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Initiation of a home hemotherapy program using a primary nursing model.

K S Crocker, M H Coker

    Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
    |January 1, 1990
    PubMed
    Summary

    Home hemotherapy, using a primary nursing model, successfully transfused 71 patients with blood products at home. This pilot study demonstrates home hemotherapy is a viable option for homebound patients, ensuring safe and effective care delivery.

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    Area of Science:

    • Nursing
    • Hematology

    Background:

    • Home hemotherapy offers an alternative to hospital-based transfusions.
    • Primary nursing models can enhance patient care coordination.

    Purpose of the Study:

    • To evaluate the feasibility and outcomes of a home hemotherapy pilot study.
    • To assess the effectiveness of a primary nursing model in home transfusion care.

    Main Methods:

    • A pilot study involving 71 patients receiving 248 units of red blood cells and 104 units of platelets.
    • Implementation of a primary nursing model for home transfusions.
    • Tracking of nursing time for patient visits and travel.

    Main Results:

    • 137 home transfusions were completed without interruption due to clinical changes.

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  • Average nursing time per patient: 4.36 hours for visits, 4.45 hours for travel.
  • No clinical changes necessitated transfusion interruption.
  • Conclusions:

    • Home hemotherapy is a viable option for selected homebound patients.
    • Program success hinges on staff education, strict guidelines, and acknowledging care time.
    • The primary nursing model supports safe and effective home transfusion care.