Abstract WP088: Strategies for Implementing a New Early Mobility Protocol for Aneurysmal Subarachnoid Hemorrhage Patients

This quality improvement project implemented an early mobility protocol for patients with aneurysmal subarachnoid hemorrhage (aSAH). It emphasizes a structured, evidence-based approach combining patient care with healthcare provider education for safe and effective implementation. Methods: The aSAH Early Mobility Protocol created by Karic et al. (2017) was implemented for patients admitted with an aSAH diagnosis. This six-step mobility protocol provides insight into mobilizing patients from bedrest (step 0) to walking in the room or hallway (step 6). Input and approval were obtained from an interdisciplinary team, including the stroke team and rehabilitation department, and an aSAH activity order set was created. An educational course via HealthStream was provided to healthcare staff caring for patients with aSAH, including intensive care unit nurses, float team nurses, acute care nurses, inpatient and outpatient rehabilitation and respiratory therapists. Additional written education was uploaded to the department site for healthcare providers. Printable family and patient education was also made available for healthcare staff. Results: A total of 232 individuals completed the SMHCS Aneurysmal Subarachnoid Hemorrhages: Guidelines for Implementing Care HealthStream course. Participants demonstrated significant knowledge improvement, with average pre-test scores of 67% and post-test scores increasing to 86%. While this highlighted the effectiveness of HealthStream as an educational tool, we observed gaps in consistent follow-through when applying this knowledge to individualized patient care. To address this, we implemented additional strategies to increase awareness and adherence to mobility protocols, including reinforcing education during nurse huddles and providing visual reminders. These initiatives aimed to bridge the gap between education and practical application, ensuring consistent patient care aligned with best practices. Discussion: This study highlights that healthcare workers benefit from diverse educational formats. While HealthStream proved effective in delivering immediate knowledge gains, as evidenced by improved test scores, it alone is insufficient to ensure consistent application in clinical practice. Further research is necessary to evaluate the long-term impact of the protocol on patient outcomes and determine how various educational approaches can best support sustainable behavior change and adherence to best practices.