Final answer:
The screening criteria for transitioning a patient from hospital to home parenteral nutrition include ensuring a sanitary water supply and electricity in the home, access to transportation for lab draws, and having a caregiver accessible.
Step-by-step explanation:
When transitioning a patient from hospital to home parenteral nutrition (HPN) support, several screening criteria should be included to ensure a smooth and safe transition. These criteria help to confirm that the home environment is adequate for the complex care that home parenteral nutrition requires and that necessary support systems are in place. Proper screening is critical for avoiding complications and ensuring the patient receives the nutrition they need.
The screening criteria should include the following:
- Presence of electricity and sanitary water supply in the home to make sure the equipment for HPN can operate correctly and that infection risks are minimized.
- Access to a reliable mode of transportation for regular lab draws, which are necessary to monitor the patient's response to HPN and adjust treatment as needed.
- A caregiver who is trained to assist with the technical aspects of HPN and respond to any emergencies that might arise.
- Although not specifically mentioned, access to fingerstick glucose monitoring can be included as part of the comprehensive care and monitoring required for patients on HPN, especially if they are diabetic or at risk of glucose intolerance.
While a nurse may focus on providing specialized treatments like dialysis and monitoring the patient's vital signs, transitioning to HPN necessitates considerations beyond medical supervision, as it involves the patient's home environment and support network.