Subcutaneous immune globulin (SCIg) is a blood product alternative to IVIg, offering patients (and caregivers) who have received appropriate training an at home infusion option.

SCIg home infusion programs are managed and maintained by individual Health Authorities. The templates below are resources Health Authorities may wish to customize for their own programs or clinics.

 

 

SCIG Resource Kit

Provincial Guidelines for SCIG Home Infusion Programs

Jan 2023

Process Map & Roles and Responsibilities

Apr 2023
 Training Materials  

Teaching Plan

 Apr 2023

Patient / Caregiver Skill Assessment

Apr 2023

Patient / Caregiver Post-Training Review

Apr 2023 
Patient Handouts
 

Information for Patients and Caregivers

 Apr 2023

Patient Handbook

 Apr 2023
Home Infusion Log Apr 2023

Quick Reference Guide: How to draw SCIG into a syringe

Under Review 
Forms and Letters Templates
 
Physician's Order Form for SCIg Apr 2023

Patient Referral Form

Apr 2023

Patient Participation Agreement

Apr 2023

Product Order Pick-Up - Laboratory Notification

Apr 2023

Patient Transfer Form

Mar 2024

Travel Letter

Apr 2023

Pre-Training; Letter to Practitioner

Apr 2023

Post-Training; Letter to Practitioner

 Apr 2023