NIV

2. INTU (NIV)
To improve
the quality
of care for
appropriate
patients
requiring
Acute NIV
in hospital
Adequate and timely
documentation of
management
plan/ceiling of care
Develop Bundle to
standardise NIV care in
line with BTS guidelines
Patient focus group
Develop information
resources
(written, video, Internet)
MDT input for
decision making for
acute NIV care
Log of accessible NIV
Equipment
CERNER Template
NIV champions in the
community
Ongoing measurement
for improvement
NIV champions in
the hospital
Review current
practice to identify
gaps in Knowledge
Patient and carer
education
Standardised and
accessible NIV
Equipment and
resource
Provision of
appropriate
information to
patient and carer
Formal “consent” /
information discussion
in hospital
Patient centred NIV
education programme
Pre-emptive community
and in education
regarding NIV
Managing patient
and carer
expectations of what
NIV will involve
Patient and
carer
satisfaction
Practice educators
on shop floor
Advanced care
planning
= Essential to all areas
Patient and carer
understanding of why
NIV is used and what
to expect
Shared decision
making for
appropriate use of
NIV (and review)
Staff competence of
NIV pathway
Audit of current
equipment and
resources
Palliative care (are we
trying to improve
anything here?)
Standardised high
quality care across
the patient journey Staff understanding of
the patient
experience
Provision of NIV
Bundle and pathway
Development of a
formal NIV MDT
?Review or current and
production of new
accessible information?
Empower patients to be
involved in decision
making
Describe the patient
experience of NIV
pathway
Define the key competencies
of Staff assessing need and
implementing NIV
Design NIV bundle and
describe pathway
Opportunities to
engage with patients
and ask opinions
Pathway mapping
Emotional mapping
Review current
educational practice
and feedback
Patient champions/
educators
Clinical
outcomes
Use of
bundle
Use of
ACP
Assess
competency
Attendance and
use of resources
Increased
palliative care
referral and pts
declining NIV
Quality of
documentation
Compliance
with
standards
= outcome
= process
= balance
Define standards of
documentation