Biological treatment of inflammatory bowel disease - the nurses job

Biological treatment of inflammatory bowel disease - the nurses job Ward sister of outpatient clinic Lotte Julin Hansen Department of medical gastroenterology Aalborg Hospital, Aarhus University Hospital Denmark Our geography North Jutland County 500.000 inhabitants 7500 visit a year 600 patients with Crohns disease 1400 patients with Ulcerative Colitis Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 Our activities with biology treatment in 2007 400 infusions of infliximab in 112 patients 83 with Crohn’s disease 29 with Ulcerative colitis 4 had certolizumab pegol (Cimzia) 7 had Adalimumab (Humira) 9 patients had a colectomy Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 Our activities to biology treatment capacity of 4 patients every day  Always 3 patients booked  1 spare bed for acute treatments  A   biological treatment paracentesis blood infusion…. Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 Our treatment regime  All patients have a thoracic x-ray without TB  40 mg of prednisolon the evening before  40 mg of solumedrol before infusion  5 mg/kg of infliximab (250 ml NaCl)   85 ml/h for the first 15 minutes 120 ml/h hereafter Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 The role of the nurse Weight every time  Interview. Ask for infections symtoms  disease activity  Start the treatment  Blood tests every visit  Observation for 1 hour We have made a timetable for the nurses The doctor and I have made a instrucks for the treatment  Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 The role of the nurse  Documentation  journal note (how much medicine was administed) round  Booking of the next treatment  Doctors Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 The role of the nurse  All nurses trained for biological treatment regimes nurses are always under supervision of trained nurses  Student Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 Humira treatment  We teach the patient in administration the medicin themselfs.  All nurses are training the patients We have made a timetable for the training   Our Doctor and I have made a instuktion for the treatment. Our outpatient clinic Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 Our outpatient clinic Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008 Conclusion nurses role and traning is very important for the patients treatment and education  The co-operation with the doctors is very important. We work as a team now.  The nurses is very pleased with getting more responsibility in the treatment.  The Thank you for Your attention! Lotte J. Hansen, Aalborg Sygehus ECCO meeting 2008