This specialty practice discussion group is intended for nurse educator members of APHON. Remember... View more
This specialty practice discussion group is intended for nurse educator members of APHON. Remember that anything published in this community can be seen by any member of the community. Please be considerate of the HIPAA Privacy Rule when posting to the community.
Loucine, This has been an issue at every hospital I have worked at and I have worked at 7 different large pediatric oncology units. What is working for us is increasing the rate starting at 3 hours before the end. This has been an issue for the past 20 plus years due to the large volume and pumps. So much they change the protocols to allow the MTX to end in 26 hours vs 24. Pumps are more sensitive now also so there is a delay. We run til dry because our RX takes pictures of hand injecting drug. Alaris pumps has an average 8% inaccuracy rate.
Search MTX or Methotrexate and I am sure you will see several threads 🙂 Good luck!
—————————— Cara Johnson RNIII, BSN, CPON® Clinical Manager Hematology/Oncology Inpatient Cincinnati Childrens Hospital firstname.lastname@example.org Work: (513)803-0306 Cell: (513) 490-9253 —————————— ——————————————- Original Message: Sent: 02-07-2020 05:57 AM From: Loucine Kaplanian Subject: Methotrexate infusion
Dear Members, Please, it is highly appreciated if you provide us feedback on the following inquiries:
We are facing problems with accuracy in the chemotherapy infusion volume, especially methotrexate. Are you facing issues with chemotherapy bags? When the infusion time of the chemotherapy is over while the chemotherapy bag is still full? Note that we know that all bags could have an additional 10% or minus 10% volume. However, the remaining amount that we are having left after the infusion is over is more than 10%. Do you run the remaining amount ? or you only run the volume and the rate you initially set on the of the pump?