Walking Home From The ICU

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Kali Dayton, ACNP-BC, is a nurse practitioner in a medical surgical intensive care unit (ICU). She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients' journeys after discharge. The big picture of sedation and immobility is discussed and we explore how to improve long-term patient outcomes. We shift the vision from transferring out of the ICU to walking straight home after the ICU. https://medium.com/@kalidaytonpodcast Support this podcast: https://anchor.fm/restoringlife/support

Kali


    • Jun 2, 2025 LATEST EPISODE
    • every other week NEW EPISODES
    • 41m AVG DURATION
    • 201 EPISODES

    4.8 from 58 ratings Listeners of Walking Home From The ICU that love the show mention: icu, mobility, confusion, hospital, patient, practices, early, change, listening to this podcast, must listen, work, best, time, new, sedation, thank you kali, intubated.


    Ivy Insights

    The Walking Home From The ICU podcast is an incredibly informative and inspiring show that discusses the importance of early mobility and minimal sedation in the ICU setting. As someone who has worked in healthcare for many years, I find this podcast to be a game-changer in terms of challenging traditional practices and bringing awareness to more effective methods of care. The host, Kali, provides a unique perspective as she comes from a hospital where these principles have been the standard for almost three decades.

    One of the best aspects of this podcast is the personal stories shared by both patients and healthcare professionals. Hearing firsthand accounts of how early mobility and minimal sedation positively impacted their experience in the ICU is truly moving. These stories help to solidify the importance of these practices and provide motivation for listeners to advocate for change in their own workplaces. Additionally, Kali does an excellent job of incorporating research and evidence-based practices into each episode, making it clear that this is not just anecdotal evidence but rather a well-supported approach.

    Another great aspect of this podcast is its ability to inspire listeners to push for change in their own hospitals or healthcare facilities. Many healthcare professionals may feel frustrated with the current system but may not know how to initiate change. The Walking Home From The ICU podcast provides concrete examples, tools, and strategies for implementing these practices, which can be incredibly empowering. It also highlights success stories from hospitals that have already made these changes, showing that it is possible to create meaningful shifts in care delivery.

    While there are many positive aspects of this podcast, one potential drawback is that it may not appeal as much to individuals outside of the healthcare field. Some episodes delve deep into medical terminology and research studies, which could be overwhelming or confusing for those without a background in healthcare. However, Kali does make an effort to explain concepts clearly and provide context when discussing complex topics.

    In conclusion, The Walking Home From The ICU podcast is an invaluable resource for healthcare professionals who are interested in improving their practice and advocating for better care in the ICU. Kali's dedication to spreading awareness and her ability to engage listeners through personal stories and evidence-based practices make this podcast a must-listen. Whether you work in the ICU or simply have an interest in healthcare, this podcast has something to offer everyone.



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    Latest episodes from Walking Home From The ICU

    Episode 198: Age Friendly Care in the ICU- Riding the Wave of 4Ms

    Play Episode Listen Later Jun 2, 2025 36:14


    CMS is rolling out a new initiative to require hospitals to have age-friendly care: 4Ms. This means that we must prioritize: Medications, Mentation, Mobility, and What Matters. Karen Mack, DNP, MBA, APRN, executive director at NICHE, shares with us how leverage age-friendly care in advocating for Awake and Walking ICUs! Join the upcoming webinar on Verticalization Therapy in the ICU. Register here: https://tr.ee/-o9iVL3ErDwww.DaytonICUConsulting.com

    Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care

    Play Episode Listen Later May 2, 2025 38:30


    In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullying by colleagues to risking their careers, they stand as fierce tigers and compassionate angels- fighting for dignity, autonomy, and humane care for our most vulnerable patients. Join us as we explore their courage, struggles, and unwavering dedication to transforming ICU culture against all odds. Www.daytonicuconsulting.com

    Episode 196: Delirium and Workplace Violence

    Play Episode Listen Later Apr 22, 2025 63:32


    Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Join me for the pre-conference delirium simulation training at ADS! https://americandeliriumsociety.org/events/ads-conference-2025/www.DaytonICUConsulting.com

    Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas

    Play Episode Listen Later Apr 14, 2025 31:38


    If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. www.DaytonICUConsulting.com

    Episode 194: Walking While Intubated with an IABP with Bob

    Play Episode Listen Later Apr 5, 2025 28:04


    What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, come in and get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. www.DaytonICUConsulting.comNeed help making the business case for your hospital? Check out www.ABCDEFBundle.com !

    walking icu teia intubated iabp
    Episode 193: Empowering Respiratory Therapists with JJ the RT

    Play Episode Listen Later Mar 30, 2025 53:08


    What does JJ the RT have to say about last episode's exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode. Www.DaytonICUConsulting.com

    Episode 192: Debunking Myths- Sedation and Ventilator Asynchrony

    Play Episode Listen Later Mar 17, 2025 27:22


    For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Want to share the financial benefits of an Awake and Walking ICU with your leadership? Check out: Www.ABCDEFBundle.com Www.DaytonICUConsulting.com

    Episode 191: Insights from SCCM Congress- Current State of Affairs

    Play Episode Listen Later Mar 10, 2025 50:53


    What do ICU clinicians really know about patient perspective of sedation and immobility? What are their personal wishes if they were intubated in the ICU? What do ICU providers really understand about the ABCDEF bundle and how is it going in the ICU community at large? I hit the halls at SCCM Congress to find out. www.DaytonICUConsulting.com

    Episode 190: Healing From Post-ICU PTSD with UCF Restores

    Play Episode Listen Later Mar 4, 2025 33:56


    After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! UCF RestoresWww.DaytonICUConsulting.com

    Episode 189: The ICU Revolution at Mercy San Juan Medical Center- Part 8 with Dr. Parimal Bharucha

    Play Episode Listen Later Feb 22, 2025 44:58


    What is the ethical and moral responsibility of a medical director to personally practice, lead, and support their ICU to keep patients as awake and mobile as possible? Dr. Parimal Bharucha shares with us the incredible revolution that has happened in his ICU. Www.DaytonICUConsulting.com

    Episode 188: The ICU Revolution at Mercy San Juan Medical Center - Part 7 with Dr. Coates

    Play Episode Listen Later Jan 13, 2025 54:49


    When the harm of “normal practices” shifts the perspective of an ICU revolutionist and medical director, what is the next course of action? Dr. Jodi Coates shares how her personal convictions inspired her to lead her trauma ICU to radically transform their sedation and mobility practices. Want to help your ICU become an Awake and Walking ICU? Schedule a consultation at www.DaytonICUConsulting.com!

    Episode 187: The ICU Revolution at Mercy San Juan Medical Center - Part 6 with Ginger Manss

    Play Episode Listen Later Jan 1, 2025 32:16


    What is the role of the critical care director in leading ICU teams to become Awake and Walking ICUs? How can directors use the evidence to win executive leadership support for their teams to have what they need to succeed? Ginger Manss, DNP shares with us her key role as senior director of critical care in the revolution at MSJMC. Check out their ICU Liberation video at: https://www.youtube.com/watch?v=LFJPlZazah8Www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episodes 186: The ICU Revolution at Mercy San Juan Medical Center Part 5- Respiratory Therapy

    Play Episode Listen Later Dec 13, 2024 48:04


    What role do respiratory therapists play in creating Awake and Walking ICUs? How did Candace Wistrich, RRT, BSRT and Nelya Kapitula, RRT, BSRT lead their respiratory therapy department to move the revolution forward? They join us now to share their team's journey! Vote for “Awake and Walking ICUs” as “best nurse innovation” and Kali Dayton as “best nurse leader” before 12/31 here! Www.nurse.org/nominate --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 185: The ICU Revolution at Mercy San Juan Medical Center- Part 4 with the Trauma ICU RNs

    Play Episode Listen Later Dec 3, 2024 59:00


    How does the Awake and Walking ICU approach apply to the trauma ICU? How did education, training, leadership support, and deep compassion empower these experience trauma nurses to transform their ICU culture and practices? What successes have they had and how has keeping patients awake and mobile impacted their career fulfillment and team dynamics? Jessica Williams, BSN, RN, Adrienne Craig, BSN, RN, and Amber Brandt, BSN, RN share their team's journey in this episode! Want to revolutionize your ICU? Check out www.daytonicuconsulting.com. --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 184: The ICU Revolution at Mercy San Juan Medical Center- Part 3 with Luke Stratigates

