Who Does What?
Calm Down, Baby!
Level Up
Mobility Toolbox
Critical calls
100

This discipline focuses on improving strength, endurance, and mobility such as walking, transferring, and bed mobility.

Who is physical therapy?

100

This comforting technique involves gently holding the baby in a flexed position, often with boundaries around their body.

What is 4 handed care?

100

This system determines appropriate mobility activities for patients in the PICU and CVICU

What are Early Mobility levels?

100

This can be found in the Pyxis and is used for safe patient handling during transfers or ambulation

What is a gait belt?

100

You walk into the PICU and see a 6 mo baby on high-flow nasal cannula, awake, in a supine position for the last 2 hours. Name at least 2 ways to achieve their level activities 

What is out of bed holding, play mat activities, high chair, feeder seat

200

This discipline often addresses activities of daily living (ADLs) like dressing, grooming, and feeding in the ICU.

Who is Occupational Therapy?

200

This positioning technique involves aligning the infant’s head, hands, and feet toward the center of their body to support self-regulation and motor development.

What is midline positioning?

200

Activities in this level include ROM, rolling and appropriate positioning

What is Level 1 or Red?

200

A rocker bottom chair that can comes in several sizes and can be used in the crib to promote upright position

What is a feeder seat?


200

Your patient has been admitted to PICU for 5 days and is progressively getting weaker, now requires maxA for bed mobility. What should you consider?

If they have a therapy consult and advocating for rehab involvement. OR utilize rehab recommended equipment

300

This therapist might evaluate and recommend fine motor activities or adaptive equipment for feeding readiness and sensory regulation.

Who is an occupational therapist?

300

This state is ideal for engaging with an infant during therapy and promotes learning and interaction.

What is quiet and alert?

300

Activities in this level include sitting upright, sitting EOB, or getting out of bed

What are Level 2 or Yellow activities?

300

Requires a sling for mobility

What is a hoyer lift?

300

Your patient is a 1 mo baby that cries during every hands on time. Name at least 3 things you you do to minimize stress?

Cluster care, utilize 4 handed care, modulate movements, minimize stimuli

400

Both PT and OT work together to achieve this shared goal for ICU patients, often those that are intubated, on ECMO, etc

What is Early Mobility?

400

This technique provides the baby with surrounding supports for calming and containment

What are firm boundaries?

400

ABCDEF Bundle or "Mobility" in patient care flowsheet

Where is the correct place to document mobility?

400

This chair has adjustable pieces utilized for patients that need more support than a regular w/c

What is an activity chair?

400

Your patient is a dependent 16 yo male on home trach/vent settings, their w/c is at bedside. what level are they and how are you mobilizing him?

He is a level 3/green and utilize a hoyer lift 

500

This team member may be the first to trial mobility equipment such as a tilt-in-space wheelchair or standing frame to assess a patient’s tolerance.

Who is a physical therapist?

500

This scheduling technique allows for patient care activities to occur around the same time to limit patient stress

What is clustered care?

500
This program promotes three appropriate mobility activities to be done daily

What is the scoops program?

500

Utilized for patients with good head and trunk control but requires MaxA for stand/pivot transfers

What is the sara stedy?

500

Your 5 yo intubated pt (PEEP 6 and FiO2 40) is awake and alert. what level are they and what are you doing to achieve their activities)

They are level 2/yellow. can sit up in crib, feeder seat, transfer to parent arms