Managing delirium behaviors with one-to-one sitters

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BY IMPLEMENTING a clinical assessment bundle (CAB) stratifying delirium, dementia, and fall risk levels, nurses have been able to make sound clinical judgments to initiate or discontinue one-to-one sitters. Internal benchmarking shows a reduction in sitter hours, costs, and falls in 2015 compared with 2014. This article describes implementation of a CAB to stratify safety risk behavior levels by applying the clinical assessments for delirium, dementia, and fall risk. It provides nurses with clinical assessment criteria to use as a basis for their clinical judgment and helps them practice at the top of their license to appropriately initiate or discontinue a one-to-one sitter.

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