Category: COVID-19

Walking From ICU 104- ICU Rehabilitation

Walking Home From The ICU Episode 104: ICU Rehabilitation

When ICU-acquired weakness is not preventable, or we encounter a patient that has not received the ABCDEF bundle, how can we start the rehabilitation process? What approach can one lone clinician use for initiating recovery or preventing ICU-acquired weakness? Physiotherapist, Lucy Sutton, shares with us incredible insight into ICU rehabilitation. Episode Transcription Kali Dayton 0:01

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Sally’s Story: How Outdated ICU Patient Care is Crippling Outcomes for COVID Patients

Sally’s Story: How Outdated ICU Protocols Are Crippling Outcomes for COVID Patients

Throughout the pandemic, it’s become increasingly obvious that the lack of evidence-based ICU protocols is having a devastating effect on ICU patient care. Over the last two years, I’ve seen countless examples of this, and it breaks my heart because most of these tragedies are totally preventable. One of the most poignant examples of this

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Walking From ICU Episode 94- The ICU Deathtrap

Walking Home From The ICU Episode 94: The ICU Deathtrap

Why are prolonged sedation and immobility lethal? How do our standard practices of automatically sedating every patient on a ventilator deprive them of the chance to survive and thrive? What systemic barriers stop us from implementing evidence-based practices that save lives and drastically change outcomes? Michelle, DNP, ACNP dives deep into powerful case studies that

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Walking From ICU Episode 86 Ventilator Management in the Awake and Walking COVID19 Unit

Walking Home From The ICU Episode 86: Ventilator Management in the Awake and Walking COVID19 Unit

How is the “Awake and Walking ICU” keeping their COVID19 patients mentally and physically functional during severe COVID19? Do they face constant ventilator asynchrony and how do they deal with it? Geoff shares with us his vast experience as a respiratory therapist in walking patients on mechanical ventilation during critical illness and now COVID19. Episode

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Walking From ICU Episode 59 One Nurse Bringing Change to a Hospital System

Walking Home From The ICU Episode 59: One Nurse Bringing Change to a Hospital System

How can one nurse make bring the change? What can happen when a team catches the vision? How can a team transition their culture from deep sedation and immobility to awake and walking? Nora tells us about igniting her team’s fire and the changes they are celebrating.   Episode Transcription Kali Dayton 0:29 Hello, we’ve

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Walking From ICU Episode 57 The Shock of Working in a Normal ICU

Walking Home From The ICU Episode 57: The Shock of Working in a “Normal ICU”

When all you’ve ever known is walking patients on ventilators, what is it like to enter a time machine and go back to sedation and immobility? What did Tara learn taking care of COVID19 patients outside of her “Awake and Walking ICU”? She shares with us her reaffirmed empowerment to change patients’ outcomes through evidence-based

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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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