{"ref":"MI-HH-MED-02","title":"Intravenous Therapy and Infusion Services","category":"Clinical tasks","summary":"Sets out how the Agency furnishes intravenous and other infusion therapy at home: patient selection, complete orders, coordination with the infusion pharmacy, which nurses may perform which infusion tasks (with the Agency’s own limits on LPN infusion tasks), vascular access device care, infection prevention, first doses and anaphylaxis, patient and caregiver teaching, monitoring and complications, and the Michigan Medicaid rule on when an HHA may furnish infusion nursing.","inShort":["Start an infusion only with a complete order, including line care and flushes.","Do only the infusion tasks the Agency has validated you for. LPNs do not access central lines or give IV push drugs.","Use aseptic technique, scrub the hub every time, and check the site at every visit.","A first dose of a risky drug at home needs an order, an RN who stays, and emergency medicine in the home.","Teach the patient what to watch for and give them the Agency’s and the pharmacy’s 24-hour numbers."],"primaryCitation":"42 CFR §484.60(b)(1)","citations":["MCL 333.17201 et seq.","Michigan Medicaid Provider Manual, Home Health, Section 8.1.D"],"federalCitations":["42 CFR §484.60(b)(1)","42 CFR §484.75(a)","42 CFR §484.105(f)(2)","42 CFR §484.70(a)"],"surveyorAsks":["Show me the infusion order, including the access device care and flush orders.","Which nurses are validated for central line care and dressing changes?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.60(b)(1))","5. Accepting a Patient for Infusion Therapy","6. Orders","7. Which Nurses Do What","8. Coordination With the Infusion Pharmacy","9. Infection Prevention and Device Care","10. First Doses and Anaphylaxis","11. Teaching, Monitoring and Complications","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","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}}