Hello and welcome to another intensivecareathome.com live stream. Today’s live stream is about congenital central hypoventilation syndrome (CCHS), also known as Ondine’s curse — lifelong home ventilation for children.

Good morning, good afternoon, good evening, everyone, depending on where you are. It is 10:30 a.m. here in Melbourne, Australia, and welcome to today’s intensivecareathome.com YouTube Live. If you are just joining, drop in the chat where you are watching from. Before we get started, hit the subscribe button, tap the notification bell, and subscribe to my YouTube channel so you do not miss any future lives and any other videos that I am putting out. If you are on YouTube Live right now or even if you are watching this on replay, give it a thumbs up — it genuinely helps more families in intensive care to find this information.

We will be going for around 45 minutes, depending on how many questions you have as well.

My name is Patrik Hutzel from intensivecareathome.com, where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies, where we provide tailor-made solutions for long-term ventilated adults and children on BiPAP (Bilevel Positive Airway Pressure), CPAP (Continuous Positive Airway Pressure) ventilation — all of that at home — where we provide tailor-made solutions for adults and children with tracheostomies without ventilation, where we provide home ventilation weaning, home cough assist management, home tracheostomy weaning, home total parenteral nutrition (TPN), home intravenous (IV) fluids, home IV antibiotics, home IV potassium, magnesium, and other electrolyte infusions. That goes along with central line, peripherally inserted central catheter (PICC) line, Hickman’s line, port management at home, nasogastric tube, nasojejunostomy tube, percutaneous endoscopic gastrostomy (PEG) tube, percutaneous endoscopic jejunostomy (PEJ) tube management at home, as well as indwelling urinary catheter (IDC) and suprapubic catheter (SPC) management at home. We are also providing palliative care at home, and we are providing Level 2 and Level 3 NDIS (National Disability Insurance Scheme) support coordination as well as Transport Accident Commission (TAC) and WorkSafe case management.

I also want to welcome our viewers on replay because we are getting quite a number of views on replay. I also want to welcome our viewers from overseas — from the US, Canada, UK, India. Please keep watching as well because you will learn, and we can also help you in those countries. While we are operating all around Australia right now in all states and territories, I am talking to people overseas quite regularly. If you are watching from overseas, please reach out to us as well — especially our viewers in the US, Canada, UK, and India. We can help you there as well.

Today’s topic is a big one and it is one that terrifies a lot of parents when they first hear about it — which is congenital central hypoventilation syndrome, also known as Ondine’s curse. If your child or a child you know has just been diagnosed with this, or you are a nurse, a doctor, NDIS support coordinator, nurse practitioner, or case manager working with a CCHS child, this live stream is for you. Stay right to the end, I am going to cover what CCHS actually is, why it happens, the evidence-based treatment options, and a case that every family needs to hear as a warning about exactly what safe long-term home ventilation care looks like.

Before I go into today’s topic, you might be wondering what makes me qualified to talk about congenital central hypoventilation syndrome and home ventilation. I have worked in critical care nursing for over 25 years in three different countries, where I worked as a nurse manager for over five years in intensive care. I was part of successfully setting up Intensive Care at Home services in Germany in the early 2000s, before I brought the concept to Australia in 2012, and we have been running Intensive Care at Home successfully in Australia since 2012. I have the experience from a clinical setting in intensive care, but I have also got the experience from an Intensive Care at Home setting in people’s homes in the community. That is what enables me to talk about topics like this, simply because of my experience in this space that I have had for many decades.

Here is the question I want to build today’s live stream around — and it is a version of what I get asked constantly. A parent says: my baby was just diagnosed with congenital central hypoventilation syndrome. We have been told they will likely need a ventilator for life, mostly overnight, possibly around the clock. We are terrified. We do not fully understand the diagnosis, and we do not know if we can safely care for our child at home, or what kind of nursing support we would need.

If that is you watching right now — first, take a breath. This is manageable. Hundreds, if not thousands, of children around the world live full, long lives at home with CCHS — but it has to be done properly, with the right clinical team around your child 24 hours a day. That is exactly what we are unpacking today when it comes to CCHS, and I will keep referring to it as CCHS throughout this stream.

