The role of the nurse in OHPAT Jill

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

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

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

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

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

Vascular access devices n n n Cannula Midline PICC Tunnelled catheter Portacath

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

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

Follow up & monitoring n n n Blood tests & results Follow-up appointments Communication

Support n n 24 hour on call Troubleshooting Practical support Supervision

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

Thank you – any questions?