Protocol Index	

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H-39444 BMT CTN 1503 (STRIDE 2) SCREENING VISIT	

Types:      Research Oncology Treatment
Synonyms:  39444, SICKLE CELL, BONE MARROW TRANSPLANT, RESEARCH

Screening	Repeat 1 time	Cycle length: 1 day	Day 1	Perform every 1 day x1		Nursing Orders
  	CLINIC APPOINTMENT REQUEST	Interval: --	Occurrences: --		  	VITAL SIGNS - T/P/R/BP	Interval: --	Occurrences: --		  	HEIGHT AND WEIGHT	Interval: --	Occurrences: --		  	ONC NURSING COMMUNICATION 4	Interval: --	Occurrences: --	Comments:	Karnosfsky/Lansky Performance score
		  	ONC NURSING COMMUNICATION 2	Interval: --	Occurrences: --	Comments:	Obtain history and physical examination.
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	CREATININE LEVEL	Interval: --	Occurrences: --	Comments:	Serum Creatinine (only if 24 hour urine creatinine Clearance is ordered)
		  	BILIRUBIN DIRECT	Interval: --	Occurrences: --		  	ALKALINE PHOSPHATASE	Interval: --	Occurrences: --		  	ALT (SGPT)	Interval: --	Occurrences: --		  	AST (SGOT)	Interval: --	Occurrences: --		  	ZZCYTOMEGALOVIRUS ANTIBODIES	Interval: --	Occurrences: --		  	ACUTE VIRAL HEPATITIS PANEL (HAV, HBV, HCV)	Interval: --	Occurrences: --		  	HERPES SIMPLEX VIRUS (HSV), QUALITATIVE PCR (BLOOD, FLUIDS OR SWAB IN UNIVERSAL TRANSPORT MEDIA)	Interval: --	Occurrences: --		  	TREPONEMA PALLIDUM ANTIBODIES (PARTICLE AGGLUTINATION TP-PA)	Interval: --	Occurrences: --		  	HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1), QUANTITATIVE PCR	Interval: --	Occurrences: --		  	HTLV I/II AB WITH REFLEX TO CONFIRMATION	Interval: --	Occurrences: --		  	VARICELLA ZOSTER BY PCR	Interval: --	Occurrences: --		  	HCG QUALITATIVE, SERUM SCREEN	Interval: --	Occurrences: --		  	HCG QUANTITATIVE, SERUM	Interval: --	Occurrences: --		  	MISCELLANEOUS LAB RESULT	Interval: --	Occurrences: --	Comments:	Hemoglobin S percent (per institutional method with documentation of the date of last packed red blood cell transfusion)
		  	SICKLE CELL SCREEN	Interval: --	Occurrences: --	Comments:	Hemoglobin S percent (per institutional method with documentation of the date of last packed red blood cell transfusion)
		  	CREATININE CLEARANCE, URINE, 24 HOUR	Interval: --	Occurrences: --	Comments:	OR Radionuclide GFR including assessment for Albumin.
		  	HEMOGLOBIN ELECTROPHORESIS	Interval: --	Occurrences: --			Procedures
  	TRANSTHORACIC ECHOCARDIOGRAM COMPLETE W CONT STRAIN 3D IF NEEDED	Interval: --	Occurrences: --	Comments:	Including Tricuspid Regurgitant Velocity-TRJV
			Nursing Orders
  	SPIROMETRY PRE AND POST WITH BRONCHILATOR	Interval: --	Occurrences: --		  	BODY PLETHYSMOGRAPHIC LUNG VOLUMES	Interval: --	Occurrences: --		  	DIFFUSION CAPACITY	Interval: --	Occurrences: --