Podcast: Play in new window | Download
Hi it’s Patrik Hutzel from INTENSIVE CARE AT HOME where we provide tailor made solutions for long-term ventilated Adults & Children with Tracheostomies and where we also provide tailor made solutions for hospitals and Intensive Care Units whilst providing quality services for long-term ventilated patients and medically complex patients at home.
In last week’s blog, I talked about,
INTENSIVE CARE AT HOME FREQUENCY & MANAGEMENT OF RESPIRATORY INCIDENTS IN INVASIVE HOME VENTILATION
You can check out last week’s blog by clicking on the link below this video:
In today’s blog post, I want to answer a question from one of our clients and the question today is
Should my Dad Go Home with Intensive Care At Home, Should he Stay in ICU or go to LTAC? Live Stream!
Welcome to another Intensive Care at Home live stream. My name is Patrik Hutzel, and I’m the Founder of Intensive Care at Home. And in today’s live stream, I want to talk to you about, “Should my dad go home with Intensive Care at Home? Should he stay in ICU, or should he go to LTAC?” And I want to dive very deep into this question today. And obviously, this question is all about somebody that’s in intensive care. Your dad could be, your mom could be, your brother could be, your sister could be, your spouse, whoever it is that we are referring to and if they’re in intensive care long-term, ventilated with a tracheostomy, there are other clients as well, or patients in intensive care that could go home as well. Even if they don’t have a tracheostomy, for example, they might have BiPAP or CPAP ventilation needs, and so forth. Or they might have other medical complexities, not necessarily ventilated, but they might have seizures that need airway management when those seizures occur and so forth. But I’ll come to that in a moment.
Before I go into the topic, you may wonder what makes me qualify to talk about this topic. So just very briefly about myself. I am a critical care nurse by background. I have worked in intensive care for over 20 years in three different countries. While ago, I was part of Intensive Care at Home in Germany over 20 years ago. And I was part of setting up Intensive Care at Home in Germany. And then, in 2012, 2013, I started setting it up here in Australia. I should say I started it successfully. We have a growing and established company now where we look after many long-term ventilated patients at home instead of them staying in intensive care long-term.
So that’s a little bit of background. I have also worked in intensive care as a nurse unit manager for over five years. We are also running Intensive Care Hotline where we are providing a consulting advocacy service for families in intensive care. And we talk to families in intensive care all over the world every day. So we have massive insights into intensive care, and also obviously what’s happening with intensive care at home, and I will talk to you about that in a moment.
So let’s focus on today’s topic. “Should my dad go home with Intensive Care at Home? Should he stay in ICU or go to LTAC?”
Now, again, this is just hypothetical question, but because we’re getting this question pretty much every day of the week, this is why I wanted to make a video about it today in a live stream where you can ask questions.
So, instead of, can your dad go home? I could have also said, can your mom go home? Can your brother go home? Can your sister go home? Can your child go home? Your daughter, your son, can your wife, your husband go home? So, we’re getting this question every day of the week probably all over the world, really, but obviously, at the moment, we are an Australian-based company, Intensive Care at Home, and we’re providing services mainly in Australia, predominantly Melbourne, Sydney, Brisbane, but we are also going to Adelaide and Perth. But we also have a lot of inquiries from the US. And I want to address our US audience as we go along in today’s video.
So when someone is in intensive care long-term, and when I say long-term, I’m probably referring to anything that’s sort of above the six to eight-week mark, they have tracheostomy, they are on a ventilator, and they’re struggling getting off the ventilator. That is probably when Intensive Care at Home comes in, where we can help taking your loved one home.
There’s very few prerequisites, really and one of the prerequisites is that someone needs to be hemodynamically stable, meaning they shouldn’t be on inotropes or vasopressors. In some instances, that can be done at home as well. But if someone is on vasopressors or inotropes on a continuous basis, it might actually be too risky to take them home. But other than that, anything is possible at home. I argue we are running like a small ICU in the community. That’s what we do. And we are helping ICUs to free up their beds. But more importantly, we are helping patients and their families to live a much better quality of life. I mean, if you are on this today, you might have a loved one in ICU. And you might be looking for solutions because you realize your loved one doesn’t have any quality of life. And you realize you don’t have any quality of life because you are probably commuting between home and hospital to spend any spare minute you have with your loved one. It’s a pretty scary experience. I can understand that.
