Bold Voices - May 2014 - (Page 11)
AT THE BEDSIDE
AACN Community Steps
Forward on Early Mobility
Early mobility link to a Raleigh-Durham, N.C.,
TV news segment triggers lively conversation
AACN's community is passionate about excellent
nursing practice and improving patient outcomes.
Here's a snapshot of the lively Facebook conversation
when we linked to a TV news segment featuring Duke
Raleigh Hospital's early mobility initiative. The AACN
Clinical Scene Investigator (CSI) Academy project was funded by an AACN grant.
Link to the video from this month's digital edition at www.aacn.org/boldvoices, and learn more about AACN CSI
Academy at www.aacn.org/csi. And post your own comments on our wall at facebook.com/aacnface, or send them to
Michael Lawrie With the right patient population this is
great. Too often I've seen it done with the wrong folks.
Jeanne Winter Fuentes With adequate and safe stafﬁng I
could see this being a wonderful opportunity, but with current
stafﬁng trends this could be downright dangerous to do!
Patricia L. Ward Yeah, our ICU patient population are
mostly elderly from the nursing home, who weren't exactly
zipping around to begin with, or psych patients in restraints. We
are routinely tripled with NO aides or lifting teams like rich places
get. I would imagine this works with a younger population, like
young trauma patients.
Judi Kane Adequate stafﬁng is the key for sure. But hospitals
want us to be like alchemists and produce gold out of nothing.
They are not willing to walk the walk. All we can do is keep
Sara Williamson Kowalewski We have been doing this in
the MICU at Duke for the past couple of years. There is a selection criteria for patients who can actually walk but our PT and
OT really help the nurses to push the patients to do as much as
possible. It does take a coordinated effort but once staff sees
that it can be done it happens more often.
Michelle Lee Williams-Mowder I'm all for getting my
patients up in the chair, where it fails is when everyone doesn't
buy in and the next day I see my patient in 4 point restraints
without having had any progressive ambulation.
Trey Murphy They will expect this with current stafﬁng.
There is never too much work for an RN.
Paul Punzalan That is great! I've been doing some research
on early mobility on ICU patients and improved outcomes. Some
hospitals here in CA are already doing this. These hospitals are
very well staffed and have more resources to have these types of
programs implemented successfully. It is extremely challenging
for smaller hospitals to even attempt such things, unfortunately.
Careful planning with the team and focused assessment on
appropriate patients are needed for improved outcomes. So
yes, in summary: better stafﬁng + resources = improved patient
outcomes. I think we all agree on this.
Caitlin Starlin We had a 40-something patient intubated
due to inﬂuenza complications. He was either thrashing in bed
or so sedated that he couldn't pass an SBT. His nurse decided to
turn off sedation and get him up to a chair. His p/f ratio rose by
over 100 with that simple move. He was comfortable, coherent,
and his pulmonary function improved remarkably fast. I am a
100% believer in getting the so-called "bedrest" patient up and
early, as long as done safely!
Chessica Woody Runyon Maury Regional Medical Center
in Columbia, TN has been doing this for years. We actually
presented on it at NTI 4 years ago. It IS multidisciplinary and the
results are astounding! Read the research.
Liz Molenda Are these patients off the vent while walking,
or are they hooked to a travel vent with an RT who is willing to
stay in the unit and run it?
AACN BOLD VOICES MAY 2014
AACN American Association of Critical-Care
Nurses WRAL-TV in Raleigh-Durham, N.C., aired a story
March 14 on Duke Raleigh Hospital's early mobility
initiative in its ICU and mentions that it was funded by
an AACN grant. The segment ends with the anchor
naming other area hospitals involved in AACN CSI
Academy, although they don't say "CSI Academy" within
the story. Enjoy!
Table of Contents for the Digital Edition of Bold Voices - May 2014
Pres Note Teaser: What Were We Thinking
Come for the Day. Learn for a Lifetime.
How AACN CSI Academy Changed My Practice
Healthcare Professionals Smoke Less Than General Population
Sleep-Deprived Nurses May Regret Clinical Decisions
Detecting Abuse When Kids Have Fractures
Effective Screening and Counseling for Alcohol Use
Most People Who Need Palliative Care Don’t Receive It
Interruptions Are Dangerous
AACN Community Steps Forward on Early Mobility
Satisfied and Engaged Staff Improve Patient Satisfaction
Involve Nurses When Developing Healthcare Technology
Nurses Concerned About Nursing’s Future
How Does This Year’s Flu Compare to Previous Trends?
Fewer Hospital Opportunities for Nursing Graduates
Excessive Crying as a Preemie, Behavioral Problems Later
Hand Amputees Can Feel Objects With New Prostheses
In Our Journals
New Editions of ‘AACN Essentials’ Textbooks
New at NTI 2014: Editorial Consults
Call for Nominations: AACN Board, Nominating Committee
Experience a Wasatch Mountain High This Summer at REACH
Thrive at NTI: 10 Tips for the Best Experience
Bold Voices - May 2014