Name of the Procedure:

Home Infusion Therapy for Restoration of Catheter Patency or Declotting (HCPCS S5517)

Summary

This procedure involves using medically necessary supplies and techniques to restore the patency of a blocked catheter or to declot it. It is performed in a home setting, allowing for patient comfort and convenience.

Purpose

This procedure addresses the issue of occluded or partially blocked catheters, commonly used for IV medications, nutrients, or fluids. The goal is to ensure the catheter functions properly to avoid complications arising from a blockage.

Indications

• Blocked or sluggish catheter flow
• Symptoms of catheter occlusion such as difficulty flushing or withdrawing fluid
• Ensuring continuous, uninterrupted use of the catheter for therapy

Preparation

• Patient may need to fast if instructed by a healthcare provider.
• Adjustments to current medications may be required.
• Pre-procedure assessments to confirm catheter blockage.

Procedure Description

1. Gather all necessary supplies, including flushing solutions, anticoagulants, and sterile equipment.
2. Clean the area around the catheter insertion site with antiseptic solutions.
3. Use specific techniques to flush the catheter with normal saline or other prescribed solutions.
4. If the blockage persists, administer a declotting agent as instructed by a healthcare professional.
5. Monitor the catheter for restored patency and ensure no adverse reactions occur.

Duration

The procedure generally takes 30 minutes to 1 hour, depending on the severity of the blockage.

Setting

Performed in the patient's home by trained healthcare professionals or caregivers.

Personnel

• Registered Nurse or specialized home infusion nurse
• Potential remote oversight by a physician or pharmacist

Risks and Complications

• Infection at the catheter site
• Adverse reactions to flushing or declotting agents
• Potential for catheter damage or dislodgement

Benefits

• Restored catheter functionality
• Continuous and efficient infusion therapy without the need for frequent hospital visits
• Improved patient comfort and convenience

Recovery

• Patients may need to avoid strenuous activities temporarily.
• Regular monitoring of catheter patency and site condition.
• Follow-up appointments or check-ins may be required for ongoing assessment.

Alternatives

• Hospital-based catheter declotting procedures
• Surgical replacement of the catheter
• Use of oral or alternative intravenous access methods

Patient Experience

• Minor discomfort during the flushing process
• Possible sensations of fluid movement within the catheter
• Pain management provided if needed, with comfort measures like warm compresses.