The SPH Medical RoWalker is the gold standard of early mobility walkers
CategoriesPatient Handling

SPH Medical RoWalker Redefining Early Mobility with a Walker for All Sizes

SPH Medical is a beacon of innovation in the realm of healthcare safety and mobility. Our unwavering commitment to improving patient outcomes is at the heart of our mission. We continually strive to redefine patient early mobility, particularly in critical care areas such as Intensive Care Units (ICUs) and hospital/rehab settings.

The Crucial Role of Early Mobility

The role of early patient mobility in ICUs and rehab settings is pivotal. Cutting-edge research consistently underscores the profound impact of initiating movement post-treatment on accelerating recovery times. However, this crucial aspect of patient care often presents an array of challenges, particularly when addressing the diverse needs of patients of all sizes.

The SPH Medical RoWalker: A Game-Changing Solution

In response to these challenges, we bring to you the SPH Medical RoWalker – an early mobility platform walker designed to transform patient mobility protocols while prioritizing the safety and comfort of patients of all sizes.

The Exceptional Features of the SPH Medical RoWalker

The RoWalker stands as a testament to exceptional design and functionality. Its adjustable height setting accommodates a wide range of patients, ensuring inclusivity in care. The ergonomic hand grip design guarantees a secure and comfortable grip, building patient confidence during mobility sessions.

The standout feature of the RoWalker is its integrated seat flaps. The safety seats are often the number one reason that nurses and therapists select the RoWalker over all other ambulation devices.  This innovative feature not only prevents falls but also allows for fewer nurses or therapy staff to work with a patient, eliminating the need to follow the patient with a wheelchair. Furthermore, these seat flaps enable the patient to rest when needed, fostering a sense of autonomy and dignity.  Having the opportunity to allow the patient to rest and regain energy results in more steps being taken during a therapy session and ultimately contributes to a reduced length of stay.

Moreover, the RoWalker’s impressive weight capacity of up to 400lbs makes it a versatile choice for patients of all sizes and body types. The padded arm rests can be adjusted in or out and the safety seats can rotate outward 180 degrees to allow for larger body types. For heavier patients up to 530lbs, we proudly offer the Bure XL Platform Walker.

The RoWalker also offers optional accessories such as an IV Pole, Oxygen Tank Holder, and a front basket. These accessories ensure that even the most complex ICU patient can carry all necessary equipment during ambulation, making the RoWalker a comprehensive solution for early patient mobility.The SPH Medical Universal IV Pole attaches to RoWalker and stretchers, wheelchairs and more.

Directional casters are standard on the RoWalker.  These locking casters allow the RoWalker to track in a straight line during walking exercise.  For tight turns the directional casters can be left unlocked.  The base of the RoWalker opens and closes with the simple press of a foot lever which may be useful to access a chair or bed with low frame.

The Unparalleled Benefits of the SPH Medical RoWalker

The RoWalker is not merely a mobility aid – it is a revolution in patient care. By enhancing patient mobility, reducing injury risk, and improving comfort levels, the RoWalker is setting new standards of care. Real-world case studies confirm these benefits, showcasing notable improvement in patient recovery times following the integration of RoWalker into care routines.

The RoWalker in Practice: Empowering Patients of All Sizes

Patients of all sizes often face unique mobility challenges, necessitating specialized care and equipment. The RoWalker, with its robust construction and accommodating design, is tailor-made to meet these requirements. Our data reveals a significant increase in early patient mobility among patients of all sizes following the introduction of RoWalker, underscoring its effectiveness.

The Transformative Impact of the RoWalker on Patient Early Mobility

The SPH Medical RoWalker is more than a device; it’s a paradigm shift in early patient mobility. Its innovative design, coupled with remarkable safety features, establishes it as the gold standard of early mobility platform walkers.

We invite healthcare professionals dedicated to improving patient outcomes to experience the transformative power of the RoWalker.

In conclusion, the RoWalker by SPH Medical isn’t merely a product – it’s a commitment. A commitment to enhanced patient mobility, unrivaled care, and accelerated recovery times. Embrace the future of patient care with the RoWalker today.

CategoriesPatient Handling

The Importance of Early Patient Mobility and the Benefits to Patients and Hospital Staff

In the world of healthcare, the importance of early patient mobility is not just a beneficial practice; it’s a necessity. The importance of getting patients mobile as quickly as possible cannot be overstated. It reduces length of stay, improves respiratory and circulatory function, and speeds recovery. However, manual patient handling carries its own risks, including potential injuries to both the patient and caregiver. Enter cardiac walkers, also known as platform walkers, a solution that safely mobilizes patients while reducing these risks.

