Policy Manual sample

MDT Home Health Care Agency, Inc. Document: * Instructions and patient/family/caregiver understanding of and response to instructions * Patient’s condition * Condition of the infusion site Management of Anaphylaxis: * Anaphylaxis is an acute, often fatal systemic reaction that can occur in spite of all precautions taken. Since the reaction occurs quickly characterized by respiratory distress and vascular collapse, it is essential to institute treatment immediately. * The home health nurse must have the anaphylaxis protocol readily available for use in case of an emergency. * Medications are to be given in accordance with the physician's orders. * While specific treatment regimens will vary, essential common elements will include: For localized or mild reaction - rash itching: * Stop the infusion immediately. * Maintain the intravenous line. * Administer Benadryl as directed. * Monitor for vital signs. * Notify physician. For generalized or severe reaction - itching, tightness in the chest, chills, agitation, dizziness, nausea, abdominal cramping, respiratory distress, * Stop the infusion immediately. * Call EMS (911) and physician. Institute anaphylaxis protocol per physician's orders: - Administer Epinephrine. - Administer Benadryl. - Maintain intravenous infusion. - Monitor vital signs every five (5) minutes. - Keep patient supine. * Remain with the patient until the paramedic arrives. Initiate CPR if necessary. * Document the incident, then notify the appropriate members of the healthcare team. L-44 Home Health Agency Client Assessments