PODCAST · health
Walking Home From The ICU
by Kali
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
Episodes
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Episode 219: Rethinking ICU Sedation with Dr. Wes Ely
Dr. Wes Ely, critical care professor at Vanderbilt University and the VA, sits down with Kali and Heidi Engel, DPT for a deep dive into the history and evolution of the ABCDEF bundle — the ICU care protocol that transformed how we treat critically ill patients. In this conversation, Dr. Ely…
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Episode 218: High Reliability, Humanized ICU Care, and the Legacy We Leave
Kali Dayton introduces the Walking Home From the ICU podcast’s focus on creating awake, mobile, humanized ICUs through high reliability systems, then interviews high reliability expert Alan Bennett, who shares how his work in patient and workforce safety became personal. Alan describes seeing…
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Episode 217: Leaders- DON'T Mess it up!
Revolution in sedation, delirium, and mobility culture in the ICU requires more than a memo, grand rounds, or a weekend symposium. Leaders who provide minimal support without teaching teams the how and why but expect a drastic change in care and outcomes risk a mutiny. Leadership and…
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Episode 216: Addressing the Social Media Controversy with Dr. Nick Ghionni
Posting a video about the role of communication for sedation management to help prevent post-ICU syndrome sparked important discussion and the sharing of valid concerns. @pulmtoilet comes back to the podcast to address the cultural and educational roots of the the current state of affairs to...
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Episode 215: Penthouse Incarceration: Anjan's Journey Through Post-ICU Recovery
From 180 lbs at peak athleticism, intelligence, and financial prosperity — to 120 lbs, isolated and locked in his penthouse. Anjan Chatterjee tells the harrowing reality of life during and after prolonged sedation in the ICU. Most people think surviving the ICU is the hard part. For Anjan, it was...
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Episode 214: Translating the ICU with Stephen Ramsey- Part 2
Walking Home from the ICU Translating the ICU with Stephen Ramsey Part 2: ICU Case Study Guest: Stephen Ramsey, PT In Part 2 with Stephen Ramsey, physical therapist and ICU mobility expert, the discussion dives into a complex cardiothoracic ICU case Stephen presented at APTA's CSM conference.…
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Episode 213: Translating the ICU with Stephen Ramsey- Part 1
Walking Home from the ICU PodcastTranslating the ICU with Stephen Ramsey — Series 1, Episode 1 Episode Summary Kali Dayton officially welcomes Stephen Ramsey — CVICU physical therapist, creator of the Ramsey Protocol, and lead author of the ELSO guidelines — as the newest member of the Dayton ICU...
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Episode 212: Awake and Walking ICUs- What's in it for Nurses?
We know that the ABCDEF Bundle gives patients the best chance to survive and thrive. Yet, persistent hesitation regarding "increased RN workload and burden" remain significant barriers. Is this belief true? Are sedation and immobility better, easier, and safer for nurses? Let's dive into Awake…
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Episode 211: The Proper Care and Feeding of Families and Survivors - Cathy and Eli's Journey Through an Amniotic Fluid Embolism and ECMO
Critical illness impacts not only the patient in the bed but also their entire family during and after the ICU. Eli and Cathy Garrison join us to share their young family's course of twists and turns of an amniotic fluid embolism to long-term disability. Check out Cathy's podcast at: Birth Trauma...
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Episode 210: Beds Are Evil: Revolutionizing ICU Recovery with Personalized Nutrition, Exercise, and Anabolic Therapy with Dr. Paul Wishmeyer
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...
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Episode 209: Pioneering the Role of a Licensed Mental Health Therapist in the ICU with Stephanie Jacques, LMT
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,...
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Episode 208: From Survivor to Revolutionist- an ICU Nurse's Reflections on Both Sides of the ICU Bed
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....
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Episode 207: Elevating ICU Culture, Practice, and Outcomes Through Verticalization Therapy
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...
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Episode 206: Humanizing the Neuro ICU with Compassion, Teamwork, and Verticalization Therapy
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...
