INS and ONS clearly states that prior to giving medications especially vesicants that there should be a positive blood return obtained and our hospital policy reflects those standards.Â However, there are a hand full of oncology patients that their ports have rarely/never given a good blood return.Â Some have had dye studies showing good placement yet still don't return blood.Â Cath-flo will help sometimes yet the next visit we are back square one.
I've been asked to help write policy to address these particular patients. To protect the hospital I think a dye study should be ordered Q 6 months or before the next round of chemotherapy to assess vasculature and tip placement. There is concern with reimbursement.
A formal list of patients is being collected for review to see if there is a common thread eg same surgeon.
Any advice/comments would be greatly appreciated,
Kathy Cutter, crni