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POGO Satellite Manual

2.3 Scope of POGO Satellite Clinic Practice

2.4 Expanded POGO Satellite Clinic Practice

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POGO recognizes the continuous evolution of the level of care at the POGO Satellite Clinics. Since the advent of the POGO Satellite Program, the number of POGO Satellite Clinics and the expertise of the healthcare professionals on site has significantly developed. In particular, there are multiple nurses at each site with Association of Pediatric Hematology/Oncology Nurses (APHON) certification. There are also POGO Satellite Clinics with fully trained pediatric oncologists on staff. It is conceivable that these POGO Satellite Clinics may in the future welcome the opportunity to offer their patients and families services not currently defined within the scope of what is considered “standard” POGO Satellite Clinic care.

Framework

  • Hospital senior leadership commitment to development of an expanded POGO Satellite Clinic practice
  • Two trained pediatric oncologists, or potentially one pediatric oncologist and one Nurse Practitioner (NP) with specific training in pediatric oncology, with protection of a proportion of their clinical time for oncology practice
  • APHON-certified nurses
  • Inpatient nursing skills appropriate to pediatric oncology, namely, care of central lines and supportive care
  • Pharmacy commitment
  • Multidisciplinary interprofessional team

POGO Satellite Clinics that meet the above criteria and wish to add expanded features to their programs must first obtain the support of their local clinical, nursing and pharmacy leadership. The POGO Satellite Clinic team must then make a formal request to the POGO Senior Clinical Program Manager and Medical Director for consideration. POGO will be charged with striking an ad hoc panel of stakeholders to evaluate the proposal. Panel members may include oncologists, nurses and pharmacists from both POGO Satellite Clinics and specialized childhood cancer programs and also specialists such as radiology or infectious disease experts, depending upon the proposed expanded activities.

If the proposed expanded activities are deemed appropriate by the panel, a Standard Operating Procedure (SOP) will be developed and posted as part of the POGO Satellite Manual for reference. The SOP must contain a plan to allow for continuous assurance of quality and suitability. Of note, an approved “expanded” activity at one POGO Satellite Clinic would apply to that particular clinic only. Other POGO Satellite Clinics wishing to add the same or similar “expanded” activity to their offered services must undergo the same review process. Expanded activities will be reviewed as part of the regular POGO Satellite Manual review process for consideration as additions to the “standard” POGO Satellite Program scope.

Disclaimer: Source Accuracy

You are welcome to download and save a local copy of this document in the Word and/or PDF formats provided. As the POGO Satellite Manual is subject to ongoing revisions and updates by POGO, we recommend you regularly check the online version posted at https://www.pogo.ca/satellite-manual/ to ensure you have the most up-to-date content. In the event of any inconsistency between the content of a local copy and the online version of the POGO Satellite Manual, the content of the online version shall be considered correct. Please see also the POGO Satellite Manual Disclaimer.

Record of Updates
Version NumberDate of EffectSummary of Revisions
18/19/2022Original version posted.
3.0 Chemotherapy Administration
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In this Section

  • 1.1 History and Overview
  • 1.2 Acknowledgements
  • 1.3 Committees and Working Groups
  • 1.4 POGO Satellite Manual Disclaimer
  • 2.1 Principles of POGO Satellite Clinic Care
    • 2.1.1 POGO Satellite Care Decision Flowchart
  • 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
  • 3.1 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
    • 3.7.5 Crisantaspase (Rylaze) Asparaginase
    • 3.7.6 Nelarabine
  • 4.1 Management of Fever and Neutropenia
    • 4.1.1 Routine Order Sample Sheet
    • 4.1.2 Sample Fever Cards
    • 4.1.3 Outpatient Fever and Neutropenia in POGO Satellites
  • 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
  • 5.1 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
  • 6.1 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
  • 7.1 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
  • 8.1 Pediatric Oncology Shared Care Initial Data Transfer Sheet
  • 9.1 POGO Satellite Clinic Preparedness Checklist
  • 9.2 POGO Satellite Clinic Quality Assurance Checklist
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