Defining the Process for Embedded Therapy in a Combined Medical-Surgical ICU

Therapist prints
electronic service list for
ICU, attends 7AM
charge nurse handoff,
monitors all patients

Has patient had a change in

functional status?

NO

RN sets mobility/activity
expectations: up to chair
3x/day, walking 3-4x/day,
ADLs as tolerated

RN utilizes room flip

chart for exercise ideas

Therapist monitors
daily

YES
Has patient had a change in
functional status?

Patient medically
stable?

YES

NO

YES

Therapist monitors
daily

PT/OT Evaluation

RN provides
PROM, Turns

Mobility/Activity
plan created

Patient becomes
stable

RN and/or PCA
follows with plan

RN and/or PCA
continues as
before

NO

RN and/or PCA
continues as
before

YES

PT/OT re-assess
and updates plan

Patient ready for

progression of
mobility/activity?

Patrick Cornelius, P.T., D.P.T., C.C.S., A.T.C., C.S.C.S.

Copyright 2015 Mayo Foundation for Medical Education and Research

NO

Patient goes to
floor

Defining the Process for Embedded Therapy in a Combined Medical-Surgical ICU

Therapist prints electronic service list

for ICU, attends 7AM charge nurse
handoff, monitors all patients

Column 1

Column 2

Column 3

Patient not medically stable

Patient stable, has change in

functional status

Patient stable, no change in

functional status

Therapist monitors
daily

PT/OT Evaluation

RN provides
PROM, Turns

Mobility/Activity
plan created

RN utilizes room
flip chart for
exercise ideas

Patient becomes
stable

RN and/or PCA
follows with plan

Therapist monitors
daily

Patient ready for

progression of
mobility/activity?

Patient now has

change in
functional status?

NO

YES

See column 2

Patrick Cornelius, P.T., D.P.T., C.C.S., A.T.C., C.S.C.S.

Copyright 2015 Mayo Foundation for Medical Education and Research

NO

YES

PT/OT re-assess
and updates plan

RN sets mobility/activity
expectations: up to chair 3x/
day, walking 3-4x/day,
ADLs as tolerated

NO

YES

See column 2