Understanding Cardiac Walkers: Your Key to Safe Patient Mobilization

Cardiac walkers are specially designed devices that support and stabilize patients as they regain their mobility. They play an integral role in helping patients move safely and comfortably, offering an effective alternative to manual handling. By using a cardiac walker, healthcare providers can reduce the risk of injury and ensure a smooth transition from immobility to mobility for their patients.

Spotlight on SPH Medical’s Bure XL Walker: The Gold Standard in Patient Mobility

The Bure XL Walker from SPH Medical is a standout in the realm of cardiac walkers. This robust product supports patients up to 530 lbs, accommodating a diverse range of patient needs. The Bure XL Walker is not only strong but also equipped with essential accessories like an IV Pole and Oxygen tank holder. Its Transfer Plate Accessory further enhances its functionality, enabling the walker to be used for sit-to-stand transfers. With the Bure XL Walker, the importance of early patient mobility is safer and more efficient than ever.Bure XL Cardiac Platform Walker 530 lb capacity

Introducing SPH Medical’s Bure Rise & Go DB: Power and Comfort Combined

Next, we present the Bure Rise & Go DB, another stellar product from SPH Medical. This walker shines with its power rise function, ergonomic handles, and folding armrests that open up to allow access to handles for sit-to-stand action. Its unique walking harness provides additional support, promoting patient confidence during mobility exercises. The Bure Rise & Go DB can accommodate patients up to 330 lbs, and its Transfer Plate Accessory allows for seamless sit-to-stand transfers.Bure Rise and Go DB platform cardiac walker

Evidence Supporting Early Patient Mobility Programs: The Stats Don’t Lie

The importance of early patient mobility programs are supported by substantial evidence. Studies show that these programs significantly improve patient outcomes, reduce the length of hospital stays, and cut healthcare costs1. As such, there’s a national trend towards implementing early patient mobility programs in hospitals across the country. The success stories are numerous, and the positive impact on patient recovery is undeniable.

SPH Medical as Your Trusted Partner in Early Patient Mobility

In summary, SPH Medical’s cardiac walkers – the Bure XL Walker and the Bure Rise & Go DB – offer an effective and safe solution for patient mobility. Our commitment to patient and staff safety is unwavering, and we’re proud to be part of the movement towards early patient mobility. If you want to learn more about our products and services, or if you’re ready to take a step towards safer patient handling, contact SPH Medical today. We’re here to support you in your critical mission of providing excellent patient care.

Early Patient Mobility and the platform walker Rise and Go DB with walking harness
CategoriesPatient Handling

The Evolution of Early Patient Mobility and Its Impact on Healthcare

In the dynamic landscape of healthcare, the concept of Early Patient Mobility (EPM) has emerged as a critical component in patient recovery and overall health outcomes. As healthcare professionals and institutions worldwide strive to enhance patient care, EPM stands as a testament to innovative and effective patient care strategies.

The Evolution of Early Patient Mobility

Historically, patient mobility was often overlooked, with prolonged bed rest frequently prescribed for a wide range of health conditions. However, the approach to patient mobility has undergone a significant transformation over time. According to a study titled “Perspectives on the evolution of mobile (mHealth) technologies and application to rehabilitation,” the shift towards prioritizing patient mobility is evident and is increasingly being recognized for its substantial impact on patient recovery and rehabilitation.

The Impact of Early Patient Mobility Programs in Hospitals

The implementation of EPM programs in hospitals has been nothing short of revolutionary. Evidence supporting their effectiveness is compelling. The study “Early mobility in the hospital: lessons learned from the STRIDE program” highlights how EPM programs have contributed to improved patient outcomes and reduced the need for post-acute institutional care. These programs, focused on getting patients moving as early as possible, have proven successful in reducing hospital stays, enhancing patient satisfaction, and improving overall health outcomes.

The Role of the Cardiac Walker in Early Patient Mobility Programs

Integral to the success of EPM programs is the use of cardiac walkers. These devices provide the necessary support and stability for patients to begin moving safely and confidently. They are an essential tool in the arsenal of EPM, facilitating patient mobility and contributing significantly to patient recovery and rehabilitation.

