What Tests Should Be Done in ICU Before My Mother Goes Home with INTENSIVE CARE AT HOME?

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What Tests Should Be Done in ICU Before My Mother Goes Home with INTENSIVE CARE AT HOME?

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Hi, it’s Patrik Hutzel from intensivecareathome.com. If you want to know what tests should be done before a patient is being discharged to Intensive Care at Home, stay tuned! I’ve got 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 at home. We 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 services at home.

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

In essence, we’re saving 50% of the cost of an intensive care bed whilst drastically improving the quality of life for our clients and their families, and we’re saving roughly $2,000 for the cost of an ED admission by providing the ED bypass service at home. So, on top of the quality-of-life improvements for our clients and their families, massive cost savings for the healthcare system, and we’re freeing up beds in ICU and ED. All in all, it’s a win-win situation.

Today, I want to look at what tests should be done before a patient is being discharged to Intensive Care at Home. This is a question obviously that we get from one of our clients that we’re just in the process of getting home.

So, let’s look at this more closely. This is for a client who had seizures, stroke, who also has a VP (ventriculoperitoneal) shunt to manage her CSF (cerebral spinal fluid). Therefore, this client has been in ICU for months on end, so it’s way time for her to go home. She’s not ventilated, but she’s got a tracheostomy. She’s at high risk at home of airway blockage with a tracheostomy, so she does need 24-hour nursing care with critical care nurses with a minimum of two years critical care nursing experience as is evidence based.

You can look up the evidence on our website at the intensivecareathome.com. The Mechanical Home Ventilation Guidelines, once again, they are evidence based, and it says that only critical care nurses with a minimum of two years critical care nursing experience can safely provide services to ventilated plus minus tracheostomy clients at home, adults and children.

So, in a situation like that where the client had seizure and a stroke in the course of her ICU stay, she should have had an EEG (electroencephalogram). She should have had a brain CT scan and an MRI scan, and I can confirm both of that should have been done as part of the ICU admission. A 12-lead ECG (electrocardiogram) should have been done.

Continue reading at: https://intensivecareathome.com/what-tests-should-be-done-in-icu-before-my-mother-goes-home-with-intensive-care-at-home/