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Mechanical Ventilation: Beyond the ICU

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Discharge Management Plan

Before a ventilator-assisted individual is discharged from the hospital to home or a long-term care institution, the patient and all caregivers (1) must be trained in all aspects of long-term mechanical ventilation, and (2) must show the physician and health-care team that they have learned to carry out all care techniques.

A written discharge plan should be provided and should include:

  • names and telephone numbers of the primary physicians;
  • address and telephone number of the local hospital emergency department;
  • address and telephone number of the physician for regular check-ups;
  • the responsibilities of the patient in daily care;
  • the responsibilities of caregivers in daily care;
  • identification of financial resources for long-term care;
  • identification of community resources for health, social, educational, and vocational needs;
  • an itemized list of all equipment and supplies needed for long-term mechanical ventilation;
  • names, addresses, and telephone numbers of mechanical ventilation equipment dealers and a list of services they provide; and
  • contingency plans for emergency situations.

The physician and health-care team will arrange a schedule for follow-up visits as indicated by the needs of the patient.

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