Promoting Early Intervention
Why We Need to Change the Standard of Care in Adult ICUs
The problem with the current care in many adult ICUs is an epidemic of deep sedation, with associated bedrest and immobility. After ICU discharge, patients often experience post-intensive care syndrome (PICS), with long-term impairments in physical, cognitive and mental health.
Conversely, when early intervention is started shortly after initiating mechanical ventilation, patients experience less hospital-acquired weakness and impairments, have shorter length of stay, and are more often discharged to their home rather than to a skilled nursing or rehabilitation facility.
How AMP-ICU Works
The Adult ICU Early Rehabilitation Program is a multi-disciplinary approach to critical care for adults that calls for early intervention to get patients wider awake and moving.
To help hospitals facilitate this important paradigm shift in ICU care, the Adult ICU Early Rehabilitation Program provides both hospital and ICU leaders, as well as front-line clinicians, with the tools needed to design and implement a structured quality improvement (QI) process, including:
- Assembling a multidisciplinary team to create and sustain culture change
- Addressing existing cultural and other barriers to changing practice
- Designing and utilizing metrics to evaluate progress.
Program Components
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AMP-ICU Tools and Resources
Physical Therapy and Occupational Therapy ICU Competencies ($495) Competency materials utilized at Johns Hopkins Physical Medicine and Rehabilitation to train physical and occupational therapists in adult ICU rehabilitation Details, Previews, and Purchase > Critical Care Physical Medicine and Rehabilitation Quality Assurance Toolkit ($49) A collection of quality assurance forms, trackers and calculators used at Johns Hopkins. The toolkit is designed to efficiently monitor and evaluate physical rehabilitation and cognitive evaluations and interventions in the ICU, inclusive of physical therapy, occupational therapy intervention, and delirium assessment. Details, Previews, and Purchase > Complimentary Critical Care Rehabilitation Toolkit ($0) Includes training materials, resources, and tools utilized at Johns Hopkins in developing and sustaining the Critical Care Rehabilitation program. Details and Download >