We do first doses of antibiotics at home with an anaphylaxis kit. If the
client's medication profile is filled with allergies/ we check a second time
with the MD to assure he/ she knows about them. While we would prefer ( in
those cases)to have the 1st dose administered in a supervised clinical setting,
we will do it in the home. We send 2 nurses to administer the first dose,
stay through the infusion and about 1/2 hour more to assure no latent allergic
response. Of course, the RN's are ready to call 911 if necessary.
Fortunately, it has not been necessary.
Nancy DuBois, CRNI, MSN
Jefferson Home Infusion Service
Phila, PA
________________________________
From: [EMAIL PROTECTED] on behalf of Vera J. Jeter
Sent: Fri 10/20/2006 12:19 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: First dose ABX policy
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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