If your Children's Hospital Home Care service includes a nursing visit, you can expect your initial visit to last about two hours and follow-up visits to last approximately one hour.
A two-hour time block for the initial home nursing visit ensures that the registered nurse has enough time to complete all of the necessary assessments of your child, as well as provide training to you and other primary caregivers about how to safely care for your child.
We understand the challenges patients and caregivers face in a home setting. Therefore, our program emphasizes extensive caregiver training prior to discharge from the Hospital, home follow-up and continued support including 24-hour clinical and technical on-call service.
Your child's home care nurse will do a full range of assessments including:
These assessments are done during our initial nursing visit in order to establish your child’s baseline status and then will be done at each follow-up nursing visit and compared to your child’s baseline.
As the nurse performs these assessments, she will ask you and your child a series of questions. These same set of questions will be asked during each visit. You can also expect to see the nurse documenting your child’s information into the electronic medical record with the use of a laptop computer which connects to The Children’s Hospital of Philadelphia Home Care office.
On your first visit with the registered nurse from Children's Hospital Home Care, you can expect the nurse to perform the following.
The nurse will review and explain documents such as your Home Care Consent and Assignment of Benefits. This document serves multiple purposes.
First, it documents your consent for nursing care and treatment to be provided to your child by Children’s Hospital Home Care. Additionally, it serves as an explanation of your rights and responsibilities as a home care patient.
This document also makes you aware of your financial responsibility for home care services, as well as allows Children's Hospital Home Care to bill your insurance provider for home care services.
The nurse will also complete a home safety assessment, in which she will assess your child's living space to make sure that there are no safety concerns that would impact the ability to safely care for your child. If there are any safety concerns, the home care nurse will work with you to correct them or connect you with other resources to help.
On each visit, the registered nurse will also ask to see all of the medications — prescription and over-the-counter — your child is taking. She will check these medications against those ordered by your child's physician.
The home care nurse will also explain how to contact the Home Care office with questions about medications, supply re-orders, equipment malfunction, and/or questions about your child’s care between home care visits.
The nurse will provide you and your child's other primary caregivers all of the training needed, including demonstrating treatment and care required for your child. After the demonstration, the nurse will ask you to perform a return demonstration to ensure you are comfortable and competent in caring for your child safely at home.
Additionally, you can expect the nurse to complete physician-ordered nursing tasks, such as administering intravenous medications, intramuscular injections and sterile procedures.
For referrals or for more information about Children's Hospital Home Care, call 1-800-866-1242 or contact us online.
Reviewed by: Lori Kramer, RN
Date: August 2012