Innovations by SPH Medical Inc in Supporting Early Mobility Programs

Among the pioneers in supporting EPM through innovative solutions is SPH Medical Inc. Their comprehensive line of Safe Patient Handling Solutions and Early Mobility Walkers has revolutionized EPM in hospitals worldwide. SPH Medical Inc’s products epitomize the perfect blend of safety, effectiveness, and innovation, significantly enhancing patient care.

The Gold Standard of Cardiac or Safety Platform Walkers: Bure XL Walker, Bure Rise and Go Walker, and Bure Rise and Go DB Walkers

In the realm of cardiac walkers, the Bure XL Walker, Bure Rise and Go Walker, and Bure Rise and Go DB Walkers stand as the gold standard. These walkers, known for their superior design, durability, and safety features, have become the preferred choice for healthcare professionals. They offer unparalleled support and stability, enabling patients to move with confidence and ease.The SPH Medical Bure XL Walker supports 529lbs

The Bure Standard Walker: A Cost-Effective Entry-Level Cardiac Walker

For hospitals looking to implement EPM programs without compromising on quality or safety, the Bure Standard Walker provides a cost-effective solution. Despite being an entry-level cardiac walker, it offers the same high standards of safety and support characteristic of the Bure range of walkers.

The evolution of EPM and its impact on patient care is profound. The continued importance of innovation in delivering effective EPM solutions cannot be overstated. As healthcare continues to evolve, companies like SPH Medical Inc remain at the forefront, delivering innovative, effective, and safe solutions for patient mobility.

SPH Medical: A Pioneer in Early Patient Mobility Programs

Since 2012, SPH Medical has been at the forefront of implementing successful Early Patient Mobility programs in leading hospitals across the country. Their unwavering commitment to enhancing patient care, coupled with their innovative range of products, has contributed significantly to reducing the length of stay and improving patient outcomes. These achievements serve as a testament to the efficacy, safety, and superiority of their solutions.

For hospitals considering the integration of Safety Platform Walkers or Cardiac Walkers into their patient care strategies, SPH Medical is the go-to expert. Their professional and experienced team is ready to discuss your needs, providing tailored solutions that align with your hospital’s specific requirements. They understand that every hospital is unique, and so too are their patient mobility needs.

Don’t hesitate to leverage the expertise and innovation offered by SPH Medical. Reach out to them today to discuss your needs and request a quote. The journey towards enhanced patient care and improved health outcomes begins with a simple conversation. With SPH Medical, you’re not just choosing a product; you’re choosing a partner committed to your success.

SPH Medical Early Mobility Walkers
Categoriesearly mobility

Early Mobility Walkers Improving Outcomes

Early Patient Mobility (EPM) is a practice that focuses on the early mobilization of patients, especially post cardiac surgery, to improve their outcomes. This practice has gained traction in recent years as its advantages and benefits have become known. By using an appropriate device such as the Rise and Go Platform Walker, RoWalker, or the Early Mobility EVA Walker nurses can help reduce hospital stays by encouraging movement and mobility earlier than would be otherwise possible.

Early mobility walkers provide a great advantage to nurses and patients alike. They allow for the patient to easily stand from a sitting position, which is especially beneficial post cardiac surgery when strength and energy levels are low. This standing frame also provides stability as the patient takes steps, making it safer than trying to take these early steps without proper support. Additionally, by providing an appropriate device such as the Rise and Go Platform Walker, RoWalker or Early Mobility EVA Walker, nurses can help reduce hospital stays by encouraging movement and mobility earlier than would be otherwise possible.

Overall, early patient mobility has many advantages that benefit both patients and nurses. By using appropriate devices such as those mentioned previously nurses can ensure that their patients are able to move about safely and effectively, thus improving patient outcomes whilst reducing hospital stays. With the right device and proper guidance from nurses, early patient mobility can help patients return to their everyday activities sooner than expected.

Benefits of the Rise and Go Platform Walker

The SPH Medical Rise and Go platform walker is an affordable, safe, and comfortable solution for early patient mobility and ambulation. It comes with a patented electric power rise function that enables patients to move from sitting to standing with ease while minimizing the strain on caregivers. The walker has lockable castors, an IP65 waterproof rating, and a unique power rise harness that promotes a natural standing action, making it easier and safer to move from sitting to standing. The electric walking frame widening feature makes it easier for patients to stand up from a sitting position, even if they are in a wheelchair, bed or chair.Early Mobility Walker Rise and Go

The Rise and Go platform walker has an open, reinforced design for optimal stability during the standing maneuver, providing caregivers and patients with greater peace of mind. The sustainable design includes additional reinforcement bands that extend around the armrest cushion, reducing strain and warding off wear and tear. This feature increases lifespan and reduces costs for nursing homes, hospitals, private individuals, and other facilities.

