Management of patient tubes and lines during early mobility in the intensive care unit

Early and progressive mobility in a community hospital

“…EM is defined as patient activity, including both passive and active movement, that's initiated shortly after patient admission or mechanical ventilation. Literature promoting EM as a safe and feasible intervention grew in the early 2000s and recent studies continue to demonstrate the many positive effects of mobilizing patients early and often 3,4. Data support numerous benefits of formal EM programs, including reductions in patient length of stay (LOS), delirium, pressure injuries, and functional mobility decline during acute care hospitalization 5-7…”

“…Despite the well-known benefits of EM, a review of the literature didn't find any consistently effective strategies for implementation of EM across the various studies 3-8. As a result, the published benefits of mobility vary greatly.…”

“…Literature promoting EM as a safe and feasible intervention grew in the early 2000s and recent studies continue to demonstrate the many positive effects of mobilizing patients early and often. 3,4 Data support numerous benefits of formal EM programs, including reductions in patient length of stay (LOS), delirium, pressure injuries, and functional mobility decline during acute care hospitalization. [5][6][7] Despite the well-known benefits of EM, a review of the literature didn't find any consistently effective strategies for implementation of EM across the various studies.…”

“…[5][6][7] Despite the well-known benefits of EM, a review of the literature didn't find any consistently effective strategies for implementation of EM across the various studies. [3][4][5][6][7][8] As a result, the published benefits of mobility vary greatly. Programs led by nurses, therapists, or with a team approach all demonstrate different outcomes for patients.…”

Early and Progressive Mobility in the ICU

“…Early and progressive mobility (EPM) is essential for improving patient outcomes and recovery from critical illness. The use of in-bed and out-of-bed mobility results in reduced use of mechanical ventilation, decreased incidence of ventilator-associated pneumonia and pressure injuries, reduced intensive care unit (ICU) and hospital length of stay, decreased duration of delirium, and improved physical functioning 1. EPM is especially important in the ICU, where the average patient spends 99% to 100% of their time in bed 2.…”