Reply To: Thiotepa skin care

  • Mary Lynn Rae

    May 15, 2014 at 10:05 pm

    See below. 

    Mary Lynn Rae
    Ann & Robert Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States

    Original Message:
    Sent: 05-14-2014 10:31 AM
    From: Amy Spence
    Subject: Thiotepa skin care

    This message has been cross posted to the following Discussions: Inpatient Staff Hospital Issues and Bone Marrow Transplant .
    What is your practice for skin care for patients receiving HSCT/BMT prep dosing of Thiotepa, specifically:
    *What do you use to bathe? Soap and water

    *How often are the baths and are they spaced evenly over the 24 hrs (do you allow longer periods during night time)? Q6 hours (try for a schedule of 1000, 1600, 2200, 0400 (around VS)

    *What is your process for CVL care with the baths? We just wrap the CVC with an ace wrap or Kerlix and then put a gauze dressing on afterwards.  We also use Glad Press N Seal during baths.

    *Any additional items done for patients in diapers? No

    *In relation to the start of the prep with Thiotepa, when does the patient receive their CVL (immediately before, a week before etc.)? Varies

    Thank you so much! The literature has not turned up much so we are now seeking best practice information.

    Amy Spence
    Seminole, FL
    United States