Month: July 2023

Episode 140: Early Mobility in the Burn ICU

Walking Home From The ICU Episode 140: Early Mobility in the Burn ICU

Is early mobility safe and feasible in the burn ICU? Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility? Episode Transcription Kali Dayton 0:02 Audrey, welcome to the podcast. Thanks for joining us and all your great work

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Episode 139: The Power of RN "Soft-Skills" to Change Outcomes

Walking Home From The ICU Episode 139: The Power of RN “Soft-Skills” to Change Outcomes

It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU. Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies? How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment? James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive

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Episode 138: Early Mobility in the ICU Improves Cognitive Function 1 Year After Discharge

Walking Home From The ICU Episode 138: Early Mobility in the ICU Improves Cognitive Function 1 Year After Discharge

We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do “Early” and “Mobility” REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices? How

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Episode 137: Physical and Occupational Therapists in the ICU: Working Together But Not Together

Walking Home From The ICU Episode 137: Physical and Occupational Therapists in the ICU: Working Together But Not Together

Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU. Episode Transcription Kali Dayton 0:02

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As an RN in the Medical-Surgical ICU at the hospital I work at, I began my interest in ICU Liberation through an Evidence-Based Practice project.

While I was initially grabbed by what the literature has to say about over-sedation and patient outcomes, it wasn’t until I discovered Kali’s Walking Home From The ICU podcast that a culture of sedationless ICU care sounded tangible. The group I worked with on the project was both inspired, devastated, and intrigued by the stories Kali illuminates on the podcast, and we were able to bring her to our hospital for a virtual Zoom Webinar, where she presented on the practices in the Awake and Walking ICU.

This webinar was an incredible way to draw attention toward this necessary culture shift as Kali shared stories of patients awake and mobile in the ICU despite the complexity of their illness. The webinar inspired our final draft for the new practice guideline on analgesia and sedation management in the ICU, and since then we have seen intubated COVID patients playing tic tac toe on the door with staff members on the other side, taking laps around the unit, performing their own oral care using a hand mirror, and most importantly, keeping their autonomy and integrity while fighting to leave the ICU to resume the life they had before coming in.

Nora Raher, BSN, RN, MSICU
Virginia, USA

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