Name of the Procedure:

• Common Name: Home Infusion Therapy, Catheter Care
• Medical Term: Home Infusion Therapy with Complex Catheter Care (More than one lumen)

Summary

Home infusion therapy with complex catheter care is a medical service where patients receive medications or nutrients directly into their bloodstream through a catheter. This procedure includes regular maintenance and management of catheters that have more than one lumen (channel) to prevent infections and ensure proper functioning. The care includes administrative services, professional pharmacy oversight, care coordination, and all necessary supplies and equipment. Medications and nursing visits are billed separately.

Purpose

The primary purpose of home infusion therapy with catheter care is to manage and maintain complex catheters, which are often used for long-term treatment of various conditions. The goals include:

• Preventing infections.
• Ensuring the catheter functions correctly.
• Allowing patients to receive necessary treatments or nutrition at home.

Indications

This procedure is indicated for patients who:

• Require long-term intravenous (IV) medications or nutrition.
• Have complex medical conditions needing frequent blood draws or multiple medications.
• Benefit from receiving treatment in the comfort of their home instead of a hospital setting.

Preparation

• Patients should receive detailed instructions from their healthcare provider on how to prepare for the procedure, which might include:
  • Maintaining a clean environment.
  • Understanding the catheter maintenance process.
  • Any specific dietary or medication adjustments.
• Prior assessments might include blood tests to ensure the patient is suitable for home care.

Procedure Description

1. Preparation: Ensure all supplies and equipment are ready.
2. Catheter Care:
   • Clean the catheter site with antiseptic solution.
   • Flush each lumen with saline solution to prevent blockages.
   • Administer any required medications or nutrients through the catheter.
3. Coordination:
   • Review the patient's medication schedule and adjust as necessary.
   • Coordinate with pharmacists and healthcare providers to manage care.
4. Documentation:
   • Record all procedures, medications administered, and any patient observations.
5. Education:
   • Educate the patient and caregivers on catheter care techniques and signs of infection.

Duration

The actual maintenance procedure typically takes about 30 minutes. However, the overall duration may vary depending on the patient's specific needs.

Setting

Home infusion therapy is performed in the patient's home. A trained healthcare professional will either perform the procedure or guide the patient and caregivers through it.

Personnel

• Registered nurses with specialization in infusion therapy.
• Pharmacists for medication management.
• Care coordinators for overseeing the treatment plan.

Risks and Complications

• Infection: Risk of catheter-related bloodstream infections.
• Blockages: Possible clogging of the catheter lumen.
• Dislodgement: Accidental movement or removal of the catheter. Management involves prompt medical intervention, should any of these occur.

Benefits

• Comfort of receiving treatment at home.
• Reduced need for frequent hospital visits.
• Better quality of life by allowing patients to maintain daily routines.

Recovery

• Ongoing care includes monitoring the catheter site for signs of infection or complications.
• Patients should follow all provided instructions, including keeping the catheter site clean and dry.
• Attend all scheduled follow-up appointments as instructed by their healthcare provider.

Alternatives

• Outpatient Infusion Therapy: Receiving treatment at a healthcare facility instead of at home.
• Oral Medications: If applicable, less invasive but may not be suitable for all patients. Each alternative has its advantages and disadvantages, which should be discussed with a healthcare provider.

Patient Experience

• During the Procedure: Patients might feel a slight discomfort during catheter access and maintenance.
• After the Procedure: Some soreness at the catheter site, but generally manageable with guided care measures.
• Pain management typically involves over-the-counter pain relievers unless otherwise directed by a healthcare provider.