{"ref":"NC-HH-MED-02","title":"Infusion Nursing and Pharmacy Services","category":"Clinical tasks","summary":"Applies when the Agency’s license includes infusion nursing services: infusion is given by or under the supervision of a registered nurse trained in infusion, under a physician-signed plan of care; on-call infusion nursing is available 24 hours a day, seven days a week; infusion pharmacy services, if provided or contracted, are governed by written scope and run around the clock under North Carolina pharmacy law; and NC Medicaid coordination with Home Infusion Therapy providers is followed.","inShort":["Infusion care is given only by nurses trained and checked on each type of line and pump.","An infusion-trained RN is on call 24 hours a day, seven days a week, for every infusion patient.","LPNs do not access central lines or ports, give IV push drugs, or start a first dose.","Report any problem with a line (swelling, redness, fever, blockage, leaking) to the physician and the supervisor at once.","Check whether an NC Medicaid patient also gets care from a Home Infusion Therapy provider, so nursing is not duplicated."],"primaryCitation":"10A NCAC 13J .1108","citations":["10A NCAC 13J .0901","10A NCAC 13J .1108","10A NCAC 13J .1111","10A NCAC 13J .1112","10A NCAC 13J .1301","10A NCAC 13J .1302","21 NCAC 36 .0225","15A NCAC 13B .1200","NC Medicaid Clinical Coverage Policy 3A"],"federalCitations":["42 CFR §484.75","42 CFR §484.60(b)","42 CFR §484.70","29 CFR §1910.1030"],"surveyorAsks":["Is infusion nursing on your license? Who supervises it, and what infusion training does that nurse have?","Show me the on-call schedule for infusion nursing for the last month."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1108)","5. Infusion Therapies the Agency Offers","6. Training the Agency Requires","7. Orders, Plan of Care, and Pharmacy","8. Giving Infusion Care Safely","9. On-Call Infusion Nursing","10. Patient and Caregiver Teaching","11. NC Medicaid and Medicare Coordination","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":"nc-hha","state":"North Carolina","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}}