More Bang for Your Bundle

More Bang For Your Bundle:

Implementing Routine Pain, Agitation, and Delirium (PAD) Care in the ICU

October 6, 2017

Neil Roe, PharmD, BCCCP

1.  Objectives:

a.  Pharmacist

i.  Define pain, agitation, and delirium (PAD) in the intensive care unit (ICU)

ii.  Identify best practices for management PAD

iii.  Discuss the benefits of a care bundle in the ICU

iv.  Design a process for implementation of a PAD care bundle

b.  Technician

i.  Describe pain, agitation, and delirium (PAD) in the intensive care unit (ICU)

ii.  Discuss the best practice guidelines for management of PAD

iii.  Examine the benefits of a care bundle in the ICU

iv.  Form a plan for implementation of a PAD care bundle

2.  Complexity of PAD

3.  Pain

a.  Assessment of Pain

b.  Options for Pain

c.  Literature Assessment

4.  Agitation

a.  Assessment of Agitation

b.  Options for Sedation

c.  Literature Assessment

5.  Delirium

a.  Assessment of Delirium

b.  Delirium treatment

c.  Delirium prevention

6.  PAD Management

a.  ICU Care Bundle

b.  Literature Assessment

7.  From Idea to Initiative

a.  One Step at a TIme

8.  Final Thoughts