Elizabeth: 
 Good questions...but why are you doing this type of subq infusion when intravenous route is so easily performed and replacement of fluids and meds are so paramount to recovery.
1. No.
 
 
Scott
----- Original Message -----
Sent: Friday, April 14, 2006 8:53 AM
Subject: spam: New question for the group

Thanks in advance for all that are able to answer. 
 
My new question is for all those out there that are doing hypodermoclysis. 
 
1.  Are you doing hypodermoclysis in the acute care setting?
2.  If so, what type of guidelines are in place?
3.  What type of educational roll-out to the nursing staff and physicians was done?
4.  Does your pharmacy keep track of these patients so a medication that is not able to go this route is not inadvertantly ordered?
5.  Is this strictly a out patient setting treatment?
6.  Can anyone please share some guidelines, setup, educational roll-out, I'm trying not to have to re-invent the wheel.
 
We are a 150 bed IHS facility.  Our patient's are referred to us from throughtout the State of Alaska.  For those of you that don't know, the state of Alaska is quite large.  Take the State of Alaska and place it over the contiguous Lower 48.  Ketchikan is somewhere down by Miami, Barrow is up above the Minnesota/Canadian border, Anchorage would be somewhere around Tulsa OK and the Aleutian Chain would extend into the Pacific Ocean between San Diego and LA. 
 
There are only 15 hospitals in the state so we get patients and tend to keep them until they completely well.  DRG's have not been a factor at this time.
 
Any help would be appreciated.
 
Betsy Harmon RN CRNI
Vascular Access Team
Critical Care Unit
Alaska Native Medical Center
 

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