The slide serves as the title for the Final ICU Staff Meeting, scheduled for December 2025 in an updated version. It welcomes attendees with the subtitle emphasizing unity and excellence in patient care.

Welcome to the Final ICU Staff Meeting

December 2025 Updated Agenda: Unity and Excellence in Patient Care

The agenda slide outlines a presentation structure beginning with an introduction and purpose overview on slides 1-3, followed by core principles and case studies on slides 4-16. It continues with staffing, education, and standards updates on slides 17-25, a demo, career development, schedule, and forum discussion on slides 26-31, and ends with a closing message on slide 32.

Agenda Overview

1. Introduction and Purpose

Opening, title, purpose overview (Slides 1-3)

2. Core Principles and Case Studies

Principles and detailed case analyses (Slides 4-16)

3. Staffing, Education, and Standards Updates

Staffing expansions, skills, and practice standards (Slides 17-25)

4. Demo, Career, Schedule, and Forum

Vendor demo, development, schedule, open discussion (Slides 26-31)

5. Closing Message

Final remarks and wrap-up (Slide 32)

The slide outlines the purpose of the meeting, focusing on reviewing recent ICU cases and extracting key lessons learned. It also covers staffing updates and skill enhancements, discussions on safety practice standards, and outlines for future plans to improve performance.

Meeting Purpose

• Review recent ICU cases and key lessons
• Update on staffing and skill enhancements
• Discuss practice standards for safety
• Outline future plans to boost performance

Source: Discuss recent cases, updates on staffing and skills, practice standards, and future plans to enhance ICU performance and safety.

The ICU Core Principles slide outlines key guidelines for intensive care unit operations, emphasizing patient-centered care, effective teamwork, evidence-based practices, continuous improvement, and prioritizing safety. These principles aim to ensure high-quality, safe, and collaborative patient management in critical settings.

ICU Core Principles

• Deliver patient-centered care
• Foster effective teamwork
• Apply evidence-based practices
• Pursue continuous improvement
• Prioritize safety first

Source: Core values guiding our daily operations.

This slide serves as a section header for the fifth part of a presentation on a heel deep tissue injury (DTI) case study. It provides an overview of the DTI involving a heel pressure ulcer in an ICU patient.

FINAL ICU STAFF MEETING — DECEMBER 2025 (UPDATED VERSION)

05

Case Study 1: Heel DTI

Overview of Deep Tissue Injury case involving heel pressure ulcer in ICU patient.

The slide titled "Clinical Picture: Heel DTI" features an image illustrating heel deep tissue injury, highlighting immobility as the primary risk factor, with moisture and friction worsening the damage. It emphasizes the need for regular heel monitoring to enable early detection and the role of nutritional support in reducing DTI progression.

Clinical Picture: Heel DTI

!Image

• Immobility as primary risk factor for heel DTI
• Moisture and friction exacerbate tissue damage
• Regular heel monitoring essential for early detection
• Nutritional support reduces DTI progression risk

Source: Image from Wikipedia article "Plantar fasciitis"

The timeline for Heel DTI begins with patient admission on Day 1, showing no initial heel issues, followed by early signs of discoloration and firmness detected on Day 3 during routine checks. By Day 7, a full deep tissue injury diagnosis is confirmed via ultrasound with staging, leading to ongoing interventions like repositioning and offloading to track healing progress.

Timeline and Findings: Heel DTI

Day 1: Patient Admission Initial ICU admission; baseline skin assessment shows no heel issues. Day 3: Early Signs Emerge Routine checks reveal subtle heel discoloration and firmness. Day 7: Full DTI Diagnosis Confirmed deep tissue injury via ultrasound; staging completed. Ongoing: Interventions Applied Repositioning, offloading started; healing progress tracked with metrics.

The slide on Key Lessons for Heel DTI emphasizes early skin assessments to identify risks promptly and implementing Q2H turning schedules for high-risk patients. It also highlights utilizing pressure-relief devices to minimize tissue damage and routinely documenting skin integrity to prevent recurrence.

Key Lessons: Heel DTI

• Conduct early skin assessments to identify risks promptly.
• Implement Q2H turning schedules for high-risk patients.
• Utilize pressure-relief devices to minimize tissue damage.
• Routinely document skin integrity to prevent recurrence.

This slide serves as a section header for the second case study in the Final ICU Staff Meeting presentation from December 2025. It introduces an overview of a patient fall incident in the ICU, covering its causes and the immediate response taken.

FINAL ICU STAFF MEETING — DECEMBER 2025 (UPDATED VERSION)

02

Case Study 2: Fall Incident

Overview of patient fall in ICU setting, causes, and immediate response.

The slide titled "Clinical Picture: Fall" features an image illustrating fall risks in a clinical setting, emphasizing preventive measures. Key points include using bed alarms to alert staff of patient movement, mobility aids like walkers for safe ambulation, and addressing environmental hazards such as clutter and slippery floors.

