What is a response? In the Intensive

What is a response? In the Intensive Care Unit (ICU), many patients require mechanical ventilation and sedation. While a patient is sedated and on mechanical ventilation, it is proven that performing a sedation vacation daily reduces ventilator days and improves patient outcomes (Sharma et al, 2021). A sedation vacation is the act of stopping medications such as narcotics and sedatives while a patient is on a mechanical ventilator in order to assess whether or not a patient will awaken and meet the protocol for extubation (CIBS Center, n.d.). Recently in the ICU where I work, management has informed us that nurses are to be performing sedation vacations every 12 hours, instead of the regular daily sedation vacations that we are accustomed to. The recent change to performing sedation vacations every 12 hours instead of every 24 hours is an attempt by management and the hospital to further decrease ventilator days and improve patient outcomes. In order to compare which sedation vacation approach works best, data from the previous daily sedation vacation method must be accessed. This data should include how many ventilator days patient’s averaged using this approach vs how many ventilator days patient’s averaged using the more frequent 2 times a day sedation vacation approach. The data can be easily accessed and tracked through the hospital charting system, where nurses are required to chart whether or not a patient failed or passed the sedation vacation trial. After a few months of consistent sedation vacation trials being 2 times a day, data from this method can then be compared to the 1 time daily method to assess which one truly benefits mechanically ventilated patient’s more. A nursing leader assessing this data would have to see which method of sedation vacation reduces ventilator days and improves patient outcomes. Then, depending on whether or not one method works better than the other, can a decision be made by hospital management on which method to continue practicing. In order to obtain accurate results, the new twice a day method must be implemented for at least a few months to gain a large enough sample size. SCIENCE HEALTH SCIENCE NURSING NRP 555

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