Your Hospital Visit (test)

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Booking your appointment

You can either pre book appointment or onsite appointment if a slot is available.

Call 051-9270076 Ext.257 between 0800-1500 hrs to get appointment
You can also get an appointment Online

Get Appointment

For better patient care appointment is required for all patients

Before you come to AFBMTC

AF Bone Marrow Transplantation Centre Rawalpindi

Hospital people

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If your child has additional needs

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If your child is ill

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Talking about hospital

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Travelling to AFBMTC

AFBMTC-NIBMT is located inside CMH Medical Complex, Rawalpindi, Pakistan.

AFBMTC Parking

Parking is Available accross the road

After your Arrival

Once you arrive at AFBMTC you will be recieved by our staff. If your appointment is prebooked, please inform registration counter. You will be given Registration Slip.
(appointment is mendatory to aviod long waiting times)

Coming to AFBMTC for blood and blood products transfusion at daycare

Hemoglobin (also add plt and plasma tx) is a carrier of Oxygen in your blood. Transfusion is usually prescribed by a doctor when your hemoglobin levels are below optimal level for your age and gender or are expected to fall within the next few days. Low levels of oxygen carrying capacity may go un-noticed or it may cause certain symptoms like pale skin color, being short of breath on little or no exertion, having headaches etc. Blood transfusion may alleviate these symptoms. Following points are meant for patient’s guidance regarding blood transfusions at AFBMTC Day care.

How should I prepare myself for blood transfusion?
1. On the day of transfusion, wear comfortable clothing (preferably a buttoned shirt with loose sleeves to facilitate IV Cannula placement).
2. Have a light healthy breakfast.
3. You may bring along a blanket, book, tablet or your mobile phone/ tablet to make the experience comfortable.
4. Make sure to bring along your prescription and other pertinent medical documents.
Who will prescribe blood transfusion?
1. It will be prescribed by your Primary Care Physician.
Where will the blood be available from?
1. You will need a Blood Requisition Form and issue slip, duly signed by a doctor at Day Care/ OPD to procure required blood form AFIT. A fresh blood sample for cross match will also be required. (flow chart of process)
2. Carefully screened and cross-matched blood will be available at AFIT Rawalpindi. (only accept blood/ blood products from afit)
3. AFIT may require donors. Please direct them to AFIT if you have enlisted donors.(rearrange)
What should I expect during a blood transfusion?
1. Please inform attending staff about any history of previous transfusions, related reactions and any special precautions/ pre-medications you may require.
2. Health care provider will counter check your particulars and prescription of blood transfusion. For ensuring safe blood transfusion, Blood Bag particulars eg. Patient name, Blood Group, Bag Number, Expiry Date will be cross checked by nurse and on call doctor.
3. Your Blood pressure, breathing rate, pulse etc may be recorded and monitored.
4. An IV Cannula will be placed into your vein by Health Care Provider.
5. During transfusion, you will be closely monitored for any side effects.
6. Please be sure to inform the nurse or doctor if you are feeling uncomfortable or un-easy.
7. You may eat or drink during the transfusion.
What if I develop a transfusion reaction?

Major blood transfusion reactions are rare and preventable now days due to adequate screening of blood and many cross checks before blood transfusion is started. However, you may experience slight fever or allergy during blood transfusion. Our team will be at your bedside to manage any such happening.

Coming to AFBMTC for a Chemotherapy Session

It is quite natural to be anxious after learning that you need chemotherapy sessions. However, being more aware of your disease and the process of chemotherapy administration can alleviate your worries and enable you to cope with the stress. Following details may help you to prepare for your chemotherapy session. Any further assistance can be provided by our team at Chemotherapy Bay. Pamphlets in this regard are also available at Chemotherapy Bay front desk.

How to prepare myself for the chemotherapy session and what time should I reach ?

- Confirm your appointment at least a day before your planned chemotherapy session by calling at Chemo extn—- from 0900 hrs to 1500 hrs, or online at —–.
- On your chemo-day, have a healthy light breakfast (unless you are told to stay empty stomach).
- Wear comfortable clothing, preferably a buttoned shirt with loose sleeves so that it is easy for us to place a catheter or access the existing one.
- You may also bring items that make your treatment time easier. For instance, consider bringing your phone, a tablet, books, or a blanket.
- Please make arrangements for your conveyance. Family and friends can provide valuable support.
- For your convenience, try reaching at least 15 mins before your allotted time slot.
- Make sure you are in possession for your chemotherapy protocol papers and relevant medical records, everytime you come for chemotherapy session.

