IVIG Provincial Program

Use IVIG Dose Calculator

 

Mobile Apps

Keep our mobile web apps at your fingertips on your smart phone!

The PBCO is pleased to provide the BMI (Body Mass Index) Calculator and the IVIG Dosing Calculator as mobile web applications for convenient access on the go.

To add these web apps to your smart phone’s home screen, click on the applicable link below for easy-to-follow instructions:

 

App for Android (OS 2.3)

App for Blackberry

App for iPhone  

   
Systematic Reviews  

Systematic Review of IVIG for Dermatomyositis

 Jan 2008

Systematic Review of IVIG for Primary Immunodeficiency Diseases

 Jun 2007

Systematic Review of IVIG for Wegener's Granulomatosis

 Jan 2007

Systematic Review of IVIG for Pemphigus and Pemphigoid Blistering Diseases

 Dec 2006
Publications  

IVIG Utilization Management Handbook

 Apr 2002

TMS IVIG Request Process • Physician's Order for IVIG Template (Aug 2011)
o To be used as a template for Health Authority Physician IVIG Order Forms. Conditions listed are approved for use of IVIG in BC.
• IVIG Dosing Information for Ordering Physicians Template (Jan 2013)
o Can be used as a communication tool to explain IVIG Dosing based on Adjusted Body Weight Calculation to ordering Physicians.
• IVIG Outcome Questionnaire Template
o To be used for conditions OTHER than Rheumatology and Neuromuscular
• IVIG Hemolysis Letter Template
o Can be used as a communication tool to explain the risk of hemolysis in high dose IVIG therapy in group A, B, and AB patients.

   
Recommendations  Dated

IVIG Utilization Management Program Recommendations

July 2019

TMS IVIG Request Process Dated

IVIG Request Process 

Jan 2017
Forms & Templates
Dated

TMS IVIG Screening Request Form

For TMS use when a Physician's Order for IVIG Form is received for a patient whose condition is not on the List of Approved Medical Conditions for IVIG use as outlined in the IVIG Utilization Management Program Guidelines, or who is a rheumatology patient over 18 years of age.

Jan 2017

Physician's Order for IVIG Template

To be used as a template for Health Authority Physician IVIG Order Forms. Conditions listed are approved for use of IVIG in BC.

July 2019

IVIG Outcome Questionnaire Template

To be used for all conditions, excluding Rheumatology and Non-Approved Neuromuscular. 

Jan 2017

IVIG Outcome Questionnaire for Adult Non-Approved NEUROMUSCULAR Conditions

This template is to be used for Adult Non-Approved Neuromuscular conditions only.

 

Jan 2017

IVIG Outcome Questionnaire for Adult RHEUMATOLOGY Conditions

This template is to be used for Adult Rheumatology conditions only.

 

June 2018

IVIG Dosing Information for Ordering Physicians Template

Can be used as a communication tool to explain IVIG Dosing based on Adjusted Body Weight Calculation to ordering Physicians.

Jan 2017

IVIG Hemolysis Letter Template

Can be used as a communication tool to explain the risk of hemolysis in high dose IVIG therapy in group A, B, and AB patients.

 Jan 2017

TMS IVIG Request Process

Intravenous Immune Globulin (IVIG) is an expensive product and is a limited resource. It is prepared by several commercial manufacturers who use plasma derived from donors to produce IVIG.

The BC Provincial Blood Coordinating Office (PBCO) operates an IVIG Utilization Management Program to ensure that enough IVIG is available for patients likely to benefit from the treatment.  The program incorporates the BC Ministry of Health Policy on Health Authority Immune Globulin Utilization Management Directives.  All requests for IVIG use are screened in hospital Transfusion Medicine Services to make sure that IVIG is used in accordance with the BC IVIG Utilization Management Program Recommendations.

For Adult Rheumatology patient IVIG requests, the Transfusion Medicine Services forwards these to the BC Adult Rheumatology IVIG Screening Program.

For Neuromuscular Neurology patients whose conditions are not on the approved IVG Utilization Management Guidelines, these are forwarded to the IVIG Neuromuscular Neurology Screening Program.

 

   
 Guides
Dated

IVIG Clinical Administration Guide for BC

Provides best practice information to health care professionals on administering IVIG

Jan 2017

IVIG A patient Guide

Use this template to explain IVIG to patients in easy to understand language

 Jan 2017
 IVIG Reaction Chart Dated 

IVIG Reaction Chart

Use this chart to identify the signs and symptoms of IVIG reactions and the appropriate actions to take for different types of reactions

 Oct 2013
 Infusion Rate Tables
Dated 

 For Adults

 

Adult IVIG Generic Rate Table

July 2019

 For Pediatrics

   

IVIG Generic Rate Table 1 - 10 Kg

July 2019

IVIG Generic Rate Table 11 - 20 Kg

July 2019

IVIG Generic Rate Table 21 - 30 Kg

July 2019

IVIG Generic Rate Table 31 - 40 Kg

July 2019

IVIG Generic Rate Table 41 - 50 Kg

July 2019

TMS IVIG Request Process

The IVIG Request Module supports health authorities to coordinate and manage IVIG requests and supports the BC IVIG Rheumatology as well as the BC IVIG Neuromuscular Neurology provincial programs. Screening physicians can approve or deny IVIG requests and monitor treatment effectiveness through regular patient outcome evaluations.

 

 

IVIG Request Module Login

 

 

 CTR IVIG Request Module - User Help & Support Dated

What's New in Version 2.5?

Sept 2017

Instructions for Physician Users

Dec 2017

Instructions to Create a New Request 

Dec 2017

Instructions to Create an Extension Request

Dec 2017

IVIG Request Module User Manual V2.5

Dec 2017

Frequently Asked Questions (FAQ)

Dec 2017

Feedback Form

 Dec 2017
 CTR IVIG Request Module - User Access  

Access to IVIG Request Module - Policy

Dec 2017

Access to IVIG Request Module Training Site - Policy

Dec 2017

IVIG Request Module - User Agreement & Access Request Form

Dec 2017

IVIG Request Module Training Site - User Agreement & Access Request Form

Dec 2017

 

If you would like more information about the IVIG Request Module, please contact the PBCO.