• Course Format

    eLearning/Self-directed course

  • Course Access

    1 year unlimited access 24/7 to the online course

  • Course Length

    578 minutes

  • Study Guide

    Downloadable PDF Study Guide

  • Contact Hours


  • Certificate of Completion

    Printable CE Certificate


Post Intensive Care Syndrome (PICS) for the survivor of critical illness and their family is emerging as one of the most challenging issues today. Over the decades we have been successful at saving lives, but the consequences of surviving acute & critical illness are significant. It is imperative we tailor our interventions to help patients not only survive but thrive.

In hospitals across the world, clinicians are working diligently to ensure evidence-based practice is fully integrated into daily care to impact both short- & long-term patient outcomes. The “A – F Bundle” weaves the practices of pain and agitation management, ventilator liberation with daily SATs & SBTs, delirium prevention and management allowing implementation of early mobility programs together with engaging the family in the journey. Without successful bundling of the interventions, the ability to integrate best practice is challenging.

Learning Objectives

At the completion of this eLearning, participants should be able to:

  • Define Post ICU Syndrome (PICS) and identify contributing factors

  • Identify the types & risk factors of delirium

  • Discuss evidence-based assessments and intervention to manage pain, agitation, and delirium

  • Outline the process of performing daily SATs & SBTs in the ICU

  • Understand the patient’s risk for ventilator and non-ventilator pneumonia including strategies to reduce infection risk

  • Apply the latest science to create a sleep protocol

  • Create an integrated program for early mobility

  • Discover approaches for incorporating patients and families into care practices within the environment

What Nurses Are Saying About This Course!


Every Nurse should watch this!

Suerte Dureg

Nicole and Kathleen are phenomenal speakers! This presentation is filled with so much information to guide us in improving the care we deliver to our patien...

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Nicole and Kathleen are phenomenal speakers! This presentation is filled with so much information to guide us in improving the care we deliver to our patients and their families.

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Course Curriculum

  • 1

    Welcome to Dodging Delirium: Implementing the ABCDEF Bundle

    • Read First: How To Navigate This Course & Download Study Guide!

  • 2

    Module 1: Introduction & What is PICS & Delirium?

    • Lesson 1: Welcome & Introduction

    • Lesson 2: What are PICS & Delirium?

    • Lesson 3: Why It Matters: A Nurse Who Survived Delirium

    • Lesson 4: The ICU Liberation Bundle

  • 3

    Module 2: Pain, Agitation & Delirium

    • Lesson 1: Pain

    • Lesson 2: Agitation

    • Lesson 3: Delirium

    • Lesson 4: Your Patient Has Delirium, Now What?

  • 4

    Module 3: Wake Up and Breathe: SATs & SBTs

    • Lesson 1: Evidence to Support the SAT & SBT

    • Lesson 2: Assessing Readiness for the SAT & SBT

    • Lesson 3: Barriers and Facilitators of the SAT & SBT

  • 5

    Module 4: Getting Patients Off the Ventilator

    • Lesson 1: Understanding Healthcare Acquired Pneumonia

    • Lesson 2: Risk Factors for Pneumonia: Part 1

    • Lesson 3: Risk Factors for Pneumonia: Part 2

    • Lesson 4: Risk Factors for Pneumonia: Part 3

  • 6

    Module 5: Early Progressive Mobility

    • Lesson 1: Negative Effects of Immobility

    • Lesson 2: Evidence Supporting Early Progressive Mobility

    • Lesson 3: Barriers to Mobility in Hospitalized Patients

    • Lesson 4: Implementing a progressive mobility program

  • 7

    Module 6: Don’t Wake Me Up: Sleep Hygiene

    • Lesson 1: Sleep Deprivation

    • Lesson 2: Strategies to Help Promote Sleep

    • Lesson 3: Developing a Sleep Protocol

  • 8

    Module 7: Family Integration into Patient Care

    • Lesson 1: Family visitation: Why it is Critical

  • 9

    Module 8: Wrap-Up & Next Steps

    • Lesson 1: Wrap up & Next Steps

  • 10

    Dodging Delirium:  Implementing the ABCDEF Bundle Quiz

    • Dodging Delirium:  Implementing the ABCDEF Bundle Quiz

  • 11

    Dodging Delirium:  Implementing the ABCDEF Bundle Evaluation

    • Dodging Delirium:  Implementing the ABCDEF Bundle Evaluation



Nicole Kupchik

Nicole Kupchik has been a critical care nurse for over 25 years. Originally from Northwest Indiana, she worked as a traveling nurse and settled in Seattle, WA in 1998. She graduated from Purdue University in 1993 and in 2008 obtained a Master of Nursing as a Clinical Nurse Specialist from the University of Washington.

After moving to Seattle, Nicole took great interest in Resuscitation while working at Harborview Medical Center. She was part of a team who wrote one of the first protocols in the US for Therapeutic Hypothermia after cardiac arrest and has published numerous papers on the topic. In 2009, she led a team that launched an award-winning Sepsis Alert System.

In 2013, Nicole founded Nicole Kupchik Consulting, Inc. She has taught CCRN® & PCCN® Certification Review courses for over 10 years and has helped thousands of nurses achieve certification! She strongly believes every nurse can and should be board certified in their specialty!

In 2017, Nicole published "Ace the CCRN®: You Can Do It" Study Guide and Practice Question Book as well as well as "Ace the PCCN®: You Can Do It" Study Guide and Practice Question Book. In 2018, she published "Ace the CMC®: You Can Do It" Study Guide. Her latest book, "Ace the CSC®: You Can Do It!" Study Guide for the Cardiac Surgery Certification was published in March 2019.


Kathleen Vollman

Ms. Vollman is a Critical Care Clinical Nurse Specialist, Educator and Consultant. She has published & lectured nationally and internationally on a variety of pulmonary, critical care, prevention of health care acquired injuries, work culture and sepsis recognition & management.

From 1989 to 2003 she functioned in the role of Clinical Nurse Specialist for the Medical ICU’s at Henry Ford Hospital in Detroit Michigan. In 2004, Kathleen was inducted into the College of Critical Care Medicine, in 2009 she was inducted into the American Academy of Nurses. In 2012, Ms. Vollman was appointed to serve as an honorary ambassador to the World Federation of Critical Care Nurses and is currently the financial director.

Ms. Vollman is a subject matter expert for prevention of CAUTI, CLABSI and HAPI as well as sepsis recognition/management and the culture of safety for American Hospital Association and the Michigan Hospital Association. Currently her company, ADVANCING NURSING LLC, is focused on creating empowered work environments for nurses through the acquisition of greater skills and knowledge.


Nicole Kupchik Consulting, Inc. is an approved provider by the California Board of Registered Nursing. Provider number 16363. Approved for 9.5 CE Contact Hours.

Refund Policy

Our policy is valid for a period of 30 calendar days from the date of the purchase. If the period of 30 days has lapsed since the purchase, we can't, unfortunately, offer you a refund. In addition, once the course has been accessed, there are no refunds available.

Extension Policy

All single purchase courses will be limited to a maximum of one extension. The one-time extension is valid for 6 months @ 40% of the full cost of the course. Extension requests must be received via email at info@kupchikconsulting.com.

Expiration Time

Access to the course expires 1 year after purchase, regardless of when the course is accessed. Please note, courses are set to expire at 00:00 Coordinated Universal Time (UTC) on the expiry date.

For example, students in Pacific Standard Time (UTC 8 hrs ahead), will find their class expires at 4:00 PM PST. Due to the major time difference, we have set all courses to expire on day 366 so you receive a full year of access plus a few bonus hours.