Reply To: Intracerebroventircular chemotherapy/biotherapy via Ommaya

  • Stephanie Vitolano

    January 19, 2022 at 10:33 am
    Hi all–We currently just use Betadine and do access as a sterile procedure.  Would love to hear more of what anyone is doing and thoughts on it also.  AND would love to see the link to the video! Thanks!

    Stephanie Vitolano, CPNP
    Pediatric NeuroOncology/Pediatric Neurosurgery
    MSK Kids
    1275 York Avenue
    NY, NY 10065
    Beeper 1704


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    Original Message:
    Sent: 1/18/2022 9:39:00 PM
    From: Holly Remington Kubaney
    Subject: RE: Intracerebroventircular chemotherapy/biotherapy via Ommaya

    Hi Myra,

    We use chloraprep to clean our ommaya site and yes it is a sterile procedure.  We created a video of a 3yo patient undergoing an Ommaya tap/chemo admin and our neuro-onc NP wrote the SOP.  Happy to share both if you’d like!

    Holly R. Kubaney, MSN, PPCNP-BC, CPHON

    Pediatric Nurse Practitioner

    Dell Children’s Blood and Cancer Center, Austin, Texas

    Lymphoid Disease Committee Nurse, Children’s Oncology Group
    t: 512-628-1900        m: 512-350-3754

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    Original Message:
    Sent: 1/18/2022 10:20:00 AM
    From: Myra Woolery
    Subject: Intracerebroventircular chemotherapy/biotherapy via Ommaya

    We are in the process of revising our Ommaya Reservoir policy, standards of practice, and procedure.

    • Access site cleanse: We currently use hibiclens and betadine to cleanse the site.  We were informed hibiclens is currently in short supply and we need to come up with an alternative cleansing procedure. What does your institution use for cleansing the site prior to accessing the Ommaya Reservoir?
    • Is the procedure at your institution sterile?  

    Thank you for the information

    Myra Woolery, CPON,PHD,RN
    Clinical Nurse Specialist
    Baltimore, MD
    United States