More Evidence Why Only ICU Nurses Are Safe to Nurse Ventilated/Tracheostomy Adults&Children at Home!

2 months ago
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https://intensivecareathome.com/more-evidence-why-only-icu-nurses-are-safe-to-nurse-ventilated-tracheostomy-adults-children-at-home/

More Evidence Why Only ICU Nurses Are Safe to Nurse Ventilated/Tracheostomy Adults&Children at Home!

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If you want to know why intensive care nurses are the only option at home for someone on a ventilator with a tracheostomy, stay tuned! I have news for you.

My name is Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home, medically complex patients at home including Home TPN (Total Parenteral Nutrition), home IV potassium infusions, Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), as well as home tracheostomy care for adults and children that are not ventilated. We also provide IV antibiotics at home. We also provide home central line management, PICC (Peripherally Inserted Central Catheter) line management, port management, as well as Hickman’s line management. We also provide palliative care services at home.

In essence, we provide a genuine alternative for a long-term stay in intensive care and pediatric intensive care. But we have also sent our critical care nurses into the home to avoid emergency department admissions so we are also providing an emergency department bypass service when and if needed.

So today, I want to dig down deeper about why critical care nurses are needed at home for someone on a ventilator with the tracheostomy. From an ICU perspective, it is a no-brainer than anyone with a ventilator and the tracheostomy is in ICU or in intensive care and it should not be any different in the community. I’ll give you evidence today why that is the case, I’ll give you more evidence. I’ve provided evidence on these blogs over and over again. But today, I dig even deeper.

There’s not only the evidence-based Mechanical Home Ventilation Guidelines on our website that you can access at intensivecareathome.com through the Mechanical Home Ventilation Guidelines. They are evidence-based guidelines that only critical care nurses with a minimum of two years critical care nursing experience can safely look after someone with a tracheostomy and/or mechanical ventilator. It’s the same in ICU, why would it be any different in the community?

I’ll give you an email today that I have from Sue who actually lost her son in intensive care through a tragic death, and I will show you why the email is related to what we do as Intensive Care at Home.

So, here’s what Sue says,

“Hi Patrik,

My son died in ICU when the nurses (a) had his bed around the wrong way and (b) didn’t monitor him. He died of a hypoxic brain injury as his tracheostomy got blocked when they were changing shifts and didn’t monitor him after we had left. We had to get the nurse to clear his tracheostomy three times during that day. Unfortunately, this happened after we had gone home so we couldn’t get help.

He was getting better, and they were going to remove the tracheostomy the next day as all his vital signs were good. They have not given an explanation and the coroner said he died from a fungal infection.

When we questioned this, they said that they had no information from ICU, only from his admission. We know he died from his brain injury and the blocked tracheostomy, but they will not admit it.

Continue reading at: https://intensivecareathome.com/more-evidence-why-only-icu-nurses-are-safe-to-nurse-ventilated-tracheostomy-adults-children-at-home/

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