    Play Episode Listen Later Nov 23, 2024 44:29


    Safe patient handling(SPH) is a fairly new and rapidly growing field. Mercy San Juan Medical Center is fortunate to have a strong SPH department and leadership. Luke Strategates, DPT shares with us the key role he plays in the ICU Revolution as the safe patient handling leader. Want to bring the revolution to your ICU? Schedule a consultation at www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong

    Play Episode Listen Later Nov 17, 2024 37:14


    What happens when a medical director really sees the reality of “normal practices” and becomes a revolutionist? Dr. Bistrong shares his personal conversion and the key role he has playing in his team's transformation. Www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 182: The ICU Revolution at Mercy San Juan Medical Center- Part 1 with Jeana Flakes

    Play Episode Listen Later Nov 6, 2024 44:50


    Standardized sedation and immobility are rooted in a gap in education. What is the power of a nurse educator in transforming knowledge, culture, and practice in the ICU? Jeana Flakes, RN, BSN shares how she helped lead the ICU Revolution as a nurse educator at Mercy San Juan Medical Center. Www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 181: Physician Insights at CHEST

    Play Episode Listen Later Oct 26, 2024 52:54


    What do physicians understand of the ABCDEF bundle? What are their perceptions of early mobility? How are their teams practicing the ABCDEF bundle in their own units? What do physicians need to be able to lead an Awake and Walking ICU approach in their units? I interviewed physicians while attending the CHEST conference to find answers to these questions. Www.daytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 180: The ABCDEF Bundle in Bangledash

    Play Episode Listen Later Oct 14, 2024 35:48


    What happens when a visionary physician in a low-resource hospital in Bangledash leads his team to practice the ABCDEF bundle? How did this passionate team of ICU clinicians transform their care from automatic sedation and immobility to standardize mobility three times a day? How did they come to treat mobility as important and optional as an antibiotic? Dr. Mohammad Jhahidul Alam shares their story in this episode! --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 179: The Legal Liability of Failing to Practice the ABCDEF Bundle

    Play Episode Listen Later Oct 1, 2024 56:24


    Fear of “liabilities” is often a barrier to keeping patients awake and mobile in the ICU. Yet, we know that the ABCDEF is evidence-based best practices. So what are the legal liabilities to a hospital, leadership, and bedside clinicians of current cultural practices? Maggie Ortiz, MSN, RN joins us now to share her expert perspective. Find Maggie at: www.advocatesfornurses.com Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 178: The Power of Nursing Leadership to Revolutionize the ICU

    Play Episode Listen Later Sep 14, 2024 66:06


    Although the ABCDEF bundle does not solely rest on the shoulders of nurses, their leadership is KEY. Andrea Silva, BSN, RN shares with his her journey to revolutionizing care in her ICU as an assistant nurse manager. Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 177: New Grad RN Helps Lead the Revolution in His ICU

    Play Episode Listen Later Aug 30, 2024 47:51


    The ICU is an overwhelming and daunting environment to start a new career. While learning so many new skills from experienced mentors, how did Michael Glade, RN, BSN also see past “what is done” to “what should be done” in his ICU? Michael shares with what led him to help lead the revolution in his ICU. Www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 176: ICU Survivor to ICU Physical Therapist- Hope's Journey to Revolutionizing Her ICU

    Play Episode Listen Later Aug 14, 2024 52:16


    https://Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 175: Physiologists Leading the ECMO Revolution!

