Tag Archives: ICU Liberation

ICU Liberation Conference

Gain strategies for effective implementation of the pain, agitation and delirium (PAD) guidelines during the two-day didactic and simulation conference, ICU Liberation and Animation: Operationalizing the PAD Guidelines Through the ABCDEF Bundle, held in partnership with the Society of Critical Care Medicine (SCCM) and Vanderbilt University Medical Center. Internationally-recognized faculty will present lectures on patient management strategies and engage participants in clinical scenarios through small-group simulation labs.

During the course, attendees will:

  • Review the PAD guidelines and ABCDEF Bundle
  • Learn strategies for implementation and management of the PAD guidelines and ABCDEF Bundle in the ICU
  • Gain a significant hands-on experience by applying strategies during patient scenario simulations
  • Earn 14 continuing medical education credit hours (available to physicians, nurses and pharmacists)

Hospitals are encouraged to send a team of two or more participants who will then be able to implement these strategies within their hospital’s ICU after the conference.

ICU Liberation and Animation will be held September 12 and 13, 2017, at Vanderbilt University Medical Center in Nashville, Tennessee, USA. Register online using your Customer ID and password (usually your last name). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

ICU Liberation Offering

Gain strategies for effectively implementing sedation liberation and promoting patient mobility with Self-Directed ICU Liberation Performance Improvement, a new online training course developed by the Society of Critical Care Medicine (SCCM).

Self-Directed ICU Liberation Performance Improvement is designed to help you create a lean, sustainable and highly functional multiprofessional intensive care unit (ICU) team.

Learning Objectives include:

  • Recognize valid and reliable assessment tools to prevent and manage pain, agitation and delirium in ICU patients, using the ABCDEF Bundle
  • Develop strategies for integrating a multiprofessional team culture
  • Identify weaknesses or gaps in current ABCDEF Bundle practice and data collection
  • Assess skills using case vignettes and self-assessment tools

Participants will employ a template to assess sample patient data and identify areas for improvement. The course also uses tests to evaluate weaknesses and identify opportunities for bundle implementation to improve patient care. Self-Directed ICU Liberation Performance Improvement includes eight online videos with synchronized speaker audio. Physicians and nurses are eligible to receive 7 hours of continuing education credit.

Purchase Self-Directed ICU Liberation Performance Improvement today at the price of $185 for members ($225 for nonmembers). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Congress Talk Centers on Science behind Liberating ICU Patients and Families

You are encouraged to check out video of an informative plenary session from the 46th Critical Care Congress entitled ABCDE and F Bundle: The Science Behind Liberating ICU Patients and Families.  It features E. Wesley Ely, MD, MPH, FCCM, describing the Society of Critical Care Medicine’s pain, agitation, and delirium (PAD) guidelines, reviewing the epidemiology and risk factors for critical illness brain injury, and introducing the evidence-based ABCDEF bundle and successful quality improvement methodology. Dr. Ely also discusses optimizing culture change to improve patient outcomes.

The plenary was accompanied by the release of Dr. Ely’s late breaking paper, The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families.

In the paper, published in the February 2017 issue of Critical Care Medicine, Dr. Ely notes: “One thing most physicians detest is being told what to do or seeing some ‘recipe’ put forth for their patients’ medical care. We know what we do is a professional calling and an art; we are not merely medical providers or technicians. ICU liberation is not meant as a recipe or a ‘protocol’ to be blindly followed.

Quite the opposite. Some of you may, without reading this synthesis, practice up-to-date and seamless ICU care. If so, then the science and philosophy of ICU liberation are yours, and this article will be of help perhaps as a way of ‘packaging’ what you already do. However, having visited many hundreds of ICUs around the world, I have not seen even one (including those in which I am privileged to serve patients and their families as an attending physician) that I think practices these ICU liberation concepts well enough.”

Dr. Ely also references the connection between ICU treatment and the Society’s THRIVE initiative, noting the importance of continuing to care for patients and families after the ICU.

After watching the plenary session and reading Dr. Ely’s paper, you are further encouraged to check out various ICU Liberation resources, including:

Additional resources related to the family-centered care guidelines include:

Gap Analysis Tool – Identification of Your ICU’s Practice Differences

Family-Centered Care Guidelines – Gap Analysis Tool Instructional Video​

Visit iculiberation.org for additional resources related to the family-centered care guidelines.

After you review the above material, keep the conversation going online using #ICULiberation.

Now Available: Self-Directed ICU Liberation Performance Improvement

Gain strategies for effectively implementing sedation liberation and promoting patient mobility with Self-Directed ICU Liberation Performance Improvement, a new online training course developed by the Society of Critical Care Medicine (SCCM).

Self-Directed ICU Liberation Performance Improvement is designed to help you create a lean, sustainable and highly functional multiprofessional intensive care unit (ICU) team.

Learning Objectives include:

  • Recognize valid and reliable assessment tools to prevent and manage pain, agitation and delirium in ICU patients, using the ABCDEF Bundle
  • Develop strategies for integrating an multiprofessional team culture
  • Identify weaknesses or gaps in current ABCDEF Bundle practice and data collection
  • Assess skills using case vignettes and self-assessment tools

Participants will employ a template to assess sample patient data and identify areas for improvement. The course also uses tests to evaluate weaknesses and identify opportunities for bundle implementation to improve patient care. Self-Directed ICU Liberation Performance Improvement includes eight narrated, interactive lesson modules. Physicians and nurses are eligible to receive 7 hours of continuing education credit.

Purchase Self-Directed ICU Liberation Performance Improvement today at the price of $185 for members ($225 for nonmembers). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Reserve Your Spot for Interprofessional Team Coaching in the ICU: Results

Reserve your spot for the second installment of the Society of Critical Care Medicine’s (SCCM) two-part ICU Liberation webcast series. “Interprofessional Team Coaching in the ICU: Results” will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and nonparticipants of the ongoing ICU Liberation ABCDEF Bundle Collaborative. Those who did not attend the first session are still encouraged to register, and may view the first session before attending the webcast.

All members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or nurse managers) are strongly encouraged to attend to ensure optimal impact. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During this second session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will provide an opportunity for teams to share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning Objectives include:

  • Report results from the test of change and plan the next test
  • Identify influences and conflict challenges that exist and practice using appropriate tools to address them
  • List activities that the team needs to address for successful ABCDEF Bundle implementation

This 60-minute webcast, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an ICU stay.

Register for Interprofessional Team Coaching in the ICU: Results

Register today for the second installment of the Society of Critical Care Medicine’s (SCCM) two-part ICU Liberation webcast series. “Interprofessional Team Coaching in the ICU: Results” will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and nonparticipants of the ongoing ICU Liberation ABCDEF Bundle Collaborative. Those who did not attend the first session are still encouraged to register.

For optimal impact, all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or nurse managers) are strongly encouraged to attend. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During this second session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will provide an opportunity for teams to:

  • Report results from the test of change and plan the next test
  • Identify influences and conflict challenges that exist and practice using appropriate tools to address them
  • List activities that the team needs to address for successful ABCDEF Bundle implementation

This 60-minute webcast, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an ICU stay.

Reserve Your Spot for Upcoming ICU Liberation Webcasts

Reserve your spot for the upcoming two-part webcast, “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results,” from the Society of Critical Care Medicine’s (SCCM) ICU Liberation series. The webcasts will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. Registration is open to both participants and non-participants of the ongoing ICU Liberation ABCDEF Bundle Collaborative, and is complimentary for all.

For optimal impact, it is strongly encouraged that all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or RN managers) attend both sessions. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

During the first session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will address the role of the IPT and the key abilities of partnership, cooperation, and coordination that make the team successful. Teams who attend will commit to implementing a test of change that they will implement as a team.

Learning objectives include:

  • Articulate the purpose, key abilities and success factors for the IPT
  • Explore IPT practices that facilitate successful bundle implementation
  • Identify a test of change for your IPT to conduct and report on at a subsequent session

The second session will provide an opportunity for teams to share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning objectives include:

  • Report results of test of change and plan next test (partnership)
  • Identify influence and conflict challenges that exist and practice using appropriate tools to address them (cooperation)
  • List activities that the team needs to address for successful ABCDEF Bundle implementation (coordination)

The 60-minute webcasts, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM, will take place on Wednesday, August 31, 2016, at 1:00 p.m. and Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an intensive care unit stay.

Webcasts: Interprofessional Team Coaching in ICU

Registration is now open for the upcoming two-part webcast, “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results,” from the Society of Critical Care Medicine’s (SCCM) ICU Liberation series, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM. The webcasts will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. For optimal impact, all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or RN managers) are strongly encouraged to attend both sessions. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

In the first session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will address the role of the IPT and the key abilities of partnership, cooperation, and coordination that make the team successful. Teams who attend will commit to implementing a test of change that they will implement as a team.

The second session will provide an opportunity for teams to share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning Objectives

Session 1

  • Articulate the purpose, key abilities and success factors for the IPT
  • Explore IPT practices that facilitate successful bundle implementation
  • Identify a test of change for your IPT to conduct and report on at a subsequent session

Session 2

  • Report results of test of change and plan next test (partnership)
  • Identify influence and conflict challenges that exist and practice using appropriate tools to address them (cooperation)
  • List activities that the team needs to address for successful ABCDEF Bundle implementation (coordination)

The 60-minute webcasts will take place on Wednesday, August 31, 2016, at 1:00 p.m. and Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an intensive care unit stay.

New Video Series Centers on Patient-Centered Rounds Using ABCDEF Bundle

You are encouraged to watch a new ICU Liberation video series, Patient-Centered Rounds Using the ABCDEF Bundle.

The scenarios presented in these videos—showing integration of the ABCDEF Bundle during patient care rounds—are intended to start a dialogue among interprofessional teams about relevant implementation and communication practices.

Patient-Centered Rounds Using the ABCDEF Bundle: Video 1

Patient-Centered Rounds Using the ABCDEF Bundle: Video 2

Patient-Centered Rounds Using the ABCDEF Bundle: Video 3

An accompanying facilitator’s guide for the video series is also available:

Patient-Centered Rounds Using the ABCDEF Bundle: Facilitator Guide for the Video Series

New iCritical Care Podcast Discusses PICS and ICU Liberation

You are encouraged to listen to an in-depth iCritical Care podcast featuring former Society of Critical Care Medicine (SCCM) President Maurene A. Harvey, MPH, RN, MCCM, in which she raises awareness about post-intensive care syndrome (PICS) and related research and management strategies. Such strategies include ICU Liberation ABCDEF Bundle implementation.

SCCM Pod-303 Post-Intensive Care Syndrome: Truth About Consequences, Right Care Right Now … and Later

The podcast provides a nice preview of Ms. Harvey’s upcoming plenary session at SCCM’s 45th Critical Care Congress.

On a related note, you are encouraged to check out educational content centered on ABCDEF Bundle implementation strategies that are available in PDF format on the ICU Liberation website.

Implementing the A Component of the ABCDEF Bundle
Implementing the B Component of the ABCDEF Bundle
Implementing the C Component of the ABCDEF Bundle
Implementing the D Component of the ABCDEF Bundle
Implementing the E Component of the ABCDEF Bundle
Implementing the F Component of the ABCDEF Bundle

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility, along with educating and empowering patients and families.

New Educational Resources on Sedation Liberation and Patient Mobility

Gain strategies to effectively implement sedation liberation and promote patient mobility in the intensive care unit (ICU) with the Society of Critical Care Medicine’s (SCCM) complete line of ICU Liberation resources.

Maximize your learning potential and save when you purchase the ICU Liberation Bundle. The bundle includes the publication, ICU Liberation: The Power of Pain Control, Minimal Sedation, and Early Mobility, and unlimited access to the ICU Liberation and Animation On Demand course. The ICU Liberation Bundle is available for $200 for members ($265 for nonmembers).

ICU Liberation: The Power of Pain Control, Minimal Sedation, and Early Mobility

Created by a team of intensive care experts, this must-have publication offers practical information to help frontline staff implement sedation liberation and promote ICU patient mobility. Topics include performing gap analyses, delirium in the ICU, the need for sleep, and ventilator strategies. This publication is available in print and electronic formats and available to members for $75 ($95 for nonmembers).

ICU Liberation and Animation On Demand

Experience the educational content from SCCM’s 2015 live conference, ICU Liberation and Animation, from the comfort and convenience of your home or office. Internationally recognized faculty present lectures on patient management strategies and engage participants in clinical scenarios through small-group simulation labs. With searchable slide presentations and synchronized speaker audio, you can access the entire program as if you were there. Members can purchase ICU Liberation and Animation On Demand for $155 ($195 for nonmembers).

Visit www.sccm.org/LIBERATE for product details and to make a purchase. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

Access Educational Content on ICU Liberation ABCDEF Bundle Implementation

Educational content centered on ABCDEF Bundle implementation strategies are now available in PDF format on the ICU Liberation website.

Implementing the A Component of the ABCDEF Bundle (2.5 MB)

Implementing the B Component of the ABCDEF Bundle (1.8 MB)

Implementing the C Component of the ABCDEF Bundle (1 MB)

Implementing the D Component of the ABCDEF Bundle (1.6 MB)

Implementing the E Component of the ABCDEF Bundle (1.3 MB)

Implementing the F Component of the ABCDEF Bundle (1.5 MB)

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility, along with educating and empowering patients and families.

New Article Spotlights ICU Liberation Initiative

You are encouraged to read the following article, “Undone in the ICU,” which recently appeared in Vanderbilt Medicine, a magazine published by Vanderbilt University Medical Center. The article centers on efforts to better measure, understand and treat delirium in the intensive care unit (ICU). It also explores efforts to mitigate the long-term impact of delirium on ICU patients.

Discussed throughout is the work of Society of Critical Care Medicine (SCCM) member E. Wesley Ely, MD, MPH, FCCM, as co-chair of the ICU Liberation Initiative and as leader of Vanderbilt’s ICU Delirium and Cognitive Impairment Study Group. Both ABCDEF Bundle implementation and SCCM’s Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit are featured. So, too, is the ICU Liberation ABCDEF Bundle Improvement Collaborative, which involves 77 U.S. hospital ICUs committed to improving outcomes for patients and families by reliably implementing the bundle.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility.

Webcast on Early Progressive Mobility in the ICU

Register today for Early Progressive Mobility in the ICU – AACN Clinical Scene Investigator Academy Project, the latest webcast from the Society of Critical Care Medicine’s (SCCM’s) ICU Liberation series. It will explore the implementation of an early progressive mobility protocol by Duke Raleigh Hospital’s medical-surgical intensive care unit (ICU), under the guidance of the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy.

The goal of this protocol was to decrease ICU lengths of stay and ventilator days, while increasing mobility and positive patient outcomes through reduced incidence of hospital-acquired infections and complications.

Implementation of the protocol has resulted in a large number of successful outcomes, a strengthened ICU team and a collaborative interprofessional culture in the unit. Presenters will discuss the team’s approach to implementation, project planning and protocol structure. They will also highlight challenges, qualitative and quantitative outcomes, and meaningful patient stories.

Learning Objectives

  • Identify different goals and strategies for successful implementation of an early progressive mobility protocol for critically ill patients, including tests of change, staff education, interprofessional collaboration, and addressing perceived barriers
  • Discuss initial and sustained outcomes and measurements resulting from the project
  • Describe how meaningful recognition and nurse leadership impact the success or failure of a project of this scale

This 60-minute webcast will take place on Tuesday, September 29, 2015, at 1:00 p.m. Central Time. Registration is complimentary for all participants.

Register online today using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

This webcast is held in collaboration with Project Dispatch, funded by the Agency for Healthcare Research and Quality, and AACN.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an ICU stay.

New Publication Offers Sedation Liberation and Patient Mobility Strategies

Discover strategies for managing pain, agitation and delirium in intensive care unit (ICU) patients with ICU Liberation: The Power of Pain Control, Minimal Sedation, and Early Mobility, a publication from the Society of Critical Care Medicine (SCCM). Created by a team of intensive care experts, including Michele Balas, PhD, RN, APRN-NP, CCRN, FCCM; Terry Clemmer, MD, FCCM; and Ken Hargett, MHA, RRT, FAARC, FCCM, this must-have publication offers practical information to help frontline staff implement sedation liberation and promote ICU patient mobility.

Topics include:

  • Gap analysis in performance improvement
  • Delirium in the ICU
  • Patients’ need for sleep
  • Ventilator strategies

Chapters provide evidence based on expert opinion, principles derived from other disciplines and practical experience.

ICU Liberation: The Power of Pain Control, Minimal Sedation, and Early Mobility is available for purchase in the SCCM Store in print and as an eBook for $75 for members ($95 for nonmembers). If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.