Overview of Artifact
This artifact share how my ICU liberation course develops me professionally. I took an ICU liberation course at UCSF. After the course, I found the needs in the post-fall form in the acute care hospital setting. I collaborated with a multi-disciplinary team and created a Post-Fall form in the ICU setting.
In addition to my ICU liberation courses, I participated in 1 month, 1 hour per week post-fall group in Overlake Medical Hospital. These groups include Physical Therapists, Physicians, Speech Therapists, and Nurses and discuss fall prevention. This year, the groups focused on creating a post-fall form in the ICU setting. Responding to insights from other disciplines, our first topic was “How to minimize falls in the hospital setting”.
I collaborated with students at the University of Washington as well to provide effective experiences in order to prevent falls post-stroke to their discomfort with physicians and nurses. Secondarily, it provided me the opportunity to teach medical students about the safety needs of patients with stroke and the role of their occupational therapists to support their education and development. Each topic in the form was chosen by the therapists and OT students. We researched the most needs and how the form can be measurable after a fall. This form was distributed to nurses and physicians in the Overlake Hospital, Bellevue WA. It has been used for patients who experienced a fall, and how it can be preventable in the hospital setting. Moreover, this form was used to assess if the patient is safe to go home.
The following shows the post-fall form that we created and used in the ICU unit.
ICU Liberation course in UCSF
This was 2 days intensive course where focuses on how the patient is to be liberated from anything that threatens his or her sense of self-worth, identity, and human dignity. This course was able to optimize critical care with ABCDEF bundle. This includes post-intensive care syndrome (PICS), a health condition following critical illness characterized by post-ICU-acquired dementia and physical and psychological impairments.
ABCDEF Bundle means:
A: Assess, Prevent and Manage Pain
B: Both Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)
C: Choice of Analgesia and Sedation
D: Delirium: Assess, Prevent and Manage
E: Early Mobility and Exercise
F: Family Engagement and Empowerment
This course managed the importance of facts and intervention during ICU admission and it is highly correlated with patients with stroke. This course was an evidence-based evaluation and intervention course and was beneficial for my goals as an Occupational Therapist. It focused on clients with high NIH stoke Scale scores or those in which mental status is compromised.
This artifact represents well fit for my first goal because clinically I wanted to focus into different types of setting, which will contain a variety of people from different cultural backgrounds. My goal was to provide good care with cultural and clinical knowledge, so this course developed knowledgeable information about patients in an ICU setting.