 How we collect data for SATs, SBTs, RASS and SAS  How has data collection affected our work flow  Have we made any improvements in patient care? 

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Presentation transcript:

 How we collect data for SATs, SBTs, RASS and SAS  How has data collection affected our work flow  Have we made any improvements in patient care?  Barriers with data collection and implementation of measures Talking Points:

 Charts reviews Done by reviewing the patient's EMR  Daily rounding form Done by night shift ICU nursing manager once or twice a week Data Collection: SATs, SBTs, and RASS

 Sedation holiday (SAT) performed twice per day (10am&10pm)  Weaning trial (SBT) performed immediately after SAT and patients extubated as needed. Weaning Readiness Assessment Protocol

Process Measures: SAT Compliance Rate

Process Measures: SBT Compliance Rate

Process Measures: RASS Target

 Time constraints  Inadequate/inaccurate charting  Discrepancies in charting actual RASS and targeted RASS  Risk of Self - Extubation  Staffing issues  Nurses’ attitudes towards sedation holiday Barriers to Data collection and implementation of measures

 Consistent documentation by Nursing/RT staff  Reduced length of stay on the vent as a result of rigorous SAT/SBT /RASS protocols  Reduced re-intubation rates  Decrease length of ICU and hospital stay Success Stories

Unplanned Extubations and Re-intubations

Average length of Stay on the Vent