Policy Manual sample

MDT Home Health Care Agency, Inc. • One (1) D5W 500 mL Pediatric: • One (1) microdrip set • Two (2) 23 g butterfly • One (1) 60 mm airway • Two (2) tongue blade (for airway insertion) • One (1) 0.15 mg EpiPen Junior Injector • One (1) epinephrine 1:2000 (IM) • One (1) diphenhydramine (Benadryl) 25-50 mg PO, IV or IM • Six (6) prep pads • Three (3) pairs gloves • One (1) D5W 500 mL * The Registered Nurse remains with the patient for the duration of the infusion and for one- half (1/2) hour after the infusion is completed. Preinfusion Nursing Responsibilities: * Prior to initiating the infusion, review with the patient his/her medical history, drug history and previous allergies. Document the types of allergy, the severity of previous symptoms and prior response to treatment. Any questionable allergies must be brought to the attention of the physician. * Assess current medications for the potential of cross-reactions. Document and report pertinent findings to the physician. * Obtain baseline vital signs (T, P, R, B/P) and continue to monitor every 15 minutes or as prescribed by the physician for the duration of the infusion. * Draw any lab work that has been ordered. * Check medication label with physician orders for: • Correct drug - be alert for sound-alike drugs • Correct dose and rate • Correct route • Correct time • Correct frequency • Correct patient * Check all equipment (pumps, tubing, medication containers, access devices) to ensure all are in good working order and free of any defects. * Check that IV solution is free of any particulate matter. * Instruct patient/family/caregiver in any potential adverse reactions that may occur during administration of the medication. * Prepare equipment using standard precautions and aseptic technique. During Infusion: * Remain with the patient for the entire duration of the infusion and for one-half (½) hour after the completion of the infusion. * Monitor and document the patient’s vital signs every 15 minutes, as designated by clinical practice guidelines or as ordered by the physician. * Monitor, assess and document the patient’s response to the infusion. Post Infusion: * Discontinue the infusion and dispose of any used equipment in accordance with standard precautions. * Draw post-infusion lab work as ordered. * Instruct the patient/family/caregiver in any precautions, potential side effects/adverse reactions and appropriate actions to be taken. L-43 Home Health Agency Client Assessments