The Rise and Go platform walker is suitable for early patient mobility, with height-adjustable shin supports that assist patients in achieving the right leverage and an anatomical cushion that enhances overall stability, providing support and relief to the arms, neck, and shoulders while shifting weight to the more powerful leg and chest muscles.

The hand controller on the walker is accessible to caregivers and patients, with ergonomic handles that can be adjusted in every direction for stroke patients who need to find the right positioning for their hands quickly. The flexible strapless adjustment makes it easy to set up the walker ahead of time, while folding armrests make it easy to store.

In summary, the SPH Medical Rise and Go platform walker is an excellent investment for anyone looking to provide patients with a safe, comfortable, and reliable solution for early mobility and ambulation. With features like electric power rise function, lockable castors, IP65 waterproof rating, and electrically driven frame widening, this walker provides optimal support and patient care. The sustainable, durable design ensures a long lifespan, making it a cost-effective solution for nursing homes, hospitals, private individuals, and other facilities.

Benefits of the Rowalker, “Early Mobility Walkers”

The SPH Medical RoWalker is a highly effective mobility device that enhances patient safety, particularly during walking. Featuring state-of-the-art designs, this mobile standing frame is perfect for low-functioning patients, post-cardiac and/or abdominal surgery patients, and nursing and rehab patients. The RoWalker is equipped with numerous features that make it ideal for patients in a variety of settings, including ICU’s, Med Surg, Ortho, Rehab, and more.SPH Medical RoWalker

One of the main advantages of the RoWalker is the built-in seat pads that offer exceptional comfort and fall prevention. The unique split seat pads allow patients with weak legs to rest comfortably and safely while preventing falls. With adjustable settings that cater to individual users, the RoWalker is suitable for anyone, including short to very tall patients.

Moreover, the RoWalker provides excellent support for both walking and standing training, and it is perfect for early mobilization. It also enables staff to provide extra support to patients who are taking their first steps with the RoWalker. The seat flaps offer an excellent safety feature for patients as they walk, providing the opportunity to rest and challenge themselves to take more steps.

In addition to its other features, the RoWalker is fitted with padded forearm supports that are adjustable, ensuring an optimal fit for each patient. The soft knee pads offer patients extra support during standing while also protecting them during walking. The width-adjustable base allows for easy access to chairs and wheelchairs, making it easy and convenient to maneuver. The RoWalker comes with rear castors that enable straight walking, and front wheel brakes that lock and unlock easily.

Finally, the RoWalker is equipped with numerous accessories to enhance its effectiveness. The hospital’s nursing, therapy, and respiratory staff can take advantage of the telescoping IV pole, customized basket to support cardiac monitors, multiple attachment options for oxygen tanks, and supports for drainage bags. With all these features and benefits, it is no wonder that the RoWalker is widely regarded as the gold standard of early patient mobility devices.

Benefits of the Early Mobility EVA Walker

The Early Mobility EVA Walkers are available in manual (pneumatic) and electric raising versions. Both models offer post-op patients maximum comfort and stability during their rehabilitation process. With an ergonomic design, these walkers provide unparalleled support to those undergoing early walking exercises, ensuring a safe and effective recovery. The walkers come with padded, molded arm pads featuring sculpted forearm cutouts to prevent arms from sliding off, convenient round-shaped, forward-facing handgrips for an improved ergonomic grip, and an adjustable width between armrests (12″-19″), making it perfect for institutions with multiple users.

The height adjustment lever mechanism located under the front armrest support frame allows easy customization of the walker, accommodating users up to 6’5″/198cm tall. EVA Walkers also include non-marring casters with step-on wheel locks, making them an ideal aid for indoor use. For added safety, Step-on locking brakes are present on two rear casters, while the Handbrake model includes a locking brake on the hand grips.

Electric EVA Walkers come with directional steering casters that enable the user to control the direction of the walker. Front brakes engaged when the patient stands or gets in or out of the walker, while rear casters lock in a straight line with the frame, keeping the walker from drifting sideways, making it especially helpful for patients who have difficulty walking in a straight line. The caster locks can be disengaged to enable a 360-degree swivel and tight turns, promoting independence and building patients’ confidence.Pendant Hand Control for the Electric EVA Platform Walker

The Electric EVA Platform Walker offers further convenience, with battery-operated height adjustment that adjusts between 36 1/2″ and 50″, and lifting capacity of 220 lbs (100 kg) for supporting patients during active standing. The walker comes equipped with an independent pendant hand control for easy operation and two 12v 2.9 rechargeable batteries that provide up to 6 minutes of continuous use per hour and a minimum of 50 up/down movements between charges.

