Family Meeting in the Intensive Care Unit…Stop, Look and Listen
Eileen Roberto, RN, BS, CHPN 
Pedro Calves, MD, FACP, FCCP
Donato M. Balsamo, DO
Veronica Hojnacki, RN, BS, CHPN
Diane Reilly, RN,C BSN,CHPN
Cindy Saraceno, RN, CHPN
Good Samaritan Hospital Medical Center
Pedro Calves, MD, FACP, FCCP
Donato M. Balsamo, DO
Veronica Hojnacki, RN, BS, CHPN
Diane Reilly, RN,C BSN,CHPN
Cindy Saraceno, RN, CHPN
Good Samaritan Hospital Medical Center
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Good Samaritan Hospital Medical Center Description
Evaluation of the impact of family meetings through patient/family satisfaction surveys and record review.
Goal
Correlate the established goals of care following the family meeting, with the timeliness of transfer to a more appropriate level of care and increase patient/family satisfaction.
Measures
Length of stay and Patient/ Family Satisfaction
Data Collected
A "data collection tool" was developed to monitor basic service data. The Palliative Care Nurse Consultant completes this tool following discharge from the service on all patients. Length of stay pre-consult and post-consult is monitored through this tool. All families receive a satisfaction survey following discharge from the service.
Graphs
Lessons Learned
- Improved communication with families in the Intensive Care Unit through formal meetings establishes patient and family wishes for end-of life care.
- Established goals of care allows for transferring patients to a more appropriate level of care when aggressive interventions prove more burdensome than beneficial.
- More timely Palliative Care referrals in the ICU would have a greater impact on length of stay, cost savings and improved patient/family satisfaction.
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