Everything the Ambulatory Nurse Needs to Know About Safely Administering Chemotherapy Treatment via Hepatic Arterial Infusion Pump

2.50
Hdl Handle:
http://hdl.handle.net/10755/164600
Category:
Abstract
Type:
Presentation
Title:
Everything the Ambulatory Nurse Needs to Know About Safely Administering Chemotherapy Treatment via Hepatic Arterial Infusion Pump
Author(s):
Italiano, Deborah
Author Details:
Deborah Italiano, RN, Clinical Nurse III, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: italiand@mskcc.org
Abstract:
Education: Approximately 148,810 Americans are diagnosed with colon or rectal cancer annually, and 49,960 die from this disease. The liver is the dominant metastatic site for patients with colorectal cancer. The hepatic artery supplies the liver with the majority of its blood supply, therefore patients with liver disease can benefit from the administration of chemotherapy via hepatic arterial infusion (HAI). HAI is based on the principle of targeting the tumor site directly and can be used alone or in combination with systemic chemotherapy. At this NCI-designated comprehensive cancer center, over 800 doses of chemotherapy were administered in the ambulatory setting via HAI in 2008. Nurses are specially trained to care for these patients and the competency includes review of the patient population, policies and procedures, assessment of risk factors, observation and supervised practice sessions learning to use the pump. The purpose of this presentation is to provide a plan developed to educate the nurse about the essential components of caring for patients with HAI pumps. This presentation will describe an educational plan for nurses that includes information on the pump function, chemotherapy agents, access equipment and administration techniques for continuous infusion. Complications such as seromas, flipped pump and high residual volume will be discussed with interventions provided for management. A detailed patient education plan will be presented which includes the importance of adhering to refill appointments, monitoring liver function tests to prevent chemical hepatitis, instructions about early signs of infection and factors that can increase the pump's flow rate, such as elevated body temperature and altitude. Successful completion of a competency assessment and return demonstration qualifies the nurse to care for this patient population. Patient safety, quality of life and overall survival were all improved at this institution because the risks of complications and treatment delays were dramatically reduced by the nurses' ability to care for these pumps. At the completion of this presentation the nurse will have a basic understanding of the HAI pumps' purpose and function. They will possess the basic framework to safely administer chemotherapy via HAI pump, manage potential complications and educate patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEverything the Ambulatory Nurse Needs to Know About Safely Administering Chemotherapy Treatment via Hepatic Arterial Infusion Pumpen_GB
dc.contributor.authorItaliano, Deborahen_US
dc.author.detailsDeborah Italiano, RN, Clinical Nurse III, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: italiand@mskcc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164600-
dc.description.abstractEducation: Approximately 148,810 Americans are diagnosed with colon or rectal cancer annually, and 49,960 die from this disease. The liver is the dominant metastatic site for patients with colorectal cancer. The hepatic artery supplies the liver with the majority of its blood supply, therefore patients with liver disease can benefit from the administration of chemotherapy via hepatic arterial infusion (HAI). HAI is based on the principle of targeting the tumor site directly and can be used alone or in combination with systemic chemotherapy. At this NCI-designated comprehensive cancer center, over 800 doses of chemotherapy were administered in the ambulatory setting via HAI in 2008. Nurses are specially trained to care for these patients and the competency includes review of the patient population, policies and procedures, assessment of risk factors, observation and supervised practice sessions learning to use the pump. The purpose of this presentation is to provide a plan developed to educate the nurse about the essential components of caring for patients with HAI pumps. This presentation will describe an educational plan for nurses that includes information on the pump function, chemotherapy agents, access equipment and administration techniques for continuous infusion. Complications such as seromas, flipped pump and high residual volume will be discussed with interventions provided for management. A detailed patient education plan will be presented which includes the importance of adhering to refill appointments, monitoring liver function tests to prevent chemical hepatitis, instructions about early signs of infection and factors that can increase the pump's flow rate, such as elevated body temperature and altitude. Successful completion of a competency assessment and return demonstration qualifies the nurse to care for this patient population. Patient safety, quality of life and overall survival were all improved at this institution because the risks of complications and treatment delays were dramatically reduced by the nurses' ability to care for these pumps. At the completion of this presentation the nurse will have a basic understanding of the HAI pumps' purpose and function. They will possess the basic framework to safely administer chemotherapy via HAI pump, manage potential complications and educate patients.en_GB
dc.date.available2011-10-27T12:03:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:03:36Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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