PLAN DO STUDY ACT

•Apply intervention of adding task of documenting CAM-ICU on ward round jobs list

•Update staff in GICU

•Collect data in preparation for PDSA-2

•69% had a CAM-ICU performed on admission compared to 33% who did not have CAM-ICU on admission. 87% had CAM-ICU performed anytime during admission.

•10% from the sample tested positive for delirium.

•All the nurses felt they were confident in utilising the scoring criteria.

•Overall, CAM-ICU was well performed.

•Further improvements must be made in order to ensure all patients being admitted receive a CAM-ICU assessment within 24 hours.

Conclusion and Lessons learnt

•Ask nurses if CAM-ICU has been performed within 24 hours of admission

•Identify any discomforts with performing CAM-

•Analyse data and determine limiting factors to CAM-ICU being performed

•Identify patients tested positive for delirium and when CAM-ICU started

• CAM-ICU performed within 24 hours enabled early detection of delirium

•Early delirium treatment prevents worsening prognosis and unnecessary lengthening of ITU stay

•Making it part of ward rounds job lists is an active method of reminding the team to perform CAM-ICU assessments