Episode 196: Delirium and Workplace Violence
Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Episode Transcription [00:00:00] This is the walking home from the ICU podcast. I’m Kelly Dayton, a nurse practitioner
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Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas
If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. Episode Transcription
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Why ICU Teams Need Expert ABCDEF Bundle Consulting
In my experience, teaching ICU clinicians about the ABCDEF Bundle can sometimes feel like trying to explain water to a fish. Just as a fish has no context to understand the water it’s swimming in, ICU teams may not always clearly see the preventable harm surrounding them. When clinicians are immersed in the daily realities
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Episode 194: Walking While Intubated with an IABP with Bob
What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. Episode Transcription [00:00:00] This is the walking home from the ICU Podcast. I’m Kelly Dayton, a
Learn More > from Episode 194: Walking While Intubated with an IABP with Bob
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
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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