Initiation of Mobility Protocol in ICU CVVH/IHD Patients with Resulting Improvements
Project Description: With over 70% of critically ill patient’s developing acute renal insufficiency during hospitalization, the use and choice of appropriate of renal replacement therapy is extremely important by intensive care units. Historically, the choices for renal therapy have been continuous renal replacement therapy or intermittent hemodialysis. With the selection of either of these therapies comes draw backs, such as 1:1 nursing care, extreme hemodynamic changes, and increased costs. Due to the priority and side effects of renal therapies, the surgical/trauma found that this patient population was grossly under mobilized in comparison to the overall patient population. To address this under mobilization, a step-wise mobility model was created to facilitate mobility decision-making in this critically ill and very fragile population. This study seeks to analysis quality improvement with this mobility protocol within the Trauma/Surgical ICU of UFHealth. Methods: Mobility actions at the bedside were compared to the orders made by the physician, in which a ratio of compliance was calculated by the facility and the authors. The unit as a whole and the subset renal therapy population were tracked in the 3 months prior (March- May) to the initiation of the progressive mobility protocol and the 3 months following (September to oNovember). The data was compared between the two time frames.
QPI: Carolyn, Harnish, (email@example.com)
Advisors: (Philip.Efron@surgery.ufl.edu); (firstname.lastname@example.org)
UF Health Big Aims: Reduce Variation None
MeSH Keywords: ESRD, CKD, AKI, Early Mobility, RRT, CVVH, IHD, CRRT