The role of the nurse in OHPAT Jill Kayley Independent Nurse Consultant
Presentation content MD team Patient assessment Drug regimen Vascular access devices Who delivers care Discharge planning Follow up & monitoring Support & trouble-shooting Summary
Multidisciplinary Team “A lead nurse with experience in IV therapy is an essential part of the MD team” Tice 2004
Patient assessment Home situation Medically stable Other issues – work etc Who delivers care Understanding of condition Understanding of treatment plan
Drug regimen Frequency of dosing Quality of life for patient Direct intermittent injection or infusion Timing of dose(s) Equipment Monitoring
Vascular access devices Cannula Midline PICC Tunnelled catheter Portacath
Who delivers care? Patient and/or carer Community nurse Private home IV company Practice nurse Outpatient nurse Rapid response/hospital outreach
Discharge planning Discharge date Time of drug dose(s) Equipment & supplies Monitoring F/U date
Follow up & monitoring Blood tests & results Follow-up appointments Communication
Support 24 hour on call Troubleshooting Practical support Supervision
Summary Many aspects to OHPAT A MD team approach is essential The lead nurse is the key person that links it all together
Thank you – any questions?