Reply To: Home Cytarabine Administration

  • Lauren Orallo

    May 25, 2022 at 6:59 pm


    I know you mentioned you specifically want SQ ARAC information but at my facility we teach families how to give it IV at home. 

    We give the first dose in the Infusion Center and simultaneously teach them how to do it. Then they give the subsequent doses at home. Pretty much every patient gives it at home unless we are concerned about the cleanliness or ability to follow through and administer it. Or if a family states they absolutely do not feel comfortable giving it at home. 

    The teaching method we use is SASH- saline, Arac, saline, heparin. 

    There have been a few times we teach families how to give it SQ (usually because of insurance). 

    If you have any more questions let me know!

    Lauren Orallo, BSN,CPHON,RN
    Monrovia, CA
    United States
    Original Message:
    Sent: 05-24-2022 12:00 PM
    From: Anne Joseph
    Subject: Home Cytarabine Administration


    I am looking for information from institutions that have the parents/caregivers administer SQ Cytarabine at home.  Currently, our patients either receive their Ara-C via Home Health Care (their choice of SQ or IV), or they come to receive it in our Day Hospital if they do not have HHC coverage.  We are experiencing difficulties with the Home Health agencies having nursing availability.  We would like to consider teaching some of the parents how to do home administration of SQ Ara-C.

    I am looking for resources that we would use for educating the families.  We have a subcutaneous injection teaching sheet, but we would want to have something more comprehensive that takes into consideration the chemo precautions/safety.

    Can you please answer the following questions:

    • What educational resources do you have for the families?
    • Are families given the choice if they would like to learn how to do it at home?  Or is everyone automatically expected to do it?
    • Do they administer the first dose in your facility with one of your nurses?  If yes, is that chemo supplied by your hospital pharmacy or the same pharmacy that will be providing the home doses?
    • How are families provided with a spill kit, chemo sharps container, etc?  
    • Any other tips we need to consider?

    Thanks in advance for any input you can give me!


    Anne Joseph, BSN,CPHON,RN
    Milwaukee, WI
    United States