So, of course, you’re looking for solutions. Of course, you’re looking at, “Okay, how can I go home?” Or, “How can I get my loved one home if they can’t come off the ventilator?” And you realize by now if they can’t come off the ventilator, if they need to keep the tracheostomy, you have a big dilemma because you can see the challenges from an intensive care perspective that they can’t go anywhere else.
If you are watching this and you are in the US, yes, the ICU might have suggested to you to take your loved ones to LTAC. But if you’ve done any research about LTAC, you would find very negative feedback about LTAC, and you would realize that the 1:1 nurse to patient ratio, or sometimes 1:2 nurse to patient ratio in ICU, will quickly deteriorate to 1:4, 1:5, maybe 1:10 overnight. So LTAC is not really a solution that is a sustainable solution. So you would know, you would realize that you’re in a real pickle here in a real dilemma. On the one hand, you’ve got ICU trying to force you out. On the other hand, you know that LTAC is not the solution.
In other countries like in Australia here or in the UK, it’s different. There are no LTACS. And you can look at solutions like Intensive Care at Home pretty quickly. Well, you should do the same in America. Don’t get me wrong, but you do have this intermediate step in America with LTACs. That, from my perspective, are making things worse, and not making it better, but you should be looking at solutions like Intensive Care at Home, pretty quickly I believe. But I also want to make one thing clear. We have inquiries sometimes where families come to us, and they say, “Look, my mom, my dad, my spouse,” whoever, “Has been in our ICU for three days, can we take them home?”
Now, my argument on that level is after three days, it is way too early because there, your goal should be to deal with whatever issue is at hand, get dealt with, get out of ICU, get to a hospital ward, get to a hospital floor and then go home. ICU should be something that is short. That is temporary. The bottom line is this and the challenge is this though that more and more people in ICU are there long term, more and more people in ICU need a tracheostomy, especially now with the prevalence of COVID, there are many patients in ICU that had COVID ARDS and now end up with a tracheostomy. And families are looking for solutions.
So Intensive Care at Home it’s predominantly for someone that is in intensive care, has been in intensive care for many weeks, can’t come off a ventilator, has difficulties weaning off a ventilator. And there’s often also the psychological aspect. People are scared. Patients are scared. There’s high staff turnover in ICU. There’s some consistency, but probably not enough consistency. There is a disturbed day and night rhythm. There is depression. There can be loneliness. There’s all these issues that can be much better dealt with at home because part of what we do, when we start with someone at home, we’re try trying to create a stable team of course. You wouldn’t have people coming and going ideally. And you’d have a more stable team. Don’t get me wrong. This can take time as well, especially in the early days when we’re starting out. There are some trial and error around staff. We want to find the right staff for you of course, but that is often not an overnight event. It takes a little bit of time finding staff, modelling them to your environment, modelling them to what you would like, modelling them to what your loved one would like in terms of routine.
It’s not like in ICU, where every morning at four o’clock, someone gets a bed bath because that’s what the policies and procedures are in ICU. A home care environment is much more geared towards you, towards your loved one’s routine. It’s not about us. It’s about you getting what you want out of this. And I also understand it can be pretty daunting.
On the one hand, if you’ve come to this, I know you’re looking for a solution, but I also know this can be pretty daunting too. And you probably have all these questions running through your head. How does this even work? What does it look like? Can you just deliver services at home that my loved one is now getting in intensive care? And the answer is pretty much yes, but obviously, things need to be set up correctly, whether that’s equipment, whether that’s staff, looking at what would you do in an emergency at home? How would the staff react? What are the staff’s qualifications? What’s your medical backup?
