Everyone Deserves a Holiday: Increasing Knowledge of Daily Sedation Holiday Process Through an Educational Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/156975
Category:
Abstract
Type:
Presentation
Title:
Everyone Deserves a Holiday: Increasing Knowledge of Daily Sedation Holiday Process Through an Educational Project
Author(s):
Enquist, Cassandra L.; Selle, Nicole; Vrchota, Jan
Author Details:
Cassandra L. Enquist, RN,BS,BSN, Mayo Clinic, Rochester, Minnesota, USA, email: cassandra.enquist@gmail.com; Nicole Selle; Jan Vrchota
Abstract:
PURPOSE: A survey of a medical-surgical-transplant intensive care unit that frequently cares for patients that are on continuous sedation identified a knowledge deficit of the sedation holiday process. The purpose of this education project was to educate intensive care nurses on the benefits of sedation holiday for sedated patients, describe sedation goals as defined by the RASS score, and explain the process of a sedation holiday through the use of a standardized order set. DESCRIPTION: A pre-assessment survey on knowledge of the daily sedation holiday processes was administered to nursing staff on a medical-surgical-transplant intensive care unit. After a knowledge deficit was confirmed, a literature search using a PICO question was conducted as follows: "Does the use of a standardize process for sedation holiday and the reinitiation of therapy for critically ill mechanically ventilated patients decrease ventilation days, ICU days, the incidence of VAP and self-extubation?" A continuing education session on the information obtained from the literature search was presented at a unit meeting. The following information was provided: definitions of sedation and analgesia, patient situations that require daily sedation holidays, measuring sedation using the RASS score benefits of daily sedation holidays, and institutional order sets and guidelines that support daily sedation holidays. At the end of the presentation case studies were presented to facilitate critical thinking of the new information provided throughout the presentation. EVALUATION/OUTCOMES:A test was given to the same group of ICU nurses following the presentation. The survey showed an increase in knowledge in most of the areas covered within the presentation, especially in identifying the patients that should be considered for a sedation holiday, the benefits of daily sedation holidays, and the process of reinitiating sedation following a sedation holiday. Over all the objectives of increasing the understanding of daily sedation holiday for continuously sedated patients, sedation goals as defined by the RASS score and the process of a sedation holiday through the use of a standardized order set were achieved.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEveryone Deserves a Holiday: Increasing Knowledge of Daily Sedation Holiday Process Through an Educational Projecten_GB
dc.contributor.authorEnquist, Cassandra L.en_GB
dc.contributor.authorSelle, Nicoleen_GB
dc.contributor.authorVrchota, Janen_GB
dc.author.detailsCassandra L. Enquist, RN,BS,BSN, Mayo Clinic, Rochester, Minnesota, USA, email: cassandra.enquist@gmail.com; Nicole Selle; Jan Vrchotaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156975-
dc.description.abstractPURPOSE: A survey of a medical-surgical-transplant intensive care unit that frequently cares for patients that are on continuous sedation identified a knowledge deficit of the sedation holiday process. The purpose of this education project was to educate intensive care nurses on the benefits of sedation holiday for sedated patients, describe sedation goals as defined by the RASS score, and explain the process of a sedation holiday through the use of a standardized order set. DESCRIPTION: A pre-assessment survey on knowledge of the daily sedation holiday processes was administered to nursing staff on a medical-surgical-transplant intensive care unit. After a knowledge deficit was confirmed, a literature search using a PICO question was conducted as follows: "Does the use of a standardize process for sedation holiday and the reinitiation of therapy for critically ill mechanically ventilated patients decrease ventilation days, ICU days, the incidence of VAP and self-extubation?" A continuing education session on the information obtained from the literature search was presented at a unit meeting. The following information was provided: definitions of sedation and analgesia, patient situations that require daily sedation holidays, measuring sedation using the RASS score benefits of daily sedation holidays, and institutional order sets and guidelines that support daily sedation holidays. At the end of the presentation case studies were presented to facilitate critical thinking of the new information provided throughout the presentation. EVALUATION/OUTCOMES:A test was given to the same group of ICU nurses following the presentation. The survey showed an increase in knowledge in most of the areas covered within the presentation, especially in identifying the patients that should be considered for a sedation holiday, the benefits of daily sedation holidays, and the process of reinitiating sedation following a sedation holiday. Over all the objectives of increasing the understanding of daily sedation holiday for continuously sedated patients, sedation goals as defined by the RASS score and the process of a sedation holiday through the use of a standardized order set were achieved.en_GB
dc.date.available2011-10-26T19:18:36Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:18:36Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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