Preparing for High Intensity Focused Ultrasound (HIFU) in Radiation Oncology: A Multi- Departmental Team Approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/164766
Category:
Abstract
Type:
Presentation
Title:
Preparing for High Intensity Focused Ultrasound (HIFU) in Radiation Oncology: A Multi- Departmental Team Approach
Author(s):
MacDonald, Kathleen; Cherry, Ruth; Trainor, Kathy; Callahan,Elaine
Author Details:
Kathleen, MacDonald RN, BSN, OCN, Clinical Nurse Coordinator, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA, email: kathy.macdonald@fccc.edu; Ruth Cherry, BSN; Kathy Trainor, BSN; Elaine Callahan, LGPN
Abstract:
Education: Pain from bone metastasis is the most common cause of cancer pain. Due to better therapeutic management patients are living longer contributing to the higher incidence and prevalence of metastatic bone lesions. Improving their quality of life becomes a major challenge for the oncology nurse. External beam radiation therapy (EBRT) is the standard of care for patients with localized bone pain, resulting in palliation of pain in the majority of patients. For those patients treated with EBRT that do not experience pain relief, high intensity focused ultrasound (HIFU) is a possible option. Prior to the delivery of HIFU, the patient must receive analgesia and sedation to reduce pain, limit patient movement, alleviate anxiety and claustrophobia. The purpose of this project was to provide formal training to the Radiation Oncology Department in conscious sedation administration through mentoring from both Interventional Radiology and the Department of Anesthesia. An initial start up meeting was held in the Radiation Oncology Department to develop an action plan for the implementation of HIFU and conscious sedation administration. It was decided that the following criteria must be met before proceeding with the treatment plan: 1. The Radiation Oncologist must complete credentialing in airway management, monitored by the Anesthesia Department. 2. Nurses must demonstrate telemetry proficiency in addition to ACLS certification. 3. Nurses must complete a competency based education program that includes a competency validation process demonstrating knowledge, skill and ability 4. For each nurse administering conscious sedation, a set number of initial HIFU cases must be co-monitored by an experienced radiology nurse. 5. During moderate sedation administration, the nurse-patient ratio must be maintained at 1:1 from the start of monitoring to patient discharge. All credentialing and competencies were completed by the Radiation Oncology staff with a score of 100%. Patient was adequately sedated prior to the first sonication and throughout the procedure. HIFU is potentially an effective non-invasive alternative in the treatment and management of patients with metastastic bone tumors. The risks of conscious sedation, including reaction to drugs and oversedation, requires highly skilled nurses educated in specific conscious sedation protocols.
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.titlePreparing for High Intensity Focused Ultrasound (HIFU) in Radiation Oncology: A Multi- Departmental Team Approachen_GB
dc.contributor.authorMacDonald, Kathleenen_US
dc.contributor.authorCherry, Ruthen_US
dc.contributor.authorTrainor, Kathyen_US
dc.contributor.authorCallahan,Elaineen_US
dc.author.detailsKathleen, MacDonald RN, BSN, OCN, Clinical Nurse Coordinator, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA, email: kathy.macdonald@fccc.edu; Ruth Cherry, BSN; Kathy Trainor, BSN; Elaine Callahan, LGPNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164766-
dc.description.abstractEducation: Pain from bone metastasis is the most common cause of cancer pain. Due to better therapeutic management patients are living longer contributing to the higher incidence and prevalence of metastatic bone lesions. Improving their quality of life becomes a major challenge for the oncology nurse. External beam radiation therapy (EBRT) is the standard of care for patients with localized bone pain, resulting in palliation of pain in the majority of patients. For those patients treated with EBRT that do not experience pain relief, high intensity focused ultrasound (HIFU) is a possible option. Prior to the delivery of HIFU, the patient must receive analgesia and sedation to reduce pain, limit patient movement, alleviate anxiety and claustrophobia. The purpose of this project was to provide formal training to the Radiation Oncology Department in conscious sedation administration through mentoring from both Interventional Radiology and the Department of Anesthesia. An initial start up meeting was held in the Radiation Oncology Department to develop an action plan for the implementation of HIFU and conscious sedation administration. It was decided that the following criteria must be met before proceeding with the treatment plan: 1. The Radiation Oncologist must complete credentialing in airway management, monitored by the Anesthesia Department. 2. Nurses must demonstrate telemetry proficiency in addition to ACLS certification. 3. Nurses must complete a competency based education program that includes a competency validation process demonstrating knowledge, skill and ability 4. For each nurse administering conscious sedation, a set number of initial HIFU cases must be co-monitored by an experienced radiology nurse. 5. During moderate sedation administration, the nurse-patient ratio must be maintained at 1:1 from the start of monitoring to patient discharge. All credentialing and competencies were completed by the Radiation Oncology staff with a score of 100%. Patient was adequately sedated prior to the first sonication and throughout the procedure. HIFU is potentially an effective non-invasive alternative in the treatment and management of patients with metastastic bone tumors. The risks of conscious sedation, including reaction to drugs and oversedation, requires highly skilled nurses educated in specific conscious sedation protocols.en_GB
dc.date.available2011-10-27T12:06:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:36Z-
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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