So there’s all these questions that I know you are asking and rightfully asking. But again, it is all doable. We’ve been doing this now for close to 10 years. And prior to that, I’ve been doing it in Germany way back then. So, it’s all possible. And just because ICUs, it’s still not mainstream, they might be a little bit opposed, so they might be rolling their eyes when they even hear about it. That should not stop you from considering this option. It can be all set up.
So once you are clear on that, you want to go home, it starts from setting up the home care environment around. You need a hospital bed. You probably need a hoist, whether that’s a sitting hoist or a portable hoist, also known as lifting machines. You need ventilators, you need suction machines, you need monitors, and you always need two of each to have backup. You will need emergency equipment such as a resuscitation bag, spare tracheostomies, tracheostomy dilators. You need the medication at home that your loved ones needs. To go home, they often need a PEG tube. Sometimes they’re okay with the nasogastric tube, but most of the time, they do need a PEG tube.
For children, it’s slightly different because I know some of you have their kids in ICU long-term, and part of what we do, we are looking after adults and children at home. And we’ve looked even after toddlers at home, we’ve looked after any ages. The youngest one we’ve had was probably 18 months all the way up to people in their 80s or in their 90s. So all age brackets fit the criteria, really if they otherwise would stay in intensive care long term.
So coming back to what needs to be set up at home. So as I mentioned, hospital bed, hoist or lifting machines, sometimes ceiling lifting machine, or a ceiling hoist, two ventilators, two suction machines, two monitors, nebulizer, emergency equipment, such as spare tracheostomies, resuscitation bag, Guedel airways, nasopharyngeal airways in some situations, tracheal dilators. And the list goes on.
Again, this might sound daunting to you, but again, this is where we come in, where we set this all up for you and help you in setting it up. Some of you might think, what if I only live in a small apartment, you don’t live in a house, you live in a city area, you live in a small apartment. Look, from my experience you don’t need a lot of space. There’s a little bit of space that you need, but we’ve done work in really small apartments, and it’s all doable all possible. You don’t need to necessarily remodel your house. Now, don’t get me wrong. Some families that we work with have remodelled their houses. And they’ve almost built like an adjacent flat, just to care for their loved one. Almost set it up like a hospital room. Some families have done that, but it’s not necessarily a prerequisite depending on your circumstances.
Also depends on what timelines are you looking at? Are you looking at going home temporarily? Is it realistic that once you’ve gone home, your loved one can be weaned off the ventilator in a short period of time? It depends on a number of things, what you need to do when you want to go home. But my advice is to not over-complicate. Again, because we’ve been doing this for a long time, for me, it’s easy to say, do not over-complicate. Because I know you’ve got all these questions that are going around in your head. On the one hand, it’s easy to do it. On the other hand, it’s not simple. It’s just the case of putting in place what we know needs to be put in place. It’s about assessing the environment. It’s about having the right people work with you. It’s critical that the right people show up at your doorstep.
And again, there’s a little bit of a process. I would never promise you that we have the right team ready for you from day one because you got to get to know people. We got to get to know you. It’s a bit of a two-way street, of course.
But the most important thing is from a safety aspect. We exclusively work with intensive care nurses with a minimum of two years intensive care experience, which should give you peace of mind that we have the expertise to look after your loved one and if it’s not the right fit on a personal level, that’s something we can work on. These processes take a little bit of time, of course.
So then I should probably also talk around funding. I should talk around how is it financed? None of our clients are out of pocket. Don’t get me wrong. We had the private client, but as of today, 99% of our clients are not out of pockets. It’s government-funded. Here in Australia, it’s predominantly funded through the NDIS (National Disability Insurance Scheme). But we also get funding through the TAC (Transport Accident Commission) in Victoria, getting funding through the DVA (Department of Veteran Affairs). We sometimes get funding through the hospitals directly.
I was actually talking to a prospect on the phone this morning, and I do believe, I strongly believe your biggest problem is not funding. Your biggest problem is to find someone that can do Intensive Care at Home properly, thoroughly, and safely. I do believe that is the bigger problem. Yes, funding can be a challenge too, but we wouldn’t be in business if our clients wouldn’t receive the funding. So I’d encourage you to not worry too much about the funding, focus more on your end goal, which is to get your loved one home.
