2.50
Hdl Handle:
http://hdl.handle.net/10755/165016
Category:
Abstract
Type:
Presentation
Title:
IMPROVING THE QUALITY AND SAFETY OF CARE FOR PATIENTS RECEIVING HACE
Author(s):
Imler, Jean; Guyette, Carrie; Itano, Joanne
Author Details:
Jean Imler, RN, Staff RN, The Queen's Medical Center, Honolulu, Hawaii, USA, email: imlerjb@yahoo.com; Carrie Guyette, BSN, Oregon Health and Science University, Portland, Oregon; Joanne Itano, PhD, University of Hawaii, Honolulu, Hawaii
Abstract:
Hepatic artery chemoembolization (HACE) is commonly used to treat unresectable hepatocellular carcinoma (HCC). To many oncology nurses, HACE is an infrequent treatment procedure with a complex pre-procedure protocol requiring a high degree of coordination with the MD office, radiology, IV team, pharmacy and nursing staff. This categorizes HACE as a low volume, high risk procedure. Increase the quality and safety of care for patients receiving HACE by improving nursing staff knowledge of the care of patients receiving HACE. The PDCA (Plan, Do, Check, Act) model was used to guide this project. Based on extensive review of literature, a 30 minute in-service was prepared on liver cancer, its treatments, and nursing care of the patient receiving HACE pre- and post-procedure and important discharge instructions. The in-service was presented 3 times covering all shifts and 50% of the nursing staff attended. Food was provided to encourage attendance. Evaluation consisted of a pre and post test and a demographic section to gather data on years of experience and previous experience with HACE patients. The pre and post test measured knowledge related to the care of patients receiving HACE. There was a 34% increase from pre to post test scores. The data was also analyzed by years of nursing experience and prior experience with patients receiving HACE. An increase in knowledge in all groups was observed. Based on the success of this project, the care of the patient receiving HACE has been added to the annual competency assessment of all RN staff and to the orientation check list for all new RN hires. A copy of the in-service materials was provided to all staff and the author is identified as the unit resource. The next step is to meet with the radiology scheduler, MD offices and bed control to ensure timely admission of patients receiving HACE. The final phase will be to monitor the impact of this intervention on patients admitted for HAC, i.e. delay in procedure, increased length of stay and increased time spent by nursing staff to coordinate care.
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.titleIMPROVING THE QUALITY AND SAFETY OF CARE FOR PATIENTS RECEIVING HACEen_GB
dc.contributor.authorImler, Jeanen_US
dc.contributor.authorGuyette, Carrieen_US
dc.contributor.authorItano, Joanneen_US
dc.author.detailsJean Imler, RN, Staff RN, The Queen's Medical Center, Honolulu, Hawaii, USA, email: imlerjb@yahoo.com; Carrie Guyette, BSN, Oregon Health and Science University, Portland, Oregon; Joanne Itano, PhD, University of Hawaii, Honolulu, Hawaiien_US
dc.identifier.urihttp://hdl.handle.net/10755/165016-
dc.description.abstractHepatic artery chemoembolization (HACE) is commonly used to treat unresectable hepatocellular carcinoma (HCC). To many oncology nurses, HACE is an infrequent treatment procedure with a complex pre-procedure protocol requiring a high degree of coordination with the MD office, radiology, IV team, pharmacy and nursing staff. This categorizes HACE as a low volume, high risk procedure. Increase the quality and safety of care for patients receiving HACE by improving nursing staff knowledge of the care of patients receiving HACE. The PDCA (Plan, Do, Check, Act) model was used to guide this project. Based on extensive review of literature, a 30 minute in-service was prepared on liver cancer, its treatments, and nursing care of the patient receiving HACE pre- and post-procedure and important discharge instructions. The in-service was presented 3 times covering all shifts and 50% of the nursing staff attended. Food was provided to encourage attendance. Evaluation consisted of a pre and post test and a demographic section to gather data on years of experience and previous experience with HACE patients. The pre and post test measured knowledge related to the care of patients receiving HACE. There was a 34% increase from pre to post test scores. The data was also analyzed by years of nursing experience and prior experience with patients receiving HACE. An increase in knowledge in all groups was observed. Based on the success of this project, the care of the patient receiving HACE has been added to the annual competency assessment of all RN staff and to the orientation check list for all new RN hires. A copy of the in-service materials was provided to all staff and the author is identified as the unit resource. The next step is to meet with the radiology scheduler, MD offices and bed control to ensure timely admission of patients receiving HACE. The final phase will be to monitor the impact of this intervention on patients admitted for HAC, i.e. delay in procedure, increased length of stay and increased time spent by nursing staff to coordinate care.en_GB
dc.date.available2011-10-27T12:11:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:02Z-
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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