What Is CCHS — The Clinical Picture

Let us start with what is actually going on. Congenital central hypoventilation syndrome is a rare disorder of the autonomic nervous system (ANS). The ANS is the part of your brain and nervous system that runs on autopilot — your heart rate, your blood pressure, your gut, and critically, your breathing while you are asleep or not consciously thinking about it.

In a child with CCHS, the brain stem’s automatic drive to breathe does not respond properly to rising carbon dioxide (CO2) or falling oxygen. While awake, most children with CCHS breathe reasonably normally because they have some conscious input helping them along. But asleep, that conscious override disappears and breathing can become shallow, irregular, or stop altogether — without the gasping or obvious distress you would expect to see — because the very reflex that would normally trigger that alarm response is the thing that is impaired.

That is also the historical reason it picked up the nickname Ondine’s curse, from the old folklore about a curse that took away someone’s ability to breathe automatically while asleep. It is a dramatic name for a very real, very serious medical condition.

Here is what makes CCHS particularly hard for families and even some clinicians early on. Your baby can look completely well — good color, feeding fine, interacting, growing. The danger is invisible until you actually monitor overnight oxygen and carbon dioxide levels, or until there is an unwitnessed event. That is why diagnosis and then lifelong monitoring is so central to the management of CCHS.

Why Does CCHS Happen — Causes and Associated Conditions

CCHS is caused by a mutation in a gene called PHOX2B. Genetic testing for PHOX2B is the gold standard for confirming this diagnosis. If your child is showing this clinical picture, this is the test that needs to happen. It is autosomal dominant, meaning one altered copy of the gene is enough to cause the condition. Most of the time it is a brand new mutation in your child — it is not inherited — but both parents should still be tested because a small number of parents carry the mutation in a mosaic form, present in some cells but not causing symptoms themselves, and that changes the risk picture for any future children.

Because PHOX2B is involved in the wider development of the autonomic nervous system, CCHS rarely shows up completely on its own. Two things I want every family to know to watch for and discuss with your specialist team:

Hirschsprung disease, which is a bowel motility disorder, and an increased risk of certain neural crest tumors, including neuroblastoma. That is why ongoing surveillance imaging is a standard, non-negotiable part of long-term CCHS management, not something to skip once things feel stable.

Evidence-Based Treatment Options

Unfortunately, there is no cure for CCHS today. Management is entirely about reliably supporting breathing in the situations where your child’s own respiratory drive is not enough, and doing that safely for life. Let us go through the real options.

Option 1 — Invasive ventilation with tracheostomy. This is generally used for children who need ventilation support around the clock, or whose overall airway and ventilation needs make a tracheostomy the safest long-term pathway. This requires meticulous tracheostomy care — humidification, suctioning, nebulization, tracheostomy tape changes, and tracheostomy cannula changes — and a team who can respond instantly to a blocked or displaced tube. In order to create a team like that which can safely look after a tracheostomy, you need a team of 24-hour critical care and intensive care nurses. I will come to that a little bit later — why this is necessary — but it is also evidence-based, backed up by decades of Intensive Care at Home nursing and backed up by plenty of case studies, and also backed up by cases where 24-hour critical care nursing was not in place and people have died.

Option 2 — Non-invasive ventilation with BiPAP or CPAP with a nasal mask or a face mask or a combination of both. This is often the pathway for children who only need support overnight for CCHS and who can maintain their own airway and adequate ventilation while they are awake. It still requires careful mask fitting, pressure titration, and daytime and overnight monitoring, and again it would require 24/7 critical care registered nurses — as is evidence-based. The evidence and the case studies also back up that if that support is not in place, adults and children have died.

Option 3 — Diaphragm pacing via phrenic nerve stimulation. This is an option for some children, often alongside other strategies. It comes with its own candidacy criteria — it is not right for everyone — and it does not remove the need for skilled monitoring. For example, some of our C1 or C2 ventilated clients with tracheostomy have a diaphragm pacer so that they can be liberated off the ventilator for periods of time during the day, because the diaphragm pacer is taking over the breathing for them.

