There is much talk in the ICU healthcare arena about “Early Mobilization of the ICU patient”. So why doesn’t it occur more? Mobilizing ICU patients is complex! In many ICUs, the prevailing treatment of patients with an endo-tracheal tube (ETT), includes both bedrest and sedation, with no physician orders for out of bed activities, and inconsistent use of the standardized tools available to assess and treat pain agitation and delirium.