2017年1月4日 · PIC scores and spirometry volumes are incorporated into daily team rounds, and are used to guide care decisions. Nursing-based interventions include assessment and charting of PIC scores, patient and family education, encouragement of frequent pulmonary hygiene and early mobilization.

To improve care for nonintubated blunt chest wall injury patients, our Level I trauma center developed a treatment protocol and a pulmonary evaluation tool named “PIC Protocol” and “PIC Score,” emphasizing continual assessment of pain, incentive spirometry, and cough ability.

The goal of this study was to determine if a modified PIC score (Pain, incentive spirometry, cough) could be used to triage patients with isolated rib fractures to the ICU. While patients with lower PIC scores were more likely to have longer ICU LOS (p<.001),

as a leading strategy for the triage of patients with chest wall injury. However, to date, the efficacy, accuracy, and safety of the PIC score system have not been validated outside of its original institution. This study evaluates the use of the PIC score system in initial Emergency Department (ED) triage, down-grade, and discharge cr

Background: To improve care for nonintubated blunt chest wall injury patients, our Level I trauma center developed a treatment protocol and a pulmonary evaluation tool named "PIC Protocol" …

l to serially assess the patient each shift. A PIC score of 4 or score of 1 in any category requires admission to a higher l. vel of care (intermediate or critical care). A decrease of PIC score by 3 or greater over a 24-hour period must be communicated to the primary team and esca.

The Pain, Inspiratory effort, Cough score (PIC) has been developed and widely adopted to guide clinical prognostication for patients with chest wall injury. To date, the efficacy, accuracy, and safety of a PIC based triage system has not been validated.

The pain, inspiratory effort, and cough (PIC) score was originally developed to reduce unplanned intensive care admissions in blunt chest trauma patients [11]. It assesses the adequacy of ventilation and gives an estimation of the risk of developing a chest infection.

What is a PIC score? • P = How much pain do you have? incentive spirometer? cough? rib fracture or recovery. Your nurse will show you how to use the incentive spirometer to exercise your lungs. Questions? Your questions are important. Talk with your nurse or other healthcare provider if you have questions or concerns.

Specific Aim: We aim to improve the care of patients with rib fractures and or sternal fractures and reduce Intensive Care Unit (ICU) readmission rates by 20% within one year after implementing the rib fracture management (RFM) pathway.