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/PNS  CT 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 LEADERBMT 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

= 15% increase = 33% increase = 37% increase ONCO ,2743,4352, ONCO55 ONCO57 ONCO72 ONCO73 ONCO ,2416,9705,080 ONCO75 ONCO76 ONCO78 TOTAL RES. ID BMT/CLINICS TREND 391 8, , SCT Teaching 4,0215,024 NURSE (BMT) 8,6158,078 Non Medical TOTAL 1, AUTOLOGOUS 2,8732,170 ALLOGENIC Jan-Sept PATIENT SEEN IN BMT CLINIC

1. Vital Signs 2. Weight 3. BMT Nurse Assessment 4. BMI (Body Mass Index) 5. Labs Required BMT LABS WORK-UP + CSA LEVEL UNTIL THE END OF TREATMENT BMT LABS WORK-UP + CSA LEVEL UNTIL THE END OF TREATMENT CMV ANTIGENEMIA + SHELL VIAL UP TO 120 DAYS POST TRANSPLANT CMV ANTIGENEMIA + SHELL VIAL UP TO 120 DAYS POST TRANSPLANT CHIMERISM AS PER PROTOCOL CHIMERISM AS PER PROTOCOL INTRATHECAL CHEMO 50days TRANSPLANT FOR HIGH RISK LEUKEMIA’S PATIENTS INTRATHECAL CHEMO 50days TRANSPLANT FOR HIGH RISK LEUKEMIA’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...

PHYSICIANS BMT COORDINATING TEAM NURSES IN AND OUT PATIENT IMMUNOLOGY & BLOOD BANK & APHERESIS ANGIO UNIT IV Nurse Staff RADIATION THERAPY UNIT O.RRADIOLOGY DMU & DSU STAFF PHYSICAL THERAPIST DIETICIAN SOCIAL WORKER OUT PATIENT CLINICS DENTAL, ECHO, PFT.