We have 5 patients we receiving IVIG regularly and have administered IVIG in the home setting for a little over 3 years. We have an IVIG policy which identifies the assessment data, what the initial orders must contain and the standard precautions to follow in identifying the most appropriate infusion process. The script must be reviewed by the pharmacist and the patient must have received the dose in a controlled setting without ADR. In addition to the regular visit note, the nurse completes an IVIG infusion flow sheet with titration parameters, v/s schedule in relationship to the rate changes. Now, we have had an incident where a pt had a reaction with a dose (had been receiving IVIG at home for 2 years), reminding us not to become complacent with our routine infusions and that any pt can have a reaction any time with any med we are administering. But, we followed our ADR protocol and it was resolved without further problems.
Deb Riley RN CRNI Infusion Supervisor Summa's Homecare Akron, Ohio -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Raye Dillon Sent: Wednesday, June 14, 2006 11:14 AM To: [EMAIL PROTECTED] Subject: ivig anyone giving ivig in the home setting. what precautions are you observing and what monitoring are you doing TIA
