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 41: Crisis Culture During COVID19
What happens to our culture and practice when patient volumes and needs exceed our ICU capacity? How does this impact short and long-term outcomes? Dr. Dixie Harris shares with us the reality of ICU care in NY during the COVID19 pandemic. Episode Transcription Kali Dayton 0:00 You were listening to walking home from the
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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 36: We Need To Talk
Kali discusses what would happen if we expected to be able to communicate with all patients on mechanical ventilation. How would that impact our practices? What role does communication play in patient survival and outcomes? Episode Transcription Kali Dayton What would happen if we expected to be able to communicate with all of our mechanically
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Walking Home from The ICU Episode 35: Mobility is EVERYONE’S job
Kali talks with Christiane Perme, the post-ICU rehabilitation specialist, who shares with us what happens after patients are sedated and immobilized for weeks, what the rehabilitation process for COVID19 survivors will be like, and how long will it take for them to be able to sit, stand, and walk again. Episode Transcription Kali Dayton Today,
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Walking Home from The ICU Episode 34: Recommendations From a 4 -Time Ventilator Survivor
Kali talks with Ann Bannon, who was intubated four times and awake on the endotracheal tube and ventilator for months. She gives us valuable insight into how to help the new flood of ventilated patients. Episode Transcription Kali Dayton Ann, thank you so much for joining us. Appreciate you coming on our show and helping
Walking Home from The ICU Episode 33: COVID19- The Domino Effect
Kali talks about what can we do to improve mortality in the midst of a pandemic and how, as times have changed, our practices must change as well. Episode Transcription Kali Dayton Hello, and welcome back. A lot has been happening in our ICU world. Over the past few weeks, I feel compelled to talk
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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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