Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Cov cuab yeej pab tau thaum thov GHPP Cov txiaj ntsig​​ 

Cov ntaub ntawv hauv qab no yuav pab cov kws kho mob kom zam dhau qhov tsis lees paub rau cov kev pabcuam GHPP tshwj xeeb.​​ 

Ntshav Factor​​ 

Cov tshuaj tswj tau​​ 

Tsev Kho Mob/Inpatient Admission​​ 

Khoom noj khoom haus kho mob​​ 

Khoom noj khoom haus Enteral​​ 

Fais Log Chair / Scooter​​ 

Txhua Hom Lifts (xws li Hoyer nqa)​​ 

High Frequency Chest Compression Device (Lub Vest System, ThAirapy Vest)​​ 

Tsev Oxygen Delivery System​​ 

Kev tso cai pib ntawm Dornase Alfa (Pulmozyme)​​ 

Ntshav Factor​​ 

GHPP xav tau kev tso cai ua ntej rau txhua qhov kev pabcuam kho mob. Kev thov rau cov ntshav yuav tsum tau xa nrog daim ntawv sau tshuaj uas siv tau.​​  

  1. Cov tshuaj yuav tsum tau lees paub thiab NDC cov lej sau kom meej thiab raug.​​ 
  2. Cov tshuaj yuav tsum muaj pes tsawg units ntawm ib koob tshuaj, zaus ntawm kev tswj hwm, hnub sau ntawv sau, kos npe thiab luam tawm lub npe ntawm tus kws kho mob, tus neeg mob lub npe thiab hnub yug.​​ 
  3. Cov chaw muab tshuaj yuav tsum suav nrog cov ntaub ntawv hauv qab no ntawm daim ntawv SAR: HCPCS code lossis NDC tus lej, units ib vial thiab cov vials uas xav tau kom tau raws li cov koob tshuaj thiab zaus ntawm kev siv kom suav nrog + lossis - 10 feem pua kom haum rau lub tsev muag tshuaj muaj qhov ntsuas qhov ntsuas. Qhov kev thov yuav tsum tsis pub tshaj 10% ntawm tag nrho cov units thov.​​ 
  4. Cov tshuaj yuav tsum tau sau los ntawm GHPP pom zoo SCC hematologist lossis nws tus neeg sawv cev.​​ 
  5. Kev thov kev tso cai yuav tsum xa tuaj raws sijhawm, zoo dua li tsib hnub ua haujlwm ua ntej hnub xa khoom. Kev thov rau kev tso cai rov qab yuav tsum xa tsawg kawg 2 lub lis piam ua ntej qhov kev tso cai uas twb muaj lawm tas lawm.​​   
  6. Yog tias muaj qhov xav tau ntau ntxiv vim los ntshav thiab qhov ntau npaum li cas tshaj li cov tshuaj tam sim no, tus kws kho mob yuav tsum xa daim ntawv thov tshiab nrog cov tshuaj kho tshiab los ntawm SCC tus kws kho mob.​​ 
  7. Qhov tseem ceeb tshaj plaws: Tau txais kev tso cai ua ntej. Yam khoom uas tsis muaj kev tso cai yuav raug tsis lees paub.​​ 

Yog xav paub ntxiv txog kev tso cai, thov nyeem Cov Txheej Txheem Kev Tso Cai Ntshav Ntshav.​​  

Cov tshuaj tswj tau​​ 

  1. Cov tshuaj yuav tsum tau sau rau ntawm daim ntawv tshuaj tswj xyuas, kos npe thiab sau hnub tim los ntawm tus kws tshuaj hauv tus cwj mem.​​ 
  2. Kev thov rau cov tshuaj tswj tau yuav tsum meej thiab pom tseeb.​​  


Tsev Kho Mob/Inpatient Admission​​  

Xa daim ntawv SAR nrog cov ntaub ntawv hauv qab no:​​ 

  1. Daim ntawv ntsej muag nkag hauv ob hnub ua haujlwm tom qab nkag.​​   
  2. Luam ntawm daim ntawv tshaj tawm kev nce qib txhua lub lim tiam lossis cov ntsiab lus tso tawm nrog kev thov kom ncua kev tso cai.​​ 

Khoom noj khoom haus kho mob​​ 

 

Xa SAR nrog cov ntaub ntawv hauv qab no:​​  

  1. Daim ntawv tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob​​ 
  2. Kev ntsuam xyuas tshwj xeeb ntawm Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv (RD) tau ua tiav hauv 6 lub hlis dhau los​​ 
  3. Kev soj ntsuam MD lossis cov ntaub ntawv kho mob ua tiav hauv ib xyoos​​ 
  4. Sau npe thiab tus nqi ntawm cov zaub mov kho mob tau thov​​ 

Loj Neutral Amino Acids tuaj yeem yog ib qho kev xaiv kho mob uas tau them rov qab los ntawm GHPP thaum cov khoom noj kho mob tsis kho tus mob metabolic.  Yog koj muaj lus nug, thov hu rau GHPP.​​ 

Cov Cai rau kev pom zoo ntawm Loj Neutral Amino Acids (LNAAs):​​ 

  1. Daim ntawv tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob​​ 
  2. Cov ntaub ntawv kho mob uas qhia txog kev kuaj mob ntawm PKU tam sim no kho lossis tsis tau kho, tsis ua raws li PHE txwv kev noj haus, thiab cov teeb meem kho mob, tshwj xeeb yog kev puas siab puas ntsws.​​ 
  3. Cov txiaj ntsig ntawm kev soj ntsuam kuaj pom pom tau nce qib PHE hauv cov ntshav (sib npaug siab tshaj 15 mg / dl)​​  

