Walking Home from The ICU Episode 23: Registered Nurses
In this episode, Kali talks with Brandy, an RN who shares with us why she is passionate about keeping brains and bodies strong during critical illness and reveals how humanizing the ICU has impacted her career. Episode Transcription Kali Dayton Brandy, thank you so much for being willing to talk about this with us. I’m
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Walking Home from The ICU Episode 22: Interdisciplinary Teamwork
Patients cannot walk out of the ICU without the efforts and expertise of each discipline. Kali discusses the role each discipline plays in returning patients to their lives. Episode Transcription Kali Dayton I saw a profound statement on Twitter that said, “No one person can overcome delirium.” That is so true. It is as Polly
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Walking Home from The ICU Episode 21: What We’ve “Always Done” Isn’t Always Right
Polly Bailey, ACNP, shares with us her journey to building an awake and walking ICU. Decades before the research and in a generation of paralytics and benzodiazepines, she saw a problem and had a vision. Episode Transcription Kali Dayton So now you’ve heard about patients that’s been weak on the ventilator with high settings
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Walking Home from The ICU Episode 20: A Chance To Say Goodbye
Though avoiding sedation and mobility decreases mortality, death is not always avoidable. Kali discusses how being awake and mobile during critical illness impacts your last mortal moments and what it looks like to have a chance to say goodbye. Episode Transcription Kali Dayton This episode, I want to share three sacred stories of patients
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Walking Home from The ICU Episode 19: Walking On ECMO Part 2
In Part II, Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Tyler Lintz The days
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Walking Home from The ICU Episode 18: Walking On ECMO Part 1
Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Kali Dayton Tyler, Amber thank you so
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Walking Home from The ICU Episode 17: Walking On The Ventilator For 17 Days
Joan Johnston was admitted for ARDS and remained on the ventilator for 17 days. Here, she shares with us what it was like to be awake, walking, and even showering while intubated. Episode Transcription Kali Dayton Hello, and welcome back. Today we’re going to be talking to Joan Johnston. She was a 38 year
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Walking Home from The ICU Episode 16: Defending the Defenseless
In this episode, we look at how James was admitted for severe mycoplasma pneumonia that turned into mild ARDS and how his Downs Syndrome and autism inspired the ICU team to get creative to keep him awake and walking on the ventilator. Episode Transcription Kali Dayton I want to tell the story for someone
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Walking Home from The ICU Episode 15: Walking Through Severe ARDS
Bryan Carter shares his story about being admitted for severe pneumonia that became severe ARDS, how he was allowed to be awake and walking on the ventilator until he was proned and how his treatment impacted his outcomes. Episode Transcription Kali Dayton Brian Carter is an ARDS survivor. He was admitted for speared streptococcal
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Walking Home from The ICU Episode 14: Different Treatment Different Outcomes
If we treated patients differently, would their outcomes be different? What if patients never stopped walking during critical illness? In this episode, one ICU dared to ask. Episode Transcription Kali Dayton For the past 13 episodes, we have learned about the mental psychological and physical suffering of survivors of prolonged sedation, delirium and immobility.
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I am a nurse leader responsible for improving practices across the intensive care units of a large health system. As an experienced ICU nurse, I know the culture that most often exists in ICUs is one that promotes and accepts over-sedation that often causes unintended harm. While reviewing the literature to better align our liberation practices with the best evidence, one of our bedside nurses discovered Walking Home From The ICU. The combination of poignant stories from ICU survivors with the expertise of some of ICU Liberation’s leading experts became the impetus for a system-wide evidence-based practice improvement project aimed at changing analgesia and sedation management in our ICUs.
After initially being inspired by Kali’s podcast and the incredible stories it provides, we saw an opportunity for more. We brought Kali in to present a webinar to almost 100 of our critical care team members, including nurses, APPs, physicians, and respiratory therapists. Kali’s presentation struck a needed balance between evidence-based practice information and inspiring stories, highlighting real patients who benefited from a practice that is often very different from what occurs in most ICUs today. The webinar was very well-received by all who attended, and the lessons learned have continued to be referenced by our team members as we strive to create an Awake and Walking ICU culture.
Kali offers a refreshing perspective on critical care, and she supports it with a wealth of knowledge garnered from years as a bedside nurse and advanced practice provider. Kali knows how to speak to clinicians because she is one, and she’s still very connected to the daily lived experiences of those on the frontline of critical care. I believe anyone working in critical care will find inspiration in Walking Home From The ICU to change the harmful culture of sedation in their practice. I would even go so far as to recommend the podcast as required listening for all ICU team members, whether experienced clinicians or new residents and nurses. When additional support is needed, I encourage clinical leaders to utilize Kali’s expertise and experiences to further inspire and motivate their teams. Time spent working with Kali is an investment that will pay dividends in the positive impact it has on the lives of the patients we serve.
Patrick Bradley, MSN, RN, CCRN
Virginia, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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