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Forward. Brief history of EBMT/EBMT Nurses group. Where we are now. Where we are going
Introduction. HSCT nursing through the ages/the evolution of the HSCT nurse. Brief history of HSCT Nursing. Importance of HSCT nursing. Extended practice roles etc.
Chapter 1. JACIE & Quality management in HSCT
Implications for Nursing
Chapter 2. HSCT: how does it work? What HSCT nurses need to know? Different types of transplant. FAQs
Chapter 3. Donor selection. HLA typing. Selecting the right donor. Which transplant for which patient?
Chapter 4. Transplant Preparation. The role of the transplant Co-ordinator. Information and consent. Role of risk assessment and comorbidity scores (HCTI/Karnofsky/Lansky etc.). Fertility preservation Work-up/ physical assessment. Venous access devices- principles of placement and care. Disease assessment. The advocacy role of the HSCT nurse. Ethical dilemmas. Paediatric considerations
Chapter 5. Cell source and Apheresis. Cell source: where do we get the cells from?. Basics of apheresis. Information and consent. Haematology in Apheresis/ mobilisation of stem cells. Adverse reactions. Vascular access. Donor care. Quality issues. Paediatric patients/donors and apheresis
Chapter 6. Principles of Conditioning Therapy & Cell infusion. Chemotherapy. Radiotherapy. Immunotherapy. Cell infusion: procedures and nursing care. Paediatric considerations
Chapter 7. BMT settings, Infections and infection control. Reverse Barrier Nursing and protective Isolation Ambulatory Care. Respiratory infectiosn and administration of therapy. Fungal infections and administration of therapy Common viral complications. CMV. EBV-PTLD. Multiply resistant bacteria
reducing the spread. C-Diff. Hepatitis. Emerging infections (HepE). Paediatric considerations
Chapter 8. Transplantation through the generations. Introduction. Brief outline of differences between Transplantation in child and the adult. Section 1: Transplanting the child. Special indications. Nursing considerations. Section 2: Transplanting the Young Adult/ AHA/ Adolescent. Special indications. Nursing considerations. Discuss the teen as a child vs adult. Discuss development of teen cancer centres. Section 3: Transplanting the adult. Nursing considerations. Section 4: Transplanting the older adult. Nursing considerations
Chapter 9. Early and acute complications and the principles of HSCT Nursing Care. Mucositis and principles or oral care. Sepsis and principles of care. Transfusion. VOD. Haemorrhagic cystitis. Endothelial damage
Chapter 10. Supportive Care of the HSCT recipient. Nursing assessment-vital signs and their significance/importance. Engraftment. The role of early warning scores. Assessment tools eg oral assessment, nutritional assessment. Principles of nutritional support. Skin care. Oral care. Psychological care. Physiotherapy and exercise. Therapeutic interventions eg complementary therapies, music, touch, massage. Discharge from inpatient care. Readmissions to hospital. Paediatric considerations
Chapter 11. Graft versus Host Disease (GvHD). Brief description. Acute vs Chronic and other categories. Assessment criteria Differential diagnoses. Principles of treatment and care. Treatments-old, new, supportive and complementary. Paediatric considerations
Chapter 12. Graft versus Tumour effect. MRD and what it means. Chimerism testing. Care of the relapsed patient. Early vs late relapse
Chapter 13. Graft failure and rejection. Principles of care. Differences. Treatment options. Paediatric considerations
Chapter 14. Late effects and long term follow-up. Principles of care. Survivorship and quality of life. Investigations and surveillance. Iron chelation. Immunisations. Common concerns. Managing patient expectation. Palliative care. Paediatric considerations
Chapter 15. Improving the patient experience through research and audit. How to develop your ideas. How to ask the right questions. Funding. Audit. Clinical Trials. Where to get help.

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