The Pediatric Confusion Assessment Method for the Intensive Care Unit or the pCAM-ICU has been validated in ages 5–17 years for use by the bedside caregiver. The pCAM-ICU provides a simple, quick tool to assess for delirium in the pediatric intensive care patient. The assessment provides a means for early recognition of fluctuations or change in cognitive function. Early recognition of change in cognitive function can allow for more extensive follow-up and assessment that can subsequently confirm the presence of delirium and then evaluate the appropriate response or treatment.
It is important to decide how the assessment will be documented after it is completed. We have chosen to document "Delirium is Present" or "Delirium is Absent".
Providing a central location for easy access to the assessment tools is important. We provide each bedside clinician with a "Pocket Card" and a copy of the "Worksheet". The 2 sets of ASE Pediatric Pictures - Set A and Set B are filed in Resource Manuals located between each patient room. A copy of the Pocket Card is filed in the Resource Manual.
pCAM-ICU Pocket Card
A quick reference for the assessment tool. It is designed for easy access as a resource for the clinician trained in the use of the tool
An instructional guide for the clinician to follow during the learning phase. It includes scripted language with recommended time intervals. Consistency and repetition improves the technique of the clinician and helps the clinician to become efficient with the tool.
Pediatric Daily Guide
Provides a map to follow each day to identify and assess your patients. The patient should be assessed once per shift or twice in a 24 hour period, but can be assessed more often if there is change in behavior. It takes less than 2 minutes to complete.
Pediatric Attention Screening Exam Pictures – Set A
A test of attention, the ability of the patient to concentrate and demonstrate short-term memory.
Pediatric Attention Screening Exam Pictures – Set B
An alternate set of pictures.