CAGT- FEMORAL LINE PLACEMENT W SCC (DONOR CENTER)		version 12/3/2021		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Provider Communication 	

	
	Interval	Defer Until	Duration	
	☐	Please place procedure, imaging, and referral orders using your preference list. These orders must be placed outside of the therapy plan to be scheduled.	Once	S	1 treatment	
		Place the Femoral Line Placement and Donor Center orders so they can be scheduled. 
	Use your SmartSet or Preference List.		
	☐	Provider communication	Once	S	1 treatment	
		Provider communication- Place admission orders for Difficult Femoral Cath Placement (24 hour obs)- Use Order Set		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Provider communication	Once	S	1 treatment	
		Ensure the femoral line placement and Donor Center orders are placed. These will be placed outside of the Therapy Plan. 
	The provider can use the SmartSet or Pref List to place these orders. They will need to be scheduled. 		
	☐	Obtain consent	Once	S	1 treatment	
		Obtain consent for Femoral Catheter Insertion.
	Performed by ***		
	☐	Nursing communication	Once	S	1 treatment	
		Verify the patient is scheduled in the Donor Center.		
	☐	Nursing communication	Once	S	1 treatment	
		Transport the patient to the Donor Center by stretcher for collection after catherter is in place.		
	☐	Nursing communication	Once	S	1 treatment	
		Discharge the patient after the Stem Cell collection is complete.		

Intra-Procedure 	

	
	Interval	Defer Until	Duration	
	☐	lidocaine PF (XYLOCAINE) 10 mg/mL (1 %) injection	Once	S	1 treatment	
		injection, once, Starting when released