Laboratory

PLANNING - WORKUP

Blood Bank

Apheresis

Immunology

Respiratory

Dental

Cardiology

Radiology

VIROLOGY HEPATITIS A, B & C PROFILES BRUCELLA, EPSTEIN BARR,

HERPES, CMV, VARICELLA AB’s TOXOPLASMOSIS AB’s

RADIOLOGY CHEST X-RAY/PNSCHEST X-RAY/PNS CT SCANSCT SCANS

PLANNING - WORKUP

MOLECULAR BIOLOGY BONE MARROW BX AND ASPIRATE CHIMERISM PCR AND CYTGENETICS FOR CML PATIENTS

MICROBILOGY URINALYSIS URINE CULTURE PREGNANCY TEST IF FEMALE

OTHERS . . . AUDIOMETRY IF REQUIRED RESPIRATORY-PFT DENTAL CARDIOLOGY-EKG/ECHO

LABORATORY TESTS CBCD, PT, PTT, FIB RF, HEP, AST, ALT, AP, LD, GLUC, UREA, MG, CA, ALB

BLOOD BANK DAT, HIV, HTLV, ABO ABO ISO IF BLOOD GROUP MISMATCH

CONSENTS for Patient . . . PermCath / Hickman cath Mobilization Apheresis Allo PBSCT/Bone Marrow Transplant High dose chemotherapy Sterility Consent for Trials if applicable

CONSENTS for Donor . . . Bone Marrow Harvest Peripheral Stem cell Harvest Stiff Quinton if required

PLANNING - WORKUP

PBPC Transplant Bone Marrow Transplant Cord Transplant Harvest schedule

• TEACHING Patient family

• SCHEDULING

PLANNING - TRANSPLANT

Admission and Transplant Date

PROBLEMS ENCOUNTERED

• Patient and Family Education× Non-compliance× Family Interference× Cultural Issues

WARD CLERK APPOINTMENTS & BOOKING PATS LABS

POST BMT W/UP

BMT NURSE 1 LEADER BMT NURSE BMT NURSE

ORGANIZE & DISTRIBUTE BMT W/UP LOAD

ORGANIZE BOOKING W/ OTHER UNIT

DLI W/UP & F/UP

NMA POST F/UP

DISCUSS W/LOAD W/ BMT COOR & THE NEED

DROP IN CLINIC

POST BMT PTS W/UP SCHEDULE

DONOR ASSESSMENT

MOBILIZATION & APHERESIS

ORGANIZE PROCEDURES

IMMUNIZATIONS

PHYSICIAN BMT CLINIC

BMT NURSE CLINIC

BMT COORDINATION

BMT COORDINATOR

PHYSICIAN BMT CLINIC

FLOATING NURSE WITH MULTIPLE FUNCTIONS

• 1426-1425 = 15% increase• 1425-1424 = 33% increase• 1424-1423 = 37% increase

0

2000

4000

6000

8000

10000

12000

1423 1424 1425 1426

Total

ONCO22 480517379

5,2743,4352,089

896806477

481395401

405263320

ONCO55

ONCO57

ONCO72

ONCO73

ONCO74 472464431

361401331

507344369

365345283

9,2416,9705,080

ONCO75

ONCO76

ONCO78

TOTAL

14241423 1425RES. ID

BMT/CLINICS TREND

391

8,078

613

309

302

400

356

376

305

10,625

1426

83102SCT Teaching

4,0215,024NURSE (BMT)

8,6158,078Non Medical TOTAL

1,638782AUTOLOGOUS

2,8732,170ALLOGENIC

Jan-Sept 2006 2005

PATIENT SEEN IN BMT CLINIC

1.1. Vital SignsVital Signs

2.2. WeightWeight

3.3. BMT Nurse AssessmentBMT Nurse Assessment

4.4. BMI (Body Mass Index)BMI (Body Mass Index)

5.5. Labs Required Labs Required BMT LABS WORK-UP + CSA LEVEL UNTIL THE END OF BMT LABS WORK-UP + CSA LEVEL UNTIL THE END OF

TREATMENTTREATMENT CMV ANTIGENEMIA + SHELL VIAL UP TO CMV ANTIGENEMIA + SHELL VIAL UP TO 120 DAYS120 DAYS POST POST

TRANSPLANTTRANSPLANT CHIMERISM AS PER PROTOCOL CHIMERISM AS PER PROTOCOL INTRATHECAL CHEMO 50days TRANSPLANT FOR HIGH RISK INTRATHECAL CHEMO 50days TRANSPLANT FOR HIGH RISK

LEUKEMIA’S PATIENTSLEUKEMIA’S PATIENTS

1. Vital Signs

2. Weight

3. BMT Nurse Assessment

4. Labs Required BMT WORK-UP

5. IF MULTIPLE MYELOMA; TOTAL PROT, IMMUNOGLOBULIN QUANTITATION + IFE SERUM +

URINE UP TO 120days Post BMT.

6. IF LYMPHOMA AS REQUIRED BY PHYSICIAN . . .

PHYSICIANSPHYSICIANS

BMT COORDINATING TEAMBMT COORDINATING TEAM

NURSES IN AND OUT PATIENTNURSES IN AND OUT PATIENT

IMMUNOLOGY & BLOOD BANK & APHERESISIMMUNOLOGY & BLOOD BANK & APHERESIS

ANGIO UNIT ANGIO UNIT

IV Nurse StaffIV Nurse Staff

RADIATION THERAPY UNITRADIATION THERAPY UNIT

O.RO.R

RADIOLOGYRADIOLOGY

DMU & DSU STAFFDMU & DSU STAFF

PHYSICAL THERAPISTPHYSICAL THERAPIST

DIETICIANDIETICIAN

SOCIAL WORKERSOCIAL WORKER

OUT PATIENT CLINICS OUT PATIENT CLINICS

DENTAL, ECHO, PFT.DENTAL, ECHO, PFT.