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Innovative Strategies for Organ Preservation in Heart Transplantation: Uniform Cooling Preservation and Ex-situ Normothermic Perfusion
Published on: November 28, 2025
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Scalp Cooling: Implementation of a Program at a Multisite Organization.
Erica Fischer-Cartlidge1, Mikel Ross1, Karen Hernández1
1Memorial Sloan Kettering Cancer Center.
Clinical Journal of Oncology Nursing
|September 22, 2018
Summary
Implementing machine-based scalp cooling programs can be standardized across multiple healthcare sites. A collaborative, interprofessional approach facilitated successful, widespread adoption for cancer patients experiencing chemotherapy-induced alopecia.
Area of Science:
- Oncology
- Patient Care Management
- Medical Device Implementation
Background:
- Chemotherapy-induced alopecia is a common side effect of cancer treatment.
- Scalp cooling machines offer a method to minimize chemotherapy-induced hair loss.
- Organizations face barriers when establishing scalp cooling programs.
Purpose of the Study:
- To describe the implementation experience of a machine-based scalp cooling program in a large, multisite organization.
- To highlight the process and outcomes of establishing a standardized scalp cooling program.
Main Methods:
- An interprofessional team, led by nursing staff, addressed program components.
- Eight sites implemented machine-based scalp cooling using a unified process.
- The program was replicated at six additional sites for various solid tumor types.
Main Results:
- A structured, collaborative, and interprofessional approach enabled standardization of care across multiple sites.
- Successful implementation and replication demonstrate the feasibility of the program.
- The program expanded to include solid tumor types beyond breast cancer.
Conclusions:
- A standardized, interprofessional approach is effective for implementing machine-based scalp cooling programs.
- This model can be replicated in other healthcare institutions.
- Scalp cooling programs can be successfully scaled across diverse sites and patient populations.
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