nj3456

Lol, re-titled now for clarity.

The Unit Based Shared Governance committee at the hospital at which I'm working is looking to explore why we're having such high rates of patients going into severe DTs, requiring high-dose Ativan drips. Through a little research, I'm convinced it may be as simple as us not using CIWA protocols. There was an attempt to roll this out two years ago, but there wasn't any education on it, so it failed (as in, nurses were refusing to use it and sticking with our fixed dose/fixed schedule dosing). What are you using at your hospital - fixed dose/schedule (for example, Q6 Librium around the clock with PRN Ativan), or CIWA? Are people becoming too over-sedated with CIWA? Feel free to add anything relevant - are your docs OK with Haldol as an adjunct? Phenobarbital? For MICU nurses, are you using Precedex? Is your protocol that they need to be intubated for Precedex? Either way, do you feel that it works? Thank you for your input! :)