structured daily training and early mobilization in icu · 2016-11-25 · the 4 th european...
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The 4 th European Conference on Weaning & Rehabilitation in Critically ill Patients
Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
Structured Daily Training and Early Mobilization
in ICU
A Quality improvement project
Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
The Aim of the Questionnaire was to study the implementation of the
Guideline in ICU
Why did we do it? • Structured Early Daily Training and Mobilization • Multidisiciplinary Goal-setting for the patients
rehabilitation
Physiotherapist Mette Brøkner Hansen
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
How did we do it? • Prepare a Guideline
Tools for Implementation
• Study workshop
• Teaching session • Training session
Physiotherapist Mette Brøkner Hansen [email protected]
)
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
The Guideline
• PT screens all patients in the morning
• Multidisiciplinary daily briefing
• The patient will be assessed and catogorized
Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
• A visible multidisiciplinary plan for mobilization and training
• Visible for the patients and their relatives
Visibility
)
The Questionnaire
• 151 respondents • clinical phycisisan and nurses
• 18 closed questions with multiple choice • 2 weeks to reply, and reminder
Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
”Do you know the Guideline?”
NaPhysiotherapist Mette Brøkner Hansen [email protected]
vn (Sidehoved/fod)
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
Yes, but not read it 36% Yes, and have read it 56%
No 9%
”Is mobilization and training a everyday point at the ward round? ”
Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
Yes, it’s always a point to the ward round 24%
No, only when it’s relevant for the treatment 51%
No, it depends who is involved in the ward round 20%
Don’t know 6%
Nurse
Staff Specialist
Training Specialist
Senior hospital Physician
”Have you seen a change in the patient's mobilization since Guideline was introduced?”
Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
Yes, I see that the patient is mobilized more during the day 19%
I don’t see a change 14%
Yes, I see that the patient is more
mobilized in the weekend 15%
Perspectives
• Ensure that the training nurses and specialist are prepared for: • The Guideline • The practical approach to early
rehabilitation • Have skills to do the early rehabilitation
• Physiotherapist Mette Brøkner Hansen [email protected]
Structured Daily Training and Early Mobilization in ICU – A Quality improvement project
Let us share knowledge
Let us share experience