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CAMERA (BEVACIZUMAB) INJECTION ORDERS P: 877.365.5566 | F: 855.889.2946 PATIENT INFORMATION:Fax completed form, insurance information, and clinical documentation to 855.889.2946Patient Name: ___ DOB:
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01
Gather all necessary equipment and medication for the infusion.
02
Wash your hands thoroughly with soap and water before handling any equipment.
03
Clean the infusion site with alcohol wipes and allow it to dry completely.
04
Follow the instructions provided by your healthcare provider for mixing and preparing the medication.
05
Connect the infusion tubing to the medication bag or syringe as directed.
06
Insert the needle into the infusion site at the correct angle and depth.
07
Start the infusion at the prescribed rate and monitor for any signs of discomfort or adverse reactions.
08
Once the infusion is complete, properly dispose of any used equipment and clean up the area.

Who needs mhs homealternate site infusion?

01
Patients who require long-term medication therapy that cannot be administered orally.
02
Patients who have difficulty accessing their veins for traditional IV infusions.
03
Patients who prefer the convenience and comfort of receiving infusions at home.
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MHS Homealternate Site Infusion refers to a specific process of administering medical treatment outside of a traditional healthcare facility.
Healthcare providers or facilities that provide medical treatment outside of traditional healthcare settings are required to file MHS Homealternate Site Infusion.
The MHS Homealternate Site Infusion form can be filled out by providing all relevant information about the medical treatment administered outside of a healthcare facility.
The purpose of MHS Homealternate Site Infusion is to ensure that proper medical treatment and care are provided outside of traditional healthcare settings.
Information such as patient demographics, treatment provided, healthcare provider details, and any complications must be reported on MHS Homealternate Site Infusion form.
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