Utilization of the Critical Care Mobility Guideline in the Medical Intensive Care Unit

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The Ohio State University

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Utilization of the Critical Care Mobility Guideline in the Medical Intensive Care Unit Michele L. Dye, MS, RN, CCRN, CCNS, ANP-BC Introduction: The Critical Care Mobility Guideline was implemented in the medical intensive care units (MICU) in a large Midwestern medical center in June 2008. Objective: To determine if MICU patients are received mobility interventions as directed by the Critical Care Mobility Guideline on days 3, 5, & 7 of their stay. Design: A quantitative descriptive research design using retrospective medical record review was used to examine the utilization of mobility measures as recommended in the Mobility Guideline. Sample: All MICU patients (n=207 on day 3) during September-November 2010 and who met inclusion criteria. Outcome measurement: The number of patients who received at least one mobility intervention on days 3, 5, & 7. Other data collected included: type of mobility intervention; time of day of the mobility intervention; SAPS II score, BMI. Conclusions: The number of patients who received mobility interventions varied and increased as the medical ICU length of stay increased. The percentage of eligible patients on day 3 who received mobility was 29.75%, and increased to 43.5% on day 7. The most common mobility intervention was out of bed to the bedside chair in the morning. Most common exclusion criterion was hemodynamic instability. The SAPS II score showed negative, non-significant correlation to mobility interventions. The utilization of the mobility guideline in MICU patients is not widespread with less than 50% of the patients without exclusion criteria received mobility interventions. Factors such as day of ICU stay, BMI did not affect whether or not a patient received mobility.



mobility, critical illness, critical care