Customized ICU Care Plans Backed by a Multidisciplinary Medical Team

Every patient is unique, and so is their ICU story. At AtHomeCare™, we don't offer fixed templates—we co-create a dynamic, evolving care plan centered on your loved one’s diagnosis, prognosis, personal comfort, and family goals. From Day 1, our team works in tandem with hospital doctors, caregivers, and specialists to understand not just the clinical metrics, but the human being at the center of care.

Step-by-Step Personalization Journey

1. Detailed Clinical Intake: Designed around physician discharge notes, medical history, medication charts, allergies, mobility limitations, and cultural/family preferences.
2. Matching Staff to Needs: A neurologically challenged post-stroke patient will receive a different staff pairing compared to a ventilator-dependent cancer patient. We match ICU nurses, physiotherapists, and physicians accordingly.
3. Daily Adaptive Workflow: Vitals, patient behavior, feeding capacity, alertness, medication tolerance, and bowel patterns are reviewed daily by our nurse-in-charge and doctor.
4. Weekly Case Review: Every 5 to 7 days, your care plan is reassessed based on recovery or deterioration markers—modifying ventilation support, reducing meds, increasing rehab time, or introducing psychosocial support.

Team Composition Based on Patient Type

This modular approach allows timely escalation, improved outcomes, and reduced stress for family decision makers. By involving multiple disciplines, your care feels connected, predictive, and humane.

Case Studies & Patient Journeys

The real power of Home ICU doesn’t lie in equipment—it lies in outcomes. What follows are true-to-life stories (de-identified for privacy) showcasing how ICU at Home has transformed lives, provided relief to caregivers, and ensured continuity of care.

Family Engagement & Hands-On Training

In Home ICU care, the family is not a visitor — they're an essential member of the healing team. We believe families are more than caregivers—they’re partners who deserve to understand, own, and champion each stage of recovery.

Daily Family Interactions

• Family briefing after each nursing shift: vitals, behavior, medication reaction, bowel/bladder updates.
• Protocols explained: how to recognize a red flag, how to clean a PEG tube, how to lift a bed-bound patient safely.
• Guided demonstrations: wound care, suction techniques, nebulizer handling, insulin injection steps.

Formal Caregiver Training Available

1. 2-Day Training: For family members wanting to handle critical aspects while a nurse supervises.
2. CPR & Emergency Basics: What to do when patient is unresponsive, how to use auto-injector kits available bedside.
3. Mental Health Support: Weekly check-ins by caregiver counselor help cope with burnout and decision fatigue.

Technology For Engagement

• Secure family portal to check notes, shift handovers, track progress
• Call-back request options for daily nurse or doctor clarification
• Medication reminders and escalation alerts to emergency contact

Post-Intensive Recovery & Rehabilitation

Surviving ICU is just the first step. Many patients face prolonged weakness, brain fog, malnutrition, or emotional trauma. Our care model continues post-critical phase to ensure patients don’t fall through the cracks of healthcare.

What Happens After ICU Stabilization?

• We re-assign a Skilled or Rehab Nurse (instead of ICU nurse) after the patient stabilizes
• Physiotherapist comes in daily to restore balance, gait, spine alignment, bi-joint movement
• We initiate “bed-to-chair” protocols and schedule timed independent breathing intervals
• Special diets prescribed by dietitian (diabetic-friendly, renal-safe, tissue-healing boost)

Common Post-ICU Problems We Manage

Our goal is not just to save a life—it is to restore it. Every hour invested in recovery planning now reduces major re-hospitalizations, depression, complications, and caregiver trauma in months to come.

Our ICU Nursing and Clinical Team

A Home ICU is only as effective as the professionals delivering care. At AtHomeCare™, we believe in building a team that combines advanced training, hospital-grade experience, empathy, and responsiveness. Every ICU care plan is executed by professionals handpicked for your patient profile—ensuring a precise match of clinical skill, language comfort, and personality.

