RE: Vanco infiltration

[Kokotis, Kathy]

It is  because home infusion is not paid to place a PICC line therefore they expect the hospital to pay for it

kathy

 

 

 

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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nadine Nakazawa
Sent: Tuesday, August 15, 2006 11:58 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: Vanco infiltration

Does NHIA have a position on accepting patients for home infusion with just a peripheral IV?  It seems that ALL the home pharmacies we refer to REQUIRE reliable venous access for home infusion, preferably a PICC line, unless it is a one time infusion.   There are always exceptions, but it seems to be a general requirement.   The PICC team is always under fire here to get that PICC in so the patient can be discharged to home or alternate care facility.  Discharge is held off til the PICC is in and tip is confirmed.

Nadine Nakazawa, RN, BS, OCN

PICC Program Coordinator

Stanford University Hospital and Clinics

Stanford University Medical Center

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From: "Autym Didsbury" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED], [EMAIL PROTECTED]
Subject: Vanco infiltration
Date: Tue, 15 Aug 2006 09:25:19 -0600

Hi all-

 

I am coming to the group for a couple of suggestions.  We continue to get tremendous pressure from physicians to give peripheral vancomycin, phenergan, and other potentially dangerous meds.  In addition, the "powers that be" at our agency are not supportive either- we are basically told to take whatever is referred for fear of "alienating referral sources."  (Yes, I know)  To further complicate the situation, I am not getting a lot of support from my infusion pharmacy either- they are GREAT, but complacent with the issue of peripherals despite the potential risk.  Our "risk management" person is not a clinician, and doesn't grasp the implications at all.   What I am looking for is any references specifc to vanco infiltration and potential complications, as well as information regarding treating various extravasations.  Any suggestions would be greatly appreciated.  The concept of appropriate vascular access planning has not gained much ground in this community, and I am hoping that it doesn't take a disaster to get everyone's attention.  

 

Thanks as always- 

 

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

 

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