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GSV Webinar: How to Prevent, Recognize, and Treat Delirium - Shared screen with gallery view
Genevieve Ranieri (ACS)
10:37
Hi everyone! So happy to have you join! Please utilize the mute button when not speaking/asking questions - thank you!
Rachel Khadaroo
11:04
Friendly reminder for everyone to mute their mic if not speaking. Thanks
Genevieve Ranieri (ACS)
22:03
Really incredible to learn some of this background about sensory deprivation - thank you Dr. Cumbler for sharing this with us!
Genevieve Ranieri (ACS)
29:24
Thank you for sharing about 4AT - more info can be found here for anyone interested: https://www.the4at.com/
anita meehan
32:03
We have implimented a delirium risk screen on admission to identify those at high risk and if high risk then impliment prevention strategies
Tom Robinson
32:15
We use the 4-AT!
Rachelle Bernacki
32:41
CAM, considering UB2
suzanne dutton
32:45
We will be implementing the 4-AT this fall at Sibley.
Kai Bortz
32:51
CAM/CAM-ICU
Ethan Cumbler
32:58
We use the simplified CAM
Debra Goodrum
33:07
we use the 4AT and are starting the delirium education . We are going to do a pilot of the orange box at Dartmouth Hitchcock
michele devita
33:14
We assess delirium risk in the perioperative optimization of senior health POSH program - in patient we do cam/icu
michele devita
34:29
we are trying to prevent delirium preoperatively and then POSH team rounds on the patients while they are in the hospital.
anita meehan
34:43
DEAR delirium elder at risk screen
Tom Robinson
38:26
Our nurses on the floor had the same concern that there is nothing to do if delirium is diagnosed. So we made a standardized orderset that both works-up and manages active delirium
anita meehan
38:45
We also have a delrium accordian built into EPIC documentation....longitudional overview of bCAM results with labs, vitals and medications
Genevieve Ranieri (ACS)
38:56
Such a great point Lindsey - being able to DO something -to feel you have the support to manage/treat once there is a positive screen is so important.
Kimberly Gorman
39:11
We are doing the CAM in ICU currently and we are moving the CAM to the floor. We are working on Sensory boxes to transport through the OR to floor.
anita meehan
44:35
A strategy we have started to help prevent delirium in hip fracture patients is to initiate regional pain blocks on admission and post op to reduce opioid use and CNS side effects.
Lindsey Yourman
46:45
Very cool, Anita
Debra Goodrum
47:07
how did you get the surgeons to buy into the change in lab work to evenings?
Debra Goodrum
49:37
ahh, great selling point! get discharge earlier! "C" suite loves taht
Genevieve Ranieri (ACS)
51:15
So many practical tips Rachel - so awesome, thank you!!
Debra Goodrum
51:24
Thank you so much
Jessica Pintiello
51:49
How do you tie in post op management of pts who are high risk for delirium in the outpatient setting s/p surgery? How do you decrease possible readmissions?
Lynne O'Mara
53:10
I have the go-ahead to share our SSTEP pathway pocket card from BWH, Boston MA. I will send it to Genevieve. I can also share it briefly here if helpful!
Lindsey Yourman
53:42
Great, Lynne!
Genevieve Ranieri (ACS)
53:48
Thanks so much, Lynne! We'll share it with the group and ensure credit is given, too :)
Debra Goodrum
55:11
we are trying to link preop assessments w/ our care managers to address social derminants of health (lack of food, housing, transport, post op care) impacting readmissions
Ethan Cumbler
57:23
I have heard a number of resources developed in individual hospitals mentioned today. These are not official GSV tools but is there interest from your perspective to have a forum to share these tools (pocket cards, order sets, algorithms, etc) to spark ideas?
anita meehan
57:56
That would be great!
Jessica Pintiello
58:20
Absolutely! Great idea!
anita meehan
58:37
Yes...amplifier
Genevieve Ranieri (ACS)
58:58
Great point Ethan - and we have that coming! The GSV Discussion Board will be launching in the next few days, and will allow for everyone to share ideas/tools/etc. Stay tuned....
Kimberly Gorman
59:00
I am working on getting the pocket talkers
Samantha Silverstein
59:37
Thank you, thank you all - such great presentations and great information! I have to log off unfortunately. I didn't have anything new to add to all the great things contributed (Mini-Cog preop is our plan, and we use CAMS inpatient). We just transitioned to EPIC on 5/1/2021 so we are implementing a lot of things in our new EMR. We also have delirium activity kits on each inpatient unit for those needing it. Thanks again!
anita meehan
01:00:24
Days gone by I have used a stethescope in the patients ears and talk into the diaphram!
Debra Goodrum
01:02:00
Very grateful for this forum
Genevieve Ranieri (ACS)
01:03:32
Engaging nursing students (if possible/have), volunteers (if trained), and mobility techs, can all help
Jessica Pintiello
01:04:18
Have to jump off for another meeting. This was super informative and appreciate everyone's insight!
Genevieve Ranieri (ACS)
01:05:05
Thank you to all our wonderful speakers - and to everyone for your engagement and sharing of ideas. Looking forward to next month's call!
anita meehan
01:06:01
One challenge with mobility is nurses fear of patients falling...
Kristen Glasgow
01:06:29
Thank you