From Hospital to Homecare – One Nurses Story

Newborn Nurses, Uncategorized Comments Off

I am a med/ surg RN who worked in the hospital setting for years. I always loved the fast paced environment of the hospital. Taking care of 5-7 patients at a time was typical, and made the day shift I was working go quickly. When I worked nights I had 15-16 patients which was extremely draining. I always thought that homecare was simple patient education in the home, and that I would be in and out of the home in one hour and would have to see multiple patients in one day. Essentially I thought all homecare fit the “visiting nurse” model. I honestly didn’t realize that I could work a full 8 to 12 hour shift with one patient in his or her home.

At a job fair one year ago I met some people from Newborn Nurses. They told me what it was like to be a homecare nurse. They explained that I could work just a couple shifts a month to make some extra money, or I could work 40 hours a week if I was interested in something full time. Plus, there is no holiday/weekend requirement! For someone who has always had to work a couple of holidays a year, they had my attention. I was still a little apprehensive because I never worked with chronically ill children before. They explained that they actually have a number of adult patients on service for private duty nursing. In fact they had a patient in her 50′s who has 3 shifts available per month about twenty minutes from my house! I decided to give homecare a try. I began working with this patient and found that working with a patient one on one was remarkably rewarding. The patient appreciated everything I did for her and I had time to do all the little extras. I really enjoy the flexible schedule as well.

Newborn Nurses started calling me and offering me other cases in my area. They had more adult cases, but they also had a new case opening – an adolescent case 10 minutes from my house. I never thought I would want to work with a 15 year old as a nurse, but I wanted to learn new skills. The case that was opening had a day shift available and the nurse who takes those shifts would actually be with the child in school all day. The instructors at Newborn Nurses spent a great deal of time with me going over how to do a very thorough adolescent assessment, and the clinical skills needed to care for trached and ventilator dependant patient. I left my job at the hospital and have been working full time with the 16 year old patient for 6 months. I LOVE IT!! It is the first time in my life I actually think my job is fun. The rewards of enabling this child to go to school everyday are profound.

Learn more about Newborn Nurses

Providing RN/LPN Shift Care In the Patients Home For Newborns, Pediatrics, Adolescents & Adults.

Complete Tracheostomy Care – Part 3 of 3 – Conclusion

NBN Respiratory, Newborn Nurses, Uncategorized Comments Off

Eighteen years of experience in pediatric homecare has led us to develop this program to further our goal of providing the very best care available to our patients. Taking a child home on a ventilator is an extremely complex experience for all parties involved; the parents, the doctors, discharge planners, and most importantly the patient. This can be compounded when different companies are involved (ie: nursing companies & equipment companies) in the transition from hospital to home. It is our assertion that by having all of the homecare services come from one company, better patient outcomes are achieved. Newborn Nurses and NBN Infusions & NBN Respiratory work together to provide the Trach/ Vent Complete Care Program. This program encompasses all of the services and equipment a trach/vent patient will require in their own home including private duty nursing, portable pulmonetic ventilators, custom trachs, O2, pulse ox, enteral therapy and more.

Each child will have a team of pediatric homecare experts to coordinate their transition to home. The team consists of a Nursing Supervisor, a Respiratory Therapist and a Staffing Coordinator. The team will continue to coordinate the child’s care on an ongoing basis to foster a therapeutic relationship and provide unsurpassed coordination of complex care.

The Respiratory Therapist initially will go to the patients’ home to do a home safety assessment to ensure there is adequate electrical output to sustain all of the respiratory equipment. The equipment NBN Infusions & NBN Respiratory uses is the best equipment in the industry that is the most appropriate for homecare. For example, the LTV Ventilator we provide imparts maximum functionality in a small lightweight package. As a part of our value added service we provide our patients with the latest battery and backpack available which weighs less than the standard battery and is more suitable for homecare. We have extensive experience with all respiratory supplies and we have the ability to obtain any custom equipment needed for each child. The Respiratory Therapist will help the caregivers arrange the child’s room with all of the equipment and supplies so everything is easily accessible and organized. The Respiratory Therapist will be at the home for the first five to seven days the child comes home from the hospital to provide support, technical expertise, and make sure the caregivers can demonstrate and verbalize complete understanding of all the respiratory equipment. There is extensive collaboration between the RRT and the RN (Nursing Supervisor), to provide the very best coordination of care in the home. In addition the RRT will continue to follow the patient and perform monthly follow up visits in the home. There is Respiratory Therapist with extensive pediatric experience on-call twenty-fours hours a day, seven days a week in case of an emergency.

The Staffing Coordinator will schedule all of the nurses who have been identified as compatible clinician to work on each case. He or she will consult with family weekly to ensure the family is happy with the staff provided in the home as well as manage any schedule changes.

The team of experts that has engineered this program adhere to the highest standards in nursing and respiratory care. The Trach/Vent Complete Care Program provides our kids with the very best pediatric respiratory homecare available. If you would like more information about this program or would like to set up a consultation please contact Kelly Begley @ 800-605-9111 X312.

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