Reply To: SIP accessing in emergency department

  • Teresa Munson

    April 29, 2020 at 9:50 am

    ​Our ED nurses have also struggled accessing ports. We currently have the ED spend a day orienting to port access in the Infusion Center. We have a few ports they can practice with and learn how to hold the needle and learn tricks from the Infusion staff. We usually let them watch one access then attempt another one or two depending on the number of patients and the patient allowing them to access their port with our nurse present .. This is work in process so hopefully it increase the ED nurse confidence in accessing ports.

    Teresa Munson, RN, BSN, CPHON
    Nurse Manager
    Norton Children’s Hospital
    Infusion Center
    Louisville, Kentucky
    United States
    Original Message:
    Sent: 04-28-2020 05:06 PM
    From: Mindy Bibart
    Subject: SIP accessing in emergency department


    Over the years, we have heard consistent feedback from our patients and families concerning their distress associated with having their port accessed by a nurse who isn’t as familiar with ports as hem/onc nurses. In response to their feedback, we have implemented hem/onc nurses accessing ports within the ED. Although adding this step has greatly improved patient satisfaction and decreased levels of distress about ED visits, it has negatively impacted our TTA metrics.

    Are any other programs sending hem/onc nurses to the ED or elsewhere to access ports? If so, has it impacted your TTA? If so, have you found solutions that have been beneficial in ensuring patients receive antibiotics quickly?

    Thank you,

    Mindy Bibart, MSN RN CPHON NE-BC CSSBB
    Director of Patient Care Services, Hematology/Oncology/Blood and Marrow Transplant
    Nationwide Children’s Hospital
    Columbus, OH