Reply To: Desensitization

  • Tracy Dankanich

    Member
    October 7, 2022 at 12:30 pm

    Hi Ryan,

    In our system, we have a few PICU RNs whom have completed Aphon course for biotherapy and some have completed BMT class and spent a month on a BMT unit for experience with BMT pts.

    This enables the PICU trained RNs to administer while pts are in the ICU and also provides familiarity if pt requires a second PICU admission along with any critical care needs pts may have.

    Only occasionally do Hem/Onc nurses have to come to PICU ,only when Aphon trained PICU nurses are not available. 

    Any further insight I can provide I would be happy to

    Tracy

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    Tracy L Dankanich
    RN BSN CCRN
    Buffalo, NY
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    Original Message:
    Sent: 10-06-2022 03:18 PM
    From: Ryan Profetto
    Subject: Desensitization

    Hi all,

    It seems like this question has been asked in the past, but I would love to get some more current answers than were on the previous threads. When we identify the need for a patient to get a chemo desensitization, their initial dose is given in the PICU, but 2 Heme/Onc RNs are required to hang each bag and depending on the agent: flush and take down the bag (sometimes the protocol calls for up to 4 bags) which is very resource intensive and leaves the floor short for a considerable amount of time.

    My question is, if a patient receives a successful first desensitization in the ICU, do any institutions perform subsequent desensitization protocols on the heme/onc unit? Is there a certain number of “successful” desensitizations that must be done before considering moving them to the floor? And what ratios do you staff the patient in… 2:1, 1:1? Just looking to benchmark what other institutions are doing so we can try to optimize our resource utilization.

    Thanks,
    Ryan​

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    Ryan Profetto, BSN, RN, CPHON, BMTCN
    Clinical Nurse II
    UCSF Benioff Children’s Hospital
    Pediatric Hematology/Oncology/Blood and Marrow Transplant
    San Francisco, CA
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