Infusion Nursing Notes by Nufactor provides education, resources and support to promote successful patient therapy within the infusion nursing community.

Anaphylaxis Protocols in Home Infusions: Safety Guidelines for Nurses

Home infusion nursing brings the unique responsibility of providing high-quality care outside the traditional clinical environment. In the home setting nurses are a "One Man Team", unlike the hospitals that provide rapid response teams at a push of a button. While serious adverse drug reactions (ADRs) are rare, anaphylaxis can occur suddenly and without warning, requiring immediate recognition and decisive action. Nufactor patients are staffed with nurses who must undergo vetting and skills assessment prior to providing care to patients. This is done to ensure they are fully prepared to not only safely and effectively complete the infusion but also recognize any adverse drug reactions and be prepared to intervene accordingly. [More]

Tips and FAQs About Ordering and Organizing Infusion Supplies

Discover best practices to keep you and your patient prepared and organized for infusion day. The most important thing you will need in the home as a field nurse are proper supplies. If anything is missing, it may delay the infusion or cause it to be rescheduled. Nufactor provides all ancillary supplies a nurse needs to complete an infusion except for a stethoscope, blood pressure cuff, and thermometer, which are to be provided by the nurse. Upon start of care (SOC), the pharmacy will send a small quantity of extra supplies in a labeled back up kit. This helps to ensure the infusion can be completed if extra supplies are needed unexpectedly. The back up kit also contains items that may only be needed in specific situations such as rate flow tubing or N95 masks. If ordered, an anaphylaxis kit is also provided at SOC. [More]

Understanding Titration: IVIG and Infliximab

By Jean McCaslin, RN, IgCN
Nurses in a variety of settings follow an infusion titration (increasing or decreasing the rate of the dose) when infusing many medications. While it is understood that the use of titration is prudent particularly for first-dosing, there are no established uniform standards in the industry for infusing many medications, including intravenous immunoglobulin (IVIG) and infliximab (brands include Remicade®, Inflectra® and Renflexis®). Titration standards may be developed by individual prescribers, hospital systems, nursing agencies, outpatient infusion centers, or specialty pharmacies, yet each may differ from the other. [More]

Home Infusion of Immune Globulin: Navigating the Challenges

By Jean McCaslin, RN, IgCN.

Home health care continues to be the fastest growing segment of the health care industry. Many patients prefer the convenience and comfort of receiving care in the home. While the infusion of immune globulin (IG) requires specialty knowledge and precaution, the home infusion environment itself requires thoughtful consideration and accommodation. [More]