2023 Together - P409 - Virtual ICU Support of ICU Boarders in ED - On Demand
Patients who require intensive care but are boarded in the emergency department (ED) are at high risk of poor outcomes. We designed a program to use existing virtual ICU services for comprehensive consult and monitoring services to manage patients waiting for an ICU bed, and in many cases allowing for a lower level of care at time of admission. In addition to safely caring for critically ill patients boarding in any of our four EDs, this program enabled external transfers to be admitted to our quaternary academic hospital when they otherwise would not have been. We will show severity-adjusted Acute Physiology And Chronic Health Evaluation-IV (APACHE IV) outcomes, downgrade volumes, external incremental admission data, and patient and staff survey results.
Target Audience
- Healthcare Quality Professionals
- Nurses
- Pharmacists
- Pharmacy Technicians
- Physicians
- Other Healthcare Professionals
Learning Objectives
- Compare traditional ways of supporting ICU boarders in academic medical center EDs with innovative virtual support models.
- Describe options for comprehensive patient management supported remotely through multiple tools.
Faculty
Steve Klahn, MBA, BSN, CCRN-K, FACHE, System Virtual Medicine Director, Houston Methodist Hospital, Houston, Texas
Ben Saldana, DO, FACEP, Associate Chief Quality Officer and Medical Director, Emergency Care Centers, Houston Methodist Hospital, Houston, Texas
Sarah Cammarata, MSN, BSN, CCRN, Virtual ICU RN, Houston Methodist Hospital, Houston, Texas
Melissa L. Gomez, MBA, Project Specialist, vICU and TeleNursing, Houston Methodist Hospital, Houston, Texas
Disclosure
Credit Types
Interprofessional Continuing Education (IPCE)
This activity was planned by, and for, the healthcare team, and learners will receive 0.50 Interprofessional Continuing Education (IPCE) credits for learning and change.
Nurses (CNE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.
Pharmacists (CPE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for Pharmacists.
Universal Activity Number: JA0006103-0000-23-254-H04-P
Pharmacy Technicians (CPE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for pharmacy technicians.
Universal Activity Number: JA0006103-0000-23-254-H04-T
Physicians (CME)
Vizient, Inc. designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Healthcare Quality Professionals (CPHQ)
This activity is approved by NAHQ® for 0.50 CPHQ CE credits.
Other Healthcare Professionals (General CE Credit)
Vizient, Inc. will award a maximum of 0.50 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.
Many state licensing boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.
Available Credit
- 0.50 ACPE Pharmacist
- 0.50 ACPE Pharmacy Technician
- 0.50 AMA PRA Category 1 Credit™
- 0.50 ANCC
- 0.50 CPHQ – Certified Professional Healthcare Quality
- 0.50 General CE - Attendance
- 0.50 Interprofessional Continuing Education (IPCE)