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1
15 Years of Excellence
1995-2010
are many points in the flow from
order to actual administration
where an error can occur. When
a practice/ambulatory infusion
center uses the standards effec-
tively, the prevention of errors
and severe adverse events can be
accomplished. Adopting and us-
ing the standards also provides an
excellent framework for quality
monitoring and improvement.
There are eight categories within
the chemotherapy administration
safety standards: Staffing re-
lated, chemotherapy planning,
chart documentation, general
chemotherapy practice, chemo-
therapy orders, drug preparation,
patient consent and education,
chemotherapy administration and
chemotherapy monitoring and
assessment. These standards are
voluntary and represent an op-
portunity for adult outpatient on-
cology settings to set achievable
goals to incorporate these stan-
dards into their practice. ASCO
and ONS have developed tools
and resources to assist in practice
implementation.
http://www.asco.org/safety and
http://www.ons.org/clinical/).
(Continues pg 2)
In November 2009, the Oncol-ogy Nursing Forum published a set of standards related to safety in chemotherapy administration. As practicing oncology nurses, we are all committed to safe practice. Safe practice stan-dards not only assist nurses new to the field of chemotherapy administration, it also provides a framework for current practice for all nurses involved in che-motherapy administration.
As a further demonstration of
physician/nurse collaboration,
the American Society of Clini-
cal Oncology and the Oncology
Nursing Society have together
created this newest set of stan-
dards. Both organizations met
together in 2008, drafting over
64 standards, which were later
pared down to 35. The final list
consists of 31 standards. The
standards are stated to apply to
the adult outpatient setting.
The rationale for the develop-
ment of these standards is to
provide care that is safe and ef-
ficient. With the publication of
these standards, nurses and phy-
sicians providing chemotherapy,
can utilize them to uniformly
achieve positive patient out-
comes. Chemotherapy admini-
stration can be complex. There
Chemotherapy Administration Standards By Therese Carpizo, RN, CCNS, AOCN
Inside this issue:Inside this issue:Inside this issue:Inside this issue:
Chemotherapy Admini-
stration Standards
1
Editors Message 2
Book Review 3
Message from the
President
4
6
7
Membership form 8
Chapter ConnectionsChapter ConnectionsChapter ConnectionsChapter Connections Northern Fox Valley Chapter of the Oncology Nursing Society
Officers:Officers:Officers:Officers:
Mary Chapman Mary Chapman Mary Chapman Mary Chapman
PresidentPresidentPresidentPresident
Mylene Mayes Mylene Mayes Mylene Mayes Mylene Mayes
President ElectPresident ElectPresident ElectPresident Elect
Mary Lou sylwestrak Mary Lou sylwestrak Mary Lou sylwestrak Mary Lou sylwestrak [email protected]
SecretarySecretarySecretarySecretary
Heather Laurent Heather Laurent Heather Laurent Heather Laurent
TreasurerTreasurerTreasurerTreasurer
Mary Ann Daehler Mary Ann Daehler Mary Ann Daehler Mary Ann Daehler
Director at largeDirector at largeDirector at largeDirector at large
Mary damhauser Mary damhauser Mary damhauser Mary damhauser
Nominating Nominating Nominating Nominating
Carol Pfeifer Carol Pfeifer Carol Pfeifer Carol Pfeifer [email protected]
ProgramProgramProgramProgram
Marie Lindsay Marie Lindsay Marie Lindsay Marie Lindsay [email protected] Web/virtual CommunityWeb/virtual CommunityWeb/virtual CommunityWeb/virtual Community
Liz Cirone Liz Cirone Liz Cirone Liz Cirone [email protected] Membership Membership Membership Membership
MARCH 2010MARCH 2010MARCH 2010MARCH 2010 VOLUME XVIII ISSUE 1VOLUME XVIII ISSUE 1VOLUME XVIII ISSUE 1VOLUME XVIII ISSUE 1
Animal Assisted 5 Therapy
2
ASCO and ONS have collaborated very effectively in providing standards of care for safe che-motherapy administration. Safe professional oncology chemotherapy administration today de-mands that we be able to demonstrate adherence to these standards as standard of care in prac-tice. Following and incorporating these standards will assist in attaining this goal. Jacobson, Joseph O. MD, MSc, Polovich, Martha, MN, RN, AOCN, McNiff, Kristen K, MPH, LeFebvre, Kristen B., MSN, RN, AOCN, Cummings, Charmaine, PhD, RN, Galioto, Michele, RN, MSN, Bonelli, Katherine R., BS and McCorkle, Michele R, MSN. Oncology Nursing Fo-rum, Volume 36, Number 6, November 2009, PP. 651-658.
