Home Vent Care Management: Procedures, equipments and required supplies
- Mandatory equipment: Approx Initial Investment.
- Running Medical Supplies requirement details(Daily, Monthly, Qty, Yearly)
- Procedures.
- Supporting Items
Mandatory equipments : Approximate Initial investment (In Indian Rupees..rough figures, please check the current price)
S.No |
Equipment |
Nos. |
Approx. Cost |
1. |
Ventilator-Trilogy 100 / Bipap (as backup) |
1 |
1,50,000-4,00,000/ 50,000-1,50,000 |
2. |
Humidifier* – MR 850 Fisher & Paykel with reusable tubing and chamber |
1 |
1,10,000 |
3. |
Pulse oxymeter |
1 |
1,000-1,500 |
4. |
Suction Machine – Anand Eurovac(prefer with battery) |
1 |
6,000-11,000 |
5. |
Oxygen Concentrator |
1 |
40,000-60,000 |
6. |
Oxygen Cylinder(security) |
2 |
10,000 |
7. |
Nebulizer |
1 |
1500 |
8. |
Recliner Bed |
1 |
10,000-30,000 |
9. |
Cough Assist machine (expensive but can be very useful to push tracheostomy stage or any infection reaching to hospitalisation): useful in invasive & non-invasive both |
1 |
>2,00000 |
10. |
BP Machine |
1 |
2000 |
11. |
Thermometer |
1 |
300 |
12. |
Heater : Oil filled Radiator |
1 |
7000 |
13. |
Air Purifier (just take basic with Hepa and carbon filter, no ionic or UV) |
1 |
10,000-20,000 |
14. |
Online UPS(atleast 1K) +battery backup (for Vent & Humidifier equipment) |
1 |
40,000 |
15. |
Invertor+Battery |
1 |
20,000-40,000 |
16. |
Air bed |
1 |
2000-8000 |
Stethoscope |
1 |
350 |
*Not to be used if using HME filter.
Running Medical supplies per month (Variable, may increase or decrease depending on consumption):
Running Medical supplies per month (Variable, may increase or decrease depending on consumption):
Included here company name in italics which we found the best for patient based on our experience) : Please note always buy Nelcath Suction catheter only. Also note, listing here the discounted cost(50-70% discount) which we used to get delivered directly from company/distributor. Usually MRP(hospitals charge you at MRP) of these items are 2 to 4 times of this discounted cost.
S.No |
Item Type |
Approx price |
Number per month |
Cost per month |
1. |
Mount Catheter-(Intersurgical) |
150 |
4 |
600 |
2. |
Tracheostomy Tube : Portex 7.5 mm cuff tube |
900 |
2 |
1800 |
3. |
Nelaton Suction Catheter : Romsons 12 size |
18 |
250 |
4500 |
4. |
Yonkar Suction Set(Oral Suction set) : Polymed |
125 |
4 |
500 |
5. |
Cotton Rolls (500 gm)-Bharat Surgicals |
150 |
5 |
750 |
6. |
Betadine (100 ml) |
200 |
1 |
200 |
7. |
Savlon (1 litre) |
200 |
1 |
200 |
8. |
Sterile Gauge(10*10 ply) |
20 |
30 |
600 |
9. |
Syringes : 2ml, 5 ml, 10 ml |
10 |
6 |
60 |
10. |
PEG feeding syringe : Toomey 70 ml (change 6 monthly) |
250 |
1 |
250 |
11. |
Micropore Tape (2inch)- 3M |
50 |
2 |
100 |
12. |
Cortisone tube |
50 |
1 |
50 |
13. |
Distilled Water(5 ltr Can) -Agarwal pharmaceauticals |
175 |
10 |
1750 |
14. |
Examination Gloves(1 box)-Sara Care |
300 |
2 |
600 |
15. |
Surgical Gloves(piece) |
25 |
5 |
125 |
16. |
Normal Saline(NS) 500 ml plastic bottle |
25 |
30 |
750 |
17. |
Oxygen tubing(vent to tube, vent to cylinder, nebuliser tube) |
500 |
3 |
1500 |
18. |
Handrub sterilization solution |
300 |
1 |
300 |
19. |
Mouth wash(bottle)-Clohex-Red/blue |
170 |
3 |
510 |
20. |
Moisturex cream |
225 |
2 |
450 |
21. |
Diapers(pack of ten) |
3000 |
10 |
30000 |
22. |
Tissue Rolls(pack of ten) - So Soft |
350 |
2 |
700 |
23. |
Facemask(box of 50) |
250 |
1 |
250 |
24. |
Feeding powder : Ensure (Vanilla) by Abott |
950 |
2 |
1900 |
25. |
Suction Extractor - Romsons |
60 |
SOS |
. |
Quarterly/Yearly requirement
Procedures
S.No Procedure Time consumed(in minutes) Frequency
Besides this - we take every few mins observation of Ventilator messages, eyes , physiological condition, any bedding folding which might be hurting mom.
