Frequently Asked Questions: Infusion Center

How many visitors can I have?

You may have one visitor with you during your infusion. In some situations, exceptions can be made. If you’d like to bring more than one visitor, please ask your infusion nurse once you’re seated. They’ll let you know if we can accommodate additional guests that day.

Why is my first infusion longer than the others?

Everyone responds differently to medication. During your first treatment, we give each medication separately to see how your body reacts. This helps us identify which drug might be causing a reaction, if one occurs. Because of this, your first infusion usually takes 30 minutes to one hour longer than later treatments. Some medications also run more slowly the first time to make sure you tolerate them well. If you do, future infusions can often be given over a shorter period.

Why is my nurse wearing protective gear?

Chemotherapy drugs require caregivers to wear personal protective equipment (PPE). PPE keeps our team safe in case of a spill, leak, or splash.

Why am I not wearing protective gear?

Your medication is delivered directly into your bloodstream through an IV or a subcutaneous injection, so it shouldn’t come into contact with your skin or clothing. If medication does touch your skin or clothes, your care team will guide you through what to do, such as washing the area with soap and water or removing soiled clothing.

What is a reaction?

  • A reaction happens when your body responds to medication. Symptoms vary by person and by drug.

Common signs of a reaction include:

  • Tingling near the IV site
  • Skin rash
  • Shortness of breath or cough
  • Dizziness
  • Changes in vital signs (heart rate, breathing rate, blood pressure, or temperature)
  • Chest tightness
Your nurse will monitor you closely to recognize and treat any reaction right away.

Am I likely to have a reaction?

Every patient is different, and there’s no way to predict who will have a reaction. Some medications carry a higher risk than others. If you’re receiving one of these medications, your care team will discuss the risks with you before treatment.

What happens if I have a reaction?

  • If you experience a reaction, your care team will follow a specific protocol to keep you safe. This may include:
  • Stopping the medication
  • Starting a normal saline flush
  • Alerting a provider
  • Checking your vital signs frequently
  • Giving medications such as Benadryl, Pepcid, or Solu-Medrol
  • Monitoring your recovery

Once your symptoms have resolved, your provider may decide to restart the medication.

Can I take my premeditations at home?

If your IV becomes uncomfortable or stops infusing properly, your nurse will check it. If it can’t be used, they’ll start a new IV in another location, usually on your other arm. The old IV will be removed, and the site will be wrapped.

When should I take my premedications?

Most premedications need to be taken within a specific window of time before your infusion. Your care team will tell you exactly when and how to take them.

Why do I need to wear cold mitts or boots during treatment?

Some medications can cause neuropathy—numbness, tingling, or loss of sensation in your hands or feet. Wearing cold mitts or boots during your infusion may help reduce this side effect. We recommend wearing thin gloves and socks under the cold gear to protect your skin. If you don’t have any, we can provide protective covers. These devices are optional but can be helpful for prevention.

Why do some patients wear cold caps?

Certain medications can cause hair loss. Cold caps are designed to help reduce this side effect.

Can I bring food or drinks?

Yes, absolutely! You’re welcome to bring your favorite snacks and beverages for comfort. Please note that alcohol is not allowed.

Are snacks or drinks available at the infusion center?

Yes. We offer water, juice, soda, and a variety of snacks. If you have special dietary needs, you may prefer to bring your own items.

Will I sit in the same chair every visit?

Not necessarily. Your chair may change from visit to visit based on scheduling and availability.

Will I have the same nurse each time?

Our staff rotates, so you may have different nurses during your treatments. This helps you get to know multiple members of our team, all of whom are familiar with your care plan.

Can I request a specific nurse or chair?

You’re welcome to make a request, but we can’t guarantee it. Assignments depend on staff schedules, chair availability, and appointment times.

What if I need to use the bathroom during my infusion?

Please let your nurse know. We’ll help you unplug your IV pole and, if needed, escort you to the restroom. The IV pump has a battery backup, so there’s no need to rush. When you return, we can help you plug your IV back in.

Do I need someone to drive me home?

Most patients can drive themselves after treatment. However, if you have a reaction or receive medications such as Benadryl that can cause drowsiness, you may need a ride. Your nurse will help assess your readiness to drive before you leave.

How long does chemotherapy stay in my body?

Chemotherapy drugs usually remain in the body for 48 to 72 hours before being cleared through body fluids such as urine, stool, tears, sweat, vomit, semen or vaginal discharge.

Can my partner or pet sleep in the same bed with me?

Yes. Chemotherapy drugs are not transmitted through casual contact like sharing a bed. They are primarily excreted through body fluids.

When can I resume sexual activity?

You may resume intimacy whenever you feel ready. However, it’s recommended to use barrier protection, such as condoms, to reduce potential exposure to small amounts of chemotherapy in bodily fluids. Some patients choose to wait 72 hours after treatment, when most medication has been excreted.

How do I know if I need more hydration?

Staying hydrated is important during treatment. Aim for 64 to 80 ounces of noncaffeinated fluids per day. Signs of dehydration include dryness of the mouth, eyes, nose, or skin. If you can’t drink enough fluids, your team may recommend IV hydration.

Why should I flush the toilet twice after chemotherapy, and for how long?

After chemotherapy, your body eliminates drug waste through bodily fluids. When those fluids leave your body, they can irritate skin or pose a small exposure risk to others.

These precautions are recommended for a few days after each treatment:

  • If possible, have children use a different toilet.
  • Always sit on the toilet to reduce splashing.
  • Flush twice with the lid closed.
  • Keep the lid down when not in use to prevent pets from drinking the water.
  • Wash your hands well with warm, soapy water after each use.
  • If you vomit, clean any splashes and flush twice. If you use a bucket, empty and wash it with hot, soapy water, then flush the rinse water twice.
  • Caregivers should wear disposable gloves when handling body fluids and wash hands afterward.
    If a caregiver’s skin comes into contact with body fluids, they should wash the area thoroughly and let your provider know at your next visit.
  • Wash any soiled clothes or linens separately in warm water with detergent. If you can’t wash them immediately, seal them in a plastic bag.

Dispose of adult diapers or sanitary pads in two sealed plastic bags before placing them in the trash.

Will my hair fall out?

Not all chemotherapy drugs cause hair loss. If your regimen includes one that may, hair typically begins to fall out two to four weeks after your first treatment.

Where can I find support outside the hospital?

Bozeman Health Cancer Center partners with the Cancer Support Community of Montana, which offers free programs including support groups, individual counseling, educational workshops, fitness and stress-management classes, expert lectures and social events. Services are available in person, online or in a hybrid format.

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Your journey to recovery begins at Bozeman Health Spine + Joint Institute (SJI) with one of our local orthopedic partners. To request an appointment, simply click the button below and you will be contacted to schedule your next steps. If you are inquiring about spine surgery, you will need to have your primary care provider make a referral to Dr. Ben Smith with Bridger Orthopedic. Spine surgery appointments are not available through the request portal at this time.