Current through August 30, 2024
(a) If a home health agency provides
parenteral or hyperalimentation services, the agency shall
(1) describe the scope of the services to be
provided, including the population to be served;
(2) develop a plan for emergency services to
meet the scope of the services provided; and
(3) administer treatments only upon the order
of a physician advanced practice registered nurse, or physician
assistant.
(b) A home
health agency shall develop and implement policies and procedures for
(1) preparing and administering parenteral
solution, medications, and admixtures;
(2) infection control, including
(A) preparing, assessing, rotating, and
labeling the site;
(B) necessary
and appropriate flushing procedures; and
(C) using sterile equipment according to
manufacturer's guidelines;
(3) using dietitian services when a patient
requires enteral or parenteral nutrition;
(4) identifying preparations that can be
administered at home;
(5) using and
controlling parenterally administered experimental drugs;
(6) using drugs that cause tissue necrosis
upon extravasation;
(7) handling
and disposing of biohazardous material, antineoplastic agents, and infectious
materials;
(8) using precision
volume chambers, electronic infusion devices, and flow control
devices;
(9) assuring a product is
free of particulate matter and cloudiness;
(10) administering blood and blood products
to assure
(A) viability, temperature
stability, and prevention of contamination; and
(B) registered nurse or physician attendance;
and
(11) providing care
for pediatric patients that describe the
(A)
amount and specifications of parenteral fluid or medication to be administered,
as determined by age, body surface, weight, intake, and output; and
(B) type and use of control
devices.
(c)
The home health agency shall ensure that employees, including contract
personnel, who administer enteral medication or blood products have
(1) any license required under AS 08 and are
authorized to penetrate the skin and insert intravenous devices and administer
medications;
(2) documented
training and skills in
(A) intravenous
insertion techniques;
(B)
parenteral administration;
(C) line
and site management; and
(D) use of
equipment.
(d) The home health agency shall document the
following information in each patient's clinical record:
(1) administration of solutions and
medications, including amount, rate, and route;
(2) insertion and removal of a cannula,
catheter, or needle, and the patient's condition at time of removal;
(3) management of tubing and
dressing;
(4) use of electronic
infusion devices, volumetric pumps, or flow control devices; and
(5) education of patient or family members on
infusion therapy;
(e) If
a home health agency contracts for infusion therapy services, the agency must
define the responsibilities of the contractor and the agency in writing,
including
(1) the specific services,
consultants, and equipment to be provided;
(2) reimbursement procedures; and
(3) staff assignments for monitoring and
assisting patients during all hours of infusion therapy
administration.
Authority:AS
18.05.040
AS
47.32.010
AS
47.32.030
