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NAOG Audit and Education Event

NAOG Audit and Education Event. 19 th April 2013 South Tyneside District Hospital AOS Nurse Rebecca Thomas. Acute oncology service. 1 full time AOS Nurse, supported by chemotherapy unit, specialist nurses and lead cancer nurse

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NAOG Audit and Education Event

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  1. NAOG Audit and Education Event 19th April 2013 South Tyneside District Hospital AOS Nurse Rebecca Thomas

  2. Acute oncology service. • 1 full time AOS Nurse, supported by chemotherapy unit, specialist nurses and lead cancer nurse • Outside hours, senior nurses in EAU have a resource folder and bleep. • Patients encouraged to speak to chemo unit during working hours. • Electronic flagging system captures all patients with a history of cancer.

  3. Service development Dec ‘12-Apr ‘13 • Patient information leaflet implemented for all patients receiving chemotherapy. • Chemotherapy unit now using UKONS tool to triage calls from patients, • PGD has been requested for first dose of Tazocin for patients with neutropenic sepsis (Application awaiting approval). • Teaching has been carried out in key areas on Sepsis and MSCC • Awareness of CUP and AOS service has been raised across hospital. • Change in hospitals blood culturing policy to enable nurses to perform cultures as part of’ hour door to needle pathway’.

  4. Audit information. • 160 patients were captured by flagging system between February and March 2013. • 26 patients required AOS intervention

  5. The AOS service has helped to reduce the length of stay of patients, specifically those with Neutropenic Sepsis and MSCC.

  6. Neutropenic Sepsis Audit • A retrospective audit was conducted on Neutropenic Sepsis Coded patients presenting to STFT between April 2012 and March 2012. • 36 patients were captured in the audit. • 5 patients did not have an oncological diagnosis • 13 patients were not neutropenic

  7. Neutropenic Sepsis cont. • 18 patients had confirmed neutropenic sepsis. • All but 1 case appeared to coincide with chemotherapy treatment. • 4 patients out of 18 were given antibiotics within an hour of presentation. (22%) • Time to antibiotics was at best 30 minsand at worst 4 hours.

  8. Neutropenic Sepsis. • During the audit it became evident, patients were being triaged within the 30 minute target however waited on average a couple of hours for an antibiotic prescription. • It is hoped that by increasing awareness amongst A+E staff, this will drastically improve. • PGD for triage nurses also set to drastically improve on these results. • Increased visibility of AOS nurse has already improved things significantly.

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