The role of the nurse in
OHPAT
Jill Kayley
Independent Nurse Consultant
Presentation content
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MD team
Patient assessment
Drug regimen
Vascular access devices
Who delivers care
Discharge planning
Follow up & monitoring
Support & trouble-shooting
Summary
Multidisciplinary Team
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“A lead nurse with
experience in IV
therapy is an
essential part of the
MD team” Tice 2004
Patient assessment
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Home situation
Medically stable
Other issues – work etc
Who delivers care
Understanding of condition
Understanding of treatment plan
Drug regimen
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Frequency of dosing
Quality of life for patient
Direct intermittent injection or infusion
Timing of dose(s)
Equipment
Monitoring
Vascular access devices
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Cannula
Midline
PICC
Tunnelled catheter
Portacath
Who delivers care?
Patient and/or carer
 Community nurse
 Private home IV company
 Practice nurse
 Outpatient nurse
 Rapid response/hospital outreach
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Discharge planning
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Discharge date
Time of drug dose(s)
Equipment & supplies
Monitoring
F/U date
Follow up & monitoring
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Blood tests & results
Follow-up appointments
Communication
Support
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24 hour on call
Troubleshooting
Practical support
Supervision
Summary
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Many aspects to OHPAT
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A MD team approach is essential
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The lead nurse is the key person
that links it all together
Thank you – any questions?