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Fast track in Infusion

  • 1.  Fast track in Infusion

    Posted 8 days ago

    ​Hello,
    I am looking for feedback on how others have implemented a 'fast track' chair or area for short ambulatory infusions. We already have a pre-infusion lab draw area so this wouldn't really be for IV placements or lab draws but more injections and <30 minute infusions. Any feedback on what people have made work is appreciated!

    Kristen



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    Kristen Bink MSN RN AGCNS-BC
    Clinical Manager
    University of Minnesota Physicians
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  • 2.  RE: Fast track in Infusion

    Posted 7 days ago
    Yes! Before I became the supervisor, the previous supervisor initiated a fast track chair. It is available Monday through Friday 8-5 and is staffed by an RN. Typical patients that are scheduled here include: port flushes, procrit/retacrit, vitamin B12, sandostatin, prolia, etc. A lunch break block is prescheduled in to make sure that the nurse has a break. Some days the fast track is packed, up to 12-14 patients. Other days it’s not as busy and this nurse flexes her start and end times and is a floater to help her colleagues or help with add ons.
    I was told that the staff didn’t really like the idea when it was first initiated, but have come to terms with it. We have one nurse who prefers it, and when she is scheduled to work, she always takes the fast track.

    - Tiff




  • 3.  RE: Fast track in Infusion

    Posted 7 days ago
    Hi. Tiffany's reply is better than anything I saw in the literature as she provides full details. I've only seen brief descriptions like "direct short-treatment-duration patients to a designated quick-turnaround area" for infusions in the excerpt below from "Improving Wait Time for Chemotherapy in an Outpatient Clinic at a Comprehensive Cancer Center" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266321/

    It's difficult to search for the reason you state: "fast track infusion" often refers to fast tracking the lab draws, etc., like "We opened a fast track infusion unit, resulting in a 12 hours per day reduction of lab draws, injections, and pump disconnects off of the 5th and 6th floors" from "Streamlining Project at Infusion Center Improves Efficiency" http://www.theoncologynurse.com/ton-issue-archive/2017-issues/july-2017-vol-10-no-4/17203-streamlining-project-at-infusion-center-improves-efficiency

    From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266321/

    "To address this issue, ATC patient service coordinators and nursing staff decided to direct short-treatment-duration patients to a designated quick-turnaround area in another ATC unit to increase the general processing speed of all appointments and decrease overall wait time."

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    Mark Vrabel
    INFORMATION RESOURCES SUPERVISOR
    Oncology Nursing Society
    Pittsburgh PA
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  • 4.  RE: Fast track in Infusion

    Posted 6 days ago
    Good morning,
    At my site we have a 16 chair infusions suite with 2 rooms with beds for procedures. We have a third room we designate "the shot room" that provides these quick visit treatments as Tiffany described above. There are several of our nurses that like the quick turnaround of that assignment. This room is also next to the reception desk for easier access.

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    Sharon S. Kilbride
    RN BSN OCN
    Outpatient Infusion Center
    Advocate Condell Medical Center
    Libertyville ,Illinois
    847-990-2338
    sharon.kilbride@advocatehealth.com
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  • 5.  RE: Fast track in Infusion

    Posted 6 days ago
    Hi Kristen,
    About 6 years ago, we started a fast track unit (6 chairs) to help with our 24 bed/chair outpatient infusion unit. This was for patients receiving short - 1 hour or less - infusions or coming for injections only. Infusions could not be first time or have a high risk for reaction (1 hour taxanes). Ideal treatments included zoledronic acid, bevacizumab, Neulasta, or gemcitabine.

    We always had 2 nurses & 1 PCA staffing the unit because this area was 2 floors below the main infusion unit. At the time, we also had a pharmacist there who was able to give us some pre-made medications directly from their locked room. For other meds, we had to go up to the pharmacy for retrieval.

    We were only open from 8-4 Mon-Fri. Eventually, we added 3 chairs for a total of 9. Our census started rising to the 30s/40s daily before we had major changes happen within the hospital. Those changes dramatically affected how this unit was used. We started having longer treatments and "fast track" was not an applicable name. For a while, the unit was not even used because of the hospital changes.

    Currently, the unit is open only as needed when the census and staffing on the main unit can support it. Most treatments there now are octreotide injections and shorter infusions. I don't work in that department anymore, but I think that they are only using 6 chairs again and 2 nurses with 1 PCA (if available).

    Let me know if you would like more information.

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    Amber Williams MSN RN
    Nurse Educator
    Columbus OH
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  • 6.  RE: Fast track in Infusion

    Posted 4 days ago
    In a facility where I worked they implemented the use of a LPN  just to do the shots : Prolia, Procrit, Neulasta,  etc. She was scheduled for 8-4:30 P.M.This was very helpful for our busy unit. There are 32 chairs and some days she can have 20 patients. When it's slow she helped the other nurses with things like taking vital signs and checking weight. The staff really missed her when she relocated to another state.

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    Sharon Walters RN,MSN
    Fort Lauderdale, FL.
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