Policy Manual sample

MDT Home Health Care Agency, Inc. 64 b) Change administration sets for pole mounted set-ups that are non-TPN every 48 hours. c) Administration cassettes/tubings utilized in a closed system ambulatory infusion pumps may be changed on a weekly basis and/or with every cassette change and as recommended by the Manufacturer. 20. Use the following guidelines for Electronic Infusion Devices: a) Programmable electronic infusion devices used for the delivery of chemotherapy and pain medication will have the program verified and documented by the pharmacist and clinician. b) Subsequent program changes will be verified by two responsible caregivers (e.g., the nurse and a caregiver in the home). c) The manufacturer’s infusion device user’s manual will be fully reviewed prior to use of the device and a copy, or appropriate sections, left in the home. Attach pump administration sets according to manufacturer’s instructions. d) Pump tubing must NEVER be removed from the infusion control device unless it is clamped in order to eliminate the risk of free-flow infusion of the medication/solution. e) Patients/caregivers are instructed on how to troubleshoot infusion device alarms and turn device off and on. Pump instructions material is provided to the patient/caregiver. 21. Wash hands and dispose of supplies per policy. 22. Be sure patients and caregivers are knowledgeable with care of access device, S/S to report to nurse/physician, administration of medication and troubleshooting alarms. DOCUMENTATION: Record assessment findings and procedure, venous access utilized, medication/solution dose, rate, date and time, type of infusion device (if applicable), appearance of insertion site, any dressing changes, patient tolerance to treatment and patient/caregiver response to instructions. Document any physician notifications or adverse effect of medication administration. ____________________________________________________