Flynn, Samantha, BSN, RN

Hess, Christina, ADN, RN

Wessner, Samantha, ADN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingMoving and GroovingChristina Hess ADN, RNLehigh Valley Health Network, Christina.Hess@lvhn.orgSamantha Flynn BSN, RNLehigh Valley Health Network, Samantha.Flynn@lvhn.orgSamantha Wessner ADN, RNLehigh Valley Health Network, Samantha.Wessner@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursingThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtHess, C. Flynn, S. Wessner, S. (2018, October 8). Moving and Grooving. Poster Presented at: LVHN Vizient/AACN Nurse ResidencyProgram Graduation, Lehigh Valley Health Network, Allentown, PA.© 2014 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaMoving and Grooving • For medical surgical nurses using the mobility protocol, does re-education about the protocol increase knowledge and documentation in the medical record?– P – Medical- Surgical Nurses– I – Re-education on the Functional Mobility Protocol– C – Pre-survey knowledge and documentation – O – Increase in Med-Surg Nurses using the Mobility Protocol• Prolonged bed-rest has been associated with a number of adverse outcomes that can have severe consequences, especially for the elderly  (Timmerman, 2007)• A mobility protocol for critically ill patients may provide nurses with the structure and impetus to progress pt. activities in a systemic manner that prevents bed-rest related complications (Timmerman, 2007)• Older adults who participated in a mobility protocol maintained or improved functional status and had a reduced LOS (Padula,2009)• Participants included RN’s on 7B, 7C, and 5C– Survey available to all RN’s on units on a volunteer basis • Baseline Data collected via a pre- survey and from chart audits – Pre- survey used to determine the knowledge RN’s already had in the importance of early mobility– Chart audits performed on each unit to document how many RN’s documented mobility status for any given admission to the unit • Educational PowerPoint adapted from LVHN Mobility Protocol – Explaining what the Protocol is and how to use it • Effectiveness of the PowerPoint teaching documented by post- education survey and through chart audits on each unit • Evidence from a chart review on 3 medical- surgical units on LVHN shows that only 18.3% of nurses were documenting on mobility under the daily care tab. • Current Practice at LVHN – PolicyTech • Progressive Mobility Protocol • Mobility Protocol Attachment A – Epic Documentation • Functional Assessment • Mobility # under ADL’s• Based on pre-survey results between 3 medical surgical floors, 52.4% of nurses stated that they are unfamiliar with the mobility protocol.• The results from the post- survey suggest that nurses understand the Mobility Protocol more now that they did previously. • After reviewing the protocol though, nurses still seem to be hesitant to advance patients without the guidance of a Physical Therapist. • Future research should focus on possibly training nurses on mobility and creating simulations for nurses to practice mobility with patients so they become more confident in their skills. • One setback with this project was that less colleagues responded to the post-survey compared to the pre-survey, skewing results Christina Hess , ADN, RN, Molly Phillips BSN, RN, Samantha Flynn BSN, RN,  Samantha Wessner, ADN, RN PICOBackground Evidence Implementation/ ProcessOutcome / Conclusions REFERENCESAnne Drolet, Patti DeJuilio, Sherri Harkless, Sherry Henricks, Elizabeth Kamin, Elizabeth A. Leddy, Joanna M. Lloyd, Carissa Waters, Sarah Williams; Move to Improve: The Feasibility of Using an Early Mobility Protocol to Increase Ambulation in the Intensive and Intermediate Care Settings, Physical Therapy, Volume 93, Issue 2, 1 February 2013, Pages 197–207, https://doi.org/10.2522/ptj.20110400Padula, C., Hughes,C., & Baumhover, L. (2009). Impact of a Nurse- Driven Mobility Protocol on Functional Decline in HospitalizedOlder Adults. Journal of Nursing Care Quality, 24, 325-331. doi: 10.1097/NCQ.0b013e3181a4f79bPashikanti, L., & Von Ah, D. (2012). Impact of Early Mobilization Protocol on the Medical- Surgical Inpatient Population: An integrated Review of Literature. Clinical Nurse Specialist, 26, 87-94. doi: 10.1097/NUR.0b013e31824590e6Timmerman, R. (2007). A Mobility Protocol for Critically III Adults. Dimensions of Critical Care Nursing, 26, 175-179. doi: 10.1097/01.DCC.0000286816.40570.daResults • Chart audits after re-education on the mobility protocol from the same medical- surgical floors showed that 44.4% of nurses are now documenting mobility in the Daily Care tab.

Moving and Grooving

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Moving and Grooving

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Lehigh Valley Health Network: LVHN Scholarly Works