CICU, PCU, and PICU Clinical Pathway for Screening/Treatment of Children with Delirium

All Children in CICU, PICU, PCU
 
 

 

 
 

 

 
 

 

Positive Screen
(CAPD ≥ 9)
RN notify hospital provider
Negative Screen
(CAPD < 9)
 
 

 

 
 

 

 
 

 

 
 

 

Delirium Present
Begin 3-prong treatment approach guided by BRAIN MAPS
Delirium Not Present
 
 

 

Address
Underlying
Disease
Minimize
Iatrogenic
Factors
Optimize
Environment
 
 

 

 
 

 

  • Assess for resolution and continue preventative measures
  • Continue CAPD screening 2x daily
  • If pharmacologic therapy started
    • Evaluate ability to wean no later than 5-7 days post-initiation
    • Consult psychiatry for management if transferred out of ICU to inpatient floor
    • In general, do not discharge home on medications for delirium
Posted: July 2016
Last Revised: October 2024
Editors: Clinical Pathways Team