Pediatric Home Care Tips for Fragile Infants

nurse preparing an infant to transition to home care

Bringing medically fragile infants home from the hospital is an important milestone for families. However, the transition can be daunting because you want to create a safe environment for your bundle of joy. With the medical and care considerations you need to remember, it can be easy to feel overwhelmed and anxious. To help make the transition easier, below are our top pediatric home care tips to help you during this preparation stage.

Pediatric Home Care Services For Infant Needs

As excited as you are to bring your baby home, transitioning from the hospital to your home can be stressful. This can happen if you don’t prepare the environment beforehand. Medically fragile infants require specialized care because of their complex medical conditions. That’s why understanding their needs can help you provide the appropriate awareness and support.

In that regard, you should consult a specialist about pediatric home care and medication. If your baby requires medical support, ask about the equipment’s requirements. Complete information about your baby’s needs will help you determine what changes you should make at home to develop a supportive care plan.

Medical Equipment and Supplies

Depending on your baby’s condition, they may need medical equipment to improve their quality of life. However, learning how to navigate medical devices can feel overwhelming at first. When this is the case, families can benefit significantly from hiring pediatric nurses. After all, they have the skills and expertise to operate equipment to ensure your baby’s health and safety.

It’s also best to keep a list of supplies and medication your baby will need. This will help you stay organized and not overlook any instructions from your doctor.

Home Environment Modifications

Before bringing medically fragile infants home, consider what you need to modify at home to make it a safer environment. For instance, you may have to rearrange the furniture in their room to accommodate medical equipment. That said, you need to create a designated storage area for their medical supplies to help keep them organized. Make your baby’s room more comfortable by considering their sensory needs. To do this, provide them with soothing music, soft lighting, and tactile toys.

Improving your home’s accessibility can also make it easier to care for your baby. You can replace stairs with ramps so nurses can easily transport your baby with a medical stroller or wheelchair. It’s also a good idea to install accessible features in your bathroom so caregivers can assist your baby with bathing and hygiene routines without hassle.

a mother incorporating sensory stimulating activities into pediatric home care.

Developing A Care Routine

A pediatric home care routine can help ensure you provide your baby with consistent and quality attention. That said, consult your baby’s doctor to create tailored feeding, hygiene, and medical management plans that support your infant’s condition. Remember to incorporate sensory-stimulating activities into the routine to develop your child’s cognitive, motor, and social skills. This may include talking, singing, and playing with toys.

When creating a care routine for your baby, make sure to involve your family members so you can consider their input and concerns. If you’re hiring a nurse, make sure to list your care routine in a binder for easy reference. Provide detailed information about your baby’s schedule, medication, and other relevant information you want to share with your caregiver. This can include their preferences for foods, toys, etc.

Emotional and Psychological Support

Taking care of a medically fragile baby can be emotionally taxing for parents and family members. After all, the constant vigilance and the stress of managing complex medical needs can lead to feelings of fear, anxiety, and isolation. That’s why acknowledging these emotions and understanding that they’re natural responses to the circumstances is important. 

Before transitioning your baby to home care, find a reliable counselor. A professional therapist can offer your family valuable coping mechanisms and emotional support to navigate these emotions. Hospitals and community organizations also provide support groups for families of medically fragile children. 

Hiring a registered nurse for babies will also be helpful because it will give you time to rest and recharge. When you have the time, do self-care activities like exercise, hobbies, or maintaining your mental health.

Coordination with Professional Pediatric Health Services

Pediatric health services can make your baby’s care easier. Aside from being medically licensed to handle medical equipment and medication, they’ll also provide you with time to care for other family members or go to work. That said, working with a registered nurse gives you the peace of mind that your baby is well-taken care of.

To ensure your baby’s care stays consistent, inform and train your caregiver about their routine. Develop a system for documenting care activities, like medication administration, feeding volumes, and vital signs, so that you can monitor your baby’s progress. Record them in journals or utilize mobile apps. Establishing clear communication to share information and discuss concerns is also important.

Emergency Preparedness

To stay prepared, it’s important to have an emergency plan that responds to medical crises, such as respiratory distress, seizures, or changes in your baby’s health status. Train your nurses about emergency medical procedures and know when you should seek medical assistance. Make a list of emergency contact numbers, including your baby’s pediatrician and emergency medical services.

Health-compromised infants are also more susceptible to infections and illnesses, so it’s important to bear their safety in mind. In this way, you are able to prevent medical emergencies that exacerbate their condition. For instance, you can use sterile equipment when changing your child’s ties and dressings to prevent tracheostomy infection.

