9/30 Meeting Minutes

NYC ICU study group

Date: 9/30/15

Location: Bellevue Hospital

Attendees: Lauren C., Ashley H., Sunny D., Rachel F., Ashley S., Kathy S., Elise M., Colleen G., Sofia H., Jade B., Lin Y., Hui-Yu C., Elana S., Colleen S., Lauren S., Stephanie A.

Agenda:

1. Upper Extremity Impairments noted post-op:

• Indications for EMG
• treatment strategies: elevation, PROM (shoulder below 90degrees), family/nursing education

2. Grip Strength testing in various populations:

• measurements- gross grasp, pincer
• MMT-lateral pinch, opposition, abductors/adductors

3. Patients anxiety and agitation in the ICU setting: **evidence based practice discussion

• Delirium and anxiety-documentation & treatment ideas:
1. decrease stimuli- lighting, sound (ie. quiet hours)
2. play music
3. include patient in scheduling time & treatment prior to session
4. communication with family (bring in familiar items from home) and nursing
5. quantify level of anxiety with faces scale

4. Open Discussion:

• Interdisciplinary communication board- including family, nursing

1. folder- hobbies, daily goals, family info
1. Referral generation- rehab vs. service orders
2. Blog- Sunny
1. competencies-separated by service
2. research ideas & clinician collaboration (potential topics: delirium, VAD)
3. open forum for questions & answers between meetings

5. Tour of Bellevue ICU

6. Next Quarterly Meeting: Wednesday, Dec 9th 2015***, Columbia/NYP Medical Center

Evidence-based practice discussed: (Provided by Lin)

1. Tate, J., Devito Dabbs, A., Hoffman, L., Milbrandt,E., & Happ, M. Anxiety and Agitation in Mechanically Ventilated Patients. Qual Health Res. 2012 February ; 22(2): 157–173. doi:10.1177/1049732311421616.
2. McKinley, S., Coote, K., & Stein-Parbury, J. Development and testing of a Faces Scale for the assessment of anxiety in critically ill patients. (2003) Journal of Advanced Nursing 41(1), 73–79.