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POGO Satellite Manual

Provincial Pediatric Oncology Satellite Manual

POGO’s Provincial Pediatric Oncology Satellite Program enables the transfer of aspects of a child’s care to a community hospital closer to home.  The Provincial Pediatric Oncology Satellite Manual is a guideline document for the continuing delivery of POGO’s vision of optimal childhood cancer care – namely, the provision of comprehensive, technologically advanced care delivered as close to the child’s home as is compatible with the level of care required, and as is equivalent to tertiary-based care.

Intellectual Property Rights. Copyright © 2017 Pediatric Oncology Group of Ontario (“POGO”). All rights reserved. Except for public domain material or material otherwise licensed to POGO, the Manual is protected by copyright and other Intellectual Property laws, and is owned or controlled by POGO or the party credited as the author or provider of the materials. POGO and the POGO icon and logo are trade-marks of POGO and may not be used in connection with any product or service not related to POGO or approved in advance by POGO in writing. Satellite Manual disclaimer.

Original Version – August 1997
Revised – September 1998
Revised – March 2001 – July 2002
Revised – October 2016

Table of Contents

  • 1.0 Introduction
    • 1.1 History and Overview
    • 1.2 Acknowledgements
    • 1.3 Committees and Working Groups
    • 1.4 POGO Satellite Manual Disclaimer
  • 2.0 Scope of POGO Satellite Program
    • 2.1 Principles of POGO Satellite Clinic Care
    • 2.2 Eligible Patients
      • 2.2.1 Children Eligible for Chemotherapy Administration in a POGO Satellite Clinic
      • 2.2.2 Children Eligible for the Management of Complications in a POGO Satellite Clinic
      • 2.2.3 Children Eligible for Supportive Care in a POGO Satellite Clinic
    • 2.3 Scope of POGO Satellite Clinic Practice
    • 2.4 Expanded POGO Satellite Clinic Practice
  • 3.0 Chemotherapy Administration
    • 3.1 Safe Handling, Administration and Disposal of Chemotherapy Agents
      • 3.1.1 Personal Protective Equipment
      • 3.1.2 Preparation, Transport and Storage
      • 3.1.3 Administration of IV Hazardous Drugs
      • 3.1.4 Administration of Oral Hazardous Drugs
      • 3.1.5 Disposal of Equipment/Personal Protective Equipment used to Administer Hazardous Drugs
      • 3.1.6 Safe Handling for Pharmacy
      • 3.1.7 References
    • 3.2 Accidental Exposure/Spills
    • 3.3 Extravasation Management
      • 3.3.1 Prevention and Management of Extravasations
      • 3.3.2 Antidotes and Treatments for Extravasation
      • 3.3.3 Sample Extravasation Documenting Tool
      • 3.3.4 References
    • 3.4 Injecting SC Medication Via an Insuflon
    • 3.5 Chemotherapy Administration Reference List
    • 3.6 Central Venous Catheter Care
    • 3.7 Chemotherapy Quick Reference
      • 3.7.1 Rapid Hydration
      • 3.7.2 Provider Guide: Prevention and Management of Irinotecan-Induced Diarrhea
      • 3.7.3 Capizzi Methotrexate
      • 3.7.4 Erwinia Asparaginase
  • 4.0 Supportive Care Practice Tools
    • 4.1 Management of Fever and Neutropenia
      • 4.1.1 Routine Order Sample Sheet
      • 4.1.2 Sample Fever Cards
      • 4.1.3 Criteria for low-risk designation. Risk categorization refers to risk of bacteremia and serious complications, including mortality.
    • 4.2 Pentamidine Administration
      • 4.2.1 Inhaled Pentamidine
      • 4.2.2 Intravenous Pentamidine
    • 4.3 Antiemetics
    • 4.4 Treatment of Varicella-Zoster Infections
    • 4.5 Immunization of Children with Cancer
    • 4.6 Transfusion
    • 4.7 Clinical Circumstances that Warrant Consultation with the Specialized Childhood Cancer Program
  • 5.0 Palliative Care
    • 5.1 Palliative Care Overview
    • 5.2 Communication
    • 5.3 Settings of Care
    • 5.4 Symptom Management
    • 5.5 End of Life
    • 5.6 When a Child Dies at the POGO Satellite Clinic
    • 5.7 Appendix: Sample Bereavement Materials
      • 5.7.1 Reconciling Your Grief
      • 5.7.2 Funeral Arrangement Checklist
      • 5.7.3 Helping Children Who Grieve
      • 5.7.4 Coping with the Holidays
      • 5.7.5 The Grief Experience
    • 5.8 References
  • 6.0 POGO Satellite Program Administration Documents
    • 6.1 Goals and Objectives
    • 6.2 Participant Site Selection
      • 6.2.1 Tertiary Hospital Site Selection
      • 6.2.2 Community Hospital Site Selection
    • 6.3 POGO’s Roles
      • 6.3.1 PHIPA, Privacy and Research
    • 6.4 Funding
      • 6.4.1 Funding Support for Tertiary Hospital Activity
      • 6.4.2 Funding Support for Community Hospital Activity
    • 6.5 Infrastructure and Formal Requirements
      • 6.5.1 Specialized Childhood Cancer Program Partners’ Role in the POGO Satellite Program
      • 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program
  • 7.0 Research
    • 7.1 Preamble
    • 7.2 Investigator Responsibilities
    • 7.3 Training Requirements
      • 7.3.1 General Training for Conduct of Research
      • 7.3.2 Protocol-Specific Training
    • 7.4 Research Activities That May Be Completed in POGO Satellite Clinics Under Supervision of DSI
    • 7.5 Research Activities to be Completed in Specialized Childhood Cancer Programs Only
    • 7.6 Recognition and Reporting of Adverse Events (AEs)
    • 7.7 Data Transfer
    • 7.8 Pharmacy Drug Accountability
    • 7.9 Site Inspections and Quality Assurance
  • 8.0 Appendix 1: Communication Tools
    • 8.1 Pediatric Oncology Shared Care Initial Data Transfer Sheet
  • 9.0 Appendix 2: Reporting Formats
    • 9.1 POGO Satellite Clinic Preparedness Checklist
    • 9.2 POGO Satellite Clinic Quality Assurance Checklist
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Have a question?
Contact us at: satellite@pogo.ca

  • About Us
    • Our Mission and Vision
    • Childhood Cancer Care Plan
    • POGO Land Acknowledgement
    • Diversity, Equity, Inclusion
    • Our Board
    • Our Partners
    • Our Donors
    • Privacy
    • Accessibility
    • Reports
    • Newsroom
    • Job Opportunities
    • Staff List
  • Programs & Support
    • Patient Care Programs
    • Financial Assistance
    • Survivor Care
    • Cancer Resources
    • Inspiring Stories
    • Clinical and Program Advisory Committees
  • Education
    • POGO Virtual Education
    • Indigenous Resource Guide
    • All Education Events & Conferences
  • Healthcare Practice
    • COVID-19 Updates
    • Pediatric Oncology Nursing
    • Clinical Practice Guidelines
    • POGO Satellite Manual
  • Research & Data
    • 2020 POGO Surveillance Report
    • POGO Research Unit
    • POGONIS – Childhood Cancer Database
    • Data Reports
    • Data Requests
  • Get Involved
    • Pajamas and Pancakes
    • Birthday Parties for POGO
    • Events
    • Volunteer
  • Ways to Give
    • Donate
    • Gifts of Stock and Securities
    • Become a Corporate Partner
    • Gifts in Honour/Memory
    • Legacy Gifts
    • Shop Online/Earn Cash Back

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