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Journal of Pediatric Oncology Nursing
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Central Line Placement for the Pediatric Oncology Patient: A Model of Advanced Practice Nurse Collaboration

Colleen Callahan, MSN, RN, CRNP

The Childrens Hospital of Philadelphia, Division of Oncology, 4th Floor Wood Building, 34th and Civic Center Boulevard, Philadelphia, PA 19104

Hope De La Cruz, MSN, RN, CRNP

The Children’s Hospital of Philadelphia

Central lines are commonly placed in pediatric oncology patients during their therapy. Advanced practice nurses (APNs) play an important role in the coordination and facilitation of line placements so that they may be inserted in an expeditious manner. Collaboration between the Divisions of Oncology and Surgery is often key to attaining this goal. At the Children’s Hospital of Philadelphia, the APNs in Oncology and Surgery have developed a collaborative approach to the placement of central lines in oncology patients. Many positive changes ensued between these divisions after collaboration occurred and a system for line placements was put into place. A well-defined process for central line placement is currently being utilized that meets the needs of the patients. Central lines are being placed in a timelier manner, procedures are coordinated, and treatment is started earlier, which has increased the satisfaction of patients, families, and health care providers. Finally, this collaboration led to an improved relationship and better communication between the Divisions of Oncology and Surgery.

Key Words: central venous access • nurse practitioner • collaboration • pediatric oncology

Journal of Pediatric Oncology Nursing, Vol. 21, No. 1, 16-21 (2004)
DOI: 10.1177/1043454203259952


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