What should I expect during a chemotherapy session ?
- As per your allotted appointment and length of chemo session, you will be directed to a pre-designated space in our Chemotherapy Bay.
- Chemotherapy may be given orally as pills or through your veins via a needle (Intravenous or IV Chemotherapy) depending upon your chemo protocol medications.
- A needle (catheter) will be passed into one of your accessible veins (unless there is an already existing catheter in place).
- Blood sample may be drawn to make sure your blood counts and other tests are in acceptable ranges for designated chemotherapy.
- An ECG might also be carried out.
- To prioritize patient safety and safe delivery of chemotherapy, your investigations e.g. blood tests, ECG or any other tests previously prescribed, will be thoroughly checked by the attending doctor at Chemotherapy Bay. These will also be counter checked by our competent team of pharmacists, before dispensing your chemotherapy drugs to Chemotherapy Bay.
- Depending upon your chemotherapy protocol, you might be given some premedication to correct any existing electrolyte imbalance and/or to decrease certain side effects of chemotherapy.
- While chemotherapy is being administered, your breathing, heart rate, pulse etc. may be monitored.
- You may eat, drink, read, watch TV or work on your tablet/ phone during the chemotherapy session.
- Chemotherapy duration may vary depending upon your protocol, from 1 – 2 hours to about 8 hours.
What happens after IV Chemotherapy ends ?
- After your treatment session ends, the nurse or another health care team member will take out your IV. If you have a port, it will stay in until you finish all of your treatments. The nurse may check your blood pressure, pulse, breathing, and temperature again.
- Chemotherapy Bay doctor or nurse may talk with you about what to expect with side effects. They may give you medication, tell you how to manage common side effects, and offer information such as:
  - To avoid people with colds or other infections. Try avoiding crowded places. Wear a face mask. Chemotherapy weakens your body’s immune system. Your immune system helps fight infections.
  - Drink lots of fluids for next 48 hours after chemotherapy. This helps move the drugs through your body.

- - Whether there are activities to do or avoid doing on future treatment days.
  - Before you leave your first treatment, be sure to ask who you should call with any questions or concerns and how to contact them, including after hours or weekends.

- Make sure that you have booked an appointment for your next chemotherapy session.

1. What possible (FAQs and their answers) questions can I ask from the attending doctor ?
  - When do I next see my primary treating physician ?
  - How long will my chemotherapy session last ?
  - What diet should I take while undergoing chemotherapy ?
  - Is chemotherapy session being done on weekends ?
  - What follow up will I need after chemotherapy session ?

Coming to AFBMTC for a day or inpatient admission

Welcome To Bone Marrow Transplant & Chemotherapy Ward
This information sheet explains about BMT wards at Armed Forces Bone Marrow Transplant Centre members of the team and the facilities available for patients and families.

Bone marrow transplant wards at AFBMTC are located on level 2 of the main hospital building. Nurses rotate their duties within the hospital but are all experienced in caring for patients with blood disorders, cancer, and immune disorders. Our patients are highly susceptible to infection, so we have special air filtration systems. We also have very strict hand washing, isolation and visiting policies to help protect our patients further. We specialise in the care of patients undergoing all types of stem cell transplants for blood disorders, cancers, and immune disorders. There are 9 cubicles on the ward 1 and four cubicles on the ward 2, each containing a patient bed and ensuite bathroom facilities. Cubicle doors must be kept closed at all times so that our air filtering system can work efficiently and effectively.

Meet the team.
BMT Ward is managed by the ward sister, with support and guidance from the matron. The ward sister has a team of senior staff nurses, nursing assistants, health care assistants and a ward housekeeper to assist with the smooth running of the ward and to provide safe, high-quality care. The ward team works closely with the clinical nurse specialists so that there is a seamless transition between inpatient, outpatient, and continuing care at home. As well as the nursing staff, the multidisciplinary team includes the play specialist and play workers, doctors, physiotherapists, dietitians, occupational therapists, psychologists, pharmacists and social workers. We all work together to provide the necessary expert care required by the patient.

Hand washing
This is vitally important to stop infection spreading so please wash your hands before and after entering patient’s cubicle. Your visitors should also do this before and after visiting. Disinfection gel is available as well as soap and water. If you find any of these facilities empty or faulty, please let the staff know. Please do not visit the ward if you are unwell. If you are unsure whether you should visit, please ring the ward first.

Visiting
As our patients are vulnerable to infection, we have strict guidelines regarding visiting. All visitors must be generally well, that is, no colds, coughs or sore throats, cold sores or rashes, upset stomach, vomiting or diarrhoea. People who have been in contact with any of the above should also avoid visiting. Each patient is assigned a visiting category depending on the stage in their transplant process. Please note that the categories may change so please check with staff before visiting
See visitor Policy

BMT patients in isolation (green precautions)
The patient can have only two named carers who can enter the cubicle. Children are not allowed in the cubicle. Siblings may visit for half an hour each day, one at a time, but can only remain outside the patient’s cubicle. Following this, siblings should wait in the external corridor/waiting area. (NB: Children should be always supervised by an adult). All other visitors should wait in the external corridor/waiting area. Visitors cannot enter the Ward area. Named carers/siblings must wash hands before entering the Ward area. Siblings must not mix with other pre/post BMT patients.

