Improving Palliative Care in the ICU
- IPAL-ICU Portfolio
- Improvement Tools
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Improvement Tools
Clinicians and administrators at the front lines of patient and family care have come up with creative ways to facilitate ICU palliative care improvement. IPAL-ICU shares (with permission) a representative group of tools developed by colleagues at a range of institutions across the country, as well as some by our Project Team.
Templates/Forms
- Critical Care Progress Note Template (NSLIJ)
- Family Conference Progress Note for EMR (VA VISN 3)
- Family Conference Progress Note (Froedert Hospital)
- Family Conference Progress Note (Central Baptist)
Quality Monitoring Tools
- VHA, Inc. Care and Communication Bundle of ICU Palliative Quality Measures
- Data Collection Tool for Use with the VHA Care and Communication Bundle
- ICU Palliative Care Quality Assessment - Nurse Survey
- ICU Palliative Care Quality Assessment - Physician Survey
- Clinician Satisfaction Survey (Ann Arbor VA)
Pocket Cards
- The Family Goal-Setting Conference (Mount Sinai Medical Center)
- Communication Phrases in Palliative Care (MCW)
- V.A.L.U.E. Card - Mnemonic for Family Conferences
- Pain Card (Mount Sinai Medical Center)
- Pain Card (University of Alabama at Birmingham)
Policies/Protocols
- Withdrawal of Life Support Orders
- Orders for Withdrawal of Life Support (Puget Sound VA)
- Withdrawal of Mechanical Ventilation Protocol (Froedert Hospital, Medical College of Wisconsin)
- Futility Policy (2007 - Froedert Hospital, Medical College of Wisconsin)
- Guidelines for Use of Pentobarbital for Total Sedation and Ventilator Withdrawal (Froedert Hospital, Medical College of Wisconsin)
Billing Resources
Manaker S, Krier-Morrow, D, Pohlig CA, eds. Coding for Chest Medicine 2010: Pulmonary, Critical Care, Sleep. Northbrook: American College of Chest Physicians, 2010.
Policy, Screening Tool, and Family Leaflet for Palliative Care Referral from ICU
- Policy Screening in the ICU
- ICU Criteria Grid
- Palliative Care in the ICU Leaflet
- Primary Palliative Care Trigger Criteria (CAPC Consensus)
Other Tools/Resources
- Rhode Island ICU Palliative Care Collaborative Toolkit
- Family Meeting Planner (VA VISN 3)
- Family Conference Log (VA Medical Center, Bronx, NY)
- Family Conference Toolkit (Fairview)
- A Guide for Conducting an ICU Family Meeting
- ICU Pall Care Service Agreement (Detroit VA)
- Get-to-Know-Me Poster
- Critical Care Family Assistance Program Replication Toolkit
- Critical Care Family Assistance Program: Transforming the ICU to a Family/Patient-Centered Model