Table 3 Checklist statements at each stage of the study
After clinician interviews | After Delphi Round 1 (two alternate statements) | Final checklist statements (after Delphi Round 2) |
|---|---|---|
Nutritional plan has been implemented and/or reviewed (median = 5) | ● Nutrition plan has been implemented and reviewed (43%) | Nutrition goals have been set and progress reviewed |
● Nutrition goals have been set and progress reviewed (57%) | ||
Pain has been assessed and is being managed (median = 5) | ● Pain has been assessed and is being managed (37.5%) | Pain has been assessed, a management plan set and progress reviewed |
● Pain has been assessed, a management plan set and progress reviewed (62.5%) | ||
Sedation levels have been assessed and are being managed (median = 5) | ● Sedation levels have been assessed and are being managed (86%) | Sedation target set, sedation level assessed and managed |
● Sedation levels have been assessed with target sedation score, a management plan is set and progress reviewed (14%) | ||
DVT prophylaxis is being delivered (median = 4) | ● An appropriate means of delivering DVT prophylaxis has been chosen and is being delivered (43%) | Mechanical and/or drug DVT prophylaxis is being delivered |
● An appropriate means of delivering mechanical or pharmacological DVT prophylaxis has been chosen and is being delivered (57%) | ||
Head of the bed is raised 30–45 degrees (median = 4) | ● Head of the bed is raised 30–45 degrees (37.5%) | Patient is positioned with the head of the bed raised >30 degrees |
● Head of the bed is raised greater than 30 degrees (62.5%) | ||
Stress ulcer prophylaxis is being delivered (median = 5) | Stress ulcer prophylaxis is being delivered (100%) | Stress ulcer prophylaxis is being delivered |
Blood sugar level (BSL) is within defined limits for this patient or if outside limits is being treated (median = 5) | ● BSL is within defined limits for this patient or if outside limits are being treated (62.5%) | BSL limits have been set and are being managed to achieve those limits |
● Blood glucose limits have been defined, BSL is within defined limits or if outside limits are being treated (37.5%) | ||
Patient’s readiness to extubate has been assessed (median = 5) | ● Patient’s readiness to be weaned from mechanical ventilation has been assessed (71%) | Patient’s readiness to be weaned from mechanical ventilation has been assessed |
● Ability of the patient to weaned from mechanical ventilation has been assessed and a ventilation plan has been set (29%) | ||
All medications have been checked and reviewed (median = 5) | ● All medications have been checked and reviewed (71%) | All medications have been checked and reviewed |
● Indications and dosing documentation for all current medications reviewed and correct (29%) |