Our core Home ICU team comprises:

• ICU-Certified Nurses (BSc/GNM): Each nurse has minimum 3+ years of tertiary hospital ICU experience, trained in ventilator management, infusion therapy, tracheostomy, emergency protocols, infection control, and hands-on patient handling.
• Senior Clinical Coordinators: Available 24/7 for nurse supervision, home visit checks, shift audits, and updates to care plans in consultation with doctors.
• On-call Intensivists: Experienced MDs trained in emergency, internal medicine, or pulmonology for protocol escalation and customized care optimization.
• Allied Providers: Physiotherapists, dietitians, psychologists, respiratory specialists mobilized into the care plan on demand via coordination with our central monitoring team.

Key Highlights

• All nurses carry documented training logs, immunization cards, and verification certificates.
• Weekly clinical audits and real-time video supervision ensure quality control and immediate feedback.
• Soft skills training emphasizes family interaction, dignity preservation, and patient communication.

Continuous Monitoring & Digital Health

Continuous real-time monitoring is the hallmark of effective ICU care. In a hospital, nurses are aided by central monitor dashboards for each bed. At AtHomeCare, we bring this capability—securely and efficiently—to the patient’s home.

Using advanced medical devices with built-in connectivity, we ensure all key parameters are visible, recorded, and remotely reviewed by our clinical command center. High-risk patients benefit from wearable sensors and Bluetooth-enabled smart devices.

Vital Monitoring Includes:

• Heart Rate, Blood Pressure (Manual/Digital)
• Continuous ECG via Multi-Parameter Monitor (Lead II/III)
• SpO2—Oxygen Saturation Monitoring
• ETCO2 Tracking for ventilator-linked patients
• Respiratory Rate, Temperature, GCS (Glasgow Coma Scale)

Digital Documentation System:

• Hourly input and output logs
• Wound photo log with timestamp (if applicable)
• Medication timing and infusion dose record
• Family-accessible logs (on request via secure portal)
• Daily shift review by remote MD if case indicates escalation risk

We also offer video-enabled remote consults, where the bedside nurse coordinates with the doctor using tablets for face-to-face review—ideal for sudden changes, ventilator support modification, or family conferences.

Advanced Procedures and Onsite Capabilities

A significant differentiator of our Home ICU services is the ability to deliver advanced interventions on location. Our nurses and doctors are trained in high-risk care protocols, while our infrastructure ensures availability of sterile supplies, emergency kits, and emergency drug boxes on-site.

Common Procedures Safely Performed at Home:

• Endotracheal suction (open and closed system)
• Tracheostomy care, cleaning, replacement (if pre-established)
• Urinary catheterization and care (male/female, SPC supervision)
• NGT/PEG/Jejunostomy feeding and tube flushing
• IV/IM/Subcutaneous medication administration including high-risk injectables
• Infusion pump setups with titration based on doctor orders
• Blood sugar and insulin management (including sliding-scale administration)
• Wound care and stage-wise pressure ulcer prevention and treatment

Medical Equipment We Commonly Mobilize:

• Invasive and Non-Invasive Ventilators (GE, ResMed, Air Liquide models)
• BIPAP/CPAP circuits with humidification systems
• Portable suction machines with canister backups
• Multi-parameter monitors, infusion and syringe pumps
• Wound vacs, sealants, sterile drapes, emergency crash kits (for high-dependency cases)

Medical Oversight and Emergency Protocols

Every Home ICU setup is clinically governed by one or more medical supervisors. These are specialist doctors—intensivists, physicians, pulmonologists—assigned based on patient diagnosis, treatment status, and escalation risk.

Daily Medical Review Framework Includes:

• Charted review of patient vitals, complaints, and nursing notes
• Remote or bedside consultation at chosen frequency (daily or alternate-day)
• Prescription generation and medication change order via digital platform
• Real-time discussion with family by audio/video for major decisions

Emergency Escalation Protocol

• Every nurse is trained in emergency airway, CPR, and rapid opioid intervention
• Emergency medications available per protocol (Atropine, adrenaline, Lasix, etc.)
• Dedicated ambulance tie-up with GPS dispatch within 20–30 min (in Tier 1 cities)
• Hospital referral pre-mapped and updated per case
• Detailed handover format sent with the patient if referral takes place

Along with reactive protocols, we work on prevention. Smart alerts are configured to highlight abnormal readings early. Path alerts like fever spikes, breathing difficulty, or seizures trigger physician review even before a call is initiated.