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Knee Aspiration and Injection Procedure for HBPC P ...
Knee Aspiration and Injection Procedure for HBPC Providers
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Pdf Summary
This document from the Home Centered Care Institute (HCCI), published in April 2021, provides comprehensive step-by-step instructions for home-based primary care providers and practice staff on performing knee aspirations and injections in a home setting. Key components of the procedure include patient counseling, obtaining consent, ensuring safety protocols, preparing the patient, and administering the injection.<br /><br />Essential equipment includes sterile gloves, syringes of various sizes, needles, povidone-iodine or chlorhexidine swabs, alcohol wipes, gauze, local anesthetics (e.g., lidocaine and bupivacaine), corticosteroids (e.g., betamethasone, methylprednisolone, triamcinolone), and other necessary items like hemostats, fluid collection containers, adhesive bandages, and sharps containers.<br /><br />The procedure begins with explaining the risks and benefits to the patient and caregivers, obtaining consent, confirming patient identity and allergies, and adhering to hygiene protocols. The knee should be positioned appropriately, and the injection site is marked and cleaned. Syringes with the necessary medication are prepared, and local anesthesia is applied if needed.<br /><br />For aspiration, an 18 to 20-gauge needle attached to a 10-ml syringe is used to aspirate fluid from the knee joint. The corticosteroid is then injected into the synovial space. If no aspiration is necessary, a 25-gauge needle is used for corticosteroid injection alone. After the procedure, the site is cleaned and bandaged, and post-injection care instructions are provided.<br /><br />HCCI offers additional resources through its HCCIntelligence Resource Center, including webinars, virtual office hours, and downloadable educational materials. Billing information and potential complications such as infections, local trauma, steroid flare, hyperglycemia, and facial flushing are also outlined. Contraindications include infections, severe coagulopathy, and more than three injections per year.<br /><br />For further assistance, HCCI provides a helpline and email support.
Keywords
home-based primary care
knee aspirations
knee injections
patient counseling
sterile equipment
local anesthetics
corticosteroids
post-injection care
HCCIntelligence Resource Center
potential complications
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