Delirium Let's Clear Up the CAMfusion

NYU Langone Medical Center (New York, New York)

CSI Summary

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CSI Presentation

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Project Topic

Delirium Awareness, Prevention and Assessment

CSI Participants

Ralph Carumba, RN, BSN, CCRN
Mary Giblin, RN, BSN, CCRN
William Rosa, RN, MS, LMT, AGPCNP-BC, CCRN-CMC
Anne Urquhart, RN, BSN, CCRN

Project Goals/Objectives

  1. To educate staff regarding proper use and implementation of CAM and CAM-ICU delirium assessment tools
  2. To improve the accuracy and compliance of delirium assessments
  3. To increase interdisciplinary communication and validation of delirium as significant to plan of care
  4. To heighten staff and family awareness of delirium
  5. To identify methods of properly recognizing, preventing and treating delirium

Project Outcomes

  1. Educated 88 percent of MICU nurses on the proper use of CAM/CAM-ICU tools
  2. Elevated nurse comfort with the CAM/CAM-ICU tools to 100 percent through education
  3. Enhanced relationships with the Hartford Institute to develop a test and teaching plan for the identification of delirium utilizing the CAM/CAM ICU tool for house-wide dissemination.
  4. Implemented the validation of CAM/CAM-ICU as a required education competency
  5. Received approval of an online learning module as a teaching tool to be assigned house-wide for annual required competence check
  6. Integrated an interdisciplinary checklist in the MICU with plans to disseminate hospital-wide.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.