Outpatient Staff Clinic Issues
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Reply To: Blina and central line
MemberNovember 10, 2021 at 1:18 pm
At Children’s Wisconsin we’ve used the TJ-500 bags (they are actually made for Joey pumps but we really like them for blina) from Triac Medical (triacmed.com) for many years. We rent our pumps and get our tubing through InfuSystem (they provide bags too, but my young patients/families didn’t like them so I only use the Infusystem ones with young adult patients) and use the CADD Solis pump with this tubing:
We do a ton of blina and of course have had some issues with lines here or there (it’s gonna happen sometimes with active little kids unfortunately), but are happy with this product. We strictly do 3 and 4 day bags and do NOT do 7 day bags under any circumstances (I do believe the tubing I mentioned above cannot be used with 7 day bags-if I’m remembering correctly, I think InfuSystem told me it could melt the filter).
Hope that’s helpful!
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Sent: 11/10/2021 8:49:00 AM
From: Glenna Swann
Subject: RE: Blina and central line
Our institution follows mostly DFCI protocols for ALL so we are fairly new to using Blina – we have only had 2 patients so far. How are so many of you using the 7 day bag with the preservatives? We were under the impression from Amgen and our pharmacists that 7 day bags should not be used in pediatric patients under a certain kg of body weight because of the preservatives. Obviously a 7 day bag would be much easier!
Also, can everyone share what kind of backpack and tubing you are currently using? We have had several issues with our 2 patients with tubing connection breakage.
Glenna Swann, BSN, RN, CPHON
Glenna Swann, RN
Sent: 11-10-2021 07:13 AM
From: Jennifer Hadjar
Subject: Blina and central line
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
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
Golisano Children’s Hospital of SWFL<o:p></o:p>
Jennifer Vega, CPON,FNP-C,RN
Punta Gorda, FL