Reply To: Transition from BMT to Hem/Onc, nursing care

  • Debra Bruene

    Member
    April 6, 2015 at 7:04 pm
  • During the preparative regimen and after day 100, if needed, a non-BMT oriented nurse (but nurse oriented to hem/onc) could provide care to a BMT patient.  I can’t think of when this was needed in recent time.  they would of course have a resource person. 
  • We have had a non-BMT nurse care for a patient re-admitted.  BMT nurses generally care for patients that are still on immunosuppression or who are being readmitted for a transplant related condition/side effect.  If admitted outside of those reasons, a non-BMT nurse may provide care but that rarely is needed either. 
  • We use the 100 day criteria for auto, but not allo.  The allo timeframes are determined by amount of immunosuppression still required and patient specific.
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    Debra Bruene
    University of Iowa Children’s Hospital
    Iowa City, IA
    United States
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    Original Message:
    Sent: 04-06-2015 03:37 PM
    From: Mary Lynn Rae
    Subject: Transition from BMT to Hem/Onc, nursing care

    See below.

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    Mary Lynn Rae, CPHON, MSN, RN
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 04-06-2015 11:38 AM
    From: Michelle Gillard
    Subject: Transition from BMT to Hem/Onc, nursing care

    This message has been cross posted to the following Discussions: Nurse Educators and Bone Marrow Transplant .
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    Hello from Phoenix!

    Would anyone be willing to share whether there are any segments during the course of the BMT admission when your patients are cared for by a non-BMT trained RN?

    • During the preparative regimen? Before day zero if we are short staffed, non SCT RNs can take the patients for the chemo portion. Otherwise after day 0–SCT RNs. 
    • After day 100? If we are short of SCT RNs and the patient is not too complex yes.
    • After initial admission/discharge (so readmits)?
      • Also, please specify whether timeline post-transplant comes into consideration–only if the patient is not too complex and we have staffing issues.

    Thank you! 
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    Michelle Gillard, MSN,CPHON
    Phoenix Children’s Hospital
    Phoenix, AZ
    United States
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