The Transplant Foundations course is designed to teach nurses learners how to care for pediatric transplant patients at their institution. This course emphasizes:
- Core foundational concepts that are required before learning specific institutional practices
- A multi-disciplinary team approach and plan of care
- Providing psycho-social support and education for patients, parents and family members about what to do/expect during their care
This course is meant to be paired with classroom training about institutional-specific pediatric transplant practices. Providing these online modules reduces the nurse educator preparation time and time in the classroom.
This course is written for the following target audiences.
- Novice nurses with limited pediatric clinical experience and no stem cell transplant experience.
- Experienced nurses who don’t have hematology, oncology, bone marrow transplant (BMT), or pediatric experience. These nurses may know adult stem cell transplant, but have not cared for pediatric patients.
- Nurse Practitioners who may have some experience, but not extensive transplant experience.
Nurses should complete the APHON Chemo/Bio curriculum prior to taking this course.
After completing the Transplant Foundations course, the nurse will be able to:
- Identify and define the types and source of transplants
- Identify indications for transplants and ethical considerations
- Identify the types of conditioning regimens for BMT and their potential adverse effects
- Administer and manage cellular therapy infusions
- Conduct assessments specific to pediatric BMT patients
- Manage symptoms as needed and required (pain, mucositis, nausea, vomiting, skin integrity, etc.)
- Recognize the complications for each type of transplant regardless of donor source or conditioning regimen
- In the event of an emergency, immediately intervene
- For non-emergencies, notify/escalate to the appropriate provider who should intervene
- Describe post-transplantation immune re-constitution and late effects after BMT
- Plan for safe discharge including home and follow-up care
- Maintain professional boundaries and care for self
- Care for an initial, small cohort, less complicated stem cell patient
This course has nine modules.
- Transplant Types and Sources
- Transplant Indications and Ethical Considerations
- Conditioning Regimens
- Administration and Management of Infusions
- Recognize and Manage Toxicities and Side Effects
- Recognize and Manage Complications
- Discharge Planning and Education
- Immune Re-Constitution and Late Effects
- Boundaries and Self-Care
Upon successful completion of this course, nurses will earn 9 CNE. There is no pharmacology hours associated with this activity.
All modules have include knowledge checks with feedback for correct and incorrect answers. Successful completion of module knowledge checks will be a prerequisite for moving forward in the course.
To complete the course and earn CNE, users must pass all module knowledge checks.
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PowerPoint versions of each module can be downloaded from each module page for use in didactic teaching.
Misty Evans, DNP APRN CPNP-AC BMTCN®
Nurse Practitioner, Assistant Professor
Janice Nuuhiwa, MSN RN NPD-BC CPHON®
Nursing Professional Development Specialist
Ann & Robert H. Lurie Children’s Hospital of Chicago
Rita L. Secola, PhD RN NEA-BC CPON® FAAN
Clinical Service Director
Children’s Hospital Los Angeles
Los Angeles, California
Karen Wolownik, MSN RN CPNP CPHON®
Pediatric Nurse Practitioner and Clinical Educator
Maria Fareri Children’s Hospital New York Medical College
Valhalla, New York
Caroline Costello, MBA BSN RN CPON® BMTCN® NPD-BC
Nursing Education Coordinator
Boston Children’s Hospital
Ellen Olson, MS RN CPNP CPHON® BMTCN®
Blood and Marrow Transplant Nurse Practitioner
Children’s Healthcare of Atlanta/Aflac Cancer Center & Blood Disorders