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On-Demand Nursing

Our national home infusion partners provide clinical nursing services that support the safe administration of infusion and injectable therapies outside of hospital settings. Through a coordinated model that works alongside prescribing physicians, specialty pharmacies, and care teams, patients can receive treatment at home while maintaining high standards of clinical oversight and safety.

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Home Infusion

Our Services

IV Infusion Therapy

Registered nurses administer intravenous medications and therapies in the patient’s home according to the prescribing provider’s care plan. Services include preparation, infusion administration, patient observation during treatment, and post-therapy documentation to ensure safe and effective delivery of IV medications outside of hospital or clinic settings.

Specialty Medications

Clinicians support the administration of injectable biologic therapies and specialty medications that require professional oversight. This includes proper preparation, injection technique, patient observation, and coordination with prescribing providers and dispensing pharmacies to ensure treatments are delivered safely and in accordance with therapy protocols.

Assessment and Monitoring

Before, during, and after therapy, clinicians perform comprehensive patient assessments to confirm readiness for treatment and monitor response. This includes reviewing vital signs, evaluating symptoms, documenting clinical observations, and communicating relevant findings to the care team to support safe therapy continuation.

Central Line Care

Specialized nursing support is provided for the management of central venous access devices, including PICC lines, ports, and other long-term access lines. Services include dressing changes, flushing protocols, site assessment, and maintenance procedures designed to reduce infection risk and maintain proper device function.

Patient Education

Patients and caregivers receive clear guidance on therapy expectations, medication administration, and care requirements within the home setting. Education helps ensure patients understand their treatment plan, recognize potential concerns, and feel confident managing therapy between clinical visits.

Adverse Event Reporting

Clinicians monitor patients for potential adverse reactions or complications associated with infusion or injectable therapies. Any observed events are documented and communicated promptly to the prescribing provider and relevant care partners, supporting timely clinical decision making and patient safety.

Frequently asked questions

What locations are supported?

Home infusion services are available coast to coast across Canada and the United States, covering all provinces and states. Availability in specific regions may vary by therapy type, scheduling needs, and patient location, and each request is coordinated to ensure coverage with the right clinical partner.

What licensing and regulatory requirements apply?

Home infusion nurses typically operate as subcontractors to licensed pharmacies or home health agencies and do not hold independent state-by-state home health licenses. That said, Billions partners with both licensed home health agencies and subcontracted home infusion providers, ensuring every engagement meets local regulatory and clinical requirements. When you work with us, we connect you with the right partner agency for your patient population and therapy type, enabling safe and compliant care across the U.S. and Canada.

How are clinical outcomes and service quality measured?

We track key performance indicators such as visit completion rates, patient adherence, documentation accuracy, adverse event reporting, and turnaround on provider communications. These metrics ensure high-quality care and allow you to evaluate program effectiveness while maintaining oversight of all clinical activities.

What companies can benefit from these services?

We provide home infusion support to organizations that need reliable clinical nursing services for patients receiving specialty therapies. This includes specialty and compounding pharmacies, physician groups, telehealth providers, pharmaceutical manufacturers, and clinic-based infusion programs.

Who handles billing and claims?

Billing is typically managed by the pharmacy or contracted provider, depending on your engagement.

Do you support manufacturer patient support programs (PSP)?

Yes. Our partners can work within manufacturer PSP requirements, assisting with patient enrollment, therapy adherence tracking, and coordination of nursing services. This ensures patients receive the right support while maintaining compliance with manufacturer protocols.