Knee Aspiration & Injection Procedure for Home Based Medical Care Providers - HCCIntelligence™ Premier Resource - 2024-Knee Aspiration & Injection Procedure for Home Based Medical Care Providers - HCCIntelligence™ Premier Resource

Knee Aspiration & Injection Procedure for Home Based Medical Care Providers - HCCIntelligence™ Premier Resource - 2024

Pdf Summary

This resource provides step-by-step instructions for performing knee aspirations and injections in the home setting for home-based primary care (HBPC) providers and practice staff. The document includes a list of equipment needed for the procedure, such as gloves, syringes, povidone-iodine, and corticosteroids. <br /><br />The procedure begins with counseling the patient and obtaining consent. Safety measures, such as patient identification verification and allergy checks, are then taken. The provider should wash hands and apply gloves before positioning the patient in a supine position with the knee slightly flexed. The injection site is marked 1 cm above and 1 cm lateral or medial to the patella. <br /><br />The injection site is cleaned with povidone-iodine or chlorhexidine swabs. The medication vial diaphragms are wiped with alcohol. A syringe of corticosteroid and anesthetic agent are drawn up. If desired, local anesthetic can be applied to the injection site. <br /><br />For aspiration, a 10-ml empty syringe is used with an 18 to 20-gauge needle. The needle is inserted under the patella at a 45-degree angle and the effusion is aspirated. Once the syringe is filled, the aspiration syringe is disconnected and the corticosteroid syringe is connected to inject into the synovial space. If no effusion is present, the corticosteroid-filled syringe with a 25-gauge needle is used. <br /><br />After the procedure, the needle is withdrawn and pressure is applied to the site. The patient should be educated on post-injection instructions. The document also includes billing and other considerations, as well as potential complications and how to manage them. <br /><br />The resource is part of the Home Centered Care Institute and offers additional resources, such as webinars and tools, for home-based primary care providers.

Keywords

knee aspirations

injections

home-based primary care

HBPC providers

equipment needed

patient counseling

safety measures

injection site

corticosteroids

complications