ABSTRACTS from 16th International COnference on ... - CRRT Online

<strong>ABSTRACTS</strong> FROM 17 TH INTERNATIONAL CONFERENCE ON CRRT,
SAN DIEGO, FEB 14-17, 2012
electronic format. Flowsheets are
typically designed to keep a historical
depiction of care but can also be
structured to keep track of fluid volume
calculations. The purpose of this project
was to design and test an electronic
flowsheet to improve patient care by
making calculations more accurate while
ensuring patient safety through
consistent documentation. Methods:
CRRT patient volumes have to be
calculated multiple times to achieve the
ordered fluid removal. The number of
calculations can vary <strong>from</strong> 1 to 16 over a
24 hour time period. These calculations
in and of themselves are fairly basic, but
when you combine the multitude of
calculations needed, the occurrence of
utilizing negative numbers, and the high
acuity level of care needed for these
patients, the risk for error increases
significantly. Chart reviews showed that
92% of audited records had at least one
calculation error and 17% of these errors
resulted in a patient volume variation
error greater than 5 mL’s in a 12 hour
period. Surveys also showed that for non
CRRT certified CCU nurses; the worry
of making a calculation error was a
primary reason for not wanting to get
certified. In response to these issues, we
created an electronic flowsheet that
performed the calculations. At a later
date when our computerized
documentation system could
accommodate the calculations, we
incorporated the program into the system
to prevent multiple forms of
documentation.
Summary of Results- By creating this
tool, the calculation error rate decreased
to 3%, and errors resulting in a patient
volume variation of greater than 5 mL’s
in a 12 hour period decreased to less
than 1%. Our number of certified CRRT
nurses increased by 15% since tool
implementation and when surveyed, 7%
of the nurses stated that the new tool
positively affected their decision to
become certified. Conclusion: CRRT
flowsheets are more complex than
normal patient care flowsheets because
of their need to function as a worksheet,
this complexity results in increased work
for the nurse and high incidence for
error. Significantly, this tool not only
increased calculation accuracy but also
was a positive recruitment tool for
CRRT nurses.
82. How is it Possible to Mobilize
Patients Treated with CRRT
Anna Kraegpoeth, Elisabeth Kastbjerg,
Gitte Aalling, Jens Madsen, Susanne
Joergensen
Dept. of Anaesthesiology and Intensive
Care Odense University Hospital
Denmark
Introduction: It is a multidisciplinary
unit with 22 beds. 8 beds for CRRT.
Standard treatment is CVVH pre– and
post-dilution: 35 ml/kg. Intensive care
nurses provide all tasks in connection to
CRRT. In 21 95 patients were treated
with CRRT. The unit has a no sedation
strategy and a nurse patient ratio 1:1.
Purpose: Creating awareness of the
possibility that critical ill patients can be
mobilized <strong>from</strong> bed to chair. CRRT
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