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PORT PLACEMENT - Detailed description of process

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Comments

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited March 2014

    Caryn , thought you were a nurse. That would have made it an easy out.

    Well, I think I'm going to leave it at what I said. 

    Spookie Final opinion:

    1.You should insist on knowing the RN's training and experience level before allowing her to touch your port as I suggest several posts ago

    2. That the RN complete the whole procedure.

    I'm going to terminate my search. Rationale:the accepted practice is that only trained RN's access ports for the purposes of infusing a drug, flushing for maintenance, drawing blood, and discontinuation with appropriate flush protocol. 

  • exbrnxgrl
    exbrnxgrl Member Posts: 5,289
    edited March 2014

    LOL! Not sure why you thought that, I teach first grade :)

    Caryn

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited March 2014

    Caryn-------who knows I did think you were a nurse. No Lol, I was serious.

  • spookiesmom
    spookiesmom Member Posts: 8,178
    edited March 2014

    Sas, breathe! The vampire will do the blood.  I will check on RN though. Thanks!

  • exbrnxgrl
    exbrnxgrl Member Posts: 5,289
    edited March 2014

    Well, I did have some not so fun medical adventures after my port was placed, so I am a de facto expert on how one can have a pneumothorax even after the post placement x-ray. But, it's all good now.

    Caryn

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited March 2014

    OKay spookie I'll breathe

    Caryn yes you do have the longest post insertion time to recognition of pneumothorax that I've heard, but haven't done a search---LOL, I'll leave it at that sassy

  • exbrnxgrl
    exbrnxgrl Member Posts: 5,289
    edited March 2014

    Yes, I think it's pretty safe to say that I was a rare anomaly and no one should ever be hesitant about a port because of my experience. 

  • spookiesmom
    spookiesmom Member Posts: 8,178
    edited March 2014

    Spoke with RN at PCP. Says she worked in hospital 10 years, is very familiar with doing a flush. Vampire will do blood from arm. 

  • moonflwr912
    moonflwr912 Member Posts: 5,938
    edited March 2014

    I get my port flushed at the cancer center. They also do the blood draw. BUT the procedure there is the Lab tech does the needle placement, draws the blood vials, flushes it, and tapes the tubes up for the nurse. Then you get your paperwork or if it's your turn to see the MO you see him with the port accessed. After the Dr sees you, or if you don't see him that day,  you go back to the infusion room and wait for tests results. If the results say you need something you get your IV then. After infusion the nurse does the saline, and Herperine lock. Then takes the needle out. Band aid on and out the door. That's the way it's been for almost 2 years now. I go to an Aurora facility. My insurance is Cigna. BTW the tech have always been fast and good. Only once did they have an issue. It was after a stitch popped and it had moved. She tried once and then sent me straight to the nurse. Nurse got it on the second try called the tech in to show how she aimed it and the next time the tech got it 1st try. 

    I have a very good team. LOL

  • spookiesmom
    spookiesmom Member Posts: 8,178
    edited April 2014

    I went to the center until Humana dumped the whole practice. Things will be different now, but ok I think. Hope?

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited April 2014

    Hi this is OCD sassy LOL. 

    Soopkie glad you asked your nurse about her training and knowledge level :)

    Moon, what most people don't realize is that doc's have the legal right to have people do inside their office whatever they tell them to do. They can take an unlicensed, un-certified, no formally  schooled person off the street and have them do what you have described. Sounds horrific, but is true.

    Over the years as malpractice cases have risen and malpractice insurance rates have risen docs have changed their practices to lessen their own insurance risk. Plus, if a doc's facility seeks to attain certifications from different national organizations , or affiliations with regional centers, these accrediting /certifying /partnering organizations require that people doing the work have the required training, licensing, and certifications.

    When a doc's place of practice advertises, that they have these types of accreditation' s and certifications it's a very good thing to know. These outside agencies that give their stamp of approval to a facility, it means that  a paper application has been made stating that all the requirements of the agency have been met. There is then a site visit by a team that reviews all the requirements of the process. Each section of the facility is reviewed for compliance. Each individuals record is reviewed for proper certifications, yearly compliance history of continuing education of employees and the doc's.

    In other words, it tells you that someone is watching the hen house.  May be TMI, but it's nice to know.         :) sassy

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited April 2014

    Bump, please try to scan from the beginning. So many things have been offered by members that is useful. Tb 57 stopped posting many years ago. I try to bump to keep it active.:)

  • merg
    merg Member Posts: 6
    edited April 2014

    I am getting my port placed tomorrow & chemo on tuesday. I didn't read all of the results but will this be ok? Thanx.

  • Generation3
    Generation3 Member Posts: 4
    edited April 2014

    Yes, I had my port placed on Wednesday then chemo Thursday. Just ask your MD to leave it accessed overnight so they won't have to poke it right away. That way it's painless.

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited April 2014

    OH Generation 3, so glad you were here to help merg. I bumped then didn't look, soory  merg.

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited May 2014

    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited May 2014

    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited May 2014

    Hi, popping in. I was posting with another member. I thought sharing the below information may be helpful to you Winking.

    The link www.needymeds.org is to a web site started by a Social Worker and a doc. It is a tricky site to use. The first page leads to a several hundred resource pages. But I think this first page, does not project the wealth that lies beneath. Be patient when following the links within the site. There are sections that are disease and drug specific. The specific page then links to lists of organizations that provide monetary or other types of assistance.

    Register first and do the request for assistances form. Reason: the request for assistance form is filed. If you apply to 1 or 20 organizations/companies, the forms don't need to be repeatedly filled out.  The system is designed to pull information from the original form. There may be a few particulars that need to be added to a companies/organizations form.

    All the pharmaceutical companies have patient assistance programs. All the drug manufactures are listed there

    The other way to reach drug manufactures is 1. call the manufactuer patient assistance number(goolge keywords: drug name and manufacturer, then to webpage>>>patient assistance. Very time consuming.

    There is so much more on www.needymeds.org. It took a bit of time to wander through the whole site. I've shared a telephone walk through with many friends and relatives. I even called healthcare facilities to tell them about this link.

    For completeness, there are many ways to get financial assistance for whatever you need. There are organizations that will do things for you i.e volunteers that buy groceries, drive, install handrails, build wheelchair ramps.

    How to find the info besides from the link above?  FIND the SOCIAL WORKER(SW).  It's there job to know these things :)  Talk to all of the following 1. cancer center SW,  2.hospital SW, 3. Insurance companies SW, 4. County SW. 5. church outreach leader.

    I requested from my insurance carrier, a consult with a SW. That one appointment with the insurance carrier Social Worker, led to grants totaling $10,550. The meeting with the cancer centers SW, led to coverage of neulasta  for $4000.00.

     

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited May 2014


    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited May 2014


    bump,

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited June 2014


    bump, Hi if you have questions please read/skim from the beginning. So many members have offered responses to problems. The topic box is very accurate to port insertion experience. Pm me if I don't catch a question sassy :)

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited June 2014


    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited July 2014


    bump

  • maidentiredofwaiting
    maidentiredofwaiting Member Posts: 143
    edited July 2014

    Thank you all for your posts.  I have my port placement tomorrow and am very nervous.  Chemo starts next week Wed.  I like to be prepared and know what to expect.  And I'm so appreciative to all the brave and wonderful ladies who share their experiences and have so many great tips to help us newbies.  

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited July 2014

    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited August 2014

    Bump,

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited September 2014

    bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited September 2014

    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited September 2014


    Bump

  • sas-schatzi
    sas-schatzi Member Posts: 15,894
    edited September 2014


    Bump