Dickinson Sharon, Taylor Sarah, Anton Paula
Surgical Intensive Care Unit/Rapid Response Team (Ms Dickinson), Trauma Burn Intensive Care Unit (Ms Taylor), and Physical Medicine and Rehabilitation, Wound and Ostomy Team (Ms Anton), University of Michigan Hospital and Health Systems, Ann Arbor.
Crit Care Nurs Q. 2018 Jul/Sep;41(3):240-252. doi: 10.1097/CNQ.0000000000000202.
Early, routine mobilization of critically ill patients is safe and reduces hospital length of stay, shortens the duration of mechanical ventilation, and improves muscle strength and functional independence. At the University of Michigan, we have turned the tides by creating a structured process to get our patients moving while keeping them and our staff safe through the use of a standardized mobility protocol that incorporates the components of safe patient handling. Our protocol is simple and can easily be adapted for all patient populations by simply modifying some of the inclusion and exclusion criteria. The protocol incorporates safe patient handling and mobility preassessment guidelines, mobility standards, equipment guidelines, and documentation tools. The activities are grounded in the evidence and well thought out to prevent complications, promote mobilization, and prevent patient and staff injuries. This article will discuss a how a tertiary care facility incorporated a safe patient-handling initiative into an existing mobility program and operationalized it across a health care system to keep our patients and staff safe.
对危重症患者进行早期常规活动是安全的，可缩短住院时间、减少机械通气时长，并增强肌肉力量和提高功能独立性。在密歇根大学，我们通过创建一个结构化流程扭转了局面，即通过使用包含安全患者搬运要素的标准化活动方案，让患者活动起来，同时确保患者和工作人员的安全。我们的方案很简单，只需修改一些纳入和排除标准，就能轻松适用于所有患者群体。该方案纳入了安全患者搬运和活动预评估指南、活动标准、设备指南以及记录工具。这些活动有充分的证据支持，经过精心设计，以预防并发症、促进活动并防止患者和工作人员受伤。本文将讨论一家三级医疗设施如何将安全患者搬运举措纳入现有的活动计划，并在整个医疗系统中实施该计划，以确保患者和工作人员的安全。
