Can INTENSIVE CARE AT HOME Keep a Long-Term Ventilated Patient Regularly Coming into ICU from Home?

https://intensivecareathome.com/can-intensive-care-at-home-keep-a-long-term-ventilated-patient-regularly-coming-into-icu-from-home/

Can INTENSIVE CARE AT HOME Keep a Long-Term Ventilated Patient Regularly Coming into ICU from Home?

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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 clients, 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 are also 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 for their in-touch program.

Now, in today’s video, I have a question actually that comes from an intensive care nurse who says,

“Hi Patrik,

I’m an intensive care nurse in Sydney, Australia. We know of a patient at home that is ventilated with a tracheostomy because the patient keeps bouncing back into ICU all the time and that is why we have looked up your company, Intensive Care at Home. We need someone that can manage his ventilator, change his tracheostomy tube at home, and keep him at home predictably because clearly, he doesn’t want to come to our ICU and we don’t want him in our ICU because he’s clearly blocking a bed and he doesn’t want to be there.

We believe he’s so much better off at home, but it also shows that he doesn’t have the right support at home. Can you employ intensive care nurses at home to keep this man home predictably? Thank you so much.“

This is from Amanda. Thank you so much, Amanda, for writing in and yes, absolutely. This is bread and butter for us.

So, let me dig out a story from way back when, when I first started Intensive Care at Home in 2012. We were trying to open doors and then eventually I came across a client who was exactly doing that. He was at home already with a ventilator and the tracheostomy and he was bouncing back into ICU all the time because he didn’t have the right support at home. His team which was a mixture of general registered nurses who are not ventilation and tracheostomy competent and support workers with all respect, I mean, support workers are untrained and all of a sudden, they’ve been asked to look after ventilated and tracheostomy patient, that is madness.

So, this patient or we call them clients, of course, went back to ICU all the time and as soon as we got in front of the client and we started working there, he never ever went back to ICU ever again because that is simply our model. Our model of care is Intensive Care at Home. We are replicating an ICU bed in the community. It’s a genuine alternative to a long-term stay in intensive care and our clients are at home predictably, that’s when we can do our best work.

Continue reading at: https://intensivecareathome.com/can-intensive-care-at-home-keep-a-long-term-ventilated-patient-regularly-coming-into-icu-from-home/