This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
atients in the Intensive Care Unit (ICU) are at high risk for many immobility related complications such as Deep Vein
Thrombosis (DVT), Ventilator Associated Pneumonia (VAP), and pressure ulcers. Early mobilization in this population is
the most effective way to decrease complications.
In the ICU, we have developed a Progressive Mobility Protocol to ensure that our patients receive mobility interventions
early in their admission. We have encouraged staff to take ownership of the project by engaging them in the mobilization decision
making process. We have worked with our physicians to limit bed rest orders to patients with legitimate contraindications to
The Progressive Mobility Protocol is initiated based on patient?s status and level of deconditioning. Mobility progresses from
elevating the head of the bed to 45 degrees to walking independently, in 7 steps Progressive mobilization occurs 2- 3 times per
day unless patient meets exclusion criteria.
One VAP can cost a hospital $25,072, or more if you factor in complications related to the infection. 22 patients acquired
VAP during their stay in our unit in Fiscal Year (FY) 2010 alone. This means 6.08 diagnosed cases of VAP per 1000 ventilator
days; the national benchmark is 3.30.
To measure the effectiveness of the protocol we evaluated ventilator days and VAP rates before and after initiation of project
and reported data gathered. In FY 2011, post implementation, we had 5 diagnosed cases of VAP and 4 in FY 2012. Currently, in
FY 2013, we only have 1 diagnosed case of VAP.
Aimee L. Skrtich is working towards her Master?s Degree in Nursing Administration at the University Of Pittsburgh School Of Nursing at the age of
32. She is the Unit Director of the Medical ICU at UPMC Mercy Hospital, a Level 1 Trauma Center in Pittsburgh, PA. She has presented both locally
and nationally at 4 conferences.
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals