Reply To: Monitoring BMT Patients

  • Nancy Noonan

    September 8, 2022 at 4:43 pm

    Good afternoon:

    Our patients do not receive telemetry monitoring during BMT trajectory.  Our staff is PALS trained (brady/tachy/absence of rhythms); however, they do not receive ECG telemetry training that includes interpretation/advanced rhythm identification. Patients may be placed on CR monitor in addition to oxygen saturation monitoring if there is concern about serious illness, excessive sedation, and/or to facilitate frequent vital signs and not disturbing patient; however, we do not routinely place patients on CR monitors.  We do have a central monitoring station if there is a need for such intervention without nurse monitored telemetry. 

    We do not use CR monitors during stem cell / product infusion unless required to do so by clinical trials. 

    Good luck with your planning/implementation.

    Nancy Noonan, MS,RN,BMTCN,CNS
    San Francisco, CA
    United States
    Original Message:
    Sent: 09-08-2022 08:22 AM
    From: Maureen Sanders
    Subject: Monitoring BMT Patients

    Good morning,
    We are starting a BMT program and would like to know how you are monitoring your patients.
    Do you monitor (telemetry) during cell infusions only or continuously?
    If continuous do your nurses take a critical care EKG class and what is the expectation of them in regard to reading and interpreting the rhythms?
    Any other monitoring info is greatly appreciated.
    Thank you

    Maureen Sanders, CPON,RN
    Oviedo, FL
    United States