Protocol should be initiated on all inpatients on the first day of admission or transfer Goal of the protocol is for patients to ambulate walk early and often during their hospital stay ID: 647131
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UNM Early Ambulation Protocol: Protocol should be initiated on all inpatients on the first day of admission or transfer.Goal of the protocol is for patients to ambulate (walk) early and often during their hospital stay.Mobility activity per protocol to be performed ≥ 3 times per day and documented in PowerChart. If a patient walks downstairs or around the unit often, can just document ambulation distance as 2000 feet.Meals should be served out of bed whenever possible.Once a step is mastered, advance to the next step at the next session.If intolerance develops, discontinue activity and return to bed for rest. During next session, may decrease activity level until patient able to tolerate.Help is defined as either hand held OR use of assistive device.Continue ambulation protocol (≥ 3 times per day) until patient is discharged.
Can patient walk (with OR without help)?
Stand/pivot/step to chair. Goal: ≥ 60 minutes in chair.
Can patient sit at the edge of the bed with HOB flat (with OR without help)?
Can patient sit at the edge of the bed with HOB↑ to 45°-65° (with OR without help)?
Patient to chair position with HOB↑ to 65° and feet in dependent position. Goal: ≥ 60 minutes in chair position.
Walk. Initial goal: distance ≥ 200 feet.Secondary goal: to increase distance each time patient walks.Decrease level of assistance and/or supervision as tolerated.
Patient to sit at the edge of the bed. Goal: ≥ 10 minutes at edge of bed.
Start here with assessment (ask + observe):
YES
NO
NO
NO
YES
YES