Development Of A Chemotherapy/Biotherapy Flowsheet For An In-Patient Oncology unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/164986
Category:
Abstract
Type:
Presentation
Title:
Development Of A Chemotherapy/Biotherapy Flowsheet For An In-Patient Oncology unit
Author(s):
Howlett, Kristie
Author Details:
Kristie Howlett, RN, MS, CNS, OCN, Clinical Nurse Specialist, Sutter Roseville Medical Center, Roseville, California, USA, email: howletk@sutterhealth.org
Abstract:
Clinical/Evidence Based Practice: Accurate nursing documentation is an important aspect of the patientÆs medical record and fundamental legal responsibility of the nurse providing care. Documentation is especially important when a patient is receiving chemotherapy and/or biotherapy. On our unit many key elements of care where not being documented (i.e., infusion duration, assessment of site, verification of blood return, and patient tolerance after therapy, etc.). Also, there were a number of different places within the medical record where information could be documented leading to confusion and difficulty following patient care. An initial documentation audit was conducted to identify gaps in documentation. Data was analyzed and confirmed the lack of documentation. This project also became a quality improvement goal for our cancer program accreditation with the American College of Surgeons. The goal was to develop a documentation tool that could be used as the key place to document all of the necessary information required when administering and caring for a patient receiving chemotherapy and/or biotherapy. Gaps identified in the initial audit and ONS guidelines for documentation of chemotherapy and biotherapy were integrated into a single flow sheet titled ôChemotherapy/Biotherapy Flow Sheet.ö This tool was developed by the CNS with input from our oncology clinical practice council (CPC), and was later endorsed by the oncology CPC. The completed "Chemotherapy/Biotherapy Flow Sheet" was reviewed and endorsed by the cancer committee, and the finalized version has been placed on our intranet for easy access and print out. Our unit is currently undergoing a second documentation audit to review and address whether the form is meeting our documentation goal. Initial data is showing that the nursing staff is documenting necessary components when caring for a patient receiving chemotherapy and/or biotherapy. The audit, development, and implementation of a tool specifically to document chemotherapy may help other medical oncology units that are struggling to obtain compliance with documentation of the necessary components. It was extremely beneficial to include the cancer committee, as well as the oncology CPC who are the end users of the form.
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.titleDevelopment Of A Chemotherapy/Biotherapy Flowsheet For An In-Patient Oncology uniten_GB
dc.contributor.authorHowlett, Kristieen_US
dc.author.detailsKristie Howlett, RN, MS, CNS, OCN, Clinical Nurse Specialist, Sutter Roseville Medical Center, Roseville, California, USA, email: howletk@sutterhealth.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164986-
dc.description.abstractClinical/Evidence Based Practice: Accurate nursing documentation is an important aspect of the patientÆs medical record and fundamental legal responsibility of the nurse providing care. Documentation is especially important when a patient is receiving chemotherapy and/or biotherapy. On our unit many key elements of care where not being documented (i.e., infusion duration, assessment of site, verification of blood return, and patient tolerance after therapy, etc.). Also, there were a number of different places within the medical record where information could be documented leading to confusion and difficulty following patient care. An initial documentation audit was conducted to identify gaps in documentation. Data was analyzed and confirmed the lack of documentation. This project also became a quality improvement goal for our cancer program accreditation with the American College of Surgeons. The goal was to develop a documentation tool that could be used as the key place to document all of the necessary information required when administering and caring for a patient receiving chemotherapy and/or biotherapy. Gaps identified in the initial audit and ONS guidelines for documentation of chemotherapy and biotherapy were integrated into a single flow sheet titled ôChemotherapy/Biotherapy Flow Sheet.ö This tool was developed by the CNS with input from our oncology clinical practice council (CPC), and was later endorsed by the oncology CPC. The completed "Chemotherapy/Biotherapy Flow Sheet" was reviewed and endorsed by the cancer committee, and the finalized version has been placed on our intranet for easy access and print out. Our unit is currently undergoing a second documentation audit to review and address whether the form is meeting our documentation goal. Initial data is showing that the nursing staff is documenting necessary components when caring for a patient receiving chemotherapy and/or biotherapy. The audit, development, and implementation of a tool specifically to document chemotherapy may help other medical oncology units that are struggling to obtain compliance with documentation of the necessary components. It was extremely beneficial to include the cancer committee, as well as the oncology CPC who are the end users of the form.en_GB
dc.date.available2011-10-27T12:10:31Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:31Z-
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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