Also, you got to keep in mind irrespective of your desire to take your loved one home, there is a business model in there. So I don’t want to focus on business models today, but I do need you to understand the mechanics, and the mechanics are that an intensive care bed costs five to $6,000 per bed day. It doesn’t matter whether it’s here, whether it’s in the UK or in America or in Canada, it’s around five to $6,000 per bed day. We can slash that cost by around half. So here is a business model. It’s a win-win for everyone. Well, we’re cutting the cost of an intensive bed by half, roughly. We are freeing up an ICU bed that is in high demand, especially now with COVID, but even without COVID, ICU beds are in high demand. We can almost stop there and say, “Well, it’s already a win-win for everyone.” So it is really important that you understand the mechanics and the business models behind it.
I also want to then next focus on, if you are in Australia and NDIS (National Disability Insurance Scheme) is an option for you, you should absolutely contact us because we can help you with support coordination, specialist support coordination. But even if you are in America, you should absolutely contact us because we can set you up with some organizations in the US that can help you. At the very least, we can guide you what to do next because it’s very similar in the US at the end of the day than it is here. At the end of the day, everyone that’s researching this comes with the same goal. They want to take their loved one’s home from ICU, or if you’re in America, you might want to take your loved one home from LTAC, depending on your circumstances. But the funding is not as difficult as you think it is. And again, we can help with that, focus on your end goal and break it down into manageable steps.
So then I also want to talk about what does it look like at home? So once your loved one is at home, it’s really all about the routine that you and your loved one wants. I mean, as you know, in ICU, there’s no quality of life whereas at home you’re surrounded by your family. You can structure your day the way you want it, or your loved one wants it. We have a lot of clients that go out every day. Even though they might be in a wheelchair, it’s all doable.
Most of our clients would never, ever in a million year, want to go back to ICU because they have a much better quality of life at home, and that’s a no-brainer. So, it really all comes down to your preferences, what you want to do at home. For example, we have a client, this client is working from home or is even going to university to work from there. Nothing is impossible, I argue.
We have clients that go to school, even on a ventilator with a tracheostomy. There’s nothing that can’t be done at home. The ICU environment is really limiting you. Some of you might have experienced that you have loved ones in ICU, and they’re not getting physical therapy. They’re not getting physiotherapy. They’re not getting mobilized. And now here I am talking about our clients going out. There’s a big contrast there, but I do believe you need to be aware of, that once you’re out of this inhibiting and limiting ICU environment that anything is possible at home, and you should be focusing on what you can do, not what you can’t do. Because that’s probably what you’re hearing in ICU at the moment, or, “Yeah, that can’t be done, and we’ve got to do this, and we’ve got to do that.” And it’s more of, at home you’re looking as for a “can-do attitude.” That’s really important. “Can do attitude”. Because that’s what’s often missing in ICU, there’s not a “can-do attitude”, and they want to continue talking about end of life. They want to continue talking about that it’s “not in your loved one’s interest to go home.” It’s “not in their interest to even live,” you’ve probably heard it all before. It’s probably one of the reasons why you’re here.
You’ve heard the negativity, whereas we are at Intensive Care at Home giving you what I believe is a very positive alternative. And it’s also a positive alternative for the ICU because they can free up their beds and they can cut cost. Again, it’s a win for everyone. So it’s all about possibilities at home, whether it’s ventilation weaning, whether it’s about living a better quality of life, simple things like sitting in the sun, you can’t do that in the ICU, getting some fresh air. Things that a healthy person takes for granted, and once you’re out of the ICU environment, you can do all of that.
Also, other things that we’ve done with clients for example, is we’ve gone on trips, we’ve gone travelling, we’ve gone on a plane with someone that’s on a ventilator with a tracheostomy. It’s all doable. It needs to be organized properly, of course, but it’s all doable. So you should absolutely research this area if you are interested in taking your loved one home. And I know whilst it looks daunting. It’s absolutely doable. And it’s also the future of healthcare. It’s the future of healthcare. Nobody wants to be in a hospital. Nobody wanted to be in a hospital pre-COVID, let alone now that COVID is still running rampant. Nobody wants to be in hospital with ICUs full of COVID.
