Anyone mixing antigens for allergy drops?

[allergyrn]

I have been working as an allergy nurse for 3 months and have been asked to train in mixing serums myself for allergy drop therapy. Right now, I mainly do pt education for the drops, order, deliver, etc. along with PFT's. I will soon be doing the skin testing and will prepare the antigen serum myself. If this were just for injections, I would not be apprehensive, but since the drops are "off label" I'm wondering if it's within my scope of practice to compound and deliver? I've tried finding info online on specific regulations and can't really find anything that states that RNs are allowed to mix for drops. Anyone doing this already??

[Timims]

These are very effective! They have been used for decades in Europe. The fact that big pharma can't make lots of money on it has stopped it's approval. I us and my kids use without the would be in big trouble. Regular allergy medicine doesntwork as well and all the oeditricians want to to do is give ADHD medication. This therapy saved my kids period!

[JenniferM422]

I mix SLIT for my job. I didnt even think to ask if it is legal or not. I work in NY. Good question.

[T-Bird78]

SLIT, sublingual immunotherapy, is NOT a medication that would involve pharmaceutical intervention. I mixed SLIT and SCIT at my ENT/allergy practice. True, SLIT is not FDA approved and it's an off-labeled use, but it is in trials for approval. Insurance companies won't cover SLIT so pt is paying out of pocket. As far as coding, it's CPT 95099 and #of units (# of ml). Effectiveness has been proven for the duration of the drops but unsure of long-term; also better effectiveness with single-allergen versus multiple. The mixing is done very similar to SCIT mixing, using a different diluent and different amounts of the antigens versus SCIT.

[lots2care4]

Hello ladies/gents ... I just interviewed for a LPN position with an allergist/immunologist. One interesting aspect to this position was the need to learn how to mix allergen drops ... I questioned whether that would be within my scope of practice (New York state) and he replied, 'yes'. I, however, find that suspect. Does anyone on this forum know otherwise? Thanks in advance.