Expanding Extravasation Knowledge Beyond Chemotherapy and the Oncology Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/164970
Category:
Abstract
Type:
Presentation
Title:
Expanding Extravasation Knowledge Beyond Chemotherapy and the Oncology Setting
Author(s):
Gibson, Kelley; Sander, Robin; Whelan, Sarah; Bolton, Pamela
Author Details:
Kelley Gibson, RNC, BSN, OCN, Staff Nurse, Good Samaritan Hospital, Cincinnati, Ohio, USA, email: kelleyg@cinci.rr.com; Robin Sander, RN, BSN, CCRN; Sarah Whelan, RN, BSN; Pamela Bolton, RN, MS, ACNPC, CCNS, CCRN, PCCN
Abstract:
Clinical/Evidence Based Practice: Extravasation is a high risk complication of IV therapy which may lead to loss of tissue and/or limb. Traditionally, this has been a specialized competency in Oncology where numerous anti-neoplastic vesicants are administered. It was our cardiology colleagues that identified the need to understand how to improve the treatment of vasoactive extravasations. Through a collaborative effort, a comprehensive educational program was developed which provided information on vesicant drugs, extravasation identification and management across the organization. This was an exemplarily project for nursing as they are in a position to manage intravenous access and limit patient discomfort and promote safety. The purpose of this project was to improve the care of patients with vesicant extravasations. To accomplish this end, all intravenous substances with vesicant potential were identified and evidencedbased treatments were established. It was recognized that medical and nursing staff commonly lack the knowledge to identify and manage these intravenous complications. Therefore, a comprehensive educational effort was developed and implemented. A multi-service line group was convened to develop a program to address this important issue. The interventions included the development of a corporate policy and procedure, treatment algorithm, extravasation order set, and incorporation of a standardized documentation tool developed by the national specialty organization. All nursing staff across two facilities was required to complete a self-learning packet. Super user nurses attended didactic educational sessions and completed skill competencies. These are demonstrated annually to maintain competency. Since the advent of this program, nurses are more aware of the vesicant potential of commonly used substances. There has been an increase in the number of identified extravasations and more timely treatment interventions and the documentation is more complete with specified instructions for follow-up by both nurses and patients. To date, there has been no loss of significant tissue or limb necessitating surgical intervention. The creation of this program is an example of how basic knowledge of a common oncologic complication was expanded to all nursing specialty areas through a comprehensive collaborative process. The end result is that patient care has been improved through improved identification, rapid intervention, and ongoing follow-up to limit patient harm.
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.titleExpanding Extravasation Knowledge Beyond Chemotherapy and the Oncology Settingen_GB
dc.contributor.authorGibson, Kelleyen_US
dc.contributor.authorSander, Robinen_US
dc.contributor.authorWhelan, Sarahen_US
dc.contributor.authorBolton, Pamelaen_US
dc.author.detailsKelley Gibson, RNC, BSN, OCN, Staff Nurse, Good Samaritan Hospital, Cincinnati, Ohio, USA, email: kelleyg@cinci.rr.com; Robin Sander, RN, BSN, CCRN; Sarah Whelan, RN, BSN; Pamela Bolton, RN, MS, ACNPC, CCNS, CCRN, PCCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164970-
dc.description.abstractClinical/Evidence Based Practice: Extravasation is a high risk complication of IV therapy which may lead to loss of tissue and/or limb. Traditionally, this has been a specialized competency in Oncology where numerous anti-neoplastic vesicants are administered. It was our cardiology colleagues that identified the need to understand how to improve the treatment of vasoactive extravasations. Through a collaborative effort, a comprehensive educational program was developed which provided information on vesicant drugs, extravasation identification and management across the organization. This was an exemplarily project for nursing as they are in a position to manage intravenous access and limit patient discomfort and promote safety. The purpose of this project was to improve the care of patients with vesicant extravasations. To accomplish this end, all intravenous substances with vesicant potential were identified and evidencedbased treatments were established. It was recognized that medical and nursing staff commonly lack the knowledge to identify and manage these intravenous complications. Therefore, a comprehensive educational effort was developed and implemented. A multi-service line group was convened to develop a program to address this important issue. The interventions included the development of a corporate policy and procedure, treatment algorithm, extravasation order set, and incorporation of a standardized documentation tool developed by the national specialty organization. All nursing staff across two facilities was required to complete a self-learning packet. Super user nurses attended didactic educational sessions and completed skill competencies. These are demonstrated annually to maintain competency. Since the advent of this program, nurses are more aware of the vesicant potential of commonly used substances. There has been an increase in the number of identified extravasations and more timely treatment interventions and the documentation is more complete with specified instructions for follow-up by both nurses and patients. To date, there has been no loss of significant tissue or limb necessitating surgical intervention. The creation of this program is an example of how basic knowledge of a common oncologic complication was expanded to all nursing specialty areas through a comprehensive collaborative process. The end result is that patient care has been improved through improved identification, rapid intervention, and ongoing follow-up to limit patient harm.en_GB
dc.date.available2011-10-27T12:10:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:14Z-
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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