Prestation des services

Appendix

Appendix C - Recommended List of Basic and Supplementary Medical Supplies and Equipment for the First Nations and Inuit Home and Community Care Program

The information in this appendix was generated from input received from established First Nations and Inuit home and community programs, Health Transition Fund home care pilot sites, home care nurses, and experts from provincial home care programs.

Access to medical supplies and equipment is an essential element in the delivery of home and community care services (ref: Home and Community Care Program Framework and Criteria). Each community, tribal council, alliance or regional association must therefore ensure that it has access to basic medical supplies and equipment to address the needs of the home care clients.

The following is a recommended list of basic and supplementary medical supplies and equipment broken down in three categories:

• the basic and supplementary supplies and equipment needed by the home care nurse to perform her/his duties during home visits;
  
• basic equipment to meet immediate and short term home care client needs; and
  
• high utilization items required in the care of home care clients (e.g. dressing supplies, diabetic supplies, incontinence supplies).

It should be noted that for all three categories, particularly in categories (2) and (3), the list of items should be validated against the community's case load requirements. While this may be difficult to do until communities have fully operational programs in place, it is recommended as an interim measure, that communities review the following data to validate its requirements against the recommended basic list of medical supplies and equipment:

• data collected through the community needs assessment process for the Home and Community Care Program;
• data on items purchased through the Drug Distribution Program; and
• medical supplies and equipment utilization data available from the Non-Insured Health Benefits Health Information Claims Processing System (this information can be obtained by contacting the Non-Insured Health Benefits unit in your region).

Basic and supplementary supplies and equipment needed by the home care nurse to perform her/his duties during home visits (contents of the Home and Community Care Program Nursing Bag)

BASIC EQUIPMENT

1 dual head stethoscope
1 sphygmomanometer
* child cuff (if providing nursing care to any children)
* adult cuff
* obese cuff (if providing nursing care to larger clients)
1 bandage scissors
1 suture scissors
1 diagnostic set
* ophthalmoscope
* otoscope
1 electronic thermometer with probe covers
1 blood glucose meter
* test strips and control solution
1 tape measure
1 CPR mask
1 O2 sat monitor
1 pill cutter
1 clip remover
1 hemostat
1 forceps

Reference Material
* CPS Compendium of Drugs
* Drug Handbook
* Nursing Care Resource Materials

BASIC SUPPLIES

• disposable gloves - non sterile
• disposable latex gloves - sterile
• antiseptic hand gel or water less hand-washing towels
• abdominal pads
• gauze pads 2x2 and 4x4
• alcohol wipes
• telfa pads
• paper bags
• adrenalin kit and instructions (carry only with doctors orders - most clients who use it will have it prescribed at the time)
• sharps container
• non allergic tape (wide and narrow width)
• stretch kling various sizes
• hazardous waste container
• lubrication
• normal saline

Supplementary Equipment: (if case load requires it)

• lab work equipment if doing venipuncture
• velcro walking belt

Supplementary Supplies: (if case load requires it)

• syringes
• insulin
  • 1 ml
  • 3 ml
  • 10 ml
• needles
  • 25 gauge, 5/8 inch
  • 21 gauge, 1.5 inch
• glucose for hypoglycemia
• disposable impervious aprons

Foot Care Supplies:
The following supplies are recommended only if home care nurse is certified in foot care and case load requires it (two sterile sets)

• nail nippers
• nail files
• diamond deb files
• blacks files
• spoon head probe
• stainless steel bowl (oval or kidney base which fits instruments)

Basic equipment to meet immediate and short term home care client needs: (loan cupboard items)

• wheelchair
• crutches
• walkers
• bath chairs
• commode
• bedpans
• canes
• raised toilet

High utilization items required in the care of home care clients:

Wound Care
* specialized dressings
* dry dressings
* adhesive bandages and tapes
* topical preparations

Incontinence Supplies

Diabetic Supplies
* blood glucose meter
* lancets
* insulin syringes
* insulin pens