Yes, which is very costly, but we looking at this from a financial view of our infusion pharmacy too, they get the revenue for the IVIG and we absorb the loss for the 3-4hr nursing visit. We are paid the standard visit rate by the insurance company (all of our current IVIg patients are private insurance)and 'eat' the rest of the time. Apparently this is a good arrangement for our organization because of the revenue from IVIG for 'DAD'.
Deb Riley RN CRNI Infusion Supervisor Summa's Homecare Akron, Ohio -----Original Message----- From: Autym Didsbury [mailto:[EMAIL PROTECTED] Sent: Wednesday, June 14, 2006 2:30 PM To: Riley, Deb; Raye Dillon; [EMAIL PROTECTED] Subject: RE: ivig Does your nurse remain with the patient during the entire infusion? Autym Didsbury, RN, BSN, CRNI Home Health Manager Partners in Home Care 2687 Palmer St. Suite B Missoula, MT 59808 (406) 327-3717 Fax 327-3727 -----Original Message----- From: Riley, Deb [mailto:[EMAIL PROTECTED] Sent: Wednesday, June 14, 2006 12:11 PM To: Raye Dillon; [EMAIL PROTECTED] Subject: RE: ivig 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
