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The role of the nurse in OHPAT

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.

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The role of the nurse in OHPAT

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  1. The role of the nurse in OHPAT Jill Kayley Independent Nurse Consultant

  2. Presentation content • MD team • Patient assessment • Drug regimen • Vascular access devices • Who delivers care • Discharge planning • Follow up & monitoring • Support & trouble-shooting • Summary

  3. Multidisciplinary Team • “A lead nurse with experience in IV therapy is an essential part of the MD team” Tice 2004

  4. Patient assessment • Home situation • Medically stable • Other issues – work etc • Who delivers care • Understanding of condition • Understanding of treatment plan

  5. Drug regimen • Frequency of dosing • Quality of life for patient • Direct intermittent injection or infusion • Timing of dose(s) • Equipment • Monitoring

  6. Vascular access devices • Cannula • Midline • PICC • Tunnelled catheter • Portacath

  7. Who delivers care? • Patient and/or carer • Community nurse • Private home IV company • Practice nurse • Outpatient nurse • Rapid response/hospital outreach

  8. Discharge planning • Discharge date • Time of drug dose(s) • Equipment & supplies • Monitoring • F/U date

  9. Follow up & monitoring • Blood tests & results • Follow-up appointments • Communication

  10. Support • 24 hour on call • Troubleshooting • Practical support • Supervision

  11. Summary • Many aspects to OHPAT • A MD team approach is essential • The lead nurse is the key person that links it all together

  12. Thank you – any questions?

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