Use of Respiratory Distress Observation Scale to Improve Compassionate Extubation at End-of-Life

Author(s): Hare Erin

Contact Hours 0.95

CERP B 0.95

Expires May 31, 2026

Topics: Pulmonary

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

The family decides to withdraw life-sustaining interventions on your patient. This can be one of the most challenging patients for an ICU nurse. Join us as we share how our unit standardized our approach to improve compassionate extubation. We explain our process of creating an algorithm for comfort care, including ventilator weaning/withdrawal and use of a validated tool to measure patient distress.


  • Identify key components to improve patient comfort during compassionate extubation.
  • Explain the steps of compassionate extubation using an algorithm and respiratory distress observation scale (RDOS).
  • Apply the use of the RDOS to decrease respiratory distress.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 0.00 contact hours.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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