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All of the above! We typically use the 7 day bag- It really depends on the kid and labs. Most of ours have a dual port- so it’s really a non issue. With a single port, we do not use emla with needle changes.
At my prior institution, when I was in adults, if the patient only had a single port, we would place a picc line.
—————————— Jennifer Hadjar, MSN,RN,OCN Director of Nursing —————————— ——————————————- Original Message: Sent: 11-09-2021 12:30 PM From: Jennifer Vega Subject: Blina and central line
We allow our patients to go home during blinatumomab infusions and they return every 3 or 4 days (depending on bag size) for a bag change. Our patients have mediports so the needle must be changed with the bag change every 7 days.
Currently at our institution we do not allow for anesthetic (Emla) with mediport deaccess and then reaccess to minimize the time of interruption of the blina infusion. We want to make this less traumatic for our patients so would appreciate any input on practices being used!
Jennifer Vega, APRN Pediatric Hematology/Oncology Golisano Children’s Hospital of SWFL<o:p></o:p>
—————————— Jennifer Vega, CPON,FNP-C,RN Punta Gorda, FL ——————————