Implementing Early Mobility Protocols For ICU Patients: An Interprofessional Approach With Nurses, Physical Therapists And Laboratory Technicians

Abstract

Early mobility protocols for ICU patients aim to prevent complications of prolonged immobility through progression of physical activity soon after admission. Substantial evidence shows early mobilization reduces ICU length of stay, complications, and weakness while improving functional recovery. However, barriers including inadequate staffing, lack of equipment, and poor interprofessional collaboration impede adoption. An interprofessional approach engaging nurses, physical therapists, and laboratory s[1]cientists is key to successful implementation. Each clinician group serves vital roles including patient screening, hands-on assistance, tailored progression guidance, and diagnostic monitoring to enable safe mobilization. Strategies for developing effective mobility programs include evidence-based protocols, unit-based teams, optimized equipment/space, and culture changes promoting mobilization as a top priority. With coordinated leadership and teamwork, early mobilization can transition from research concept to real-world standard of care.