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Episode 205: Verticalization Therapy- Implementation Strategies and Barriers
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,...
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Episode 204: The Power of Communication During Non-invasive Ventilation to Transform Comfort and Outcomes
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...
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Episode 203: Clinical Nurse Specialist Leading the ICU Revolution in Michigan
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…
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Episode 202: Speechless in the ICU- an SLP’s Journey
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…
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Episode 201: Fighting for the Role and Power of Occupational Therapy in the ICU
Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner SageIn this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting…
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Episode 200: Culture, Reality, and Real-talk with Dr. Ghionni
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...
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Episode 199: Awake, Communicative, Autonomous, and Mobile- A Survivor and Nurse’s Experience
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...
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Episode 198: Age Friendly Care in the ICU- Riding the Wave of 4Ms
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...
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Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care
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,...
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Episode 196: Delirium and Workplace Violence
Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Join me for the pre-conference delirium simulation training at...
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Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas
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...
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Episode 194: Walking While Intubated with an IABP with Bob
What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. www.DaytonICUConsulting.com Need help making the business case for your hospital? Check...
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Episode 193: Empowering Respiratory Therapists with JJ the RT
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....
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Episode 192: Debunking Myths- Sedation and Ventilator Asynchrony
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...
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Episode 191: Insights from SCCM Congress- Current State of Affairs
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...
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Episode 190: Healing From Post-ICU PTSD with UCF Restores
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…
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Episode 189: The ICU Revolution at Mercy San Juan Medical Center- Part 8 with Dr. Parimal Bharucha
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...
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Episode 188: The ICU Revolution at Mercy San Juan Medical Center - Part 7 with Dr. Jodi Coates
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...
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Episode 187: The ICU Revolution at Mercy San Juan Medical Center - Part 6 with Ginger Manss
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...
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Episode 186: The ICU Revolution at Mercy San Juan Medical Center Part 5- Respiratory Therapy
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…
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Episode 185: The ICU Revolution at Mercy San Juan Medical Center- Part 4 with the Trauma ICU RNs
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...
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Episode 184: The ICU Revolution at Mercy San Juan Medical Center- Part 3 with Luke Stratigates
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...
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Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong
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!...
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Episode 182: The ICU Revolution at Mercy San Juan Medical Center- Part 1 with Jeana Flakes
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...
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Episode 181: Physician Insights at CHEST
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…
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Episode 180: Leading the ABCDEF Bundle in Bangledash
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…
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Episode 179: The Legal Liability of Failing to Practice the ABCDEF Bundle
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…
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Episode 178: The Power of Nursing Leadership to Revolutionize the ICU
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!...
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Episode 177: New Grad RN Helps Lead the Revolution in His ICU
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…
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Episode 176: ICU Survivor to ICU Physical Therapist- Hope’s Journey to Revolutionizing Her 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
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Episode 175: Physiologists Leading the ECMO Revolution!
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...
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Episode 174: Delirium Mismanagement for LOE Patients Exacerbate Racial Disparities in the ICU
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...
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Episode 173: ICU Outcomes by Dose of Mobility
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...
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Episode 172: RN Insights at NTI
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…
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Episode 171: The Power of Autonomy and Human Connection During ECMO
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...
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Episode 170: A Timeline Through the History of ABCDEF Bundle- Building the Future of Awake and Walking ICUs
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...
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ABOUT THIS SHOW
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
HOSTED BY
Kali
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Frequently Asked Questions
How many episodes does Walking Home From The ICU have?
Walking Home From The ICU currently has 219 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Walking Home From The ICU about?
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...
How often does Walking Home From The ICU release new episodes?
Walking Home From The ICU publishes regularly with 219 episodes available. Check the episode list for the typical release schedule.
Where can I listen to Walking Home From The ICU?
You can listen to Walking Home From The ICU on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Walking Home From The ICU?
Walking Home From The ICU is created and hosted by Kali.
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