Our project aims to expand palliative care availability in the SICU by implementing a consult trigger program.  We also aim to learn about and measure compassion fatigue of providers within the SICU

Liantonio, MD, MBA, HMDC, John

Love, MD, Gillian

Mangan, MSN, RNFA, ANP-BC, AGACNP-BC, Shawn

Marks, MD, FACS, Joshua

McKay, PhD, RN, CCRN, Michelle

English

Jefferson Digital Commons

Background- Palliative care focuses on optimizing quality of life and alleviating symptom burden through patient- and family-centered care.- Palliative care can be delivered throughout the continuum of an illness, while patient is also seeking curative treatments.- Nationally, palliative care is expanding but remains underutilized in surgical intensive care units (SICU). - In fiscal year 2020 our palliative team performed 1419 consults, 39 of which were in the SICU.  This represents only 2.75% of total consults.Aims For Improvement- Our project aims to expand palliative care availability in the SICU by implementing a consult trigger program.- We also aim to learn about and measure compassion fatigue of providers within the SICU.Intervention- Literature review was conducted and palliative consult trigger criteria were selected, jointly between palliative care and SICU teams. - Trigger criteria include: - SICU length of stay > 10 days- Unplanned SICU readmission  - “bounce back”- New diagnosis metastatic cancer- Pre-intervention survey was emailed to multidisciplinary providers in SICU- Survey collected demographic information, perceptions of palliative care- Survey included Pro-QOL: a validated survey to assess provider compassion satisfaction and compassion fatigue- Trigger program was initiated on Jan. 4, 2021.Measurements/ Results- 91 SICU providers completed the pre-intervention survey data.  Chart below shows the multiple disciplines and years of experience.- Post-intervention survey will be conducted after 6 months. - Jan. 4 – Apr. 30 2021, 29 consults were triggered – 4.1% of total consults- The trigger program will continue for 6 monthsCITATIONSFinkelstein M, Goldstein NE, Horton JR, Eshak D, Lee EJ, Kohli-Seth R. Developing triggers for the surgical intensive care unit for palliative care integration. J Crit Care. 2016 Oct;35:7-11. doi: 10.1016/j.jcrc.2016.04.010. Epub 2016 Apr 23. PMID: 27481729.Utilization of a Palliative Care Trigger in the Surgical Intensive Care UnitGillian Love, MD; Shawn Mangan MSN, RNFA, ANP-BC, AGACNP-BC; Michelle McKay PHD, RN, CCRN; Joshua Marks MD, FACS; John Liantonio MD, MBA, HMDC Department of Family and Community Medicine, Thomas Jefferson University Hospital

Utilization of a Palliative Care Trigger in the Surgical Intensive Care Unit

https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1136&context=patientsafetyconference

Utilization of a Palliative Care Trigger in the Surgical Intensive Care Unit

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