Protocols, Checklists, and Tools

ICU Liberation Bundles Chart

The ICU Liberation ABCDEF Bundles Chart outlines symptoms, monitoring and care guidance for implementing the ABCDEF Bundles.

MICU Rounding Tool

The MICU rounding tool can help you implement the ABCDEF Bundle.

Provider Rounding Tool

This rounding tool can help you implement the ABCDEF Bundle.

Rounding in the ICU with the ABCDE Bundle – Part 1

Sutter Health and the Gordon and Betty Moore Foundation provides two videos that examine incorporation of the ABCDE bundle during multiprofessional rounds in the intensive care unit. 

Rounding in the ICU with the ABCDE Bundle – Part 2

Sutter Health and the Gordon and Betty Moore Foundation provides two videos that examine incorporation of the ABCDE bundle during multiprofessional rounds in the intensive care unit.   

Numerical Pain Rating Scale (NRS)

The Numeric Pain Rating Scale (NPRS) can be used to assess pain in adults, including those in the intensive care unit (ICU). It can be used in the A Element of the ABCDEF Bundle.

Behavioral Pain Scale (BPS)

The Behavioral Pain Scale (BPS) can be used to assess pain in in adults, including those in the intensive care unit (ICU). It can be used in the A Element of the ABCDEF Bundle. It can be used for intubated patients and nonintubated patients.

Behavioral Pain Scale Training Poster

The Behavioral Pain Scale (BPS) can be used to assess pain in in adults, including those in the intensive care unit (ICU). This poster helps train clinicians on how to use the BPS Scale for intubated and non-intubated patients. It can be used in the A Element of the ABCDEF Bun...

Primary Pain Management: Opioids

Pharmacology of Opiate Analgesics. This chart can be used to help treat pain for adult patients in the intensive care unit (ICU).

Nonopioid Medication Options

Pharmacology of Nonopiate Analgesics. This chart can be used to help treat pain for patients in the intensive care unit (ICU).

Wake Up and Breath Protocol

Wake Up and Breathe Protocol for Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs)

Richmond-Agitation Sedation Scale (RASS)

Richmond Agitation Sedation ranks agitation and possibility for sedation. This tool can be used in the implementation of the C Bundle of the ABCDEF Bundle.

Riker Sedation Agitation Scale (SAS)

Sedation Agitation Scale (SAS) Match behavioral observations with scale descriptors. Each descriptor is matched with an agitation category.

CAM-ICU Assessment Tool 

The CAM-ICU is a delirium monitoring instrument for ICU patients in accordance with the PAD Guidelines.

CAM-ICU Flowsheet

The CAM-ICU Flowsheet can be used to assess adult ICU patients for delirium in accordance with the PAD Guidelines.

CAM-ICU Training Manual 

This is a training manual for physicians, nurses and other healthcare professionals who wish to use the Confusion Assessment Method for the ICU (CAM-ICU). 

Intensive Care Delirium Screening Checklist (ICDSC)

Intensive Care Delirium Screening Checklist (ICDSC)

CAM-ICU Delirium Test

This video demonstrates the CAM-ICU Delirium screening test for intensive care patients. It is quick, noninvasive and easy to do.

Sutter Health: Sacramento-Sierra Regional ICU Delirium Protocol  

A delirium protocol shared by Sutter Health. 

Barriers to Early Mobility

Understand the barriers to early mobility in the ICU and solution strategies. Early mobility is the E Bundle of the ABCDEF Bundle.