Oral intubation kiddos in a home setting?Register Today!
- by dirtyhippiegirl Nov 11, '12Decided to pick up a few shifts with the PDN agency that I worked with before the hospital job. They offered me a shift with a "busy" infant who is...orally intubated.
I'm beginning to wonder if the shift coordinator - who is not medically trained - became confused. The kiddo isn't home yet, but she kept insisting that he was coming home intubated but didn't have a trach.
Has anyone ever heard of this before? I'm just thinking that this can't be reasonable/possible. But my only experience is with adult burn patients who have gone from prolonged oral intubation to being trached and weaned off the vent. So my train of thought could be totally off base.
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- Nov 11, '12 by Sun0408I have no experience in home health but in the ICU many of our pts are trached after 2 weeks if they are not able to wean, some go home some go to LTCF that take trachs. I have never seen or heard of someone going home intubated.. On the vent with a trach yes but not oral intubation..
- Nov 12, '12 by SDALPNNever seen that in private duty. I never trust a manager that isn't a nurse. They should leave that stuff to nurses.
- Nov 12, '12 by Ashley, PICU RNNo way. You simply cannot safely have an infant who is orally intubated and non-sedated out of an acute care setting. That baby would fight the tube and have it out in a second. Then what? You've got no one in the immediate area who is qualified to reintubate. Bag the patient and call 911? Every day?
No, OP, this won't happen. Your supervisor likely misunderstood.
- Nov 12, '12 by kiyasmomI've worked with a patient on a NIV 24/7, who I think probably should've had a trach, but the mask was the same (or very similar) to a CPAP mask. There was no artificial airway and I don't see how an infant would be d/c to home with an ET. ??
- Nov 12, '12 by DSkelton711Maybe the "intubation" is actually a feeding tube or suction or something entirely different. Is there a medical record to be looked at? I can't believe an infant would be sent home with an ETT. How old is this baby?
- Nov 20, '12 by smurfynurseymaybe they mean bipap via mask or something? I have never heard of that either, unless it is a hospice situation and the child will be extubated at home with comfort care measures in place.
- Nov 26, '12 by MBrickleI have never heard of this...and I would be concerned about working for an agency where your clinical director isn't a nurse or medical professional!
I would imagine an infant wouldn't be discharged unless trach'd....
- Nov 27, '12 by ventmommyMaybe they mean the baby has an NG tube and he/she has taken their extremely limited medical knowledge and tried to sound smart by using "orally intubated" to describe the baby?