Option 4 — Cough assist and secretion management, and this applies particularly to children with a tracheostomy — to protect the airway and reduce the risk of respiratory infections, which are a major cause of hospital readmissions in this population if they do not have 24-hour critical care registered nurses. Tracheostomy with cough assist management also needs 24-hour critical care registered nurses, as is evidence-based.

Every single one of these pathways needs close ongoing 24-hour clinical monitoring, which includes oxygen and carbon dioxide monitoring levels, regular sleep studies, and regular specialist reviews. This is not a condition where you set up the equipment once and walk away.

The full evidence base behind how we approach long-term home mechanical ventilation is laid out on our website at intensivecareathome.com. You can read the evidence-based mechanical ventilation guidelines on our website, and the link will be in the show notes after this YouTube Live is on the blog. Go and read our evidence-based mechanical ventilation guidelines in full. It is detailed and it is evidence-based and it will help you ask your treating team the right questions.

Those evidence-based mechanical home ventilation guidelines are a result of over 25 years of Intensive Care at Home nursing in Germany, and they are a result of over 14 years of Intensive Care at Home nursing in Australia. The evidence is crystal clear — it requires 24-hour intensive care nurse monitoring and intensive care nursing attendance to have a safe care level at home in those situations.

Medical Records Advocacy and Reading Your Discharge Plan

I want to talk about something I see go wrong time and time again. It has nothing to do with the medicine — it is about paperwork and advocacy.

When your child is being discharged home on any form of ventilation or with a tracheostomy, do not simply accept the hospital’s discharge and care plan at face value, especially if it does not include 24-hour nursing care. A good hospital will not let your child go home without 24-hour nursing for CCHS — especially not with a tracheostomy or with overnight BiPAP or CPAP — because that could be a recipe for disaster. Many adults and children have died under an insufficient care model when 24-hour critical care nurses were not being funded in someone’s home. Do not take any shortcuts because that could be, quite frankly, deadly. I am not here to fear monger — I am talking from experience, and I would not be saying it if I had not seen it with my own eyes. And I also would not be saying it if I did not know there was a solution. The solution here is Intensive Care at Home and the funding, and we can help you with the funding.

Coming back to medical records — get copies of everything. Know exactly what alarm settings are documented, what the escalation pathway is if something goes wrong, who is actually authorized to make airway or ventilator changes, and — this is the big one — what level of nursing skills has genuinely been funded and rostered into your home.

Get an independent clinical opinion on that discharge plan before you sign anything. I cannot stress this enough. This is basic advocacy for a child whose life depends on the right people and right team being in the room in the moment something changes.

I also want to stress that Intensive Care at Home is the only third-party accredited NDIS registered provider in Australia for Intensive Care at Home nursing. No other provider in the country has achieved this level of accreditation for Intensive Care at Home nursing. We have built the intellectual property, we have created the team that enables us to employ hundreds of years of critical care nursing experience combined in the community. That means we are sending ICU nurses into the home, and we can create the Intensive Care at Home environment. No other provider is able to do that. We have the clinical governance, the intellectual property, the policies, procedures, the accreditation, and thanks to our team — everyone who is on the road right now, who is going on the road tonight and tomorrow — they are all doing amazing work. Our clients could not do it without them.

The Warning Every Family Needs to Hear — Noah Johnston

I bring this case up regularly on this show because it is the clearest possible illustration of what happens and what goes wrong when the level of 24-hour critical care nursing in the home is not right.

In December 2025, Noah Johnston’s tracheostomy became displaced while no critical care registered nurse was present in the home, because the NDIS decided to cut 24-hour nursing funding to only 12 hours a day with no overnight nurse. A disability support worker and family did not know what to do when Noah became disconnected from the ventilator, and that is why he tragically and unnecessarily died. It was entirely preventable.

Noah’s family in January 2026 decided to go to the media. If you look up the Daily Telegraph in Australia and type in Noah Johnston, you will find his story there.

