Reply To: medications brought from home

  • Marcia Bettenhausen

    March 4, 2016 at 7:48 am

    We have very strict “brown bag” restrictions — but factor products are the one big exception.  Patients can totally “self administer” (with staff assisting only with the IV start.  We only then document the IV start.   If staff are going to mix, supervise, or administer the factor – it needs to go to our pharmacy for a bar code label – and be placed on our MAR for sign off. 

    Marcia Stubstad, CPHON,MSN,RN
    Fargo, ND
    United States
    Original Message:
    Sent: 05-14-2015 04:12 PM
    From: Janet Giordano
    Subject: medications brought from home

    Our hemophilia population obtains prophylactic Factor products through an outside vendor, which the parent is taught how to administer at home.  Occasionally, a patient will be scheduled for lab work and a clinic visit on a day Factor is due, so the parent brings the product to be administered at the time of the lab draw.

    Do you allow patients/parents to administer prophylactic Factor products – or any medication – brought from home through an intravenous line (butterfly) started by hospital staff?  If so, would you be willing to share your guidelines?  Does the pharmacy play a role in medications given by parents on the hospital/clinc campus?

    Janet Giordano, MSN, RN
    St Jude Children’s Research Hospital
    Memphis, TN
    United States