CONTINUED FROM PAGE 1: Chemotherapy Administration Standards
FROM THE EDITORS:
Greetings to all our members! Happy early spring! I am thinking positively for warmer weather and sunny skies. As always our chapter has a variety of interest-ing topics for 2010. Please don’t hesitate to bring a friend to a chapter meeting and encourage member ship in the ONS both nationally and locally. I have been a member of the ONS for many years, and I have benefited in many ways profes-sionally and personally. The organization gives many opportunities for profes-sional growth and advancement, which can provide invaluable assistance in ca-reer development. Oncology nurses are viewed very positively by the public as we provide excellent nursing care including education and support of the patient and family. We also are proactive in cancer prevention and early detection, in providing guidance on effective cancer screening tests. The ONS web site www.ons.org is an excellent resource and continues to develop and improve the variety of offerings. Here is to HOPE for all cancer survivors! Therese Carpizo [email protected]
The groundhog, Punxsutawney Phil revealed 6 more weeks of winter this year. Lets hope Phil is wrong! Actual data says Phil is only correct 39% of the time! (National Climatic Data Center). As we go into another decade we are amazed at the knowl-edge explosion, especially related to oncology treatments, genetics, molecular biol-ogy, etc The article by Therese talks about new standards that is very important to any practitioner delivering chemotherapy. ONS sends us countless articles, newsletters, educational opportunities, journals to help us learn and grow. I was so impressed by a recent new ONS document “Oncology Clinical Trials Nurse Competencies” which really supports and defines my practice and supports nursing in this role. Please see my fun article pg 5 on ani-mal-assisted therapy, a great program. We are always looking for interesting topics, stories, highlights on members, for the
newsletter. Any ideas please email Therese or myself at [email protected]
Therese Carpizo MSN AOCN APN
Josie Smudde RNC MS
3
As oncology nurses we have been well aware of the role that excellent nutritional support plays in the treatment and recov-ery of our oncology patients. The author, Rebecca Katz, is a chef and nutritionist who has made a specialized study of applying sci-entifically based nu-tritional interventions to the care of the pa-tient undergoing che-motherapy treatment. Ms. Katz is the sen-ior chef at the Com-monweal Cancer Help Program in Marin County, CA. She believes that pro-viding nutrient rich foods that taste good and stimulate the ap-petite are instrumen-tal in promoting heal-ing and survival in the oncology patient. She provides a blue-print for dealing with
taste changes, fairly common in patients undergoing chemo-therapy. She encour-ages patients to re-view food prefer-ences and incorporate these into their nutri-tional plan. She dis-cusses the role of herbs and spices in rejuvenating dulled taste buds. A section of the book is de-voted to the “culinary pharmacy.” These cancer fighting com-pounds, often well known for flavoring or other nutritional value, may be little known for their anti-cancer effects. For example cinnamon has the ability to keep blood sugar lev-els stable. We know that almonds are a source of fiber but almonds also exert an anti-inflammatory effect, especially with their skins on
and also regulate blood sugar. Many interesting and intriguing recipes are provided with beauti-ful photographs, of course making the food look very entic-ing. The author has a great section on nour-ishing soups and broths recommending preparation ahead of time and freezing so that foods can be readily available when the patient is ready to eat. She rec-ommends not eating 3 meals a day, but six small meals per day. She encourages pa-tients, families and friends to organize a support team which can help the patient to shop and cook. At the end of the book she also provides web sites for ordering kitchen equipment and specialty ingredi-ents.
BOOK REVIEW: BOOK REVIEW: BOOK REVIEW: BOOK REVIEW:
The Cancer Fighting Kitchen
By Rebecca Katz with Mat Edelson
Page 3 VOLUME XVIII ISSUE 1
Book ReviewBook ReviewBook ReviewBook Review
Reviewed by
Therese Carpizo,
RN, CCNS,
AOCN
I have not had the op-
portunity to try any of
the recipes yet but I
am look forward to
experimenting! I
thought the Middle
Eastern Chickpea
Burgers sounded in-
teresting!
Editor’s note: An-
other great book, the
same author has writ-
ten, is “One bite at a
Time” which is rec-
ommended by Anita
Ratterman Certified
Oncology Dietician at
Northwest Commu-
nity Hospital.
4
Message from your Chapter President
Hi! Welcome to the fifteenth year of the Northern Fox Valley Chapter of the Oncology Nursing Society. I’d like to tell you a little about myself and my goals for our chapter for this year. I graduated from St. Anne’s School of Nursing in Chicago. I stayed at St. Anne’s Hospital for my first six years, working on a surgical unit. I watched patients with cancer receive early chemo drugs and suffer tremendous side effects, with little symptom management. I moved to the suburbs with my husband and two sons, then had a daughter and another son. I started work at a new hospital thirty years ago. After several name changes, it is now known as St. Alexius Medical Center. I was working on a surgical unit on the night shift. Fifteen years ago, I accepted a position as the Assistant Di-rector of the Oncology / Hospice unit. Claudia Conroy was the Clinical Nurse Specialist who encouraged our staff to join the new chapter of the Oncology Nursing Society. And that was how the journey to my current role began. My goals include: Mentorship – A core group of members have been serving as officers and program committee
for the past several years. Many are in the fifty-plus club. I would like to encourage any-one who has an interest in an office to speak up now and work with the current officer to learn the role before taking over the office for next year.
