September 2024 - Dayton ICU Consulting

Diane’s Story- An Unfortunate Example of the Risks of Immobility and Sedation

Diane’s Story: An Unfortunate Example of the Risks of Immobility and Sedation

Despite their widespread use in the ICU, decades of research have proven the risks of immobility and sedation. And as clinicians, it’s easy to approach care as a robotic conveyor belt instead of focusing on the individuals, families, lives, careers, and futures that are being affected. But in reality, ICU patients are being harmed, having

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Episode 178: The Power of Nursing Leadership to Revolutionize the ICU

Walking Home From The ICU Episode 178: The Power of Nursing Leadership to Revolutionize the ICU

Although the ABCDEF bundle does not solely rest on the shoulders of nurses, their leadership is KEY. Andrea Silva, BSN, RN shares with his her journey to revolutionizing care in her ICU as an assistant nurse manager. Episode Transcription Kali Dayton 0:00 Kali, this is the walking home from the ICU Podcast. I’m Kali Dayton,

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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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