Pediatric medical procedures can be continued or started at home. This can prevent an admission or ensure that children can be discharged earlier and are back in their own familiar environment sooner.
Signing up for care
How do I register a child?
- Email to child team Click here for the zip code tool
- Point
- ZorgDomein
Responsibilities
KINDERARTS
- Share medical policy (diagnosis, demand for care, required care commitment) Click here.
- Prescribe and forward prescriptions to the supplier of (medicinal) drugs/materials
- Issuing a performance request in reserved actions. Click here.
(PEDIATRIC) NURSE
- Writing the pediatric nurse handover. Click here.
- Inform child and family about steps 1 and 2 of the self-reliance model.
TRANSFER NURSE
- Responsible for organizing care and sharing necessary documents
SUPPLIERS OF RESOURCES AND MATERIALS
Suppliers with whom KinderThuisZorg has coordinated start-up packages for children:
- Eurocept Homecare (registration of tube feeding care/infusion therapy + resources/materials can be done in one request via Plaza connect) Application via Plaza connect.
Or Click here. - APPO (infusion therapy) Click here.
- Mediq (infusion therapy, for tube feeding care not contracts with all health insurance companies) Click here.
- Sorgente (tube feeding care) Click here.
- Medireva (tube feeding care) Click here.
OUTPATIENT PHARMACY
- Possibly involved for delivery of medication and necessary materials
PEDIATRIC HOME CARE NURSE
- Pediatric home care nurse: Coordinator of care and scheduling: Scheduling care and present on weekdays from 09:00-17:00.
- Outside of office hours, a pediatric nurse from the pediatric district team is always available for consultation.
SUPPLYING PHARMACY
- Responsibilities:
- Provide medication sign-off list
- Provide preparation protocol (if necessary)
- Share current medication history
Indications for requesting pediatric nursing care:
What care can a pediatric nurse be "used" for?
Indications for care and assistance needed
- Taking over care if a child cannot (yet) be made independent and the network is not available.
- Taking over care if child and family cannot (yet) be made independent.
- Teaching an action/acts to the child/network of a child.
- Support, take over or guide care in the last phase of life.
- Deploy the investigative capacity across all domains of life to concretely arrive at where the bottlenecks and the need for help in care lie. Which professional is appropriate and should take responsibility for this.
Investigative ability; "pediatric nursing expertise child life domains" Deployment may include:
- Coordinating care when there is no overview of this (yet).
- Coaching in or at e.g. self-management.
- Identify possible health risks.
- Prevention of conditions, limitations or deterioration of health status through preventive care.
Need document required at time of application
- Transfer (4 child life domains: medical, social, development, safety) Click here.
- Implementation Request Click here.
- Authorization for materials
- Materials
- Current medication summary pharmacy and medication sign-off list if KTZ administers medication
Responsibilities
KINDERARTS
- (If necessary) Organize an MDO with the involved (healthcare) professionals and child/family.
PEDIATRIC HOME CARE NURSE
- Perform inventory of the child/family's care and/or assistance needs. Indication process child care (HIK).
PEDIATRIC NURSE KTZ/ DEPARTMENT AND/OR TRANSFER NURSE
- Responsible for organizing care and sharing necessary documents
Problems in multiple child life domains.
If so, we are happy to schedule an MDO.
Problems in multiple child life domains.
Alignment on: Policy, expectation management on the deployment around care and help needs, roles, communication and responsibilities of the involved caregivers and child/family.
Responsibilities
PEDIATRIC HOME CARE NURSE
- Draw up care plan based on the information collected during registration (documents received) and the inventory of the child's/family's need for care and/or assistance. The paediatric nurse works on the basis of the guideline for the indication of the child care process. Guide for the indication process child care (HIK)
Self-efficacy and commitment of pediatric nursing care.
The child's care needs are described in the care plan; the indication is based on the family's need for help. The indication for each family is customized and moves along with the child's need for care and the family's need for help. Efforts are made (if possible) to optimize the child's self-reliance. The interventions focus on strengthening the capacity and burden of the family.
Where appropriate, formal and informal care is used. the pediatric nurse monitors and evaluates progress with the child and family. the pediatric nurse uses her expertise to work with the child and family to coordinate care and assistance.
