Walking Home From The ICU Episode 42: The Power of Nursing Care Against COVID19
When good nursing care is not possible during a pandemic, what happens to patient outcomes? Makenzie tells her tales as an ICU nurse in NY as we explore the role nursing care plays in saving and restoring lives. Episode Transcription Kali Dayton 0:28 Makenzie, thank you so much for being with us on the show.
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Walking Home From The ICU Episode 40: Cultural Revolution
Kali talks with Patty, a nurse, about what was it like in the early phases of the “Awake and Walking ICU” and how the new practice was introduced. We ask how the culture revolutionized in spite of opposition and who rejected the change? How did nurse Patty go from incredulous to emphatic? Episode Transcription Kali
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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 26: Nurse Practitioners
Kali talks with Louise, ACNP, who explains how nurse practitioners are guardians of delirium prevention and preservation of function for their patients in the ICU. Episode Transcription Kali Dayton Louise, thanks so much for joining us. So you’ve done this, the nurse and a nurse practitioner for 27 years, what has your journey throughout
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Walking Home from The ICU Episode 23: Registered Nurses
In this episode, Kali talks with Brandy, an RN who shares with us why she is passionate about keeping brains and bodies strong during critical illness and reveals how humanizing the ICU has impacted her career. Episode Transcription Kali Dayton Brandy, thank you so much for being willing to talk about this with us. I’m
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I stumbled upon Kali’s podcast midway through my anesthesia critical care fellowship in February 2021. At our institution, I got the impression that patients in the ICU either got better on their own or had a prolonged and complicated course to LTAC or death. In her podcast, Kali explained that LTAC was rarely the outcome for patients in the Awake and Walking ICU™ in Salt Lake City.
Their ICU survivors hardly ever got trached, PEGed, or sent to LTAC, and literally walked out of the hospital in condition as close to their previous health as they could be. Although the concept of using no sedation on ventilated patients was completely foreign to me, it made sense based on what I had read in the literature. I devoured all of the episodes from the beginning, many of them bringing tears and regret for my ignorance, followed by inspiration and hope in later episodes. Listening to her podcast has been one of the most profound experiences in my short, eight-year career in medicine.
After discovering the no sedation, early mobility practice at the Awake and Walking ICU™, my focus shifted to bringing it to my own institution. I visited Salt Lake City in March to witness it with my own eyes. Since then, I’ve been in touch closely with Kali and Louise to learn the practical approaches to sedation wean and sedation avoidance for newly intubated patients in the ICU.
Mikita Fuchita, MD
Colorado, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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