Walking Home From The ICU

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 Restores Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonIC...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠...

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...

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/w...

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/n...

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, R...

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 Get your CE credit for...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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, MSN, RN shares how she helped lead the ICU Revolution as a nurse educator at Mercy San Juan Medical Center. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolutio...

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. Get your CE credit for this episode and al...

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 standardized 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 st...

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 Get your CE credit fo...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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 us what led him to help lead the revolution in his ICU. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bri...

Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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-an...

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 Ahrens, 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. DaytonICUConsu...

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 Get your CE credit for this e...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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 Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out...

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...

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. Get your CE credit for this episode and all learning you do ⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠⁠⁠⁠⁠www. DaytonICUConsulting.com⁠

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.daytoni...

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.day...

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 a...