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Discharge Planning-Who’s Role Is It Anyway?
Andrea FernsChildren’s Long Term Ventilation Co-ordinatorCARA Service
Children’s Assisted Respiratory Advisory (CARA) Service Andrea Ferns – Discharge Co-ordinator
Gillian Halley – Consultant Intensivist
Ruth Wakeman - Physiotherapist
PICU/HDU/NICU
R.B.H. G.O.S.H Evelina St Thomas’ Chelsea &
Westminster St Mary’s St George’s
Whittington Royal London Kings Cambridge Brighton
PCT Boundaries
London
Bedfordshire
Hertfordshire
Essex
Kent
Surrey
Sussex
Aims and Learning Outcomes Identify the role of the Community
Children’s Nurse in relation to discharge planning for children on long term ventilation
Explain the different roles of ‘key workers’
Consider the responsibilities being placed upon Community Children’s Nursing Services
Guidelines
Hospital to Home – Guidance on discharge management and community support for children using LTV (2005)
National Service Framework (2001)
Together from the Start (2003)
Key Worker - Definition
‘Federal employees who are generally responsible for distributing campaign materials’
Key Worker
Takes responsibility for organizing the discharge
planning for children on long term ventilation
Hospital Team
A named nurse/team from PICU/HDU/NICU is ‘responsible’ for co-ordinating discharge planning from acute setting
Community Nursing Team
A ‘key worker’ will be allocated and ‘responsible’ for co-ordinating discharge and management of child in the community
Starting the Process
Key worker from acute setting contacts the Key worker from the community
Key worker (Community) contacts local authority commissioners
Health Needs Assessment carried out/1st MDT meeting
Funding needs to be agreed in principle
Health Needs Assessment
Who is responsible for carrying out a health needs assessment?
Housing Assessment
Who is responsible?
Equipment List
Who is responsible?
Funding Agreed – What Happens Now?
Timescales Responsibilities Purchase of equipment Recruitment of carers/nurses 2nd MDT meeting
Training of Home Carers
PCT is responsible for training their own carers
Agency/Care Providers are responsible for training their own carers
Competency Training
Competency Guidelines
How often updates required?
Who is responsible for updating the parents/carers?
Final Discharge Arrangements
Date and time for discharge are set in agreement with family
Emergency services/utility services informed
Medical passport
Discharged Home
Implications for Community Children’s Nurses
Training Maintaining skills Resources 24 hour support for carers/parents Time
Aims and Learning Outcomes Identify the role of the Community
Children’s Nurse in relation to discharge planning for children on long term ventilation
Explain the different roles of ‘key workers’
Consider the responsibilities being placed upon Community Children’s Nursing Services
QUESTIONS?
www.longtermventilation.nhs.uk
