IMPLEMENTING A PROGRAM TO PROMOTE PATIENT SAFETY BY ENHANCING COMMUNICATION BETWEEN INPATIENT MID-LEVEL PROVIDERS AND THE PATIENT'S FOLLOW-UP PHYSICIAN/NURSE

2.50
Hdl Handle:
http://hdl.handle.net/10755/164734
Category:
Abstract
Type:
Presentation
Title:
IMPLEMENTING A PROGRAM TO PROMOTE PATIENT SAFETY BY ENHANCING COMMUNICATION BETWEEN INPATIENT MID-LEVEL PROVIDERS AND THE PATIENT'S FOLLOW-UP PHYSICIAN/NURSE
Author(s):
Rohlfs, Michelle; Gerber, Donna; Lacey, Carol; Richard, Jessica; Dett, Tina
Author Details:
Michelle Rohlfs, RN, Advanced Practice Nurse, UT MD Anderson Cancer Center, Houston, Texas, USA, email: mrohlfs@mdanderson.org; Donna Gerber, RN, MN, PhD, AOCN; Carol Lacey, PA-C; Jessica Richard, RN, ANP, OCN; Tina Dett, RN, FNP
Abstract:
Many patients travel to comprehensive cancer centers to receive cancer treatment. They receive medications, whether inpatient or in an ambulatory treatment center, and return to their hometown between courses of treatment. Treatment complications most often occur in the patientsÆ home areas/settings while under the care of their local oncologists/family physicians. In some instances the cancer centerÆs clinic team appears to be unaware of what transpired during treatment. Without the knowledge of what the patient received and what to expect while the patient is under their care, the physicians and/or clinic nurses may be lacking important information when making decisions regarding appropriate interventions. This is not an issue during the hospital stay in the primary treatment center, as communication is done with nurse-to-nurse handoff and physician- to-physician handoff per JCAHO requirements. A need to have a systematic outline of how to communicate with the medical team responsible for the follow-up of patients receiving treatment with biochemotherapy or high-dose bolus interleukin-2 was identified. An action plan was initiated within the Department of Melanoma Medical Oncology to implement a program to enhance communication between the home medical team and the outpatient clinical team within our institution. A plan was developed to implement a consistent communication process within our own institution. When a patient is discharged from the inpatient setting, an email is sent to the outpatient clinical nurse/mid-level provider regarding the patientÆs current status. The email message includes pertinent clinical information and any necessary follow-up including pending cultures. This communication is done regardless of disposition/discharge location. In addition, the inpatient mid-level providers communicate with the home area health care teams. Communication includes laboratory orders for interim tests, documentation of treatment including growth factors, and any other pertinent information (using HIPPA guidelines). To evaluate the process, monthly meetings between the inpatient and outpatient personnel (including mid-level providers) are called to address any issues that may have arose. This poster will discuss the process and implementation of a communication plan to ensure the safety of patients receiving inpatient treatment and appropriate follow-up/outpatient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleIMPLEMENTING A PROGRAM TO PROMOTE PATIENT SAFETY BY ENHANCING COMMUNICATION BETWEEN INPATIENT MID-LEVEL PROVIDERS AND THE PATIENT'S FOLLOW-UP PHYSICIAN/NURSEen_GB
dc.contributor.authorRohlfs, Michelleen_US
dc.contributor.authorGerber, Donnaen_US
dc.contributor.authorLacey, Carolen_US
dc.contributor.authorRichard, Jessicaen_US
dc.contributor.authorDett, Tinaen_US
dc.author.detailsMichelle Rohlfs, RN, Advanced Practice Nurse, UT MD Anderson Cancer Center, Houston, Texas, USA, email: mrohlfs@mdanderson.org; Donna Gerber, RN, MN, PhD, AOCN; Carol Lacey, PA-C; Jessica Richard, RN, ANP, OCN; Tina Dett, RN, FNPen_US
dc.identifier.urihttp://hdl.handle.net/10755/164734-
dc.description.abstractMany patients travel to comprehensive cancer centers to receive cancer treatment. They receive medications, whether inpatient or in an ambulatory treatment center, and return to their hometown between courses of treatment. Treatment complications most often occur in the patientsÆ home areas/settings while under the care of their local oncologists/family physicians. In some instances the cancer centerÆs clinic team appears to be unaware of what transpired during treatment. Without the knowledge of what the patient received and what to expect while the patient is under their care, the physicians and/or clinic nurses may be lacking important information when making decisions regarding appropriate interventions. This is not an issue during the hospital stay in the primary treatment center, as communication is done with nurse-to-nurse handoff and physician- to-physician handoff per JCAHO requirements. A need to have a systematic outline of how to communicate with the medical team responsible for the follow-up of patients receiving treatment with biochemotherapy or high-dose bolus interleukin-2 was identified. An action plan was initiated within the Department of Melanoma Medical Oncology to implement a program to enhance communication between the home medical team and the outpatient clinical team within our institution. A plan was developed to implement a consistent communication process within our own institution. When a patient is discharged from the inpatient setting, an email is sent to the outpatient clinical nurse/mid-level provider regarding the patientÆs current status. The email message includes pertinent clinical information and any necessary follow-up including pending cultures. This communication is done regardless of disposition/discharge location. In addition, the inpatient mid-level providers communicate with the home area health care teams. Communication includes laboratory orders for interim tests, documentation of treatment including growth factors, and any other pertinent information (using HIPPA guidelines). To evaluate the process, monthly meetings between the inpatient and outpatient personnel (including mid-level providers) are called to address any issues that may have arose. This poster will discuss the process and implementation of a communication plan to ensure the safety of patients receiving inpatient treatment and appropriate follow-up/outpatient care.en_GB
dc.date.available2011-10-27T12:06:00Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:00Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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