Our infusion team just had an issue with no-blood-return port. Several patients were referred to them from another Oncology practice. They have ports but none of them has blood return. These patients stated that their ports had been like that for a long time. They did try TPA at the other facility but it did not work. One of them had a port study by IR a few weeks ago which confirmed the tips in SVC. This week these pt's were coming in for transfusion (ABX, Chemo,...). Our infusion nurses were very worried so that they did not use the port due to abscence of blood return. Our policy also stated that if there is no blood return, nurse should not run chemo into that port.
Now everything delays. The oncologist was upset. pts were angry. Infusion nurses still dont want to violate the policy.
Does anybody have this kind of situation before? What would you do if you were the nurses in this situation?
Thanks a lot. Have a nice day.