Walking Home from The ICU Episode 39: Ethical Turmoil
Kali talks to Jim, about what is it like to be “born” into an awake and walking ICU and then be immersed in a different culture. Jim shares with us his culture shock and ethical turmoil as he strives to maintain his best practice in a new environment. Episode Transcription Kali Dayton What is it
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Walking Home from The ICU Episode 38: “THEY’RE AWAKE?!?”
Kali talks to Alex, about what is it like to jump into an awake and walking ICU as a travel nurse. Alex shares with us her first shock and impressions upon entering a different culture and she teaches us the changes and wisdom her practice has gained. Episode Transcription Kali Dayton What is it like
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Walking Home from The ICU Episode 37: Culture Shock
Kali talks about how much of our practice is driven by culture vs. evidence. What role does ICU culture play in our perspective, knowledge, and patient outcomes? How often do we dare to ask “Why?”, “What if?” or, “Why not?” Episode Transcription Kali Dayton The first time I ever stepped into an ICU was as
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Walking Home from The ICU Episode 31: Nurse Manager
In this episode, Nancy talks with Kali about her transition to the awake and walking ICU as a nurse manager. She explains the nurse manager’s role in preserving a culture of humanity in the ICU. She shares with us how sedation cessation saved her own mother’s life. Episode Transcription Kali Dayton Nancy, thank you
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Walking Home from The ICU Episode 30: Speech Language Pathologists
In this episode, Kali talks with Lydia, CCC-SLP, who shares with us the vital role speech therapy plays in helping patients get back to their lives. She explains how awake and walking enables patients to resume eating sooner and preserves cognition. The utilization of speech therapy is explained and applied in ways that the ICU
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Walking Home from The ICU Episode 29: Occupational Therapists
In this episode, Kali talks with Merrill, MOT, to find out how occupational therapy is utilized when patients are awake and walking on the ventilator, what role occupational therapy plays in preserving physical and cognitive function during critical illness, and how this enhanced role has impacted Merrill’s his career. Episode Transcription Kali Dayton I’m
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Walking Home from The ICU Episode 28: Pharmacists
In this episode, Kali talks with Kathryn, BCCCP. She tells us of her culture shock coming to the awake and walking ICU after years in units around the country and about the role pharmacists play in delirium prevention and preservation of function in the ICU. She also shares how this shift in focus has enhanced
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Walking Home from The ICU Episode 27: Physicians
Dr. Badke, MD, shares what it was like to shift perspective and culture as a new intensivist in the awake and walking ICU. He explains what role the physician plays in helping patients walking home after the ICU. Episode Transcription Kali Dayton Dr. Badke, thank you so much for joining us. Dr. Badke Thank you
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Walking Home from The ICU Episode 25: Respiratory Therapists
Kali talks with Cash, RRT, who shares his tips and secrets to walking and even showering patients on the ventilator. He reveals how having patients awake and walking has impacted his ICU career. Episode Transcription Kali Dayton Cash thanks so much for joining us. So as a respiratory therapist Share with us your expertise,
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Walking Home from The ICU Episode 22: Interdisciplinary Teamwork
Patients cannot walk out of the ICU without the efforts and expertise of each discipline. Kali discusses the role each discipline plays in returning patients to their lives. Episode Transcription Kali Dayton I saw a profound statement on Twitter that said, “No one person can overcome delirium.” That is so true. It is as Polly
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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
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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