Checklist For Study Nurse Conducting Clinical Research Visit In Home

Study nurses conducting home visits manage 40-60% more variables than clinic-based research. This clinical-focused checklist ensures patient safety, protocol compliance, and data quality outside the controlled clinic environment. It covers pre-visit clinical review, medical equipment verification, medication management, comprehensive health assessments, specimen collection, and adverse event documentation. Designed specifically for nurses running clinical trials at patient homes. Includes emergency preparedness, regulatory compliance, and quality assurance checkpoints. Takes 20-30 minutes to prepare properly, saving 1-2 hours during the actual visit.

Pre-Visit Clinical Preparation


□ Review participant’s complete medical history
□ Check recent lab results and vital signs trends
□ Verify current medications and allergies
□ Review study protocol inclusion/exclusion criteria
□ Consult with principal investigator on specific concerns
□ Prepare participant-specific care plan
□ Check for any protocol amendments
□ Review adverse event reporting procedures


Medical Equipment & Supplies


□ Blood pressure monitor (calibrated)
□ Thermometer and probe covers
□ Pulse oximeter
□ Glucometer and test strips (if needed)
□ Stethoscope
□ Weight scale (portable if required)
□ Specimen collection supplies (tubes, labels, bags)
□ Sharps container
□ Medical waste disposal bags


Clinical Documentation Preparation


□ Case report forms (CRFs)
□ Adverse event forms
□ Concomitant medication logs
□ Vital signs recording sheets
□ Lab requisition forms
□ Source documentation templates
□ Protocol deviation forms
□ Participant diary/questionnaires


Medication Management


□ Verify study drug accountability
□ Check medication storage requirements
□ Prepare drug dispensing logs
□ Review medication administration schedule
□ Confirm participant’s adherence tracking
□ Check for drug interactions
□ Prepare education materials on study medication
□ Plan for medication returns/destruction


Safety & Emergency Preparedness


□ Verify emergency contact numbers
□ Locate nearest hospital/emergency services
□ Pack emergency medical supplies
□ Review participant’s emergency action plan
□ Ensure cell phone is fully charged
□ Carry basic first aid kit
□ Review anaphylaxis protocol if applicable
□ Confirm transportation plan for emergencies


Clinical Assessment Procedures


□ Perform comprehensive health assessment
□ Measure and record all vital signs
□ Conduct physical examination per protocol
□ Assess for adverse events or SAEs
□ Review symptom diary with participant
□ Evaluate medication compliance
□ Check injection sites if applicable
□ Perform protocol-specific assessments


Specimen Collection & Handling


□ Verify fasting status if required
□ Label all specimens correctly
□ Follow chain of custody procedures
□ Use appropriate collection techniques
□ Store specimens at correct temperature
□ Complete lab requisition forms
□ Arrange specimen transportation
□ Document collection time and conditions


Participant Education & Support


□ Review study procedures and timeline
□ Educate on medication administration
□ Discuss adverse event reporting
□ Provide symptom management strategies
□ Review diary completion instructions
□ Answer clinical questions
□ Assess participant understanding
□ Provide 24/7 contact information


Regulatory Compliance


□ Ensure GCP compliance throughout visit
□ Maintain participant confidentiality
□ Complete source documentation in real-time
□ Report protocol deviations immediately
□ Document all clinical decisions
□ Ensure informed consent is current
□ Follow institutional review board guidelines
□ Maintain regulatory binder updates


Quality Assurance


□ Double-check all data entries
□ Verify CRF completion
□ Cross-reference source documents
□ Confirm specimen labeling accuracy
□ Review medication accountability
□ Check equipment calibration logs
□ Validate data against protocol requirements
□ Prepare for potential monitoring visits


Post-Visit Clinical Tasks


□ Enter data into EDC system within 24 hours
□ Report any SAEs immediately
□ Update participant’s medical record
□ Coordinate with study team on findings
□ Schedule follow-up as needed
□ Process and ship specimens
□ Complete visit payment documentation
□ File all source documents appropriately


How the Checklist For Study Nurse Conducting Clinical Research Visit In Home works


Start by reviewing the participant’s complete medical record and recent adverse events. Verify all clinical equipment is calibrated and functioning: BP monitors, thermometers, pulse oximeters, and scales. Pack medication supplies and verify study drug accountability. During the visit, perform comprehensive health assessments following protocol order. Collect specimens using proper technique and labeling. Document everything in real-time on CRFs. Assess medication compliance and provide patient education on warning signs. Complete all regulatory documentation with signatures and dates. Post-visit, enter data within 24 hours and report any serious adverse events immediately.

Clinical home visits carry 3x higher risk of protocol deviations and safety events than clinic visits. FDA inspections find documentation errors in 45% of home-visit studies. Each major deviation risks study integrity and can halt enrollment, costing $50,000-200,000 in delays. Proper preparation prevents 80% of common issues: missing supplies, equipment failures, incomplete assessments, and documentation gaps. This checklist meets GCP requirements and reduces serious adverse event reporting delays from an average of 36 hours to under 12 hours. It protects patients, ensures data quality, and keeps your study inspection-ready.


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