b'DELIRIUM NURSING CHAMPIONS(l-r) Ryan Kosowitz, RN; Lahoma Hills, LNA; Christy Learn, RN; Dana Bission, RN; Alana Lemoine, RN; Nikki Gaudreault, LNA; Sarah Sherwood, RN; Keilah Conley; Amy St. Laurent, RN; Michelle Gamache, RN;Tiffany Elliot, RN; Lindsay Heath, RN; Christine Heichlinger, RN; Amy Landry, RN; Christina Darling, RN; Courtney Tewksbury, RN; Stephen Fulk, LNA(Not pictured: Amanda Hartford, RN; Emily Higgins, RN;Francesca Sciacca, RN; Hazel Pagauisan, RN; Janette Espineda, RN; Kathleen Moran, RN;Kristen Millet, RN; Leena Bascom, RN; Marian Hall, RN; Shannon Clancy-Burgess, RN; Shauncie Dinkel, LNA)It makes it so they can wake up and work with us, eat and walk, onethree hospitals of our health system. We will stress the importance nurse commented. Others have discussed the tremendous successof proven non-pharmacologic, multi-domain interventions and to theyve had with our hyperactively delirious patients, where thisidentify delirium early. intervention centers them and focuses their attention so that they may mobilize safely and participate in care.Together, we will work to identify and treat underlying causes, remove toxins and avoid deliriogenic medications when possible. Organizational 1:1 Hours / Month We will also continue to educate patients, families, clinical andnon-clinical staff on delirium and its real harm. Under the leadership of Dana Bisson, a delirium expert and inspiration INCREASEDto nursing practice, a system-wide Delirium and Dementia Oversight Committee willUse of Nurse Drivenbe directing the organizations comprehensive plan Pressure Injuryand sustainable advances in delirium prevention, treatment and 1407 Prevention Protocol to 50%management throughout the health system. Dana has paved an 440 unequivocally innovative and highly-effective pathway through First Baseline Quarterthe development of screening tools and intervention protocols (Confusional 1:1) (Confusional 1:1) DECREASEDfor the care of acute delirium for our patients, the patients of New Reportable Pressure Hampshire and beyond, said Erin Collins, Vice President of Nursing The goal of the delirium work is not to cure a patient withinInjuries byminutesthose stories are extremely rare. The purpose is to attemptProfessional Practice and Development. 50%to directly intervene and interrupt brain failure, four times a day,so the patient may become attentive enough to eat a little more,Thank you to all of our bedside nurses and LNAs for your drink a little more, ambulate a little more, swallow more safely tremendous dedication to improving the outcomes of these and progressively improve. Prior to the second wave of COVID-19,extremely vulnerable, oftentimes difficult and medicallythis innovative intervention was rolled out to some of the inpatientcomplex patients.units with great success. When we performed these interventionsThis is truly theart of nursing .consistently, hours for 1:1 care for confusion decreased by 80 percent. Since then, despite extreme staffing challenges, thiswork has continued in dedicated pockets of theorganization *Names have been changeddue to the extraordinary passion and dedication of our bedsidePandharipande, P. P., et al. Long-Term Cognitive Impairment after Critical Illness. New England Journal of Medicine, vol. 369, no. 14, Oct. 2013, pp. 130616. DOI.org (Crossref), nurses, LNAs, and our education team.https://doi.org/10.1056/NEJMoa1301372.Pauley, Eric, et al. Delirium Is a Robust Predictor of Morbidity and Mortality among Critically Ill Patients Treated in the Cardiac Intensive Care Unit. American Heart Journal, These initial real-world results raise the tantalizing possibility thatvol. 170, no. 1, July 2015, pp. 79-86.e1. DOI.org (Crossref), https://doi.org/10.1016/j.specific reversal of delirium may not only be feasible, but also safeahj.2015.04.013.Pendlebury, S., et al. Observational, Longitudinal Study of Delirium in Consecutive INPATIENT FALLS TOTAL Concord Hospitaland inexpensive. We will continue to further explore and study thisUnselected Acute Medical Admissions: Age-Specific Rates and Associated Factors, Mortality and Re-Admission. BMJ Open, vol. 5, no. 11, Nov. 2015, pp. e007808e007808. novel approach to delirium therapy as we roll out this work in allDOI.org (Crossref), https://doi.org/10.1136/bmjopen-2015-007808. Concord Hospital - Laconia20 31 Concord Hospital - Franklin151050Oct 21 Nov 21 Dec 21 Jan 22 Feb 22 Mar 22 Apr 22 May 22 Jun 22 Jul 22 Aug 22 Sep 22#Patients Acquire Aspiration PNS as Inpatient14 100%90%12 80%10 70%GO LIVE GO LIVE8 60%50%6 40%30%43/7/22 7/14/222 20%10%0 0%9/7/21 - 10/6/21 10/7/21 - 11/6/21 11/7/21 - 12/6/2112/7/21 - 1/6/221/7/22 - 2/6/22 2/7/22 - 3/6/22 3/7/22 -4/6/22 4/7/22 - 5/6/225/7/22 -6/6/22 7/14/22 -8/13/228/14/22 -9/13/22 9/14/22 - 10/13/22'