{
    "abstract": "The objective was to create a multidisciplinary education plan for discharge home following implantation of a ventricular assist device (VAD) in pediatrics. Educational program was developed for the local community: emergency department, emergency medical services, medical transport team, as well as, the pediatric patient and their caregivers. Education geared to the individual learner included both lecture and hands-on training. A direct line for family and local providers to speak directly with a VAD-trained physician 24/7 was also created. Patient and caregivers required to 1) perform 10 supervised power exchanges; 2) qualify written quizzes on the controller, battery charger, alarms, and troubleshooting; 3) perform 10 supervised dressing changes; 4) pass simulation session responding correctly to alarm scenarios; and 5) take both an on-campus and off-campus field trip unaccompanied by support staff. Once the education plan is complete and the patient is medically stable, they are considered ready for discharge. From a mechanical support perspective, discharge home of a medically complex pediatric patient on a durable VAD can be accomplished safely, even in a low volume center, with attention to detail, creation of a robust education plan, and close partnership between the VAD team, the family, and the community.",
    "authors": [
        {
            "affiliation": "The Heart Center at Nationwide Children's Hospital, Columbus, Ohio.",
            "firstname": "Vicky",
            "initials": "V",
            "lastname": "Duffy"
        },
        {
            "affiliation": "The Heart Center at Nationwide Children's Hospital, Columbus, Ohio.",
            "firstname": "Deipanjan",
            "initials": "D",
            "lastname": "Nandi"
        },
        {
            "affiliation": "The Heart Center at Nationwide Children's Hospital, Columbus, Ohio.",
            "firstname": "Ashley",
            "initials": "A",
            "lastname": "Hodge"
        },
        {
            "affiliation": "The Heart Center at Nationwide Children's Hospital, Columbus, Ohio.",
            "firstname": "Matt",
            "initials": "M",
            "lastname": "Deitemyer"
        },
        {
            "affiliation": "The Heart Center at Nationwide Children's Hospital, Columbus, Ohio.",
            "firstname": "Janet",
            "initials": "J",
            "lastname": "Simsic"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 Copyright 2019 AMSECT.",
    "doi": "10.1182/ject-1900019",
    "journal": "The journal of extra-corporeal technology",
    "keywords": [
        "discharge",
        "heart failure",
        "pediatrics",
        "ventricular assist device"
    ],
    "methods": null,
    "publication_date": "2020-01-10",
    "pubmed_id": "31915409\n28546755\n30459063\n25447574\n28329112\n28965736\n24280185\n23030577\n28856823",
    "results": null,
    "title": "Paving a Road Home: Developing Education for a Pediatric Home-Going VAD Program.",
    "xml": "<Element 'PubmedArticle' at 0x788504a9d530>"
}