ADMINISTRATION OF CHEMOTHERAPY ACROSS THE CONTINUUM OF CARE: BUILDING NURSING COMPETENCE IN A LONG TERM ACUTE CARE FACILITY

2.50
Hdl Handle:
http://hdl.handle.net/10755/165026
Category:
Abstract
Type:
Presentation
Title:
ADMINISTRATION OF CHEMOTHERAPY ACROSS THE CONTINUUM OF CARE: BUILDING NURSING COMPETENCE IN A LONG TERM ACUTE CARE FACILITY
Author(s):
Kelley, Elaine; Rosato, Erika; Finn, Susan; LaFrancesca, Joanne; Perry, Donna
Author Details:
Elaine Kelley, RN, OCN, Nurse Practice Leader, Youville Hospital, Cambridge, Massachusetts, USA, email: kelleye@youville.org; Erika Rosato, RN, MHA, OCN; Susan Finn, MSN, RN, AOCNS; Joanne P. LaFrancesca, MN, RN, AOCN; Donna Perry, RN, PhD, Massachusetts General Hospital, Boston, Massachusetts
Abstract:
High acuity can make a plan for discharge home from an acute care facility unrealistic for many oncology patients. Long Term Acute Care Hospitals (LTAC) provide the potential for symptom and medical management with a focus on rehabilitation and individual identification of short and long term goals. In order to meet the complex needs of the oncology population, innovative methods must be sought out to provide for the continuum of care of these patients. Transport of a patient by ambulance back to the acute setting for chemotherapy administration can be an exhausting and at times a painful trip for the patient. It also incurs significantly higher cost than if the patient is able to receive this chemotherapy administration during their stay in the LTAC setting. Building a program that is able to accommodate these important patient needs involves the development of an educational nursing program that facilitates safe practice for chemotherapy administration. In order to achieve this, an educational plan was developed in conjunction with an acute care facility. Nurses from the LTAC setting attend an ONS certified educational program for chemotherapy administration. Once this portion is completed these nurses are then trained on an out-patient chemotherapy infusion unit. Concepts and follow through of safe handling, administration and education are reviewed and demonstrated with a preceptor at the out-patient chemotherapy infusion unit. Each nurse is evaluated on the infusion unit for competence and then returns to the LTAC setting. Evaluation and safe administration of chemotherapy per hospital policy is verified and ongoing by the Nurse Practice Leader and/or Program Director. Administration of chemotherapy and subsequent management of symptoms is only one aspect of building a competent program. The development of this aspect not only helps meet the patient needs but also creates an environment of ongoing education and challenge for nurses. The result is staff nurse retention, job satisfaction and patient satisfaction.
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.titleADMINISTRATION OF CHEMOTHERAPY ACROSS THE CONTINUUM OF CARE: BUILDING NURSING COMPETENCE IN A LONG TERM ACUTE CARE FACILITYen_GB
dc.contributor.authorKelley, Elaineen_US
dc.contributor.authorRosato, Erikaen_US
dc.contributor.authorFinn, Susanen_US
dc.contributor.authorLaFrancesca, Joanneen_US
dc.contributor.authorPerry, Donnaen_US
dc.author.detailsElaine Kelley, RN, OCN, Nurse Practice Leader, Youville Hospital, Cambridge, Massachusetts, USA, email: kelleye@youville.org; Erika Rosato, RN, MHA, OCN; Susan Finn, MSN, RN, AOCNS; Joanne P. LaFrancesca, MN, RN, AOCN; Donna Perry, RN, PhD, Massachusetts General Hospital, Boston, Massachusettsen_US
dc.identifier.urihttp://hdl.handle.net/10755/165026-
dc.description.abstractHigh acuity can make a plan for discharge home from an acute care facility unrealistic for many oncology patients. Long Term Acute Care Hospitals (LTAC) provide the potential for symptom and medical management with a focus on rehabilitation and individual identification of short and long term goals. In order to meet the complex needs of the oncology population, innovative methods must be sought out to provide for the continuum of care of these patients. Transport of a patient by ambulance back to the acute setting for chemotherapy administration can be an exhausting and at times a painful trip for the patient. It also incurs significantly higher cost than if the patient is able to receive this chemotherapy administration during their stay in the LTAC setting. Building a program that is able to accommodate these important patient needs involves the development of an educational nursing program that facilitates safe practice for chemotherapy administration. In order to achieve this, an educational plan was developed in conjunction with an acute care facility. Nurses from the LTAC setting attend an ONS certified educational program for chemotherapy administration. Once this portion is completed these nurses are then trained on an out-patient chemotherapy infusion unit. Concepts and follow through of safe handling, administration and education are reviewed and demonstrated with a preceptor at the out-patient chemotherapy infusion unit. Each nurse is evaluated on the infusion unit for competence and then returns to the LTAC setting. Evaluation and safe administration of chemotherapy per hospital policy is verified and ongoing by the Nurse Practice Leader and/or Program Director. Administration of chemotherapy and subsequent management of symptoms is only one aspect of building a competent program. The development of this aspect not only helps meet the patient needs but also creates an environment of ongoing education and challenge for nurses. The result is staff nurse retention, job satisfaction and patient satisfaction.en_GB
dc.date.available2011-10-27T12:11:12Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:12Z-
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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