Source: HIK Mar'23 page 19
Upon signing the care plan, child/parents agree to the described arrangements in cooperation with KinderThuisZorg
Perform care
Each pediatric nurse works according to protocols and procedures developed by the profession. Generally, the same approach is followed in the hospital and at home. However, you will find that there are slight differences in the approaches that everyone uses. We work at KinderThuisZorg with the National Pediatric Nursing Care Protocols. derived from the Vilans protocols and made child-centered.
Responsibilities
KINDERARTS
- Is (ultimately) responsible for medical treatment at home. In case of changes in the (medical) policy, the pediatrician contacts the child team involved.
PEDIATRIC HOME CARE NURSE
- Responsibilities:
- Set up/update care plan
- Coordinate learning process
- Perform care
- Evaluate care
- Active feedback to the pediatrician (if desired/needed)
COMMON GOALS
- Safe care/ quality care/ effective care/ appropriate care/ Trauma-free child care
- All efforts of care are aimed at helping children to become as independent as possible and from their context to achieve maximum self-reliance on their way to adulthood. Whereby the child/youth can grow up to be the best version of themselves with maximum developmental opportunities and integral health gains and quality of life.
OTHER AGREEMENTS
- KTZ does not provide care from PGB only ZIN care.
- Pediatrician is ultimately responsible for care at home
- Pediatric nurses are qualified and competent to perform pediatric nursing procedures
- Each organization has its own incident reporting system
- No fixed target and deadlines, but customization on a case-by-case basis.
- Evaluate collaborative care pathway:
- At least once a year, the integral cooperation will be evaluated. Here we will always strive for optimal cooperation by discussing the peculiarities, points of improvement and new developments.
Additional
Tools & Protocols
- Tools
- Medical Child Care Collaboration (MKS).
Explanation: Are you as a healthcare professional involved in the care of (seriously) ill children in or outside the hospital? Then MKS is very suitable to support you in this. - Interprofessional collaboration (IPS)
Note: Discover the pathway to transmural child care through interprofessional collaboration - Guide Indication Process Child Care (HIK)
Explanation: the professional standard for identifying and organizing care in the home environment for children aged 0 to 18 years for the Health Insurance Act - HIK Toolbox
Note: Tools for a practical implementation of the Guide to the Child Care Indication Process (HIK). - Charter Child & Care
Clarification: Sick children have the fundamental right to child-centered care. These rights are defined in the charter
Protocols
- National pediatric nursing care protocols.
Note: LPKZ provides healthcare professionals inside and outside the hospital with protocols within a digital environment focused on pediatric nursing operations and/or care. Developed specifically for children and adolescents up to 18 years of age - Vilans protocols
Note: General protocols for nursing/care in the area of reserved, risky and other actions
- Medical Child Care Collaboration (MKS).
Need document required at time of application
- Taking over care if a child cannot (yet) be made independent and the network is not available.
- Taking over care if child and family cannot [yet] be made independent.
- Teaching an action/acts to the child/network of a child.
- Support, take over or guide care in the last phase of life.
- Deploy the investigative capacity across all domains of life to concretely arrive at where the bottlenecks and the need for help in care lie. Which professional is appropriate and should take responsibility for this.
- The investigative ability; 'child nursing expertise child life domains' Deployment may include: - Coordinating care when there is no overview (yet).
- Coaching in self-management. - Identifying possible health risks.
- Preventing conditions, limitations or deterioration of health status through preventive care.
Responsibilities
PEDIATRIC HOME CARE NURSE
- If the care request has been taught to the child/family they are responsible for remaining competent in the taught action(s). KinderThuisZorg may be asked back into care for reassessment.
- Feedback/transfer chief practitioner.
CHILD/FAMILY
- Pediatric nurse from KinderThuisZorg evaluates care and cooperation with child/young person, parents/ pediatrician and any treatment team.
Closing care
Reasons for cutting off care
- Care is fully implemented in the daily life of the child and family and child can grow up to be the best fit version of himself!
- Care is no longer needed. There is no health issue with it.
- Care is transferred to other domain.
- Death.