1 perform infrequently - less than 3 months experience ... · proficiency assessment sheet for...
TRANSCRIPT
SURNAME : FORENAME:
Other name/s :
Date of Birth :
Proficiency assessment sheet for nurses wishina to work inOncology
1 = Perform infrequently - less than 3 months experience. Needmore experience. Assistance required.
2 = Limited experience 6 to 12 months within the last 2 years.Would require some assistance.
3. = Perform well. At least 1 year of current experience.Very comfortable performing with out supervision.
Please tick ( /) only on the Self-Assessment part of the Questionnaire (left handside of the page)
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I Knowledge of principles of Code of ProfessionalConduct,
Formulates decisions about care within the scope of
nursing practice utilising the principles in the Scope of
Nursing Practice Framework
Ensure confidentiality of information
Maintenance of patient records
... accurate account of treatment given
all enteries to patient records are signed
Implements Hospital I Departmental Manuals
Haemovigilance Manual
Royal Marsden Manual
Appendix to the Royal Marsden includingMedication Policies
Nursing Policies
Infection Control Policies
RISK MANAGEMENT(Time frame 3 weeks)
Waste Disposal
Clinical
Non Clinical
Infectious
Body Fluids
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ACCURATELY MEASURES VITALSIGNS
Temperature (tympanic)
Pulse Respirations (rate and quality)
Blood pressure
MONITORING
Accurately record and interpret fluid balancemeasurements
Urinalysis
Circulation, motor, sensory
Neurological monitoring (Glascow Coma Scale) I
EQUIPMENT
Use of:
Dinamap
Tympanic thermometer
Syringe pump !Infusion pump
Patient Hoist
Grasby Syringe Driver Pump
Glucometer
Glucometer ! Quality check
INTRAVENOUSCARE
Care of intravenousaccess site
Removal of peripheral cannula
Recognises complications of LV.therapy
BLOOD! BLOOD PRODUCTS ADMINISTRATION
Verify order to administer blood product.
Complete appropriate requisition form.
Administration of blood! blood products as perhospital policy.
Initiate appropriate action in the event of a transfusionreaction
MEDICATION ADMINISTRATION
Administer medications according to hospital policiesand procedures
Adhere to the controlled drugs policy
Verbalise knowledge of medications beingadministered
Utilise appropriate reference materials (Mimms, BNF,Intranet)
Record and sign all medications administered and USEthe necessary code for omissions on the medicationrecord
COMMUNICATION
Respect patients privacy, dignity and autonomy
Promptly advise CNM or Nurse in charge of needs orchanges on the ward/dept
Effectively communicate with other members of thehealth care team to give or seek information tooptimise patient care
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work to foster good customer relations by exhibitingcourtesy in both personal and phone interactions
!Interpret and respond effectively to verbal, non-verbaland written communication with colleagues.
Demonstrate strong listening and receptive skills
Spoken communication is clear, concise, accurate,sensitive and appropriate
Written communication is clear, concise and accurate
and appropriate
Patient reportlhandover at change of shift
Knowledge to prioritise patient care and work-load
Uses critical thinking and professional judgementwhen caring for patients
Works within a team and supports members towardsachieving common goals
Order medications from pharmacy as required
Aware of procedure for obtaining out of hoursmedications
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PATHOPHYSIOLOGY
Describe the nonnal cell cycle "
Nonnal White Cell count
I Nonnal Haemoglobin
Nonnal Neutrophil Count
Nonnal Platlets
NonnalRenal! Liver!Boneprofile I
The following Markers
I P.SA (Prostate)
, C,E,A ( Colon)
CA 125 (Ovarian)
Testicular markers
CA 19.9 (Breast)
,I c, A. 15,3 (Breast)PATIENT AND FAMILY EDUCATION
Outline the necessary steps of patient and familyeducation in relation to
(a) preparation
(b) planning
(c) presentation
(d)follow-up I
(e) documentation
Identify the infonnational needs of the patient and fam Iy
(a) the treatment
(b) how the treatment will work
(c) the sequence of administration
(d) recognising and controlling side effects
(e) reporting of side effects
Discuss use of helpline for oncology patients
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SYMPTOM MANAGEMENT
Identify important self care measures for patientsundergoing chemotherapy treatment
Describe the symptomatic management of
(a) alopecia
(b) stomatitis
(c) nausea and vomiting
(d) diarrhoea and constipation
.. (e) fatigue
(f)pain
Acute
I Chrol)ic
(g) febrile neutropenia IAnalgesia Ladder
CENTRALVENOUSACCESS DEVICES
Describe the different types of central venous accessdevices available
Outline the nursing care and management of
(a) PICCS
(b) Implantable ports
(c) Tunnelled catheters (Hickman lines)
Complic.ations associated with central venous accessdevices
ADMINISTRATION OF CHEMOTHERAPY
Explain how drug dosages for chemotherapy arecalculated
Demonstrate how body surface area is calculated
Discuss reconstitution of chemotherapy
Discuss routes of administration
I Discuss vein selection and venepuncture
Discuss pre-treatment considerations
Explain the procedure for administering chemotherap\drugs
Explain the rationale for sequencing of drugadministration
Discuss prevention of vesicant extravasation
Discuss Mater Private Hospital policy in relation toextravasation
Describe the most common side effects of
chemotherapy drugs and outline the nursingmanagement of these side effects
Describe abnormal test results
Protocols for treatment
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ISAFE HANDLINGOF CHEMOTHERAPEUTICDRUGS
Discuss the safe transportationof chemotherapydrugs ,
Describe protectiveequipmentto be wom duringhandling and administrationof chemotherapydrugs
Discuss the disposalof suppliesand unuseddrugs.