Post BMT patients (yellow precautions)
The patient may only have significant family members visiting. Visitors must wash hands before entering the Ward area. Visitors must not linger in the Ward area/ playroom. Visitors must not mix with other pre/post BMT patients

Respect for staff and other families
We know that there may be times when families are frustrated, angry or upset and we will help you to find the right person to help to discuss any concerns you may have about your / your child’s care. We have had to adopt a ‘zero tolerance’ approach to behaviour that is inappropriate or threatening to patients, families and staff. We will not tolerate any type of threatening behaviour, verbal, physical or psychological and we have a policy to ensure this is dealt with appropriately. This involves all parties coming to an agreement about behaviour we accept. We also ask you to respect other families and keep noise to a minimum especially in shared areas. There may also be times when you are asked to leave the open areas when other patient’s care is being discussed.

Security and safety
All staff should be wearing identity badges, so if you are unsure who someone is please ask. There are few important things to remember during your time on BMT Ward. At night, please leave the small night light on in your room and the curtains ajar enough for staff to easily observe the patient. We will give the patient a name band when he or she arrives on the ward, and this needs to be kept on at all times. If you notice that it has fallen off, please inform your nurse so we can put on a new one. Due to limited space, we ask you to please keep the bed space you are allocated tidy. The oxygen and suction at the bedside must be always accessible to staff. Please do not bring valuables to hospital that you are not able to keep with you as we cannot take responsibility for any loss of or damage to personal property

Visiting AFBMTC

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Giving consent

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Coping with a hospital stay, operation or procedure

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Daily routines

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Your child’s general anaesthetic

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Having a test or scan

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If you see it, say it – raising concerns about your child

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What to bring

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When you arrive at AFBMTC

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1. Appointment confirmation

If you haven’t already booked an appointment then first take appointment form the appointment counter in OPD for online appointment click here.

2. Patient Registration:

a. Register yourself at registration counter (bring identification documents too).
b. After registration you will is issued payment slip and token.

3. Record your vitals

After the registration a token is issued take a blood sample test from the lab in OPD.

4. Doctor consultation

a. Wait for your turn you will be called in Clinic area along with the blood sample test report from OPD lab.
b. Doctor will check you on your turn and an advice form will be provided to you for further treatment.

The Pediatric Bone Marrow Transplant (BMT) Unit Armed Forces Bone Marrow Transplant Center

The Paeds BMT Unit at AFBMTC is the largest Pediatric BMT centre in the country. The unit provides haematopoietic stem cell transplant service for children with life-threatening conditions and carries out around 75 transplant procedures each year.
Majority of the transplants are performed with HLA matched siblings/ family donors. However, in life threatening conditions Haplo(Half) matched BMT are also performed with very good results.
At AFBMTC we offer BMT for the following conditions.

Leukaemia
1. Acute Lymphoblastic Leukemia (ALL)
2. Acute Myeloid Leukemia (AML)
3. Chronic Myeloid Leukemia (CML)
4. Juvenile Myelomonocytic Leukaemia (JMML)
5. Myelodysplasia syndrome (MDS)
White blood Cells defects
1. Leukocyte Adhesion Defect (LAD)
2. Chronic Granulomatous Disease (CGD)
3. Inherited neutropenia
Red Blood Cell Disorders
1. Beta thalassemia major
2. Pure Red Cell Aplasia
Platelet disorders
1. Inherited platelet defects
Bone Marrow Failure
1. Inherited Bone marrow failure syndromes
2. Acquired aplastic anaemia.
Immune System Disorders
1. Severe combined immunodeficiency (SCID)
2. Agammaglobulinemia
3. Hemophagocytic Lymphohistiocytosis (HLH)
Inherited metabolic disorders.
1. X-Linked Adrenoleukodystrophy
2. Mucopolysaccharidoses (MPS)
3. Gaucher disease
4. Osteoporosis
Autologous BMT for solid tumours

Following blood disorders requiring management other than BMT are also treated here.

1. Acute and Chronic Leukaemia
2. Nutritional Anaemia
3. Autoimmune Haemolytic Anaemia (AIHA)
4. Immune thrombocytopenia (ITP)
5. Bleeding disorders (Haemophilia A)
6. Coagulation disorders

Things to do

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The Children’s Hospital School

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On the menu

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Going home

Sources of support and info

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Getting involved

Annual staff awards

Growing up, gaining independence

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Growing up, gaining independence: families

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Growing up, gaining independence: young people

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Real stories

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Maggie’s story

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Share your story

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Your Hospital Visit (test)