Unplanned Extubations: Dispelling the Fear and Understanding the Reality
When I think back to how I started my career as a nurse, it really does seem like a date with destiny. I could have gotten a job at any ICU, but for whatever reason, I landed my first nursing gig at a high acuity medical-surgical intensive care unit in Salt Lake City, Utah, which
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How Simulation Training Can Help to Improve ICU Patient Care
Despite many exciting advancements in technology and research, ICU sedation and mobility practices continue to be stuck in the past. A big part of this problem stems from ICU culture, which encourages clinicians to fear change and be resistant to new ideas and approaches. But regardless of these issues with ICU culture, the truth is,
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How Clinicians, Patients, and Families Can Benefit from Better Communication in the ICU
Back when I was studying to become a nurse, I had an experience in the ICU that changed me forever. As a starry-eyed 18-year-old nursing student, I was incredibly excited to finally be in the ICU, experiencing what I’d dreamed about for so many years. But when I got there and started to learn what
As far as the early mobility community is concerned, the benefits of early mobility in the intensive care unit are not up for debate. There are mountains of evidence to show these benefits and support the safety and efficacy of early mobility in the ICU, and this is something I’ve documented repeatedly. But unfortunately, ICUs
How the ABCDEF Bundle Can Improve the Quality of Death for ICU Patients
Over the years, I’ve witnessed first-hand how the ABCDEF Bundle’s evidence-based practices can reduce healthcare costs, while improving patient outcomes and working conditions in the ICU. But even though evidence shows that the ABCDEF Bundle can decrease the risk of death by 68 percent, its success is not always found in a patient’s ability to
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How I Was First Introduced to the ABCDEF Bundle
“Would you be willing to walk intubated patients on ventilators?” my future nurse manager asked me during my initial interview. As a new nurse, I failed to fully understand the importance of this question and eagerly answered, “Yes! Of course! Teach me everything.” During my first few years working as a nurse in an Awake
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The service Dayton ICU Consulting provided was exceptional and above expectations.
As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to Kali’s Walking Home From The ICU podcast, I felt profound sadness and guilt for what we have done to other human beings while thinking what we’re doing is right.
I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs.
Lawrence Bistrong, MD, FCCP
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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