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
Last refreshed: ⓘ
Follow this podcast in the Metacast mobile app to refresh it and see new episodes.
Don't just listen to podcasts. Learn from them with transcripts, summaries, and chapters for every episode. Skim, search, and bookmark insights. Learn more
In this groundbreaking episode, Dr. Paul Wischmeyer returns to share the incredible developments in ICU nutrition and rehabilitation that are transforming patient recovery. As both a critical care physician and ICU survivor, Dr. Wischmeyer brings unique insight into what it takes to truly help patients recover from critical illness. www.DaytonICUConsulting.com Get your CE credits from listening to this episode here: SapienCE...
What if we had an expert continually present in the ICU dedicated to caring for the mental and spiritual health of families, patients, and staff in the ICU? How would this impact stress, grief, and trauma in the ICU? How would this kind of support impact patient and family experiences, outcomes, and staff morale and burnout? Stephanie Jacques, LMT, joins us now to share her expertise, experience, and pioneer legacy. www.DaytonICUConsulting.com Get CME for this episode at SapienCE!...
Erika Breivogel's journey through the ICU as a patient forever changed her as a person as well as transformed the care she now gives as an ICU nurse. In this episode she inspires up with her reflections of ICU culture vs. patient reality and what moves her to keep fighting the ICU revolution. www.DaytonICUConsulting.com Get CE credit for listening to this episode and unlimited other learning experiences here: SapienCE Reflecting Learning | Unleash Your Inner Sage...
What does verticalization therapy look like at the bedside? What does it take to get the entire ICU team engaged in optimizing verticalization beds? Jessica Cafferty, OTR/L and Jennifer Babb, PT, DPT join us to share case studies and insights into verticalization therapy in their ICUs! Get CE for listening to this episode and more! SapienCE Reflecting Learning | Unleash Your Inner Sage www.DaytonICUConsulting.com...
With the complex mobility needs of patients in the neuro ICU, how did Dr. Tarek Dakakni standardize patient standing for 8 hrs a day? As acting medical director, how did Dr. Dakakni bring all disciplines together to customize care and optimize outcomes for each patient as a person? Dr. Dakakni joins us now to share how the ABCDEF bundle looks in his Neuro ICU. Dr. Dakakni’s verticalization orderset: https://docs.google.com/document/d/1IbWAlHqEVTgHyH1tI7Kp5lVcJw-OSgWJ/edit?usp=drivesdk&ouid=1...
As described in episode 158, verticalization therapy (VT) has vast and powerful benefits to patient care and outcomes. Having technology to increases access to VT is a big first step towards giving all patient early and routine doses of gravity. In this episode, Heather M. Fudala, PhD, RN, CCRP, Audrey Roberson, PhD, RN, CPAN, NPD-BC, Elisa Winn, MSN, RN, AMB-BC, CWON, and Alice Peay, DPT, PT, MS join us to share lessons learned during their verticalization therapy study. Obtain your CE credits ...
A key part of symptom management, agitation management, and humanizing care is communication. Throughout the podcast, we have discussed non-verbal communication during mechanical ventilation. ....but what about non-invasive ventilation? How does the inability to communicate impact care, patient experience, and outcomes for patient on BIPAP? Dr. Ian Wong shares with us his research and innovation that is transforming communication during non-invasive ventilation. Randomized Controlled Trial of a ...
What is the role of a Clinical Nurse Specialist (CNS) in the ICU? How did Lynette LaBine, MSN, RN, CNS, CCRN leverage her CNS role to win buy-in and guide her team to become an Awake and Walking ICU? Lynette shares with us how consulting and training services opened the doors for her to fully lead the revolution in her ICU. Listen and watch Lynette's RN colleagues HERE and rehab colleagues HERE! Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to yo...
Vanessa Abraham is an expert speech language pathologist. She had given innumerable youth access to communication. Then she found herself speechless in the ICU. Dr. Jared Rosen was a medical student with Vanessa and was a key player in humanizing her journey through critical illness. Buy and share Vanessa’s book, “Speechless” here: https://www.amazon.com/Speechless-Therapist-Ability-Struggle-Reclaim/dp/B0DS96R6XT Get your CE credit for this episode and all learning you do here ! Want to bring ...
Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner Sage In this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobility and cognitive care in the ICU. She discusses the innovative approaches she has championed, inclu...
What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials? Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode. Get CE credits for all podcast episodes and a variety of your own determined learning experiences at Sapien HERE! Get your CE credit for this episode and all learning you do here ! Want to bri...
When Molly suffered a severe stroke requiring mechanical ventilation and an EVD, what did Kaira do to prevent further neurological injury? What role did Molly’s ability to communicate while intubated play in her survival? Molly and Kaira both join us to share their perspectives from both sides of the ICU bed. Get unlimited CE credits for podcast episodes and a variety of your own learning experiences here! SapienCE Get your CE credit for this episode and all learning you do here ! ...
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/-o9iVL3ErD www.DaytonICUConsulting.com Get your CE credit for this episode and all l...
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 ou...
Hosts Kelly Dayton and Kelsey Springer, an ICU nurse and survivor of workplace violence, discuss the alarming prevalence of assaults against healthcare providers, with up to 80% linked to patient delirium. They advocate for a hospital-wide cultural shift towards recognizing and preventing delirium through proper screening, interdisciplinary team collaboration, and a move away from over-sedation. The conversation highlights how preventing delirium is not only crucial for patient well-being but also drastically reduces the risk of violence in healthcare settings.
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. 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...
This episode features Bob's powerful testimony of waking up intubated with an intra-aortic balloon pump and an Impella. He recounts his battle with severe heart issues, the immediate post-surgery delirium and weakness, and his proactive mindset toward recovery. Bob emphasizes how Hogue Hospital's commitment to early mobility, staff training, and the ABCDEF bundle were crucial in his survival and exceptional recovery, enabling him to walk home from the ICU against high odds. He also shares advice for clinicians and praises the supportive team culture.
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. 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...
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 Get your CE credit for this episode and all learning you do ...
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. 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...
This episode features Angela Leggett, an ICU survivor who endured 51 days of sedation and ECMO, leading to nearly two decades of severe post-ICU PTSD, anxiety, and cognitive impairments. She vividly recounts her traumatic sensory experiences, the challenges of rehabilitation, and her ongoing struggles despite numerous therapies. Angela powerfully describes how Dr. Brian Peach's virtual reality exposure therapy at UCF Restores finally helped her reclaim her life, offering crucial insights for clinicians on compassionate ICU care and the critical need for new recovery approaches.
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 www.DaytonICUConsulting.com...
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! Get your CE credit for this episode and all learning you do here ! Want to bring the ...
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=LFJPlZazah8 Get your CE credit for this episode and all learning you do here ! ...
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 Get your CE credit for this episode and all learning you do here ! Want to bri...
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 ...
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 this episode and all learning you do here ! Want to bring the revolution to your ICU? C...
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 revolution to your ICU? Check out www.DaytonICUConsulting.com...
Kali Dayton interviews physicians at the CHEST conference to understand their views on the ABCDEF bundle and early mobility for intubated patients. The discussions uncover widespread lack of formal education, reliance on traditional sedation practices, and resource limitations as key barriers. While some units demonstrate successful advanced mobility, many express safety concerns and a need for better training and interdisciplinary support to overcome deep-seated cultural norms and improve patient outcomes.
