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Postoperative Mobilization Protocol in Lumbar Laminectomy Patients.

MacKenzie Alexander1,2,3,4, Mary Lou Garey1,2,3,4, Erica Yates1,2,3,4

  • 1MacKenzie Alexander, BSN, RN, Ohio University, Athens, OH; Rush University College of Nursing, Chicago, IL.

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Summary

Early mobilization for spine surgery patients improves outcomes and reduces complications. Staff education enhanced early ambulation documentation, highlighting the importance of mobility protocols in postoperative care.

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Area of Science:

  • Neurosurgery
  • Quality Improvement
  • Patient Mobility

Background:

  • Early mobilization in postoperative spine surgery patients is crucial for optimal clinical outcomes.
  • Lack of early mobilization can lead to complications like hospital-acquired weakness and increased length of stay.
  • Misconceptions regarding mobility initiation and staff responsibilities often hinder early ambulation.

Purpose of the Study:

  • To enhance early mobilization at 24 and 48 hours in postoperative lumbar laminectomy patients.
  • To improve electronic medical record (EMR) documentation of patient mobility.
  • To address staff responsibilities and misconceptions surrounding postoperative mobility.

Main Methods:

  • Utilized the Plan-Do-Check-Act (PDCA) model for a quality improvement project.
  • Conducted a retrospective chart audit to assess baseline mobility documentation.
  • Implemented staff education on the benefits of mobility and EMR documentation using a self-paced module.

Main Results:

  • Initial chart audit revealed insufficient documentation of mobility for postoperative lumbar laminectomy patients.
  • Post-education chart review demonstrated improved documentation of early mobilized patients.
  • Staff education positively impacted the promotion of mobility and its accurate recording in the EMR.

Conclusions:

  • Staff education is effective in promoting early mobilization and improving documentation in postoperative spine surgery patients.
  • Enhanced documentation reflects increased adherence to early ambulation protocols.
  • Further studies are needed to assess the long-term impact of educational interventions on ambulation rates.