Name of the Procedure:

Home Infusion Therapy, Catheter Care / Maintenance, Simple (Single Lumen)

Summary

Home infusion therapy involves the management and maintenance of a catheter (specifically, a single-lumen catheter) used to deliver medications or nutrients directly into the bloodstream. This service includes administrative and professional pharmacy services, care coordination, and all necessary supplies and equipment. Medications and nursing visits are billed separately.

Purpose

This procedure is used to facilitate the administration of intravenous (IV) treatments at home, ensuring that the catheter remains functional and free from infections or blockages. The goal is to provide effective home-based care and reduce the need for hospital visits.

Indications

• Chronic conditions requiring long-term IV therapy
• Patients unable to swallow medications
• Nutritional support for individuals who cannot eat by mouth
• Long-term antibiotic therapy

Preparation

• Follow any specific dietary or medication instructions provided by the healthcare team.
• Undergo necessary diagnostic tests or assessments to ensure suitability for home infusion therapy.

Procedure Description

1. A healthcare professional will clean and disinfect the catheter insertion site.
2. The catheter will be flushed with a sterile solution to prevent clogs.
3. Regular assessment and dressing changes will be performed.
4. Supplies and equipment are organized, and the patient/caregiver is educated on proper handling and maintenance techniques.
5. No anesthesia or sedation is required for routine catheter care.

Duration

Each maintenance session typically takes about 30 minutes to an hour, depending on individual needs.

Setting

The procedure is performed at the patient's home.

Personnel

• Specialty-trained home healthcare nurse
• Pharmacist (for medication management)
• Care coordinator for logistical support

Risks and Complications

• Risk of infection at the catheter site
• Catheter blockages or malfunctions
• Thrombosis (blood clots)

Benefits

• Enables patients to receive necessary treatments in the comfort of their own home.
• Reduces the frequency of hospital visits.
• Promotes patient independence and comfort.

Recovery

• Minimal recovery time; patients can usually resume normal activities immediately.
• Follow instructions for catheter care and any dietary or activity restrictions.
• Schedule regular follow-up appointments as advised.

Alternatives

• Hospital-based infusion therapy
• Oral or subcutaneous medication administration
• Pros: More comprehensive medical supervision in a hospital setting.
• Cons: Inconvenience of frequent hospital visits or adjusted medication regimens.

Patient Experience

• Patients should expect minimal discomfort during catheter maintenance.
• Any pain or discomfort can be managed with appropriate measures.
• The support team will ensure patient comfort and provide necessary education for self-care.