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Pregnancy Testing

  • 1.  Pregnancy Testing

    Posted 06-05-2019 16:58
    ​​Just wondering how many institutions are testing patients prior to administering chemotherapy?  Blood or urine testing? How far in advance? Any specific ages or anyone premenopausal? Also, is it just once prior to initiating the first cycle of chemo or every cycle?

    Thanks!

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    Stephanie Hammontree RN MSN
    Oncology Education Specialist
    University of Kansas Cancer Center
    Olathe KS
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  • 2.  RE: Pregnancy Testing

    Posted 06-06-2019 06:37
    Our policy reads that we collect a urine HCG on day 1 or the day before for all women age 55 or younger unless they have had a hysterectomy, bilateral oophorectomy, tubal ligation, or documented menopause (absence of menses) for at least one year. We do this up to weekly for weekly treatments. We do not do it daily for daily treatments, just day one of the week. If a patient refuses, we have to notify the provider and receive an order to hold or proceed.

    - Tiff




  • 3.  RE: Pregnancy Testing

    Posted 10 days ago
    Hi Tiffany-

    Has your organization ran into any issues with insurance not covering the pregnancy test when it is collected more than monthly?

    Thanks!
    Grace​

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    Grace Brown MSN RN AGCNS-BC
    Oncology Clinical Nurse Specialist
    Spectrum Health
    Grand Rapids MI
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  • 4.  RE: Pregnancy Testing

    Posted 10 days ago
    Not one bit!

    - Tiff





  • 5.  RE: Pregnancy Testing

    Posted 06-06-2019 17:18
    ​hi Stephanie; yes, patients should have pregnancy test (unless menopausal or hysterectomy / other interventions) when they have there pre-chemo bloods. Not always reinforced as strongly as it should some days, but trying to educate as pre-chemo nursing plan. Thanks, ron

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    Ron Middleton, CNC
    Haematology Care Coordinator
    Toowoomba Hospital
    Toowoomba, Queensland, Australia
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  • 6.  RE: Pregnancy Testing

    Posted 06-07-2019 13:36
    We had an unfortunate incident with a young patient receiving Opdivo for metastatic Melanoma. On Day 1 of treatment she provided a urine test that resulted negative for pregnancy. The following week she went to her PCP to start birth control and found out she was pregnant.  There was no information in the literature about the effect Opdivo has on pregnancy and she ultimately decided to terminate the pregnancy and continue treatment.
    It is important for young women of child bearing age to be tested for pregnancy prior to initiating treatment but we do not have a policy in place about this. It is per the doctor's discretion.

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    Elaine Flood
    Appleton WI
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  • 7.  RE: Pregnancy Testing

    Posted 06-13-2019 11:19
    ​We test patients up to the age of 60 prior to initiation and monthly while being treated.

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    Mary Rode RN BS
    Clinical Operations Manager
    Lake Health
    University Hospitals Seidman Cancer Center
    Garrettsville OH
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