Walking Home From The ICU - podcast cover

Walking Home From The ICU

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
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Episodes

Episode 32: Delirium Day

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.DaytonICUConsulting.com⁠...

Mar 11, 202040 minSeason 1Ep. 32

Episode 31: Nurse Manager

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.DaytonICUConsulting.com⁠...

Mar 11, 202026 minSeason 1Ep. 31

Episode 30: Speech Language Pathologists

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 learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www.DaytonICUConsulting...

Mar 11, 202030 minSeason 1Ep. 30

Episode 29: Occupational Therapists

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 ! Want to bring the revolution to your ICU? Check out ⁠⁠⁠www.DaytonICUConsulting.com⁠...

Mar 11, 202016 minSeason 1Ep. 29

Episode 28: Pharmacists

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 bring the revolution to your ICU? Check out ⁠⁠⁠www.DaytonICUConsulting.com⁠...

Mar 10, 202033 minSeason 1Ep. 28

Episode 27: Physicians

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...

Mar 10, 202015 minSeason 1Ep. 27

Episode 26: Nurse Practitioners

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...

Mar 10, 202027 minSeason 1Ep. 26

Episode 25: Respiratory Therapists

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 ⁠⁠⁠www.DaytonICUConsulting.com⁠...

Mar 10, 202020 minSeason 1Ep. 25

Episode 24: Physical Therapists

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 the revolution to your ICU? Check out ⁠⁠⁠www.DaytonICUConsulting.com⁠...

Mar 10, 202021 minSeason 1Ep. 24

Episode 23: Registered Nurses

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 your ICU? Check out ⁠⁠⁠www.DaytonICUConsulting.com⁠...

Mar 08, 202026 minSeason 1Ep. 23

Episode 22: Interdisciplinary Teamwork

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...

Mar 08, 20206 minSeason 1Ep. 22

Episode 21: What We've "Always Done" Isn't Always Right

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.DaytonICUConsulting.com⁠...

Mar 08, 202038 minSeason 1Ep. 21

Episode 20: A Chance To Say Goodbye

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.DaytonICUConsulting.com⁠...

Mar 08, 20209 minSeason 1Ep. 20

Episode 19: Walking On ECMO Part 2

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...

Mar 08, 202034 minSeason 1Ep. 19

Episode 18: Walking On ECMO Part 1

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...

Mar 08, 202027 minSeason 1Ep. 18

Episode 17: Walking On The Ventilator For 17 Days

Joan Johnston was admitted for ARDS and remained on the ventilator for 17 days. She shares with us what it was like to be awake, walking, and even showering while intubated. @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...

Mar 06, 202021 minSeason 1Ep. 17

Episode 16: Defending the Defenseless

James was admitted for severe mycoplasma pneumonia that turned into mild ARDS. His downs syndrome and autism inspired the ICU team to get creative to keep him awake and walking on the ventilator. His journey straight home moves us to reconsider our standard practices. @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...

Mar 05, 20209 minSeason 1Ep. 16

Episode 15: Walking Through Severe ARDS

Bryan Carter was admitted for severe pneumonia that became severe ARDS. He was allowed to be awake and walk on the ventilator until he was proned. When he was able to be supine he was right back on his feet. He shares with us his story and how his treatment impacted his 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...

Mar 05, 202037 minSeason 1Ep. 15

Episode 14: Different Treatment Different Outcomes

If we treated patients differently, would their outcomes be different? What if patients never stopped walking during critical illness? One ICU dared to ask. @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...

Mar 04, 202025 minSeason 1Ep. 14

Episode 13: Loved Ones Are Survivors Too Part II

Caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife's ICU stay and recovery. @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...

Mar 03, 202030 minSeason 1Ep. 13

Episode 12: Loved Ones Are Survivors Too Part I

Caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife's ICU stay and recovery. @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...

Mar 03, 202024 minSeason 1Ep. 12

Episode 11: Rehabilitate Rehabilitation

When we send patients to LTAC or SNF to relearn how to walk, what is that like? Susi Rimkus, DNP, shares with us her experience with rehabilitating rehabilitation. @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...

Mar 01, 202034 minSeason 1Ep. 11

Episode 10: I Can't Move

What is it like to wake up with less physical capacity than a newborn? What is it like to be sent to LTAC with no expectations of returning home? When patients have not moved for weeks+, what is the journey to recovery like? How long does it take? What are the psychological effects on survivors and loved ones? Jim and Cheryl Rettinger give us an inside look. @DaytonICUConsulting Get your CE credit for this episode and all learning you do ⁠⁠⁠here⁠⁠⁠ ! Want to bring the revolution to your ICU? Che...

Feb 29, 202031 minSeason 1Ep. 10

Episode 9: The Big Picture of Immobility

What happens down the road to patients that are on bedrest during their time on the ventilator? Is there another way? Let's put it into the big picture. @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...

Feb 29, 202038 minSeason 1Ep. 9

Episode 6: Broken Brains

Survivors tell us what "cognitive deficits" really look like and the impact they have on their function and 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...

Feb 27, 202012 minSeason 1Ep. 6

Episode 5: The Big Picture of ICU Delirium with Dr. Wes Ely

Dr. Wes Ely, the creator of the CAM scoring tool and the ACDEF Bundle, shares with us the realities and consequences of ICU delirium. @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...

Feb 25, 202032 minSeason 1Ep. 5

Episode 4: Sedation is NOT Sleep

68% of nurses believe sedation is for patient comfort. Survivors of prolonged tell us the reality of how "sweet" their sedation dreams really were. @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...

Feb 23, 202023 minSeason 1Ep. 4

Episode 3: DNS= Do NOT Sedate Me

Susan East is a three times survivor of ARDS. She tells us why she sought legal protection against sedation after her first experience with ARDS. @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...

Feb 19, 202034 minSeason 1Ep. 3

Episode 2: How Did We Get Here??

Is sedation during mechanical ventilation in the ICU always a necessity or a habit with history? Dr. Terry Clemmer, one of the founders of critical care, shares the evolution of mechanical ventilation and sedation culture he witnessed during his 50 years of critical care medicine. @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...

Feb 16, 202037 minSeason 1Ep. 2

Episode 1: Start Here

Kali shares the variation in sedation and mobility practices she witnesses in critical care throughout the USA. ICU survivors changed her perspective and belief in what is right and best for 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...

Feb 01, 202012 minSeason 1Ep. 1
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