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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Mobilizing Patients Along the Continuum of Critical Care
Christina D Reames1, Deborah M Price, Elizabeth A King
1Christina D. Reames, MS, RN, ACNS-BC, is clinical nurse specialist at the Progressive Care Unit of the University of Michigan Health System, Ann Arbor. Deborah M. Price, DNP, RN, is a clinical assistant professor at the Department of Human Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor. Elizabeth A. King, BSN, is a nurse education coordinator at the Progressive Care Unit of the University of Michigan Health System, Ann Arbor. Sharon Dickinson, MS, RN, BC-ANP, BC-CNS, is a clinical nurse specialist at the Surgical Intensive Care Unit, University of Michigan Health System, Ann Arbor.
Abstract:
The progressive care unit implemented an evidenced-based intensive care unit mobility protocol with their chronically critically ill patient population. The labor/workload necessary to meet mobility standards was an identified barrier to implementation. Workflow redesign of patient care technicians, interdisciplinary teamwork, and creating a culture of meeting mobility standards led to the successful implementation of this protocol. Data revealed that mobility episodes increased from 1.4 at preinitiative to 4.7 at 12 months postinitiative, surpassing the goal of 3 episodes per 24 hours.
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