Keep the Beat, Move Your Feet: Early Progressive Mobility for Cardiac Surgery Patients

Rex Healthcare (Raleigh, North Carolina)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Project Topic

Early progressive mobility

CSI Participants

LeeAnn Bradley, RN, BSN
Heather Dionne, RN
Charlotte VanNortwick, RN, CCRN
Sandy Waugaman, RN, BSN, CCRN

Project Goals/Objectives

  1. To promote early progressive mobility in open heart surgery patients
  2. To decrease post-op complications
  3. To decrease CTICU and hospital length of stay (LOS)
  4. To decrease readmissions
  5. To increase patient and family involvement in care
  6. To increase patient satisfactions (HCAHPS)

Project Outcomes

  1. Increased mobility in all CT surgery patients on post-op days one through four, with an overall 10 percent increase in mobility
  2. Decreased post-op pneumonia complications 1.5 percent, with a 0.7 percent decrease in DVTs
  3. Decreased CTICU and 4-West LOS 0.1 day each (overall LOS decrease of 0.2 day)
  4. Decreased readmission rate 2 percent
  5. Improved sleep on all levels
  6. These outcomes resulted in savings of $311,581, with a projected annual fiscal impact of $623,162.

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The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.