·
Supporting items
- Exhalation Valve : Respironics & Map (for single limb hose pipe circuit ) 2000 1/yr 1000
- PEG Tube : BRT(Ballon Replacement Tube) 3500 1/yr 3500
- Soda Bicarbonate(20 ml respule)-only emergecy use 50 as per reqts 50
- Hydrogen Peroxide- only rarely 50 as per reqts 50
- Ambu Bag-Intersurgical 2500 as per reqts 2500
- Cuticell gauze (if bed sores) 25 as per reqts 100
- Nimbuliser respules : Livoline, Mucinac, Duoline 200 as per reqts 800
Procedures
S.No Procedure Time consumed(in minutes) Frequency
- Oral suction(mouth saliva cleaning) 1-2 min 80-120/day
- Trache Suction 5-7 mins 2-12/day
- Trache Dressing 15 mins 1/day
- PEG Dressing 15 mins 1/alternate day
- PEG Tube maintenance 2 1/day
- Exercise 15 2/day
- Humidifier :Water re-filling 2 min 10/day
- Trache tube cuff- > deflate/inflate 5 min 1/day
- Eye care (cleaning sides with moist cotton wipes) 2 min 5/day
- Circular movement of catheter mount to remove condensed water 1 min 15/day
- Diaper change and complete setting 10 min 7/day
- Lavotary PAN placement and cleaning 10-45 min 3-6/day
- Oral bottle cleaning 5 min 3/day
- Suction machine chamber cleaning 10 min 3/day
- Vent & Oxygen machine Filters cleaning 5 min 1/day
- Oxygen machine –water change 5 min 1/day
- Brushing , facewash and making ready 30 min 1/day
- Sponge 45 min alternate day
- Hair washing 60 min 1/week
- Trache Tube-Change 10 min 1/month
- Back-care/Side turning 45 min 2/day
- Cleaning of - Humidifier water chamber & Exhalation valve(whisper swirl) 30min 1/week
- Sterilization/manual cleaning of re-usable equipment-Vent hose pipe 60 min 1/quarter
- Sterilization/cleaning of re-usable equipment- Nebulizer kit 20 min as needed
- Night setting 30 min 1/day
Besides this - we take every few mins observation of Ventilator messages, eyes , physiological condition, any bedding folding which might be hurting mom.
·
Supporting items
- Air Purifier-
- Power plugs/extensions for equipments A/C power supply for easy access during procedures.
- TV- entertainment –position it at position where patient can watch it in lie down condition.
- AC- to maintain room temperature
- Almirrah- to organize medical supplies.
- Rattle/Bell for night call/emergencies
- Tables- to keep ventilator, humidifier, suction machine, air purifier
- Wall clock –it will help to organize the procedures, feed timings. (always in front , so mumma also sees)
- IV stand or creative Wall socket for IV holding
- Cushions/pillows extra shawl for preparing side support
- kitchen mini- hammer(hamam dasta handle) for medicines crusher.- Use normal steel bowl to crush as cleaning maintained better in it.
- polythene sheets (2 ft* 3 ft) to avoid urine leakage in night when diaper is tied. (Nowadays diaper below sheets are easily available), make sure you fold ts edges downsides so not synthetic should touch body.)
- Blender : for PEG feed preparation
- chhannie to sieve final feed solution.
- 4 soft cotton cloth (dupatta) to keep it below exhalation valve to avoid water droplets reaching patients body.
- Light weight , very soft blankets for winter (as intermittently heater will be used)
- Urine plastic PAN
- Dettol hand wash liquid.
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Home page Life Learnings and Procedures Tips Contact us Testimonials/Blessings Video Gallery Image Gallery Analytics
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Please help spreading 'ALS awareness' in India.