A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?
1. Acquisition of a backup generator
2. Designation of an emergency shelter site
3. Provision for an alternate heating source if power is lost
4. Notifying the power company that the child is on life support
1
Rationale:
1. Prior to discharge to home, it is essential that the family acquire a generator so that the child's life support will continue to function effectively should power be lost. While all other actions are very important, it is most essential that the ventilator has power to continue to function at all times.
2. This designation might be necessary should power remain off for an extended period, but it is more important for the family to obtain a backup generator.
3. A secondary heat source is secondary to acquiring alternative power for the ventilator.
4. Notifying the power company is secondary to acquiring alternative power for the ventilator.
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