RE: Vanco infiltration

[Kokotis, Kathy]

your home pharmacy company must get paid well as they allow peripheral infusion in the home to do vanco.  How do they afford the multiple nursing visits to start peripheral IV's that have gone bad?   Kathy       Confidentiality Notice:  This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Autym Didsbury Sent: Tuesday, August 15, 2006 8:25 AM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: Vanco infiltration 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