Enteral Therapy
Most Common type of home tube feeding method of administration
What is bolus feeding?
The CRD that covers the territory with the patient's zip code
A situation question you can ask a parent about a child receiving Speech therapy for Dysphagia
How is your child getting their calories?
Is your child using formula to supplement their nutrition?
Does your child have a feeding tube?
"What issues have you experienced with your nursing services?" is this type of question
What is a Problem Question?
Name two things you should do when following up with a family to overcome a challenge?
Take responsibility, be non-defensive, explain situation factually, share plan
Two main types of home tube feeding pumps we use.
What are the Joey and Infinity pumps?
The two types of PDN leads you can generate when calling on a family.
What is Establishing care and Rescuing a Patient
Problem question you can ask a family with a patient needing/receiving oral formula?
What issues are you having with your supplies?
Is your child having issues with formula tolerance?
Are you able to get enough formula per month from WIC?
Do you have any concerns about your child's nutrition?
"Would it save you time and work to have one company - instead of three - assist your kiddo with all services?" is this type of question
What is a Need-Payoff Question?
Name two challenges a family could have with Aveanna's DME suppies that we can help overcome?
What is Communication, enough supplies
The type of feeding method when formula is placed in a feeding bag hung from on IV pole.
What is gravity feeding?
What are large pool of nurses, dedicated local and regional recruiting, 24/7 Clinical and operational on-call support, extensive training, dedicated nurse case manager, weekly and bi-weekly communication, restaffing, multiple services with one company
An implication question you can ask a caregiver whose 4 year old child needs diapers and they are purchasing over the counter?
How is purchasing your child's diapers affecting your weekly groceries?
How often do you have to go to the store to get diapers?
"How many PDN hours does your child qualify for?" is this type of question.
What is a Situation Question?
Name 3 issues a family could experience with a non-Aveanna Nursing provider?
Lack of staff, poor communication, poor quality of nurses, call outs
Three types of home tube feeding methods of administration.
What are bolus, gravity, and pump feeding?
Provide an example of a question you can ask to determine if a patient is a possible candidate for PDN services when they don't currently have services
"What type of equipment does your child's care involve?"
What is a Need pay off question for a family with a chid having formula tolerance issues?
How would it help your child if you could speak with a telephonic dietician about different formula options, get samples from, and talk about how he/she does on the formula?
"How does having inconsistent nurses and unfilled hours affect your child's care?" is this type of question.
What is Implication Question?
Name three issues a non-Aveanna DME provider a family could experience.
What is untimely deliver of supplies, poor commuincation, no clinical support, missing supplies in delivery, run out of supplies.
Two advantages of getting Enteral Supplies from Aveanna
What are several brands of formula (open formulary), enteral and Incontinence supplies, continuity of care across service lines, autoshipping, can provide prescribed amounts of formula, can fill prescription as written, 24-7 Clinical support
Two common values that parents have regarding their child's PDN services
What is ease of use, good communication, good clinical care, consistency, transparency, reliability
Give an example of SPIN questions for an enteral product with a family who is having issues with shipments from their current tube feeding supplies.
What is:
1. What kind of formula is your child on?
2. What problems are you having with your current supply provider?
3. How does that affect you your child?
4. How would it help you to have a provider that delivered supplies once a month to you on a timely basis and had a local warehouse they can pull from?
3 things you want to check on the patient's demographics BEFORE calling on the family
What are age, gender, location, insurance, ICD-10s, discharge status, how long they've been receiving services with us?
The five steps of overcoming a challenge:
What is Get the complaint, investigate source, investigate internal, create action plan, follow up