The attached road map is intended for acute care settings as a plan to help navigate controlled substance diversion
prevention goals. The document provides a recommended framework to coordinate the needed resources and technology for an optimal diversion prevention plan.
ICU Sedation Guidelines of Care (December 2009)
High-Risk IV Medications Dosing Limits Guidelines of Care (February 2013)
The purpose of this tool kit is to provide evidenced-based recommendations and best practices on setting and managing high-risk IV medications limit settings for adult patients in intensive and acute care units.
Improving the safety and effectiveness of ICU sedation is key to reducing ICU length of stay, reducing complications, and decreasing the overall cost of patient care. The ICU patient is at high risk for developing a ventilator-associated pneumonia, and deep ICU sedation can prolong the use of artificial ventilation. The ICU Sedation Council Members included county wide representatives from acute facilities across multiple disciplines including nurses, pharmacists, physicians, and respiratory therapists. Council members developed an evidence-based standard for safe and effective management of pain, sedation, and delirium in the adult ICU ventilated patient. The tool kit consists of their recommendations and tools from the literature to assist acute care organizations in implementation of the guidelines. The tool kit is intended for Intensive Care Clinical Leaders involved in the care of ICU patients.
Patient-Controlled Analgesia (PCA) Guidelines of Care (February 2009)
Managing post-operative pain has been a focus of the Joint Commission, has been associated with some of the highest incidence of adverse drug reactions. It is also associated with a wide variation in prescribing, administration, and monitoring. This tool kit was the result of almost two years of meetings and additional work by the leaders of the council. The tool kit is intended for the Acute Care Clinical Leader.