Also now is probably also a good time for ICU nurses to leave the ICU because they are tired, they’re exhausted, the Home Care gives them the opportunity to work in a different environment and still use the ICU skills in a much nicer environment. It’s one-on-one nursing care. It’s about building relationships with clients. It’s about getting to know your needs and then tailoring the service around your needs.
So again, I also want to quickly talk about LTAC, and I want to quickly hone in on our US audience for a minute. One of the challenges in ICUs in America is simply that ICUs offer limited physical therapy, and then they’re pushed to LTAC to get physical therapy. Yes, they might get physical therapy in LTAC, but then they miss out on the specialist skills such as ventilation tracheostomy, and then you’re going one step backwards. That’s one of the biggest challenges for LTAC that they just simply, they’ve been designed to save money, but not for clinical need.
Whereas in other countries like Australia or the UK, or also in Canada where there’s no LTACs, patients either stay in intensive care long-term or they then go home with a service like Intensive Care at Home, but there’s no intermediate step and neither should there be an intermediate step because again, ventilation, tracheostomy, BiPAP, CPAP with a mask even requires the skill of an intensive care nurse, nothing less than that. And that’s what you’ll get with Intensive Care at Home.
I probably should also talk quickly about the medical backup. Whilst we are a nursing service predominantly, there’s always a doctor we are working with, of course. There needs to be medical oversight of any nursing care at home. So there’s a number of doctors that we’re working with us also, sometimes the doctors at the hospital that we’re working with predominantly actually, where we can call the hospital 24 hours a day if we have any questions, if we need to escalate any of the care, that’s how we roll generally speaking. So there’s always someone overseeing.
I should also talk quickly about what is a real win? A real win really is all shifts are filled at home, and if you are, or your loved one is staying at home predictably because that’s what it comes down to. It comes down to predictability, it comes down to making sure that we can deliver on our promises, which is to keep our clients at home only then is it a win-win situation.
So please don’t be shy and type in your questions into the chat pad. I’d love to answer them. I mean, you can find a lot of information and case studies on our website, intensivecareathome.com, but I would really encourage you to ask questions here. Here is Tee Bro, ”How can you convince the hospital to allow your loved ones to stay in ICU?” That is a great question.
Tee Bro can you just let me know, where are you? Where is your location? Are you in the US? Are you in Australia? Are in the UK. Just tell me your location because it depends a little bit on which country you are in. And while I’m waiting for your answer Tee Bro, I’ve got a question here from Helene. Hi Helene, “Does a CPAP help blow out carbon dioxide out of patient’s lungs? Yes, it does. Yes, Helene, it does. A lot of patients that have sleep apnea have CPAP for that very reason. It helps them to blow off CO2. So Tee Bro, you are in the US. Okay. Great question. So that’s a really great question, especially for our US audience.
How can you convince the hospital to allow your loved ones to say in ICU? So this is what we are doing with our other service Intensive Care Hotline, where we provide consulting and advocacy for families in intensive care. We’re talking to a lot of ICUs almost every day in the US and doing that very advocacy. So one way to convince them is, as I mentioned to you, not having ICU nurses in LTAC, which is a big no-no in and of itself. Number two, if the ICU is trying to force you to go to LTAC in some situations, I have seen patients or families being asked to go to LTAC three hours away from home. That is insanity. I have even seen people being transferred to LTAC in another state.
For example, I know a lot of people in Florida have been asked to go to Georgia to LTAC. That is insanity in my mind. I mean, how can someone get better without their family around? That’s insanity. So you got to look at the location. You got to look at the reviews of the LTAC. So, if they want to send you to an LTAC, look up the online reviews. Chances are, those online reviews are pretty poor. You can then go back to the discharging hospital can say, “Look, these are the reviews. I’m not happy.” Another way to manage this is for you to look at the LTAC, they’re suggesting, have a look for yourself, and you’ll probably go, “There’s no way that I’m going to let my loved one go to this place.”
