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presented by Deborah Boroughs, RN, MSN
Financial: Deborah Boroughs receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Deborah Boroughs has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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This course gives students an overview of the high-stake, high-risk nature of nursing care in the home of medically-complex, fragile children. Common diagnostic categories of children with complex health care needs who receive in-home nursing care are identified. Primary preventable causes of death in pediatric home care are listed. Nurse competence to care for the fragile child and family at home is defined. Essential training components for the home care nurse are listed.
Deborah Boroughs, RN, MSN
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 Department of Health program with offices at Children's Hospital…
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1. The Pediatric Intensive Care Unit Has Moved Home
The pediatric intensive care unit has moved to a home setting. This chapter will explain the high-risk nature of caring for a medically-fragile child at home. The common diagnostic categories of medically-fragile children in pediatric home care are listed. Preventable accidental death causes and statistics in pediatric home care are presented. The process for decreasing accidental mortality of fragile children in home care is outlined.
2. Nursing Skill to Fit the Bill
The specific training and assessment skills required for home care nurses of medically-fragile children is described. Autonomous home care of a fragile child requires a different focus than hospital nursing care; thus, training methodology and a training agenda for nursing care of the fragile child at home is suggested.
3. Confidence Through Competence
Evidence-based practice differentiates clinical opinion and scientific evidence in pediatric home care nursing. What defines competence of the nurse who cares for a fragile child at home? This chapter describes the elements and assessment of competence for pediatric home care nurses before they assume autonomous care of a fragile child.
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