Reply To: Desensitization

  • Angie Blackwell

    Member
    October 7, 2022 at 12:44 pm

    We now start all of our de-sensitizations on the floor with 1:1 nursing. This came about after many successful first de-sensitizations in the PICU that led us to be confident that with proper staffing we could safely do this on our unit.

     

    Angie Blackwell, MSN, RN, ACCNS-P, CPON
    Clinical Nurse Specialist

    Hematology/Oncology

    714.509.4089

     

    1201 W. La Veta   |  Orange, CA 92868

     

     

     

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    Original Message:
    Sent: 10/6/2022 4:19:00 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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