With only 4 weeks today since I started traveling, and less than 4 weeks of visiting hospitals, I’m so happy with the progress that my blog has made. I have now had over 1,000 views and over 200 visitors. As you can see these have come from a wide range of countries. The feedback has… Read More Blog Progress!
My first stop in Australia is Austin Health in Melbourne and the renowned TRAMS project. The TRAMS project is the Tracheostomy Review and Management Service and is one of the longest running specific MDT tracheostomy services in the world. http://tracheostomyteam.org/ I am fortunate enough to be spending a week observing and understanding their practice and… Read More Overview of the TRAMS project @ Austin Health Melbourne
How time flys!!! In my case literally, jumping from 5 hours behind the UK to 9 hours ahead, after 23hours of flight time and a sprint though Guangzhou airport! But I have made it to the land of Australia, and very excited to be starting the next leg of my tour. … Read More Farewell America
Just over a year ago Diane was asked if she would be able to set up a education programme @JDCH for both staff and family. This is from where their tracheostomy programme has originated and the foundations of their trache care at the moment. As discussed in my reports from Boston Childrens Hospital (BCH),… Read More Education @ JDCH
Over the last few days I have been shown the exciting work being done at JDCH by Diane Randall as well as discussing their current practice with Dr Ostrower. Diane Randall, RRT-NPS. Respiratory therapist and tracheostomy education lead. (DRandall@mhs.net) Dr Samuel Ostrower, MD. Paediatric Otolaryngologist. Both Diane and Dr Ostrower have great enthusiasm and passion… Read More Joe DiMaggio Children’s Hospital
Another wonderful hospital and excited staff members. I’m going to learn lots about education here and more about paedatic trache care! 3 and 1/2 days of work here coming up, watch this space.
My time in Baltimore and at John Hopkins has come to an end.I would just like to see a massive thank you to the whole team there. You were all so kind and welcoming, as well as very keen to talk to me. You do fantastic work and should be very proud. Ive attempted to… Read More Bye Bye Baltimore
As well as tracheostomy care I am learning so much about the different roles they have in the U.S. I have been lucky enough to speak to some of these staff members as well as observe their practice. Nancy Sujeta (wound and Ostomi nurse specialist): Nancy was kind enough to show me some of… Read More Other learning opportunities @ JHH
This is the first time I have seen a tracheostomy programme where a team is consulted and then manages and coordinates the entire procedure, as well as following the patient through their hospital admission and even after discharge. With regards to percutaneous procedures, from my experience the MDT approach only occurs after the tracheostomy… Read More Well Received?? @JHH
Referrals to the team for a percutaneous tracheostomy at John Hopkins also have a set structure. When a team feel their patient requires a tracheostomy they will order a tracheostomy consult. When this happens Vinciya (the lead of the trache programme and nurse practitioner) will receive an email and a message on her phone.… Read More Referrals to the tracheostomy team @ JHH: