Walking Home from The ICU Episode 10: I Can’t Move
In this episode, Kali talks with Jim and Cheryl Rettinger about what it’s like to be sent to LTAC with no expectations of returning home and what happens when patients have not moved for weeks+. What does their journey to recovery looks like? Plus, they discuss the psychological effects on survivors and loved ones. Episode
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Walking Home from The ICU Episode 9: The Big Picture of Immobility
What happens down the road to patients that are on bedrest during their time on the ventilator? Is there another way? Let’s put it into the big picture. Episode Transcription Kali Dayton 0:28 Now I want to talk about some things that will make us as ICU providers a little uncomfortable. So buckle up and
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Walking Home from The ICU Episode 6: Broken Brains
In this episode, survivors tell us what “cognitive deficits” really look like and the impact they have on their function and lives. Episode Transcription Kali Dayton Today, I want to talk about cognitive deficits. Dr. Ely gave us insight into the brain injury that happens as a result of ICU delirium. For a while, I
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Walking Home from The ICU Episode 5: The Big Picture of ICU Delirium with Dr. Wes Ely
Kali talks to Dr. Wes Ely, sub-specialist in pulmonary and critical care medicine, and creator of the cam scoring tool and the ABCDE F bundle. Episode Transcription Kali Dayton Today, we’re going to be talking to Dr. Wes Ely. Dr. Ely is a sub specialist in pulmonary and critical care medicine, and has been a
Walking Home from The ICU Episode 4: Sedation is NOT Sleep
Kali talks about what prolonged sedation is really like and survivors share their stories about what they really experienced under sedation. Episode Transcription Kali Dayton Today I want to talk about what prolonged sedation is really like. A nurse once told me, “I love to get and give propofol”. So I asked if she had
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Walking Home from The ICU Episode 3: DNS = Do NOT Sedate Me
Kali talks to Susan East, three-time “ARDS” or “ARDS” survivor, about acute respiratory distress syndrome – the most severe forms of lung failure. Episode Transcription Kali Dayton Hello, and welcome back. Today we’re going to talk to Susan East who is a three time “ARDS” or “ARDS” survivor, which represents acute respiratory distress syndrome, which
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Walking Home from The ICU Episode 2: How Did We Get Here??
Kali talks about the history of ventilators and sedation with Dr. Terry Clemmer, one of the first pioneers in the founding of critical care. Episode Transcription Kali Dayton Hello. Today we’re going to be talking about the history of ventilators and sedation. To understand where we are as a critical care world. And where we
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Walking Home from The ICU Episode 1: Start Here
Kali shares the variation in sedation and mobility practices she witnesses in critical care throughout the USA. ICU survivors changed her perspective and belief in what is right and best for patients. Episode Transcription You are listening to “Walking Home From the ICU”. We will be exploring how to save and preserve lives in the
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I am a nurse leader responsible for improving practices across the intensive care units of a large health system. As an experienced ICU nurse, I know the culture that most often exists in ICUs is one that promotes and accepts over-sedation that often causes unintended harm. While reviewing the literature to better align our liberation practices with the best evidence, one of our bedside nurses discovered Walking Home From The ICU. The combination of poignant stories from ICU survivors with the expertise of some of ICU Liberation’s leading experts became the impetus for a system-wide evidence-based practice improvement project aimed at changing analgesia and sedation management in our ICUs.
After initially being inspired by Kali’s podcast and the incredible stories it provides, we saw an opportunity for more. We brought Kali in to present a webinar to almost 100 of our critical care team members, including nurses, APPs, physicians, and respiratory therapists. Kali’s presentation struck a needed balance between evidence-based practice information and inspiring stories, highlighting real patients who benefited from a practice that is often very different from what occurs in most ICUs today. The webinar was very well-received by all who attended, and the lessons learned have continued to be referenced by our team members as we strive to create an Awake and Walking ICU culture.
Kali offers a refreshing perspective on critical care, and she supports it with a wealth of knowledge garnered from years as a bedside nurse and advanced practice provider. Kali knows how to speak to clinicians because she is one, and she’s still very connected to the daily lived experiences of those on the frontline of critical care. I believe anyone working in critical care will find inspiration in Walking Home From The ICU to change the harmful culture of sedation in their practice. I would even go so far as to recommend the podcast as required listening for all ICU team members, whether experienced clinicians or new residents and nurses. When additional support is needed, I encourage clinical leaders to utilize Kali’s expertise and experiences to further inspire and motivate their teams. Time spent working with Kali is an investment that will pay dividends in the positive impact it has on the lives of the patients we serve.
Patrick Bradley, MSN, RN, CCRN
Virginia, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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