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 a standard?
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.
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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 for this episodes and other learning experiences with SapienCE!
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 Novel Communication Device Assessed During Noninvasive Ventilation Therapy - PubMedAtaia Medical – Empowering Patients with the Freedom to Speakwww.DaytonICUConsulting.com
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 full lead the revolution in 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
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 CE credit for this episode and all other learning experiences here: https://sapience-affiliate.peachs.co/a/kali-dayton
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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 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, including mobilizing patients early, even building protocols for cognitive assessments.
Amanda also emphasizes the importance of interdisciplinary collaboration in the ICU and highlights the critical role OTs play in patient care.
The episode touches on her experiences advocating for better OT training and competency in ICUs and her work in post-ICU support groups.
Through detailed examples and heartfelt patient stories, Amanda illustrates the significant impact occupational therapists can have on patient recovery and outcomes.www.DaytonICUConsulting.com
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!
Www.DaytonICUConsulting.com
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
Www.daytonICUConsulting.com
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
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 our most vulnerable patients. Join us as we explore their courage, struggles, and unwavering dedication to transforming ICU culture against all odds.
Www.daytonicuconsulting.com
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 ADS! https://americandeliriumsociety.org/events/ads-conference-2025/
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.
www.DaytonICUConsulting.com
What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, come in and get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU.
Need help making the business case for your hospital? Check out www.ABCDEFBundle.com !
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.
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 Stefano, 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
Www.DaytonICUConsulting.com
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.
After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shared with us her journey and the impact of UCF Restores to give her a new chance at quality of life!
UCF Restores
Www.DaytonICUConsulting.com
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.
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!
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
