Reply To: Monitoring BMT Patients

  • Nancy Noonan

    Member
    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.

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    Nancy Noonan, MS,RN,BMTCN,CNS
    San Francisco, CA
    United States
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    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

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    Maureen Sanders, CPON,RN
    Oviedo, FL
    United States
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