February Interactive Board CAM-ICU

CAM-ICU Assessment

start

February Interactive Board

Introduction

With a partner, watch the videos and answer the questions. Correctly answering the questions will give you the code to open your Plinko container. Drop your Plinko chip to determine which color car you and your partner will advance. move the car up one space.

Begin by watching theis video: Delirium and the CAM-ICU: Pearls and Pitfalls

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Final Test

Test 4

Test 5

Test 1

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Watch the first video (click the icon) CAM-ICU: Feature 1 (Acute Change or Fluctuating Course of Mental Status)

Feature 1 sources can include: Family who know the patient well, and/or a recent high-quality note in the medical record.

Feature 1 sources can include: information from a visitor who hasn't spoke with the patient in years, or using an online dementia calculator.

Test 1

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You're doing great. Next question:What is the appropriate answer for Feature 1

Mrs. Jones has not had an acute change over the past 24 hours, she is CAM-ICU Feature 1 Negative

Mrs. Jones has had an acute change over the past 24 hours, she is CAM-ICU Feature 1 Positive

Mrs. Jones and family are unable to provide her baseline mental status, so CAM-ICU Feature 1 is unable to assess

Test 1

3/3

You're almost there.Based on your current assessment, what are your next steps?

Document Mrs. Jones as Delirious

Skip features 2 and 3, assess feature 4

Assess Mrs. Jones for features 2 and 3, but not feature 4

Assess Mrs. Jones for features 2,3, and 4

Tests

Complete each test to beat the game: there is no other way to escape!

Lock combo #1

Test 2

Test 1

Test 3

Test 5

Final test

Test 4

1/3

Test 2

Watch this video to identify the correct statementCAM-ICU: Feature 2 (Inattention)

2 Errors = Feature 2 Positive / Present

0 to 2 Errors = Feature 2 Negative / Absent and CAM-ICU Negative (Not Delirious)

Assess the patient by having them read the letters K-E-V-I-N-H-A-A-R-T

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Test 2

Mrs. Jones was able to squeeze your hand during the assessment, based on these results, Feature 2 results are what?

3+ Errors: Feature 2 Positive

5 Errors: Feature 2 Uncertain

2 Correct responses: Feature 2 Negative

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Test 2

Last video of the test:Which of these Feature 2 statements are true?

Maintain eye contact to ensure the patient is paying attention.

If patient is lethargic or sedated, do not assess Feature 2.

An alternative variation can be: C-A-S-A-B-L-A-N-C-A, saying1 letter every 3 seconds.

S-A-V-E-A-H-A-A-R-T

Tests

Complete each test to beat the game: there is no other way to escape!

Lock combo #1

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Test 3

1/3

Watch the video (click the icon)Feature 3 is assessed based on what?

CPOT

RASS

Test 3

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Mrs. Jones responded to voice, but did not make eye contact. If the RN had touched Mrs. Jones while speaking, how would that affect the assessment?

This confirmed that Mrs. Jones' RASS is above the required -3 to proceed

The RASS and CAM-ICU assessments are invalidated

After confirming patient is positive for feature 1.

Test 3

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Mrs. Jones did not respond to voice only to touch. What is her current RASS?

-5 (Unarousable)

-3 (Moderate Sedation)

-4 (Deep Sedation)

Tests

Complete each test to beat the game: there is no other way to escape!

Lock combo #1

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

1/3

Test 4

Watch the video (click the icon) and correctly match the correct answers with Mrs. Jones' responses.

holds up two fingers

A. Can you hold up two fingers

Nods head "yes" Incorrectly

B. Will a stone float on water?

Nods head "yes" Incorrectly

C. Are there fish in the sea?

Nods head "yes" Correctly

D. Does one pound weigh more the two?

Nods head "yes" Correctly

E. Can you use a hammer to pound a nail?

continue

Solución

Solution

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Test 4

CAM-ICU Feature 4 is assessed on a five point scale. What is Mrs. Jones's score?

1 point for holding up 2 fingers on each hand

Mrs. Jones answered incorrectly

Mrs. Jones answered correctly

1 point for question 1

1 point for question 2

1 point for question 3

1 point for question 4

Feature 4 = Positive

Feature 4 = Negative

continuE

Solución

SOLUTION

Test 4

3/3

The video mentions pocket cards available for you. Use the correct website link to answer the question

https://www.icudelirium.org/

https://www.uptodate.com/contents/search

continuE

Tests

Complete each test to beat the game: there is no other way to escape!

Lock combo #1

Test 1

Test 2

Test 3

Lock combo #2

Test 4

Test 5

Final Test

1/3

Test 5

2/3

Test 5

3/3

Test 5

Tests

Complete each test to beat the game: there is no other way to escape!

Lock combo #1

Test 1

Test 2

Test 3

Lock combo #2

Final Test

Test 5

Test 4

Test 6

1/3

Test 6

2/3

Test 6

3/3

Completed

Congratulations, you have successfully completed this module.Open the containers for your Plinko chips Write your names on a car based on the color that your chip lands on. Move that car up one space Please reset the station for the next team.

Oh oh!

That answer is not correct...

But don't lose your balance, continue on your way and try again!

back

1 - A

1- D

3 - B

4 - E

5 - C

2+ Errors = Feature 4 Positive

1 point for holding up 2 fingers on each hand 1 point for question 2 1 point for question 4 Feature 4 = Positive

1 point for question 1 1 point for question 3 Feature 4 = Negative