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SAINT THOMAS MIDTOWN HOSPITAL 2000 Church Street, 2 ND floor Nashville, Tennessee 37236 615-284-4000 615-284-4688 fax F O R R E F E R R A L S, A P P O I N T M E N T S O R Q U E S T I O N S, C A L L : 615.284.4000 OUTPATIENT INFUSION CENTER SAINT THOMAS MIDTOWN HOSPITAL Hours The Infusion Center is open Monday - Friday between 7:00 am and 6:00 pm. The Infusion Center at Saint Thomas Midtown Location Hospital offers easy outpatient access to high- Patients can use complimentary valet services quality infusion and chemotherapy services. at the main entrance on 20TH Avenue. From the Staffed by registered nurses who specialize in main entrance, take elevator “A” to the 2ND floor intravenous and injectable therapies, we provide and proceed to the registration desk for check in. personalized, compassionate and comfortable care to every patient we see. Our Services The Infusion Center offers a variety of intravenous, injectable and infusion health services, including: • Antibiotic administration • Blood product infusion • Chemotherapy • IV medications [ie Reclast, Benlysta, MY A P P O I N TME N T Tysabri and Bemicade] dat e • IV hydration • Injections [ie Prolia, Neulasta and XGEVA] time OUTPATIENT INFUSION CENTER PARKING AND DIRECTIONS F O R R E F E R R A L S, A P P O I N T M E N T S O R Q U E S T I O N S, C A L L : 615.284.4000 Saint Thomas Midtown Hospital is conveniently located near Interstate 40. The hospital is bordered by West End Avenue, Charlotte Pike, 20TH Avenue North and 21ST Avenue North. DIRECTIONS FROM NORTH NASHVILLE: 1] I-65 South / I-40 East 2] Exit at Charlotte Pike - 3] DIRECTIONS FROM SOUTH NASHVILLE: 1] I-65 North / I-40 West 2] Exit Church Street / Charlotte Pike - Turn Right at bottom of exit ramp 3] Left on Church Street 4] Proceed seven blocks west away from town 4] Proceed 6 blocks away from town 5] Turn left onto 21ST Avenue (a one-way street) 5] Turn right on 20TH Avenue 6] You will see the hospital two blocks 6] Left into main hospital entrance exit 209 ahead on your left 7] Proceed past the hospital 8] Left on Church Street 9] Left on 20TH Avenue 10] exit 209 complementary valet parking Additional Parking is available in the Midstate garage. Turn left into main hospital entrance complementary valet parking SAINT THOMAS MIDTOWN HOSPITAL 2000 Church Street, 2 ND floor Nashville, Tennessee 37236 615-284-4000 615-284-4688 fax OUTPATIENT INFUSION CENTER GUIDELINES SAINT THOMAS MIDTOWN HOSPITAL 1] Hours of Operation are 7:00am to 6:00pm, Monday 9] as Appropriate patients for admission to the 2] Outpatient Infusion Center include: Joint for diagnosis, Commission. Avoid medications, whenever possible. Please include correct CPT Diagnosis and ICD-IO codes for each treatment and/or lab ordered. 10] Failure Pre-Approval # (if applicable), most recent lab patients without urine results prior to Chemotherapy and Transfusion of output, Blood Products, should be faxed to 616-284-4688 Total Care, and Unstable Patients. Pre-certification 4] by physician’s History and Physical or most recent dictated Office Note with Medication List, Physician Order form, Inappropriate patients for Outpatient Treatment: Renal can office prior to scheduled arrival date of patient. be staff completed or can be 11] Chemotherapy orders should include CBC, Height, Weight, and BSA as well as other appropriate lab done by OIC staff at 615-284-3702. results, Total Dose per Meter Square, and Attending Physician’s signature. Appointments may be scheduled 7:00am to 4:00 pm by calling 615-284-4000. Procedures can be done by the Infusion Center. The doctor’s 12] Type and Crossmatch may be completed up office will be required to do precertification when to 72 hours prior to Transfusion date. Arrival time for patients requiring 2 Units of Packed Red a referral is made for a next day appointment. Cells should be no later than 12:00noon. If special processing or infusion rates are required, patients Patients must be scheduled in advance. Walk in and unscheduled appointments may not always be accommodated due to drug or appointment availabilities. The treatment ordered must be 12] will be scheduled early in the day. Direct Line to Infusion Center RN 616-284-4003 scheduled in a way that it can be safely completed by 5:30pm. 7] All orders should be written on Saint Thomas Midtown Physician order form or entered into cerner directly by the physician. Standard Order forms are available for: Blood Transfusion, Chemotherapy, Reclast, Boniva, Prolia, XGEVA, Remicade, Actemra, recommended that and Benlysta. It these Standard Forms is be used in order to assure Standard of Care. 8] and in need of 2-3 Units of Packed Red Cells, other Blood Products (Platelets, FFP), on Hospital Formulary. 6] by Patients IV Medications approved for Outpatient use and 5] required abbreviations Conventional Chemotherapy Protocols, Hydration, 3] Date, time, patient name and DOB, diet order and physician’s signature must be present on all orders, through Friday. Non-formulary drugs require prior approval from the pharmacy. The physician will need to fill out a form and appproval may take 24 - 48 hours. Frequency and duration of prescriptions must be noted on orders. Orders are good for 1 year unless otherwise noted. SAINT THOMAS MIDTOWN HOSPITAL 2000 Church Street, 2 ND floor Nashville, Tennessee 37236 615-284-4000 615-284-4688 fax