Skip to main content
Walking Home From The ICU

Walking Home From The ICU

By Kali

Kali Dayton, DNP, ACNP-BC, is an ICU nurse practitioner and consultant on a mission to create Awake and Walking ICUs. 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 short and long-term patient outcomes. We shift the vision from transferring out of the ICU to walking straight home after the ICU. www.DaytonICUconsulting.com
Available on
Amazon Music Logo
Apple Podcasts Logo
Castbox Logo
Google Podcasts Logo
Overcast Logo
Pocket Casts Logo
RadioPublic Logo
Spotify Logo
Currently playing episode

Episode 39: Ethical Turmoil

Walking Home From The ICUMay 13, 2020

00:00
42:56
Episode 167: Breaking Barriers with Walking with Trans-Femoral IABP/Devices- The Ramsey Protocol with Stephen Ramsey
Mar 27, 202450:35
Episode 166: The Struggle of an ICU Revolutionist to Save Lives
Mar 05, 202437:42
Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma
Feb 27, 202401:06:54
Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve
Feb 24, 202453:11
Episode 163: Early Mobility During COVID19 in Switzerland with Sabrina Eggmann
Feb 17, 202435:46
Episode 162: Standardizing ICU Diaries
Feb 08, 202446:04
Episode 161: The Mad Hatter's Tea Party: A Nurse's Journey Through a Medically-Induced Coma

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

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

Jan 05, 202455:07
Episode 160: Psychiatrists in the ICU

Episode 160: Psychiatrists in the ICU

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


***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference


Dec 20, 202348:48
Episode 159: Building a Dream Team
Dec 12, 202343:15
Episode 158: Keeping "Up" With the Times. A Deep Dive Into the Benefits of Verticalization Therapy

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

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.


Dec 04, 202301:50:29
Episode 157: Sedation is Sleep-Deprivation
Nov 28, 202301:05:41
Episode 156: Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle
Nov 21, 202350:53
Episode 155: F- Family Engagement and Empowerment with Lito Rama
Nov 14, 202357:22
Episode 154: E- EARLY Mobility with Heidi Engel
Nov 07, 202301:07:46
Episode 153: D- Assess, Prevent, and Treat Delirium with Dr. Adrian Austin
Oct 30, 202338:57
Episode 152: C- Choice of Sedation and Analgesia with John Devlin, PharmD
Oct 23, 202349:03
Episode 151: B- Spontaneous Breathing Trials with Karsten Roberts
Oct 17, 202342:32
Episode 150: B- Awakening Trials- "Rehumanization of the Patient"- With Dr. Wes Ely

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

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 ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference


Oct 11, 202331:19
Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD
Oct 02, 202334:42
Episode 148: The History and True Mission of the ABCDEF Bundle with Michele Balas
Sep 25, 202340:52
Episode 147: The Big Picture of Hospital-Acquired Pressure Injuries with Wound Care Karen
Sep 19, 202356:10
Episode 146: Success Stories from ICU Revolutionists
Sep 13, 202345:21
Episode 145: The Trauma of Sedation and Immobility in Families in the ICU
Sep 05, 202301:21:38
Episode 144: Living With a "Sedation-Induced Brain Injury" and PICS

Episode 144: Living With a "Sedation-Induced Brain Injury" and PICS

What if we were as worried about "brain-protective strategies" as "lung-protective strategies" in the ICU? Such an approach will never be standardized until the ICU community truly recognizes the brain injuries survivors are left with after sedation and immobility. Until post-ICU syndrome is widely known and the impact is deeply appreciated, we will continue to fall short of evidence-based sedation and mobility practices. Only true experts can help us understand.

The real experts on post-ICU syndrome (PICS) are those that live with it. Carol Billian joins us now to share her personal expertise.

www.daytonicuconsulting.com

Aug 29, 202345:45
Episode 143: The Impact of Delirium on Stroke Survivors
Aug 22, 202339:54
Episode 142: Treating Post-ICU PTSD
Aug 11, 202347:22
Episode 141: Fighting For Your Life With Your Eyes Open

Episode 141: Fighting For Your Life With Your Eyes Open

Critical illness in the ICU is a battle.


It is a fight for life.


Sedation is often given with the hopes of sparing patients the discomfort and awareness of the struggles of the ICU.

Yet, does that ultimately prevent harm and suffering?

