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Enhancing Outpatient Parenteral Antibiotic Therapy: The Critical Role of the Lead Nurse

Learn the importance of the nurse in OHPAT, covering patient assessment, drug regimen, vascular access devices, care delivery, discharge planning, follow-up and monitoring, support, and troubleshooting. This presentation emphasizes the role of the multidisciplinary team and the lead nurse as a key link in the care continuum.

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Enhancing Outpatient Parenteral Antibiotic Therapy: The Critical Role of the Lead Nurse

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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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