Nurse-Driven Assessment, Prevention, and Management of Delirium on an Acute Inpatient Neurology Unit

Video Author:Francisco, Mary Ann MSN, APN, AGCNS-BC, CCRN-K; Gesell, Travis MSN, MBA, RN, CCRN-K, NE-BC; Meletis, Stephanie DNP, RN, AGNP-BC; Bohr, Nicole L. PhD, RN; Gleason, Lauren J. MD, MPH

Published on:August 09, 2022

Delirium is associated with increased hospital length of stay, discharge to skilled care, cost, morbidity, and mortality. At our organization, there was no formal delirium assessment performed by the nursing staff outside of the intensive care unit. Staff nurse delirium education and a nurse-driven delirium screening protocol were implemented. No change in nursing knowledge occurred pre/post intervention. Falls, falls with injury, and restraint and sitter usage decreased. Changes in length of stay varied over the intervention period. The trend to discharge to home increased, while the trend to discharge to skilled nursing care decreased. Learn more about this initiative in the video and article.