1. Nursing Mobility Protocol:
Outcomes of Implementation

2. Protocol Implemented August 5th, 2014
The protocol was implemented with the 1st 25 patients ordered the protocol in each age group (age 60-69, age 70-79, age 80-89, and age 90-99) who meet inclusion criteria were included:
Exclusion criteria
- Comfort measures only
Bedridden prior to admission
Surgical procedure

3. Control Group
Was chosen from patients discharged within 4 months prior to protocol implementation.
Patients chosen matched protocol patients by:
- Discharge diagnosis
- Gender
- Mobility prior to admission
- Age within 1 year.

4. The matches were very close
AGE
GENDER

5. The following outcomes were measured:
Length of stay
Presence of a Pressure Ulcer
Occurrence of a Fall
New placement in Skilled Nursing Faciltiy or Rehab setting
Mobility on Day 2 of Admission
Mobility at Discharge
Compliance with Protocol recommended goals

6. Length of Stay (Mean and SD)

7. Hospital Acquired Pressure Ulcers

8. Braden Scores

9. Occurrence of a Fall

10. New Discharge Destination

12. Mobility Scale

13. Mobility rating over time

14. What does this mean?
Favorable outcomes although within a standard deviation so did not reach significance
Difficult to determine if the effects seen were from the protocol or the education about mobility that occurred with protocol implementation. Time will tell
There was not big changes in mobility overall, however the small changes showed great outcomes

15. What now?
Audit proper leveling on patients on the protocol
Retrain and reinforce the use of safe patient lifting devices to support mobilization of patients
Discuss possibility of inform physical therapy consults to help nurses determine a mobility plan for patients if not OOOB by Day 2