INFUSION THERAPY ORDERS

  • PRESCRIPTION FOR GENEVA WOODS INFUSION PHARMACY

  • • Dilution, Infusion Rate, and Administration Method per Geneva Woods Pharmacy protocol unless otherwise specified

  • • Sodium Chloride 0.9% flush, Heparin flush, and all ancillary supplies per Geneva Woods Pharmacy protocol
    • Alteplase 2 mg – instill into each occluded lumen of central line PRN and allow to dwell per manufacturer guidelines    x 2 refills

  • NURSING & LABORATORY ORDERS

  • • If no central intravenous access, Geneva Woods nurse to insert peripheral IV, rotating the site per Geneva Woods Pharmacy protocol
    For all first doses of medications, first dose precautions per Geneva Woods Pharmacy protocol will be followed the first dose will be given in the Geneva Woods Pharmacy infusion suite
    Geneva Woods nurse to teach patient and/or caregiver the care and use of therapy-related devices as well as educate regarding possible adverse events related to the therapy and IV access device
  • Please fax completed form to Geneva Woods Infusion Pharmacy
    907.334.8587