FREQUENCY OF URGENT/EMERGENCY SYMPTOMS ASSESSED BY TRIAGING NURSE FOR ONCOLOGY PATIENTS SEEKING TREATMENT AT A COMPREHENSIVE CANCER CENTER.

2.50
Hdl Handle:
http://hdl.handle.net/10755/165384
Category:
Abstract
Type:
Presentation
Title:
FREQUENCY OF URGENT/EMERGENCY SYMPTOMS ASSESSED BY TRIAGING NURSE FOR ONCOLOGY PATIENTS SEEKING TREATMENT AT A COMPREHENSIVE CANCER CENTER.
Author(s):
Graham, Dennis; McKerrow, Joan
Author Details:
Dennis Graham, RN, NP, OCN, Nurse Practitoner Clinical Program Director, Memorial Sloan Kettering Cacner Center, New York, New York, USA, email: grahamd@mskcc.org; Joan McKerrow
Abstract:
Topic: Significance and Background: The frequency and types of nursing assessments for urgent/emergency problems for oncology patient has not been widely reported in the literature. Oncology patient can present for treatment with medical or surgical urgent/emergency issues related to systemic effects of treatments or the natural history of their primary or metastatic tumor. Additionally, emergencies may be unrelated to the type of cancer including acute myocardial infarction, drug overdose, or gastrointestinal hemorrhage. Patients reporting to our Urgent Care Center (UCC) at this NCI funded Comprehensive Cancer Center during 12-8 PM Monday through Friday are triaged by the admitting nurse. The triaging nurse uses triage order sets (NTOS) approved the Medical Board and the Division of Nursing. The NTOS utilized are order sets for diagnostic laboratory examinations, radiology test and nursing interventions implemented based on the patients presenting signs and symptoms chief complaint(s). Purpose: To identify the gaps in oncology nursing knowledge related to frequency and types of urgent/emergency symptoms that occur in order to assist oncology nurses to better manage and support patients during treatment. Methods: A retrospective review was carried out reporting the frequencies of NTOS used by the triaging nurse for patients with urgent/emergency complaints for a three-month period and these were analyzed using descriptive and chi square statistics. Findings: A total of 1151 of 4910 patients were triaged by the admitting nurse using NTOS. Fever (42.6 %) was the most common presenting symptom followed by, abdominal pain (14.4%), dyspnea (13.3%), nausea/vomiting (10.8%), chest pain (7.2%), vital signs (3.4%), diarrhea (2.9%), pneumonia 2.7%, hypo/hyperglycemia (1.5%) and deep vein thrombosis (1.4%). Implications: This analysis of NTOS used by the triaging nurse represents frequency of urgent/emergency symptoms reported by oncology patients at this UCC. The results of this study will be used to plan and develop nursing staff educational programs to enhance emergency care for our oncology patients and design new studies to evaluate and improve care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, 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.titleFREQUENCY OF URGENT/EMERGENCY SYMPTOMS ASSESSED BY TRIAGING NURSE FOR ONCOLOGY PATIENTS SEEKING TREATMENT AT A COMPREHENSIVE CANCER CENTER.en_GB
dc.contributor.authorGraham, Dennisen_US
dc.contributor.authorMcKerrow, Joanen_US
dc.author.detailsDennis Graham, RN, NP, OCN, Nurse Practitoner Clinical Program Director, Memorial Sloan Kettering Cacner Center, New York, New York, USA, email: grahamd@mskcc.org; Joan McKerrowen_US
dc.identifier.urihttp://hdl.handle.net/10755/165384-
dc.description.abstractTopic: Significance and Background: The frequency and types of nursing assessments for urgent/emergency problems for oncology patient has not been widely reported in the literature. Oncology patient can present for treatment with medical or surgical urgent/emergency issues related to systemic effects of treatments or the natural history of their primary or metastatic tumor. Additionally, emergencies may be unrelated to the type of cancer including acute myocardial infarction, drug overdose, or gastrointestinal hemorrhage. Patients reporting to our Urgent Care Center (UCC) at this NCI funded Comprehensive Cancer Center during 12-8 PM Monday through Friday are triaged by the admitting nurse. The triaging nurse uses triage order sets (NTOS) approved the Medical Board and the Division of Nursing. The NTOS utilized are order sets for diagnostic laboratory examinations, radiology test and nursing interventions implemented based on the patients presenting signs and symptoms chief complaint(s). Purpose: To identify the gaps in oncology nursing knowledge related to frequency and types of urgent/emergency symptoms that occur in order to assist oncology nurses to better manage and support patients during treatment. Methods: A retrospective review was carried out reporting the frequencies of NTOS used by the triaging nurse for patients with urgent/emergency complaints for a three-month period and these were analyzed using descriptive and chi square statistics. Findings: A total of 1151 of 4910 patients were triaged by the admitting nurse using NTOS. Fever (42.6 %) was the most common presenting symptom followed by, abdominal pain (14.4%), dyspnea (13.3%), nausea/vomiting (10.8%), chest pain (7.2%), vital signs (3.4%), diarrhea (2.9%), pneumonia 2.7%, hypo/hyperglycemia (1.5%) and deep vein thrombosis (1.4%). Implications: This analysis of NTOS used by the triaging nurse represents frequency of urgent/emergency symptoms reported by oncology patients at this UCC. The results of this study will be used to plan and develop nursing staff educational programs to enhance emergency care for our oncology patients and design new studies to evaluate and improve care.en_GB
dc.date.available2011-10-27T12:17:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:17:35Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, 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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