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Overcoming Staff Fear of Administration of Flolan in a Non-ICU Setting

Susan Stengrevics

Arlene Schiro


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Conference: 2009 PH Resource Network Symposium

Release Date: 09.24.2009

Presentation Type: Abstracts

Susan Stengrevics, RN, ACNS, BC, CCRN; Arlene Schiro, RN, ACNS, BC, ACNP
Massachusetts General Hospital Partners Health Care System, Boston, MA

BACKGROUND: There is increased staff nurse anxiety when a patient is admitted to a hospital on intravenous Flolan. Flolan is a potent medication that is a "high-risk" and low-frequency medication that has a short half-life, is not compatible with other intravenous medications and is dosed in ng/kg/min. There are also significant side effects of too much or too little drug.

OBJECTIVES: The purpose of this poster is to:

  • Establish the role of the Nurse Practitioner in the Pulmonary Vascular Disease Program 
  • Form an interdisciplinary group that would guide safe practice of patients on Flolan 
  • Develop skills of nursing on a designated step-down unit in caring for patients on Flolan  
  • Create policies and procedures governing the care of patients on Flolan


  • An Interdisciplinary Group was formed by the PH Nurse Practitioner 
  • Guidelines for administration of Flolan in the hospital setting were created 
  • Educational programs were designed for staff nurses informing them of the newly developed care standards 
  • A Staff Survey was distributed to assess nurse's perceptions

OUTCOME: As a result of this initiative it was shown that nurse's fears of administration could be decreased by developing practice standards by the Interdisciplinary Team and providing educational programs by both the Nurse Practitioner and Clinical Nurse Specialist.


  • Safety of patients on Flolan needs to be monitored periodically 
  • Care of the patient on Flolan should be included in the unit orientation  
  • Continued education for nursing staff will be given bi-annually.