Aims & Objectives:
The concept of early mobility (EM) in the Paediatric Intensive Care Unit (PICU) is recognised as an essential component of patient care. EM is activity within the first three days of admission. The aim was to establish when patients began to mobilise during admission to a PICU pre and post implementation of an EM initiative.
An eight week prospective service evaluation was carried out in 2016 in in PICU at The Royal Hospital for Children, Glasgow to establish when patients began to mobilise. This was repeated 12 months later following the launch of an EM quality improvement (QI) initiative. Data was collected Monday-Friday on all patients in PICU. The Manchester Mobility Scale was modified and used to record patient activity levels. Additionally, mode of ventilation was recorded.
A total of 92 patients were included in 2016 with 99 patients included in 2017 (table 1). Only patients who had data collected for the first two full days of admission (days 2 and 3) were analysed. Prior to the QI initiative 31% (9/29) of patients mobilised within the first three days of admission to PICU. In 2017, 100% (27/27) of patients in PICU mobilised within the first three days (p<0.01).
The EM QI initiative has resulted in a significant increase in the number of patients mobilising within the first three days of admission. This is the result of a culture change in PICU, with all staff recognising the benefit of EM. EM should be considered standard care for patients admitted to PICU