1. (a) If a home health agency provides parenteral or hyperalimentation services, the agency shall

   1. (1) describe the scope of the services to be provided, including the population to be served;
   2. (2) develop a plan for emergency services to meet the scope of the services provided; and
   3. (3) administer treatments only upon the order of a physician, advanced practice registered nurse, or physician assistant.

2. (b) A home health agency shall develop and implement policies and procedures for

   1. (1) preparing and administering parenteral solution, medications, and admixtures;

   2. (2) infection control, including

      1. (A) preparing, assessing, rotating, and labeling the site;
      2. (B) necessary and appropriate flushing procedures; and
      3. (C) using sterile equipment according to manufacturer's guidelines;
   3. (3) using dietitian services when a patient requires enteral or parenteral nutrition;
   4. (4) identifying preparations that can be administered at home;
   5. (5) using and controlling parenterally administered experimental drugs;
   6. (6) using drugs that cause tissue necrosis upon extravasation;
   7. (7) handling and disposing of biohazardous material, antineoplastic agents, and infectious materials;
   8. (8) using precision volume chambers, electronic infusion devices, and flow control devices;
   9. (9) assuring a product is free of particulate matter and cloudiness;

   10. (10) administering blood and blood products to assure

       1. (A) viability, temperature stability, and prevention of contamination; and
       2. (B) registered nurse or physician attendance; and

   11. (11) providing care for pediatric patients that describe the

       1. (A) amount and specifications of parenteral fluid or medication to be administered, as determined by age, body surface, weight, intake, and output; and
       2. (B) type and use of control devices.

3. (c) The home health agency shall ensure that employees, including contract personnel, who administer enteral medication or blood products have

   1. (1) any license required under AS 08 and are authorized to penetrate the skin and insert intravenous devices and administer medications;

   2. (2) documented training and skills in

      1. (A) intravenous insertion techniques;
      2. (B) parenteral administration;
      3. (C) line and site management; and
      4. (D) use of equipment.

4. (d) The home health agency shall document the following information in each patient's clinical record:

   1. (1) administration of solutions and medications, including amount, rate, and route;
   2. (2) insertion and removal of a cannula, catheter, or needle, and the patient's condition at time of removal;
   3. (3) management of tubing and dressing;
   4. (4) use of electronic infusion devices, volumetric pumps, or flow control devices; and
   5. (5) education of patient or family members on infusion therapy;

5. (e) If a home health agency contracts for infusion therapy services, the agency must define the responsibilities of the contractor and the agency in writing, including

   1. (1) the specific services, consultants, and equipment to be provided;
   2. (2) reimbursement procedures; and
   3. (3) staff assignments for monitoring and assisting patients during all hours of infusion therapy administration.

(Eff. 9/6/96, Register 139; am 5/14/2021, Register 238)

Authority: AS 18.05.040, AS 47.32.010, AS 47.32.030