Reply To: Infusion Services with a Hem/Onc Clinic

  • Angela Tidwell

    August 19, 2016 at 11:30 am

    Our outpatient clinics cover seven primary services: 1) Leukemia, 2) Solid Tumor, 3) Hematology, 4) Infectious Diseases, 5) Neuro Oncology, 6) Stem Cell Transplantation, and 7) ACT (After Completion of Therapy). Multiple subspecialty clinics provide additional support services for patients. Each clinic program is based upon the patient’s diagnosis, protocol, and individual needs of the patient and family.

    Below is an approximate breakdown for each clinic. This does not include the number of clinic RNs. Physicians are not typically in clinic every day of the week but instead have two primary clinic days. We do not have the space to accommodate all physicians in clinic at the same time thus they have alternate clinic days.

    Leukemia clinic – 10-12 physicians, 7 NPs (50-70 patients per day)

    Solid Tumor – 11 physicians, 7 NPs (35-45 patients per day)

    Hematology – 5 physicians, 13 NPs (35 patients per day)

    Transplant – 6 physicians, 7 NPs/PA (15-20 patients per day)

    NeuroOncology – 8 physicians, 5 NPs (35-45 patients per day)

    ACT – 7 physicians, 6 NPs (15 patients per day)

    Infectious Diseases – 7 MDs, 5 NPs (10-15 patients per day)

    One subspecialty clinic that encompasses neurology/EEG, pain, anesthesia, surgery, gyn, nephrology, cardiology, pulmonology, plastic surgery, quality of life, wound care, orthopedics, GI, genetics, opthamology, podiatry, fertility.

    All clinics combined see approximately 300 patients per day.

    Our infusion room (medicine room) sees approximately 60-80 patients per day. Average is 60 scheduled with unscheduled patients added every day.

    The scheduling system template is somewhat confusing and may be difficult to explain. In the system there are 8 medicine room nurse scheduling spots. Within each “spot” there is the capability of each nurse having three patients scheduled during a time block. There is not a cap on the number of patients that can be scheduled each day.

    In the infusion room there are 26 rooms and 2 chairs. The chairs are typically used for patients requiring <15 minutes time. Short infusions are considered anything <2 hours. Long infusions are anything 2 hours or longer. Add-on patients are just scheduled as there is an open spot. Thus, we are open 24 hours per day. We try not to schedule chemotherapy at night but infusions that are started later in the day may run into early/late evening. Blood products are a large portion of add-on appointments.

    Angela Tidwell, MSN,RN
    St Jude Childrens Research Hospital
    Memphis, TN
    United States
    Original Message:
    Sent: 06-22-2015 06:12 PM
    From: Dawn Mannon
    Subject: Infusion Services with a Hem/Onc Clinic

    This message has been cross posted to the following Discussions: Nurse Managers and Outpatient Staff Clinic Issues .

    Hi Everyone,


    I believe the question had been asked if other facilities provide infusion services to other specialties beside hem/onc.  I am now asking a question to build on this”


    1.  How many providers are in clinic seeing patients on a given day?

    2.  How many patients do you see each day (both provider/infusion/nurse visits)?

    3.  How many infusion chairs/spots do you have?  

    4.  How do you schedule your infusion chairs?  What about add on’s?

    Dawn Mannon, BSN,RN
    Phoenix, AZ
    United States