Respond to Specific Concerns

HOW TO

Raised by the treatment facility


Facilities that are willing to consider accepting a person with a bleeding disorder (BD) may need help thinking creatively about the ways in which they can safely and comfortably accommodate a person who uses infusion or injection medications. This section provides responses to concerns that may be raised by behavioral health treatment facilities:

If the facility is concerned about identifying a person to administer an infusion if the patient is unable to self-infuse:

Infusions and injections need to be performed by a competent individual. This competent individual may be a provider on staff at the facility, a provider from a medical unit from the same healthcare system, a contracted provider, such as a visiting nurse, a provider at an external facility (either onsite or at an outpatient facility such as a hemophilia treatment center (HTC) or emergency department(ED)), or a trained family member or caretaker. 

  • The facility should work with the BD treatment team to identify a qualified individual to assist with the administration of BD medication.

  • As the person with BD progresses through treatment, they may be able to work towards self-infusion/injection in a monitored environment. This will prepare them to care for themselves independently post-discharge.

  • In an emergency, a person with a BD may need to be brought to an urgent care or ED setting to receive BD medication. 

  • Facilities may require a “single use case agreement” in order to feel comfortable allowing outside providers to administer infusions within their facility. If a facility says that their license does not allow outside providers, this is an avenue to explore.

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