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Pediatric Hematology/Oncology Services cover both King Faisal Specialist Hospital (KFSH&RC) and King Fahad National Centre for Childrens' Cancer (KFNCCC) – Riyadh.  The pediatric malignancies are cared for by the Department of Pediatric Hematology/ Oncology and admitted at KFNCCC with total allocation of 46 beds. The Pediatric Stem Cell Transplant patients for transplants and post transplants are admitted at KFSH&RC with total allocation of 24 beds.

Types and Ages of Patients Served:

The Department of Pediatric Hematology/Oncology provides comprehensive care in children and adolescent with Leukemia, Brain Tumors, Lymphoma, Bone and other Solid Tumors, in addition to patients with malignancies, non-malignant hematological and bleeding disorders. Patient age range from Zero to 14 years, after which if their treatment is not completed they are referred to the Adult Service at KFSH&RC.

Scope and Complexity of Patient Care Needs:

The Department of Pediatric Hematology/Oncology requires multi-disciplinary team care involving but not limited to Pediatric Hematologist/Oncologist, Pediatric Surgeons; General Surgery, Thoracic Surgery, Neurosurgery, Cardiac Surgery, Urology, Vascular Surgery and all-inclusive Pediatric Subspecialties, PICU, Pediatric Radiology, Pediatric Radiation Oncology, Chemotherapy Certified Nurses, Nutrition Support, Physical Therapy, OBGyne, Occupational Therapy, Audiology, Speech Therapy and Social Services, Radiology, Laboratory & Pathology.

Strategies to Assess and Meet Patient Care Needs:

  1. Comprehensive therapeutic protocols and treatment programs.
  2. Evidence based supportive care guidelines
  3. Annual review of patients` outcomes
  4. Psychosocial multidisciplinary team responsive to patient and family needs

 

A team of staff nurses, management and support staff provide nursing care to this patient population across both inpatient and outpatient settings.

The nursing units and their bed capacities/clinic activities are as follows:

 

  • Inpatient Care Ward A1: 10 bed unit that provides acute care to pediatric hematology and oncology patients aged from birth to 14 years of age
  • Inpatient Care Ward A2: 10 bed unit that proviREdes care to pre and post stem cell transplant patients
  • Inpatient Care Ward B: (20) bed unit that provides acute care to pediatric hematology and oncology patients aged from birth to 14 years of age
  • Inpatient Care Ward C: 6 bed unit that provides acute care to pediatric hematology and oncology patients aged from birth to 14 years of age
  • In patient Care Ward D: 4 bed that houses the isolation beds of acute care to pediatric hematology and oncology patients aged from birth to 14 years of age

 

  • Intensive Care Unit: (4) projected bed unit that potentially may provide acute care to pediatric hematology and oncology patients aged from birth to 14 years of age.
  • Outpatient Treatment Area: procedure and treatment area for pediatric hematology and oncology patients aged from birth to 14 years of age
  • Drop in Clinic: provides acute care to pediatric hematology and oncology patients from birth to 14 years of age
  • Walk-In Treatment Area –KFNCCC
  • Consultative services  – KFSH&RC
  • B3-1 pediatric hematology oncology  – KFSH&RC
  • B3-2 Stem Cell Transplant  – KFSH&RC
  • PICU – KFSH&RC
  • Emergency Room – KFSH&RC
 

WALK IN CLINIC (WIC)

Scope of Service

The aim of the Walk-in Clinic is to provide treatment and supportive nursing care for pediatric Hematology/Oncology patients. Patients are assessed and sorted according to medical acuity, not in order of arrival

Type of service:

Include but not limited to:

  • Acute Febrile illness
  • Dehydration
  • Vomiting and diarrhea
  • Allergic Reaction
Frequent Procedures/Services/Functions

The Health Care Team incorporates various diagnostic and treatment modalities when planning patient care. These may include:

  • Ongoing assessment, planning, intervention and evaluation by nursing and medical staff
  • Pharmacological support
  • Medication delivery including chemotherapy administration and management
  • Pain management
  • Blood product administration
  • Central and peripheral intravenous line management
  • Patient/family education
  • Oxygen therapy and pulse oximetry
  • Psychosocial support

Hours of Operation:

The Department of Pediatric Hematology/Oncology operates according to the Hospital working hours Sundays to Wednesdays (0730-17:00H) and Thursdays (0730-1600H). Clinics are closed during Eid Holidays

The most commonly treated cancer and blood disorders include:

  • Acute Lymphoblastic Leukemia
  • Acute Myelogenous Leukemia
  • Non-Hodgkin’s Lymphoma
  • Hodgkin’s Lymphoma
  • Burkitt’s Lymphoma
  • Brain Tumors
  • Osteosarcomas
  • Ewing’s Sarcoma/PNET
  • Neuroblastoma/CNS tumors
  • Germ Cell Tumor
  • Wilm’s Tumor
  • Rhabdomyosarcoma
  • Retinoblastoma
  • Aplastic Anemia
  • Sickle Cell Anemia
  • Langerhan’s Cell Histiocytosis
Frequent Procedures/Services/Functions
  • Medication delivery including chemotherapy administration and management
  • Blood product administration
  • Central and peripheral intravenous line management
  • Pain management
  • Bone marrow biopsy and aspiration
  • Lumbar puncture
  • Patient assessment and evaluation
  • Patient/family education
  • Hemodynamic monitoring
  • Oxygen therapy and pulse oximetry
  • Moderate sedation
  • Isolation
  • Nutritional support (TPN, NGT, weight assessment, dietary instruction)
  • Psychosocial support
  • BMT work-up
  • Diagnostic and Treatment evaluation
  • Radiation therapy