Implementation of an Early Mobility Pathway in Neurointensive Care Unit Patients With External Ventricular Devices

Megan Moyer1, Bethany Young, Eileen Maloney Wilensky

  • 1Questions or comments about this article may be directed to Megan Moyer, MSN ACNP-BC CNRN, at megan.moyer@uphs.upenn.edu. She is an Inpatient Nurse Practitioner, Department of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA. Bethany Young, MSN RN AGCNS-BC, is Clinical Nurse Specialist, Neurointensive Care Unit, Hospital of the University of Pennsylvania, Philadelphia, PA. Eileen Maloney Wilensky, MSN ACNP-BC, is Director of Clinical Research Division and Co-Director of Quality & Safety Program, Hospital of the University of Pennsylvania, Philadelphia, PA. Joseph Borst, PT DPT, is Physical Therapist, Hospital of the University of Pennsylvania, Philadelphia, PA. William Pino, PT DPT, is Physical Therapist, Hospital of the University of Pennsylvania, Philadelphia, PA. Marisa Hart, MS OTR/L, is Occupational Therapist, Hospital of the University of Pennsylvania, Philadelphia, PA. Jesse LoBreglio, MOT OTR/L, is Occupational Therapist, Hospital of the University of Pennsylvania, Philadelphia, PA. Derek Zaleski, PT DPT, is Physical Therapist, Hospital of the University of Pennsylvania, Philadelphia, PA. Isaira Leonor, BSN RN, is Registered Nurse, Neurointensive Care Unit, Hospital of the University of Pennsylvania, Philadelphia, PA. David Kung, MD, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA. Michelle Smith, MD, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA. Eric Zager, MD, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA. M. Sean Grady, MD, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA. Monisha Kumar, MD, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Summary

Implementing a new protocol for mobilizing patients with external ventricular drains (EVDs) safely enables earlier patient movement. This approach is linked to shorter intensive care unit stays and improved discharge outcomes for subarachnoid hemorrhage patients.

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