Home Infusion Therapy Policy and Procedure Manual

With MCN's Home Infusion Therapy Policy and Procedure Manual you won't have to develop policies and procedures from scratch! This manual provides over 270 ready-to-implement policies, procedures and forms that are current with the latest regulatory requirements! Policies are cross-referenced to TJC and CHAP standards. This valuable resource manual provides administrative, operational and patient-centered policies and procedures, saving you time, money and effort in policy development.

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ChangesTable of Contents - TJC, CHAP standardsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 02 - PROVISION OF CARE, TREATMENT AND SERVICES
Client Care, Treatment and Services
2101 - Client Identification for Clinical Care and Treatment2102 - "Hand-Off" Communication2103 - Critical Tests and Result Reporting2104 - Coordination of Care2105 - Change of Care/Service - Client Notification2106 - Pharmacy Plan of Care2107 - Sample Pharmacy Plan of Care Form2108 - Plan of Treatment/4852109 - Place Form CMS 485 here2110 - Pharmacy Client Care - Flow Diagram2111 - Pharmaceutical Services2112 - Physician Responsibilities for Home Care Clients2113 - Progress Notes2114 - Progress Notes Form2115 - Significant Changes to Report to the Physician2116 - Telephone Discussion Record2117 - Telephone Discussion Record Form2118 - Telephone Report Form2119 - Anaphylaxis2120 - Signs and Symptoms of Anaphylaxis2121 - Anaphylaxis Kit - Adults2122 - Anaphylaxis Kit for Pediatrics2123 - Anaphylaxis Kit Lot Number Log2124 - Anaphylaxis Protocol2125 - Treatment for Anaphylactic Reactions - Physician Order Sheet2126 - Cardiopulmonary Resuscitation (CPR)2127 - Clinical Laboratory2128 - Laboratory Flow Sheet Form2129 - Huber Needle Insertion for Implanted Vascular Access Devices2130 - Pain Management Policy2131 - Pain Management Therapy2132 - Pharmacy Plan of Care - Pain2133 - Intraspinal Pain Management Therapy2134 - Insertion of Peripherally Inserted Central Catheter (PICC)2135 - Peripherally Inserted Central Catheter (PICC) Consent Form2136 - PICC Insertion Progress Note Form2137 - PICC Line Dressing Change2138 - Flushing of PICC2139 - Client and Family Education Handout - Peripherally Inserted Central Catheters (PICC)2140 - Physician Order Sheet for Venous Access Device2141 - Pump Tubing Changes2142 - Selection of Infusion Pump2143 - Venipuncture2144 - Waived Testing2145 - List of Client Charges Form
SECTION 03 - MEDICATION MANAGEMENT
Medication Management Plan of Care
3001 - Security of Pharmacy3002 - Temperature Control for Pharmaceuticals3003 - Pharmacy Freezer Temperature Log Form3004 - Pharmacy Refrigerator Temperature Log Form3005 - Incubator Temperature Log Form3006 - IV Admixture Room Temperature Log Form3007 - Warehouse Temperature Log Form3008 - Policy for Controlled Substances3009 - Place U.S. Official Order Forms, Schedule I and II, DEA Supplier's Copy Here3010 - Perpetual Inventory Form for Controlled Substances3011 - Look-Alike, Sound-Alike Medication Management3012 - Physician's Order and Prescription3013 - Physician's Verbal Order Form3014 - Legibility of Medical Record Documentation3015 - Medication Profile3016 - Medication Profile Form3017 - Medication Recall3018 - Obtaining Drugs During an Emergency3019 - Obtaining Medications After Hours and On-Call Policy3020 - Medication Administration3021 - Drug Classification Form3022 - Drug Formulary3023 - Drug Formulary List3024 - Medication - First Dose3025 - IV Antibiotics - First Dose3026 - Medication Record3027 - Medication Record Form3028 - Controlled Substances in the Home3029 - Medication Inadvertent Incident Report Form3030 - Medication Error Analysis Tool3031 - Performance Improvement Analysis - Medication Inadvertent Incident Form3032 - Adverse Drug Reaction Reporting3033 - Adverse Drug Reaction Reporting Form3034 - Administration of Medications, Subcutaneous and Intramuscular3035 - Miscellaneous Injectable Medications3036 - Intravenous Medications Approved for Home Administration3037 - Ceftriaxone