I work in home care on the IV team. We recently recieved a patient on service who is a known IV drug user. Everyone (nurses and pharmacist) on the IV team felt this patient is inappropriate for home care service. Management felt differently and accepted the patient, against a strong plea against it. Does anyone have thoughts, suggestions or even legal/ethical advice.
Apr 6, '03
Please, forgive me my ignorance. I am trying to understand here. How is this patient inappropriate? Certainly you do not think that having an IV access in place is going to change anything. This person will do venipuncture his self to inject his drug of choice and generally this type of patient is better at obtaining IV access than we are.
He does not need an access device. What is the fear that you and your collegues have? Is the therapeutic medication a narcotic? If so does he have access to the medication? I'm guessing no.
If you had this patient admitted or come into an out patient setting to get his infusion do you think that you could better control his access to drugs? You cannot control his access to his own veins which he has become very adept at accessing.
A determined user will obtain what he needs no matter what. If he is going to use, he will. I don't believe you are making it any easier for him by doing home infusion. Please, help me understand your concern.
Last edit by Agnus on Apr 6, '03