Certification – We have a high percentage of our members who hold oncology certification. I would like to see certified nurses help those seeking certification to find reimbursement, suggest appropriate study material, and be their cheering section.
Networking – We meet monthly, but don’t really get a chance to know one another. I’d like to devote a short period of time for networking, getting to know one another.
The officers and program committee will find ways to celebrate our fifteenth year, celebrate us!
We have interesting programs planned for our meetings. I hope you make friends, network, and learn something along the way! Mary Chapman
5
Animal Assisted Therapy at a Community Hospital by Josie Smudde RNC, MS
“Dogs are not our whole lives, but they make our lives whole.” Roger Caras Northwest Community Hospital in Arlington Heights, Illinois is one of several medical facilities who have successfully implemented Animal-Assisted Therapy (AAT). Thanks to the hard work of Diane Colville RN, MS, Manager of the Cardiopulmonary Health and Rehabilitation at Northwest Community Hospital (NCH) AAT is a reality. There were over 10,000 patient visits in 2009 by the many teams of volunteer handlers and their dogs participating in this program. It started in August 2007 with a pilot program that went to 3 areas: Pediatrics, Ambulatory Infusion Center and 4 North, an impatient medical pulmonary unit. 14 dogs and their handlers went through training and began daily visitation. Policies and procedures were developed and strictly followed. By December 2007 Administration and the Infection Control Committee deemed the program a success and allowed extension for visitation to all areas of the hospital. Visits also began to the Adult day care, the Youth Center, Emergency Room, Pediatric Emergency Room, and other outpatient areas. The program grew with more trained handlers and their dogs and more visits. Selected dogs also began working in inpatient physical medicine and rehabilitation with the occupational, physical and speech therapists on a weekly basis. By October 2009 there were 63 total teams with 3 to 5 teams visiting daily, including weekends and holidays. The hospital dedi-cated a wall by entrance 2 with pictures of all the dogs that visit the hospital. Some of the outcomes have included: no incidence of nosocomial infections, patient satisfaction scores of 99.5% of patients who enjoyed the visits very much or greatly. Patients stated that the visit was a source of comfort and well being. 100% of patients vis-ited would recommend AAT to friends or family hospitalized at NCH. Another secondary benefit has been meaningful visits to staff and visitors. There has been a significant increase in Press Ganey survey results during 10/1/08 to 6/30/09 since ATT has been used house wide. You can tell when the dogs are coming to Cancer Services to visit patients getting chemotherapy or other infusions or radiation ther-apy. There are many smiles, and lovely conversation. The pets are very well behaved and appear to love all the attention and pet-ting. The staff too, often partakes in the benefits. All the volunteers were a uniform shirt and they and the dogs have ID tags. They all carry alcohol hand gel. One of the volunteers, Ellyn C. Placek-Zimmerman, Ed, D, has put a book together on all the dogs, with their photo and stories about their visits. Many relate to special visits at a patient’s end of life, or a child who was terrified of a procedure or moments where the pets truly have made a difference, distracting patients from pain, depression, bad news. The stories are heart warming and bring joy and tears when read. Copies of Animal-Assisted Therapy True Stories are available in the NCH gift shop and all profits go to this self funded program. There are many studies documenting the benefits of AAT. Studies have demonstrated improved cardiopulmonary pressure in heart failure patients (Cole, 2007).and the lowering of triglyceride and cholesterol levels (Anderson 1992). The National Institute of Health recently completed a randomized clinical trial to determine how well AAT relieved distress in cancer patients undergoing treatment for pain. Data is currently being analyzed (Berger and Barker). “I think we’re just at the tip of the iceberg in terms of what we know about the human-animal bond and its potential health benefits,” Barker says. “This area is primed for a lot research that still needs to be done.” Additional information on the Animal-Assisted Therapy Program at NCH, on donating to the program, or becoming a volunteer, please contact [email protected].
