PHS was invited to present at the local APHON (Association of Pediatric Hematology/Oncology Nurses) meeting in September. PHS IV nurse Jill Wall, RN, BSN, CRNI, presented on the scope of home infusion and all that PHS does to ensure our patients thrive at home.

1. The Scope of
Infusion
Home Care

2. Pediatric Home Service
• PHS provides compassionate, specialized,
high-tech care in the home environment,
where children enjoy a better quality of life.
• We understand the special and ever-
changing needs of infants, children, and
adolescents.
• Our multidisciplinary team provides each
child with a customized, comprehensive,
and integrated plan of care

3. Multidisciplinary Team
• Dr. Roy Maynard- Medical Director
– neonatologist and pediatric pulmonologist,
works with our care teams and your care
team to ensure continuity of care and the
implementation of the latest clinic policies,
procedures and programs

4. Multidisciplinary Team
• Pharmacy Staff
• Infusion Nurses
• Wound/Ostomy Nurse
• Specialized Nutrition Services
• Nutrition Support Team
• Respiratory Therapists
• Private Duty Nursing Services
• Medical Social Worker
• DME/Customer service
• Biomedical Support Services

5. Plan of Care
• Each plan of care is created to meet the
individual needs of the child. We oversee the
child's medication regime to keep him or her
safe at home.
• We teach families all steps necessary to provide
therapy.
• We provide patient assessment, central line
management, infusion administration, education,
and lab monitoring.
• We offer skilled nurse visits and partner with
other regional nursing agencies to deliver care
outside the 11 country metro area.

6. Referral Process
• IV coordinator receives initial phone call from
referral source.
• Information is sent to Pharmacy,
Admissions/Billing, and PDNS (if involved with
patient).
• Insurance/benefits approved or denied.
• Referral source notified.
• Appointment scheduled at hospital or home for
setup/teach upon approval.

7. Referral Process
• Infusion case manager assigned and
notified of scheduled appointment.
• Regional patient: regional agency
contacted and confirmed for services.
Orders faxed, education materials and/or
teaching provided prior to discharge. PHS
regional case manager to follow.
• Interpreter services arranged if needed.

8. Case Manager
• Initial teach at hospital or home.
• Follow up visits scheduled during first visit:
vary depending on therapy.
• 24 hour follow up phone call to assess
home therapy needs.
• Physician’s Plan of Treatment completed.
• Care Plan Completed
• Communication follow up with professional
team ongoing throughout therapy.

10. Current Catheter Days

11. Current CLABSI Rate

12. 1,2,3 Infection Free

13. 1,2,3 Infection Free

14. Family Education/Eclipse

15. Family Education/Eclipse

16. Quick Reference- Eclipse

17. IV Therapy
• Anti-Infectives (antibiotics, antivirals,
antifungals)
• Blood Products- Albumin
• Biologic Therapies, (Immune mediated
inflammatory disorders)-Remicade
• Catheter Care
• Chemotherapy and symptom management
• Enzyme Replacement Therapy (Glycogen
Storage Disorders)

18. IV Therapy
•Hydration
•IVIG
•Inotropic Therapy (Heart Failure) Milrinone
•Pain/Palliative-PCA
•Post Transplant Monitoring/Medications
•TPN/Lipids
•Other specialty therapies-Pamidronate
Adverse drug reaction protocol/emergency meds

19. Non IV Therapy
• SQIG
• Peripheral/Capillary lab draws
• Lovenox/Insuflons
• Enteral/Food pumps
• Non IV skilled nursing assessments
• Wound/Ostomy care

20. Adverse Drug Reaction
Education
• Training family/caregivers signs and
Symptoms of ADR (hives to anaphylaxis)
• PHS RNs administering infusions carry
ADR kits
• Certain therapies or patient history of ADR
require kits to be left in the home (Epi-
pen/Benedryl)
• First dosing completed in hospital or short
stay unit.

21. PHS Infusion Education
• Ensures quality care at home
• Develops a safe plan of care that is
grounded in clinical education and
technical support at a 5th-grade reading
level.
• Classroom instruction –internal/external
• Customized patient education materials.
• One on one mentoring
• Follow current standards for infusion
therapy -INS Standards

22. Nursing Education Classes
• Pediatric Assessment
• IV Basics/ CVC
• Caring for an Implanted Port
• TPN/Lipids and Ambulatory Infusion
• Starting a Peripheral IV
• Drawing a Blood Specimen
• Home Care Documentation and Legal Issues
• Safety and Infection Prevention

23. PHS
We specialize in helping kids be
kids – at home – no matter what their
medical challenges.
PHS kids THRIVE!