Penn Home Infusion Therapy

Accessing the Implanted Port You will need the following supplies: (1) 10 cc syringe with Cannula attached (1) 100u/cc vial heparin (1) Vial Adapter (1) bent Huber needle with mini tubing (1) sterile dressing kit tape sterile gloves Injection Site DANGER: KEEP ALL...
Care of Your Button Feeding Device Site Care Clean the skin around the Button everyday. You will need the following supplies: washcloth soap towel Wash your hands (see Handwashing section located in this manual for more information). Use a wet washcloth and soap to wash...
Checking For Residual Before starting your feeding, your doctor may want you to check for fluid that is left in the stomach from the last feeding. This is called residual fluid. You should check the residual before each feeding. You will need the following supplies: ...
Coming Off the Pump for Implanted Ports You will need the following supplies: (1) 10 cc Cannula syringe ( 1) Vial Adapter (1) vial of 100 u/cc Heparin (1) 4"x4" sponge alcohol wipes DANGER: KEEP SUPPLIES OUT OF REACH FROM CHILDREN AND PETS AT ALL TIMES. Wash your hands (see...
Daily Care for External Central Catheter Take your temperature every day 2 hours after you begin your infusion. You should also take your temperature if you feel warm, flushed, or have chills. If your temperature is above 100.5 degrees, it should be taken every four hours, especially...
Daily Care for Implanted Ports Take your temperature every day 2 hours after starting your infusion. You should take your temperature if you feel warm, flushed, or have chills. If your temperature is above 100.5 it should be taken every four hours while you are awake...
Drawing Up Heparin You will need the following supplies: (1) 100 u/cc vial heparin (1) 10 cc Cannula syringe (1) vial adapter alcohol wipes Wash your hands (See Handwashing section for more information.) Remove cap from heparin vial (100 u/cc) and clean...
Drawing Up Sodium Chloride You will need the following supplies: (1) 100 u/cc vial sodium chloride (1) 10 cc Cannula syringe (1) vial adapter alcohol-wipes Wash your hands (See Handwashing section for more information.) Remove cap from sodium chloride vial and...
Dressing Change for External Central Catheter With Gauze You will need the following supplies: Dressing change kit Medipore® Antibacterial Soap DANGER: KEEP ALL SUPPLES OUT OF REACH FROM CHILDREN AND PETS. Wash your hands (See Handwashing section for more information.) Gently remove the...
Dressing Change for External Central Catheter With Tegaderm You will need the following supplies: Dressing change kit TEGADERM Antibacterial Soap DANGER: KEEP ALL SUPPLES OUT OF REACH FROM CHILDREN AND PETS. Wash your hands (See Handwashing section for more information.) Gently remove the old...
Feeding by Gravity Flow You should sit up at least 45 degrees during and for one hour after your feeding. Each feeding should take 30 to 60 minutes. Feedings should be at least 3 hours apart. You will need the following supplies: formula feeding bag 60 cc syringe IV...
Flushing External Central Catheter Always flush your catheter after each use. When catheter is not in use, flush once daily. You will need the following supplies: (1) 10 cc Cannula syringe (1) vial 100 u/cc Heparin (1) vial adapter (1) clamp alcohol wipes (1) tape (1)...
Flushing External Central Catheter (SASH Method) (SASH) Sodium Chloride-Administration of Drug-Sodium Chloride-Heparin You will need the following supplies: (2) 10 cc syringes filled with 3 cc of sodium chloride (1) 10 cc syringe filled with 3 cc of heparin (100 u/cc) alcohol wipes...
Flushing the Implanted Port You will need the following supplies: (1) 10 cc syringe filled with 5 cc of Heparin (100 u/cc) alcohol wipes Wash your hands (see Handwashing section for more information.) Draw up heparin Wipe off the injection site of your catheter with...
Flushing Your Tube ALWAYS FLUSH YOUR FEEDING TUBE BEFORE AND AFTER YOUR FEEDINGS AND AFTER MEDICATIONS. If you are not using your feeding tube every day, flush with 60 cc of warm tap water once a day to keep the tube open. A new syringe should be used every week....
