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-   -   Does your chemo nurse let you see the bag before she/he hangs it? (https://her2support.org/vbulletin/showthread.php?t=55229)

7andcounting 07-20-2012 08:09 PM

Does your chemo nurse let you see the bag before she/he hangs it?
 
Just wondering how many of you have your drug shown to you BEFORE it is hung on the pole. Where I used to have chemo they would always show me the bag first.

Where I go now, they never do, and even when I ask, they never remember so I feel like I am a pest always asking. I feel it is just a courtesy for me to see what they are sticking into my body. I'm sure the person giving the meds thinks I am wrong for asking b/c it shows that I don't trust them.

What do you all think?

Margaret Eleanor 07-20-2012 10:20 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I think you are smart to check the bag before getting infused. I always asked to see the bag before I was infused. I even had a preference for the sequence of drugs. Taxol left a nasty taste in my mouth, so I never wanted it last. I'm sure I made more than one nurse mad, but bottom line, it's MY body that the toxin was being put into.

Sheila 07-21-2012 06:32 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
my nurse always has another nurse peer check what she is giving me, reads the name out loud and the dose and infusion time and also reads my name, birthdate and hospital number off the bag...never hurts to look at the bag, mistakes have been made! as far as the order the drugs are given, sometimes, they are ordered to be given in a certain sequence by Pharmacy or the Dr.

Andrea Barnett Budin 07-21-2012 08:23 AM

You are never a pest...!!!
 
Yes, Sheila! Same. Exactly. And on the odd occasion I had to ask and apologized for being a pest, I was ALWAYS told, No, you're not being a pest. You're smart. That's what you have to do.

So 7andcounting -- you are a smart cookie. We must all be proactive, vigilant, on top of EVERYTHING. No one cares about you more than YOU. And it is the wise way to navigate in this world.

People are human. And humans make errors. You don't want to be on the wrong end of a mishap.

There was another Andrea in my chemo room, I noted on the sign in sheet (before they taped over her name). Then, I became uber diligent. It is rare that there's another with my first name. And I had no idea what chemo she was in for. I did know what I was in for...

YOU ARE NEVER A PEST! You're a wise consumer. What every patient aspires to be...

Andi

hutchibk 07-21-2012 08:38 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
Never had to ask... they have ALWAYS checked w/ 1. the pharmacy, 2. each other and 3. w/ me to verify name and birthdate.

NEDenise 07-21-2012 08:39 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
7!
I agree with Andi and Sheila 100%!!
Keep asking!
Denise

Yorkiegirl 07-21-2012 04:37 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I was always shown my bag's and had to verify the personnal information on it and they also showed me the name of drug being infused and how much was being given.

So, yes ask to see the bag.

suzan w 07-21-2012 08:26 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I was always shown the bags. They would read my name, and what was in the bag. In my case, I had A/C and it used to come fresh from the "kitchen", they would not mix it up til I sat in the chair. And everything else I ever had was checked and double checked, and I watched!!!

pibikay 07-22-2012 07:31 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
Yes The Chmo nurses in Apollo Speciality hospital show the infusion. WE (or rather I ) buy the medicines from the hospital pharmacy attached to the Chemo part and give it to the nurse.She shows the same before she mixes it into the pouch

'lizbeth 07-22-2012 07:44 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
They always checked with me before each infusion with name, identifying information the drug and the dose.

It is a great idea and I would confirm before each infusion. My first oncologist thought it would be fine to switch taxanes before discussing it with me before my first infusion.

I had a cow. I had no way to read up on the treatment before receiving it and had no idea of the differences between the two. It was very upsetting as I had no way to check on it at the hospital.

I was very happy to switch doctors, but I'm pretty sure I got the difficult patient note on my records after that.

7andcounting 07-24-2012 09:24 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
Thanks to everyone for posting. Yes, it is never fun feeling like a pest, but nice to know I'm not the only one that thinks this is important.

Kellennea 07-25-2012 11:58 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I not only saw it, but had to spell my last name & give my birth date to my chemo nurse in front of another nurse.

chemteach 07-26-2012 04:57 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
My people at JACC in Lubbock, TX always showed me every bag, checked my armband, and then asked me my name and birthdate before any infusion. I assumed that to be routine practice at any cancer center for patient safety and for the center's safety.

snolan 07-26-2012 09:43 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I was always shown the bag. For most facillities that is a saftey policy helps show JACHO compliance for drug saftey.

BonnieR 07-26-2012 10:43 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I think we should always be vigilant about our care. When I was first given Neulesta I asked to read the literature. It stated clearly that it is to be given 24 hours AFTER chemo. The nurse was preparing to give it to me immediatly, in the chemo room. I pointed out the literature and she insisted it meant to be given in the first 24 hours. I called over the nurse practictioner for support. She hedged and said that they sometimes give it the same day if a patient has to travel a long distance. Well, I live in walking distance of the hospital! And no one asked where I lived. I am certain that it was that nurses' routine practice to give the shot the same day. she is a veteran nurse and has worked there for years. How many shots has she given incorrectly? What else does she get wrong?? She begrudgingly agreed for me to come back the next day, but acted as though I was being a diva.
I spent my last 5 years being vigilant. It is exhausting sometimes.
Keep the faith.
ETA: It was because of THIS board that I got suspicious about the timing of the injection. I remembered reading abut the day after shot here.

KDR 07-26-2012 11:08 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
Our facility cross-checks any medicine being infused in a patient. It's good to know what you "should" hear: your name, date of birth, patient ID number, and, for example, "T-DM1, 2.4 kg per ml over 30 minutes." They check each other, you check them.
Karen

CoolBreeze 07-26-2012 12:13 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
They don't show me what's in the bag. But, with Abraxane, due to the color, it's pretty obvious. I guess I've been going there for so long and had the same nurse for over 2 year so there is trust between us. I go in my doctor's office, maybe it's less formal. At first, they always told me what they were doing but now....I'm one of the regulars. :) I hear them doing it with newbies though, and I'm sure if I asked they would.

I always get my bloodwork though, they have only forgotten that once.

Oh and Bonnie you were right to stick up for youself. Neulasta is 24 hours from chemo, I'm shocked a chemo nurse didn't know that automatically. Mine all know, and when I give it to myself, they all warn me I had to wait 24 hours.

NanaJoni 07-26-2012 12:30 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
Bonnie's right about the word "vigilance". We have a situation here in my home town - two oncologists were buying Avastin from a supplier in Montana who was selling it $400 cheaper per vial. Turns out the guy in Montana was getting the stuff from another guy in Cairo, Egypt - not Illinois -and it was counterfeit. Yup - just saline and some other useless stuff. The labels were in foreign languages and the lot numbers were fake. Sadly a lot of people will never know if they got this junk or not. Apparently with many of the infusion drugs, the drug itself is added to a bag of saline in the clinic's pharmacy and then brought to the patient. Still can't be too careful and we need to check that we are getting the right bag. The FDA is investigating 85 doctors across the US about this fraud and it may get worse. And, no, the doctors weren't passing the savings along to the patients - just getting more in profit.

chrisy 07-26-2012 08:19 PM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
Yes, I like to bless it.

Ellie F 07-27-2012 03:37 AM

Re: Does your chemo nurse let you see the bag before she/he hangs it?
 
I am always asked to confirm name, address and dob here in England. I also read the label on the bag myself and then repeat to the nurse that I'm here for herceptin.
Mistakes do happen especially when it's busy and staff are hurried, I've seen it myself.
Totally agree with Bonnie about it being exhausting but don't think you can get round that.
Ellie


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