© 2018 by Helms Home Care

 

1697 N. Highway 16

Denver, NC 28037

704-802-9625 (P)

888-502-5390 (F)
service@helmshomecare.com

SUB-CUTANEOUS (SC)

 Cuvitru                     Gammagard                  Hizentra
 
  • Teachable medications (generally, with some exceptions)
  • A syringe driver pump (Freedom 60) is most often used for these infusions
  • Three teach visits is standard, but up to 5 visits is acceptable
  • Frequency for is generally weekly, sometimes EO week and rarely monthly.
Education/Teach visits for these medication is generally as follows:
Visit 1: RN does the infusion start to finish, verbally explaining each step to patient/caregiver and acknowledging their understanding.

Visit 2: patient/caregiver completes the infusion with verbal assistance from RN as needed. RN can leave once infusion is started and patient/caregiver demonstrates comfort and ability to complete infusion on their own. Nurse may choose or be asked to stay for the entire infusion to ensure comfort/competence.

Visit 3: Patient/Caregiver completes infusion while RN watches to ensure everything is done correctly. RN can leave once patient is up and running.
Visits 4-5: Additional teach visits only as needed or desired by the patient/caregiver. Goal is to teach patient/caregiver to be independent with infusions. If this is not achieved in 5 visits, please let us know so we can communicate with the patient's pharmacy and MD.
 
Hyqvia
 
Unless otherwise ordered, Hyqvia patients ramp-up their dosing as follows:
  • Week 1: 25% of total monthly dose
  • Week 2: 50% of total monthly dose
  • Week 4: 75% of total monthly dose
  • Week 7: full ordered dose
Teaching Hyqvia ramp-up patients is generally 5 visits, unless the patient/caregiver demonstrates a high-level of competence and can be taught during the ramp-up period.
 
Teach visits with a ramp-up are generally completed as follows:
Visits 1, 2 & 3 (Weeks 1, 2, 4): RN does the infusion start to finish, verbally explaining each step to patient/caregiver and acknowledging their understanding.

Visit 4 (Week 7): patient/caregiver completes the infusion with verbal assistance from RN as needed. RN can leave once infusion is started and patient/caregiver demonstrates comfort and ability to complete infusion on their own. Nurse may choose or be asked to stay for the entire infusion to ensure comfort/competence.

Visit 5 (Week 11): Patient/Caregiver completes infusion while RN watches to ensure everything is done correctly. RN can leave once patient is up and running.

 

 

FREEDOM60 Syringe Driver Pump
Desferal
 
  • Grasby Pump
Crysvita
  • RN Infusion