    Play Episode Listen Later Jul 29, 2024 46:54


    Ilija Klipa MS, ACSM-CEP,ACSM-EP,ACSM EIM III, AACVPR-CCRP is a cardiac/pulmonary physiologist a high-acuity cardiac ICU. He shares his journey in pioneering physiology in the ICU as well as leading the revolution to create an Awake and Walking ICU. Check out Ilija's upcoming 30-credit ECMO mobility courses here: https://cme.ahn.org/content/extracorporeal-membrane-oxygenation-ecmo-education-and-simulation-0#group-tabs-node-course-default1 www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    174: Delirium Mismanagement for LOE Patients Exacerbate Racial Disparities in the ICU

    Play Episode Listen Later Jul 16, 2024 50:37


    When patients have a primary language other than English (LOE), how does this impact their access to the ABCDEF bundle? Is it standardized to provide nonverbal communication in other languages in the hospital? Emily Zagreb's, MS, RN, CCRN joins us now to dive deep into her post-doctoral studies dedicated to this gap in critical care medicine. Episode citations and transcripts at: www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 173: ICU Outcomes by Dose of Mobility

    Play Episode Listen Later Jun 26, 2024 56:08


    We know that for each additional 10 minutes of early mobility in the ICU, hospital length of stay decreases by 1.2 days. What else do we know about the relationship between dose of mobility and time on the ventilator? Sarina Fazio, PhD, RN, shares with us her exciting discoveries in her latest research. Episode transcripts and citations at: Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 172: RN Insights at NTI

    Play Episode Listen Later Jun 13, 2024 54:54


    While walking the halls full of critical nurses at AACN's NTI conference, I had get their insights and perspectives. This episode is full of interviews with anonymous ICU nurses from all over the USA. Www.DaytonICUConsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 171: The Power of Autonomy and Human Connection During ECMO

    Play Episode Listen Later May 30, 2024 29:10


    Check out this episode with @Christinecasiano as she shares the contrast between being sedated vs. being awake while on ECMO. Register for the monthly ICU Revolutionists zoom meetings here: https://us02web.zoom.us/meeting/register/tZ0oc-6gqzsrGNYdgMGXvVAbcjewZpNpc6PC --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 170: A Timeline Through the History of ABCDEF Bundle- Building the Future of Awake and Walking ICUs

    Play Episode Listen Later May 8, 2024 31:46


    It has been claimed that ICU early mobility is a "new and temporary fad". Is walking intubated patients really that new? Let's start in 1970 and work our way through decades of research that continues to reaffirm that true mastery of the ABCDEF bundle gives patients the best chance to survive and thrive in and after the ICU. Episode citations and transcript at www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 169: Intubated in Your Own ICU

    Play Episode Listen Later Apr 27, 2024 27:56


    What is like to be intubated in your own ICU? Even when the environment and team are well known, what does an intensivist turned patient experience? Dr. Meta van der Woude shares with us her personal journey through the ICU. Www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    www icu woude intubated
    Episode 168: I Was Reported to the Board of Nursing!

    Play Episode Listen Later Apr 12, 2024 96:32


    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 I was reported to the board of nursing. Episode transcript and citations: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 167: Breaking Barriers with Walking with Trans-Femoral IABP/Devices- The Ramsey Protocol with Stephen Ramsey

    Play Episode Listen Later Mar 27, 2024 50:34


    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 transcript and citations at: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 166: The Struggle of an ICU Revolutionist to Save Lives

    Play Episode Listen Later Mar 5, 2024 37:41


    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 expert and compassionate clinicians? "Kara" joins us to share her journey as an ICU pharmacist and revolutionist. Podcast episode transcripts and citations: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma

    Play Episode Listen Later Feb 27, 2024 66:53


    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 you off"? Drew Brophy is a world-renown artist that found himself intubated with COVID19. Drew and Maria Brophy share their astounding journey through critical illness and post-ICU syndrome. ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference Podcast episode transcripts and citations at: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve

    Play Episode Listen Later Feb 24, 2024 53:11


    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. ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference Podcast episode transcripts and citations at: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 163: Early Mobility During COVID19 in Switzerland with Sabrina Eggmann

    Play Episode Listen Later Feb 17, 2024 35:45


    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. https://pubmed.ncbi.nlm.nih.gov/33492400/ Check out Sabrina's latest article in the Lancet Journal: https://www.thelancet.com/pdfs/journals/eclinm/PIIS2589-5370(24)00018-X.pdf Episode citations and transcriptions found at www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 162: Standardizing ICU Diaries

