Reply To: Home Cytarabine Administration

  • Patricia Conlon

    Member
    June 4, 2022 at 12:08 pm

    Please see below

     

     

    Patricia Conlon, MS, APRN, CNS

    Assistant Professor of Nursing

    Pediatric Clinical Nurse Specialist

    Pediatric Infusion Therapy Center

    Ambulatory Hematology/Oncology

    Radiation Oncology

    Ambulatory Pediatric Surgery

     

    Mayo Clinic Children’s Center

    Tel: 507-255-6003

    Pager: 127- 17435

    conlon.patricia@mayo.edu

     

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    Original Message:
    Sent: 5/24/2022 1:01:00 PM
    From: Anne Joseph
    Subject: Home Cytarabine Administration

    Hello!

    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

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