Antonette Montalvo, APRN shares with us what it meant to her to be able to fight for her life with her eyes open.

www.daytonicuconsulting.com

Aug 03, 202334:55
Episode 140: Early Mobility in the Burn ICU
Jul 25, 202335:10
Episode 139: The Power of RN "Soft-Skills" to Change Outcomes

Episode 139: The Power of RN "Soft-Skills" to Change Outcomes

It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU.

Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies?

How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment?

James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive solely with the flashy skills of an ICU RN. He shares with us the impact nurses can make by using "soft-skills" and human touch in the ICU. He is brining joy back to nursing with the ABCDEF bundle.

www.daytonicuconsulting.com

Jul 20, 202348:39
Episode 138: EARLY Mobility in the ICU Improves Cognitive Function 1 Year After Discharge
Jul 12, 202301:11:49
Episode 137: Physical and Occupational Therapists in the ICU: Working Together But Not Together
Jul 03, 202358:10
Episode 136: Mastering the ABCDEF Bundle with the ICU Liberation Master, Dr. Juli Barr

Episode 136: Mastering the ABCDEF Bundle with the ICU Liberation Master, Dr. Juli Barr

The mission to create Awake and Walking ICUs is not a brand new endeavor. Dr. Juli Barr, an early PAD and ICU liberation founder, shares with us the tools needed to master the ABCDEF bundle.


www.daytonicuconsulting.com

Jun 26, 202301:10:50
Episode 135: The Contrast Between Awake and Sedated

Episode 135: The Contrast Between Awake and Sedated

The cultural assumption that everyone would rather be sedated is based on the myth that sedation is "sleep". Very few survivors can give us a comparison of being sedated vs. being awake while intubated. Lara, like Susan in episode 3, Caleigh in episode 117, and Mark in episode 87, has had it both ways and shares with us the contrast.


www.daytonicuconsulting.com

Jun 20, 202341:16
Episode 134: Are We Sedating Them to Death?
Jun 12, 202347:19
Episode 133: "SOAR: Sedation Off Awake and Rehabilitate" with Dr. Fuchita
Jun 08, 202301:12:12
Episode 132: The Power of ICU Diaries to Treat Post-ICU PTSD

Episode 132: The Power of ICU Diaries to Treat Post-ICU PTSD

Post-ICU PTSD is a life altering and life-threatening condition. ICU diaries have shown promising benefits to helping survivors navigate the trauma they carry with them from the ICU and especially delirium. David Richards shares with us his journey during and after the ICU and how his ICU diary has been a key part of his post-ICU survival.

www.daytonicuconsulting.com

Jun 01, 202301:09:55
Episode 131: Occupational Therapists as Leaders In the ICU

Episode 131: Occupational Therapists as Leaders In the ICU

When Brenna's ICU set out to become an "Awake and Walking ICU", Brenna, OTR/L, accepted the challenge. She shares with us her journey to leading her team to have the skills and culture to optimize mobility during critical illness.

www.daytonicuconsulting.com

May 23, 202346:10
Episode 130: Becoming an Awake and Walking ICU With Dr. Bellucci

Episode 130: Becoming an Awake and Walking ICU With Dr. Bellucci

After visiting the original Awake and Walking ICU, how did Dr. Brian Bellucci help bring these changes to his ICU? 

What is the physician's role in supporting a team's sedation and mobility practices? 

How can we increase physician buy-in? 

Dr. Bellucci shares with us his team's journey to becoming an Awake and Walking ICU. 

www.daytonicuconsulting.com 

May 17, 202345:09
Episode 129: Cognitive Rehabilitation After the ICU with Dr. Jim Jackson
May 12, 202342:06
Episode 128: Delirium Severity By ICU and Race
May 05, 202321:60
Episode 127: How to Save Lives and Over $1 Million
Apr 24, 202301:00:22
Episode 126: Delirium Podcrawl Episode
Apr 19, 202355:15
Trailer

Trailer

Trailer

Apr 14, 202302:15
Episode 125: Responding to Agitation in the ICU
Apr 11, 202301:08:05
Episode 124: Alcohol Withdrawal and Phenobarbital
Apr 05, 202357:37
Episode 123: Updating 50 Years of Perspective and Practices
Mar 20, 202301:12:60
Episodes 122: Caleigh’s Voice Through Critical Illness
Mar 14, 202346:16
Episode 121: Tips and Tricks
Mar 06, 202301:25:31
Episode 120: Walk Like Your Life Depends On It
Feb 18, 202333:28
Episode 119: The Trauma of Delirium After a Traumatic Birth
Feb 12, 202340:33