Moving the Critically Ill Patient
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This webinar will be recorded live on April 23rd, 2025 at 12:00PM CT. A recording of the webinar will be available within 24 hours of the live event.
The webinar is a recap of the session "Moving the Critically Ill Patient" from NPIAP's 2025 Annual Conference. Please note that if you claimed CE for the conference session, you cannot claim CE for this activity.
In today’s critical care environment, we face a difficult but essential task. We must provide comprehensive, compassionate and technologically complex care without causing harm to our patients. To foster a patient-safe environment, we must embrace collaboration and expertise beyond our walls and examine care practices and processes to reduce the chance of error.
Successful early mobilization of critically ill patients can reduce several complications including atelectasis, pressure injury and ventilator-associated pneumonia. Early mobilization also shortens ventilator time and can decrease cognitive and functional limitations that may linger 1 to 5 years after discharge from the intensive care unit.
A long-standing challenge to successful mobilization and prevention of pressure injury in critically ill patients are safety concerns related to hemodynamic instability. This webinar will explore critically ill patient physiology during mobilization and strategies to promote adaptation. We will provide evidence for assessing readiness for mobilization while reducing the risk of adverse events and successful out of bed mobilization. Evidence-based tools and techniques to help clinicians prevent hemodynamic instability before, during, and after in-bed or out-of-bed mobilization will be discussed. With safety serving as the overriding goal, we can overcome barriers to create and sustain a culture of early progressive mobility, caregiver safety and prevention of pressure injuries within the intensive care unit.
1. Propose strategies informed by physiology of movement to overcome hemodynamic instability in critical care patients.
2. Compare and contrast the recommendations regarding moving the critically ill patient between the 2019 & 2025 guidelines
3. Discuss the various evidence based assessment tools for mobility readiness in the critically ill patient
4. Identify activity titration to move from turn and reposition to ambulation while ensuring prevention of skin injury
Kathleen Vollman, MSN, RN, CCNS, FCCM, FCNS, FAAN
Ms Vollman is a Critical Care Clinical Nurse Specialist and Consultant. She has published & lectured nationally and internationally on a variety critical care, prevention of health care acquired injuries including pressure injury and HAI’s and serves as a subject matter expert on these topics for the American Hospital Association. From 1989 to 2003 she function as a Clinical Nurse Specialists for the medical ICU’s at Henry Ford Hospital in Detroit Michigan.
Stephanie Woelfel, PT, DPT, CWS
Dr. Stephanie Woelfel PT, DPT, CWS is an Associate Professor of Clinical Physical Therapy in the Division of Biokinesiology and Physical Therapy and holds a dual faculty appointment in the Department of Surgery at the University of Southern California (USC). Dr. Woelfel holds board certifications in wound management from both the American Board of Wound Management and the American Board of Physical Therapy Specialties.
Her physical therapy career has spanned over 25 years in both short and long-term acute care, skilled nursing facilities, outpatient, home care and consulting. Dr. Woelfel is active in the American Physical Therapy Association (APTA) and serves as the current President of the Academy of Clinical Electrophysiology & Wound Management (ACEWM).
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