ICU Discharge for Tracheostomy Client to INTENSIVE CARE AT HOME, What are the Quality Standards?

https://intensivecareathome.com/icu-discharge-for-tracheostomy-client-to-intensive-care-at-home-what-are-the-quality-standards/

ICU Discharge for Tracheostomy Client to INTENSIVE CARE AT HOME, What are the Quality Standards?

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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, and 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 at home, and we also provide palliative care services at home.

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

So, today I actually want to look at a hospital discharge patient or ICU discharge patient with a tracheostomy and what needs to be put in place and also what needs to be the overarching framework for this. So, what I mean by this is that for any hospital discharge, especially when it comes to Intensive Care at Home, there needs to be a framework around it. It needs to be safe, and we are providing that evidence-based framework.

Let me dive into that a little bit in more detail and it also comes down to having accredited third-party services that can provide that framework because anything less could be dangerous and could result in patients dying at home if they’re not having critical care nurses 24 hours a day at home.

Let’s talk about the framework. The framework is around the Mechanical Home Ventilation Guidelines that you can find on our website. The Mechanical Home Ventilation Guidelines are evidence-based and they say that for every patient at home with ventilation and tracheostomy, but even with tracheostomy without ventilation, there needs to be 24-hour critical care nurses and those critical care nurses all need to have a minimum of two years critical care nursing experience. So, that is actually evidence-based. Those Mechanical Ventilation Guidelines are a result of 25 years Intensive Care at Home nursing predominantly in Germany, but also a result out of 12 years Intensive Care at Home nursing in Australia with Intensive Care at Home.

Furthermore, healthcare services that provide Intensive Care at Home need to be third party accredited, which means they need to have the framework, the policies, the guidelines, the staff that enable to replicate an intensive care bed in the community. Once again, we are the only provider in 2024 that has such third-party accreditation for Intensive Care at Home, and you can look that up on our website that is in Australia where we are third-party accredited.

Now, let’s look at a case study where we are helping a client to go home from ICU to home with intensive care nurses 24 hours a day and what the medical records say about this discharge.

So, “As for the patient’s notes on the 8/28/24, vital signs are stable, continued with neuro checks.”

Continue reading at: https://intensivecareathome.com/icu-discharge-for-tracheostomy-client-to-intensive-care-at-home-what-are-the-quality-standards/