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Reply To: Transition from BMT to Hem/Onc, nursing care
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.
—————————— Debra Bruene University of Iowa Children’s Hospital Iowa City, IA United States ——————————
——————————————- Original Message: Sent: 04-06-2015 03:37 PM From: Mary Lynn Rae Subject: Transition from BMT to Hem/Onc, nursing care
—————————— Mary Lynn Rae, CPHON, MSN, RN Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, IL United States ——————————
——————————————- 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 . ——————————————-
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! —————————— Michelle Gillard, MSN,CPHON Phoenix Children’s Hospital Phoenix, AZ United States ——————————