Describe the steps to be takenwhen dealingwith aspillage of chemotherapy'..
ONCOLOGICALCOMPLICATIONS IDisemminated Intravascular Coagulation
Define D.LC.
Describe clinical features of D.LC.
Discuss the treatment of D.LC
HYPERCALCAEMIA
Define hypercalcaemia
Describe clinical features of hypercalcaemia
Discuss the treatment of hypercalcaemia
SEPTIC SHOCK
Define septic shock
Describe clinical features of septic shock
Discuss the treatment of septic shock
SPINAL CORD COMPRESSION
Define spinal cord compression
Describe clinical features of spinal cord compression IDiscuss the treatment of spinal cord compression
RADIATION THERAPY
Define radiation therapy
Discuss principles of radiation therapy
Describe the various methods of administeringradiotherapy
Discuss nursing management of patients undergoingradiotherapy treatment
Discuss the policy on radiation protection forstaff and patients
Describe the care of patients receiving Brachytherapy
Care of patients with insertion of wires -CLINICAL TRIALS
Demonstrate knowledge of clinical trials
Discuss current clinical trials in oncology'
Identify resources e.g research nurses attached to the
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CANCERS OF THE BRAIN
Identify two common brain tumours
Describe clinical features manifested by brain tumoun' I
Describe a diagnostic work up for brain tumours
Discuss treatment modalities
I
Explain why the response rate to chemotherapy is lov.
.. Outline nursing care of patients diagnosed with braintumours
I
BREAST CANCERS
Describe clinical features of breast cancers
Describe how breast cancer is diagnosed I(a) symptomatic
(b) screen detected
Describe the different histological types of breast
I
cancer
Describe treatmentmodalitiesfor breastcancer IDiscuss the nursing management of the breast cancepatient
Pre and post operative care
COlORECTAlCANCERS
Describe clinical features of colorectal cancers
Describe a diagnostic work-up for colorectal cancer
Discuss treatment modalities
Discuss the nursing management of a patientdiagnosed with cotorectal cancer
GASTRO INTESTINAL CANCER
Describe clinical features of
(a) Cancer of the oesophagus
(b) Cancer of the stomach
Discuss treatment modalities of gastro-intestinalcancers
Describe a diagnostic work up for G.I patient
Outline nursing management of G.I patients
CANCER OF THE LIVER
Describe the clinical features of liver cancer
Describe a diagnostic workup for liver cancer
Discuss treatment modalities for liver cancer
Outline nursing management of patients diagnosedwith liver cancer
CANCER OF THE PANCREAS
Describe the clinical features of pancreatic cancer
Describe a diagnostic work up for pancreatic cancer
Discuss treatment modalities
Outline nursing management of patients withdiagnosed with cancer of the pancreas
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CANCER OF THE GALLBLADDER
Describe the clinical features of cancer of the
gallbladder
Describe a diagnostic work up for cancer of the"
gallbladder
Discuss treatment modalitiesfor the treatmentofcancer of the gallbladder
Outline the nursing managementof patientsdiagnosedwith cancerof the gallbladder
PROSTATECANCER
Describethe clinical features of prostatecancer IDiscuss treatment modalities
Outline nursing management of patients with cancer 0the prostate
TESTICULAR CANCER
Describe the clinical features of testicular cancer
Describe a diagnostic work up for testicular cancer
Discuss treatment modalities for testicular cancer
Outline nursing management of patients diagnosedwith testicular cancer
RENAL CELL CANCER
Describe the clinical features of renal cell cancer
I Describea diagnosticwork up for renalcell cancer
Discusstreatmentmodalitiesfor renalcell cancer iOutline nursing management of patients diagnosedwith renal cell cancer
BLADDER CANCER
Describe the clinical features of bladder cancer
Describe a diagnostic work up for bladder cancer
Discuss treatment modalities for bladder cancer
Outline nursing management of patients diagnosed
Iwith bladder cancer
GYNACOLOGICAL CANCERS
Describe the clinical features of gynaecological cance
(a) cervical
(b) endometrial
(c) ovarian
(d) vulvar
Describe a diagnostic work up for gynaecologicalcancers
Discuss treatment modalities for treatment of
gynaecological cancers
Outline nursing management of patients diagnosedwith gynaecological cancer
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HEADAND NECKCANCERS
Describe the 8 anatomic regions of head and neckcancer
Describe a diagnosticwork up for cancersof the headand neck
Discuss treatment modalitiesfor the treatmentof heacand neck cancers
Outline nursingmanagementof patientswith headand neck cancer
I LUNG CANCERS
Discuss the clinical features of lung cancer
Describea diagnosticwork up for lung cancer IDiscuss treatmentmodalitiesfor lung cancer
Outline the nursingmanagementof lung cancer
I SKIN CANCER
Describe the clinical features of
(a) non- melanoma
(b) malignantmelanoma
Describea diagnosticwork up for skin cancers
Discuss treatmentmodalitiesfor skin cancers
Outline nursing managementof skin cancers
ACUTE LEUKAEMIA
Identify two types of acute leukaemia IDescribe clinical features of acute leukaemia
Discuss treatment modalities for acute leukaemia
Outline nursing management of patients diagnosed
Iwith acute leukaemia
CHRONIC MYELOGENOUS LEUKAEMIA
Discuss the clinical features of CMl
Discuss treatment modalities for CMl
Outline nursing management of patients diagnosedwith CMl
CHRONIC LYMPHOCYTIC LEUKAEMIA
Discuss the clinical features of Cll
Discuss treatment modalities for Cll
Outline nursing management of Cll
Discuss the clinical features of myelodysplasticsyndrome
Describe a diagnostic work up for MDS
Discuss treatment modalities for MDS
Outline nursing management of MDS
MALIGNANT LYMPHOMAS
Discuss the clinical features of Hodgkins Disease
Describe a diagnostic work up for Hodgkins disease
Discuss treatment modalities for Hodgkins Disease
Outline nursing management of Hodgkins Disease
NON- HODGKINS LYMPHOMA
Describe the clinical features of NHL
Describe a diagnostic work-up for NHL
Discuss treatment modalities for NHL
Outline the nursing management of NHL
MULTIPLE MYELOMAS
Discuss the clinical features of multiple myeloma
Describe a diagnostic work up for multiple myeloma
Discuss the treatment modalities for multiple myeloma
Outline the nursing management of multiple myeloma
DIAGNOSIS AND STAGING
Explain how a diagnosis is made
Describe a diagnostic work-up
Identify three commonly used tumour markers
Describe grades of tumours
Describe the TMN staging system
PATHOPHYSIOLOGY
Describe the nonnal cell cycle
Describe the differences between benign andmalignant cells
Explain how chemotherapeutic agents interfere withthe cell cycle
CHEMOTHERAPY
Define chemotherapy
Describe five ways in which chemotherapy may beused
Explain the cell generation cycle
Discuss tumour growth
Discuss the blood brain barrier
Describe chemotherapeutic drug classifications andtheir potential action
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Discuss tumour growth
Discuss the blood brain barrier
Describe chemotherapeutic drug classifications and
their potential action
Cell cycle phase specific
(a) antimetabilities
(b) vinca plant alkaloids
Cell cycle phase non-specific
(a) alkylating agents
(b) anti-tumour antibiotics
(c) hormones
(d) steroids
Give two examples of drugs in each group, and
discuss the potantial side effects and specialconsiderations prior to administration of each of thesedrugs
Describe a group of drugs that have the ability to crosthe blood brain barrier and give two examples of drugin this group and their method of administration
Discuss the cell kill hypothesis
Describe factors considered in drug selection
Explain combination chemotherapy
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