I posted this topic last week with no responses. I would love ANY feedback about this topic. I have been administering IVIG, various brands, in the home setting for years. The first dose was always given at a hospital or infusion center. Recently I have been ask to administer first doses at home. I am uncomfortable with this. I feel it is outside the Standard of Practice therefore if a reaction occurred I don't feel like any defense will "hold water". The physician feels this is totally safe. Am I just old and set in my ways, or is this a therapy that really should be administered in a controlled environment at least the first dose? I am willing to look at the evidence and reconsider, but I really would like some feedback from other HomeCare Rns regarding whether they feel this is a safe and reasonable practice. Thank you so much.
Feel free to email me privately if that is your preference. Thanks so much.
Hallene E Utter, RN, BSN
Intravenous Care, INC