Evidence-based Clinical Care: Delirium

The Evidence-Based Clinical Care initiatives provide the structure and guidance for Baptist Health South Florida in the design, adoption and implementation of relevant and up-to-date synthesized, research-based clinical pathways and protocols that can be measured in real time across the entire patient episode of care, in order to eliminate clinical variation, improve patient safety and reduce cost. Clinical pathways are continually updated and adjusted.

This course will provide the healthcare team with strategies to prevent delirium in the inpatient setting and to manage these patients with non-pharmacological and pharmacological approaches in both the critical care and inpatient settings. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Emergency Medicine Physicians, Hospitalists, Critical Care Medicine Physicians, Intensivists, Social Workers, Advanced Practice Registered Nurses, Nurses and Physician Assistants.

Learning Objectives

  • Recognize signs and symptoms of delirium in the hospitalized patient. 
  • Identify patients at risk for developing delirium and implement prevention techniques to mitigate risk during their inpatient care.
  • Adopt an interdisciplinary approach to the management of delirium in the hospitalized patient.
  • Implement the CAM assessment tool. 
  • Utilize the electronic medical record to adhere to evidence-based clinical care order sets related to delirium in medical/surgical and critical care settings. 
  • Explain the evidence-based data supporting pharmacological and non-pharmacological interventions to manage patients with delirium in both inpatient and critical care settings. 
Additional information
Bibliography: 
  • Boltz, M., Capezuti, E., Bower- Ferres, S., Norman, R., Secic,     M., Kim, H., et al. (2008).  Changes in the geriatric care environment associated with NICHE. Geriatric Nursing, 29(3), 176-185.
  • Claudia DiSabatino Smith, Petra Grami; Feasibility and Effectiveness of a Delirium Prevention Bundle in Critically Ill Patients. Am J Crit Care 1 January 2017; 26 (1): 19–27. 
  • Marsh, J., & Alexander, E. (2021). Update on the Prevention and Treatment of Intensive Care Unit Delirium. AACN Advanced Critical Care, 32(1), 5-10.
  • Han JH, Eden S, Shintani A, et al: Delirium in older emergency department patients is an independent predictor of hospital length of stay. Acad Emerg Med 2011.
  • Marcantonio, E.R. (2017). Delirium in hospitalized older adults. New England Journal of Medicine, 377(15), 1456-1466.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course Summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
10/01/2021
Course expires: 
09/30/2024

MODERATOR
Andres Soto, M.D. 
Hospitalist
Chief of Hospital Medicine 
Baptist Health South Florida 

FACULTY 
Mickey Miqueli, MSN, R.N., CCRN
Specialty Clinician II
Nursing Administration 
Boca Raton Regional Hospital

Janet Maloney, DNP, MSM/HM, CNE
Assistant Vice President, Nursing 
West Kendall Baptist Hospital 

Seema Chandra, M.D. 
Hospitalist
West Kendall Baptist Hospital
Board-certified in Internal Medicine and Pediatrics
Associate Medical Director for Academics
Baptist Health Medical Group Hospital Medicine Program

Yankel Girshman, D.O., FAPA
Consultation-Liaison Psychiatry
Medical Director, Psychiatry
Affiliate Professor, FAU College of Medicine
Boca Raton Regional Hospital

Mickey Miqueli, MSN, Janet Maloney, DNP, and Yankel Girshman, D.O., faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentations or discussions will not include off-label or unapproved product usage.

Andres Soto, M.D. and Seema Chandra, M.D., conference directors for this educational activity, have no relevant financial relationships with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies.*

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Please login or register for a Baptist Health CME account to take this course.

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Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.