BACCN Twitter Chat #baccnvisit
It was once again a very interactive Twitter chat discussing “open visiting hours within ICU” with both nurses and physiotherapist joining in.
Although overall most Twitterers were in favour of an more open visiting policy, there was some reservations to it which included exceptions for ward rounds, physiotherapy, other medical team visits etc It was felt by somet that there should be some restrictions for overnight visiting to allow the patients better quality rest/sleep time, and I suppose this will allow patients to have some ability to maintain their circadian rhythm and minimize the impact / development of ‘ICU induced delirium’.
A common thread throughout the hour was flexibility. Nurses must work with families and come to a mutual agreement on times to visit the patient. This will ensure that the patient is given privacy when needed and allow the families access at a very emotional and distressing time. Many felt that restricted visiting help families to continue to function outside the critical care environment, and to maintain their a sense of their own well-being.
The above is a point were I feel nurses need to talk more to families / visitors giving a unambiguous and understandable updates of the patient’s condition, installing confidence in the care that the patient is receiving and agreeing what amount of visiting time works for them and their loved one.
Following the Twittter Chat I reflected on how I would feel if I wasn't a Critical Care nurse and someone I loved and cared about was admitted to a Critical Care unit. The Critical Care environment which seems such a ‘normal environment’ to us must seem like another world to relatives who might never have experienced acute healthcare before. To add to this we often use our own unique language and acronyms, and we openly discuss with our colleagues pO2’s CRPs, ABGs etc just to add to the confusion.
There was no absolute opposition to open visiting times and for many a more flexible well managed approach is called for. This takes confidence and the instilling of confidence in the patients care. Visitors should be made to feel empowered, they should be invited to assist with personal patient care, the language used should be at a level which they understand, questions should be freely accepted and answered, and visiting should be discussed and arranged for times which suits everyone involved.
Thank you to everyone who took part in the chat.
To view the storify version, please click here!
Our next Twitter chat will take place on the 5th May between 7-8pm where we'll be discussing Alternative therapies in ICU (pets/music) #baccntherapy. See the website for more details.
Rehabilitation after critical illness: Quality standard consultation
NICE are currently consulting with registered stakeholders which the BACCN is relating to the "Rehabilitation after critical illness: Quality Standard Consultation.
The NICE Rehabilitation after critical illness quality standard provides a structured overview of potential quality improvement areas for rehabilitation after critical illness. It provides a basis for discussing and prioritising quality improvement areas for development.
The consultation closes on the 21st April. If you would like to provide feedback to this consultation then please email us at BACCN by the 19th April to allow us to provide stakeholder feedback to NICE.
To find out more information, please click here
Dr Tim Collins & Trish McCready
BACCN Professional Advisors, National Board
Dragon's Den Competition 2017
Quality Improvement within Critical Care
“Improving quality is about making health care safe, effective, patient-centred, timely, efficient and equitable. In the history of the NHS, there has never been a greater focus on improving the quality of health services” (http://www.health.org.uk/publication/quality-improvement-made-simple)
Are you and or your team involved with or have an idea for a QI project within your Critical Care Unit?
Win £500 and 1 BACCN Unit Membership (which includes 10 BACCN membership places = £400)
How to enter:
Submit a 500 word proposal with regards to your QI project. The following points provide guidance to support your application:
To view the application form, please CLICK HERE
*Closing Date: 31st May 2017*
To veiw the storify, please click here
As a clinical band 7 in Critical Care, early mobilisation of the ventilated patient is a subject close to my heart. On a daily basis I see how important it is for patients to engage with the physiotherapists and nurses at the bedside. The mental and physical benefits of sitting them out in a chair even if for a short time or taking a walk around the unit for the first time are always positive signs that the patient has passed through the acute phase of there ICU stay and on the way to recovery and when I see these things it never ceases to bring a smile to my face.
It was my first time facilitating a Twitter Chat and it was quite a intense and lively hour for me. It brought up a whole wealth of issues related to the early mobilisation of ventilated patients in ICU such as; risk assessments, perceptions of ICU care, the real benefits to the patients, staffing, education/training, ward round discussion and nursing experience.
In my first job in ICU it was normal practice for the ICU nurse to wash the patient then were possible sit them with sometimes the help of the physios. I have subsequently moved jobs and worked in more acute units. This experience has shown me the importance of early mobilsation on a daily basis and I feel it is imperative that it is high on the agenda of ward rounds and part of the ICU nurses patient plans for the day. Experienced ICU nurses should be leading by example and encouraging new and less experienced nurses to mobilise the patients.
It is important that we all continue to discuss early mobilisation of the ventilated patient highlighting the benefits, looking at the barriers and finding ways to overcome them.
A big thank you to everyone who took part in the chat.
Our next Twitter chat will take place on the 4th April between 7-8pm where we'll be discussing Open Visiting in ICU #baccnvisit