UWHC Infusion Center
- Monday–Friday, 8am–8 pm
- Saturday and Sunday, 8am–2 pm
- Open holidays
- Phone: 3-8369; fax: 3-6350
- Location: C5/3
- The Infusion Center does transfusion, aphaeresis, and antibiotic, anti-rejection and medication therapy infusions.
- They do not do chemotherapy.
- They are also able to place PICC lines.
- They require Drug Reaction Orders to be submitted along with the other orders
- Pediatric Patients:
- Patients under the age of 14 should be sent to the Pediatric Day Treatment Center.
- Patients age 14 and over, not socially appropriate for a mixed age environment, should be sent to the Pediatric Day Treatment Center.
- Patients over the age of 14 should be sent to the Infusion Center.
Setting up Infusions at Facilities
- Setting up I.V. Immune Globulin for post-lung transplant patients:
- There should be a note in the chart from the transplant coordinator stating if the donor is cmv+ or cmv- and if the patient is cmv+ or cmv-: if the patient is a mis-match, they will need to receive IGG/IVIG therapy.
- Must be received at an Infusion Center - home care will not provide this service as the infusion takes approximately 4 hours.
- Check the patient's medication hx to check the dates of infusion and dosage. Usual schedule is every 2 weeks for the first 5 weeks then once a month for the next 2 months.
- Call the patient's insurance company to let them know the patient will require IGG.
- Contact their LMD to make sure they will write IGG orders and continue the patient's care as other facilities will usually not accept our orders without a LMD responsible.
- Call the hospital/clinic of choice and ask for the outpatient infusion center.
- Post-Lung Transplant patients are required to stay in Madison for 7-10 days after discharge. If IGG is required during that time, call the UWHC infusion center at 3-8369 to make arrangements.
- Contact the center's pharmacy and make sure they have IGG in stock.
- Fax the face sheet to the LMD, outpatient infusion center, and pharmacy.
- Notify the lung transplant coordinator of these arrangements.
- Commonly used for patients with lymphoma & post transplant patients experiencing rejection
- 2 Types:
- Plasma Pheresis: plasma, which contains antibodies, is separated from the blood & discarded, then replaced with other fluids. Involves placement of a “gambro” catheter by DVI, which the infusion center will take care of during visits
- Photo Pheresis: white blood cells are irradiated with ultraviolet light and reinfused into the patient. Involves placement of a “perma” catheter. Treatments are received over the course of 6 months
- Must be received at an Infusion Center.
- Call the patient's insurance company to let them know the patient will require pheresis at an outpatient infusion center & make sure they cover.
- Call the infusion center to find out what their referral process is
- At UWHC, the MD must call Dr. James Malter (reach through 2-2122) to begin referral, then call the infusion center itself (3-8369) to finish referral.
- When working with outside infusion centers, also contact their LMD to make sure they will write pheresis orders and continue the patient's care as other facilities will usually not accept our orders without a LMD responsible.
- Fax the face sheet, which includes pheresis orders, to the LMD & outpatient infusion center.
- If the patient has a transplant coordinator, notify them of these arrangements.
- All patients requiring home IV Infusions post DC should be referred to Chartwell. They will sort out coverage/preferred provider, with the exception of Medicare D plans.
- Update HealthLink: make sure HH agency chosen by patient/Chartwell is noted, as well as the LMD contact information
- New in 2006: many Medicare D policies will cover IV ABX at home! Chartwell can check on coverage/preferred provider.
- Those infusions that were covered under Medicare B prior to Jan 2006 will remain under Medicare B (ex: home inotropes such as milrinone and dobutamine).
- If patients do not have coverage through Medicare/private insurance, but receive services at the VA, it may be possible to work with VA to facilitate a Chartwell referral
- Contact the patient's VA physician's office to initiate referral. If they agree with plan, they will ask you to speak with their outpatient social worker, who will coordinate a referral to pharmacy.
- You will then be contacted by VA pharmacist, who will ask for a form, PICC line note & ID notes to be faxed.
- Contact Info:
- Phone: 256.1901 x11681 Cheryl; x11306 Trish
- Pager: 559.0126
- Fax: 280.7024 or 280.7279
- The pharmacist will arrange for f/u at VA ID clinic, weekly labs, and weekly PICC line dressing changes at the VA
Infusions during Ambulance Rides
- Chartwell is not able to provide service during ambulance rides. Therefore, the UW should provide the medication and the ambulance company the pump + tubing.
- Document your planning in a
- Update the
- Update the DC Date & Time
- Enter a Suggested Order for DC Face Sheet
- Send an InBasket request to CC COORD CARE OFFICE for DC Packet
- Note: Coordinated Care will enter a sticky note under in the “Communication” Patient Summary report in the “Notes to Staff” section once the DC Packet has been faxed. The sticky note will include: Name of Agency/fax number/ time the transmission when through. This will act as the confirmation for the information faxed.
Medicare Inotropic Drug Qualification