Kaylee with RNs Judy Carrier, Diane Colville, Dog Handler Ellyn Zimmerman and RN Jayne Banty
6
The Northern Fox Valley Chapter of ONS Announces
Registration Form:
Please complete all boxes Fees: Please check one
Name: _______________________ Credentials: ___________________ Address: _____________________ _____________________________ Phone W:( ) ________________ Phone H: ( ) ________________ E-Mail: _______________________ ONS membership number:________ (required for membership) ONS expires: __________________ (month) (year) OCN ___AOCN___ exp. date_____ Employer: _____________________ Position: ______________________
Upcoming Chapter Meetings: 3rd Tuesday of each month
For more information: PLEASE CHECK OUT www.onsfoxvalley.org
Page 6 CHAPTER CONNECTIONS
Molecular Targets in Cancer Therapy
Presented by Jackie Keehne-
Miron PhD, RN, AOCN
Tuesday, March 16, 2010
Francesca’s Ristorante
100 E. Station Street
Barrington, Illinois 847-277-1027
6:00 P.M. – 6:30 P.M.
Cocktails
6:30 P.M. – 6:45 P.M. Meeting and Raffle
6:30 P.M. – 7:30 P.M.
Dinner
6:45 P.M. – 7:45 P.M. Program
Dinner will be served
family style
“.”
____ $15 for 2010 chapter
membership dues and
March dinner meeting
____ $15 for 2010 chapter
membership dues only –
not attending March
dinner meeting
____ $15 non-member fee for
March dinner meeting only
Make checks payable to The Northern Fox Valley Chapter of ONS.
Send registration form along with
your check to:
Carol Pfiefer
1715 Peach Lane
Schaumburg, IL 60194
Program Registration must be re-
ceived by March 11, 2009.
7
FDA Announces Safety Plan for Agents used to Treat Anemia that is Chemotherapy Related by Josie Smudde RNC, MS
Page 7 VOLUME XVIII ISSUE 1
February 16, 2010 the United States Food and Drug Administration approved a risk manage-ment program regarding the use of Erythopoiesis- Stimulating Agents (ESAs), which include Procrit, Epogen, and Aranesp, all manufactured by Amgen Inc. These ESAs stimulate bone marrow to make red blood cells. Health care professionals who treat patients with cancer must do the following: • Register and maintain active enrollment in the ESA APPRISE (Assisting Providers and Cancer Patients with Risk Information for the Safe Use of ESAs) program by enrolling every 3 years. • Complete a training module on how to use ESAs in patients with cancer. • Discuss and document the risks and benefits with the patient before beginning a course of
treatment with ESAs. The patient should: • Understand the risks of ESAs such as it may make the tumor grow faster, it may make the patient die sooner, and may cause some patients to develop blood clots, or serious heart problems. • Be aware that their healthcare professional received special training about using ESAs. • Read the medication guide to better understand benefits and risks. • Ask their health professional with any questions about ESAs. • Sign the acknowledgement form that they asked questions and talked to their healthcare
provider about these risks and benefits of ESAs. Amgen will: • Conduct real time monitoring of private practice, clinics, and hospitals to ensure Compliance • Suspend access to ESAs for failure to comply with the program. Additional information on the ESAs, and the ESA APPRISE Oncology Program is available at the following FDA websites: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm200297.htm Full prescribing information, including clinical trial information, safety, dosing, drug-drug in-teractions and contraindications is available at: http://www.accessdata.fda.gov/drugsatfda_docs/label/2010/103951s5197lbl.pdf and http://www.accessdata.fda.gov/drugsatfda_docs/label/2010/103234s5199lbl.pdf
8
2010 Membership Application/Renewal Form
Name __________________________
Credentials ______________________ Address ________________________ City, Zip ________________________ Home Phone ( ) ______________ E-mail __________________________ Employer _______________________ Work Phone ( ) ______________ Position ________________________ Certification ______ Exp. date ______ Chapter membership is available to ONS MEMBERS ONLY. The following information is REQUIRED: ONS membership number __________ Expiration date ___________________ Annual membership fee is $15. Please make your check payable to:
Northern Fox Valley Chapter of ONS
Mail application and check to:
Liz Cirone 501 Country Lane
Streamwood, Il 60107 [email protected]
The Northern Fox Valley Chapter of the Oncology
Meeting Locations
Most meetings
will be held at:
Advocate Good Shepherd Fitness Center 1301 S. Barrington Rd. Barrington, IL 60010
847-620-4500
The Northern Fox Valley Chapter of the Oncology Nursing Society has the following goals: • Help meet the educational
needs of professionals working in oncology.
• Provide opportunities for
peer support, networking and socializing.
• Provide a forum which sup-
ports current advances in oncology clinical practice and research.
Membership* Full membership is open to any RN working in or interested in Oncology Nursing. Full mem-bership is also open to inter-ested nursing students who are enrolled full time in an RN pro-gram.
Associate membership is open to other healthcare pro-fessionals including LPNs, Pharmacists, Physicians, Social Workers, and Phar-maceutical Representatives.
*In order to become a chapter member, one must be a mem-ber of the national Oncology Nursing Society.