A displaced tracheostomy tube is a life-threatening airway emergency. It can become fatal within minutes if the person present does not recognize it instantly and correct it. That is not a task for a general registered nurse, for a community nurse, let alone for a disability support worker with a brief in-house competency sign-off. That is a task for an experienced critical care registered nurse who has managed real airway emergencies before — under pressure, in real time — but more importantly, who knows how to prevent medical emergencies to begin with.

Because if your child has a tracheostomy with or without ventilation, if your child is ventilated with or without a tracheostomy, please hear this — a 24-hour critical care nurse in your home is not negotiable. Your home is not the place to save money or accept a downgrade. It will be deadly.

What is also important to know here is the economics behind what we do and the economics behind Intensive Care at Home. Your child with CCHS has probably occupied an ICU bed for a long time, or at least a specialist respiratory ward bed in the children’s hospital wherever you are. An ICU bed costs between $5,000 to $10,000 per bed day. Let that sink in. An ICU bed is also a very scarce resource in a hospital — the ICU bed your child is in is in high demand. Intensive Care at Home costs about 50% of the ICU bed but brings the same level of care into your home, which is a win-win situation. You and your family want to be at home. The ICU needs the bed. The funding body wants to slash the cost. It is a win-win situation. Before anybody tells you it is too expensive to go home — going home is much more cost-effective than staying in the ICU. Never forget about the economics behind the human case. There is a business case behind the human case, but the human case is so much more powerful.

Why Third-Party Accreditation Matters

Intensive Care at Home is not just a fancy name or a marketing gimmick — it is actually what we do, and it is third-party accredited. It is audited by independent auditors. We are accredited for ISO 9001:2015, as well as NDIS registered for Intensive Care at Home nursing. That means an independent external body has gone through and verified our clinical governance, our staffing models, our staff qualifications, our incident management systems, our quality framework, our policies and procedures, and our clinical governance. It is not just us telling you we are safe — it has been independently verified by an auditing body. You can check out our accreditation status on our website at intensivecareathome.com/accreditation_quality, and the link will be in the show notes once the transcript is on the website as well.

For families navigating the NDIS with a child with CCHS, real support coordination — NDIS support coordination — matters enormously. Not just someone forwarding invoices to a plan manager. We provide both Level 2 and Level 3 NDIS support coordination and, where relevant, TAC and WorkSafe case management — specifically to help build a funded package that reflects genuine 24/7 critical care registered nursing support. Not a generic registered nurse package, definitely not a generic support worker package that quietly shifts clinical risk back onto your family and onto support workers who, with all due respect, might have worked in a supermarket last week and now are meant to look after an ICU patient. Think about that — that is like flying the airplane with a cabin crew instead of the pilot. You cannot fly the airplane with a cabin crew instead of the pilot. That is what it would mean if disability support workers were looking after your ventilated child. Ventilation, tracheostomy, airway monitoring, medical emergency management, and more importantly, medical emergency prevention is the skill of a critical care nurse — not any support worker.

If your child is facing a CCHS diagnosis, a tracheostomy decision, or a fight with the NDIS or any other funding bodies, we offer help with that. We would not exist if we did not know how to create funding for our clients.

The bottom line I want to leave you with today is this — CCHS is absolutely manageable at home with 24-hour critical care nurses. Children with CCHS can live full lives with their families rather than in hospital, but only when the ventilation, the tracheostomy care, and the emergency response and emergency prevention are handled by properly qualified critical care registered nurses 24 hours a day, where that is what is clinically needed. That is exactly what Intensive Care at Home was built for — to provide 24/7 CCRN (Critical Care Registered Nurse) care for invasive ventilation with a tracheostomy, non-invasive ventilation with BiPAP or CPAP, and tracheostomy care without ventilation.

Frequently Asked Questions About CCHS and Home Ventilation

Is CCHS the same as sleep apnea?

