Outpatient Antibiotics

West Los Angeles Veterans Administration Healthcare Center - Orthopaedic Surgery

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Resident Guidelines
Case Manager
Outpatient Antibiotics

Orthopaedic Learning Center Home Page

Outpatient Parenteral Antimicrobial Therapy (OPAT) Program

The West L.A. VA Healthcare Center has developed an OPAT program, which allows patients to receive parenteral antibiotics at home. This program helps avoid complications associated with long term hospital stays including nosocomial acquired infections and has improved patients’ quality of life and reduced hospital costs.

Who will be qualified for OPAT program

· Patients who are stable on current antimicrobial therapy.

· This program requires patients or care givers' participation and some level of responsibility for their own treatment program.

· Patients must have a home address and a contact phone number.

Process of initiating the consults

· Send HOME CARE SERVICES consult at least 48 hours prior to discharge.

· All patients who will be discharged with antimicrobial agent (s) that require laboratory monitoring such as aminoglycoside or vancomycin need to have drug levels and kidney function checked within 3 days prior to discharge.

· Patients MUST receive 1st dose of prescribed antimicrobial agent in house prior to discharge.

· Patients who have peripheral lines must be evaluated for ease of line replacement to ensure that they can be replaced by home health nurse for treatment duration longer than 3 days.

• MUST ensure that outpatient antibiotic therapy is approved by Infectious Disease Services and arranged by Home Health prior to patient discharge

Contact information:

Thuong Tran, Pharm. D.
Infectious Disease Clinical Pharmacist
TEL (310) 478-3711 Ext. 49813
Pager (310) 268-3461, Pager 5092
FAX (310) 268-3602
Email thuong.tran@va.gov
Carrie B Divina, RNC, MSN
Community Health Nurse Coordinator
TEL (310) 478-3711 Ext. 48381
(818) 895-9552
Pager (310) 268-3461, Pager 3082

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This is a web summary of guidelines for the West L.A. VA Healthcare Center orthopaedic surgery resident physicians. It is intended to make your life easier by gathering information that may be useful into one location.
The appearance of hyperlinks does not constitute endorsement by the Department of Veterans Affairs of this Web site or the information, products or services contained therein. VA does not exercise any editorial control over the information you may find at this location or at these linked locations. 
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Last updated: July 17, 2007.