NHIA does create standards of practice, but it does promote communication between disciplines.. Aside from the truth of the comment that convenience and reimbursement drive home infusion companies to require predischarge placement, there is much greater awareness of why its important clinically.
Marc Stranz, PharmD
SVP. Clinical & Strategic Operations
Coram, Inc.
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-----Original Message-----
From: Nadine Nakazawa [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, August 15, 2006 03:03 PM Central Standard Time
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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