Our Mission

The Dayton ICU Consulting team is dedicated to improving ICU patient care and creating better work environments for ICU staff. We do this by working to humanize intensive care units through the implementation of evidence-based practices for intubation, sedation, and early mobility in the ICU, as well as the application of modernized methods of prevention and management of delirium in the ICU.

We promote a more cost-effective, humane form of care, and inspire the creation of an environment where patients aren’t just more likely to survive, but also thriving, as well. We dream of the day when ICUs will be characterized by less compartmentalization, more interdisciplinary collaboration, improved communication between clinicians, patients, and their families, and the implementation of the Awake and Walking ICU method as a standardized process of care.

Click here to learn more about our founder, Kali Dayton.

Patient in ICU awake and on ventilator

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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