SPH Medical Early Mobility Walkers provide safe, customizable, and effective mobility solutions for post-op patients during their rehabilitation process, maximizing their chances of a full recovery. Invest in the well-being of patients by working with SPH Medical to mobilize your patients.

Mobility Walkers by SPH Medical

Overall, the portfolio of Early Mobility Walkers from SPH Medical offer a wide arrange of options for use by nurses and Physical Therapists when attempting to implement early patient mobility practices. They offer optimal safety and support to patients, while providing improved outcomes and reduced hospital stays. With adjustable height settings, nurses can ensure that their patients are able to move about safely and effectively with minimal risk of injury or over-exertion. These unique Early Mobility Walkers also provide options for improved fall prevention with the RoWalker’s built-in seat flaps and the harness options available on the Rise and Go Platform Walkers.

The SPH Medical RoWalker improves patient outcomes
CategoriesPatient Handling

Early Mobility and the RoWalker

Medically speaking, early patient mobility means mobilizing or getting a patient out of bed within hours of their intensive care stay in a hospital. And there are several reasons why this is of utmost importance, notes an evidence based study from the Johns Hopkins University School of Medicine. In that study, researchers revealed that early mobility reduces a patient’s chances of suffering from muscle weakness and delirium, which are both, unfortunately, quite common among bedridden patients.

But reducing the risk of muscle weakness and delirium are not the only benefits that come from getting patients up and out of bed as soon as possible. In a separate study published jointly by the National Library of Medicine and the National Institutes of Health, researchers found that hospital patients who spend less time confined to their hospital beds are less likely to encounter the following health problems:

  • Decubitus ulcers
  • Various blood clots, including deep vein thrombosis
  • Pneumonia
  • Urinary tract infections (UTIs)

The Agency for Healthcare Research and Quality (AHRQ) Weighs in on the Benefits of Early Patient Mobility

The Agency for Healthcare Research and Quality, one of twelve agencies within the U.S. Department of Health and Human Services, found that early patient mobility in mechanically ventilated patients can lead to shorter hospital and intensive care unit (ICU) stays. The same was said to apply to lowering a patient’s chances of suffering from the following:

  • Sleeping disorders
  • Nutritional deficiencies
  • Mobility issues, such as weak bones, weak muscles, and stiff joints

Why More Hospitals Are Using Safe Patient Handling Programs to Ambulate Bedridden Patients

Although hospital medical teams can position and reposition patients as needed for medical treatments, doing so is hardly efficient. Further, multiple studies show it puts medical teams at risk of suffering overexertion-related musculoskeletal disorders. Available data shows these disorders, which can cause severe back, neck, shoulder, arm, and leg pain, contributed to more than 8,700 missed work days among hospital medical teams in 2016. To improve efficiency and keep patients and hospital medical teams safe, many hospitals have implemented safe patient-handling programs to help mobilize bedridden patients.

What Is a Safe Patient Handling Program?

Succinctly put, a safe patient handling program is a program that comprises extensive training and assistive devices that help medical teams safely and efficiently lift, move, support, reposition, and ambulate patients. One assistive device many hospitals use today to keep their medical teams and patients safe is the RoWalker from SPH Medical. For those who have never seen one, a RoWalker is a fully adjustable platform walker that aids medical teams in freeing patients from the beds that confine them and helping to get them up and standing, taking first steps, and then walking around the unit as they progress functionally. The device also has armrests and handlebars, which help with ergonomics and overall comfort. But it does not end there in terms of what it offers patients and medical teams.

What Hospitals Are Saying About the SPH Medical RoWalker

Several studies show hospitals are beyond happy with the SPH Medical RoWalker. The reason for that supreme elation partly stems from the fact that the SPH Medical RoWalker, designed based on recommendations from leading cardio-thoracic surgeons, physical therapists, and respiratory therapists, can support patients weighing up to 400 pounds. That means patient-handling tasks require fewer medical teams; as such, those team members are free to participate in other activities that are also critical to that patient’s overall care. Many hospitals also like how the RoWalker can carry many of the things that most hospital patients need as they move away from bedside and walk down the hallway, some of which include

  • An oxygen tank
  • Drainage bags
  • An IV pole
  • A small cardiac monitor

Indeed, the benefits of implementing a safe patient-handling program in a hospital are plenty. And that applies to hospital teams and patients alike. To learn more about RoWalker and other devices that go hand in hand with a safe patient-handling program, consider speaking with an SPH Medical associate today.

