femoral tunneled Hohn catheter

Specialties Infusion

Published

Hi, I am a infusion nurse (not certified) for a home infusion company and we received a referral for a patient with this type of line. We normally don't accept femoral lines to home care, but they usually aren't Hohns. We do accept your typical Hohns. I have no expierience with this type of line (femoral AND Hohn), and do not feel comfortable accepting the patient. The doctor and hospital liason are asking me to reconsider.

Anyone know some stats or info on this. FYI: Most of our nurses are just straight home care nurses with the basic knowledge required for IV care.

TIA

Specializes in Vascular Access.
Hi, I am a infusion nurse (not certified) for a home infusion company and we received a referral for a patient with this type of line. We normally don't accept femoral lines to home care, but they usually aren't Hohns. We do accept your typical Hohns. I have no expierience with this type of line (femoral AND Hohn), and do not feel comfortable accepting the patient. The doctor and hospital liason are asking me to reconsider.

Anyone know some stats or info on this. FYI: Most of our nurses are just straight home care nurses with the basic knowledge required for IV care.

TIA

Well, first and foremost, you must get nurses employed who understand IVT in a home setting, and do it BEFORE you accept any patients with this type of therapy/Rx. IV Therapy in home care requires extensive patient and family education or, outcomes will be poor and you put the nurse and your agency in a litigious situation. In addition, NEVER accept patient's into your agency without having Infusion policies and procedures in place.

Thanks for replying. Our company has IV policy and procdures(we are a home infusion company), but do not have our own infusion nurses (I am the only one left and now am a manager). We have a partnership with our "sister" agency and use them for nursing as much as possible. The majority of the patients they see are traditional home care.

My intake coordinator noticed the line info and asked me to consult, I immediately said no, but was asked to look into it. I have already decided not to take the case, but would like to know more information in case this comes up again. The doctor seemed defensive when I questioned its safety in the home, stating it was not a "femoral line", but a tunneled Hohn in the "thigh" and he knows femoral lines are not appropriate for homecare.

Documentation called it a tunneled Hohn with insertion in the femoral vein. I understand that it is better to be tunneled, but that doesn't take away from the fact that it is in the groin region.

I have never heard of a tunneled Hohn in that area. Any info would be much appreciated.

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