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Infrastructure of the stem cell transplant unit |
(i) HEPA-filtered rooms with attached washroom |
(ii) Clean and dirty utility areas |
(iii) Biomedical equipment: infusion and syringe pumps, cardiac monitors, medication carts, crash cart, computers for accessing the hospital and laboratory information systems |
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Apheresis facility |
(i)Apheresis equipment × 2 |
(ii) Appropriate stem cell harvest kit |
(iii) ACD bags and other consumables |
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Stem cell laboratory for CD34+ cell enumeration and stem cell storage |
(i) Flow cytometer with updated software |
(ii) Reagents for standardization of CD34+ cell enumeration |
(iii) CD34+ cell enumeration beads and reagents |
(iv) Controlled rate freezer with liquid nitrogen storage tank |
(v) Liquid nitrogen shipper |
(vi) Liquid nitrogen supply |
(vii) Trained laboratory technologist |
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Team |
(i) Attending physicians |
(ii) Associate physicians |
(iii) Registered nurses |
(iv) Clinical pharmacist |
(v) Housekeeping staff |
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Policies and protocols |
(i) Standard operating protocols (SOP) for pretransplant workup and consent |
(ii) Nursing policies and SOPs |
(iii) Infection control policy |
(iv) Febrile neutropenia management policy |
(v) Central venous access insertion and maintenance bundle |
(vi) Transfusion policy |
(vii)SOPs for peripheral blood stem cell harvest, storage, transport and infusion |
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Drugs |
(i) Antibiotics and antifungals |
(ii) G-CSF |
(iii) Plerixafor |
(iv) Chemotherapeutic drugs |
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Allied departments |
(i) Intensive care unit |
(ii) Transfusion medicine service with availability of blood components |
(iii) Laboratory with a quality management plan for hematologic and biochemistry tests and for blood culture and sensitivity |
(iv) Dietetics department with hygiene control and pest control |
(v) Radiology department with the ability to insert central venous catheters |
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