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HOME HEALTH CARE IS HEALTH CARE TO PATIENTS IN THEIR PLACE OF RESIDENCE
1st ENACTMENT MEDICARE 1965
2nd DIAGNOWIS RELATED GROUPS (DRG)--PROVIDED ECONOMIC INCENTIVE TO DISCHARGE PATIENTS AS EARLY AS POSSIBLE (1983)
HOME INFUSION BEGAN 1970'S --WHEN TPN STARTED ON AN OUTPATIENT BASIS
HOW DID HOSPITALS MAKE MORE MONEY SET UP THEIR OWN HOME HEALTH AGENCIES--ALLOW THEM TO DISCHARGE PATIENT EARLY, AND GET PAID, AND GET PAID WHEN BE TREATED AT HOME
MDICARE INFLUENCE MEDICARE WILL PAY HOME TPN AT 1/3 THE INP. RATE
HOW MUCH WERE HOME HEALTH CARE AGENCIES PAID FLAT FEE FOR 60 DAYS EPISODE OF CARE
HOW WAS THE CARE W/FLAT RATE PAYMENTS MINIMIZED THE NUMBER OF VISITS W/THE LEAST EXPENSED POSSIBLE
ROLL OF PHARMACY SERVICES BIRTH OF HOME INFUSIONS THERAPY [1970'S]
ROLL PHARMACY SERVICES PROVIDED TPN'S, TECHNOLOGICAL ADVANCES IN INFUSION PUMPS AND IMPROVED CATHETER MATERIALS AND CATHETER PLACEMENT TECHNIQUES, SO MORE PORTABLE--YOU DELIVERED--KEEP TRACK OF LOT #
TYPES OF HOME HEALTH SERVICES 1ST NURSING--MOST COMMON
TYPES OF HOME HEALTH SERVICES 2ND PERSONAL CARE SERVICES--NONPROFESSIONAL SERVICES SUCH AS HOUSECLEANING AND MEAL PREPARATION
TYPES OF HOME HEALTH SERVICES 3RD HOME PHARMACY SERIVES--HOME INFUSION, NO ORAL MEDICATIONS
TYPES OF HOME HEALTH SERVICES 4TH HOME EQUIPMENT MANAGEMENT SERVICES-SELECTION--ST-UP, DELIVERY, MAINTENANCE OF EQUIP AND PT. EDUCATION EXAMPLE---SET UP FOME INFUSION PUMP
HOME INFUSION THERAPY -PHARMACY SERVICES COMPONDING IV IN READY TO USE FORM(STERILE COMPOUNDING)
HOME INFUSION GUIDELINES STRICT ASEPTIC TECHNIQUE PROCEDURES
HOME INFUSION THERAPY TRAINING FOR PT. SOMETIMES PT. NEED TO BE TRAIN TO DO THEIR MEDS
HOME INFUSION QUIDELINES [2] GREATER POTENTIAL FOR CONTAMINATION VERSUS HOSP. IV'S DUE TO LONGER STORAGE
STERILE COMPOUNDING PRACTICE INVOLVE STRICT ASEPTIC TECHNIQUE AND STANDARDS CONCERNING LABELING, EXPIRATION DATING, AND RECORD KEEPING(DOES NOT INVOLVE THE PREPARATION OF DISPENSING OF ORAL MEDS).
HOME NURSING SERVICES 1ST---NURSE---ADMIN OF INFUSION AND CARE OF INFUSION SITE---MONITORING PT. HEALTH STATUS--TRAIN PT. AND CAREGIVER TO ADMIN MEDS
EQUIPMENT MANAGEMENT SERVICES CLEANING AND DISINFECTING EQUIPMENT---ROUTINE AND PREVENTATIVE MAINTENANCE--INSPECTING AND TESTING EQUIPMENT--TRACKING EQUIP.
WHICH ACT REQUIRED TRACKING EQUIPMENT FDA SAFE MEDICAL DEVICES ACT 1990
NAME TYPES OF HOME INFUSION PROVIDERS 1 RETAIL OR COMMUNITY
TPYES OF HOME INFUSION PROVIDERS 2 LONG TERM CARE PHARMACIES--NURSING HOMES, CORRECTIONAL CTRS.
TYPES OF HOME INFUSION PROVIDERS 3 HOSPTIAL PHARMACIES
HOME NURSING SERVICES ADMIN OF INFUSION AND CARE OF INFUSION SITE----MONITORING PATIENTS HEALTH STATUS---TRAIN PATIENTS AND CAREGIVERS TO ADMIN MEDICATIONS
EQUIPMENT MANAGEMENT SERVICES CLEAN, DISINFECTING EQUIPMENT--ROUTINE, PREVENTATIVE MAINTENANCE---INSPECTING, TESTING EQUIP. TRACKING EGUIPMENT
HOME HEALTH AGENCIES---HME HOME MEDICAL EQUIP, USUALLY NEBULIZERS AND RESPIRTORY DRUGS
HOME HEALTH AGENCIES---INFUSION THERAPY SPECIALTY PROVIDERS CANCER IV--SPECIAL STAFF
HOME HEALTH AGENCIES---AMBULATORY CENTERS OUTPATIENT IV'S [GO TO GET IV'S]
ANTIBIOTIC THERAPY IT IS THE MOST COMMON--PATIENT MAY START ANTIBIOTICS IN HOSPITAL AND COMPLETE THERAPY AT HOME
TPN [TOTAL PARENTERAL NUTRITION] NUTRIENTS INFUSED INTO RIGHT ATRIUM DUE TO PATIENTS INABLIITY TO ABSORB NUTRIENTS FROM GI TRACT
TPN REQUIRE PERFECT ASEPTIC TECHNIQUE--ADMIXTURES CONTAIN 5-10 COMPONENTS AND SUPPLMENTAL ADDITIVES--MAY USE TPN CONPOUNDER
MIXING TPN HIGHLY COMPLEX USUALLY COMPOUNDED AS A 3 IN 1 SOLUTION [AMINO ACIDS, DEXTROSE AND LIPID
INPROPER MIXING TPN WILL CAUSE PRECIPITATION [WILL LOOK LIKE SNOW] SOME DRUGS NEED TO BE MIX IN RIGHT ORDER, PATIENT ADDITIVES MAY BE ADDED JUST PRIOR TO ADMINISTRATION
TO PREVENT ADMINISTRATION OF PARTICLES, MICROORGANISMS AND AIR TO PATIENT USE IN LINE FILTERS [MINIMUM OF 22 MICRONS]
WHAT IS PPN PPN [PERIPHERAL PARENTERAL NUTRITION] LESS DEXTROSE CONTENT THAN TPN AND BE INFUSED INTO A PERIPHERAL VEIN
PPN VS TPN TPN SOLUTION ARE TOO CONCENTRATED TO BE INFUSED INTO VEINS
Created by: jddmmin7
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