Any oncology nurses out there or reps from large cancer institutes or hospitals?
Are any of your hospital routinely having central lines placed in patients who are to
receive vesicant chemo?
Â Our hospital requires that vesicant chemo be administered by an I.V. therapy RN,
who must start a "clean stick" I.V. in a forearm vein, personally infuse or inject the
med, while frequently checking blood return, pt sensation, and condition of the site--
and document same.
Â Our recent problem has occurred due to short-staffing and poor timing. Â Patients are
being admitted later in the day and not being ready for their vesicant chemo admin until
mid-evening. Â I.V therapy was not notified early and we were staffed with floats who
were not certified to admin. vesicant chem. Â A committee was formed....of course, the
physicians wanted more I.V. nurses hired & trained, which the hospital refuses to do.
We suggested the patients be admitted and be ready earlier in the day when more I.V.
nurses are on...or that physicians place central lines(or order PICCs)for patients who are
to receive vesicants.. Â then the nurses on the Â unit can administer the meds.
Â The docs don't want to insert central lines for "staff convenience". Â
Â It might help in our discussion with them if a lot of hospitals are using central lines routinely
for vesicant chemo. Â Any info is appreciated.
IV Support /Educator