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Female pregnancy testing

  • 1.  Female pregnancy testing

    Posted 08-08-2019 08:50

    Hi everyone,

    I'm an RN working in Radiation Oncology.

    We want to put a policy in place for female pregnancy testing.

    What parameters do you use at your facility for testing?

    Age?

    Hysterectomy?

    Absence in menses?

    Do all women get tested or are some exempt?

     

    Raechelle

     

    Raechelle Chesney BSN, RN, Rad Onc Cert.

    Radiation Oncology Nursing

    Louis Stokes Veterans Affairs Medical Center

    10701 East Blvd

    Cleveland, Ohio 44106

    Raechelle.Chesney@va.gov

    Office: 216-791-3800 x5779

     

     

     



  • 2.  RE: Female pregnancy testing

    Posted 08-09-2019 09:51

    In radiation, we do a urine HCG at CT loc for all women 50 and under

    In Infusion we test at least monthly for all women 50 under.

    The exception is those women who have known hysterectomy or documented menopause

     

     

    Tonica Anderson, RN, BSN, OCN

    SIH Cancer Institute

    Quality & Cancer Registry Supervisor

    618-985-3333 ext 68305

     






  • 3.  RE: Female pregnancy testing

    Posted 08-09-2019 12:57
    That is helpful, ​thank you for your response!

    ------------------------------
    Raechelle Chesney
    Eastlake OH
    ------------------------------



  • 4.  RE: Female pregnancy testing

    Posted 08-13-2019 11:42
      |   view attached
    Hello, Raechelle:
     
    Our practice is re-examining the very same issue. I have attached a related article from ONS's CJON that I found helpful.
     
     
     
    Kind regards,
     
    Anne
     
    Anne Moser, RN, MPH
    Oklahoma Cancer Specialists & Research Institute
    12697 E. 51st Street South
    Tulsa, OK 74146
    Direct: (918) 505-3213
     
     
     





  • 5.  RE: Female pregnancy testing

    Posted 08-14-2019 15:39
    Hi.  We test up to age 60 unless they have had a hysterectomy or are menopausal.  Patients also have the right to decline pregnancy testing in which case they sign the declination form.  ​

    ------------------------------
    Lucy Colo RN MSN
    [Assistant Nurse Manager]
    University Hospitals Seidman Cancer Center
    Euclid OH
    Nursing Supervisor
    ------------------------------



  • 6.  RE: Female pregnancy testing

    Posted 16 days ago
    Hello,
    We are working on making up a declination form for patients specifically wanting to decline Hcg testing prior to starting radiation. Would it be possible to see a copy of the form you us to check our verbiage?

    Thank you,

    Leanne Bruns, RN​

    ------------------------------
    Leanne Bruns
    Nurse
    June E. Nylen Cancer Center
    Sioux City IA
    ------------------------------



  • 7.  RE: Female pregnancy testing

    Posted 08-18-2019 08:49
    Hi, I work in Radiation Oncology as well.
    We do urine hcg on day of sim. We test up to age 60 unless they have had a hysterectomy or have reached menopause. They also sign a form consenting to/ declining the test. 

    ------------------------------
    Teresa Russell
    Nurse Practitioner
    Northwell Health/Lenox Hill
    Brooklyn NY
    ------------------------------



  • 8.  RE: Female pregnancy testing

    Posted 27 days ago
    Our policy states "women of child bearing years".​

    ------------------------------
    Valerie Quigley BSN RN
    Infusion Manager
    The Valley Hospital
    Pompton Lakes NJ
    ------------------------------



  • 9.  RE: Female pregnancy testing

    Posted 26 days ago
    I work in infusion but we define our policy for pregnancy testing as all women of child bearing potential age 55 or younger unless they have had a hysterectomy, tubal ligation, or documented absence of menses for one year or greater. Occasionally a woman will refuse (not sexually actively, same-sex partner) and we notify the provider and get an order to hold the preg test and we document thoroughly!

    - Tiff




  • 10.  RE: Female pregnancy testing

    Posted 24 days ago
    I can share with you the general guidelines we use that are based on NCI clinical trial parameters.
    Pregnancy test within 7 days  first dose for all  women of child bearing potential (WOCBP).Testing by serum HCG or serum/urine pregnancy test.
    Definition of non-WOCBP (ie women we do not test):
    =>55 years without any spontaneous menses for at least 12 months, or with serum fsh/estradiol in the post menopausal range.
    S/p hysterectomy or bilateral oophorectomy

    ------------------------------
    Kristine Abueg RN MSN
    Clinical Research Nurse
    Roseville CA
    ------------------------------