Why Critical Care Nurses are Needed 24/7 for Long Term Ventilation & Tracheostomy in the Community!

https://intensivecareathome.com/why-critical-care-nurses-are-needed-24-7-for-long-term-ventilation-tracheostomy-in-the-community/

Why Critical Care Nurses are Needed 24/7 for Long Term Ventilation & Tracheostomy in the Community!

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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 and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children with tracheostomies, and also otherwise medically complex adults and children at home, including Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), home tracheostomy care when adults and children are not ventilated, also Home TPN (total parenteral nutrition) . We also provide IV potassium, IV magnesium infusions at home as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home, and that also includes ventilation weaning at home.

We have also provided an emergency department (ED) bypass service as part of a successful tender for the Western Sydney Local Area Health District, in-touch service where we send our critical care nurses into the home to keep patients out of the emergency department.

So, today I want to address everyone who is at home already, on a ventilator with a tracheostomy or with a tracheostomy without ventilation, or on BIPAP or on CPAP ventilation without of tracheostomy, and they are at home with insufficient support. What do I mean by that?

We have many inquiries where we have families contact us and say, “Hey, I’m at home, ventilated, tracheostomy, or my family member is at home, or they are having a tracheostomy, are not ventilated or they are on BIPAP, or on CPAP ventilation, but it’s not working because we don’t have the right support, we have support workers, disability support workers coming to our homes. We’re going back to ICU all the time. There are gaps in the roster.” In short, it’s a big mess.

Going back in time, that’s how we actually got started in 2013. There was one particular client who bounced back into ICU all the time, was ventilated, tracheostomy at home, and was looked after by support workers, and of course, that didn’t work. That was our first client. We proved the concept within weeks that with Intensive Care at Home, this client never ever went back into ICU ever again. That’s pretty much what we’ve been doing for the last 10 years, sending our ICU and critical care nurses into the home, making sure our clients stay at home predictably. How do we do it? Well, we bring the intensive care into the home.

For anyone ventilated with the tracheostomy, that is an intensive care nursing skill. For anyone that is at home already and goes back into ICU on a ventilator with tracheostomy, they’re not going on to a hospital ward, they’re going back into intensive care where intensive care nurses and intensive care doctors are. It’s not any different in the community, do anything less than that and patients are at high risk of dying. As a matter of fact, many have died, and I’ll come to that in a minute.

So, how do we do it and how do we make sure it’s safe? Well, first of all, we are the only service in Australia, in 2024, that is accredited for Intensive Care at Home. There’s no other Intensive Care at Home nursing service in Australia that has achieved the same level of accreditation that we have.

Continue reading at: https://intensivecareathome.com/why-critical-care-nurses-are-needed-24-7-for-long-term-ventilation-tracheostomy-in-the-community/