Clinical Picture: Fall

!Image

• Bed alarms alert staff to patient movement risks
• Mobility aids like walkers support safe ambulation
• Environmental hazards include clutter and slippery floors

Source: Image from Wikipedia article "Fall prevention"

Prior to the fall, the patient was assessed with a high fall risk score of 45. On the incident date at 2 AM, the patient slipped and fell during the night shift, resulting in a minor injury, immediate protocol activation, and an investigation revealing a delay in bed alarm notifications to staff.

Timeline and Findings: Fall

Pre-Fall: Risk Score Assessment Patient evaluated with fall risk score of 45 prior to incident. Incident Date: 2 AM Slip Occurrence Patient slipped and fell at 2 AM during night shift. Post-Incident: Response and Injury Check Minor injury identified; immediate activation of fall protocol. Investigation Phase: Alarm Delay Finding Review noted delay in bed alarm notification to staff.

Source: ICU Fall Case Study

The slide titled "Key Lessons: Fall" outlines essential strategies to mitigate fall risks in patient care, including enhancing protocols to prevent incidents and training staff on proper alarm use and response. It also emphasizes involving physical therapy early and reviewing environmental safety measures quarterly.

Key Lessons: Fall

• Enhance fall risk protocols to prevent incidents
• Train staff on proper alarm use and response
• Involve physical therapy early in patient care
• Review environmental safety measures quarterly

This slide serves as the section header for Case Study 3, focusing on a behavioral allegation. It provides an overview of the staff-patient interaction allegation and the associated resolution process.

Case Study 3: Behavioral Allegation

3

Case Study 3: Behavioral Allegation

Overview of staff-patient interaction allegation and resolution process.

The slide on "Clinical Picture: Behavioral Allegation" outlines common factors triggering patient agitation in ICU settings, such as delirium from medications or infections, unmanaged pain, and environmental stressors like noise or unfamiliar surroundings, which can escalate to behavioral incidents. It also details staff de-escalation techniques, including calm and reassuring communication, non-confrontational body language, involving family when suitable, and using chemical or physical restraints only as a last resort per protocol to prioritize safety.

Clinical Picture: Behavioral Allegation

On January 15, 2025, a patient in the ICU experienced sudden behavioral escalation at 10 PM, prompting swift intervention by the team to de-escalate and ensure safety. The following day, an internal investigation cleared staff of policy violations, leading to resolution on January 20 with enhanced training on behavioral management.

Timeline and Findings: Behavioral Allegation

Jan 15, 2025: Behavioral Escalation at 10 PM Patient displayed sudden behavioral escalation requiring immediate attention in ICU. Jan 15, 2025: Team Intervention Response ICU team swiftly intervened to de-escalate and ensure patient safety. Jan 16, 2025: Internal Investigation Launched Thorough investigation conducted, determining no staff policy violations occurred. Jan 20, 2025: Resolution and Training Incident resolved with reinforced training for staff on behavioral management.

The slide on "Key Lessons: Behavioral Allegation" emphasizes prioritizing de-escalation training for all staff and thorough, prompt documentation of every patient interaction. It also recommends providing mental health support to affected staff and using the SBAR framework for reporting behavioral incidents.

Key Lessons: Behavioral Allegation

• Prioritize de-escalation training for all staff members
• Document every patient interaction thoroughly and promptly
• Provide mental health support to affected staff
• Use SBAR framework for reporting behavioral incidents

This section header slide, titled "FINAL ICU STAFF MEETING — DECEMBER 2025 (UPDATED VERSION)," focuses on "Staffing Updates." It provides an overview of current staffing levels in the ICU and previews upcoming changes planned for 2026.

FINAL ICU STAFF MEETING — DECEMBER 2025 (UPDATED VERSION)

Staffing Updates

Overview of current staffing levels and upcoming changes for 2026.

The PCA II Role Expansion slide outlines key enhancements to the role, including introducing vital signs monitoring, performing basic activities of daily living (ADLs), and assisting RNs with routine medical procedures. It also announces a comprehensive training program launching in Q1 2026 to support these changes and reduce RN workload through expanded PCA assistance.

PCA II Role Expansion

• Introduce vital signs monitoring for PCA II roles
• Perform basic activities of daily living (ADLs)
• Assist RNs with routine medical procedures
• Launch comprehensive training program in Q1 2026
• Reduce RN workload through expanded PCA support

The Staffing Metrics slide highlights a current RN ratio of 1:2, which falls short of the target 1:1.5. It also reports a 20% increase in PCA II hires this year and an improved turnover rate of 8%, down from 12%.

Staffing Metrics

• 1:2: Current RN Ratio

Target: 1:1.5

• +20%: PCA II Hires

Increase this year

• 8%: Turnover Rate

Down from 12%

The slide outlines the Implementation Plan for PCA II, with the left column detailing comprehensive training modules on responsibilities like vital signs monitoring, wound care, mobility assistance, and emergency protocols, delivered through hands-on simulations, quizzes, and discussions over 20 hours across 4 weeks. The right column describes the integration timeline in three phases from January 2026 onward—onboarding, supervised practice, and independent operation—along with evaluation metrics targeting a 95% competency pass rate, 20% faster response times, quarterly surveys, and incident rates under 5%.

