Sneak-A-Peek Campaign to Implement Standardization of Mucositis Assessment and Documentation

2.50
Hdl Handle:
http://hdl.handle.net/10755/164925
Category:
Abstract
Type:
Presentation
Title:
Sneak-A-Peek Campaign to Implement Standardization of Mucositis Assessment and Documentation
Author(s):
Bishop, Kimberly; Condon, Suzanne; Houchin, Laura; Allen, Deborah
Author Details:
Kimberly Bishop, RN, Duke University Hospital, Durham, North Carolina, USA, email: kimberly.bishop@duke.edu; Suzanne Condon, RN, MSN, CNIII, OCN; Laura Houchin, RN, MSN, CNS, OCN, AOCN; and Deborah Allen, RN, MSN, CNS, FNP-BC, AOCNP
Abstract:
Clinical/Evidence Based Practice: Mucositis is a serious, yet commonly experienced side effect of most oncology treatments, impacting quality of life and resulting in delays or early cessation of treatment. Evidence supports daily assessment for prevention and early detection which may minimize pain, additional risk for infection and need for other procedures such as feeding tube placement. While Duke University Health System subscribes to the ONS guidelines for mucositis assessment and treatment, the goal of this educational roll-out was to standardize the clinical practice for assessment, treatment, and documentation of mucositis on all inpatient oncology units. The Oncology Clinical Practice Committee approved recommendations for use of NCI CTCAE (v.3), therefore staff on these units were involved in developing and implementing the educational plans. A survey of inpatient oncology nurses regarding their current knowledge, assessment, and documentation practices was completed. Staff competed in a slogan contest for the mucositis initiative and the winning slogan is printed on their penlights. Staff were presented a "Sneak-A-Peek" penlight upon completion of the NCCN Task Force, Mucositis educational program and CE test. Documentation standards were further discussed with staff through staff meetings and poster formats. Visual grading cards with pictures and signs and symptoms were added to each documentation area to further assist in standardizing documentation. Pre-educational surveys revealed that the majority of nurses did not assess for mucositis on every patient, even if patient was at risk for developing mucositis. Mucositis assessment, even at grade 0, was not routinely documented. Assessment predominately occurred if a patient complained of symptoms suggestive of mucositis. Documentation review will continue each quarter; with first quarter reviews of documentation, post-education, completed by ONS Congress. Reviews evaluate clinical practice changes. There will also be a review of the initiative and its educational element in one year. Standardization of our clinical assessment tool has improved communication amongst the staff and has lead to earlier detection of mucositis in our clinical population. As documentation of mucositis prevalence has increased, we have identified areas in which to further minimize side effects of oncology treatments which will promote better quality of life.
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.titleSneak-A-Peek Campaign to Implement Standardization of Mucositis Assessment and Documentationen_GB
dc.contributor.authorBishop, Kimberlyen_US
dc.contributor.authorCondon, Suzanneen_US
dc.contributor.authorHouchin, Lauraen_US
dc.contributor.authorAllen, Deborahen_US
dc.author.detailsKimberly Bishop, RN, Duke University Hospital, Durham, North Carolina, USA, email: kimberly.bishop@duke.edu; Suzanne Condon, RN, MSN, CNIII, OCN; Laura Houchin, RN, MSN, CNS, OCN, AOCN; and Deborah Allen, RN, MSN, CNS, FNP-BC, AOCNPen_US
dc.identifier.urihttp://hdl.handle.net/10755/164925-
dc.description.abstractClinical/Evidence Based Practice: Mucositis is a serious, yet commonly experienced side effect of most oncology treatments, impacting quality of life and resulting in delays or early cessation of treatment. Evidence supports daily assessment for prevention and early detection which may minimize pain, additional risk for infection and need for other procedures such as feeding tube placement. While Duke University Health System subscribes to the ONS guidelines for mucositis assessment and treatment, the goal of this educational roll-out was to standardize the clinical practice for assessment, treatment, and documentation of mucositis on all inpatient oncology units. The Oncology Clinical Practice Committee approved recommendations for use of NCI CTCAE (v.3), therefore staff on these units were involved in developing and implementing the educational plans. A survey of inpatient oncology nurses regarding their current knowledge, assessment, and documentation practices was completed. Staff competed in a slogan contest for the mucositis initiative and the winning slogan is printed on their penlights. Staff were presented a "Sneak-A-Peek" penlight upon completion of the NCCN Task Force, Mucositis educational program and CE test. Documentation standards were further discussed with staff through staff meetings and poster formats. Visual grading cards with pictures and signs and symptoms were added to each documentation area to further assist in standardizing documentation. Pre-educational surveys revealed that the majority of nurses did not assess for mucositis on every patient, even if patient was at risk for developing mucositis. Mucositis assessment, even at grade 0, was not routinely documented. Assessment predominately occurred if a patient complained of symptoms suggestive of mucositis. Documentation review will continue each quarter; with first quarter reviews of documentation, post-education, completed by ONS Congress. Reviews evaluate clinical practice changes. There will also be a review of the initiative and its educational element in one year. Standardization of our clinical assessment tool has improved communication amongst the staff and has lead to earlier detection of mucositis in our clinical population. As documentation of mucositis prevalence has increased, we have identified areas in which to further minimize side effects of oncology treatments which will promote better quality of life.en_GB
dc.date.available2011-10-27T12:09:25Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:09:25Z-
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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