Library: Policy
317:30-5-133.3. Nursing home ventilator-dependent and tracheostomy care services
Issued 9-12-14
(a) Admission is limited to ventilator-dependent and/or qualified tracheostomy residents.
(b) The ventilator-dependent resident and/or qualified tracheostomy resident must meet the current nursing facility level of care criteria. (Refer to OAC 317:30-5-123.)
(c) All criteria must be present in order for a resident to be considered ventilator-dependent:
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(1) The resident is not able to breathe without a volume with a backup.
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(2) The resident must be medically dependent on a ventilator for life support 6 hours per day, seven days per week.
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(3) The resident has a tracheostomy.
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(4) The resident requires daily respiratory therapy intervention (i.e., oxygen therapy, tracheostomy care, physiotherapy or deep suctioning). These services must be available 24 hours a day.
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(5) The resident must be medically stable and not require acute care services. A Registered Nurse or Licensed Practical Nurse must be readily available and have primary responsibility of the unit at all times.
(d) The resident will also be considered ventilator-dependent if all of the above requirements were met at admission but the resident is in the process of being weaned from the ventilator. This excludes residents who are on C-PAP or Bi-PAP devices only.
(e) All criteria must be present in order for a resident to be considered as tracheostomy care qualified:
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(1) The resident is not able to breathe without the use of a tracheostomy.
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(2) The resident requires daily respiratory therapy intervention (i.e., oxygen therapy, tracheostomy care, chest physiotherapy, or deep suctioning). These services must be available 24 hours a day.
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(3) A Registered Nurse or Licensed Practical Nurse must be readily available and have primary responsibility of the unit.
(f) Not withstanding the foregoing, a ventilator-dependent or qualified tracheostomy resident who is in the process of being weaned from ventilator dependence or requiring qualified
tracheostomy treatment shall continue to be considered a qualified resident until the weaning process is completed.
