Patient HANDBOOK

Servicing Patients with Personalized Care

Going Home with an IV

Going home with IVs does not have to be scary. The home infusion team of professional nurses and pharmacists,work closely with the patient’s physician to find a safe, easy, cost effective way for the patient to receive their infusion medications in the comfort of their own home.

Our staff of specially trained infusion nurses and pharmacists works individually with each patient and caregiver to identify what they will be most comfortable with and what will work for them, in order for the patient to carry on their quality of life while safely receiving their infusion therapy.

The goal of home infusion is to train the patient and caregiver how to independently administer their
infusion therapy.However, a home infusion nurse and pharmacist are always available 24 hours a day, 7 days a week to respond to any questions, problems or needs of the patient

Items you will need to provide include:
– Rubbing Alcohol
– Liquid Hand Soap
– Empty laundry detergent plastic container

Home Infusion Instruction Sheet

Pumps

• Turn on with blue ON/OFF key.
• Pump will go through self-check. If the battery is less than ¼, replace batteries.
• You will go through a series of screens, which require you to press Yes key.
• You may need to move the cursor by using the Arrow Up or Arrow Down key.

1. Spike bag and place tubing into pump at the top and close the door.
(See “Setting Up Pump” direction sheet)
2. Highlight Program and press Yes key.
3. On initial infusion, highlight Repeat RX and press Yes key.
4. Pump will go through its program.
5. Press Prime key and follow the directions to prime the tubing.
6. Press Run key after priming is complete

To Repeat RX:

1. Press Run/Pause key.
2. Change new bag.
3. Arrow down to Repeat RX and press Yes key.
4. Pump will go through its program.
5. Repeat steps 5 and 6 above.

Alarms:

• When an alarm sounds, you will hear a beep(s).
• The red alarm light will flash.
• The data screen will display the reason for the alarm.
• To resolve the alarm, do the following:

1. Press the SILENCE button (do not press RUN button).
2. Read the screen for the alarm reason.
3. Go to the alarm page in the pump booklet, and follow the directions for that alarm.

Antibiotics Preparations

Syringe Antibiotics

• Flush the catheter with saline.
• Using the pre-filled antibiotic syringe, inject the medication over the time indicated on the directions.
• Follow with saline and heparin as directed.
• A limited number of antibiotics can be administered this way due to the volume of the fluid needed or the dilution.

Pump Antibiotics

• All antibiotics needed for a full day are placed in one bag.
• These doses are regulated and administered by an ambulatory pump.
• The bag is changed daily.
• The pump may be worn and used 24 hours a day.
• The pump is used for antibiotics that are given every 4, 6, or 8 hours.
• Some drugs are not stable for long enough periods for this method of delivery.

Gravity Antibiotics

• Prepare in a plastic IV bag.
• If supplied in a mini-bag plus system, some activation and mixing is required, using the enclosed written directions.
• Some medications may be supplied in Elastomerits (a pressurized elastic-type ball that runs at a set rate).
• With all three of these gravity-type products, you must:
First, flush with saline
Second, administer the antibiotics
Third, flush with saline and heparin if directed

Emergency Preparedness Plan

In the event your electricity is not available for a period of time, and you are receiving Infusion or Entral therapy via a pump, the pump should convert automatically to a battery operational mode.

We recommend that use your pump plugged into an electrical outlet whenever possible to maintain the charge on an eternal battery or if the pump does not have an eternal battery you utilize batteries supplied with your pump if you lose electricity. You may be converted to a gravity or drip method during the outage if prolonged.
Executive Infusion maintains cell phones for telephone backup in case of emergencies. Please try to contact us from another area if your telephone does not work. We will make every attempt to contact our patients in affected areas to help with their specific emergency needs.
If your water is suspected of becoming contaminated during an emergency, use peroxide or an alcohol based product to clean hands before performing any dressing change or other sterile procedure.
Do not expose a catheter, catheter site or dressing to any water.

