Megan A Brissie1, Meg Zomorodi2, Sharmila Soares-Sardinha3, J Dedrick Jordan4. 1. Acute Care Nurse Practitioner, UNC Health Care, Neuroscience Intensive Care Unit, Department of Neurology, 170 Manning Drive, Campus Box 7025, Chapel Hill, NC 27599-7025, United States. Electronic address: Megan.Brissie@unchealth.unc.edu. 2. Associate Professor and Health Care Systems APA Coordinator, University of North Carolina at Chapel Hill School of Nursing, Carrington Hall, CB # 7460, Chapel Hill, NC 27599-7460, United States. Electronic address: Meg_Zomorodi@unc.edu. 3. UNC Health Care, Neuroscience Intensive Care Unit, 101 Manning Drive, Chapel Hill, NC 27514, United States. Electronic address: Sharmila.SardinhaSoares@unchealth.unc.edu. 4. Associate Professor, Departments of Neurology and Neurosurgery, Chief, Division of Neurocritical Care, University of North Carolina School of Medicine, UNC Hospitals Neuroscience Intensive Care Unit, 170 Manning Drive, CB # 7025, Chapel Hill, NC 27599, United States. Electronic address: dedrick@neurology.unc.edu.
Abstract
OBJECTIVE: Through evaluation of the literature and working with a team of multidisciplinary healthcare providers, our objective was to refine an interprofessional Neuro Early Mobilisation Protocol for complex patients in the Neuroscience Intensive Care Unit. RESEARCH METHODOLOGY: Using the literature as a guide, key stakeholders, from multiple professions, designed and refined a Neuro Early Mobilisation Protocol. SETTING: This project took place at a large academic medical center in the southeast United States classified as both a Level I Trauma Center and Comprehensive Stroke Center. MAIN OUTCOME MEASURES: Goals for protocol development were to: (1) simplify the protocol to allow for ease of use, (2) make the protocol more generalizable to the patient population cared for in the Neuroscience Intensive Care Unit, (3) receive feedback from those using the original protocol on ways to improve the protocol and (4) ensure patients were properly screened for inclusion and exclusion in the protocol. RESULTS: Using expert feedback and the evidence, an evidence-based Neuro Early Mobilisation Protocol was created for use with all patients in the Neuroscience Intensive Care Unit. CONCLUSION: Future work will consist of protocol implementation and evaluation in order to increase patient mobilisation in the Neuroscience Intensive Care Unit.
OBJECTIVE: Through evaluation of the literature and working with a team of multidisciplinary healthcare providers, our objective was to refine an interprofessional Neuro Early Mobilisation Protocol for complex patients in the Neuroscience Intensive Care Unit. RESEARCH METHODOLOGY: Using the literature as a guide, key stakeholders, from multiple professions, designed and refined a Neuro Early Mobilisation Protocol. SETTING: This project took place at a large academic medical center in the southeast United States classified as both a Level I Trauma Center and Comprehensive Stroke Center. MAIN OUTCOME MEASURES: Goals for protocol development were to: (1) simplify the protocol to allow for ease of use, (2) make the protocol more generalizable to the patient population cared for in the Neuroscience Intensive Care Unit, (3) receive feedback from those using the original protocol on ways to improve the protocol and (4) ensure patients were properly screened for inclusion and exclusion in the protocol. RESULTS: Using expert feedback and the evidence, an evidence-based Neuro Early Mobilisation Protocol was created for use with all patients in the Neuroscience Intensive Care Unit. CONCLUSION: Future work will consist of protocol implementation and evaluation in order to increase patient mobilisation in the Neuroscience Intensive Care Unit.