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Name Health Card Number D.O.B. AddressCONTINUOUS AMBULATORY DELIVERY DEVICE PATIENT CONTROLLED ANALGESIA (CADD SOLIS PCA) ORDER FORM HCC Section Dr. Complete in collaboration with Medical Pharmacies'

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How to fill out continuous ambulatory delivery device

01

Wash your hands thoroughly before handling the continuous ambulatory delivery device.

02

Prepare the medication that needs to be delivered. This may involve measuring the prescribed amount of medication and diluting it if necessary.

03

Connect the medication bag or container to the delivery device, ensuring a secure connection.

04

Inspect the device and tubing for any signs of damage or leaks. If any issues are found, do not use the device and contact your healthcare provider.

05

Prime the tubing to remove any air bubbles. This is usually done by opening the clamp and allowing the medication to flow until all air is expelled.

06

Select an appropriate insertion site for the device, typically on the abdominal area. Clean the site with an antiseptic wipe.

07

Insert the needle or catheter into the site, following the instructions provided by your healthcare provider.

08

Secure the device in place using adhesive dressing or other recommended methods.

09

Start the flow of medication by adjusting the flow rate as directed by your healthcare provider. Ensure that the medication is being delivered at the prescribed rate.

10

Keep the device and insertion site clean and dry throughout the duration of the treatment.

11

Follow the specific instructions provided by your healthcare provider for removing and disposing of the device after the treatment period is over.

Who needs continuous ambulatory delivery device?

01

Continuous ambulatory delivery devices are commonly used by individuals who require continuous medication or fluid delivery over an extended period of time.

02

Some examples of people who may need a continuous ambulatory delivery device include:

03

- Patients with chronic pain who require continuous administration of pain medication.

04

- Individuals with certain types of cancer who receive chemotherapy or other medication on a regular basis.

05

- People with certain medical conditions that require continuous intravenous (IV) fluid therapy.

06

- Patients recovering from surgery who need continuous antibiotic or pain medication.

07

- Individuals with certain gastrointestinal disorders who require enteral nutrition delivered continuously.

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What is continuous ambulatory delivery device?

Continuous ambulatory delivery device is a medical device that allows for the continuous delivery of medication or fluids to a patient while they are mobile.

Who is required to file continuous ambulatory delivery device?

Healthcare providers or suppliers who prescribe or administer medication or fluids using a continuous ambulatory delivery device are required to file the necessary documentation.

How to fill out continuous ambulatory delivery device?

The continuous ambulatory delivery device must be filled out with the relevant patient information, medication or fluid to be delivered, dosing instructions, and any relevant healthcare provider information.

What is the purpose of continuous ambulatory delivery device?

The purpose of the continuous ambulatory delivery device is to ensure that patients receive the necessary medication or fluids in a continuous and mobile manner.

What information must be reported on continuous ambulatory delivery device?

The continuous ambulatory delivery device must include information on the patient, medication or fluid being delivered, dosing instructions, and healthcare provider information.

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