Hill-Rom's Progressive Mobility® Program in the ICU: Getting Started

Hill-Rom’s Progressive Mobility ®
Program in the ICU: Getting Started
5/22/2012
Mary Jo Tracy
MSN, RN, CCRN
Director of Intensive Care Unit
Holy Name Medical Center
Teaneck, NJ

Presentation Objectives
5/22/2012
At the end of this presentation, you will be able to:
• Identify the steps necessary to begin a
Progressive Mobility ® program in the ICU
• Review best practices to start and sustain a
Progressive Mobility ® program: People,
Process and Technology

Getting Started
5/22/2012
• Creating a culture of safety in your unit
• Our participation in the Comprehensive Unit Based
Safety Program (Johns Hopkins Collaborative)
– Challenges us to identify safety defects
– Propose solution
• What can we do to prevent further harm
to our patients?

Getting Started
5/22/2012
Sparked by discussions
during staff meetings a
challenge was identified:
Ventilator dependent patients are not moved as much as they
should be, therefore suffer the effect of deconditioning

Beginning Steps
5/22/2012
• Reviewing the evidence
– Best practices
• Identifying resources
– Equipment
• Developing relationships
– Industry partners

Gathering Internal Resources
5/22/2012
• The mobility champions
– Establish core group of staff
– Engage respiratory therapy and physical therapy
departments
– Understanding the protocol
• Administrative Support
– CNO and Nursing Leadership
• Investigative Review Board

Protocol Development
and Implementation
5/22/2012
Here is an easy to use protocol:
Hill-Rom’s Progressive Mobility ® Program

Hill-Rom’s
Progressive Mobility ® Program
5/22/2012

Research Study
5/22/2012
• Data has been collected for a 47 patient
control group (phase I)
• Transition to Phase II has occurred
– Logistic development for the champions
– Education for all staff members on the protocol
and equipment to be used

Research Study
5/22/2012
• Phase III (Implementation)
– Underway as of February 2012
– Have enrolled 11 patients thus far
– Yes, we have been able to stand two of these
patients for greater than 1 minute
– Yes, these two patients did take a few steps to
a bedside chair

Resources
• People and Process Solutions
5/22/2012
- Clinical sales and marketing
- Education support
- Progressive Mobility ® Program
• Technology Solutions
- TotalCare ® bed system
� Provides enhanced features to facilitate mobility
- Liko ® Sabina ® lift
� Stand-assist lift

Keys to Success
5/22/2012
• Organizational support
• Identifying unit champions
– Developed a dedicated ‘expert’ on each shift to
help champion the effort
• Education, Education, Education
– Clinical education
– Protocol education
– Equipment education

Evaluation of Practice
5/22/2012
• Comparison of patient outcomes to validate
– Pressure ulcer incidence