Oncology Clinical Resources
Oncology clinical resources, including policies, community care teams, and long-term follow-up guidelines.
Flu vaccination guidelines
2024 Flu Immunization Guidelines
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Fever and neutropenia
Fever +/- neutropenia is a medical emergency
Clinical pathway
Practice Guidelines for Fever +/- Neutropenia patients (PDF)
Definition
Fever: oral or temporal temperature ≥38.5°C or axillary temperature ≥ 38.0°C
Neutropenia: ANC <0.5 x 109/L
Triage
We recommend that the BC Children's Clinical Pathway be followed and the recommendations for empiric antibiotic use be implemented. (Caveat: individual hospital infection control policy may dictate other treatments based on their 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 (8 a.m. - 4 p.m.)
Oncology Clinic: 604-875-2345 ext 7079
After hours, 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 the patient is clinically well, caregivers are reliable, and no focal infections require treatment, empiric antibiotic therapy is not required.
BC Children's resources
- C & W online formulary Pediatric Drug Dosage Guidelines
- SHOP (electronic Policies, Order Sets, Procedures and Standards) is the website for BC Children's and Women's clinical support documents
- Family Library search our collection of print books, eBooks, CDs and DVDs, games, and teaching tools on health topics.
Websites
- APHON Patient & Family Resources
- National Cancer Institute
- BC Cancer - A comprehensive cancer control program for B.C.
- Children's Oncology Group
- St Jude Cure4Kids - Cure4Kids is an online education resource for healthcare professionals
- U-Link Canada - Available clinical trials within Canada; can also assist families with support for travel and accommodation costs when accessing clinical trials outside of local treatment centres.
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.
- BC Children's Hospital Oncology/Hematology Staff Directory (PDF) - rev. October 2024
- Competency Standards for Safely Administering Hazardous Drugs including Chemotherapy & Biotherapy in Community Setting (PDF) - August 2024
Community care teams
Many of our patients receive portions of their treatment in their local communities. The following is a list of our community partners.
- 100 Mile (PDF) - 2024
- Abbotsford (PDF) - 2024
- Campbell River (PDF) - 2024
- Chilliwack (PDF) - 2024
- Courtenay (PDF) - 2024
- Dawson Creek (PDF) - 2024
- Duncan (PDF) - 2024
- Fort St. John (PDF) - 2024
- Kamloops (PDF) - 2024
- Kelowna (PDF) - 2024
- Nanaimo (PDF) - 2024
- Penticton (PDF) - 2024
- Prince George (PDF) - 2024
- Prince Rupert (PDF) - 2024
- Quesnel (PDF) - 2024
- Smithers (PDF) - 2024
- Surrey (PDF) - 2024
- Terrace (PDF) - 2024
- Trail (PDF) - 2024
- Vanderhoof (PDF) - 2024
- Vernon (PDF) - 2024
- Victoria (PDF) - 2024
- Williams Lake (PDF) - 2024
- Yukon - Whitehorse (PDF) - 2024
Long-term follow-up guidelines
As new therapies are employed, our knowledge concerning the risks of 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 individually to provide optimum care for survivors.
Additional survivorship guidelines can be found on the Children's Oncology Group website.
- ALL with CNS RT early follow-up clinic (PDF)
- ALL with CNS RT late effects clinic (PDF)
- Standard and high-risk ALL and LLy early follow-up clinic (PDF)
- Standard and high-risk ALL and LLy late effects clinic (PDF)
- Very high risk, infant and Ph pos ALL early follow-up clinic (PDF)
- Very high risk, infant and Ph pos ALL late effects clinic (PDF)
- CNS tumour, benign, surgery only early and late follow-up clinic (PDF)
- CNS tumour, chemo only early follow-up clinic (PDF)
- CNS tumour, other, chemo only late effects clinic (PDF)
- CNS tumours with chemotherapy and radiation early follow-up clinic (PDF)
- CNS tumours with chemotherapy and radiation late follow-up clinic (PDF)
Contact Us
Address
Oncology/Hematology/BMT
Room B315, 4480 Oak Street
Vancouver, BC, V6H 3V4
Phone: 604-875-2116
Toll Free: 1-888-300-3088 ext 2116
24-hour emergency pager: 604-875-2161 ask for the oncologist on call