Infection Control

People recovering from illness or surgery may be more vulnerable to infection. The risk of infection can be controlled. Your nurse can help you identify measures that decrease your risk of infection

01

Food Preparation:

1. Refrigerate meat and dairy products when not in use.
2. Wash fruit and vegetables.
3. Cook meat well before eating.

02

Environment:

1. Avoid your exposure to people with infection such as coughs, colds, flu, cold sores, etc.
2. Wear gloves when cleaning litter boxes, bird cages, aquariums, etc.

03

Hygiene:

1. Wash hands before handling food, after using the bathroom, and after blowing your nose, or before and after changing or handling bandages or I.V.
2. Cover your mouth when sneezing or coughing

04

Signs of Infection:

Call your doctor right away if you experience one or more of the following:
1. Rise in body temperature above 100.5.
2. Tenderness, pain, swelling, redness, or drainage around a catheter site(s).
3. Chills, night sweats, especially if accompanied by nausea/vomiting.

Safety in the Home

The following information is provided to insure safety in the home. Keep all emergency numbers by your telephone.

Maintaining Safe Environment

A. To maintain a clear pathway by removing electrical cords, rugs, or furniture if needed.
B. Walking surfaces to be kept well lit, dry and use of handrails or assist for stairs.
C. Lift only a small amount of supplies at a time. Remember to bend your knees and keep
D. Your back straight. If possible, ask for help from your family or neighbors.

Maintain Safe Electrical Use

A. Follow safe and proper use of all electrical equipment
B. Use 3-pronged plugs when required.
C. Check for frayed or broken cords with electrical equipment use.
D. Do not use electrical equipment near water.

Fire Safety

A. Have emergency numbers for fire department or 911 by the telephone.
B. Smoke detectors should be used and batteries checked monthly.
C. Have a plan in place and practice periodically.
D. Plan and practice with at least two escape routes for emergencies.
E. Notify the local fire department if disabled Vent or Oxygen dependent persons in your home.
F. Follow manufacture recommendation with space heater use.
G. Avoid cooking when you are feeling unsteady or dizzy.
H. Close the door and seal cracks to stop smoke if fire exit is blocked.
I. Do not allow smoking when oxygen is in use.
J. Do not smoke in bed.
K. Post No Smoking sign at entrance if oxygen in use.
L. Do not use petroleum products with oxygen use.
M. Follow your provider of oxygen instruction for safety, storage and use.

Bathroom Safety

A. Hand rails and non-skid mat to be used in tub or shower.

B. Use handrails when getting in or out of the tub or shower.

C. Use a bath bench or a tub chair if ordered or requested by PCP

Medical Equipment and Supplies

A. Keep all medical supplies in a clean, dry environment, and away from children.

B. Follow the manufacturer’s instructions regarding any medical equipment.

C. Protect all equipment from heat extremes.

D. Call phone number provided on equipment if you question use or safety issues.

Address

17000 Executive Plaza Dr Ste 201 Dearborn, MI 48126-2793

Phone

+1313 982 3220

E-mail

info@executiveinfusionservices.com

Executive Infusion Services LLC 

Keeping Patients Healthier...Longer

Executive Infusion is dedicated to working with providers to service home infusion patients. Working with patients and their caregivers to deliver personalized care.Working with physicians to guide their patients in their treatment.

Contact Us.

Tel:+1(313) 982-3220
Fax: (313) 982-3221
After hours:+1(313) 690-6606
Toll Free:(844) Need4IV
E-mail:info@executiveinfusionservices.com clicks!

We are awarded the accreditation by the Accreditation Commission for Health Care (ACHC) 

Accreditation by Accreditation Commission for Health Care reflects an organization’s dedication and commitment to meeting standards that facilitate a higher level of performance and patient care. Through this accreditation, we are confident that our home infusion pharmacy patients will remain within our carefully coordinated circle of care