Early Integration of a Pediatric Supportive Care Program in Pediatric Oncology (749)

contents. This was done in a series of lectures in April 2008. II. Aims. To identify when and how the newly created palliative extubation protocol was used in the ICU and to identify deficits in its use. III. Method/Session Description. For the period of September 2008 to March 2009 we conducted a survey after each palliative extubation. Data was reported that identified the treatment team’s knowledge of the existence of a palliative extubation protocol, whether the protocol was reviewed prior to the intervention, whether the policy was used for medication management, whether Gift of Life was notified prior to extubation, and whether chaplain services were made available. We also have comparison data for the same outcomes for patients not seen by the palliative care service. IV. Conclusion. As the study progressed, the treatment teams became less aware of the palliative extubation protocol. The biggest deficits and areas for improvement were notifying Gift of Life prior to extubation and providing Chaplain services for patients and their families. We plan to continue ongoing educational interventions to improve the use of the protocol based on these data.