Why ICU Culture Is a Barrier to Early Mobility
While it’s clear that the ABCDEF Bundle saves lives and helps to restore the quality of life for ICU survivors, many intensive care units continue to standardize deep sedation and immobility. But why is this? Why does one ICU use sedation on less than 20% of intubated patients, while another sedates 100% of these patients
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Episode 168: I Was Reported to the Board of Nursing!
What happened when I was reported to the board of nursing for advocating for early mobility in the ICU? What are the roots of these concerns and this report? How does social media impact culture and practices in the ICU? Jess Hren, BSN, RN, Jenna Hightower, DPT, CCS, Phillip Gonzalez, MOT, OTR/L, BCPR discuss why
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Is it save to mobilize patients with trans-formal devices such as balloon pumps, impellas, and ECMO? Who was the first person to dare to ask, “Why can’t we mobilize patients with trans-femoral balloon pumps?” Stephen Ramsey, PT, DPT, CCS shares with us his journey to developing the Ramsey protocol and revolutionizing mobility in the CVICU.
Episode 166: The Struggle of an ICU Revolutionist to Save Lives
What is it like for one lone ICU clinician to truly understand the risks of sedation and immobility? What it is like for them to try to implement interventions like awakening trials that have been supported by decades of research? How does lack of support and success increase moral injury, burnout, and the loss of
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Health care inequality in critical care medicine is multifactorial and negatively impacts patient outcomes [18]. During COVID-19, for instance, it was noted that Hispanic patients were more at risk of having severe COVID-19 infections, and despite their younger age, they had a higher mortality rate. Socioeconomic disparities, lack of access to health care, timing, and
Are patients sleeping during medically-induced comas? Are they more comfortable and free of trauma while sedated? Can patients hear, feel, and understand their surroundings while in a medically-induced coma? Do patients know when sedation is turn up higher? Do they know which providers will let them wake up and which ones will try to “turn
Walking Home From The ICU Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve
Antipsychotics have been a hot topic in the ICU. Do they treat delirium? Can they be used to replace continuous sedation? When and how can we utilize antipsychotics to optimize care and outcomes? Dr. Marie Rueve from episode 160 joins us again to clear the air on antipsychotics in the ICU. Episode Transcription Kali
Sabrina Eggmann is a PhD physiotherapist with 17 years of experience. She shares with us how her team utilized their years of expertise in early mobility to preserve their practices for COVID19 patients in Switzerland. Episode Transcription Kali Dayton 0:48 There’s been a lot of online discussion about whether or not early mobility during
Walking Home From The ICU Episode 162: Standardizing ICU Diaries
In episode 132, David Richards shared with us the life-saving impact of his ICU diary. In this episode, Seth van der Meer from Post-ICU shares with us exciting technological advancements that can help make ICU diaries standardized and accessible for all patients. Episode Transcription Kali Dayton 0:47 Hello, I know we’ve had a month
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How the ABCDEF Bundle Can Help Mitigate RN Burnout
Nurses enter critical care medicine to alleviate human suffering, support patients in their most vulnerable moments, be patient advocates, do no harm, and save lives. But being a critical care nurse is physically, emotionally, and mentally challenging. Many factors have resulted in the loss of thousands of expert nurses, creating the staffing crisis we’re currently
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Dayton ICU Consulting team came to our unit for 4 days, and they did in-person training for over 100 staff members, and spoke with many on our Leadership team. The transformation of the staff after the consulting team was remarkable.
The consulting team pushed us to look outside of our comfort zone in a way that someone from within our team could not achieve. They have firsthand knowledge of what to do, and how to do it and they walked side by side with us while they showing us how to do it. Many of the staff who were very ambivalent prior to the in-person training are now the biggest advocate of implementing the change.
Kali and her team have the knowledge and the skills to help make change happen.
Roni Kelsey, BSN, ICU Liberation Leader, PeaceHealth
Bellingham, WA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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