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?