Early Patient Mobility and the SPH Medical RoWalker
Categoriesearly mobility

Advancements in Early Mobility

As the years go by, more and more patient care programs and trends are making their way into the mainstream. One area that has received a plethora of focus in recent years is the advancements in early mobility benefits for those in the ICU and critical care units. If your hospital doesn’t currently have a formal early patient mobility program, it’s time to consider implementing one.

The Biggest Problems With Bedridden Patients

Any nurse that has ever spent time on the floor can tell you that bedridden patients experience numerous health issues beyond their current diagnosis. A big one is muscle deconditioning or weakness that occurs when the muscles aren’t adequately used. Some other notable issues patients experience include delirium and depression.

Fighting These Problems With Early Mobilization

A major solution that has helped to greatly reduce and even eliminate some of these unhealthy conditions in patients is the implementation of early mobilization. Both patients in the ICUs and critical care units have been noted to enhance all of the following:

  • Functional Recovery
  • Walking Distance
  • Reduced Length of Stay
  • Respiratory Function
  • Cardiac Health
  • Muscular Function

While the benefits of early mobilization can have any nurse or PT excited about being able to help their patients even more, implementing this type of program at your hospital requires some planning and clinical input. Not only do you need to convince staff members and patients alike that early mobilization is the key to their best and fastest recovery, but you need to have the right equipment to get the job done.

The SPH Medical RoWalker Platform Walker Providing Advancements in Early Mobility

This acute care ambulation walker is the product of more than ten years worth of collaboration with physical therapists, interdisciplinary nurses, cardiothoracic surgeons, and respiratory therapists. It’s ergonomically designed and provides patients with optimal physical security so that they’re more confident when getting out of bed for the first time. In many cases patients are afraid to get out of bed and stand for the first time. They don’t trust their own legs to support them and also don’t trust the nurse or therapist to prevent them from falling.

Optimal Patient Security

The RoWalker provides an optimal level of patient security with adjustable hand grips, optional support belt, and other unique features. Now you can support early patient mobility with fewer staff members without compromising patient safety. The RoWalker will be sure to fit perfectly into your safe patient handling program, and you’ll be confident knowing that your patients can ambulate with a proven device that has been used in many evidence based mobility programs across the country.

This helpful device utilizes an optional ambulation belt that can be used to assist a low-functioning during walking for fall prevention. This is a great add on to a device that already has everything. With adjustable height levels, the RoWalker can support patients of all heights and sizes. It features two convenient hand grips complemented by padded arm rests to offer optimal patient support.

Additionally, and perhaps most importantly, there are seat flaps that flip up and can also be rotated outwards 180 degrees so that the RoWalker can be brought right up to the bedside so that patients can feel more comfortable standing and taking their first steps.

The seat flaps go a long way in preventing unwanted falls and providing opportunities for rest for both the patient and your staff members alike. Now with the built in seat flaps you don’t have to drag a wheelchair behind the patient during ambulation and fewer staff are required when ambulating ICU patients.

The SPH Medical RoWalker supports IV and Oxygen

Designed With Patient Needs in Mind

The SPH Medical RoWalker is designed with various components that can easily house patient necessities to ensure that they’re under optimal care throughout their mobilization program. The RoWaker has an integrated IV pole, a convenient oxygen tank holder, and a large front basket that can support a portable ventilator or cardiac monitor. You’ll find adequate room for all of the assistive devices that your patients need.

Advancements in early mobility are becoming more and more prominent as its many benefits for the body continually become cited by medical facilities and practitioners. The SPH Medical RoWalker can be the perfect assistive device to help patients in your ICU and critical care units get up and move sooner. With so much evidence supporting the use of early patient mobilization in hospitals, you simply can’t afford not to integrate this program into your facility.

