Labs
How many mLs of Sodium Chloride should you use to flush a CVAD after a blood draw?
20mLs
What should you do when you think your safety may be compromised?
Leave immediately, drive to a safe location and call your Supervisor
What is the deadline for completion of a SOC POT?
72 hours (per Optum policy)
Same day/Point of Care (per Southeast Region guidelines)
Once they arrive, patient's should be seen in the AIS (Ambulatory Infusion Suite) within this time frame.`
Within 30 minutes of the scheduled time
Policy 6804
What lab test would you expect to see ordered for a patient on Daptomycin antibiotic therapy?
CK (CPK)
What should be documented when a PICC line is discontinued?
1) Date/time of removal
2) Reason for removal
3) Catheter length and integrity of tip
4) Patient response and education
60 days
True/False: It is okay for deliveries/supplies to remain in the AIS after the patient's infusion.
False: Nothing should be left in the AIS.
Medications, Anaphylactic Kits, Flushes, etc. should be taken by patient and brought back by patient for future infusion visits.
When should you draw a Vancomycin trough level?
Trough levels should be obtained within 30 minutes before the next scheduled dose
Who is responsible for completing initial / SOC Plan of Treatments (POTs)?
Nurse completing SOC
Chronic Therapies, such as Biologics, IVIG, Factor Replacements, etc, require a POT with a certification length of:
6 months
There are 5 points of documentation that must occur when a patient is seen in the infusion suite. These 5 points are:
1) Signing patient into building @ front desk
2) Sign patient into the AIS with therapy start time
3) Sign patient out of the AIS with therapy end time
4) Signing patient out of the building
5) Cleaning Log Book/sheet (after cleaning of chair/equipment)
What are the correct steps for collecting labs for TPN?
1) Ensure infusion held/completed at least 30 minutes prior to lab draw
2) Flush line with 10mL NaCl
3) Withdraw and waste 10mL blood
4) Obtain labs
5) Flush line with 20mL NaCl and lock with 5mL heparin
Who is the compliance officer?
Tim Trujillo is currently filling in as the OptumRx Compliance Officer until the open position has been filled.
When an order is changed, such as the addition of pre-medications, hydration, etc during an active POT certification period, this type of order should be created until the current POT expires or is recertified?
Supplemental Order
Cleaning of chairs in the AIS, should occur:
In between patients and at the end of the day when patients have been treated using a broad-spectrum disinfectant
Policy 6815
What is the correct order for drawing the following lab tubes: Oxalate/Fluoride (gray), coagulation (light blue), Serum tubes with or with gel, Heparin (green), EDTA (lavender), red-top tube
1) Light blue, 2) serum tubes, 3) red-tops, 4) Heparin (green), 5) EDTA (lavender), 6) Oxalate/Fluoride (gray)
SOC information, to include Patient Service Agreement, Patient Teaching Checklist, Medication Profile, and Delivery Tickets should be emailed to:
Central Documents Team
email: oip_ctrldocmgmt@optum.com
OIP_Central Document Management
True/False: A POT is required for short-term therapies, such as 3-day Solumedrol or one-time teaches.
False: Exceptions: No POT is required for IV corticosteroids with duration of therapy less than or equal to 5 consecutive days, therapies </= 72 hours (3 consecutive days), and/or one-time instructional nursing visits.
Policy 7010
Optum nurses know that this document gives permission to proceed with treatment and acknowledge that the document is on file when charting assessments.
Patient Service Agreement
Policy 6020