9. Documentation

A patient’s allergy status must be recorded in a prominent area on the medication chart, ideally using an “Allergy Alert” label where relevant. Drug administration must be as close to the prescribed administration time as possible. The actual time of dose was administered should be recorded on the drug administration chart and where significant variations occured between the prescribed and administered time the medical practitioner must be notified about this variation. All reactions, observations and actions taken are to be recorded in the patient’s medical record e.g. allergies, sensitivities, phlebitis and extravasations. Incident reports (like injuries, spills or misadventures) along with any and forwarded to the appropriate hospital departments⁹.

Conclusion

HITH is a system in which patients are getting acute hospital care. This is a beneficial system to treat older patients as they are getting homely environment. Although HITH units have been established for more than 12 years ago, yet in this short time important work of international standard has shown that HITH is safe, effective, acceptable and efficient alternative to acute hospitalization for certain patients and conditions.

References

1.Balinsky W. Home care current problems and future solutions. San Francisco: Jossey-Bass Publishing, 1994.

2. Montalto M, Watts J. Considering the cost of hospital in the home care. Report to the Victorian Department of Human Services. Melbourne: Centre for Health Program Evaluation, 1998.

3. Michael M. Patient’s and carer’s satisfaction with Hospital in the home care. International Journal for Quality in Health Care 1996; 8: 243-251.

4. Paul C, Les T and Martin T, Randomised controlled trial of intravenous antibiotic treatment for cellulitis at home compared with hospital .   BMJ  2005;330:129 

5. Holder C, Alexander J. A new and improved guide to IV therapy. Am J Nurs 1990; 90: 43- 46.

6. Coker M, Lampert A. Teaching checklist for home infusion therapy. ONF 1990; 17: 923- 926.

7. Sheldon P, Bender M. High-technology in home care an overview of intravenous therapy. Comm Health Nurs Home Care Nurs 1994; 29:507-519.

8. Williams DN, Rehm SJ, Tice AD, Bradley JS, Kind AC, Craig W. Practice guidelines for community-based parenteral anti-infective therapy. Clin Infect Dis 1997; 25:787-801.

9. Intravenous Nurses Society. Intravenous Nursing Standards of Practice. J Intravenous Nurs 1998; 21(suppl 1):1-90 

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