My Mom Went Home with a Tracheostomy Without 24/7 ICU Nurses!She's Back in ICU and Nearly Died!Help!

https://intensivecareathome.com/my-mom-went-home-with-a-tracheostomy-without-24-7-icu-nurses-shes-back-in-icu-and-nearly-died-help/

My Mom Went Home with a Tracheostomy Without 24/7 ICU Nurses! She's Back in ICU and Nearly Died! Help!

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Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home 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, otherwise medically complex adults and children at home, which includes Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions as well as home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management as well as Hickman’s line management, and we also provide palliative care at home.

We have also sent, and we continue to send our critical care nurses into the home for emergency department bypass services. We have done so successfully in the past for the Western Sydney Local Area Health District, their in-touch program.

Today, I want to talk about the client that we worked with recently, and we’re still working with, who has their mother in intensive care. She wanted to discharge her mother home with the tracheostomy without 24-hour nursing care. We strongly advised against that as part of our consulting and advocacy. Part of what we do is consulting and advocacy for families in intensive care and you can find more information at intensivecarehotline.com.

Now, coming back to our client who’s had her mother for months on end in ICU and rehabilitation facilities with a tracheostomy, off the ventilator later after a stroke but could not be decannulated, but the family was desperate to take her home, which is completely understandable. Nobody wants to stay in ICU or in rehabilitation facilities for months on end. There’s no quality of life in hospitals or in rehabilitation facilities, but there is quality of life at home.

You cannot send someone home with a tracheostomy without 24-hour critical care nurses, it’s just not happening and let me explain more. It’s actually evidence-based and it’s best practice-based. So, when you go to our website intensivecareathome.com, you will find a section, the Mechanical Home Ventilation Guidelines. Those guidelines are evidence-based for anyone at home on a ventilator with or without a tracheostomy, or with a tracheostomy with or without a ventilator, needs to have a critical care nurse 24 hours a day. Those critical care nurses need to have a minimum of two years critical care nursing experience.

Similar to a hospital, the workforce needs to reflect that 70-75% of that workforce to have a postgraduate critical care nursing qualification. Those are high standards and that’s a good thing. We are bringing high standards in the community, that’s the framework. Also, on top of that framework, services need to be accredited. They need to be third party accredited for Intensive Care at Home.

Where are patients in hospitals if they have a tracheostomy? They are in intensive care. The only way you can take someone out of intensive care with the tracheostomy is by bringing intensive care into a home, and that must happen with quality standards.

Continue reading at: https://intensivecareathome.com/my-mom-went-home-with-a-tracheostomy-without-24-7-icu-nurses-shes-back-in-icu-and-nearly-died-help/