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  • 1.  Chemo at School

    Posted 10-26-2022 13:37
    I was just informed I have a student starting back to school tomorrow with continuous chemo. Can anyone share what orders you needed, protocols for school, emergency supplies, etc you needed? We have not had this before.


    Amanda DeNault MSN RN
    Director of Nursing
    School District of Onalaska
    Onalaska, WI United States

  • 2.  RE: Chemo at School

    Posted 11-01-2022 12:02
    Hi Amanda,

    We have had students with PICC infusions before.  Each time I ask their provider or their home health care nurse to come and show me their specific equipment and needs that will need to be address during the school day.  For forms, you'll need a medication form and possibly a special procedure form (depending on how you have your forms set up).  You should also connect with the student's oncology team to find out what precautions need to be taken during the school day (such as double gloving if you have to access the med, or designating a toilet for that student and ensuring double flushing after use, etc.). Each chemo med has different requirements.  You should also ask about activity precautions such as can they go on the playground equipment while infusing, gym restrictions, or can they go outside if the temperature is below freezing while infusing, etc.

    For emergency supplies, it will depend on how the medication is being delivered.  If it is in a PICC line, you should have a clamp, vaseline gauze, regular gauze squares, and an occlusive dressing such as a tagaderm in case the line is cut or it is pulled out. The student's oncology clinic may be able to give you these supplies (our local children's hospital did for one of our students, the others came from the home care company).  For a port, you just need a basic bandaid.

    If you are not full time in the student's building, I recommend reviewing nurse delegation.  In our district we determined that only RNs are capable of managing IVs and that the task could not be delegated to an LPN or UAP.

    Katelyn Lasse BSN, RN, NCSN
    Wauwatosa School District
    Wauwatosa, WI United States