    Play Episode Listen Later Feb 8, 2024 46:04


    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. https://post-icu.com Episode transcriptions and citations at: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 161: The Mad Hatter's Tea Party: A Nurse's Journey Through a Medically-Induced Coma

    Play Episode Listen Later Jan 5, 2024 55:07


    As a nurse of 22 years, Lynn had been taught that patients were comfortably sleeping while sedated in medically-induced comas. She shares the horrific realities she suffered while intubated and sedated and the months of playing "Truth or Propofol?" after discharge. Episode transcript and citations found at www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 160: Psychiatrists in the ICU

    Play Episode Listen Later Dec 20, 2023 48:47


    How can inpatient psychiatrists help ICU teams prevent and treat delirium? How can their expertise help ICU teams minimize sedation, prevent trauma, and treat the psychiatric needs of ICU patients? Dr. Marie Rueve shares with us the role psychiatrists can play in transforming patient care and outcomes in the ICU. www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 159: Building a Dream Team

    Play Episode Listen Later Dec 12, 2023 43:14


    What happens when resources and staffing are dedicated to providing high touch and high compliance with the ABCDEF bundle? How does adequate staffing, interdisciplinary team dynamics, and quality protocols impact patient outcomes and financial benefits? What is the "secret sauce" of successfully weaning patients from the ventilator? Sam Nimah and Phillip Norris share with us the exemplary work happening at Trivent care. Episode transcriptions and citations found at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 158: Keeping "Up" With the Times. A Deep Dive Into the Benefits of Verticalization Therapy

    Play Episode Listen Later Dec 4, 2023 110:28


    What happens to the body at the cellular, neurological, pulmonary, musculoskeletal, and cardiovascular levels when it remains supine for days to weeks? What is verticalization therapy and what does current research reveal about its benefits during critical illness? Verticalization experts, Phillip Gonzalez, MOT, OTR/L, BCPR, Nikki Stephens, DNP, APRN, FNP-C, and Jenna Hightower, PT, DPT, CCS dive deep into the science and beauty of verticalization therapy. --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 157: Sedation is Sleep-Deprivation

    Play Episode Listen Later Nov 28, 2023 65:40


    For decades, we have culturally passed on the myth that patients are sleeping while sedated into medically induced comas. We have assured ourselves and each other that sedation "prevents PTSD". Research has proven that sedation makes true restorative sleep impossible and real recall of the reality of the ICU is protective against post-ICU PTSD. So what is really happening under sedation? If patients are not in sweet oblivion and restful slumber, what is their reality? Chuck joins us to share his startling story of being sedated and sleepless for weeks in the ICU. www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 156: Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle

    Play Episode Listen Later Nov 21, 2023 50:52


    After decades of research and effort, why is there a persistent struggle to truly practice the ABCDEF bundle? Are antiquated sedation practices because nurses are unwilling to change, or is it because they are unsupported and untrained in the risks and realities of sedation? Even when training is provided in the classroom, what do nurses learn at the bedside? How does poor leadership impact sedation and mobility practices at the bedside? Are nurses safe to question long-held habits and beliefs? "April" joins us now to share her experiences entering the ICU and how the ABCDEF bundle is really being practiced. www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 155: F- Family Engagement and Empowerment with Lito Rama

    Play Episode Listen Later Nov 14, 2023 57:21


    How do families impact patient outcomes in the ICU? What does it really mean to engage and empower families in the ICU? Have our teams truly recovered from the strict visitation restrictions from COVID? How does an ABCDEF Bundle culture influence our visitation policies? Lito Rama, RN, MBA joins us now to share with us the vast evidence supporting families in the ICU. Podcast episode transcript and citations at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 154: E- EARLY Mobility with Heidi Engel

    Play Episode Listen Later Nov 7, 2023 67:46


    What is EARLY mobility? Why is it so vital that the ICU community advance past passive range of motion for intubated patients? What are the main barriers that prevent us from mastering the E of the ABCDEF bundle? If we're not doing highest level of mobility for most of our patients, are we truly practicing the ABCDEF bundle?  Heidi Engel, DPT, joins us now to clear the air about early mobility.  Podcast citations and transcripts found at ⁠www.daytonicuconsulting.com⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 153: D- Assess, Prevent, and Treat Delirium with Dr. Charles Austin

