RECOGNIZING ONCOLOGY CRISES IN THE EMERGENCY DEPARTMENT: A STAFF-DRIVEN IMPROVEMENT PROCESS

2.50
Hdl Handle:
http://hdl.handle.net/10755/165212
Category:
Abstract
Type:
Presentation
Title:
RECOGNIZING ONCOLOGY CRISES IN THE EMERGENCY DEPARTMENT: A STAFF-DRIVEN IMPROVEMENT PROCESS
Author(s):
Cull, Lisa F.; Nolan, Mary-Beth; Campbell-Maxwell, Ann; Calamari, Jacquelyn G.; Palaski, Kathy; Marotta, Cyndy
Author Details:
Lisa F. Cull, BS RN OCN, Clinical Manager, Middlesex Hospital Cancer Center, Middletown, Connecticut, USA, email: LisaCull@midhosp.org; Mary-Beth Nolan, MSN, RN, CEN; Anne Campbell-Maxwell, MBA, BSN, RN; Jacquelyn G. Calamari, MS, BSN, RN, CEN; Kathy Palaski, RN; Cyndy Marotta, RN
Abstract:
Increasingly, oncology patients present in the Emergency Department seeking care during their disease continuum. Knowledge of new treatment modalities as well as astute assessment skills to recognize a related host of symptoms and side effects are now critical competencies for safe emergency management of these patients. Specialized care for cancer-related emergencies has evolved as a hybrid of oncology and emergency medicine. The purpose of this clinical project was to use an evidence-based, interdisciplinary approach to improve the quality of emergency oncology care through collaboration, education, resource support and creation of best practice protocols. An interdepartmental project team comprised of nursing staff, managers and nurse educators from the Emergency Department and the Cancer Center examined current care practices, patient outcomes, available education and resources to determine the quality of emergency oncology care. Based on the data, communication between staff and a review of the current literature in oncology emergencies, a number of areas were identified to improve patient management. The improvement initiatives included: design and implementation of a "Vital Oncology Facts" guide for the triage reference manuals with pocket versions provided to staff; standardization of the oncology triage process; development and presentation of "Oncology Emergencies" as an educational series with analysis of case studies; and enhancement of the Emergency Department's reference libraries with the addition of two new oncology emergency resources. This collaborative initiative achieved outcomes in the following domains: enhanced nursing staff competency and confidence in oncology emergency care; improved time to treatment with the oncology patient identified as a triage Emergency Severity Index score of "2"; and expanded network of oncology care collaboration across outpatient, inpatient, and emergency care settings in order to standardize best care practices. This has resulted in the development of a continuum-based oncology neutropenic pathway. The interdisciplinary cooperation between emergency and oncology specialties cultivates professional development, quality improvement initiatives and opportunities for oncology-emergency education to enhance patient outcomes.
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.titleRECOGNIZING ONCOLOGY CRISES IN THE EMERGENCY DEPARTMENT: A STAFF-DRIVEN IMPROVEMENT PROCESSen_GB
dc.contributor.authorCull, Lisa F.en_US
dc.contributor.authorNolan, Mary-Bethen_US
dc.contributor.authorCampbell-Maxwell, Annen_US
dc.contributor.authorCalamari, Jacquelyn G.en_US
dc.contributor.authorPalaski, Kathyen_US
dc.contributor.authorMarotta, Cyndyen_US
dc.author.detailsLisa F. Cull, BS RN OCN, Clinical Manager, Middlesex Hospital Cancer Center, Middletown, Connecticut, USA, email: LisaCull@midhosp.org; Mary-Beth Nolan, MSN, RN, CEN; Anne Campbell-Maxwell, MBA, BSN, RN; Jacquelyn G. Calamari, MS, BSN, RN, CEN; Kathy Palaski, RN; Cyndy Marotta, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165212-
dc.description.abstractIncreasingly, oncology patients present in the Emergency Department seeking care during their disease continuum. Knowledge of new treatment modalities as well as astute assessment skills to recognize a related host of symptoms and side effects are now critical competencies for safe emergency management of these patients. Specialized care for cancer-related emergencies has evolved as a hybrid of oncology and emergency medicine. The purpose of this clinical project was to use an evidence-based, interdisciplinary approach to improve the quality of emergency oncology care through collaboration, education, resource support and creation of best practice protocols. An interdepartmental project team comprised of nursing staff, managers and nurse educators from the Emergency Department and the Cancer Center examined current care practices, patient outcomes, available education and resources to determine the quality of emergency oncology care. Based on the data, communication between staff and a review of the current literature in oncology emergencies, a number of areas were identified to improve patient management. The improvement initiatives included: design and implementation of a "Vital Oncology Facts" guide for the triage reference manuals with pocket versions provided to staff; standardization of the oncology triage process; development and presentation of "Oncology Emergencies" as an educational series with analysis of case studies; and enhancement of the Emergency Department's reference libraries with the addition of two new oncology emergency resources. This collaborative initiative achieved outcomes in the following domains: enhanced nursing staff competency and confidence in oncology emergency care; improved time to treatment with the oncology patient identified as a triage Emergency Severity Index score of "2"; and expanded network of oncology care collaboration across outpatient, inpatient, and emergency care settings in order to standardize best care practices. This has resulted in the development of a continuum-based oncology neutropenic pathway. The interdisciplinary cooperation between emergency and oncology specialties cultivates professional development, quality improvement initiatives and opportunities for oncology-emergency education to enhance patient outcomes.en_GB
dc.date.available2011-10-27T12:14:30Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:14:30Z-
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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