Prone Positioning and Early Mobility

presented by Karsten Roberts, MSc, RRT, RRT-ACCS, FAARC

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Financial: Karsten Roberts receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Karsten Roberts has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 22 Minutes; Learning Assessment Time: 32 Minutes

Despite evidence of improved outcomes, prone positioning and early mobilization are not routinely utilized in ICU settings. Both procedures require multidisciplinary competency to be performed successfully. Gaps in knowledge remain regarding best practices and the role of the respiratory therapist (RT). The goal of this course is to clarify the role of prone positioning in patients with acute respiratory distress syndrome (ARDS) and to examine the role of RTs in mobilizing patients via mechanical ventilation. The course reviews the rationale for utilizing prone positioning in patients with severe ARDS. Additionally, the role of the RT for prone positioning and early mobility utilizing a team approach will be covered throughout the course. At the end of this course, learners will be able to determine appropriateness for early mobilization and facilitate adjunctive therapies in the ICU.

Meet Your Instructor

Karsten Roberts, MSc, RRT, RRT-ACCS, FAARC

Karsten J. Roberts, MSc, RRT, RRT-ACCS, FAARC, is a respiratory therapist with nearly two decades of experience. He earned a baccalaureate degree from Boise State University and a master's degree from Northeastern University. Karsten has been honored as both a Speciality Practitioner of the Year (2019) and a Fellow of the American Association for Respiratory…

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1. Prone Positioning

Prone positioning is indicated in patients with severe ARDS, facilitating improvements in patient outcomes when applied appropriately. This chapter covers the knowledge needed for respiratory therapists to participate in successfully moving the patient from supine to prone position and back.

2. Early Mobilization

Early mobilization of mechanically ventilated patients requires keen assessment of overall stability. This chapter covers the traffic light guidelines for assessing patients’ ability to mobilize via mechanical ventilation.

3. Early Mobilization: Application

This chapter covers the important role of respiratory therapists in mobilizing patients on mechanical ventilation. The physiologic and cognitive improvements to patients’ conditions are also described.

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