    Play Episode Listen Later Oct 30, 2023 38:56


    The normality of delirium in the ICU is often mistaken for benign. What does it really mean to "assess, prevent, and treat delirium"? Are we treating a positive CAM score with the same urgency as a positive tropinin? If we are automatically starting deliriogenic medications on every patient immediately upon intubation, are we truly practicing the "D" of the ABCDEF Bundle? Dr. Austin shares with us the full picture of the "D" of the ABCDEF bundle. Citations and transcriptions for all episodes found at www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 152: C- Choice of Sedation and Analgesia with John Devlin

    Play Episode Listen Later Oct 23, 2023 49:03


    Is the C of the ABCDEF bundle only for avoiding benzodiazepines? How do we fully practice the "C" of the bundle and how does this impact patient care and outcomes? If we are automatically starting sedation without evaluation, are we truly practicing the ABCDEF bundle? John W. Devlin, PharmD, BCCCP, MCCM, FCCP joins us in this episode to share his expertise on best sedation and analgesia practices in the ICU. Episode citations and transcriptions found at: www.daytonicuconsulting.com --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 151: Breathing Trials with Karsten Roberts

    Play Episode Listen Later Oct 17, 2023 42:31


    Are awakening trials just for breathing trials? How do we set patients up for successful breathing trials to minimize time on the ventilator? What role does sedation and mobility play into prompt liberation from mechanical ventilation? Karsten Roberts, MSc, RRT, FAARC joins us now to dive deep into spontaneous breathing trials in the ABCDEF Bundle. www.daytonicuconsulting.com ***Financial Benefits of the ABCDEF Bundle Webinar*** October 18th, 2022 at 12pm EST Register here: https://us02web.zoom.us/j/4173781755?pwd=RHFhYml0Vlc2ZTNJcEJiVURIS1hrQT09 ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 150: Awakening Trials- "Rehumanization of the Patient"- With Dr. Wes Ely

    Play Episode Listen Later Oct 11, 2023 31:19


    What is the purpose of awakening “trials”? When should awakening “trials” be done? How can we have successful awakening “trials”? Dr. Wes Ely joins us in this episode to crack the code on sedation cessation. Transcriptions and citations at: www.daytonicuconsulting.com ***Financial Benefits of the ABCDEF Bundle Webinar*** October 18th, 2022 at 12pm EST Register here: https://us02web.zoom.us/j/4173781755?pwd=RHFhYml0Vlc2ZTNJcEJiVURIS1hrQT09 ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD

    Play Episode Listen Later Oct 2, 2023 34:41


    The A of the ABCDEF Bundle is for "Assess, Prevent, and Treat Pain". How do we truly master this tool and how does this impact patient outcomes? Can we assess, prevent, and treat pain while simultaneously striving to have all possible patients awake, autonomous, and even mobile? Joanna Stollings, PharmD, shares what the A of the ABCDEF Bundle really means and how to master it for each patient. www.DaytonICUConsulting.com ***Financial Benefits of the ABCDEF Bundle Webinar*** October 18th, 2022 at 12pm EST Register here: https://us02web.zoom.us/j/4173781755?pwd=RHFhYml0Vlc2ZTNJcEJiVURIS1hrQT09 ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

    Episode 148: The History and True Mission of the ABCDEF bundle

    Play Episode Listen Later Sep 25, 2023 40:52


    How did the ABCDEF bundle come to be and what is its true objective? What barriers are causing the ICU community to fall short of full compliance with the bundle and what is the future of the ABCDEF bundle? Michele Balas, PhD, RN shares with us her insights as one of the founders of the ABCDEF bundle. This episode kicks of our 8-episode series dedicated to each element of the ABCDEF bundle. We're going to be going back to the basics and diving deep into how to truly practice the ABCDEF bundle in our ICUs. www.DaytonICUConsulting.com ***Financial Benefits of the ABCDEF Bundle Webinar*** October 18th, 2022 at 12pm EST Register here: https://us02web.zoom.us/j/4173781755?pwd=RHFhYml0Vlc2ZTNJcEJiVURIS1hrQT09 --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

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