Saskatchewan IG Stewardship Program
Intravenous immunoglobulin (IVIG) and subcutaneous immunoglobulin (SCIG) are costly and limited-supply blood products. Judicious use of IG therapy is important to ensure a continued supply is available for patients in need.
The Saskatchewan IG Stewardship Program was initiated to monitor and ensure appropriate use of IVIG. The program incorporates the tri-provincial guideline ‘Criteria for the Clinical Use of Immune Globulin’ (Second Edition February 2022) which requires screening of IVIG requests by program and laboratory staff to ensure IG is used in accordance with the guideline’s recommended clinical indications and dosages. Regina and Saskatoon Transfusion Medicine Physicians support provincial screening of select conditions.
The Saskatchewan IG Stewardship Program has led to more appropriate IVIG use across the province and has effectively supported national preservation of this limited healthcare resource.
Contact:
IG Nurse Navigators
Phone: 306-766-3135
Fax: 306-766-3509
Email: igstewardshipprogram@saskhealthauthority.ca
Regular Hours:
Monday-Friday, 8:00 am to 4:30 pm excluding statutory holidays
For urgent requests, please contact your local Transfusion Medicine laboratory for assistance
Provincial IG Order Sets
SHA Blood Products: Monographs & Resources
- Intravenous Immunoglobulin, 10%
- Intravenous Immunoglobulin Solvent Detergent Treated, 5%
- Subcutaneous Immunoglobulin, 20%
- Subcutaneous Immunoglobulin, 10% with Hyaluronidase
Please refer to the applicable blood product monograph for detailed clinical and administration information.
SHA Patient Information and Education (PIER) Resources for IG:
- Intravenous Immune Globulin – Adult – Information for Patients and Families Brochure (CS-PIER-0010)
- Intravenous Immune Globulin – Pediatrics – Information for Patients and Families Brochure (CS-PIER-0011)
- Intravenous Immune Globulin Patient Logbook (CS-PIER-0005)
- Immune Globulin – Frequently Asked Questions (CS-PIER-0006)
- Immune Globulin Therapy Options – Which IG Therapy is Best for Me? (CS-PIER-0009)
- Subcutaneous Immune Globulin – Information for Patients and Families (CS-PIER-0008)
Job Aides, Posters and Work Standards
Document Name | Date of Original Publication | Date Revised |
---|
Job Aide - Dividing IVIG Doses | August 29, 2024 | August 29, 2024 | Download |
Poster - IVIG Order Sets & Program Approval Process | August 29, 2024 | August 29, 2024 | Download |
Poster - IVIG Weight Changes | August 29, 2024 | August 29, 2024 | Download |
Poster - Programming Plum 360 for Multi-Step Infusion on Line A | August 29, 2024 | August 29, 2024 | Download |
Poster - TML Selection 10 pct IVIG Vials for Pediatric Patients | September 23, 2024 | October 7, 2024 | Download |
WS - How to Calculate Dosing Weight for PEDIATRIC 10% IVIG Order Sets | August 29, 2024 | August 29, 2024 | Download |
WS - Rounding Pediatric IVIG Doses | August 29, 2024 | August 29, 2024 | Download |
WS - TML Screening of Inpatient and Urgent Outpatient ADULT 10% IVIG Order Sets | August 29, 2024 | August 29, 2024 | Download |
WS - TML Screening of Inpatient and Urgent Outpatient PEDIATRIC 10% Order Sets | August 29, 2024 | October 9, 2024 | Download |
Process Maps
Document Name | Date of Original Publication | Date Revised |
---|
ADULT Inpatient 10% IVIG POS Process Map | August 29, 2024 | August 29, 2024 | Download |
ADULT Outpatient 10% IVIG POS Process Map | August 29, 2024 | August 29, 2024 | Download |
PEDIATRIC Inpatient 10% IVIG POS Process Map | August 29, 2024 | September 3, 2024 | Download |
PEDIATRIC Outpatient 10% IVIG POS Process Map | August 29, 2024 | August 29, 2024 | Download |
Memos
Document Name | Date of Original Publication | Date Revised |
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Links
- CADTH: Off-Label Use of Intravenous Immunoglobulin (IVIG)
- CBS: Professional Education/Transfusion: Exploring the frontiers of IVIG-associated hemolysis
- Immunodeficiency Canada Network
- Institute of Health Economics (IHE): Immune Globulin Guideline & Supporting Resources
- NAC: Immunoglobulin Utilization Statement
- NAC: Intravenous Immunoglobulin (IVIg) Brand Switching Guidance and Resources
- NAC: The National Plan for Management of Shortages of Immunoglobulin (lg) Products
Programs
What’s Popular
- About Us
- IVIG Dose Calculator – Based on Adjusted Body Weight
- Prenatal Testing and Prevention of Alloimmunization in Mothers of Saskatchewan (PRAMS) Program
- Saskatchewan Immune Globulin Stewardship Program
- Saskatchewan Transfusion Adverse Event Report Form (SHA 0481)
- Transfusion Best Practice Recommendations
- Transfuse Wisely Poster
- Using Blood Wisely – Intervention Toolbox
- Visual Inspection Tool – Canadian Blood Services
Useful Links
- Canadian Agency for Drugs and Technologies in Health (CADTH)
- Canadian Blood Services
- Canadian Blood Services Professional Education
- Canadian Immunodeficiencies Patient Organization
- Canadian Society for Transfusion Medicine (CSTM)
- Choosing Wisely Canada
- HAE Canada Website
- Jehovah’s Witnesses
- National Advisory Committee on Blood and Blood Products
- ONTraC – Ontario Transfusion Coordinators
- ORBCoN – Ontario Regional Blood Coordinating Network
- REDCap
- Saskatchewan Bleeding Disorder Program
- SaskBlood SharePoint
- Society for the Advancement of Blood Management (SABM)
- Treat the Bleed