Let’s Move It: Implementing an Early Mobility Protocol

University of North Carolina Hospital (Chapel Hill, North Carolina)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Project Topic

Implementing early progressive mobility

CSI Participants

Melanie Milano, RN, BSN, CFCN
Heidi Prestemon, RN, BSN, RN-BC, RD, LDN
Darla Topley, RN, MSN, CCNS
Jeena Zacharias, RN, BSN, CCRN

Project Goals/Objectives

  1. To reduce the incidence of ventilator-associated pneumonia (VAP)
  2. To reduce the pressure ulcer occurrence
  3. To reduce the number of ventilator days
  4. To reduce length of stay
  5. To reduce the incidence of deep vein thrombosis (DVT)

Project Outcomes

  1. Reduced DVT incidence from nine to three in the acute care setting, and from five to one in the critical care unit
  2. Reduced pressure ulcers in the acute care setting to zero
  3. Reduced cases of VAP from five to two
  4. Reduced ventilator days in the critical care unit 50.9 days
  5. These outcomes resulted in a six-month savings of $255,768, with a projected annual fiscal impact of $511,536.

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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.