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Children and Young People's Centre Page 1 of 2
Revised: May 2018 Planned review: May 2021
© The Royal Marsden NHS Foundation Trust CU-1157-05
Patient information
Using a Baxter Infusor for TVD chemotherapy in children
You may have used a pump for giving chemotherapy before or this may be a new experience for
you. This information sheet will explain how to look after your child's Baxter Infusor. The infusor
allows the flexibility for your child to receive this chemotherapy at home instead of in hospital.
Looking after your 48 hour Baxter Infusor
The Infusor is disposable so is designed to be used only once and then discarded. There are no dials
or alarms on this pump. The chemotherapy is pumped in at a set rate through the tubing. Once all
the chemotherapy has been delivered, a small amount of fluid (approximately 3 millilitres (mls) will
remain in the tubing and on the inner pump walls but this will not affect the dose your child
receives. You should check the pump to see that the balloon is decreasing in size - the movement
is slow so please check after 24 hours. If you feel the balloon has not decreased, please call the
nurses on the numbers below.
• Filling port cap - protects the infusor system where the chemotherapy was filled
• Kink-resistant delivery tubing carries the chemotherapy
• Empty indicator bumps - shows when the pump is empty
• Balloon reservoir - contains your child's chemotherapy
• Plastic case - protects the balloon reservoir
• Flow restrictor controls how fast your chemotherapy is given.
Children and Young People's Centre Page 2 of 2
Revised: May 2018 Planned review: May 2021
© The Royal Marsden NHS Foundation Trust CU-1157-05
Important points
The Baxter Infusor is for use through a skin-tunnelled catheter (Hickman) only
Do not re-use the pump or extension set
Your child should not swim while using the infusion pump
Take care if bathing your child. Do not allow the pump to become wet. If you
bathe your child while wearing the pump, place it in a small plastic bag or wrap it in a towel and
place it out of the water, on the edge of the bath or shower shelf.
Further advice
The nursing staff will open the clamp to start the infusion. The clamp must remain open for the
duration of the infusion.
The coloured 'hub' should be saved in the carrying bag provided in case it is needed to stop the
infusion
The flow restrictor must be taped securely against your child's skin in order to maintain the
constant flow rate using adhesive tape.
Ensure there are no bends or twists in the infusion line as these can cause fluctuation in flow
rate.
Avoid putting pressure on the pump, for example, by squeezing it or sitting on it.
Always carry the pump in the bag provided. The pump should be worn at the same level as the
flow restrictor. It should not be placed on the floor or above the head. At night it can be placed
at the waist or under the pillow. The pump can be worn under or on top of clothing.
For children, the carrying bag must be sealed with an 'Envoseal' or 'cable tie' to prevent the
child having access to the pump and its detachable parts.
The pump must remain at room temperature and not be exposed to heat sources or direct
sunlight.
Leaks are very rare but if you see any fluid in or out of the plastic casing, please call the nurses.
Do not allow the chemotherapy solution to come in contact with skin.
Your child's infusion time may vary by a few hours; if it varies by more than five hours please
contact the nursing staff.
Once your infusion is finished, the pump will need to be disconnected by the nursing staff.
Contact details
24 hour paediatric advice line:
0208 915 6248
Clinical Site Practitioner on call:
020 8642 6011 Bleep 017 (out of hours)
If you need any further information about this device or any medicines you have been prescribed
you can contact:
Pharmacy Medicines Information: 020 8770 3821
Email:
medicines.information@rmh.nhs.uk
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