Other reasons to convince the hospital to stay in ICU instead of going to LTAC are things like simply on medical ground. And that’s where we can come in as advocates. We can help you with interpreting clinical information. We can help you with talking to the doctors, talking to the nurses, look at medical records and say, “Hang on a second. This person is nowhere near ready to go to LTAC,” because this is another thing we are seeing all the time that patients are being pushed out too early out of ICU into LTAC in America because ICUs need beds. Families are uninformed, and they just let them walk all over them.
Look at the reviews in LTACs that they’re recommending. Yes, but look, I haven’t come across many LTACs that have good reviews. And here is another thing Tee Bro, if someone is in ICU, they are at their most vulnerable. I don’t think many people in this world are more vulnerable than people that are a patient in ICU. Now to me again, it screams insanity to let someone in a vulnerable condition go to another facility. That is just unheard of because someone in such a vulnerable condition needs a team that knows them. Now, if someone from ICU goes to LTAC, they’re losing their treating team. They are with another treating team. So they got to get to know them from scratch, and it’s just not conducive for a good recovery, just not conducive.
LTACs have been built to save money. They have not been built for clinical need. Here is another pitfall Tee Bro in this situation. So let’s just say your loved one’s goes to LTAC, chances of them having a complication and needing ICU again are pretty high. So what I’ve seen over the years is this Tee Bro, so someone goes to LTAC within a couple of days, they deteriorate, and they need to go back to ICU again. And depending on the LTAC’s location, they then end up in another ICU. So within a few days, they would’ve been to three facilities. That is insanity for someone that is on a ventilator, tracheostomies and unstable. That is absolute insanity.
But often what we do Tee Bro from our end is we often look at interpreting the clinical information, and we often find information where we say to the ICU, “Hang on a second. You can’t treat that at LTAC. This patient needs to stay here.” That’s where we can come in. I hope that helps. I have seen ICU patients go to LTAC within a couple of days. They deteriorate, and they need to go back to ICU. And then the ICU that discharge them don’t have a bed available. So then they go to another ICU, and within a few days, they’ve been to three places in such a vulnerable condition. That’s insanity, Tee Bro. Someone in such a critical condition needs a stable team to take them from where they are to where they need to go. They don’t need to go from place to place to place. That’s literally killing people.
So then Helene, you had another question, “What about patient being ICU hospital transfers to a different ICU?” Yeah, look, that happens. Of course, and that’s something we help families with as well, help them to go to another ICU if, for whatever reason, they need to change the location to be close to families or they need to change ICUs because someone is unhappy with the treatment, that can happen too. That can happen too. But unless there is a major reason for it, I would advise against it because for the very reason that I just mentioned that to Tee Bro where I said, “You don’t want to be going from place to place.” It’s just not conducive for someone that is so vulnerable. But yeah, we have helped families to source other ICUs if needed for sure.
Before I wrap this up, there will be another live stream next Saturday night for you guys in the US. It’s Sunday morning here in Australia. There will be another live stream next week, possibly about hypoxic brain injury. So look out for that one. So yeah, look out for another one next Saturday night for you guys in the US and Sunday morning here in Australia, we’ll do another one, and I will keep going for the Christmas period as well.
Tee Bro is asking, “For ICU care at home, do you have a list of good providers?” That’s a great question, Tee Bro. I have two providers in the US. Maybe three. I understand that you’re in America. So one of them is check out Bayada. They’re called Bayada, B-A-Y-A-D-A.com. Have a look at bayada.com. It depends on your location. I don’t know where you are.
There is another provider in New York that doesn’t have a website, but I could set you up with them depending on where you are. They don’t have a website, but they seem to know what they’re doing. And then there’s another provider in South Carolina that I know has helped someone not too long ago. Tee Bro, you’re in California. In California, I do believe your best bet is Bayada because the other two providers that I know one is in South Carolina and one is in New York. Your best bet in California is Bayada. I don’t know anybody else on the West Coast.
