| Abstrakt: |
Purpose/goals: Review of the history of the high-observation guideline for head and neck patients within the Intensive Care Unit (ICU) in Calgary, Alberta, including: best practices for caring for head and neck patients, the creation and implementation of the guideline, and the key performance indicators (KPIs) and current progress. Session description: Traditionally patients undergoing major head and neck reconstruction surgery are brought postoperatively to the intensive care unit for close observation before transferring to a non-critical care unit (Arshad et al., 2013). Extant literature shows that early extubation and minimalized sedation improves patient outcomes (Allak et al., 2011; Clemens et al., 2015). In 2014, the Foothills Medical Centre in Calgary, Alberta, implemented a set of guidelines that aim to reduce the time that the patient is mechanically ventilated, minimalize or eliminate sedatives, encourage early mobilization, and reduce total time spent in the ICU. This session will present information on the creation of the guideline and implementation in a large, 28-bed intensive care unit, as well as the ongoing collaborative evaluation with key stakeholders against key performance indicators that reflect current best practices. Learning outcomes: 1. Increased knowledge of best practices for caring for head and neck reconstruction patients in ICU. 2. Compare the principles in this guideline to current practices in their home hospital, if applicable. 3. Recognize the potential barriers of implementing and assessing KPI's of a new best practice project. [ABSTRACT FROM AUTHOR] |
