Get Pre Infusion Checklist

The Pre Infusion Checklist is a crucial document that must be completed prior to administering to ensure patient safety and compliance with prescribing protocols. This guide provides clear instructions for users navigating the online version of this checklist, ensuring a smooth and efficient completion process.

Follow the steps to complete the Pre Infusion Checklist online.

1. Click ‘Get Form’ button to access the Pre Infusion Checklist and open it in your editing interface. This allows you to start filling out the necessary information for the patient's infusion.
2. Begin by entering the patient’s name, including first, middle initial, and last name. You will also need the patient enrollment number, which is issued by Biogen Idec. If you do not have this number on file, contact the Outreach at 1-800-456-2255 or visit www.touchprogram.com.
3. Next, fill in the site name and authorization number for the infusion center. This information is vital for establishing the context of the infusion and meeting authorization requirements.
4. Confirm the patient’s authorization status to receive by checking their record. If they have not received their previous infusion, ensure that physician clearance is verified before proceeding.
5. Ask the patient if they have read and understood the Patient Medication Guide. If the patient has not, provide this guide before continuing to the next question.
6. Proceed to ask the relevant medical questions. Record the patient's answers for questions about new or worsening medical problems, and other medications they may be taking.
7. If any answers raise concerns regarding the patient's medical status or medications, do not proceed with the infusion and contact the prescribing healthcare provider for further instructions.
8. Document the date infused or note if the patient was not infused. Input the date of any scheduled future infusion and sign the checklist to confirm the completion of the review process.
9. Submit the Pre Infusion Checklist online or fax it to Biogen Idec, ensuring you retain a copy in the patient's records for reference.

Complete your documents online for efficiency and accuracy.