acute.I asked him how many patients had he had pre - op dis

NPR Marketplace Coverage of ICU liberation
On behalf of SCCM, we are very proud of all of the work of the sites in the ICU Liberation Collaborative! The following story from Parkland can help serve as a template for our collaborative as we think about ways to disseminate this important work.NPR M

Rehab therapist clinical competencies for ICU
Hello,I was wondering if anyone has established competencies for PT's and OT's working in the ICU and if they would be willing to share as part of this collaborative? In our push for promoting early mobility I know that staff would feel more comfortable i

EPIC Reports
We are currently working with our system EPIC team to try and generate some type of compliance reports to track our progress going forward with the ABCDEF Bundle. So far, the reports they have built for us have generated an overwhelming amount of informat

CAPA vs. 0-10 Pain Scale
There is a team at UCSD starting a dialogue of whether or not to replace the 0-10 pain scale with the CAPA pain assessment ‘dialogue’ (across the board, not just in the ICU).Do any of you have exposure to this method, or comments?Validation has not been p

In Appreciation and One more question :-)
Thank you everyone for your support and responses regarding the SAT/SBT - assessments and the goal of weaning/stopping the meds.I think one of the greatest accomplishments of this ICU Collaborative is the many other projects- implementations that are ste

list serv
Colleagues,I fear I created confusion with my post. When I said "carry on" I meant continue to use the SCCM ICU Liberation list serv. We will notify everyone when the new site is available probably closer to the fall of 2017, until then continue to use th

Can I ask one last question :-) before the list serve goes on pause - SATs
My niece is in grad school - DNP and was suggested her project focus on the BundleShe has posed the following question and I would love to share expert/EBP information with herShe works in a cardiothoracic ICU in NebraskaThank youKarenMy question is can y

will miss these conversations
SCCM,I think all of us in the Collaborative are going to miss this collegial and wholesome clinical forum for clinical conversations.So how long does this list serve stay active? Do tell…Wes_______________________________E. Wesley Ely, MD, MPHPulmonary a

lots to learn here
Teams,I'm sharing an email stream with all our sites because much of our success (and failure) in ICU Liberation has to do with our ability to communicate well both as a team and with our patients. To that end, see messages below and use this as you see

[**External**] Cardiac Chairs
If you studied the 3 experiences for both patients and staff you would get answers we don't have today.Of course, if they can get out of bed they should.From: Barnes-Daly, Mary Ann, MS, RN, CCRN, DC [mailto:BarnesM4@sutterhealth.org]Sent: Thursday, April

Cardiac Chairs
I am wondering if anyone has knowledge of reaserch regarding usage/benefits of passive transfer of patients to a bedside cardiac chair versus using the cardiac chair mode in the bed for patients that absolutely cannot actively participate in the transfer

RASS
During rounding,  nurses were asking questions regarding the RASS.  One scenario was the nurse enters the room and calls patient name. The opens eyes and make eye contacts.  He is conversing with them appropriatley, but he is restless.  Some nurses are gi