Reply To: continuous antibiotics or TPN through ports at home

  • Kimberly Duback

    September 2, 2018 at 10:37 am

    ​We send patients home with their port accessed and ensure they have home health in place as well. We will do this for patients needing the line for intermittent or continuous infusions and sometimes if they are coming back to clinic the next day.  The requirement that we have from a teaching standpoint is that families must demonstrate the ability to provide any care to the line that is routinely needed while at home.  For example, if families will be accessing the line (not inserting the needle, just accessing the line through the cap), we make sure that they following the correct process/cleaning procedures.  We also do this for any external line (PICC, broviac).  If the line becomes de-accessed or the dressing needs to be changed, they are instructed to call home health

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    United States of America
    Original Message:
    Sent: 08-03-2018 11:53 AM
    From: Pamela Eno Mooney
    Subject: continuous antibiotics or TPN through ports at home

    ​I have some questions about other institutions’ practices of sending children home with accessed ports. We are seeing more children of all ages receiving ports for their chemotherapy treatment. It has not been our practice to send children home with accessed ports unless they will be returning to infusion clinic the next day. However, we have had a number of children who are now requiring continuous infusions of TPN or antibiotics at home.

    Do you…
    –have criteria for who goes home with a port accessed? based on age? availability of home health services? whether it’s for intermittent or continuous use? or other?
    –do you have a teaching protocol for what families must know/demonstrate when taking a child home with an accessed port? and who does the education?

    Thanks in advance for your response.

    Pam Mooney

    Pamela Eno Mooney, RN, MSN, CNS-BC
    Pediatric Clinical Nurse Specialist
    UC Davis Medical Center
    Sacramento, CA