Then “Mama Tried” got a question, “Loved one had a bad reaction to COVID antibodies, his body went to a cytokine storm, been off vent and off sedation for a week now. He’s stable but in a coma still, have u ever seen this?” Oh yeah, for sure. Seen this many times because ICU is very unpredictable. So “Mama Tried”, what can happen when someone gets out of an induced coma, it can sometimes take many days, sometimes weeks to wake up.
The first question that you need to ask is, is the brain intact? Have they done, for example, a CT brain scan, have they done an MRI brain scan? Because if someone is not waking up, the first thing you need to ask for is, has there been a brain injury? Why they were in a coma? Have they had a stroke? Have they had seizures? That’s the first question you need to ask and they should be ruling that out by doing either an EEG or a CT or an MRI scan of the brain and then reassess. Other things that could happen in a situation like this, “Mama Tried” is, they are in kidney failure, they’re in liver failure, and the sedatives are not getting metabolized, meaning they’re still floating around in the body. They’re being metabolized slowly. They’re more or less “hungover” from the sedatives, which is why they’re not waking up.
So seen this many times, it’s the number one question we’re getting at intensivecarehotline.com. The number one question we’re getting at intensivecarehotline.com is, “How long does it take to wake up after an induced coma?” That’s the number one question we’re getting. And that ties right in with your question. So if you go to our website intensivecarehotline.com type in, “How long does it take to wake up after an induced coma?” You will get answers there as well.
Some of it also depends on what sedatives your loved one has been on. Have they been on it for a long time? Have they been paralyzed? There’s a whole lot of questions around that topic.
Guys, I really appreciate your support, and I really appreciate you coming onto this call. I do need to wrap this up now. Now, if you like this video, give it a thumbs up. You can subscribe to my YouTube channel for updates for families in Intensive Care and also for live streams. Click the notification bell, comment below after this video what you want to see next and I will get back to you in a response. You’re welcome, Tee Bro and thank you for your questions.
Also, check out intensivecareathome.com, check out intensivecarehotline.com, which is our advocacy service for families in Intensive Care, where we help you one-on-one over the phone or via email at intensivecarehotline.com.
Thank you so much again for all your support. And I’ll talk to you next week. I wish you and your families all the very best. If I don’t talk to you before Christmas, I wish you and your families a Merry Christmas, and may your loved ones recover as quickly as possible. Stay strong and take care. Thank you so much.
Now, if you have a loved one in intensive care and you want to go home with our service Intensive Care At Home and if you want to find out how to get funding for our service and how it all works, please contact us on one of the numbers on the top of our website, or send me an email to [email protected]. That’s Patrik, just with a K at the end.
Please also have a look at our case studies because there we highlight more about what we can do for clients, how clients can live at home with ventilation and tracheostomies and you can look at our case studies as well at our service section.
Intensive Care At Home Case studies
And if you are at home already and you need support for your critically ill loved one at home, and you have insufficient support or insufficient funding, please contact us as well. We can help you with all of that.
And if you are an intensive care nurse or a pediatric intensive care nurse with a minimum of two years, ICU or pediatric ICU experience, and you ideally have a critical care certificate, please contact us as well. Check out our career section on our website. We are currently hiring ICU and pediatric ICU nurses for clients in the Melbourne metropolitan area, Northern suburbs, Mornington Peninsula, Frankston area, South Gippsland, as well as Wollongong in New South Wales.
www.intensivecareathome.com/careers
So we are also an NDIS, TAC (Victoria) and DVA (Department of Veteran affairs) approved community service provider in Australia. Also have a look at our range of full service provisions.
Also, we have been part of the Royal Melbourne health accelerator program in the past for innovative healthcare companies.
https://www.thermh.org.au/news/innovation-funding-announced-melbourne-health-accelerator
https://www.melbournehealthaccelerator.com/
Thank you for watching this video and thank you for tuning into this week’s blog.
This is Patrik from Intensive Care At Home, and I’ll see you again next week in another update.