Khoom noj khoom haus Enteral​​ 

Xa SAR nrog cov ntaub ntawv hauv qab no:​​  

  1. Daim ntawv tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob​​ 
  2. Special Care Center RD​​  kev ntsuam xyuas ua tiav hauv 6 lub hlis dhau los​​ 

Ua tiav GHPP thov rau daim foos khoom noj khoom haus enteral (txuas mus rau daim ntawv tshiab)​​ 

Fais Log Chair / Scooter​​ 

Xa SAR nrog cov ntaub ntawv hauv qab no:​​ 

  1. Cov tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob (yuav tsum nyob rau hauv rau lub hlis)​​ 
  2. Tus kws kho mob daim ntawv qhia kev kho mob nrog rau kev kuaj lub cev tam sim no​​ 
  3. Nqe lus hais txog kev xav tau kev kho mob​​ 
  4. Ua tiav daim ntawv tso cai kev pabcuam lossis daim ntawv qhia tshwj xeeb / tus nqi kwv yees​​ 
  5. Cov nplooj ntawv catalog thiab nqe lus qhia​​ 
  6. Daim ntawv qhia txog kev kho lub cev lossis kev ua haujlwm kho mob​​ 
  7. Yog​​  qhov kev thov yog hloov DME uas twb muaj lawm, suav nrog cov ntaub ntawv ntawm cov xwm txheej ntawm DME tam sim no​​ 

 

Txhua Hom Lifts (xws li Hoyer nqa)​​ 

Xa SAR nrog cov ntaub ntawv hauv qab no:​​ 

  1. Daim ntawv tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob​​ 
  2. Nqe lus ntawm tus kws kho mob daim ntawv cog lus xauj tsev lossis qiv nyiaj DME txog li peb lub hlis ua ntej yuav khoom​​ 
  3. Daim ntawv tshaj tawm kev soj ntsuam hauv tsev uas suav nrog qhov loj ntawm cov chav thiab qhov rooj qhov rooj yuav siv​​ 
  4. Cov ntaub ntawv uas tus neeg siv khoom / tus neeg zov me nyuam tau cog lus siv thiab tau pom tias muaj kev nyab xeeb, kev siv lub tshuab nqa​​ 

High Frequency Chest Compression Device (Lub Vest System, ThAirapy Vest)​​ 

Xa SAR nrog cov ntaub ntawv hauv qab no:​​ 

A. Kev tso cai thawj zaug:​​ 

  1. Daim ntawv qhia txog kev xav tau kev kho mob kos npe los ntawm GHPP pom zoo Lub Chaw Saib Xyuas Kev Kho Mob Tshwj Xeeb Pulmonologist​​ 
  2. Cov ntaub ntawv qhia tau hais tias lwm yam kev siv cov khoom siv mucous tshem tawm tau siv thiab tsis ua tiav​​ 
  3. Cov ntaub ntawv qhia tau hais tias tus neeg siv khoom tuaj yeem siv cov khoom siv hauv siab compression ntawm nws tus kheej​​ 
  4. Cov ntaub ntawv qhia tias tus neeg mob tsis muaj tus neeg saib xyuas tuaj yeem muab phau ntawv qhia Chest Physiotherapy (CPT)​​ 
  5. Cov ntaub ntawv qhia tias phau ntawv CPT yog contraindicated vim tus neeg mob tus mob xws li GERD.​​ 

B. Rov Tso Cai:​​ 

  1. Cov tshuaj tau kos npe los ntawm Special Care Center pulmonologist​​ 
  2. Cov ntaub ntawv ntawm kev ua raws li tus neeg mob ua raws li kev kho mob raws li qhia tau yuav daim ntawv qhia ua raws li daim ntawv qhia txog peb lub hlis dhau los​​ 

Tsev Oxygen Delivery System​​ 

Xa SAR rau thawj zaug thiab rov tso cai nrog cov ntaub ntawv hauv qab no:​​ 

  1. Cov tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob uas suav nrog hom tshwj xeeb ntawm kev xa cov pa oxygen, lub sijhawm, thiab litres ib feeb (LPM). Piv txwv li: oxygen concentrator ntawm 3 LPM x 12 hli. Cov tshuaj rau cov pa oxygen sau ua "PRN" thiab "siv rau lub neej" tsis tau txais​​ 
  2. Cov txiaj ntsig ntawm kev tshawb fawb oxygen saturation tsis ntev los no los yog cov roj ntsha hauv cov ntshav​​ 
  3. Nqe lus hais txog kev xav tau kev kho mob lossis cov ntaub ntawv kho mob tsis ntev los no uas qhia tau hais tias kev kho mob muaj kev ncaj ncees rau kev siv cov pa oxygen.​​ 

Kev tso cai pib ntawm Dornase Alfa (Pulmozyme)​​  

  1. Daim ntawv tshuaj sau los ntawm GHPP pom zoo SCC tus kws kho mob​​ 
  2. Daim ntawv tshaj tawm kho mob uas qhia tias tus neeg siv khoom niaj hnub ua cov txheej txheem tshem tawm txoj hlab pa​​ 
  3. Pulmonary function test result uas qhia tau hais tias Forced Vital Capacity (FVC) ntau dua 40%​​ 
  4. Cov ntaub ntawv ntawm ob lossis ntau qhov kev kawm ntawm IV tshuaj tua kab mob hauv 12 lub hlis dhau los lossis ib qho kev xav tau ntxiv rau cov pa oxygen ntxiv​​ 

 

 

Hnub hloov tshiab kawg: 3/23/2021 1:03 PM​​