Continuous subcutaneous infusions

We do not do these I don't know if it is the region I am in, but in 12 years and 3 companies I have seen it done 1-2 times and only in an impatient setting.

We do not do these I don't know if it is the region I am in, but in 12 years and 3 companies I have seen it done 1-2 times and only in an impatient setting.

How do you provide relief for your patients who have refractory symptoms not responsive to oral or transdermal meds? Do you have an inpatient unit that you admit to?

Thanks.

Hi tewdles. I am very new to hospice nursing (as in only for the last few weeks!) but I have seen that we do use continuous infusion in the home pretty regularly with a pump (I believe the brand is Curlin). From what I've seen so far, once the order is placed, the pre-mixed bags and pump are delivered directly to the patient's home within four or five hours (even on the weekends). RN's start the infusion and we also change the SQ site every 3 days (and replace the bags as needed). This is a large non-profit hospice in a metro area. I am so glad that we have this option available for our patients---the relief from a continuous infusion with a bolus option is impressive. It is very important that we get the pump back when the patient passes---I'm told that the pumps are incredibly expensive. I've heard of calls coming from the funeral homes asking what it is and if we want it back....whoops!

On a side note, I want to say thanks to this board for all of the hospice-related discussion. It really helped me to determine if I should make the change into hospice nursing. So far, I am absolutely loving it!

see above--duplicate post---sorry!

Hi tewdles. I am very new to hospice nursing (as in only for the last few weeks!) but I have seen that we do use continuous infusion in the home pretty regularly with a pump (I believe the brand is Curlin). From what I've seen so far, once the order is placed, the pre-mixed bags and pump are delivered directly to the patient's home within four or five hours (even on the weekends). RN's start the infusion and we also change the SQ site every 3 days (and replace the bags as needed). This is a large non-profit hospice in a metro area. I am so glad that we have this option available for our patients---the relief from a continuous infusion with a bolus option is impressive. It is very important that we get the pump back when the patient passes---I'm told that the pumps are incredibly expensive. I've heard of calls coming from the funeral homes asking what it is and if we want it back....whoops!

On a side note, I want to say thanks to this board for all of the hospice-related discussion. It really helped me to determine if I should make the change into hospice nursing. So far, I am absolutely loving it!

Your experience with these infusions mirrors my early experience with them although we used a different brand (CADD).

Currently we don't have that level of pharmacy support and we are trying to discover how we might still provide the service.

Tewdles---this is the company that provides our pumps and infusions. Perhaps you could speak with them to find out if their services are available in your area? Coram - Infusion Services

We (hospice house) and our field nurses use a CADD pump for subq infusions. During the week we have access to the outpatient pharmacy; weekends we use the hospital pharmacy. We tell the pharmacist what the MD has ordered and then program the pump, get it running ourselves, teach the pt and fam about basal and bolus rates. So far, it has worked well.

We Also Use Cadd Pump for SQ infusions as well as IV infusions :)

CADD 2 pump.

No in field start, we get entire set up in about 6 hour turn around time.

SQ button unless there's a port or access like PICC/midline already in place.

Where you are rural, I would suggest having a field ekit for ivf starts or basic things you can switch back out with the pharmacy so they will not expire costing you money and you will not have issues with needing pharmacy access at odd hours for prescriptions.

I am in Columbia, SC and use a local, contracted infusion company that provides CADD.

Same as above. We use the CADD pumps for IV or SQ infusions. They have cassettes that co e from the pharmacy the are ready to go. 1:1 or 10:1 concentrations.