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Administering Chemotherapy for Non-Oncologic Indications. Karen A. Roesser RN, MSN, AOCNS Thomas Johns Cancer Hospital, Richmond, VA. ONS Position on the Education of the Nurse who Administers Chemotherapy & Biotherapy. Specialized education and preparation to ensure safe level of care
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Administering Chemotherapy for Non-Oncologic Indications Karen A. Roesser RN, MSN, AOCNS Thomas Johns Cancer Hospital, Richmond, VA
ONS Position on the Education of the Nurse who Administers Chemotherapy & Biotherapy • Specialized education and preparation to ensure safe level of care • Education to include: • Principles of cancer chemotherapy and biotherapy • Types, classifications, and routes • Pharmacology of agents in cancer care • Chemo/biotherapy indications in cancer care • Pertinent molecular biomarkers • Chemotherapy/radiotherapy protectants • Principles of safe preparation, storage, labeling, transportation, and disposal
ONS Position Statement on Education (cont.) • Personal protective equipment • Administration procedures including administration schedule, dose, route; patient consent, and documentation • Process to ensure patient safety • Assessment, monitoring, and management of patients in all care settings • Patient/family education on side effects and symptom management • Post-treatment care including urgent f/u procedures, late or long-term side effects • Followed by clinical practicum ONS, 2012
ONS Treatment Basics Course (2010) • Antineoplastic Therapy in the Non-Oncology Setting • Increase understanding of use of chemotherapy in non-oncologic (largely autoimmune) settings • Mechanism of action • Indications • Dose • Side effects • Nursing considerations
Treatment Basics Course (cont.) • Administration • Safe-handling • Symptom management • Four hour course (no clinical practicum) • Chemotherapy/biotherapy trainers may become Treatment Basics trainers (online course)
Future Plans for Revisions to Treatment Basics Course • Chemo/biotherapy to non-onc patients • Increased focus on specific treatment for specific diseases • May pick and choose various modules based on audience • Will mirror ONS Chemotherapy/Biotherapy online course
How to Safely Administer Chemotherapy for Non-Oncology Indications • ONS chemotherapy-competent nurse to administer • Education provided to non-oncology nurse • Treatment Basics Course • Development of course at institution which includes components of ONS position statement • Develop policy which incorporates above • Plan for administration component and maintaining competency