Reply To: frequency of labs for BMT inpatients

  • Jennifer Hadjar

    May 27, 2021 at 9:52 am

    I can only speak to my prior organization’s structure..
    We had daily labs CBC with diff, CMP, mag, phos
    Weekly liver enz
    DEPENDING on the type of donor & immunosuppression- those labs were sometimes not easily grouped. 
    Once the ANC started to uptrend, we sometimes moved to every other day 
    Once engrafted, every 2/3 days except CBC

    Jennifer Wolfe, MSN,RN,OCN
    Director of Nursing
    Original Message:
    Sent: 05-26-2021 05:24 PM
    From: Stacy Wolf
    Subject: frequency of labs for BMT inpatients

    I wanted to see what the standard of practice at your institution re: frequency of lab monitoring for BMT patients. We current do many labs daily (CBC, chem panel) shortly after admission and throughout most of the transplant course. We are looking at our practice to see if we can decrease the frequency for many of our patients, and I wanted to get a sense of what is done elsewhere.

    • Do you have a standard frequency for BMT labs (CBC, CMP, BMP)? If so, will you please provide details.
    • Is this the same for all patients? (allo vs auto, malignant vs non-malignant, donor type, prep, use of CNIs, etc.)

    Thanks in advance!

    Stacy Wolf, CPNP-AC,CPON,RN
    San Francisco, CA
    United States