Implementation of the ABCDE Bundle in the ICU

Credit

Handouts/Brochure

Speaker

John R. Lunde, DNP, AGACNP/FNP-BC, RN, CCRN, TCRN, FCCM Related seminars and products

ICC Healthcare

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John Lunde, DNP, AGACNP/FNP-BC, RN, CCRN, TCRN, FCCM, is an advanced practice nurse with over 25 years’ experience in resuscitation roles, critical care, flight nursing and trauma program management. He holds multiple national certifications in emergency flight, critical care and trauma. Dr. Lunde currently works as a critical care nurse practitioner, is a journal reviewer for a nursing trauma journal and provides trauma education to advance practice providers, nursing, allied health and medical residents. He is a Fellow in the American College of Critical Care Medicine, member of the Fundamental Critical Care Support Course Committee Society of Critical Care Medicine (SCCM), and serves on the Fundamental Critical Care Support Committee, and the Critical Care Pharmacology Committee.  

 

Speaker Disclosures:
Financial: Dr. John Lunde has employment relationships with Jacksonville University Keigwin School of Nursing, Chamberlain College of Nursing, Jacksonville University, Orange Park Medical Center, and Orange Park Medical Center Intensive Care Consortium, Inc. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. John Lunde is a member of the American Association of Critical Care Nurses and the American Association of Nurse Practitioners.

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Objectives

1. Evaluate the components of the ABCDE Bundle for Critical Care.
2. Determine potential barriers to implementation.
3. Design strategies for developing a multidisciplinary team that implements the ABCDE process.
4. Quantify metrics used to evaluate the ABCDE implementation.
5. Integrate components of the delirium reduction plan of care.

Outline

• Components of the ABCDE Bundle 
  • Awakening and Breathing Coordination 
  • Delirium monitoring/management 
  • Early exercise/mobility with family engagement 
• Where do we start? GAP analysis process 
  • Evaluate institutional readiness for change 
  • Determine who the stakeholders are for a process change 
  • Perform a GAP analysis 
• Strategies for Implementation in the ICU 
  • Standardized Tools 
  • Education – Pain Assessment, Delirium Assessment 
  • Structured Sleep Protocols 
• How to develop a Multidisciplinary Rounding Process 
  • Developing the Team 
  • Standardized Rounding Tool 
  • Rounding Schedule 
• Metrics used in evaluation of the ABCDE Process 
  • ICU Length of Stay 
  • Ventilator Days 
  • Bundle Compliance 
  • Other Measures 

Target Audience

• Nurses
• Nurse Practitioners
• Physicians Assistants