Implementation Plan for PCA II

The Annual Skills Update slide outlines mandatory yearly competencies for healthcare staff, including vent management, IV skills refresh via hands-on practice, and infection control training. It also schedules bi-monthly hands-on sessions to ensure ongoing skill maintenance for all team members.

Annual Skills Update

• Mandatory vent management competency required annually
• IV skills refresh through hands-on practice
• Infection control training maintained yearly
• Bi-monthly hands-on sessions scheduled for all staff

The Education Opportunities slide highlights various ways to advance professional skills, including earning CEU credits through online modules and attending workshops on critical care advancements. It also covers pursuing leadership development programs, accessing resources for growth, and staying updated via annual skills training.

Education Opportunities

• Earn CEU credits via online modules
• Attend workshops on critical care advancements
• Pursue leadership development programs
• Access resources for professional growth
• Stay updated with annual skills training

The ACLS/BLS Updates slide highlights a 95% staff certification renewal rate for compliance, with a March 2026 deadline required for all staff. It also emphasizes "Team Dynamics" as a key focus in the new guidelines.

ACLS/BLS Updates

• 95%: Renewal Rate

Staff certification compliance

• March 2026: Certification Deadline

Required for all staff

• Team Dynamics: New Guideline Focus

Emphasis in updates

The slide outlines key practices for managing a Dobhoff tube, emphasizing the need to confirm its placement via X-ray immediately after insertion. It also stresses flushing the tube every four hours to ensure functionality and closely monitoring patients for aspiration risks.

Practice Standard: Dobhoff Tube

• Confirm tube placement with X-ray after insertion.
• Flush tube every 4 hours to maintain function.
• Monitor closely for signs of aspiration risk.

The slide outlines the key steps for a Procedure Time-Out, including verifying patient identity and site, confirming equipment functionality, and having team members state their roles, which must occur before every invasive procedure to ensure safety. It highlights benefits such as reducing errors by 30%, improving team communication, standardizing practices, and enhancing patient outcomes and ICU safety compliance.

Practice Standard: Procedure Time-Out

The Teleflex vendor demo slide highlights Arrow catheters for precise vascular access and monitoring devices for real-time vital tracking in critical care settings. These tools aim to enhance ICU efficiency, improve patient outcomes, and reduce procedural errors.

Vendor Demo: Teleflex

!Image

• Arrow catheters ensure precise vascular access
• Monitoring devices provide real-time vital tracking
• Enhance ICU efficiency and patient outcomes
• Reduce procedural errors in critical care

Source: Teleflex Vendor Presentation

The slide outlines structured career advancement options for healthcare workers, including pathways to progress from Patient Care Assistant (PCA) to Registered Nurse (RN), participation in mentorship programs, and access to tuition reimbursement for nursing education. It also sets a goal of achieving 50% internal promotions by 2027 to support employee growth.

Career Development Pathways

• Advance from PCA to RN via structured pathways
• Participate in mentorship programs for guidance
• Utilize tuition reimbursement for nursing education
• Target 50% internal promotions by 2027

The slide outlines pay progression details, including annual performance-based raises of 3-5%. It also features shift differentials up to $4 per hour as maximum incentive pay, alongside four experience tiers that build on the base pay level.

Pay Progression Details

• 3-5%: Annual Increases

Performance-based raises

• $4/hr: Shift Differentials

Maximum incentive pay

• 4: Experience Tiers

Base plus progression levels

The CCRN Support Initiative offers exam preparation courses, collaborative study groups for reviewing materials, and reimbursement for certification exam and related fees. It aims to achieve an 80% certification rate among eligible staff.

CCRN Support Initiative

• Exam prep courses for CCRN certification
• Study groups to collaborate and review materials
• Reimbursement for certification exam and fees
• Target: 80% certification rate among eligible staff

The 2026 Meeting Schedule timeline outlines key ICU staff development events throughout the year. It includes the January Skills Fair for training, March Case Reviews for clinical improvements, June Mid-Year Review for progress updates, September Education and Training Day on advancements, and December Year-End Meeting for evaluations and planning.

2026 Meeting Schedule

Jan 2026: Skills Fair Meeting Annual skills fair for ICU staff development and training. Mar 2026: Case Reviews Session In-depth review of clinical cases to improve practices. Jun 2026: Mid-Year Review Meeting Mid-year progress assessment and team updates discussion. Sep 2026: Education and Training Day Focused education sessions on latest ICU advancements. Dec 2026: Final Year-End Meeting Wrap-up of the year with final evaluations and plans.

The Open Forum slide encourages participants to share concerns about daily operations, offer suggestions on staffing needs, provide input on training programs, and discuss insights from recent cases. All feedback is highlighted as a key driver for continuous improvement.

Open Forum

• Share concerns about daily operations.
• Offer suggestions on staffing needs.
• Provide input on training programs.
• Discuss insights from recent cases.
• All feedback drives continuous improvement.

• Thank you for your dedication. Together, we're advancing ICU excellence. Safe holidays and see you in 2026!
• Join us again in 2026 for continued success.