The Task Force recommended a dedicated MCH area for children dependant on respiratory technology that is housed within an existing in-patient unit. Long-term ventilated in-patients for whom there exists no alternative outside resources would be housed within this area to facilitate RT coverage. A multidisciplinary approach to care would attend to the children’s ongoing growth and development needs.
The Task Force examined the data and suggested that a 6-bed configuration is the best model of care. The Technology Dependant Rooms (TDR) would be a part of the surgical unit to permit effective use of human, material and financial resources. Key MCH stakeholders were consulted and 7C2 was chosen as the ideal location, using rooms 706 and 740 which can accommodate 3 patients per room, plus a central nursing station with monitors, computer, and phone line.
In addition, the task force made the following recommendations. The beds would be kept full at all times to ensure a nurse patient ratio of 1 nurse to 3 patients in order to ensure proper surveillance of these technology dependant patients. These beds could also be used for clean surgical technology dependant patients requiring close observation if needed.
The TDR opened in October 2007 as part of the beds on 7C2 and slowly began transferring patients while training the new staff, adjusting the environment to maximize the limited space and ensure the very best care for these children.