answering questions
DESCRIPTION
Joint Meeting EBMT (UK) NAP & EBMT NG Friday October 5th 2012, London What do you know about JACIE? - An Interactive Workshop Eoin Mac Hale Senior Consultant & Trainer [email protected]. Answering Questions. = A/Yes = B/No = C/Don’t know. - PowerPoint PPT PresentationTRANSCRIPT
Joint Meeting EBMT (UK) NAP & EBMT NG
Friday October 5th 2012, London
What do you know about JACIE? - An Interactive Workshop
Eoin Mac HaleSenior Consultant & Trainer
Answering Questions
= A/Yes
= B/No
= C/Don’t know
Question 1. Do you work in a JACIE Accredited Centre?
Question 2. In addition to nursing responsibilities how many hold a quality management role?
Question 3. Were you involved in the development and implementation of the quality management system?
Question 1
Which edition of the JACIE Standards is currently in use ?
A = 4th editionB = 5th editionC = 6th edition
1st edition – 1996 2nd edition – 20033rd edition – 20064th edition – 2009
5th edition – March 2012
Question 2
The JACIE Medical Director is based in which country?
A = SpainB = Italy C = None of the above
The JACIE Medical Director is:
Dr. John Snowden Sheffield, UK
Question 3
Who is responsible for issuing the JACIE Inspection Report (post onsite inspection) ?
A = JACIE Office in BarcelonaB = JACIE Medical Director C = JACIE Accreditation Committee
Question 4
What is the format of the current JACIE Standard?
A = Clinical, Collection & Processing B = Clinical, BM Collection, Apheresis Collection & Processing C = Clinical Adults, Clinical Paeds, Collection & Processing
Question 5
Is JACIE Accreditation of HSCT Programmes a legal requirement in the UK?
A = YesB = NoC = Don’t know
JACIE Accreditation is a requirement in the following countries : Regulations• France
Engagement with JACIE a requirement for allogeneic transplant centres according to Arrêté du 3 avril 2009 relatif au contenu du document d’évaluation des activités de greffes d’organes et de greffes de cellules hématopoïétiques
• Switzerland Accreditation required to receive reimbursement from Social Insurance for treatments
• Italy Decreto Legislativo 25 gennaio 2010, n.16 implementing the European Directives on Tissues and Cells cites a 2003 agreement recognising JACIE
• The Netherlands Accreditation required to receive authorisation to transplant from Ministry of Health
Guidelines
o European Directorate The Quality of Medicines & HealthCare Guide to the Safety and quality assurance for the transplantation of organs, tissues and cells, 4th edition (2010)
o Italy Piano Oncologico Nazionale 2010-2012 cites JACIE accreditation
o United Kingdom: - JACIE cited in National Institute for Health and Clinical Excellence (NICE) guidelines Improving Outcomes in Haematological Cancer - The Future of Unrelated Donor Stem Cell Transplantation in the UK. A Report from the UK Stem Cell Strategic Forum (July 2010). NHSBT - JACIE cited in Specialised Services National Definitions Set (3rd edition) SSNDS Definition No.2, Specialised Services for Blood and Marrow Transplantation (all ages) - Certain health funding regions of the UK insist that all centres (allogeneic and autologous) must be JACIE accredited in order to receive reimbursement of treatment costs
Question 6
What does JACIE stands for ?
A = Joint Accreditation Committee International and European
B = Just Act Cool It’s Easy
C = Joint Accreditation Committee ISCT and EBMT
Question 7
According to the JACIE Standards (5th edition) what is the recommended nurse/patient ratio for a BMT Unit (clinical facility) ?
A = 2:3
B = 1:3
C = none of the above
Question 8
If the Clinical Programme requests accreditation for allogeneic transplantation a minimum of ten (10) new allogeneic patients shall have been transplanted during the 12 months preceding accreditation.
TRUE or FALSE ? A = True
B = False
Question 9
The transplant programme must have an intensive care unit located on the same site as the Clinical Facility.
TRUE or FALSE ?
A = True
B = False
• ICU within the institution • Multisystem support capabilities with the
inpatient programme • Arrangements with a neighbouring institution
(established/documented/audited)
Question 10
Mid-level practitioners (CNS) shall have received specific training and maintain competency in both: • Donor and recipient informed consent • Diagnosis and management of HPC graft
f failure TRUE OR FALSE ?? A = TrueB = False
Question 11
According to standard B3.6 nurses working on the BMT Unit in a senior position must have undertaken formal education/training in haematology i.e. recognised postgraduate haematology course
TRUE OR FALSE ??
A = TrueB = False
Question 12
According the standard B3.6.3 nurse training shall only include:
- neutropenic fever- infectious procedures- mucositis - nausea and vomiting - pain management
TRUE OR FALSE ??
A = True / B = False
B 3.6.3 requires training in : B3.6.3.1 – Haematology/oncology patient careB3.6.3.2 – Administration of preparative regimens B3.6.3.3 – Administration of blood products B3.6.3.4 – Care interventions (neutropenic fever, infectious procedures, mucositis, nausea and vomiting and pain management)B3.6.3.5 – Recognition of cellular therapy complications and emergencies requiring rapid notification to the clinical team
Question 13
The minimum required nursing SOPs according to B3.6.4 are:
B3.6.4.1 – Care of immunocompromised patientsB3.6.4.2 – Administration of preparative regimens B3.6.4.3 – Administration of cellular therapy products B3.6.4.4 – Central venous access device careB3.6.4.5 – Administration of blood products
TRUE OR FALSE ??
Question 14
Standard B4.8 (qm/audits) requires the following nurse specific audits:
1. Hand hygiene2. Administration of chemotherapy3. Central venous catheter hygiene
TRUE OR FALSE ??
Question 15
Standard B7.3 Extracorporeal Photopheresis (ECP) is a standard to be achieved by the Apheresis Facility staff ?
TRUE OR FALSE ??
Standard B7.3 requires:
B7.3.1 – there shall be a consultation with the facility the performs the ECP prior to therapyB7.3.2 – there shall be a written order from the physicianB7.3.3 – a final report of the details of ECP administrationB7.3.4 – ECP SOP in placeB7.3.5 – outcomes of ECP administration should be discussed annually (*relates directly to the clinical programme – physicians and nurses)
Nurses & JACIE
• Join your hospital QM Group/Committee • Take part in the consultation for 6th edition • Link to the EBMT Quality Management Group• Train as Inspector (Apheresis Collection)• Develop your role in Quality and Audits
REMEMBERNurses comprise the largest workforce
population in every department – use that voice!!
(In UK Nurses make up the largest part of the entire NHS workforce, at just under 30% - Department of HealthNov 2011)