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Infusion Nursing and Pharmacy Services

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.

Preview: full text with a package
About this policy
Policy number
NC-HH-MED-02
Version
1.0
Main rule
10A NCAC 13J .1108
Library
North Carolina home health · 57 policies
Category
Clinical tasks
Sections
19

In short

  • 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.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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.

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