If your Children's Hospital Home Care service includes respiratory therapy, you can expect your initial visit by a respiratory therapist to last from one to four hours and follow-up visits to last from one to two hours.
A two-hour time block for the initial respiratory therapy visit ensures that the respiratory therapist has enough time to complete all the necessary assessments, 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.
Assessments are done on our initial respiratory therapy visit to establish your child’s baseline status and create a basis for comparison on subsequent visits. The respiratory therapist will document 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 respiratory therapist from Children's Hospital Home Care, you can expect the respiratory therapist to perform the following.
The respiratory therapist 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 respiratory therapy 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 client.
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 respiratory therapist will also complete a home safety assessment. This includes a review of your child's living space to make sure there are no safety concerns that would impact your family's ability to safely care for your child. If there are any safety issues, the home care respiratory therapist will work with you to correct it or connect you with resources that can help.
On each visit, the respiratory therapist will also ask to see all of the medications —prescribed or over-the-counter — your child is taking. The RT will then check the medications in your home against those ordered by your child's physician.
The respiratory therapist will also explain how to contact the Home Care office with questions about supply re-orders, equipment malfunction, and/or questions about your child’s care between home care visits.
The respiratory therapist will provide you and your child's primary caregivers all of the training needed, including demonstrating equipment and care required for your child. After the demonstration, the respiratory therapist will ask you to perform a return demonstration to ensure you are comfortable and competent in caring for your child safely at home.
During the respiratory therapy visit, you can expect the RT to complete necessary tasks such as an assessment of your child's airway management, and provide you with valuable information on:
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