It really depends on your facility's protocols.
The most important thing is strict handwashing (surprise surprise) in and out. Infected staff and visitors should stay away. Many hospitals still require a special diet (with no fresh or uncooked foods) and no fresh flowers or live plants, although not all do.
rectal meds, temps, enemas, etc. Use stool softeners to prevent straining. Good pulmonary toilet. Monitor all invasive lines, wounds, etc., for s/s infection (remember, there won't be purulent drainage when there are not enough white cells to form pus).
With a neutropenic patient, you want to monitor their VS at least every four hours. Watch for fever and BP trends; also be aware of subnormal temps in these patients.
If they develop chills and rigors, their temp is spiking rapidly. Be sure to take it again once the chills stop, as this is when it's at its peak; but notify the doc when they rigor, regardless. They're going to need pan-cultures and antibiotics.
I can't say this emphatically enough--- when a neutropenic patient becomes septic, they crash hard and fast
. I've seen patients go from 'fine' to coding within minutes
. So you must stay on top of this. Always suspect sepsis with neutropenic fever. A fever in a neutropenic patient is
an emergency, and you always treat it as such. Never
ignore a fever. Ever.
Here's a good tutorial on neutropenia: