A Pilot Program Engaging Families to Collaborate in Delirium Recognition
March 19, 2014
Featuring: Pamela Brady MS, RN and Barbara Schrage MS, RN
Strong Memorial Hospital
Patient care staff often cannot recognize delirium because patient baselines are not always known on admission. Families can be a resource in recognizing a family member’s change from baseline but are unfamiliar with the concept of delirium and are not empowered to report changes. The NICHE coordinators at Strong Memorial Hospital developed an educational video designed to arm family members with better knowledge about delirium and how to recognize and report changes in behavior to staff. Learn the details and results of this effort by attending this important NICHE webinar. This presentation is part of the NICHE Webinar Solution Series.
Delirium Management: Nursing and Occupational Therapy Collaboration
February 6, 2013
Featuring: Karen Joost, RN, MS, NE-BC; Suzanne Brown, OTR/L; Martha Watson, MS, RN-BC, GCNS
The Miriam Hospital
Delirium impacts a high percentage of older adult patient populations, with resolutions taking several hours to several days or weeks in some hospitals. Acute delirium, defined as a disturbance of consciousness with impaired attention and or disorganized thinking, is associated with increased length of stay, cost, and rates of mortality. Using a team of varied specialists, including occupational therapists, hospitals can develop a sensory integrative approach to create a stronger patient-centered plan of care. With hands-on training for CNAs and other hospital team members, staff can work to increase confidence with early identification of delirium and strategies for symptom management. This presentation is part of the NICHE Webinar Solution Series.
Delirium Prevention: Making the “Case” for the Importance of Sleep
November 18, 2015
Featuring: Carolyn Moretti, RN, BSN; Robert Cole, RN, BS; Stephanie Connor, RN, BSN, St. Joseph Health Services, Our Lady of Fatima Hospital
One of the precipitating risk factors of delirium is a disturbance in the sleep/wake cycle. Promoting knowledge of non-pharmacological sleep interventions was a goal this education program at Our Lady of Fatima Hospital. The NICHE GIAP provided the first indication that sleep education should be considered. The program employed a variety of training elements. Give your older adult patients a better night’s sleep by attending this informative webinar.
Dilemma of Delirium in the Geriatric Hip Fracture Patient
October 10, 2012
Featuring: Amy Williamson, RN, BSN, ONC
Texas Health Harris Methodist Hospital Fort Worth
The purpose of this activity is intended to enrich and broaden the nurse’s knowledge related to better caring for geriatric hip fracture patients at risk for delirium. Topics to be included are identifying patients at risk for delirium, diagnostic studies and treatment options, and nursing role in providing a therapeutic environment for this patient population. This presentation is part of the NICHE Webinar “Responding to the Needs of the Critically Ill Older Adult” Series.
Developing An Order Set for Management of Delirium with an Interdisciplinary Team
May 21, 2014
Featuring: Brenda Belbot MSN, MHA, RN-BC
St. John Providence Health System
Realizing their hospital had no standard process to determine if a patient was experiencing delirium and no prescribed delirium treatment plan a team at St. John Providence Health System developed an interdisciplinary holistic plan of care to identify and manage delirium. The team selected the Confusion Assessment Method (CAM®) for delirium assessment and developed two order sets for management of delirium. Learn how you can create your own healing environment for your patients by joining us for this important webinar. This presentation is part of the NICHE Webinar Solution Series.
Elevating Nursing Awareness of Delirium Through EMR Redesign and Team Education
June 8, 2016
Featuring: Astrid Block, RN, MS, GCNS-BC; Anne Klevay, MSN, RN, PMHCNS-BC; Joy Caneda, RN, OCN, Stanford Healthcare
Stanford Health Care increased nursing delirium awareness by developing a standardized process using the Confusion Assessment Method (CAM) tool. Customized incorporation of the CAM into the electronic medical record helped improve and standardize delirium screening. A number of educational components were included in the initiative. Give your patients improved care using this advanced initiative. Learn how by registering for this informative webinar.
Nursing Driven Acute Delirium Prevention
September 23, 2015
Featuring: Joyce Restifo, MSN, GCNS-BC, Summa Barberton Hospital
The prevalence of delirium in acute care hospitals ranges from 10-24%. A team at Summa Barberton Hospital developed a nursing driven acute delirium prevention protocol that helped decrease delirium prevalence in older adult patients from 52.8% to 29.8% after one year. Learn how you can put this protocol to work at your facility by attending this NICHE Online Connect Webinar.
