Marianna Herrera, BSN, RN, IgCN

Clinical Nurse Educator

Nufactor Nursing Notes Author Marianna Herrera

Marianna Herrera, BSN, RN, IgCN is a Clinical Nurse Educator at Nufactor Specialty Pharmacy. Marianna has over 25 years of infusion therapy experience, specializing in immunoglobulin therapy and a wide range of biologic, monoclonal antibody, and specialty medications. She earned her Bachelor of Nursing degree from the University of Texas at El Paso. Marianna is a member of Immunoglobulin National Society (IgNS) and Texas Association of Nurse Anesthetists. An Immunoglobulin Certified Nurse (IgCN), Marianna empowers clinicians through training nurses and home health agencies on the administration of Nufactor’s therapies and providing continuing education on immune globulin and infliximab therapies. Marianna also supports and educates patients and caregivers on their disease states and possible adverse events, ensuring patients feel supported throughout their treatment journey.

Marianna's Recent Posts

Anaphylaxis Protocols in Home Infusions: Safety Guidelines for Nurses

Home infusion nursing brings the unique responsibility of providing high-quality care outside the traditional clinical environment. In the home setting nurses are a “One Man Team”, unlike the hospitals that provide rapid response teams at a push of a button. While serious adverse drug reactions (ADRs) are rare, anaphylaxis can occur suddenly and without warning, requiring immediate recognition and decisive action. Nufactor patients are staffed with nurses who must undergo vetting and skills assessment prior to providing care to patients. This is done to ensure they are fully prepared to not only safely and effectively complete the infusion but also recognize any adverse drug reactions and be prepared to intervene accordingly.

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Managing Infusion Side Effects – Who to Call and When

Timely recognition and communication of side effects during IVIg or SCIG therapy is essential to patient safety and treatment adherence. Reactions vary by patient and can range from mild to severe. As the nurse, you are often the only clinician physically present during infusions—your assessments and communication are critical in managing the patient’s care. If side effects are not managed appropriately and tolerability becomes an issue, the patient may want to stop therapy, which could impact the management of their condition. The following is a guide to help you determine who to call and when.

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