Preventing Accidental Deaths of Ventilator-Dependent Patients Part 1

Presented by Deborah Boroughs

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Video Runtime: 36 Minutes; Learning Assessment Runtime: 16 Minutes

This course is part one of a two-part series that provides an overview of home nursing care of children who are ventilator-dependent. Discussion of the high-risk nature of nursing care for these children is presented. Longitudinal data regarding preventable deaths of children who are supported by mechanical ventilation at home is detailed. Adequate skill preparation of caregivers to meet the complex needs of these children is proposed. The importance of ongoing nurse and family caregiver training is validated.

Meet your instructor

Deborah Boroughs

Deborah Boroughs, RN, MSN, has extensive professional and personal experience in the management of medically complex children. As an advanced practice nurse, she led a professional team of nurses and social workers as the director of the Pennsylvania Ventilator Assisted Children’s Home Program (VACHP), a Pennsylvania…

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Chapters & learning objectives

The Pediatric Intensive Care Unit Moves Home

1. The Pediatric Intensive Care Unit Moves Home

This chapter describes the history of ventilator-dependent children moving from a hospital setting to a home care setting. Despite advances in medical technology, the number of preventable deaths of these children has not declined significantly over the past 20 years. Known causes of these preventable deaths will be identified.

Training the Nurse

2. Training the Nurse

As the number of medically fragile children receiving care at home has increased, the availability of a sufficient pool of qualified home care nurses to meet the demand has not kept pace, and the gap is ever widening. This chapter will cover the knowledge and skills that a home care nurse will need to be able to provide adequate care to a ventilator-dependent child.

There Is No Greater Teacher Than the Voice of Experience

3. There Is No Greater Teacher Than the Voice of Experience

The presenter will tell the story of her experience in adopting and caring for her ventilator-dependent son. Changes in family caregiver training protocols over the years will be highlighted. This practical perspective and family-centered case study illustrates the unique skill set and critical thinking needed for caring for medically fragile, technology-dependent children and their families.