you are absolutely correct in your knowledge of the heirarchy of the infusions. The only way to charge 2 initial's is if there are 2 distinct sites for infusion...therefore if the patient is having an infusion in both arms (example) then you can charge for both initials...
It was explained to me like this:
an IVPB is the KING and he is always in charge no matter when he enters the room (the initial charge)
the IVP is the QUEEN and she is second and can only be the in-charge (initial) if the KING is not around (if a piggy-back was never administered)
the hydration is the PRINCE and he can only be in-charge (initial) if the KING and QUEEN are not around...and have never entered the room ...
sounds a little silly, but it really helped me keep the heirarchy in order...
if there are 2 kingdoms (two seperate identifable areas of infusions) then and only then can you have another KING/QUEEN/PRINCE
good luck explaining that to your supervisor without her thinking you are a little bizarre!!
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