Read the latest from the Infusion Nursing Notes Blog

Infusion Nursing Notes by Nufactor provides education, resources and support to promote successful patient therapy within the infusion nursing community.

This Infusion Nursing Notes blog is published by Nufactor. Since 1999, Nufactor continues to provide specialty products and care for infusion patients in the chronic illnesses community, while addressing the problems of availability, affordability and safety in patient care. Our Infusion Nursing Notes blog brings you timely topics from SCIG / IVIG infusion side effects as well as specialty injectable and infusible therapies for patients with chronic conditions. We provide informational articles on diseases dependent upon these treatments, guides and other resources to managing the safety and health of patients. Our blog is a dedicated resource to connecting infusion nurses with the information and support they need to better care for the patients they serve.

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Recent Posts

Advantages of Home Infusion for the Nurse

According to the National Home Infusion Association (NHIA), there are 1,500 – 2,000 nationwide providers that can administer parenteral infusions in the comfort of a patient’s home. This has provided a great opportunity for the home infusion nursing community.

Available Resources for Patients Receiving Immune Globulin

By Jean McCaslin, RN, IgCN In addition to educational blogs, Nufactor also provides Nursing Education opportunities in the form of CEU programs (individual or group/agency) in-person, via telephone, or via Webinars.

Understanding Titration: IVIG and Infliximab

By Jean McCaslin, RN, IgCN Nurses in a variety of settings follow an infusion titration (increasing or decreasing the rate of the dose) when infusing many medications. While it is understood that the use of titration is prudent particularly for first-dosing, there are no established uniform standards in the industry for infusing many medications, including intravenous immunoglobulin (IVIG) and infliximab (brands include Remicade®, Inflectra® and Renflexis®). Titration standards may be developed by individual prescribers, hospital systems, nursing agencies, outpatient infusion centers, or specialty pharmacies, yet each may differ from the other.

How to Pool Medications into a Pooling Bag

By Candy Finley, RN, IgCN and Joe DiStefano, RPh Pooling is the process of transferring the total dose of drug plus overfill into an empty IV bag ("pooling bag"). Although NuFACTOR prefers administering IVIG by spiking vials one at a time sequentially or adding drug directly into a bag of diluent (e.g., infliximab/Remicade®), there are some times when pooling is appropriate. These include lyophilized powder IVIG requiring reconstitution (e.g., Gammagard® SD and Carimmune®), HyQvia® (IG component only) and infliximab doses greater than 1000 mg. The process of pooling medications into a specially designed pooling bag is a relatively simple process.

IV Supply Shortages

By Derrek Blake RN, IgCN - Co Author: Amy Ehlers BS, PharmD, BCPS. Who knew that Hurricane Maria could lead to such a dramatic shortage of medical products in the United States that all hospitals and pharmacies rely on? Puerto Rico was one of the hardest hit areas by Maria and damaged American manufacturing hubs for medical products. Roughly 43% of the United States IV fluids, IV bags and minibags are manufactured and produced in Puerto Rico.

Psycho-social Considerations of Patients Receiving Home Infusion of Immune Globulin

By Jean McCaslin, RN, IgCN. In every aspect of medical care, a patient-centric approach is invaluable. Each healthcare discipline must take into consideration each patient’s holistic need when undertaking a plan of care; psycho-social needs are particularly critical. Patients receiving immune globulin (IG) oftentimes are newly diagnosed with a chronic or debilitating disorder and experience adverse feelings. Care partners or family members may be equally affected by the diagnosis and prescribed treatment modalities.

Meet the Nufactor Infusion Nursing Notes Team

Our team of experts are here to answer your questions and provide helpful information and advice regarding the use and administration of IG products.

Nufactor Nursing Notes Author Michelle Greer

Michelle Greer, RN, IgCN

Executive Vice President, Sales
Nufactor Nursing Notes Author Amy Ehlers

Amy Ehlers, BS, PharmD, CSP, IgCP

Senior Vice President, Clinical Services
Nufactor Nursing Notes Author Sam Mihelich

Sam Mihelich, PharmD, IgCP, CSP

Clinical Programs Director
Nufactor Nursing Notes Author Candy Finley

Candy Finley, RN, IgCN

Clinical Nurse Educator
Nufactor Nursing Notes Author Leanne Edwards

Leanne Edwards, BSN, RN, IgCN, OCN

Clinical Nurse Educator
Nufactor Nursing Notes Author Marianna Herrera

Marianna Herrera, BSN, RN, IgCN

Clinical Nurse Educator
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