Gastric Feeding Button Description The Gastric Feeding Button is a special type of feeding device that is surgically placed into the stomach, or it may be used to replace an already existing feeding tube. The gastric feeding button is used to deliver nutrients...
Gastrostomy Tube Description The Gastronomy (G-tube) allows nutrients to be delivered directly into the stomach if one is unable to eat or unable to eat enough food to maintain adequate nutritional status. One end of the tube is in the stomach and the other end...
Giving Medicines Through the Feeding Tube Your doctor may order drugs to be given through your feeding tube. It is best to get the medication in a liquid form. If a medication is not available in liquid form, pills must be crushed and dissolved completely in warm water. Some drugs such...
Going on the Pump Wipe injection site with an alcohol swab. Let dry. Remove the protective cover from the end of the threaded cannula at the tubing and screw into the injection site. Never touch the tip of the tubing or catheter. Loop the catheter and re-tape to...
Handling Supplies Sterile technique is a way to handle supplies and solutions that will keep them free from bacteria or germs. Keeping these items sterile is the most important thing you can do to prevent infection while you are on home infusion therapy. ...
Handwashing Proper handwashing is necessary before beginning any infusion procedure. Your hands normally have bacteria or germs on them. Your hands also pick up bacteria from many places. Because bacteria may cause an infection, it is important to wash your...
Help Section for External Central Catheters Problem Possible Causes What To Do Fever of 100.5 or more and/or chills Infusion too fast Catheter infection Other causes such as the flu, common cold Call physician Leaking fluid Loose connection Hole in tubing Check all...
Help Section for Feeding Button Tubes Problem Possible Causes What To Do 1. Leakage from the button. 1. Anti-reflux valve is sticking. 2. Anti-reflux valve is broken. 1. Contact physician. Cover with a dressing to absorb leakage. 2. Feeding adaptor comes apart during...
Help Section for Implanted Port Problem Possible Causes What To Do Fever of 100.5 or more Infusion too fast Catheter Infection Other causes such as the flu, common cold Call physician Leaking fluid Loose connection Hole in tubing Check all connections and...
Help Section for Tube Feedings Problem Possible Causes What To Do 1. The feeding won't run 1. The tubing may be kinked. 1. Un kink tubing. 2. Diarrhea 1. Various causes. 1. Call physician. 3. Cramping or bloating 1. Feedings may be too cold. 2. Feedings may...
Infection Precautions Caregivers must use infection safeguards when caring for a patient with a known or suspected infectious or contagious disease. Caregivers and patients should use the safeguards to lessen the chance of spreading infections. These steps are very...
Intravenous Hydration Purpose Your doctor has determined that you will need intravenous (into the vein) hydration at home. Intravenous hydration provides you with the fluid that your body needs when you cannot take enough fluid by mouth. The fluid you are receiving...
Inventory Management for Enternal Nutrition Storage Conditions Unopened cans of tube feeding can be stored at room temperature in a clean and dry area. Opened cans should be covered and placed in the refrigerator. If not used within 24 hours, they should be thrown away. All other supplies...
Inventory Management for IV Fluids Returns The pump and IV pole will be picked up by Penn HomeIT. All other supplies are given under a doctor's prescription and cannot be legally returned. Storage Conditions The IV bags do not need to be refrigerated. All other supplies should...
Inventory Management for Pain Management Storage Conditions The medication cassettes should be kept at room temperature. All other supplies should be kept together in an area that is clean and dry. Keep infusion related supplies away from children and pets. A Patient Care...
IV Medications Iventory Management Storage Conditions CHECK THE LABEL ON THE MEDICATION: IT WILL TELL YOU IF REFRIGERATION IS NEEDED. All other supplies should be kept together in an area that is clean and dry. Please keep all infusion related supplies away from children and...
IV Push Medications You will need the following supplies: _____ vials of _____ vials of sterile water for injection _____ cc syringe _____ 25 gauge 1" needle _____ Normal Saline or Dextrose 5%/water (circle one)_____ cc minibag _____ alcohol wipes _____...
IV Push Medications Your physician has decided to have your medication administered by intravenous push (IV push). Your medication is in a syringe that is prefilled by a pharmacist with your exact dose in it. This allows your medicine to be given over several...
IV Push Medications You will need the following supplies: ____ vials of ________________ ____ cc syringe with needle ____ cc syringe ____ 25 gauge 1" needle ____ Normal Saline or Dextrose 5%/water (circle one) ____ cc minibag ____...
Jejunal Feeding Button Description The Jejunal Button is a special type of feeding device that is surgically placed into the intestine (jejunum). The jejunal feeding is used to deliver nutrients directly in the jejunum if one is unable to eat or eat enough to maintain...
Jejunostomy Tube Description A jejunostomy tube (J-tube) is a feeding tube that is surgically placed into the small intestine (the jejunum). One end of the tube comes out through the skin of the abdomen. The J-tube is used to deliver nutrients directly into the...
Medications/Antibiotics Purpose Your doctor has determined that you will need intravenous (into the vein) antibiotics at home. Antibiotics are used to treat many different kinds of infections. A Penn Home IT nurse or Pharmacy Specialist will provide information about...
Mixing Protein Powder You will need the following supplies: _____ cans of _______________________________ _____ scoops of _____________________________ _____ ml water Measuring cup Blender or jar for mixing Mixing Protein Powder Wipe the top of each can to...
Nasoenteric Tube Description The nasoenteric tube is a long, thin, flexible feeding tube which is passed through the nose into the stomach or small intestine. It carries nutrients into your body when you are unable to eat or unable to eat enough. ("Naso" refers...
Neupogen Administration Purpose Your doctor has ordered neupogen to increase the number of white blood cells in your body. White blood cells help your body to fight infection. Subcutaneous injections are given with a 25 gauge needle behind your arms, in your abdomen...
Pain Control Therapy - Analgesia Purpose Subcutaneous and intravenous analgesia is a method of giving pain medication constantly to help control your pain and make you more comfortable. Your medication will be infused into your using a Catheter. Duration Your pain medicine is...
Parenteral Gravity Drip General Description The flow of intravenous fluids is regulated by a roller clamp that is attached to the IV tubing. When the roller clamp is open fluids can infuse into the body at a rapid rate. As you close the roller clamp, the fluid will...
Penn Home IT Glossary This glossary will help you to understand some of the words and phrases used whendescribing infusion therapy. Not all of the words will relate to your program. AdditiveMedication or vitamin added to the IV solution. AmbulatoryAble to walk...
Percutaneous Endoscopy Gastronomy (PEG Tube) Description A PEG Tube is a feeding tube that is placed in the stomach to give feedings to people unable to eat or unable to eat enough food by mouth to maintain adequate nutritional status. The tube is inserted by using a special device called...
Peripheral Catheter A Peripheral Catheter is an intravenous line placed in a vein in your arm. The type of catheter you have is called a _____________________. Care of Peripheral Catheters A nurse will care for your peripheral IV catheter (change the catheter...
Preparing Tube Feedings Enteral nutrition provides your body with proper amounts of fluid and nutrients. The tube feeding is liquid food which provides proper amounts of carbohydrates, protein, fat, electrolytes, and vitamins. You will need the following supplies: ...
To Use the Button and Adapter You will need the following supplies: 60 cc syringe Feeding device adaptor The button kit comes with the following two feeding adaptor tubes: The harder adaptor with the 90 degree angle tip can be used for continuous feedings or...
Total Parenteral Nutrition Purpose Parenteral nutrition is infused directly into your bloodstream and provides you with the same nutrients you would receive if you were eating. The TPN solution contains protein, carbohydrates, fat, vitamins, minerals, electrolytes, and...
Total Parenteral Nutrition (TPN) Inventory Management Storage of Supplies The TPN must be refrigerated. Allow 12 hours for the solution to reach room temperature before infusing. A small refrigerator may be supplied, if you need additional refrigerator space. All of the supplies should be stored...
Your Infusion Work Area It is important to keep your work area neat and clean. Find an area that can be used all the time. Choose an area that has the following: No drafts, visible dirt, dust or clutter Good light and space A smooth, flat...
Your Personal Plan Type of Home Infusion Therapy _____________________________________________ Visiting Nurse Agency _____________________________________________ Doctor _____________________________________________ Nurse...