Walking Home From The ICU

The A of the ABCDEF Bundle is for "Assess, Prevent, and Treat Pain".

How do we truly master this tool and how does this impact patient outcomes?

Can we assess, prevent, and treat pain while simultaneously striving to have all possible patients awake, autonomous, and even mobile?

Joanna Stollings, PharmD, shares what the A of the ABCDEF Bundle really means and how to master it for each patient.

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***Financial Benefits of the ABCDEF Bundle Webinar***

October 18th, 2022 at 12pm EST

Register here:

Individuals and teams are transforming patient outcomes through the adaptation of the ABCDEF bundle. Hear a compilation of their inspiring successes in this episode!

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***Don't miss the upcoming free webinar, "Financial Benefits of the ABCDEF Bundle", on October 18th at 12pm EST. Register here:

We know that stroke patients are at high risk of poor cognitive, physical, and psychological outcomes. How does delirium impact their outcomes and how can we better protect patients from additional brain injury from delirium?

Rosa Hart, BSN, RN, SCRN from the "Stronger After Stroke" joins us now to explore the struggles, barriers, and importance of the ABCDEF bundle for stroke patients in the neuro ICU.

Is early mobility safe and feasible in the burn ICU?

Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility?

Physical therapist, Audrey O'neill, DPT, shares with us her recent publication and years of expertise.

Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU.

PESI Critical Care Rehab Summit:

This week leading nursing podcasts are teaming up to confront delirium head-on.

Podcasts including Up My Nursing Game, Rapid Response RN, Good Nurse Bad Nurse, Cup of Nurses, and How to Not Kill Your Patient will dive deep into the reality and impact of delirium throughout the hospital from the ED to the acute care floor.

This episode, Tina from Good Nurse Bad Nurse co-hosts with Kali to explore how gaps in delirium education and support can turn lethal by a "Bad Nurse" and how a "Good Nurse" can change and save innumerable lives for generations to come.

As Dr. Swamy said in episode 61, "You can't sedate away delirium".

Yet, when patients are delirious and agitated, how can we keep patients and clinicians safe?

How do we avoid and even discontinue sedation while keeping lines and tubes intact?

What role do restraints play in agitation and trauma for patients?

Are soft wrist restraints our best and only options?

Dr. Marie Pavini, intensivist, and innovator of Exersides shares with us more tools and insights for approaching sedation and delirium management in the ICU through updated restraint technology.

Medicine is a field of evolution. Are we open to learning, changing, and progressing?

Dr. Peter Murphy has worked in critical care for nearly 50 years. As a seasoned expert in the field, he shares with us his own wake-up call to the reality of decades-old sedation practices. He provokes the question: "Am I leading or fighting evolution?"

Episode 121: 

     Having patients awake during mechanical ventilation can require a new skillset and approach to patient care. Let's talk about some of the tips and tricks for improving patient comfort and care. We'll hear it from an RN/podcast listener/ICU survivor and Louise Bezdjian, APRN from the original Awake and Walking ICU. 

Traumatic brain injuries can have distinct exceptions that necessitate deep sedation and immobility. How then can we apply the ABCDEF bundle to protect injured brains and restore lives? Charlotte Davis, BSN, RN, CCRN and Richard Rivera, BSN, RN-BC share their expertise and their team's incredible success with the ABCDEF bundle in the settings of TBI. 

The trauma ICU has a variety of high-acuity and difficult conditions that can cause obstacles and hesitation to change sedation and mobility practices. How does the ABCDEF bundle apply to the trauma ICU? Dr. Gregory Schaefer joins us now to discuss his expertise and team’s success in practicing the ABCDEF bundle in the trauma ICU.

Critically ill cardiovascular patients can be very high-risk and high-acuity patients with numerous devices and multiorgan failure. How and when can we safely initiate early mobility? What role should physical and occupational therapy play in the CVICU? Jenna Hightower, PT, DPT, CCS shares her incredible expertise and ground-breaking work in early mobility in the CVICU.

As ECMO programs have grown in demand and popularity during COVID19, what have we learned about the safety, feasibility, and benefit of early mobility? Why is there such a significant disparity in mobility practices between ECMO teams? Dr. Julian Macedo shares with us his expertise and insights into early mobilization during ECMO.

Episode 104: ICU Rehabilitation

When ICU-acquired weakness is not preventable, or we encounter a patient that has not received the ABCDEF bundle, how can we start the rehabilitation process? What approach can one lone clinician use for initiating recovery or preventing ICU-acquired weakness? Physiotherapist, Lucy Sutton, shares with us incredible insight into ICU rehabilitation. 

102: Waking Up in the ED

When post-intubation wait times increased during the COVID19 crisis, Julie, an ED nurse, took "saving lives in the ED" to a whole new level. She shares with us what communication and patient autonomy mean to her and how she is applying that to how she cares for patients in the ED. One nurse can make a ripple effect throughout an entire hospital system.

What does the ABCDEF bundle look like in neurocritical care? When patients suffer conditions such as intracranial hypertension that necessitate sedation and immobility, how does the ABCDEF bundle apply? Neurointensivist, Dr. Neha Dangayach, shares with us her team's strong ABCDEF culture and practices in the neuro ICU. @Drdangayach