Post-ICU PTSD Risk Screening Tool

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POST-ICU PTSD RISK SCREENING TOOL Kali Dayton Key Findings: Education about post-ICU PTSD and trialing the screening tool for 2 weeks increased nurse empathy and ability to identify patients at risk for post-ICU PTSD. This post-ICU PTSD risk screening tool did not disrupt nurse workflow Background Twenty percent of intensive care unit (ICU) survivors experience posttraumatic stress disorder (PTSD) 1 year after being discharged from the Intensive Care Unit (ICU). Contributing factors include pre-ICU psychopathology, administration of sedatives and benzodiazepines, ICU delirium, being female, and being under 65 years of age. Prevention measures such as avoiding sedation and benzodiazepines and ICU diaries have proven effective against post-ICU PTSD. Without prompt identification of patients at-risk of developing post-ICU PTSD, interventions to prevent this trauma are not likely to be implemented. Currently, no screening tool exists to facilitate recognition of at-risk patients in the ICU. Results Methods 1.) Performed pre-survey to test knowledge of postICU PTSD among nurses in the medical surgical ICU in a veteran’s hospital 2.) Developed post-ICU PTSD risk screening tool 3.) Trialed screening tool for 2 weeks 4.) Disseminated post-survey to test knowledge and evaluate usability and feasibility of tool Conclusions • 87% of nurses reported the screening tool did not interrupt workflow • The tool took less than 2 minutes to use by 100% of nurses • Nurses’ knowledge of risk factors for post-ICU PTSD increased by 73% • There was a 10% improvement in knowledge of prevention measures • 87% of nurses reported improved ability to identify patients at risk for post-ICU PTSD Twenty percent of our patients in the ICU will experience PTSD from their ICU hospitalization, it is essential that healthcare providers recognize which patients are most likely to be traumatized. This tool helps nurses identify patients at risk for PTSD without interrupting workflow. Educating nurses with a trial of the screening tool increased knowledge and empathy concerning post-ICU PTSD. COLLEGE OF NURSING