Outpatient Antibiotic Therapy OPAT in Gloucestershire IV Service Referrals Patients can be referred by GP Consultant Doctors or Specialist Nurses IV Lead Nurse Andrea Darby ID: 929078
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Slide1
Community Intravenous Therapy (IVT) Team
Outpatient Antibiotic
Therapy
(OPAT) in Gloucestershire
–
IV Service
Slide2Referrals
Patients
can be referred by GP,
Consultant, Doctors or Specialist Nurses
IV Lead Nurse – Andrea Darby
Slide3Changes to the Intravenous Therapy Service
From
September 25
th
2017 - IVT will be 7/7
IV pager service is no longer in use
Referrals
to the Countywide IV Therapy Team – 0300 421 0300(SPCA - Single Point of Clinical Access) IVT - Mon – Fri - 08:00 – 17:00 Sat – Sun and OOH’s (SPCA will pass onto appropriate services)Advice and support (non-urgent) – IV Team co-ordinator - 0300 421 8195 Mon – Fri - 08:00 – 18:00 – Sat – Sun - 09:00 – 17:00 Email – ivtherapyteam@glos-care.nhs.uk Our aim is to create an integrated model of health and social care provision in Gloucestershire aligning the IV team to the GP cluster localities. With specific care pathways we provide personalised high quality, safe and sustainable care for local people promoting personal health, wellbeing and independence for ‘Care Closer to Home’.The team also provide training and support to other healthcare professionals in all aspects of IV Therapy. We are made up of eleven highly specialised IV nurses and an administrator supporting District Nursing Teams to deliver IV therapies in the community. The team deliver planned therapies in countywide clinics and unplanned IV antibiotic therapy for hospital admission avoidance and early discharge from hospital for patients at home.
Slide4Information Leaflet
GCS
Leaflet – Community IV Therapy Service –
Information
for
Healthcare
P
rofessionalsCan navigate to leaflet via:https://nww.glos-care.nhs.uk/gcs-intranet/our-services/specialist-services/intravenous-iv-therapy
Slide5What choice of antibiotic could allow a patient to be referred to Home community IV team?
Most
antibiotics are once daily
Occasionally
BD
courses are
given if capacity
Most commonly used IV antibiotics are:TeicoplaninDaptomycinCeftriaxoneErtapenemMore rarely – ceftazidime, meropenem
Slide6Most frequently treated infective
conditions
Cellulitis
Wound Infections
Osteomyelitis
UTIs caused by multiply-resistant organisms
Bronchiectasis
Referrals from:GloucestershireOut of county referrals for pts being repatriated to Gloucestershire – Oxford (NOC), Bristol, Birmingham, Swindon, London
Slide7Care and Maintenance
Weekly blood monitoring (or more frequent as required)
by the
IV Therapy Team
Routinely:
FBC
U+Es and
eGFRCRPWhen necessary:Antibiotic assays / levels – TDMCPKDaily and weekly care and maintenance of the IV devicesFollow up and communication with Consultant/Doctor/GP and or referrer for any treatment adjustmentsAudits
Slide8Inclusion Criteria
Patients
need to fit IV pathway inclusion criteria
Patients will require a PICC line for IV therapy treatments for more than 10 days
Patients must have review and follow up appointment with referrer
In-hospital prescription chart, drugs (4 days supply) and consumables must be sent home with the patient on discharge
Slide9Resources and Patient Information
https://
nww.glos-care.nhs.uk/gcs-intranet/our-services/specialist-services/intravenous-iv-therapy