Walking Home From the ICU: Regaining Alertness, Orientation, and Mobility

Credit

Speaker

Kali Dayton, DNP, AGACNP Related seminars and products

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Kali Dayton, DNP, AGACNP, is a critical care nurse practitioner, host of the Walking Home from the ICU podcast, Walking You Through the ICU podcast, and critical care outcomes consultant. She obtained her Doctorate in Adult-Gerontology Acute Care Nursing Practice from the University of Utah. She also holds accreditation as an adult-gerontology acute care nurse practitioner (AGACNP-BC) through American Nurses Credentialing Center. Dr. Dayton dedicates her experiences in the "Awake and Walking ICU" and ICUs around the USA to elevate ICU sedation and mobility practices by working to align them with current research. She works with ICU teams internationally to transform patient outcomes through early mobility and management of delirium in the ICU.
 

Speaker Disclosures:
Financial: Kali Dayton has an employment relationship with Dayton ICU Consulting and receives a consulting fee from Securisyn. She has a relationship with Vidatalk. Kali Dayton receives a speaking honorarium from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Kali Dayton is the podcast host of Walking Home from the ICU.

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Objectives

1. Integrate the research on short and long-term outcomes of ICU patients during and after prolonged sedation and immobility.
2. Develop tools to critically think through the risk and repercussions of sedation and immobility and customize the ABCDEF bundle for each patient.
3. Exemplify advanced competence to help ICU teams provide evidencebased sedation and mobility practices to their patients.

Outline

History of the Awake and Walking ICU

• Brief overview of the history
• Patient story/testimonial

Understand the ABCDEF Bundle

• How should it be implemented?
• Address optimal practices for sedation and mobility
• Championing a shared care model
• Improve departmental resource utilization
• Proven leadership strategies

Modern Evidence-Based Practices in the ICU

• Prevent and manage delirium
• Prevent and overcome ICU acquired weakness
• Improved outcomes management

Understand causative conditions such as…

• post-ICU PTSD
• post-ICU dementia
• Reconnecting normal - brain activity, cognitive functioning, orientation, sleep, and rem cycles

Reimagine early mobility in the ICU

• The inter-organ connection between muscle function and other vital systems
• Effect of muscular atrophy on functional performance (i.e., postural control to sit EOB)
  • Examples in the CVICU, nuero, trauma, ECMO, etc.
• Research supporting safety, practicability, and effectiveness of early mobility
• Documentation to support patient mobility accomplishments
• Championing a multidisciplinary approach

Target Audience

• Registered Nurses
• Nurse Practitioners
• Physician Assistants
• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists