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Sorry for the reply a few months later on this subject. We are in the midst of trying to work out home CADD pumps for blina. Did you provide a tip sheet to the family? Just curious how everyone is going about it. Thank you! MaryFaith
——————————————- Original Message: Sent: 5/6/2020 8:47:00 AM From: Kristine Rogers Subject: RE: Blinatumomab ( blyncito)
Good Morning, Jennifer:
We recently had an 11 year old patient successfully complete a full 28 day course with Blina. Like you, the 7 day infusion did not go well and the pump alarmed often, so we only attempted that one time. The patient’s mom and the home health nurse were on the phone with the nurse from the pump company in the middle of the night 2 nights in a row so we brought the patient back in to the hospital and started a 24 hour bag. After that we used 24, 48, 72 and 96 hour bags as worked for the family and our clinic schedule to get him through the 28 days.
I would say the key to the success of this was the strong communication between the family, home care, the CADD pump company InfuSystems and our clinic staff. Best of luck.
Kristine Rogers, MSN, RN
Maine Children’s Cancer Program
100 Campus Dr. Ste 107
Scarborough, Maine 04074
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We recently created a policy and training to start these patients on the home CADD pump. Nursing was trained and our inpatient unit purchased their own pumps so we could avoid issues with billing for the home care pump. They transition inpatient to outpatient CADD with readmission, but we don’t have to worry about different pharmacy procedures and waste of the back up bag inpatient. Our current issue is that our first patient at home did a 7 day bag, and it did not go well. The pump alarmed often and our thoughts are that the rate is just too low to maintain pressure with a port a cath, but wondering if other facilities have had success with 7 day bags and what line are they using.
Also, does anyone have a process in place for communication if a family continues to have problems with the pump but can’t get a hold of home care, or their issue isn’t resolved?
—————————— Jennifer Nordin, RN Leawood, KS United States ——————————