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Oncology

BC Children's Hospital works collaboratively with the BC Cancer Agency and the Children's Oncology Group to provide recommendations for investigation, treatment and follow-up for children with cancer.



Resources

Flu Vaccination guidelines

2017-2018 Flu Vaccination Guidelines  

‎‎Fever +/- Neutropenia is a Medical Emergency


Clinical pathway:

Practice Guidelines for Fever +/-  Neutropenia patients.


Fever and Neutropenia

Definition:

Fever-  Oral temperature >38.5°C (or >38°C x 2 readings taken 1 hour apart)

Neutropenia- ANC <0.5 x 109/L


Triage:

It is recommended that the BCCH Clinical Pathway be followed and the recommendations for empiric antibiotic use be implemented. (CAVEAT: Individual Hospital Infection Control Policy may dictate other treatment based on their own antibiotic sensitivity profile).


 The treating pediatric oncologist (after hours, the oncologist on call) should be notified when a child on active anticancer therapy develops a fever and neutropenia.

 

Please notify BC Children's Hospital

Weekdays (8am-4pm) Oncology clinic 604-875-2345 ext 7079

Afterhours, weekends and stat holidays: Oncologist on call 604-875-2161


Fever, non-neutropenic patients:

All children with central lines require blood cultures with new febrile episodes. If patient is clinically well, caregivers are reliable, and there are no focal infections requiring treatment, empiric antibiotic therapy is not required. 

‎BCCH Resource Webpages
  • C & W online Formulary  Pediatric Drug Dosage Guidelines
  • ePOPS (electronic Policies, Order Sets, Procedures and Standards) is the website for BC Children's and Women's clinical support documents
BCCH Chemotherapy/Biotherapy Policies
Central Line Care

Pediatric Oncology Education Materials  Basic information on pediatric oncology for healthcare professionals

National Cancer Institute

BC Cancer Agency  A comprehensive cancer control program for BC

Children's Oncology Group 

St Jude Cure4Kids  Cure4Kids is an online education resource for healthcare professionals



Community Partners

A significant contribution to the successful treatment of children with cancer and blood disorders comes from adopting a multi disciplinary team approach to patient care.
 

 
One of the pediatric oncologists/hematologists is the primary physician responsible for directing the care of the child. This oncologist along with a nurse clinician and a social worker form the primary care team which liaises with the local community health care professionals.  

BCCH Oncology/Hematology Staff directory (rev. August 2018)

Community Care Teams

Many of our patients receive portions of their treatment in their local community.  The following is a list of our community partners. 

Campbell River (rev. May 2018)

Courtenay (rev. May 2018)

Kamloops (rev. Jan 2018)

Kelowna (rev. July 2018)

Nanaimo (rev. May 2018)

Penticton (rev. May 2018)

Prince George (rev. Aug 2018)

Surrey (rev. May 2018)

Vernon (rev. May 2018)    

Victoria (rev. April 2018)


LTFU Guidelines

As new therapies are employed, our knowledge concerning the risks or recurrence and late effects of cancer and its treatment is changing. We have developed disease-specific long-term follow-up guidelines. These guidelines can be modified on an individual basis to provide optimum care for survivors.

Clinical Tools

Additional survivorship guidelines can be found on the Children's Oncology Group website.

 

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