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Let’s get moving!  Early mobility in the ICU



Nicole Kupchik , MN, RN, CCNS, CCRN-K, PCCN-K

                        Valentina Obreja, DPN(c), RN, MSN, AG/AC, NP-BC, CCRN, CSC, CMC, PHN

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Immobilization of critically ill patients leads to long term complications including muscle atrophy, delirium, and post-ICU syndrome. Numerous studies evaluating early mobilization demonstrate decreased rates of delirium, decreased length of ICU and hospital stay and cost avoidance. Included in this presentation will be evidence-based recommendations for readiness for early mobility and minimization of complications through proper staffing, equipment and securement of all lines and tubes. This educational webinar will outline the benefits and strategies of early mobilization and the multi-disciplinary approach it takes to create a successful program.

Learning Objectives

Upon completion of this activity, the participant will be able to:

  1. Upon completion of this activity, the participant will be able to:
    Describe the benefits and barriers of early mobilization in the ICU

  2. Describe the ICU Liberation (A to F) Bundle and important components leading to improved care 

  3. Discuss evidence-based ambulation protocols support safe mobility and improves patient outcomes in the cardiothoracic ICU patient population


Faculty Bio:

Nicole Kupchik has practiced as a critical care nurse for over twenty years. In 2008, Nicole lead a team that implemented a formalized Sepsis program at Harborview Medical Center that led to a reduction in mortality, hospital length of stay and a significant cost avoidance.  For this collaborative effort, she was awarded three Patient Safety & Clinical Leadership awards.

Valentina Obreja is currently a clinical nurse in the Cardio-Thoracic ICU at the Ronald Reagan UCLA Medical Center,Los Angeles, CA. She has presented at national and international conferences on early mobility and ambulation of frail COVID-19 adult extracorporeal membrane oxygenation patients as well developing mortality risk and ambulation Protocol for adult extracorporeal membrane oxygenation patients.

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