PICU- you may have noticed the State Behavioral Scale (SBS) is now under vital signs in McKesson, yay! Just to clarify: this scale is to be used on every MECHANICALLY VENTILATED patient receiving IV SEDATION. Here is the link to the creator's website for more info: http://www.marthaaqcurley.com/sbs.html
This scale is to be used at least Q4 (yes, even on chemically paralyzed patients), and before and after bolus sedation is given. I have placed laminated copies of the scale in each bedside chart for reference.
The WAT-1 scales are also now in McKesson under the 24 hour assessment. You can find it between Neuro and Special Neuro if you select "show all" to the far left where the systems are listed. When planning for extubation, note how long your patient has been on drips- more than a few days? Ask the team if they would like WAT scores. >5 days?? DEFINITELY complete WAT scores. WAT scores should be completed Q4 starting with the FIRST wean (usually prior to extubation) and continuing until 72 hours after their LAST dose (usually enteral) of sedation.
Any questions, please let me know, the builders can always fix/tweak things that aren't working. Thanks!
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