Sunday, October 22, 2006

N10 Final - Home infusion therapy

Home infusion therapy
Box 14-1 pg384
- Emergency plan and #s, phone #s
- 3 prong grounded outlet
- Refrigeration capacity
- Chemical spill kit
- Notify, fire, police, tel. co and elec. co ( of life support equipment or medically necessary oxygen or infusion)
- Systems estab. for med regimen
- Info on the meds (dosage, adverse effects, interactions and safe storage)
- ID and correction of environ hazards and pt concerns
- Fire evac. plan
- Smoke detectors
- Access to functional fire exting.

Role of Nurse
- Preauthorization required
- Reimbursement strict
- Equipment brought by nurse
- Full assessment required
- I&Os
- Weight
- S/Sx of reaction, infection, fluid overload, dehydration
- Infusion site
- Operation of pump

Physician’s order has to have
1. Medication
2. Dosage
3. Rate
4. Route
5. Frequency of Site change

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