Nurse Recognition of Acute Delirium: A Pilot Study
September 11, 2013
Featuring: Bette K. Idemoto, PhD, RN, ACNS-BC, CCRN; Denise M. Kresevic, PhD, RN, GNP-BC, GCNS-BC, University Hospitals Case Medical Center
Delirium is a complex syndrome associated with significant morbidity/mortality, adverse patient outcomes and increased cost of care. University Hospitals Case Medical Center conducted a pilot study to evaluate an innovative CNS multi-phased educational program that included didactic teaching, bedside mentoring, and consultation. General medical and ICU RNs were surveyed to assess their competency in detecting and managing delirium. Planned education and consultations on patients were provided as part of interdisciplinary rounds. The study revealed that traditional didactic education was insufficient in improving detection and that enhanced CNS telephone consultation to bedside nurses in the midst of delirium patient crises can provide needed support and timely cost-effective targeted interventions. Join us to learn more about this important study and its result. This presentation is part of the NICHE Webinar Solution Series.
Patient Activity Cart (PAC) for Better Care
February 10, 2011
Featuring: Tyleen Smith, BSN, RN
Cognitive impairment, including delirium, in older adult patients can add challenges for nurses responsible for their care. Providing nursing staff with tools and support to help them care for patients with confusion/delirium can improve staff satisfaction and decrease stress levels. Recognizing the need to upgrade the quality of care for older adult patients, the interdisciplinary NICHE team at Saint Francis Hospital in Tulsa, Oklahoma, created an educational component outlining interventions for confusion/delirium. The interventions used equipment supplied in a Patient Activity Cart (PAC). Tyleen Smith details the team’s effort and use of the PAC in this “Solutions” webinar. This presentation is part of the NICHE Webinar Solution Series.
Reducing Delirium with a Team Approach
November 17, 2010
Featuring: Catherine Roscoe-Herbert, DNP, APRN, FGNLA
UH Case Medical Center
Delirium has become a major medical crisis facing the hospitalized older adult patient. In this webinar, Cathy Hebert, RN, GCNS-BC, of Mission Hospital describes their team approach to reducing the incidence of delirium and improving the recognition/diagnosis of delirium through the use of nationally recognized best practices embedded in the electronic medical record.
Screening of Older Adults for Delirium Risk Prior to Orthopedic Surgery
March 20, 2012
Featuring: Anne Vanderbilt, MSN, CNS, CNP and Barbara Messinger-Rapport, MD
Finding the incidence of delirium in older adult patients after elective hip surgery was up to 15%. The Cleveland Clinic undertook a nurse/physician research study to consider the necessity of screening for high-risk individuals prior to orthopedic surgery. In this webinar, Anne Vanderbilt and Dr. Rapport will discuss what the study discovered and how it can help reduce the incidence of delirium in older adult patients. This presentation is part of the NICHE Webinar Solution Series.
The Delirium Observation Screening Scale (DOS Scale)
March 9, 2016
Featuring: Grace Matthews, MSN, RN -BC, University of Iowa Hospitals & Clinics
Busy inpatient nurses need tools to help them obtain assessments. This webinar describes the use of the DOS Scale in delirium identification and early treatment. The initiative used the electronic medical record to support the staff nurse at the bedside. A NICHE electronic report was developed to trend delirium status over the length of the admission and alerts signaled when the DOS Scale was over three to remind nurses to implement delirium strategies and notify the licensed independent practitioner to use the delirium order set. Add this tool to your practice. Register to attend the webinar.
TThe Magic Power of an Externship; Leveraging Student Interest in an Externship into a Volunteer Bedside Companion Program for Delirium Prevention
May 13, 2015
Featuring: Theresa Bernaz, MS, MA, RNC; Lourdes Pineda, MSN, RN, BC, Overlook Medical Center
Recruiting volunteers for their bedside companion program was a challenge for Overlook Medical Center so they created the “Healthcare Externship for College Students with a Focus on Delirium Prevention.” A training component for the nursing and pre-med college students included classroom work, lectures and videos on aging and physical/mental changes, what delirium was, and ways to prevent delirium in older adult patients. Attend this webinar to learn how you can put this innovative program to work for your facility.