CONTENTS Preface. ............................................................................................................................ 6 Infusion Therapy in the Home Care Setting. ......................................................... 7 1. GENERAL ORGANIZATIONAL POLICIES Infusion Team. ...............................................................................................................12 Competence and Competency Validation. ............................................................14 Product Evaluation, Integrity, and Defect Reporting. ....................................... 17 Informed Consent........................................................................................................ 19 Patient Education. ...................................................................................................... 22 First Dose Administration. ....................................................................................... 24 Latex Sensitivity or Allergy..................................................................................... 26 Adverse and Serious Adverse Events.................................................................... 28 2. INFECTION PREVENTION AND SAFETY COMPLIANCE Hand Hygiene. ............................................................................................................. 32 Sharps Management.................................................................................................. 35 Medical Waste Disposal............................................................................................ 37 Durable Medical Equipment Disinfection............................................................ 38 Standard Precautions................................................................................................ 40 Transmission-based Precautions........................................................................... 43 3. VASCULAR ACCESS DEVICE PLACEMENT Vascular Access Device (VAD) Planning.............................................................. 46 Local Anesthesia......................................................................................................... 52 Short Peripheral Catheter (SPC) Placement...................................................... 56 Ultrasound-Guided Short Peripheral Catheter (SPC) Placement................. 63 Ultrasound-Guided Midline Catheter Insertion. ................................................ 68 Ultrasound-Guided Peripherally Inserted Central Catheter (PICC) Insertion Using Modified Seldinger Technique (MST)....................................... 77
Previous Page Next Page