Coming in wisps, barely discernible to the conscience. Gathering strength from mists of memories growing in the residue of imagination. Frail beginnings elude and hide from the harsh light of thought. Teasing and, changing form. Finally explodes, full force, asking, no – demanding your allegiance.
Five Notes of Home-care
Helps to keep you humming along in home care. Good service should be a harmonious effort between you and your patient.
- Your Patient
- Clean up
- Keep the place clean
- Stacking your gear
- Combine like tasks
- Group meds and equipment
- Concise notes
- Report concerns to company and physician
- Report concerns to family
The first time a site is used, it should observed vigilantly for problems with its introduction. Always examine the site immediately upon starting the infusion. Then observe closely for the initial 15 minutes, for signs of occlusion or infiltration.
Once you are positive the IV is running properly, frequent surveillance is still necessary. Check for phlebitis or signs of infection. With infection you will observe warmth, tenderness and redness. Also watch for signs of occlusion which may exacerbate into phlebitis, infiltration, Extraversion or infection.
Extraversion is caused when using caustic medications and can result in patient injury through blistering or burning. Take infection, warmth and redness seriously, and in addition monitor for fever, chills or elevated WBC’s.
Keeping the IV site healthy makes your job easier.