{"ref":"DC-HH-CS-04","title":"Intravenous Therapy and Infusion Services","category":"Clinical tasks","summary":"Sets out the written policies 22-B DCMR §3920.5 requires for intravenous therapy: who may give it, patient selection, the intravenous therapy service plan, consent, monitoring and emergency care, the anaphylactic kit rule for first doses of antibiotics and chemotherapy, 24-hour availability, storage, infection control, disposal, equipment, supplies, blood transfusions, adverse reactions, and the 30-day progress notes and 62-day summary reports.","inShort":["Only a registered nurse or licensed practical nurse with IV training or experience may give IV therapy.","Before IV therapy starts, the patient signs a consent that explains the risks, benefits, and other choices.","Never give the first dose of an antibiotic or chemotherapy unless an anaphylactic kit is right there in the home.","If you suspect a reaction, stop the infusion, call 911 for a severe reaction, then call the physician and the supervising nurse.","An IV-trained nurse can be reached 24 hours a day at (202) 555-0199.","Write progress notes at least every 30 days and a summary report at least every 62 days."],"primaryCitation":"22-B DCMR §3920","citations":["22-B DCMR §3905.2","22-B DCMR §3911.2","22-B DCMR §3914.3","22-B DCMR §3920.1","22-B DCMR §3920.2","22-B DCMR §3920.3","22-B DCMR §3920.4","22-B DCMR §3920.5","22-B DCMR §3999.1"],"federalCitations":["42 CFR §484.75","42 CFR §484.60(b)","29 CFR §1910.1030"],"surveyorAsks":["Show me the intravenous therapy service plan and the signed consent for this patient.","Who may start an IV or care for a central line at your agency? Show me their IV training or experience."],"forms":[{"ref":"DC-HH-CS-04-A","title":"Consent for Intravenous Therapy"},{"ref":"DC-HH-CS-04-B","title":"Intravenous Therapy Service Plan and Monitoring Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §3920)","5. How This Policy Meets 22-B DCMR §3920.5","6. Who May Provide Intravenous Therapy","7. Patient Selection","8. The Intravenous Therapy Service Plan","9. Consent and Patient Teaching","10. Administration and Monitoring","11. Adverse Reactions and Emergency Care","12. Availability Twenty-Four Hours a Day","13. Preparation and Storage","14. Infection Control","15. Disposal of Sharps, Catheters, Tubing, and Dressings","16. Equipment and Supplies","17. Blood Transfusions","18. Records and Notes","19. Responsibilities","20. Records and Compliance Monitoring","21. Staff Training","22. References","23. Related Policies and Forms","24. Approval","25. Revision History"],"version":"1.0","sample":false,"pack":"dc-hha","state":"Washington, DC","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}