We do first dose on most antibiotics with the exception of Vanc. We screen the 
patients for past history of allergic reaction and if they have several 
allergies we usually recommend they get the first dose in a more controlled 
setting. We have and anaphylactic kit and the nurse stays in the home for at 
least 30 minutes following the infusion. (Before anyone says anything about 
developing allergic rxn with subsequent doses..., I know that patients can 
develop allergies the more often they take a med (with subsequent doses) but we 
teach the patient s&s and what do to if they develop during the first visit.) 

Vera

Vera J. Jeter, RN
Education Consultant
St. Vincent Home Care
317-338-9654
[EMAIL PROTECTED]

>>> <[EMAIL PROTECTED]> 10/20/2006 9:43 AM >>>
Hey all!
     I was asked to get info on First dose administration of antibiotics.  Who 
out there is in the home care or alternate site arena who can help me out???
    Also what issues should I be prepared to address besides the obvious 
anaphylaxis????

Thanks for your help!

--
Susan Schuetrumpf, CRNI 
VASPRO 
Atlanta, GA 
cell-404-606-1194


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