Children's Hospital @ Home: Acute Nursing Care in Tower Hamlets
Providing acute nursing care for children at home from 8 am to 10 pm, the Children's Hospital @ Home in Tower Hamlets offers services such as IVABs, NGT re-insertion, acute assessment, wheeze management, and home-based phototherapy. The initiative aims to reduce hospital stays, minimize admissions from the emergency department, educate families on managing acute episodes of care, improve patient experience, reduce stress, and enhance school attendance. Support is also provided for disordered eating through regular visits, education, and stress reduction strategies. Training for staff, risk assessments, robust care planning, managing expectations, and personal safety considerations are essential caveats. A case study highlights the importance of effective support and clear communication in empowering families to manage care effectively.
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Presentation Transcript
Whats it all about? Acute nursing care for children at home 8 am 10 pm operation Go live November 2019 Based on PASSU 3x B6, 1x B7 nurses
What do we do? IVABs Out of Hours NGT re-insertion Acute assessment Wheeze Home based phototherapy
Why? Reduce length of stay on acute wards Reduce admissions from ED Educate to manage acute episodes of care Improve patient experience Reduce stress Improve school attendance
Support for disordered eating Regular visits Reduce length of stay Educate to manage acute episodes of care Improve patient experience Reduce stress Improve school attendance
Caveats Training for staff Risk assessment Robust care planning Managing expectations Personal safety considerations
Case study Young person referred to H@H for support with eating at meal times over BH weekend. 3 visits Observe behaviour and support parent YP verbally abusive and locked herself in room did not follow plan Parent felt H@H not effective Learning: H@H can visit to support and reinforce care plan may be effective for some families. Training required Managing expectations Clear escalation plan required
