Any ICU's ambulating vented patients?

  1. 0
    I'm starting to here about vented pts being ambulated with the RN, PT, and RT. Do any of you practive this at you hospital? There's videos on Youtube, which is pretty wild. The pt has a walker with the vent on a rolling table.

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  2. 23 Comments...

  3. 1
    ICU isn't my area, but that sounds like it's about a 3 person job!
    Fink likes this.
  4. 1
    We don't do it in our dept, obviously trauma's aren't gonna walk all that soon, however, they do walk vented pts in the CCU. They have a portable vent on wheels or they just bag the pt. I have yet to see it but others that have floated there said its wild to see at first
    Esme12 likes this.
  5. 0
    I have worked in many icu's across the country but only saw it in one and it was pretty rare.
  6. 7
    Quote from hodgieRN
    I'm starting to here about vented pts being ambulated with the RN, PT, and RT. Do any of you practive this at you hospital? There's videos on Youtube, which is pretty wild. The pt has a walker with the vent on a rolling table.
    I think they only do that in specialized ICU departments located in Crazytown, USA.
    ausrnurse, Fink, Ms.MayaRN, and 4 others like this.
  7. 4
    At Kaiser in Portland we ambulate our vented pts once or twice daily with RT, PT (or another nurse) and the RN. The pts like it and they get extubated sooner. You use less sedatives because the pts are genuinely tired, less delirium, etc. I love it. Most of the nurses I work with love it too. Of course there are pts who don't qualify to walk, but a lot do. It's great, check it out!
    AliceTrout, Esme12, KbmRN, and 1 other like this.
  8. 1
    Some of our patients stand up out of bed, walk in place, and take a few steps over to an easy chair, where they might sit for a few hours or so.
    opossum likes this.
  9. 0
    I wish my hospital did this!
  10. 3
    We ambulate patients on vents in our ICU. This has been one of our quality initiatives and has been successful so far with the combined effort of nursing and PT. There are numerous articles that address this:

    Early Mobilization in the ICU: Improving Patient Outcomes | The American College of Chest Physicians
    http://www.ncbi.nlm.nih.gov/pmc/arti...j0023-0005.pdf
    http://depts.washington.edu/pulmcc/c...bilization.pdf
    http://ptrehab.ucsf.edu/sites/ptreha...0the%20ICU.pdf

    The last link is from our institution.
    AliceTrout, Esme12, and expatRNdk like this.
  11. 0
    That's so awesome! Let me ask you this...What do you say to people that argue pts who can ambulate don't need to be intubated in the first place?


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