Conwy and Denbighshire NHS Trust
Bodelwyddan, Wales, United Kingdom
Team
Sue O’Keeffe, RGN, BSc (Hons) Practice Development Sister
Mark Williams-Jones, RGN, BSc (Hons) Clinical Leader
Linda Leech, RGN, DipN, Staff Nurse
Dr. Brian Tehan, Divisional Clinical Director
Aim
Decrease the number of adverse events by 50 percent within two years.
Measures
Changes
Conducted training and education sessions for staff
Developed guidelines for each element of the bundle
Tested ‘daily sedation break’ on one patient
Developed ventilator care bundle checklist (PDSA methodology)
Tested ‘daily sedation break’ on three patients
Tested ‘daily sedation break’ on five patients
Tested ‘whole’ bundle on one patient
Tested ‘whole’ bundle on three patients
Tested ‘whole’ bundle on five patients
Tested ‘whole’ bundle on all patients
Continued training sessions for multidisciplinary team
Developed ‘daily goal sheets’ to include compliance with Ventilator Bundle
Results
Summary of Results / Lessons Learned / Next Steps
The implementation of the Ventilator Bundle has resulted in a change to many processes of care on the ICU. Multidisciplinary team working has improved with medical staff willing to allow increased autonomy for the nursing staff. This cultural shift has enabled other bundles and guidelines to be implemented without barriers.
- Rapid cycle, small steps of change are a revolution to our change management.
- Education, education, and education. If the staff understand why you are asking them to do something they are more likely to comply.
Contact Information
Sue O’Keeffe, Acting Head of Modernisation
Conwy and Denbighshire NHS Trust
sue.okeeffe@cd-tr.wales.nhs.uk
