HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 11-13
Pediatrics: Home Apnea Monitoring __RN
Follow-up as Necessary:
1. Nursing assessment of infant/child's condition and
the caregiver's capabilities of handling apnea
program.
2. Review signs and symptoms of respiratory
complications or potential problems that should be
reported to physician and/or medical team.
3. Answer any questions concerning aspects of the
infant/child's care. Reinforce previous teachings
and instructions.
4. Review daily care records (flow sheet).
5. Instruct additional caregivers as necessary.
6. Review CPR skills of caregivers.
7. Call physician and/or medical team for periodic
updates.
8. Utilize monitor company as resource and network to
provide consistent educational focus.
AFTER CARE:
1. Document in patient's record:
a. Findings from nursing assessment.
b. Psychological status of home environment,
caregiver's coping mechanisms.
c. Child's skin care status.
d. Apneic/bradycardic spells/actual and
questionable.
e. Any communications with medical team.
f. All instructions (written and verbal) given to
caregivers.
2. Encourage the caregivers to recognize the healthy
aspects of the child. Provide specific guidance to
the caregivers to strengthen the bonding with child.
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