Any ICU's ambulating vented patients?
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This is a discussion on Any ICU's ambulating vented patients? in MICU / SICU Nursing, part of Critical Care Nursing ... I'm starting to here about vented pts being ambulated with the RN, PT, and RT. Do any of you...
by hodgieRN Nov 14, '12I'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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- Fink likes this.
- Nov 14, '12 by Sun0408We 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. - Nov 14, '12 by missnurse01I have worked in many icu's across the country but only saw it in one and it was pretty rare.
- Nov 14, '12 by commonsenseQuote from hodgieRNI think they only do that in specialized ICU departments located in Crazytown, USA.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.
- Nov 14, '12 by brandi-lynnAt 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!
- Nov 15, '12 by expatRNdkSome 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.
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- Nov 15, '12 by juan de la cruzWe 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. - Nov 15, '12 by hodgieRNThat'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?