2.50
Hdl Handle:
http://hdl.handle.net/10755/164068
Category:
Abstract
Type:
Presentation
Title:
Patients on the Move
Author(s):
Baumhover, Lisa; Lillegraven, Cheryl; Pandullo, Sarah
Author Details:
Lisa Baumhover, MS, GCNS-BC, Iowa Health Des Moines, Des Moines, Iowa, USA, email: baumhola@ihs.org; Cheryl Lillegraven, ACNS-BC; Sarah Pandullo, MSN, CCNS-BC
Abstract:
PURPOSE/OBJECTIVES: The purpose of this project was to help patients hospitalized at Iowa Health - Des Moines maintain strength and ability to function while in the hospital. SIGNIFICANCE: Patients hospitalized in an acute care setting are often times immobilized; increasing the patient's risk for experiencing iatrogenic complications. Three Clinical Nurse Specialists at Iowa Health - Des Moines have developed a nurse driven mobility protocol with a goal to decrease deconditioning, which can lead to falls and hospital acquired pressure ulcers. BACKGROUND/RATIONALE: Three units at Iowa Health - Des Moines will implement a nurse driven mobility protocol. These include a general medical unit, a neurology/neurosurgery unit and a critical care unit. Each unit will form an interdisciplinary team to develop, implement and evaluate an evidence based protocol. DESCRIPTION: Triggers will be development for patient enrollment into the mobility protocol and the actual nursing protocol will be developed and piloted on the three units. This will essentially be an independent nursing function. OUTCOME: The primary goals of the nurse driven mobility protocol at Iowa Health - Des Moines are to maintain the patient's functional status, decrease length of stay, and decrease iatrogenic complications as measure by HAPU rates, VAP rates, CAUTIs and injurious falls. Secondary goals include decreased fall rates, decreased sitter rates and decreased restraint rates. Tertiary goals include improvement in pain management, improved nurse to nurse hand offs and improved nursing documentation. INTERPRETATION/CONCLUSION: It is anticipated that the three units implementing the mobility protocol at Iowa Health - Des Moines will achieve the mentioned goals to improve patient outcomes. IMPLICATIONS FOR PRACTICE: Hospitalized patients can experience functional decline in a matter of days. This occurs most rapidly in the geriatric patient. Something as simple as establishing a mobility protocol can prevent this decline, which can lead to poor patient outcomes and increased costs on the system.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePatients on the Moveen_GB
dc.contributor.authorBaumhover, Lisaen_US
dc.contributor.authorLillegraven, Cherylen_US
dc.contributor.authorPandullo, Sarahen_US
dc.author.detailsLisa Baumhover, MS, GCNS-BC, Iowa Health Des Moines, Des Moines, Iowa, USA, email: baumhola@ihs.org; Cheryl Lillegraven, ACNS-BC; Sarah Pandullo, MSN, CCNS-BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164068-
dc.description.abstractPURPOSE/OBJECTIVES: The purpose of this project was to help patients hospitalized at Iowa Health - Des Moines maintain strength and ability to function while in the hospital. SIGNIFICANCE: Patients hospitalized in an acute care setting are often times immobilized; increasing the patient's risk for experiencing iatrogenic complications. Three Clinical Nurse Specialists at Iowa Health - Des Moines have developed a nurse driven mobility protocol with a goal to decrease deconditioning, which can lead to falls and hospital acquired pressure ulcers. BACKGROUND/RATIONALE: Three units at Iowa Health - Des Moines will implement a nurse driven mobility protocol. These include a general medical unit, a neurology/neurosurgery unit and a critical care unit. Each unit will form an interdisciplinary team to develop, implement and evaluate an evidence based protocol. DESCRIPTION: Triggers will be development for patient enrollment into the mobility protocol and the actual nursing protocol will be developed and piloted on the three units. This will essentially be an independent nursing function. OUTCOME: The primary goals of the nurse driven mobility protocol at Iowa Health - Des Moines are to maintain the patient's functional status, decrease length of stay, and decrease iatrogenic complications as measure by HAPU rates, VAP rates, CAUTIs and injurious falls. Secondary goals include decreased fall rates, decreased sitter rates and decreased restraint rates. Tertiary goals include improvement in pain management, improved nurse to nurse hand offs and improved nursing documentation. INTERPRETATION/CONCLUSION: It is anticipated that the three units implementing the mobility protocol at Iowa Health - Des Moines will achieve the mentioned goals to improve patient outcomes. IMPLICATIONS FOR PRACTICE: Hospitalized patients can experience functional decline in a matter of days. This occurs most rapidly in the geriatric patient. Something as simple as establishing a mobility protocol can prevent this decline, which can lead to poor patient outcomes and increased costs on the system.en_GB
dc.date.available2011-10-27T11:41:24Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:24Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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