2.50
Hdl Handle:
http://hdl.handle.net/10755/165723
Category:
Abstract
Type:
Presentation
Title:
"ATAQ"ing Neutropenia Management
Author(s):
Mazzone, Cathy
Author Details:
Cathy Mazzone, National Institute on Aging, Bethesda, Maryland, USA
Abstract:
Concerns over delays in initiation of a broad-spectrum antibiotic with first fever in the neutropenic cancer patient heightened when this institution began to see an increase in the number of these patients as a result of an increase in the leukemia population. A baseline assessment showed a mean time to initiation of a broad-spectrum antibiotic was five hours, five minutes. Lack of education among the nursing staff was one of several factors identified as influencing this time. Multiple entries of access to care also contributed. The goal, reached by consensus with outside hematology and infectious disease experts, along with the performance improvement committee, was that a broad-spectrum antibiotic be hung within one hour from the time the fever is documented (inpatient) or from the time the patient arrives at the hospital (outpatient). Re-education of the oncology staff focused on neutropenia management, ANC calculations, and sharing the one-hour goal. Emergency room nursing staff was also included. Next, a first fever order set was developed for use by oncologists. Finally, the performance improvement committee developed business cards that were given to patients at the end of their cycle of treatment that outlined their period of neutropenia, and provided instructions to unfamiliar staff as to the importance of prompt treatment. Patients were instructed to hand the card to the triage nurse in the emergency room when they came with fever. Current performance, two years after the initiative, is a mean time of one hour, twenty minutes to initiation of a broad spectrum antibiotic, including those patients coming through the emergency room. The poster will outline the specifics of the education program, the order set, the business card to be used when visiting the emergency room, along with trending the improvements as these initiatives were implemented.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., 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.title"ATAQ"ing Neutropenia Managementen_GB
dc.contributor.authorMazzone, Cathyen_US
dc.author.detailsCathy Mazzone, National Institute on Aging, Bethesda, Maryland, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165723-
dc.description.abstractConcerns over delays in initiation of a broad-spectrum antibiotic with first fever in the neutropenic cancer patient heightened when this institution began to see an increase in the number of these patients as a result of an increase in the leukemia population. A baseline assessment showed a mean time to initiation of a broad-spectrum antibiotic was five hours, five minutes. Lack of education among the nursing staff was one of several factors identified as influencing this time. Multiple entries of access to care also contributed. The goal, reached by consensus with outside hematology and infectious disease experts, along with the performance improvement committee, was that a broad-spectrum antibiotic be hung within one hour from the time the fever is documented (inpatient) or from the time the patient arrives at the hospital (outpatient). Re-education of the oncology staff focused on neutropenia management, ANC calculations, and sharing the one-hour goal. Emergency room nursing staff was also included. Next, a first fever order set was developed for use by oncologists. Finally, the performance improvement committee developed business cards that were given to patients at the end of their cycle of treatment that outlined their period of neutropenia, and provided instructions to unfamiliar staff as to the importance of prompt treatment. Patients were instructed to hand the card to the triage nurse in the emergency room when they came with fever. Current performance, two years after the initiative, is a mean time of one hour, twenty minutes to initiation of a broad spectrum antibiotic, including those patients coming through the emergency room. The poster will outline the specifics of the education program, the order set, the business card to be used when visiting the emergency room, along with trending the improvements as these initiatives were implemented.en_GB
dc.date.available2011-10-27T12:23:45Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:23:45Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., 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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.