Walking Home From The ICU

www. DaytonICUConsulting.com @DaytonICUConsulting

What happens to our culture and practice when patient volumes and needs exceed our ICU capacity? How does this impact short and long-term outcomes? Dr. Dixie Harris shares with us the reality of ICU care in NY during the COVID19 pandemic. @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. DaytonI...

What was it like in the early phases of the “Awake and Walking ICU?” How was the new practice introduced? How was the culture revolutionized in spite of opposition? Who rejected the change? How did nurse Patty go from incredulous to emphatic? @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. Day...

What is it like to be “born” into an awake and walking ICU and then be immersed in a different culture? Jim shares with us his culture shock and ethical turmoil as he strives to maintain his best practice in a new environment. @DaytonICUConsulting 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...

What is it like to jump into an awake and walking ICU as a travel nurse? Alex shares with us her first shock and impressions upon entering a different culture. She teaches us the changes and wisdom her practice has gained. @DaytonICUConsulting 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...

How much of our practice is driven by culture vs. evidence? What role does ICU culture play in our perspective, knowledge, and patient outcomes? How often do we dare to ask “Why?”, “What if?” or, “Why not?”   @DaytonICUConsulting 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 if we expected to be able to communicate with all patients on mechanical ventilation? How would that impact our practices? What role does communication play in patient survival and outcomes? @DaytonICUConsulting  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 happens after patients are sedated and immobilized for weeks? What will the rehabilitation process for COVID19 survivors be like? How long will it take for them to be able to sit, stand, and walk again? Christiane Perme, the post-ICU rehabilitation specialist, shares with us how to prevent such outcomes and help patients thrive in their lives again. @DaytonICUConsulting Get your CE credit for...

Ann Bannon was intubated four times and awake on the endotracheal tube and ventilator for months. She gives us valuable insight into how to help the new flood of ventilated patients. @DaytonICUConsulting 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 can we do to improve mortality in the midst of a pandemic? As times have changed, our practices must change as well. @DaytonICUConsulting 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

In commemoration of Delirium Day, it is most appropriate to hear from one of the leading delirium experts, Dr. Sharon Inouye! She shares with us her professional and personal experiences with delirium in all aspects of hospitalization.  @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. DaytonICU...

Nancy tells us about her transition to the awake and walking ICU as a nurse manager. She explains the nurse manager’s role in preserving a culture of humanity in the ICU. She shares with us how sedation cessation saved her own mother’s life. @DaytonICUConsulting  Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. Day...

Lydia, CCC-SLP, shares with us the vital role speech therapy plays in helping patients get back to their lives. She explains how awake and walking enables patients to resume eating sooner and preserves cognition. The utilization of speech therapy is explained and applied in ways that the ICU world has never understood before.  @DaytonICUConsulting Get your CE credit for this episode and all learni...

How does occupational therapy get to be utilized when patients are awake and walking on the ventilator? What role does occupational therapy play in preserving physical and cognitive function during critical illness? How has this enhanced role impacted the fulfillment Merrill, MOT, finds in his career? @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Wan...

Kathryn, BCCCP, tell us of her culture shock coming to the awake and walking ICU after years in units around the country. She tells about the role pharmacists play in delirium prevention and preservation of function in the ICU. She shares how this shift in focus has enhanced her job satisfaction. @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to...

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. @DaytonICUConsulting 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 does it mean to be the steward of patient outcomes? Louise, ACNP, explains how nurse practitioners are guardians of delirium prevention and preservation of function for her patients in the ICU. @DaytonICUConsulting 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

Respiratory therapists are key to helping patients walk on the ventilator. Cash, RRT, shares his tips and secrets to walking and even showering patients on the ventilator. He reveals how having patients awake and walking has impacted his ICU career. @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠w...

What is it like for physical therapists that get to do more than a passive range of motion with patients on ventilators? Physical therapists in the awake and walking ICU save lives and enable patients to have their lives back after discharge. Angela Hallstrom, DPT tells us how they do it. @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring th...

What is it like as an RN to care for intubated patients on the ventilator that are AWAKE and WALKING? Brandy, RN shares with us why she is passionate about keeping brains and bodies strong during critical illness. She reveals how humanizing the ICU has impacted her career.  @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to...

Patients cannot walk out of the ICU without the efforts and expertise of each discipline. What role does each discipline play in returning patients to their lives? @DaytonICUConsulting 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

How did this ICU get so off the grid? Decades before the research and in a generation of paralytics and benzodiazepines, a nurse saw a problem and had a vision. Polly Bailey, ACNP, shares with us her journey to building an awake and walking ICU. @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www....

Though avoiding sedation and mobility decreases mortality, death is not always avoidable. How does being awake and mobile during critical illness impact your last mortal moments? What does it look like to have a chance to say goodbye? @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www. DaytonICUCo...

Tyler Lintz was admitted for severe septic shock, pneumonia, and ARDS. He eventually needed ECMO but was still allowed to keep walking. Tyler and Amber tell us how he returned to being a firefighter 3 months after ECMO. @DaytonICUConsulting 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

Tyler Lintz was admitted for severe septic shock, pneumonia, and ARDS. He eventually needed ECMO but was still allowed to keep walking. Tyler and Amber tell us how he returned to being a firefighter 3 months after ECMO. @DaytonICUConsulting 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