Name of the Procedure:

Home Infusion Therapy, Insertion of Midline Venous Catheter, Nursing Services Only
Common Names: Midline catheter insertion, Home infusion midline catheter insertion
Technical Terms: S5523

Summary

In this procedure, a specialized nurse inserts a midline venous catheter into a patient's vein to facilitate home infusion therapy. The procedure includes only the insertion and nursing services—no supplies or the catheter itself.

Purpose

Medical Conditions or Problems:

• Chronic infections requiring long-term IV antibiotics
• Conditions requiring frequent blood draws or IV medication
  ##### Goals:
• Provide a reliable and less invasive method for administering regular intravenous treatments at home.

Indications

• Patients needing long-term intravenous therapy (1-4 weeks)
• Conditions such as cellulitis, bone infections, or chronic urinary tract infections
• Difficulty with peripheral IV access

Preparation

• Follow healthcare provider's instructions regarding fasting or medications
• Pre-procedure diagnostic tests may include vein mapping via ultrasound

Procedure Description

1. Initial Assessment: Nurse assesses patient’s medical history and vein condition.
2. Sterilization: The insertion site on the patient's arm is cleaned and sterilized.
3. Local Anesthesia: Local anesthesia is administered to numb the area.
4. Insertion: The nurse inserts the midline catheter into a large vein in the arm using ultrasound guidance.
5. Placement Verification: Correct placement is verified either by visual inspection or additional imaging if needed.

6. Securement and Dressing: The catheter is secured, and the site is dressed properly.

   Duration

   Approximately 30 minutes to 1 hour.

Setting

Procedure is performed at the patient's home by a qualified infusion nurse.

Personnel

• Qualified infusion nurse

Risks and Complications

Common Risks:

• Minor bleeding at insertion site
• Localized pain or discomfort
  ##### Rare Risks:
• Infection at the insertion site
• Catheter dislodgement
• Thrombosis or blood clot formation

Benefits

• Allows for continuation of necessary IV therapy at home
• Reduces need for frequent hospital visits
• Enhances patient comfort and convenience ##### Timeline: Benefits are realized as soon as the catheter is successfully placed and used for therapy.

Recovery

• Follow-up visits as recommended for dressing change and catheter maintenance
• Patients are advised to avoid strenuous activities that may dislodge the catheter
• Look for signs of infection or issues at the catheter site

Alternatives

• Traditional peripheral IV catheterization (short-term solution)
• Peripherally Inserted Central Catheter (PICC) line, which is more suitable for longer-term use. ##### Pros and Cons:
• Midline catheter is less invasive and has a lower risk of complications compared to PICC but not suited for therapies longer than 4 weeks.

Patient Experience

• During the Procedure: Minimal discomfort due to local anesthesia. Some pressure may be felt during insertion.
• After the Procedure: Some soreness at the site, manageable with over-the-counter pain relievers. Comfort measures include keeping the arm relaxed and monitoring the site for any signs of complications.

This markdown styled medical document outlines the detailed information about the Home Infusion Therapy, Insertion of Midline Venous Catheter, focusing purely on the nursing services involved.