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Technology-assisted children: assessing discharge preparation.

Abstract Discharge of the high-risk child who is dependent upon high-technology equipment to meet complex health care needs at home presents a challenge to nurses and parents. The discharge readiness assessment process provides families with an opportunity to implement the home program in the hospital setting as a part of the discharge process. Utilization of the discharge readiness assessment process with six ventilator-assisted children is described in this paper. In-hospital care by parent(s) or primary caregiver(s) is planned in health team conferences and with parents. Optional out-of-hospital experiences are included as needed. Child-specific evaluations are conducted as a component of the assessment process. Supplemental teaching and modification of the home care plans are completed as indicated before discharge.