I read the articles regarding implementing the ABCDEF bundles in the intensive care unit (ICU) and the positive impact the bundle has on patients’ length of stay, complications, and family involvement (“Implementing the ABCDEF Bundle: Top 8 Questions Asked During the ICU Liberation ABCDEF Bundle Improvement Collaborative” [2019;39(1):36-45] and “Common Challenges to Effective ABCDEF Bundle Implementation: The ICU Liberation Campaign Experience” [2019;39(1):46-60]). I read these articles with interest, but 1 thing that stood out to me was the qualifications of the Collaborative: there was not 1 bedside registered nurse (RN) on the team. Can we acknowledge that the main implementer of this bundle is the RN who is at the bedside for 12 hours? I am not downplaying the importance of physicians, respiratory therapists, physical therapists (PTs), occupational therapists (OTs), pharmacists, spiritual counselors, social workers, etc, in the patient’s journey in the ICU,...
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