Reply To: Monitoring BMT Patients

  • Maritza Salazar Abshire

    Member
    September 9, 2022 at 10:04 am

    Good Morning Maureen!

    Please see answers below: 

    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?  Patients have continuous cardiac monitoring both during the infusion and have orders to continue after the infusion while inpatient. 
    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?  Our staff take a EKG Interpretation class during orientation, keep up with their knowledge and skills yearly with a series of  computer based training modules and have both PALS and ACLS.  We also have a Central Monitoring Room that monitors the patients. 
    Any other monitoring info is greatly appreciated.
    Thank you
    Maureen

    Good Luck with your new program!

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    Maritza Salazar-Abshire, MSN, MED, RN, CPON
    Senior Nursing Instructor
    The Children’s Cancer Hospital at MD Anderson Cancer Center
    Houston, Texas
    USA
    832-817-8173 (work iPhone)
    msalaza@mdanderson.org
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    Original Message:
    Sent: 09-08-2022 03:42 PM
    From: Nancy Noonan
    Subject: Monitoring BMT Patients

    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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