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Clinical Practice Guidelines For Early Mobilization Hours After Surgery

Morris, Beverly A.; Benetti, Maureen; Marro, Hannah; Rosenthal, Cynthia Koch

Orthopaedic Nursing:
doi: 10.1097/NOR.0b013e3181ef7a5d
Original Manuscript

This clinical practice guideline (CPG) is the product of cohesive interdisciplinary collaboration. The impact of this project merits more than routine attention given the lack of published nursing literature. The Department of Nursing acted as the catalyst to improve the quality of patient care. This initiative resulted in a pivotal change in the standard of care, updating outmoded orthopaedic nursing practices. The most significant change improved the time patients began their first postoperative activity. Dangling the patient on the day of surgery enhanced the benefits of early activity and reduced the time from 16.8 to 6 hr with no adverse patient consequences. The CPG also demonstrated excellent postoperative pain management, realizing pain scores below 4 (0–10 scale) at multiple time points. In addition, the length of stay improved from 4.3 to 2.8 days. The results support the value of implementing a CPG.

Author Information

Beverly A. Morris, RN, CNP, MBA, Adult Health Nurse Practitioner, Certified, UCSD Medical Center, San Diego, CA.

Maureen Benetti, RN, NP, Orthopaedic Nurse Practitioner, UCSD Medical Center, San Diego, CA.

Hannah Marro, BSN, RN, Charge nurse, orthopaedic unit, UCSD Medical Center, San Diego, CA.

Cynthia Koch Rosenthal, BSN, RN, Patient Education Coordinator, UCSD Medical Center, San Diego, CA.

The authors have disclosed that they have no financial interests to any commercial company related to this educational activity.

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© 2010 National Association of Orthopaedic Nurses