IMPLEMENTING AN ANTINEOPLASTIC HYPERSENSITIVITY PROTOCOL: A NURSING PERSPECTIVE

2.50
Hdl Handle:
http://hdl.handle.net/10755/164911
Category:
Abstract
Type:
Presentation
Title:
IMPLEMENTING AN ANTINEOPLASTIC HYPERSENSITIVITY PROTOCOL: A NURSING PERSPECTIVE
Author(s):
Williams, Carol; Phillips, Shannon
Author Details:
Carol Williams, RN, BSN, OCN, Level 3 Staff Nurse, James P. Wilmot Cancer Center, Rochester, New York, USA, email: CarolWilliams2@urmc.rochester.edu; Shannon Phillips, MS, RN, AOCNS
Abstract:
Many cancer patients receive medications that have the potential to cause hypersensitivity or anaphylactic reactions, specifically certain chemotherapy and biotherapy agents. Efficiently managing these reactions is critical to the prevention of patient injury or death. This management can be accomplished by providing nurses with a protocol containing specific drug information, standing orders, and a kit containing emergency medications and supplies. The purpose of this project was to evaluate nursing staff knowledge about, use of, and satisfaction with a protocol to manage hypersensitivity/ anaphylactic reactions to antineoplastic agents. The protocol, which includes a requirement to enter an event report for tracking purposes, was developed by pharmacy and approved by the medical and nursing leadership of a large outpatient cancer treatment center in Western New York/Finger Lakes Region. Data was obtained from nursing staff via an anonymous self report survey. Response rate was 100% (N=18). Questions included knowledge of protocol, use of protocol in the last 6 months, and perceptions of change in practice since implementation of the protocol. Additionally, event reports for all hypersensitivity/anaphylactic reactions were reviewed in the six months since protocol implementation (N=26); agents were 38% rituximab, 35% taxanes, and 27% others. The majority of nurses (67%) reported having read the protocol and knew the location of the protocol and kit. The majority of nurses (89%) reported that the protocol allows for faster administration of emergency treatments, has increased their awareness of potential for reaction (72%), and has increased their comfort level with administering chemotherapy/biotherapy (77%). Twelve nurses (67%) reported caring for a patient with a reaction in the past six months, 11 acknowledged using the protocol and 10 entered an event report. Survey findings indicate the nursing staff are satisfied with the protocol and report a positive impact on their practice. Staff use of the protocol and the generation of an event report needs to be increased to 100% of the time when a patient experiences a reaction. Overall, implementation of the protocol has been successful, and further education will be provided based on project results.
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 AN ANTINEOPLASTIC HYPERSENSITIVITY PROTOCOL: A NURSING PERSPECTIVEen_GB
dc.contributor.authorWilliams, Carolen_US
dc.contributor.authorPhillips, Shannonen_US
dc.author.detailsCarol Williams, RN, BSN, OCN, Level 3 Staff Nurse, James P. Wilmot Cancer Center, Rochester, New York, USA, email: CarolWilliams2@urmc.rochester.edu; Shannon Phillips, MS, RN, AOCNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164911-
dc.description.abstractMany cancer patients receive medications that have the potential to cause hypersensitivity or anaphylactic reactions, specifically certain chemotherapy and biotherapy agents. Efficiently managing these reactions is critical to the prevention of patient injury or death. This management can be accomplished by providing nurses with a protocol containing specific drug information, standing orders, and a kit containing emergency medications and supplies. The purpose of this project was to evaluate nursing staff knowledge about, use of, and satisfaction with a protocol to manage hypersensitivity/ anaphylactic reactions to antineoplastic agents. The protocol, which includes a requirement to enter an event report for tracking purposes, was developed by pharmacy and approved by the medical and nursing leadership of a large outpatient cancer treatment center in Western New York/Finger Lakes Region. Data was obtained from nursing staff via an anonymous self report survey. Response rate was 100% (N=18). Questions included knowledge of protocol, use of protocol in the last 6 months, and perceptions of change in practice since implementation of the protocol. Additionally, event reports for all hypersensitivity/anaphylactic reactions were reviewed in the six months since protocol implementation (N=26); agents were 38% rituximab, 35% taxanes, and 27% others. The majority of nurses (67%) reported having read the protocol and knew the location of the protocol and kit. The majority of nurses (89%) reported that the protocol allows for faster administration of emergency treatments, has increased their awareness of potential for reaction (72%), and has increased their comfort level with administering chemotherapy/biotherapy (77%). Twelve nurses (67%) reported caring for a patient with a reaction in the past six months, 11 acknowledged using the protocol and 10 entered an event report. Survey findings indicate the nursing staff are satisfied with the protocol and report a positive impact on their practice. Staff use of the protocol and the generation of an event report needs to be increased to 100% of the time when a patient experiences a reaction. Overall, implementation of the protocol has been successful, and further education will be provided based on project results.en_GB
dc.date.available2011-10-27T12:09:10Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:09:10Z-
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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