Document Detail

Extending the benefits of early mobility to critically ill patients undergoing continuous renal replacement therapy: the michigan experience.
MedLine Citation:
PMID:  23221445     Owner:  NLM     Status:  In-Data-Review    
Evidence to support improved outcomes with early ambulation is strong in medical literature. Yet, critically ill continuous renal replacement therapy (CRRT) patients remain tethered to their beds by devices delivering supportive therapy. The University of Michigan Adult CRRT Committee identified this deficiency and sought to change it. There was no guidance in the literature to support mobilizing this population; therefore, we reviewed literature from devices with similar technological profiles. Revision of our institutional mobility protocol for the CRRT population included a simple safety acronym, ASK. The acronym addresses appropriate candidacy; secured, appropriate access; and potential device and patient complications as a memorable aid to help nursing staff determine whether their CRRT patients are candidates for early mobility. After implementing our CRRT mobility standard, a preliminary study of 109 CRRT patients and a review of incident reports related to CRRT demonstrated no significant adverse patient events or falls and no access complications related to mobility. This deliberate intervention allows CRRT patients to safely engage in mobility activities to improve this population's outcomes. A simple mobility protocol and safety acronym partnered with strong clinical leadership has permitted the University of Michigan to add CRRT patients to the body of early mobility literature.
Cheryl L Talley; Robert O Wonnacott; Janice K Schuette; Jill Jamieson; Michael Heung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  36     ISSN:  1550-5111     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-100     Citation Subset:  N    
Departments of Nursing (Messrs Talley, Schuette, and Jamieson and Mr Wonnacott) and Medicine (Dr Heung), University of Michigan Health System, Ann Arbor, Michigan.
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