Department of Medicine
University of Wisconsin
Bone Marrow Transplant Services
Adult Service - The adult BMT service consists of a recently remodeled ten bed, HEPA filtered wing located on the Hematology/Oncology unit. The BMT service is isolated from the rest of the unit by specially designed doors. All BMT rooms are private HEPA filtered rooms with individual shower and bathroom facilities. Families have access to the unit's main lounge, which is equipped with a refrigerator and microwave oven. In addition, the BMT wing has a separate visitor's lounge.
The BMT Service is staffed by a nurse practitioner, an Oncology or Hematology fellow, a Bone Marrow Transplant staff physician, and dedicated nursing staff specially trained in bone marrow transplantation.
Support services for the adult patient population are provided by dietary, health psychology, occupational therapy, pharmacy, physical therapy, recreational therapy, respiratory therapy, invasive diagnostic radiology, laboratory medicine, and social services. Subspecialty health care is routinely provided on a consult basis by; Anesthesiology, Cardiology, Dentistry, Gastroenterology, General Surgery, Infectious Diseases, Nephrology, Neurology, Pathology, Pulmonary Medicine, Ophthalmology, Otolaryngology, Radiation Oncology, Radiology, Rehabilitation Medicine and Urology. If intensive care services are required, adult BMT patients are moved to one of three intensive care units.
Pediatric Service - The pediatric BMT service is part of a ten bed, HEPA filtered wing designed and equipped to address the needs of severely immunocompromised patients at UW Children's Hospital, which is located within UWHC. All rooms are private HEPA filtered rooms with individual shower and bathroom facilities. In addition, four rooms provide cardiac monitoring facilities. The BMT wing has a separate visitor's lounge. The service is staffed by a pediatric resident, a pediatric bone marrow transplant staff physician, and pediatric-trained registered nurses who received additional training in bone marrow transplantation.
Pediatric support services are the same as for adults, although the following additional services are also available: child life/recreation therapy, speech therapy, and licensed school. Pediatric subspecialties in Cardiology, Child Psychology, Gastroenterology, Infectious Disease, Nephrology, Pulmonary Medicine, Rehabilitation Medicine and other subspecialty services provide health care on a consult basis to all pediatric BMT patients. If intensive care services are required, pediatric BMT patients transfer to the pediatric intensive care unit.
Other Services
Marrow Processing Laboratory - The Bone Marrow Transplant Program has one and a half full-time marrow-processing technicians on staff who work in laboratory space designated for progenitor cell processing and cryopreservation under Dr. Hematti's supervision and in conjunction with UWHC clinical laboratory activities.
Blood Product Support - UWHC's Blood Bank has the capability to irradiate all blood products as well as provide CMV negative and leuko-poor blood products. All blood products, including single donor and HLA matched platelets, are available to UWHC Blood Bank through LifeSource Blood Services.
Operating Room Facilities - Currently, the Bone Marrow Transplant Program has operating room time for one to three marrow harvests per week. In addition, priority scheduling is given to unrelated marrow donor harvest to facilitate transportation of donor marrow. Facilities include 16 inpatient operating rooms and six additional outpatient operating rooms. The outpatient operating rooms are located on the second floor of UWHC in the Ambulatory Surgery Center.
Radiation Oncology Facilities - Radiation therapy provides hyperfactionated total body irradiation for one to three bone marrow transplant patients per week. Usually, these patients are the first and last patients treated each day. Staff is comprised of eight physicians, five residents, five physicists, three dosimetrist, one chief technician, and 15 therapists. The radiation therapy clinic, which is located on the basement level of UWHC, houses two simulators, a dedicated CT scanner, one Varian 4 MV linear accelerator, Varian 600 MV, 2100C and 2300CD MeV linear accelerators with dual photon and electron capabilities, facilities for on-line dosimetry planning and for three dimensional computerized radiotherapy treatment planning, and a microwave generator for interstitial and external hyperthermia treatment. There is also Nucletron high-dose afterloading equipment. In addition, the clinic also has a patient waiting room, examining rooms and a patient/family conference room, as well as staff offices and a conference room.
