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 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 24: Physical Therapists
Kali talks with Angels, DPT about how physical therapists in the awake and walking ICU save lives and enable patients to have their lives back after discharge. They talk about what is it like for physical therapists that get to do more than a passive range of motion with patients on ventilators. Episode Transcription
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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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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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Walking Home from The ICU Episode 21: What We’ve “Always Done” Isn’t Always Right
Polly Bailey, ACNP, shares with us her journey to building an awake and walking ICU. Decades before the research and in a generation of paralytics and benzodiazepines, she saw a problem and had a vision. Episode Transcription Kali Dayton So now you’ve heard about patients that’s been weak on the ventilator with high settings
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Walking Home from The ICU Episode 20: A Chance To Say Goodbye
Though avoiding sedation and mobility decreases mortality, death is not always avoidable. Kali discusses how being awake and mobile during critical illness impacts your last mortal moments and what it looks like to have a chance to say goodbye. Episode Transcription Kali Dayton This episode, I want to share three sacred stories of patients
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Walking Home from The ICU Episode 19: Walking On ECMO Part 2
In Part II, Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Tyler Lintz The days
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Walking Home from The ICU Episode 18: Walking On ECMO Part 1
Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Kali Dayton Tyler, Amber thank you so
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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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