We know it’s hard to tell friends and family not to visit. In collaboration with the healthcare team, directs, coordinates, supervises, and provides care to a caseload of patients which may include: Completion of initial transplant consult assessment, history and physical, review of admitting diagnoses/problem(s). This section has basic information about what to expect if you’re admitted to the hospital during any part of your transplant. Try to drink a small amount steadily throughout the day. Nurses usually work 12-hour shifts starting at either 7:00 am or 7:00 pm. If your caregiver gets sick or shows any signs of a cold or flu (such as a cough, fever, or sore throat) 1 week before or at any time during your transplant, tell your transplant team right away. They’re also described in more detail in the following pages. You suddenly feel lightheaded and short of breath. It will also take time for you to get your strength back and go back to doing the activities you enjoyed before your illness and transplant. This phase of your recovery extends over a long period of time—from discharge to 1 year after your transplant or longer. If you have questions about your care, contact your healthcare provider. Staff Nurse - Mother-Baby -Yawkey Per Diem Rotate Day-Evening-Night, Staff Nurse - IMCU - 36 Hours Nights Every Other Weekend, Staff Nurse- Critical Care Float Pool 36 Hours Permanent Nights E-O Weekend. People whose immune systems aren’t working well can get infections that wouldn’t happen in healthy people. Patients who've undergone stem cell transplant may never have a fully normal immune system but with careful attention, these patients can have a long and healthy life after transplant. Your dentist may prescribe other rinses. Pay attention to alerts from the local health department. After that, your appointments will be spaced further apart as long as you’re doing well. After they examine you, you’ll wait in your room for your test results to be ready. During the first few months after your transplant, avoid the following places when they’re crowded: You can go to these places at off-peak hours when there are fewer people. Some diseases will require lumbar punctures (spinal taps) after transplant. Bone Marrow Transplantation; Bone Marrow Donor; Apheresis; Peripheral Blood Stem Cell Donor; Autologous; Allogenic; Syngeneic. Your transplant team will help you and your caregiver understand and get ready for these side effects. You can have close physical contact with people in your immediate family. Your stem cells are constantly dividing and changing into these different types of blood cells to replace older blood cells. Stem cells also divide to make newer stem cells. All visitors must follow infection control precautions posted on your door, such as washing their hands, wearing a mask, and telling someone if they might be sick. If you need any help or support with these issues, your doctor can refer you to a specialist in our Female Sexual Medicine and Women’s Health Program. Boyacı N, Aygencel G, Turkoglu M, Yegin ZA, Acar K, Sucak GT. Your immune system will be almost fully recovered and you’ll go back to your normal activities. Don’t visit with anyone who has: Call your doctor right away if you or a family member is exposed to chickenpox, shingles, measles, or German measles (rubella). Sometimes, you might need extra isolation precautions. Stem cells can also travel to your bone marrow and can become new bone marrow cells. Prophylactic medications are given before there’s an infection. They’ll give you a calendar outlining your treatment plan, review information, and answer your questions. You have stomach pain, nausea, vomiting, or diarrhea. Establishes, leads, and or participates in appropriate forums to provide programs, teaching information and seeks program effectiveness feedback. © Copyright 2020 Oncology Nursing Society. You can use MyMSK to ask questions about your appointment schedule, request a prescription refill, or request patient education information. This will kill any cancer cells left in your body. Your transplant team may give you a more exact time frame. Assesses and evaluates quality improvement data, critical pathway/clinical practice variances and implements strategies to achieve clinical outcomes. Collaborates with the multidisciplinary team to develop, revise, and update clinical plans of care for patients undergoing high dose chemotherapy and stem cell transplantation. They have gotten much better over that time. Your feedback will help us improve the information we provide to patients and caregivers. 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