No. Sleep apnea usually involves an airway obstruction or a less severe drive abnormality. CCHS is a fundamental failure of the brain stem’s automatic drive to breathe, which is confirmed by a PHOX2B gene mutation, and it requires lifelong ventilation support rather than a CPAP machine used for typical obstructive sleep apnea.

Will my child need a ventilator for their entire life?

In the vast majority of cases, yes. CCHS currently has no cure. Some children only need support overnight with BiPAP. Others need invasive ventilation with tracheostomy around the clock. Severity is generally linked to the specific PHOX2B mutation. Either way, this is lifelong management — not a phase your child will grow out of.

Can a child with CCHS be cared for safely at home, or do they need to stay in hospital?

Children with CCHS can absolutely be cared for safely at home, and long-term, home is almost always the better environment for a child’s development and the family’s wellbeing. The safety of that home care depends entirely on having appropriately qualified 24/7 critical care registered nurses providing the clinical monitoring, emergency prevention, and emergency response when needed — not the equipment alone. The equipment alone is just a tool. Having the CCRN at home 24 hours a day is what actually is the safety feature and safety mechanism to avoid hospital admissions and worse.

What is the difference between invasive ventilation with tracheostomy and non-invasive BiPAP or CPAP for CCHS?

Invasive ventilation with tracheostomy delivers a secure, controlled airway and is typically used for children who need support around the clock or whose airway needs make it the safer option. Non-invasive BiPAP or CPAP is delivered through a mask and is generally suited to children who only need support overnight and can otherwise maintain their own airway and ventilation while awake. The right choice depends on your child’s specific clinical picture and should be made with your treating respiratory and sleep medicine team.

Should my other children be tested for CCHS?

Both parents of a child with a confirmed PHOX2B mutation should be tested because a small proportion carry the mutation in a mosaic form without symptoms, which changes the risk for siblings and future children. This is a conversation to have directly with your genetic counselor or treating specialist.

What other conditions should we watch for alongside CCHS?

Because PHOX2B affects the wider autonomic nervous system, CCHS often occurs alongside Hirschsprung disease — a bowel motility disorder — and carries an increased risk of certain neural crest tumors, including neuroblastoma. Regular surveillance imaging is a standard ongoing part of care — not something to stop once your child seems stable.

How much nursing support does a child with CCHS actually need at home?

It depends on whether your child needs support overnight only or around the clock, and on the complexity of the airway and ventilation needs. What matters most is that whoever is funded and rostered into your home is a genuinely qualified critical care registered nurse who can recognize and manage an airway emergency instantly — not a general registered nurse, not a community nurse, definitely not a support worker with a brief competency online sign-off. That is a recipe for disaster. It is actually a death sentence, as I have said many times on this channel. It needs a critical care nurse 24 hours a day. This is the exact distinction that mattered in Noah Johnston’s case.

Even if your child is not ventilated during the day and has no tracheostomy, but still has episodes where the child might stop breathing — which happens with other conditions too, such as Rett syndrome — those clients still have 24-hour nursing care. It is better to be safe than sorry.

Will the NDIS fund 24-hour nursing for a child with CCHS?

The NDIS can fund this level of support, but it is rarely offered upfront. It generally has to be built and argued for with proper clinical evidence and NDIS support coordination — both of which are what we can do for you. Building evidence, creating evidence, providing evidence — that is what we have been doing from day one since 2012 for Intensive Care at Home to make that happen for our clients and their families. Because of our infrastructure, families are not left trying to make this case alone against a generic support worker package.

Can a child with CCHS go to school and live a normal life?

Yes, absolutely — with the right critical care nursing support in place. Many children with CCHS attend school, play, and grow up much like their peers, because the condition primarily affects breathing during sleep or reduced conscious drive states — not their waking cognitive or physical capability. The care plan simply needs to travel with them — correct monitoring, trained carers, and clear emergency protocols wherever they are.

Closing

With Intensive Care at Home, we are operating all around Australia in all states and territories, in all metropolitan areas, in all regional and rural areas. We are ISO 9001:2015 accredited as well as NDIS registered for Intensive Care at Home nursing.

If you are watching this in the US, in Canada, in India, in the UK, or wherever you are, and you need help with Intensive Care at Home, please reach out to us as well. Also go and check out our sister site intensivecarehotline.com, where we provide advocacy and consulting for families in intensive care.

If you like my videos, comment, subscribe, click the notification bell, and share the video with anybody who has a loved one in intensive care or needs help at home for nursing. Leave your comments so I know what content you want me to create and what questions you want me to answer. Take care for now. Have a good week. Thank you.

 

With all of that said, with Intensive Care at Home, we are currently sending our critical care nurses into the home 24 hours a day. Therefore, we are providing a genuine alternative to long-term stay in intensive care for:

• Ventilation
• Tracheostomy
• Home BiPAP (Bilevel Positive Airway Pressure) and CPAP (Continuous Positive Airway Pressure)
• Tracheostomy care without ventilation
• home TPN (Total Parenteral Nutrition)
• Home IV potassium
• Home IV magnesium
• Home IV antibiotics
• Home IV fluids

We’re providing:

• Cough assist management at home
• Ventilation weaning management at home
• central line, PICC (Peripherally Inserted Central Catheter) line, Hickman’s line as well as port management at home
• nasogastric tube, nasojejunostomy tube, PEG (Percutaneous Endoscopic Gastrostomy), PEJ (Percutaneous Endoscopic Jejunostomy) tube management at home
• IDC (Indwelling Catheter) and SPC (Suprapubic Catheter) management at home
• Palliative care services at home

We’re also sending our critical care nurses into the home for emergency department bypass services. We have done so successfully as part of the Western Sydney Local Health District’s In Touch program, saving approximately $2,000 per patient that we keep at home instead of them going into an emergency department.

That also means we’re in a position to cut the cost of an ICU bed by around 50%. An intensive care bed costs between $5,000 to $10,000 per bed day depending on location. Intensive Care at Home costs approximately 50% of that, and we’re freeing up the most sought-after bed in the hospital, which is the ICU bed. Most importantly, we’re improving the quality of life for patients and their families, which is a win-win situation for all stakeholders.

Our Coverage and Accreditation

With Intensive Care at Home, we’re currently operating all around Australia, in all major capital cities, as well as in all regional and rural areas. We are an NDIS approved service provider all around Australia, TAC (Transport Accident Commission) and WorkSafe in Victoria as well as the Department of Veterans Affairs all around Australia.

We’re also ISO 9001:2015 accredited. Our clients and we as a service provider have also received funding through public hospitals, private health funds as well as departments of health.

We are the only service provider in Australia that has achieved third-party accreditation for Intensive Care at Home nursing in 2025. We have been achieving this high level of accreditation since 2012. No other provider in Australia has achieved the Intensive Care at Home level of accreditation in the community and has created more intellectual property when it comes to Intensive Care at Home nursing than we have.

This puts us in a position to employ hundreds of years of critical care nursing experience combined in the community. No other service provider in 2025 employs a higher skill level in the community than we do. And that enables us to look after the highest acuity adults and children in the community in Australia safely.

If You Need Help

If you’re at home already and you’re watching this or you’re stuck in an ICU and you realize that you don’t have the right level of support, I can give you many examples where we helped clients with funding, how we advocate for funding. We had to advocate successfully for funding from our first case study to many other case studies where we had to advocate successfully for funding with the right evidence of course because it is crystal clear that disability support workers for example or registered nurses without ICU experience cannot look after ventilated clients at home whether adults or children with or without a tracheostomy and it’s simply dangerous and negligent.

There are plenty of examples where clients with support worker models or even RN (registered nurse) models without ICU experience have died at home and I have evidence to back up everything that I’m saying here because it’s a bit like flying the airplane with a cabin crew instead of the pilot and it could simply be deadly.

This can be avoided by having simply 24-hour critical care nurses at home because our clients are at high risk of medical emergencies or worse without critical care nurses 24 hours. This is actually also evidence-based in the community and is documented in our evidence-based Mechanical Home Ventilation Guidelines on our website at intensivecareathome.com.

Think about it: in an intensive care unit in a hospital, you wouldn’t have support workers or general registered nurses looking after a critical care patient on a ventilator with a tracheostomy. So why would anyone in their right mind do that in a home care environment where there are fewer resources?

Clients that have found us have been at home long-term predictably and permanently with critical care nurses. Their alternative would have been to either die or stay in ICU long-term, and our clients don’t go back to ICU. They stay at home permanently and predictably and the insurance bodies save half of the cost of an ICU. But it’s a win-win situation all around.

We can do the same for you if you’re stuck in ICU or if you’re not safe at home, which includes the advocacy for funding and the network that goes along with it. We have always successfully advocated for our clients or we have the network to successfully advocate for you and for your family member, otherwise we wouldn’t be in business. The same again is applicable for those stuck in an ICU which is similar to many of our, if not most of our cases.

Our Support Coordination Services

This is also why we are providing Level 2 and Level 3 NDIS support coordination. We have a team of experienced NDIS support coordinators, and they have a wealth of knowledge. We’re also providing TAC case management and WorkSafe case management in Victoria with Lucy McCotter.

If you’re an NDIS support coordinator or a case manager or a social worker from another organization or a hospital watching this and you’re looking for nursing care for your participants, please reach out to us as well. If you’re looking for funding for nursing care for your participants and you don’t know how to go about it and how to advocate for it, what evidence to provide, I encourage you to reach out to us as well. We have the network to make that happen. We will help you with the right level of funding and with the right level of advocacy.

We’re also providing NDIS specialist nursing assessments done by critical care nurses with a legal nurse consulting background.

Join Our Team

If you are a critical care nurse and you’re looking for a career change and you want to join a very progressive, dynamic, successful, and high-performing team of critical care nurses in the community, we are employing hundreds of years of critical care nursing experience combined.

If you’re looking for a career change, we’re currently hiring for jobs for critical care nurses in Melbourne, Sydney, Brisbane, Albury-Wodonga, Bendigo, Geelong, Warragul, and also in Wyelangta in Victoria.

If you have worked in critical care nursing for a minimum of two years, adult ICU, pediatric ICU, ED and you have already completed a postgraduate critical care nursing qualification, we will be absolutely delighted hearing from you.

I have a disclaimer though: Because we are offering tailor-made solutions for our clients which includes regular staff, our clients do also want the same staff coming over and over again because they are so vulnerable and so special. That’s why we need regular, reliable staff.

If you’re looking for agency work where you can come and go, this will not be the right fit for you. We’re looking for consistency and our clients are looking for consistency. So please only apply with us if you can give us regular and consistent availabilities for shifts and you’re really keen on building relationships with us and with our clients. Reliability is also a must.

For Medical Professionals and Healthcare Executives

If you’re an intensive care specialist or an ED specialist, we also want to hear from you. We’re currently expanding our medical team as well.

We can also help you eliminate your bed blocks in your ICU and in your ED for your long-term patients or for your regularly readmitting patients with our critical care nursing team at home. We’re here to help to take the pressure off your ICU and ED beds. In most cases, you won’t even pay for it. Even if you do pay for it, it is so much more cost-effective than what you’re paying for in ICU and ED settings, and you get the same level of care and simply more patient and family satisfaction because you also want to partner with your consumers.

If you are a hospital executive watching this, we can help you free up your ICU and ED beds.

International Support

If you’re in the U.S. or in the UK and you’re watching this and you need help, we want to hear from you as well. We can help you there privately with one-on-one consulting and with hiring nurses privately.

Once again, our website is intensivecareathome.com. Call us on one of the numbers on the top of our website or simply send us an email to [email protected].

If you like my videos, click the like button, subscribe to my YouTube channel for regular updates for families with Intensive Care at Home and intensive care. Click the like button, click the notification bell, and share this video with anyone who has a family member in intensive care long-term or needs to see this.

Thank you so much for watching.

This is Patrik Hutzel from intensivecareathome.com and I’ll talk to you in a few days.

Take care for now.