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G-tube reinsertion by medics

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Gastric Tube Replacement

  • Displaced G-Tubes are a common reason for ER transports
    • 2 transports per case
    • Overcrowded EDs
    • Cost avoidance
    • Better care
  • Prevent transportation to an ED in CERTAIN cases
  • Medics already reinsert trachs

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Scope

  • Skilled, assisted, and independent living facilities
  • Patients residing in a facility that can:
    • Provide mobile X-ray with Gastrografin within 4 hours of reinsertion.
    • Stock a spare G-tube
  • Paramedics would utilize telehealth
    • Already have the telehealth process created for ET3
  • G-tube older than 4 weeks with no trauma
  • No bill would be generated by EMS

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Education

  • Paramedics will receive 4 total hours of instruction and demonstrate competency annually.
  • 2 hours cognitive
    • Anatomy, difference in feeding tubes, identifying and ensuring clean sites.
  • 2 hours psychomotor in the Simulation Center
    • Includes skill verification (high fidelity nursing simulator)
  • Small group of paramedics would be trained and authorized.
    • Those cleared to work on a Quick Response Vehicle

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Prisma Health Stakeholders

  • Angela Orsky, DNP, VP, Post Acute Services
  • Bill Curran, MD, Post Acute Services
  • Elizabeth Mannion, MD, Medical Director EMS
  • Derrick Swartzentruber, MD, Medical Director EMS
  • Laura Burke, CNO, Post Acute Services
  • Laurie Theriot Roley, MD, Chair of Geriatrics
  • Eric Ossmann, MD, Mobile Integrated Health
  • Amy Mattison, CCI, SNF Network Manager
  • Bill Gerard, MD, Chief Executive Officer Prisma Health Networks

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Questions

Telehealth platform

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