1. FUTURE RECOMMENDATIONS
CONCLUSION
 The workload of today’s Registered Nurse (RN) continues to
increase as does the acuity and weight of patient’s entering
hospitals. It is essential for RNs to assess patient’s mobility
status as it directly affects whether a patient is at risk for
falling as well as how the patient is handled and transferred.
 Despite the use of fall prevention tools like Hendrich's II;
hundreds of thousands of patients fall in hospitals, with 30-50
percent resulting in injury, injured patients require additional
treatment and sometimes prolonged hospital stays and
hospital workers sustain higher rate of injuries and illness than
their counterparts in the construction and manufacturing
industries.
 Traditionally, RNs conceptualize mobility as an assessment
performed by the Physical Therapist (PT). That is largely due
to lack of training for RNs on proper mobility assessment.
 This project focuses on Just In Time Training (JITT) as an
educational model to develop the nursing staff’s competence
of a standardized mobility assessment tool.
STATEMENT OF THE PROBLEM METHODOLOGY
PROJECT OVERVIEW
RESULTS
 Increase number of JITT trainings and assessments done
with multiple patients per staff member.
 Place BMAT Assessment in electronic medical records. This
will ensure the assessment is performed as part of daily
duties.
 Incorporate BMAT surveys into online module.
 Data collection of mobility pre- and post- BMAT educate.
 The BMAT provides an assessment tool for nurses to use to
fully understand the mobility needs of their patients.
 Nurses will have definitive SPHM equipment to use which can
lead to increased confidence for both patients and the nursing
staff when transferring and moving patients.
 As the nursing staff increase their awareness, education and
training with BMAT, preventing patient falls and staff injuries
will lead to better patient outcomes.
 According to OSHA safer caregivers means happier patients.
 A pilot project on a surgical unit. This project laid the
ground work for this new tool to be implemented hospital
wide.
 The Bedside Mobility Assessment Tool (BMAT) is a 4-step
mobility assessment that provides patient mobility level as
well as safe patient handling and mobility (SPHM)
equipment based on patient’s level.
 Educating the nursing staff in regards to BMAT and how this
tool provides them with the confidence to use recommended
equipment to mobilize patients safely.
 Met with nursing leadership to plan modifications of
educational rollout to the nursing staff on the unit.
 All nursing staff watched the online module and JITT would
take place during various shifts to educate the RNs, LVNs
and CNAs.
Bedside Mobility Assessment Tool: Just in Time Training on a Surgical
UnitLeila A. Almahdy, MSN, RN
University of San Francisco
Over two weeks:
• 50 hours of Just-in-Time
Training
• 63.2% of nursing staff trained
• Registered Nurses: 29/45
• Licensed Vocational Nurses:
4/4
• Certified Nurses Assistants:
5/14
• Total of 38/63 staff received
JITT
NURSING RELEVANCE
 Met with PT who provided two four-hour BMAT training to understand the nuances
and variations is patient diagnoses. Then performed a day long assessment with
patients on the surgical unit to become competent with the assessment tool.
 Prepared unit for the implementation, developed post assessment survey, and JITT.
 JITT was developed to reinforce the psychomotor skill of BMAT, allow nursing staff
to ask questions about various patient scenarios and instill confidence with the use
of BMAT.
 The training was over a two week period and 50-hours of training were provided
during the following times: AM shift 1100 – 1400; PM shift 1800 – 2100 and NOC
shift 0430 – 0730.
 The BMAT JITT was well received on this unit. A total of 38
nursing staff were educated during this pilot.
 Prior to completing the JITT the nursing staff was expected
to complete an online module the previous month. As staff
completion varies, there was a variation of comprehension in
the four step assessment of BMAT. Some staff required
more coaching through the JITT.
 At the conclusion of JITT each staff member was given a
survey to complete regarding the educational process. Of the
surveys distributed only three were completed.
 Nurses stated they saw the value of BMAT and were
processing where in their shift they would implement this
assessment.
JUST IN TIME TRAINING
 A 15 minute standardized in-person training
during the nursing staffs’ shift.
 The following guidelines were met:
 The nurse must demonstrate
BMAT on one patient.
 Did the nurse, ask about baseline
mobility prior to hospitalization?
 If the patient is unable to weight
bear bilaterally, they can continue
to move through the assessment.
 If a patient uses a walker at home,
first time standing post-surgical,
unsure of balance or can only
weight bear unilaterally use a
walker.
 Understand the BMAT is
adaptable. Use your nursing
judgement to assess (if a patient
is ambulating down the hall there
is no need to start from the
beginning of the assessment).
 If a CNA is utilizing BMAT they
can “gather information” and
report to RN, similarly to when
vital signs are gathered. RN must
document.
 Where to chart BMAT score:
Flowsheet – Safety/care tab –
Activity comment – write in BMAT
level
 Night shift: emphasize they can use
equipment if they don’t have someone to help
them move the patients.
 Post JITT each staff member was given:
 BMAT Quick Guide
 BMAT Equipment Guide
 Reference Badge
0
20
40
60
80
RNs LVNs CNAs Totals
29
4 5
38
45
4
14
63
Just-in-Time Training Results
JITT Total
• Reviewed and
collected data from
surveys, patient
charts and the
number of staff
educated
• Met with leadership.
5 Hour handoff to
next cohort.
• 4 hour training with PT
to learn BMAT.
Developed and
provided training to
nursing staff.
Developed BMAT
survey.
• Met with nursing
leadership to plan the
implementation of
pilot. Learn BMAT to
effectively educate
nursing staff.
PLAN DO
STUDYACT