Early Mobility Program

Implementing an Early Mobility Program for Critically Ill patients
Janet Berger
Rivier University
April 20, 2014

TABLE OF CONTENTS

Implementing an Early Mobility Program for the Critically Ill patient ……....…… 3
Teaching Plan ……….………………………………………………….………… 5
Literature Review………………………………………………………………..…. 7 Introduction to review……………………………………………………… 7 Mobility…………………………………………………………………… 8 Complications of Immobility…………………….………………………… 8 Benefits of Early Mobility…………………………………………………. 10 Safety Events in ICU Mobilization……………………………………… .. 12 Physical Therapy………………………………………………………….. 13 Discussion…………………………………………………………………. 14
References………………………………………………………………………….. 16
Appendix A………………………………………………………………………… 20
Appendix B………………………………………………………………………… 21
Appendix C…………………………………………………………………………. 22
Appendix D…………………………………………………………………………. 23
Appendix E…………………………………………………………………..……… 24
Appendix F …………………………….…………………………………………… 26
Appendix G .………………………………………………………………………… 29

Implementing an Early Mobility Program for the Critically Ill patient
The role of the bedside nurse has evolved in recent years to include significant integration of technological advances (Pipe et al., 2012). As the
Initially, staff will be asked to work in conjunction with a physical therapist on the correct administration of passive range of motion, active range of motion and safe mobility practices. Safe mobility practice education will include bed mobility training, transfer training and ambulation training. In conjunction with this training, staff will be instructed on the use of the Banner Mobility Assessment Tool (BMAT) (See Appendix B). All staff will be required to demonstrate competencies in conducting the six mobility practices and in administration of the