Sodium Injection - Client Handout3038 - Erythropoietin3039 - Pharmacy Plan of Care Form - Erythropoietin (EPO)3040 - Foscarnet3041 - Infusion of Foscarnet - Infusion in the Home Setting3042 - Pharmacy Plan of Care Form - Foscarnet3043 - Aminoglycoside and Vancomycin3044 - Guidelines for Drawing Aminoglycoside Levels3045 - Guidelines for Drawing Vancomycin Levels3046 - Pharmacy Plan of Care Form - Antibiotics3047 - Pharmacy Plan of Care Form - Vancomycin3048 - Pharmacy Plan of Care Form - Aminoglycoside3049 - Pentamidine Inhalation3050 - Guidelines for Pentamidine Inhalation Administration3051 - Pentamidine Intravenous3052 - Guidelines for Pentamidine Administered Intravenously3053 - Pentamidine Client Handout3054 - Pharmacy Plan of Care Form - Pentamidine3055 - Anti-Infective Therapy3056 - Amphotericin B3057 - Trimetrexate3058 - Pharmacy Plan of Care Form - Trimetrexate3059 - Infusion of Dobutamine for Outpatients3060 - Mitomycin-C (Mutamycin)3061 - Filgrastim (G-CSF) Use3062 - Pharmacy Plan of Care Form - Filgrastim (G-CSF)3063 - Heparin Therapy3064 - Pharmacy Plan of Care Form - Heparin3065 - Hydration Therapy3066 - Pharmacy Plan of Care Form - Hydration3067 - TPN Therapy3068 - Pharmacy Plan of Care Form - TPN3069 - Pharmacy Plan of Care Form - Amphotericin B3070 - Pharmacy Plan of Care Form - Deferoxamine3071 - Approved Chemotherapy Drugs for Administration in the Home3072 - Selection Criteria of Nurses for Chemotherapy Administration3073 - Chemotherapy3074 - Chemotherapeutic Drugs, Medication Dosage Calculation3075 - Chemotherapy Infusion Guidelines3076 - 5-Fluorouracil3077 - Pharmacy Plan of Care Form - 5-Fluorouracil3078 - Ganciclovir3079 - Administration Guidelines for Home Infusion of Ganciclovir3080 - Pharmacy Plan of Care Form - Ganciclovir3081 - Extravasation Management3082 - Management of Doxorubicin, Daunorubicin, Dactinomycin, Idarubicin, Amsacrine, Mitoxantrone Extravasation3083 - Extravasation Management of Mechlorethamine (Mustard, Nitrogen Mustard)3084 - Management of Dacarbazine (DTIC) Extravasation3085 - Management of Vincristine, Vinblastine, Vindesine Extravasation3086 - Chemotherapy - Vesicants3087 - Listing of Vesicants and Irritants3088 - Nursing Assessment of Extravasation Versus Other Reactions3089 - Extravasation Management Guidelines3090 - Specific Antidotes and Treatment for Vesicant Antineoplastic Agents
SECTION 08 - HUMAN RESOURCES
8001 - Position Description/Performance Evaluation - Infusion Therapy Services Director8002 - Performance Evaluation - Age-Related Competency - Infusion Therapy Services Director8003 - Annual Competency Clinical Skills Assessment - Infusion Therapy Services Director8004 - Position Description/Performance Evaluation - Infusion Therapy Services Pharmacist8005 - Performance Evaluation - Age-Related Competency - Infusion Therapy Services Pharmacist8006 - Annual Competency Clinical Skills Assessment - Infusion Therapy Services Pharmacist8007 - Position Description/Performance Evaluation - Infusion Therapy Services Technician8008 - Performance Evaluation - Age-Related Competency - Infusion Therapy Services Technician8009 - Annual Competency Clinical Skills Assessment - Infusion Therapy Services Technician8010 - Position Description/Performance Evaluation - Infusion Therapy Services RN8011 - Performance Evaluation - Age-Related Competency - Infusion Therapy Services RN8012 - Annual Competency Clinical Skills Assessment - Infusion Therapy Services RN8013 - Infusion Therapy Clinical Staff - Competency Checklist8014 - Infusion Therapy Clinical Staff - Orientation Checklist8015 - Equal Opportunity Employment8016 - Licensure, Certification and Registration Verification and Control Systems8017 - New Employee Orientation8018 - Inservice and Continuing Education8019 - Continuing Education Attendance Record Form8020 - Inservice Attendance Record Form8021 - Employee Safety8022 - Employee Job-Related Injuries8023 - Annual Competency - Joint Commission National Patient Safety Goals and Universal Protocol8024 - Annual Competency - Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery