Innovative care delivery models have increased the use of ambulatory care services. A transplant program, however, requires inpatient care delivery to support intensive assessment and care requirements of the person undergoing HSCT.23
Guidelines and standards have been developed outlining the minimum requirements for:24
- facility resources
- required health professionals and service providers
- preparation of health professionals
- clinical services
- support services.
International standards have been developed by the Joint Accreditation Committee - International Society for Cellular Therapy (ISCT) and European Group for Blood and Marrow Transplantation (EBMT).24
JACIE24 is a non-profit body established in 1998 for the purposes of assessment and accreditation in the field of HSCT. JACIE's primary aim is to promote high quality care and laboratory performance in haematopoietic stem cell collection, processing, and transplantation centres through an internationally recognised system of accreditation.24
The JACIE standards:24
- define the infrastructure required for all phases of the safe collection, processing, and administration of haematopoietic cells.
- require an ongoing assessment of these activities.
- do not prescribe the use of these therapies.
- require all clinical, collection, and processing facilities to evaluate and report clinical outcomes.
These Standards are based on the standards of the Foundation for the Accreditation of Cellular Therapy (FACT). The Standards extend and detail the pre-existing standards of the EBMT. Facilities have to meet certain minimum criteria detailed in the Standards to obtain accreditation, either for the entire program or just the portion that applies to the organisation.24
Other national and international organisations that promote best practice in HSCT through research, clinical standards and guidelines, regulation, and accreditation include:
- American Society for Blood and Marrow Transplantation25
- Australian Bone Marrow Donor Registry26
- Therapeutic Goods Administration27
- Australian and New Zealand Society of Blood Transfusion Specialists (ANZSBT)28.
- Summarise the recommendations for nurses working in HSCT units
- Identify the minimum recommended policies and procedures required at your facility
- Identify the Standard Operating Procedures manual in your facility.
Identify the following health professionals and describe their role and function in the HSCT team:
- Transplant coordinator
- Registered nurses
- Social worker
- Scientists (clinical laboratory staff).
Identify the services that support a person to remain in the community post-transplant.