It’s also good to draw a plan for natural disasters like fires, hurricanes, or floods.  Strategize how you’ll evacuate your home by locating the nearest exits. Consider how you’ll transport the required medical equipment and supplies so your baby stays healthy and safe.

Final Thoughts

Transitioning medically fragile infants from the hospital to home care doesn’t have to be as stressful. The trick is to develop a solid care plan to make the transition process easier. However, developing a care routine, modifying your home environment, and navigating medical support can feel overwhelming for you and your family. 

Opting for pediatric home care services from reliable sources like Nursing Evolutions can be beneficial. We aim for a positive impression and ensure infant safety between and after they make their way home. In short, we bridge the gap from hospital to your home. For more information, contact us today!

Frequently Asked Questions (FAQs)

Here are answers to some of the frequently asked questions to help you understand the need for pediatric home care for your medically fragile child: 

What important factors should you know when taking pediatric home care?

Parents should consider various factors when seeking pediatric care for their infants. Special mentions include creating a child-friendly space, making emergency plans, developing trust with their infant, and coordinating with professionals.  

What illness does pediatric in-home care manage?

Pediatric home health care focuses on managing various common conditions. Some of these diseases include chronic pain, wound care, cardiac disease, and chronic respiratory diseases. Furthermore, if your baby’s condition persists, consult a doctor immediately.

Quality of Life and Pediatric Healing

Author: Sophia Hart, Pediatric Critical Care RN

At Nursing Evolutions, we understand the profound impact that patient quality of life has on their overall health, recovery, and resilience. With this understanding as a guiding principle, we are dedicated to providing as many enriching experiences as possible to enhance the lives of our patients. 

Enriching Experience for Patients

From regular walks to the park, visits to the pumpkin patch, to zoo days with families, these are just a few examples of the diverse experiences we offer to enrich the lives of our patients. We believe that these activities not only bring joy and happiness but also contribute positively to their physical, cognitive, and psychosocial development. 

While hospitals are remarkable places to receive care from many providers and specialties, they often struggle to provide the “normal” childhood experiences essential for holistic development. This challenge is particularly pronounced during long-term stay in units like the Neonatal Intensive Care Unit and Pediatric Intensive Care Units, where the environment can interrupt children’s development on multiple levels. 

Creating a Nurturing Environment

In our facilities, we prioritize creating an environment that prioritizes both the safety and growth of our patients in all areas of life. Our progressive critical care facility goes beyond traditional nursing care to provide a nurturing environment where children with complex health conditions can truly be kids. Whether it’s crawling in the grass, playing with other children, or doing regular kid things like trick-or-treating on Halloween, we strive to offer experiences that are difficult to replicate in a hospital setting. 

Integrating Play and Complementary Therapies in Pediatric Care

Central to our approach is the belief that pediatric care should revolve around play. We recognize the profound impact that play can have on reducing anxiety and mitigating healthcare-related trauma. As such, we ensure that our nursing interventions are as enjoyable as possible, engaging our patients in activities that cater to their developmental needs, whether participating in pretend play, hide-and-seek, stacking blocks, or participating in matching games. We tailor our play to support each individual patient’s growth, following recommendations from their interdisciplinary team 

In addition to traditional medical care, we integrate complementary therapies into daily life at our facilities. Music therapy is beneficial in improving patient quality of life. Our patients have dance parties and the kids get excited to learn simple songs to on play pianos. These moments of joy and connection help ensure that our houses are rarely quiet, filled instead with the sounds of laughter and play. 

At Nursing Evolutions, improving quality of life permeates care practice, from our daily routines to our exciting outings, ensuring that our patients receive the comprehensive support they need to thrive. 

Nursing Job Fair at Bellingham Technical College

nursing team dedicated to advancing RN careers through education, support, and professional development.

Nursing Evolutions on the Road!

Our HR team has been hosting booths at healthcare-oriented job fairs to promote RN careers. Most recently, we traveled to Spokane for Washington State University’s School of Nursing Job Fair, and to the Bellingham Technical College School of Nursing Job Fair. We are currently hiring for Registered Nurse positions and Pediatric Care Technician positions (PCT – nursing students, NARs, or CNAs). But how is it that we can sometimes hire new nursing school grads for such a niche patient specialty?

Training for CNA / Pediatric Care Technicians

Nursing Evolutions patients consistently exceed the expectations of their hospital-based care teams due to the expertise and professionalism of every member of the care team. Pediatric Care Technicians are essential members of the team, and as such, complete rigorous technical training. This includes detailed knowledge of activities that PCTs would only perform in extreme and highly unlikely emergencies; Nursing Evolutions follows emergency preparedness similar to the multiple layers of clinical back-up in a hospital.