Early Patient Mobility improves outcomes
Categoriesearly mobility

Safety Platform Walkers

A Practical Solution for Early Mobility in the Acute Care Setting

By Amber Perez MHA, CSPHP

 

The benefits of early and progressive mobility programs are well-established in the acute care setting. Greater than a decade of published research validates the positive patient outcomes associated with implementing an early mobility (ICU-Based) and progressive mobility (acute care inpatient) program as an essential part of the patients plan of care. Marra and Ely of Vanderbilt University published the groundbreaking research establishing an intensive care patient protocol the ABCDE (now the ABCDEFG) method for reducing the risk of Delirium in ICU patients.  Delirium, once under-diagnosed and rarely treated, is now recognized as a primary indicator for mortality and identified early in most ICU’s in the United States. Vanderbilt University’s groundbreaking results contributed to drastic improvements in the quality of life and mortality rates of an immeasurable number of patients as a result of widespread adoption of the methods and tools published in the protocol. One of the key components of the ABCDE method is the ‘E’ or Early Mobility intervention. Subsequent research further identifies benefits of mobility (early and progressive) to include reduced risk of hospital acquired pressure injuries, ventilator acquired pneumonias, patient falls, hospital readmissions, and length of stay. In addition, patients experience an improved discharge disposition1.

Hospitals all over the world are prescribing mobility as a standard component of patient care. While mobility programs offer exciting and promising outcomes and quality improvements for patients, it is not without challenges and risk. Without proper planning and integration with a facility Safe Patient Handling & Mobility (SPHM) program, risk for patient handling injury and patient falls risk increase.

In an independent survey of ICU and Hospital nursing leaders – the barriers reported with early mobility protocol implementation include: lack of caregiver resources, increased risk of patient falls, and risk of patient handling injury. In addition, nursing leaders reported greatest concern with “out of bed activities” specifically, “standing and ambulation”. Many leaders reported having advanced ICU beds capable of assisting with many tasks of the early mobility protocols- including, tilt table/ hemodynamic training, sitting, edge of bed, and early weight bearing. The greatest concerns for staff and caregiver safety emerged around patient standing and walking. Of the nursing leaders surveyed, the equipment used to assist in standing and walking patients ranked as most preferred for mobility activities as follows:

  1. ICU/Inpatient Safety Walkers 66%
  2. Ceiling lift with walking sling 24%
  3. Mobile lift with walking sling 8%
  4. Mechanical stand aid with removable footplate 2%

The following are comments captured on the survey related to each category:

ICU/ inpatient Safety walkers:
“Safest option available”, “Fits well in crowded rooms”, “Allows us to walk patients out of the room”, “Staff prefer this option”, “Intuitive, easy to operate”, “O2, IV and devices have a place to go on the walker”

Ceiling lift with walking sling:
“Not all rooms have ceiling lifts”, “Only works well with a XY ceiling track”, “We do not have dedicated walking slings” “Great option if we can find the walking slings” “limited to in room activity”

Mobile lift with walking sling:
“Mobile lifts are too big and bulky in the ICU room” “Cumbersome”, “No place to put O2 or devices”, “Improved safety, prevents falls”

Mechanical stand aid with removable footplate:
“Footplate not removable on our device”, “Not a good option for an unsteady patient”, “no place to put oxygen or IV”

Based on the majority of feedback, utilizing a safety platform walker is the preferred equipment for accessibility, safety, function, and efficiency.

Below is a decision table to help you identify which safety platform walker is right for you.   

  • Walker
  • Features
  • Patient specific recommendations

RoWalker FeaturesMobilize Patients Early and Safely

  • 400lb weight capacity
  • Fixed seats that rotate and flip
  • Directional locking castors
  • Accessory basket
  • O2 tank and IV pole holder
  • Manual height adjustment
  • Width adjustable platform

RoWalker – Patient specific recommendations

  • Ideal for patients able to come to a standing position independently
  • Consider when sling management is a barrier
  • Simple and intuitive
  • Higher weight capacity
  • Conducive to therapy activities
  • Consider for patients with sternal precautions

Rise & Go Platform Walker Features

  • 330lb weight capacity
  • Safety sling with hygiene strap
  • Accessory basket
  • O2 tank and IV pole holder
  • Power stand assist
  • Directional locking castor available
  • Extra-wide adjustable platform
  • Swing away shin pads
  • Splash/water resistant design

Rise & Go Platform Walker – Patient specific recommendations

  • Ideal for deconditioned ICU level early mobility – power stand assist
  • Hygiene strap on sling allows OT’s to work with patient on ADL’s- water resistant design allows bathing therapy sessions with limited water spray
  • Swing away shin pads allow for progression in ambulation
  • Ideal for taller and smaller patients, longest stroke length on actuator
  • Small footprint for easy storage

XL Platform Walker Features

  • 500lb weight capacity
  • Extra wide frame adjustments
  • O2 tank and IV Pole holder
  • Accessory basket
  • Shin pad accessory- removable
  • Extra wide adjustable platform

XL Platform Walker – Patient specific recommendations

  • Ideal for ambulatory bariatric patients
  • Power rise assists with sit to stand
  • Ideal for patients who are not a high fall risk
  • Patients with O2 and IV’s may be useful with therapy.

References:

  1. Winkleman C, Johnson K, Hejal R, et al. Examining the positive effects of exercise in intubated adults in the ICU: a prospective repeated measure clinical study. Intensive Critical Care Nursing. 2012

 

  1. Vollman K. Early progressive mobility: strategies for successful and safe achievement to impact short and long-term outcomes. 

 

  1. Roberts M, Johnson LA, Lalonde TL. Early mobility in the intensive care unit: Standard equipment vs a mobility platform. American Journal of Critical Care.

 

  1. Marra A, Frimpong K, Ely EW. The ABCDEF Implementation Bundle. Korean Journal of Critical Care Medicine (2383-4870). 2016

 

  1. Pottenger BC, Pronovost PJ, Kreif J, et.al. Towards improving hospital workflows; an evaluation of resources to mobilize patients. Journal of Nursing Management. 2019
Early Patient Mobility
CategoriesPatient Handling

Rowalker Nurse Driven Early Mobility

A Sustainable Process for Early Patient Mobility with RoWalker

When patients are critically ill, they may require a ventilator to support their breathing as they recover. Especially during the COVID-19 pandemic, ventilator assisted breathing is a standard treatment during the worst phases of the illness. While this treatment is necessary and life-saving, prolonged ventilation can have negative effects on patient outcomes. When medical procedures require sedation, the patient must rest in bed for days at a time. The human body is made to move, so extended periods of being bedridden will weaken the core muscles that sustain patient mobility. This is often referred to as deconditioning. Sedation and bedrest also disrupt the circadian rhythm of waking and sleeping. Patients may suffer from sleep deprivation and delirium after a time. These physical and mental side effects have the practical result of lengthening a patient’s hospital and rehabilitation stay. At hospitals under stress, patient beds are at a premium. When one patient is recovering at the facility, it prevents a new patient from receiving care. Also, a lengthy stay leads to higher medical bills and financial stress for patients and families. This is why team members need to collaborate to develop a nurse driven early mobility protocol.

Developing a Process for Early Patient Mobility

To improve patient outcomes a multi disciplinary approach including Nursing Leadership, Physical Therapy, and respiratory team members need to collaborate to develop a nursing driven early patient mobility protocol. No one wants to rush patients through the recovery process. However, if a patient can come off the ventilator and start moving, it will lead to an improved outcome. Determining if a patient is ready for early mobility takes several steps.

Reduced Sedation

It is difficult to evaluate patients who are deeply sedated. To measure progress, the staff should work to minimize the sedative dose so that it is easier to interrupt sedation. When the patient can handle the reduction safely, staff members can take the next step in evaluation.

Spontaneous Waking and Breathing

During an interruption in sedation, the medical staff can determine if the patient can breathe without assistance. They can also begin to assess the mental state of the patient.

Early Mobility Intervention

When a patient is mentally and physically stable, mobility therapy can begin while in the ICU. This treatment may only involve a few steps, but it is important progress for the patient.

RoWalker: Focusing on Patient and Staff Safety

Improving patient mobility involves a fall risk for patients, and it can create a personal safety risk for nursing staff. Without the right equipment, the patient will depend on a staff member for support. A sudden stumble can lead to strained muscles and other injuries for staff members. A serious fall will be a setback for the critical patient.

The SPH Medical RoWalker provides a sturdy framework with fall prevention in mind. The adjustable settings allow staff members to prepare the device for each patient. A cushioned platform gives the patient a place to support his or her upper body.

Lower body support belts and seating pads prevent patients from falling when tired.

The RoWalker can accommodate the needs of ICU patients. It has integrated features such as a telescoping IV pole, oxygen tank holder and a front-facing basket for cardiac monitors.

Seeking the Best Critical Patient Outcomes

A nurse driven early mobility supportive device like the SPH Medical RoWalker does more than provide an early physical therapy and nursing intervention. It offers a positive experience for the patient. When patients see that they can take a few assisted steps, it gives them a sense of hope for the future. Working with mobility also provides nursing staff with a metric for patient improvement as they extend the distance walked during each session.

The SPH Medical RoWalker combines fall prevention with early mobility intervention. Employing this device with a mobility protocol will decrease the length of hospital stays and increase positive patient outcomes.

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