Community Intravenous Therapy (IVT) Team Outpatient Antibiotic Therapy (OPAT) in Gloucestershire – IV Service

Referrals Patients can be referred by GP, Consultant, Doctors or Specialist Nurses IV Lead Nurse – Andrea Darby

Changes to the Intravenous Therapy Service From September 25th 2017 - IVT will be 7/7 IV pager service is no longer in use Referrals to the Countywide IV Therapy Team – 0300 421 0300 (SPCA - Single Point of Clinical Access) IVT - Mon – Fri - 08:00 – 17:00 Sat – Sun and OOH’s (SPCA will pass onto appropriate services) Advice and support (non-urgent) – IV Team co-ordinator - 0300 421 8195 Mon – Fri - 08:00 – 18:00 – Sat – Sun - 09:00 – 17:00 Email – ivtherapyteam@glos-care.nhs.uk Our aim is to create an integrated model of health and social care provision in Gloucestershire aligning the IV team to the GP cluster localities. With specific care pathways we provide personalised high quality, safe and sustainable care for local people promoting personal health, wellbeing and independence for ‘Care Closer to Home’. The team also provide training and support to other healthcare professionals in all aspects of IV Therapy. We are made up of eleven highly specialised IV nurses and an administrator supporting District Nursing Teams to deliver IV therapies in the community. The team deliver planned therapies in countywide clinics and unplanned IV antibiotic therapy for hospital admission avoidance and early discharge from hospital for patients at home.

Information Leaflet GCS Leaflet – Community IV Therapy Service – Information for Healthcare Professionals Can navigate to leaflet via: https://nww.glos-care.nhs.uk/gcs-intranet/our-services/specialist-services/intravenous-iv-therapy

What choice of antibiotic could allow a patient to be referred to Home community IV team? Most antibiotics are once daily Occasionally BD courses are given if capacity Most commonly used IV antibiotics are: Teicoplanin Daptomycin Ceftriaxone Ertapenem More rarely – ceftazidime, meropenem

Most frequently treated infective conditions Cellulitis Wound Infections Osteomyelitis UTIs caused by multiply-resistant organisms Bronchiectasis Referrals from: Gloucestershire Out of county referrals for pts being repatriated to Gloucestershire – Oxford (NOC), Bristol, Birmingham, Swindon, London

Care and Maintenance Weekly blood monitoring (or more frequent as required) by the IV Therapy Team Routinely: FBC U+Es and eGFR CRP When necessary: Antibiotic assays / levels – TDM CPK Daily and weekly care and maintenance of the IV devices Follow up and communication with Consultant/Doctor/GP and or referrer for any treatment adjustments Audits

Inclusion Criteria Patients need to fit IV pathway inclusion criteria Patients will require a PICC line for IV therapy treatments for more than 10 days Patients must have review and follow up appointment with referrer In-hospital prescription chart, drugs (4 days supply) and consumables must be sent home with the patient on discharge

Resources and Patient Information https://nww.glos-care.nhs.uk/gcs-intranet/our-services/specialist-services/intravenous-iv-therapy