Healthcare Assistants Tracheostomy Complex carer Healthcare As

Job Description:
Complex Paediatric Carer

The individual is a child with complex medical needs following a traumatic high cervical spinal cord injury and hypoxic brain injury. She is ventilator dependent 24/7 via tracheostomy and requires a nurse-led, 2:1 care package on discharge home.

• Continuous ventilatory support via tracheostomy
  , including full tracheostomy care and emergency airway management
• Continuous monitoring of respiratory and cardiovascular status with immediate escalation
• Cough assist, nebulisation, positioning and secretion management
• PEG feeding for nutrition, fluids and medications, with limited oral intake as tolerated
• Full assistance with mobility, transfers and repositioning using hoists
• Skin integrity monitoring and pressure relief
• Skilled urinary catheter care and infection prevention
• Strict aseptic technique and monitoring for infection
• Trauma-informed, child-centred care with consistent caregivers
• Medication administration as prescribed

• Traumatic high cervical spinal cord injury (C1) and hypoxic brain injury
• Tracheostomy with full ventilator dependence
• Occipito-cervical fixation surgery; history of cardiac arrest
• Secondary osteoporosis related to immobility

• 12-hour day and night shifts
• 2:1 nurse-led care at all times