Walking Home From The ICU – Details, episodes & analysis

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.

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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.

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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

Episode 79: Step Up and Step Forward

What can happen when a clinician wakes up to the reality of sedation and immobility?

ICU revolutionists around the world are stepping up and stepping forward to elevate sedation and mobility practices for their patients. It can take 1 person to make 1 decision and change a patient’s entire life. Hear their success stories!

Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting

What is it really like to be in a medically-induced coma? As an experienced ICU physiotherapist and war veteran, Aron Welsh provides soul-shaking insight into the graphic trauma of ICU delirium during and after deep sedation. Warning: Mature Audiences Only.

Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting

Are lung-protective strategies only implemented when patients are sedated? Is walking on the ventilator safe for the lungs? How do we transition from “sedating to keep patients safe” to “walking to keep patients safe”? Dr. Ali Fazili from the “Awake and Walking ICU” shares with us his expertise. 

Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting

Is it *really* easier to sedate patients? Ultimately, does giving patient delirium and ICU acquired weakness actually decrease staff workload? Travel nurse, Alex, gives us the real deal. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting

When Jeff Sweat was about to be intubated, what was he told about what was to come? What information did his wife, Sunny Cannon, receive about the risks and reality of deep sedation? Was is it really like to "wake up" 3 weeks later? How have sedation, immobility, and tracheostomy impacted their family? Had they been allowed transparency and autonomy in Jeff's course, what would they have chosen? Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting

What are the main “treatments” or “tools” to prevent and treat delirium? How can we facilitate “quiet nights” without harming patients with sedation? Peter Nydahl, RN, MScN, PhD, teaches us how to walk them to sleep. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting

We habitually lie to ourselves and our patients' families when the word “sleep” leaves our tongues in reference to sedated patients. Why is sleep so vital to survival in the ICU? What prevents our patients from preserving their sanity and cognitive function? What has COVID taught us about the role of sleep in the ICU? Dr. Margaret Pisani, intensivist and sleep researcher, ties it all together for us. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting