Critical care nurses' role in implementing the "ABCDE bundle" into practice

Imagine working in an environment where all patients undergoing mechanical ventilation are alert, calm, and delirium free. Envision practicing in an environment where nonvocal patients can effectively express their need for better pain control, repositioning, or emotional reassurance. Picture an int...

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Bibliographic Details
Published in:Critical care nurse 2012-04, Vol.32 (2), p.35-47
Main Authors: Balas, Michele C, Vasilevskis, Eduard E, Burke, William J, Boehm, Leanne, Pun, Brenda T, Olsen, Keith M, Peitz, Gregory J, Ely, E Wesley
Format: Article
Language:English
Subjects:
Critical Care - methods
Delirium - nursing
Evidence-Based Nursing - organization & administration
Humans
Hypnotics and Sedatives - therapeutic use
Mobility Limitation
Nurse's Role
Nursing
Nursing Methodology Research
Nursing Staff, Hospital - organization & administration
Respiration, Artificial - nursing
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Summary:Imagine working in an environment where all patients undergoing mechanical ventilation are alert, calm, and delirium free. Envision practicing in an environment where nonvocal patients can effectively express their need for better pain control, repositioning, or emotional reassurance. Picture an intensive care unit where a nurse-led, interprofessional team practices evidence-based, patient-centered care focused on preserving and/or restoring their clients' physical, functional, and neurocognitive abilities. A recently proposed bundle of practices for the intensive care unit could advance the current practice environment toward this idealized environment. The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle incorporates the best available evidence related to delirium, immobility, sedation/analgesia, and ventilator management in the intensive care unit for adoption into everyday clinical practice.
ISSN:0279-5442
1940-8250
DOI:10.4037/ccn2012229