Depending on the experience level of the new PCT and their familiarity with tracheostomy care and pediatrics, the training process can take anywhere between four and twelve weeks of full-time shift work. There are many milestones along the way as the new PCT becomes proficient in each patient care activity and passes the associated Nursing Evolutions quiz. At the end of a PCT’s training, we issue their Pediatric Care Technician Certificate with sign-off from the PCT Manager, Nursing Supervisor, Clinical Director, and CEO, and those advancing in RN careers.

Comprehensive RN Mentorship Program

We believe that providing the best care for our patients requires a commitment to continual learning and skill development.

Hands-On Experience with Expert Guidance
New RNs receive hands-on experience under the direct supervision of experienced RNs. The length of the mentorship period varies based on the complexity of the patient’s case and the experience level of the RN. Mentorship continues until the nurse is confident and prepared to provide care independently.

Even experienced RNs participate in the mentorship program when encountering new patient cases, enhancing their RN careers.

Residency Program
Once the mentorship period is complete, nurses can then enroll in our two-year Residency Program which includes a $5,000 retention bonus. The program combines on-the-job training with formal off-site courses to expose RNs to a wide range of situations and decisions that must be made in the field.

At a minimum, all mentees and residents become proficient in the following nursing care responsibilities:

  • Head-to-toe physical assessments
  • Tracheostomy care
  • Managing mechanical ventilation, including pressure and volume ventilation, intensive pulmonary treatments, and cough assist devices
  • Administering fluids and medications through various lines and tubes
  • Nutrition and hydration management
  • Medication administration, both scheduled and as needed
  • Effective communication with patients, family, and healthcare professionals

We currently have open positions! Come visit us at a job fair or reach out to us at hr@nursingevolutions.com!

Creating a Strong Team Across Medical Specialties

Critical care units are high-stakes environments where patients require round-the-clock care and monitoring. The success of this care depends mainly on the teamwork and collaboration of medical professionals from different specialties. This post will discuss creating a robust and cross-disciplinary team in a critical care setting.

Establish clear communication protocols: Clear and consistent communication is one of the essential elements of effective ICU teamwork. Establishing protocols for handoff reports, shift reports, and critical event notifications will help ensure that all team members are on the same page.

Encourage interdisciplinary rounds: Regular interdisciplinary rounds, where all care team members meet to discuss patients and plan care, are an excellent way to foster collaboration and improve patient outcomes. These rounds allow team members from different specialties to share their expertise and perspective.

Foster a culture of respect and collaboration: Encouraging a culture of respect and cooperation can help build trust and teamwork within the unit. Team members should feel comfortable sharing their thoughts and ideas and be willing to listen and learn from each other.

Provide opportunities for education and training: Providing opportunities for continuing education and training can help build a strong, knowledgeable team. Encourage all members to attend conferences, workshops, and other educational events, and provide in-house training regularly

Preventing Infection in Toddlers with Tracheostomies

medically fragile infants like toddler with tracheostomy tube

Protecting Your Medically Fragile Infant from Tracheostomy-Related Infections

As a parent or caregiver of a medically fragile infant with a tracheostomy, it’s normal to have concerns about keeping your little one safe and healthy. One of the biggest concerns for children with tracheostomies is the risk of infection.

A tracheostomy is an opening in the neck that provides a direct airway to the trachea and lungs. Tracheostomies are often necessary for children with breathing difficulties. They also leave them vulnerable to bacterial and viral infections that can cause serious health problems.

However, there are steps you can take to minimize the risk of infection in your medically fragile infants with a tracheostomy. Here are some tips to keep in mind:

  1. Keep the tracheostomy site clean and dry. Regularly clean the skin around the tracheostomy and make sure it stays dry. Use a clean, damp cloth to wipe away secretions, and allow the area to air dry.
  2. Change the tracheostomy ties and dress regularly. Tracheostomy ties hold the tube in place, and the dressing protects the skin around the opening. Be sure to change these regularly as directed by your healthcare provider. At Nursing Evolutions, we attend to these every day.
  3. Avoid exposing your toddler to infections. Keep your toddler away from people who are sick, and wash your hands frequently to prevent the spread of germs.
  4. Use sterile equipment. Always use sterile equipment when changing your toddler’s tracheostomy ties, dressing, and cleaning the tracheostomy site.
  5. Monitor for signs of infection. Look for any symptoms of infection, such as increased secretions, redness or swelling around the tracheostomy site, or a fever. If you notice any of these signs, contact your healthcare provider immediately.

In conclusion, preventing infection in medically fragile infants and toddlers with tracheostomies requires regular care and vigilance. Following these tips and working closely with your healthcare provider can help keep your toddler healthy and safe.