Progress on program implementation of the protocol was shared at
monthly unit staf meetings as well as at the monthly evidence-based
practice council meetings. Progress reports consisted of a review of
each TBI admission with a review of each patient admission packet
which included the protocol check list, the O-Log form, and the two-
hour patient assessment form, to monitor adherence. A combination of
staf education, continual protocol monitoring, and multidisciplinary
interventions supported the evolving clinical practice change.