Proposal for an early mobilization protocol for the ICU of a Public Hospital in Piauí: an experience report
DOI:
https://doi.org/10.55892/jrg.v8i19.2588Keywords:
Early Ambulation, Intensive Care Units, Clinical ProtocolsAbstract
Introduction: Admission to an ICU is associated with several complications, and this series of negative effects can be minimized with early mobilization or early rehabilitation; however, the absence of protocols hinders the implementation of this treatment. Objective: The aim of this study was to develop a proposal for an early mobilization protocol for a public hospital in Piauí. Methodology: This is a descriptive study in the form of an experience report on the development of a Standard Operating Procedure (SOP) intended for the ICU at the Dirceu Arcoverde State Hospital (HEDA). Initially, a survey was conducted on the professionals' level of knowledge, followed by a meeting with the Technical Responsible personnel, where important points for the development of the SOP were discussed. Results: For the execution of early mobilization or rehabilitation, it is essential to observe the criteria for inclusion, exclusion, and interruption. After this screening, the patient should be assessed using the Glasgow Coma Scale or the RASS Scale and, when possible, the S5Q Scale, the MRC Scale, and the JH-HLM Scale. From this information, the patient's clinical-functional profile is defined, and recommendations for early mobilization or rehabilitation are made. Discussion: The presence of a protocol removes subjectivity from clinical decision-making and provides the team with a prioritized approach integrated into the daily routine, thereby increasing adherence to treatment. Conclusion: We conclude that institutional protocols systematize patient care practices and tend to contribute to better clinical outcomes, as well as help reduce hospital costs. However, to ensure the effectiveness of such documents, it is essential that they are developed based on the hospital's realities, the team's knowledge, and the patients' profiles, and that the team receives appropriate training.
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