Chemotherapy Safe Handling: Limiting Nursing Exposure With a Hazardous Drug Control Program.

Abstract:

BACKGROUND:Nurses and other healthcare workers are at risk for adverse health consequences from occupational exposure to hazardous drugs. OBJECTIVES:An evidence-based program for nurses was implemented to improve safe handling practices and reduce exposure to hazardous drugs. METHODS:A quasiexperimental design was used, with pre- and post-tests of knowledge about chemotherapy exposure and pre- and post-test observations of compliance with donning and doffing personal protective equipment (PPE). Surface wipe tests were conducted to determine hazardous drug contamination in care areas. A toolkit of interventions, including hazardous drug identification, standardization of PPE, and education, was used. FINDINGS:Mean knowledge scores of chemotherapy improved after education. Correct donning of PPE was high before and after the intervention, and the correct doffing sequence improved postintervention. One sample was positive for 5-fluorouracil, affirming the difficulty of maintaining an environment free of contamination.

journal_name

Clin J Oncol Nurs

authors

Crickman R

doi

10.1188/17.CJON.73-78

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

73-78

issue

1

eissn

1092-1095

issn

1538-067X

journal_volume

21

pub_type

杂志文章
  • Patient Falls Prevention: Assessing the Use of an Innovative Color-Coded Flag System in an Outpatient Oncology Infusion Center.

    abstract::The National Database of Nursing Quality Indicators (NDNQI, 2020) defines a patient fall as an unplanned descent to the floor with or without injury. A fall occurs in 30%-50% of hospitalized patients with cancer in the United States (Jatoi, 2017). According to the Joint Commission (2015), the average cost of each fall...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.448-450

    authors: Shah M

    更新日期:2020-08-01 00:00:00

  • Nursing perspectives on trastuzumab emtansine for the treatment of metastatic breast cancer.

    abstract::Increased understanding of the molecular composition of breast cancer tumors has led to the development of targeted anticancer agents. Novel therapies directed against human epidermal growth factor receptor 2 (HER2) in breast cancer have been developed. One such agent, trastuzumab emtansine (T-DM1), is an antibody dru...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/13.CJON.E58-E62

    authors: Bourdeanu L,Luu T

    更新日期:2013-10-01 00:00:00

  • Clinically differentiating palliative care and hospice.

    abstract::Knowing the differences and potential benefits of hospice and palliative care can help healthcare professionals advocate for their patients and make proactive decisions about patient care. Providing admission into the appropriate program can facilitate symptom management and impart the best quality of life possible fo...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/10.CJON.273-275

    authors: Bonebrake D,Culver C,Call K,Ward-Smith P

    更新日期:2010-06-01 00:00:00

  • Temsirolimus, an mTOR inhibitor for treatment of patients with advanced renal cell carcinoma.

    abstract::Temsirolimus is a targeted therapy that inhibits mammalian target of rapamycin (mTOR), a central regulator of tumor cell responses to growth stimuli. Temsirolimus has a broad anticancer activity profile that impacts tumor cell growth, proliferation, and survival through its specific inhibition of mTOR. In a randomized...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/08.CJON.639-646

    authors: Malizzia LJ,Hsu A

    更新日期:2008-08-01 00:00:00

  • Breast Cancer Early Detection: An Academic-Community Partnership in the Philippines.

    abstract::A high proportion of patients with breast cancer in the Philippines present at an advanced stage and have a rapid, unfavorable outcome. Providing breast cancer education and early detection to this population is important to help reduce this health disparity. This article describes the impact of a train-the-trainer pr...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/19.CJON.547-551

    authors: Wu TY,Hoffman JL

    更新日期:2019-10-01 00:00:00

  • Prediction of adverse events in patients receiving rapid rituximab infusion: validation of a predictive model.

    abstract::Rapid rituximab infusion was approved as treatment for non-Hodgkin lymphoma by the U.S. Food and Drug Administration in 2012, but it has been administered clinically since approval of the drug rituximab in 1997. Because of the delay between the approval of the drug and the approval of the procedure, researchers sought...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/14.CJON.89-92

    authors: Lang DS,Fong CC

    更新日期:2014-02-01 00:00:00

  • Central line sepsis.

    abstract::Since 1980, the placement of central venous access devices has become routine, and these catheters have been of great benefit in the treatment of patients with cancer. Unfortunately, central venous catheters have not been without complications. Central line sepsis has been reported to be one of the most frequently occ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/03.CJON.218-221

    authors: Peterson KK

    更新日期:2003-03-01 00:00:00

  • Precautionary Principle: Cancer Prevention Efforts During Critical Periods of Growth and Development.

    abstract::Although the mechanisms of action for all cancer types are not fully known, best practice recommends promoting a healthy lifestyle while avoiding certain substances. Based on environmental science, the precautionary principle is a guideline that suggests that preventive action should be taken when the effects of a sub...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/19.CJON.659-663

    authors: Cormier AC

    更新日期:2019-12-01 00:00:00

  • The science of patient safety: implications for oncology nursing practice.

    abstract::Patient safety is one of the most frequent terms used in health care today. Patients and their families are, first and foremost, focused on receiving effective and safe care, and oncology nurses strive to incorporate clinical evidence into day-to-day practice. This article provides a road map on how to incorporate eme...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/13.CJON.601-603

    authors: Sheridan CA

    更新日期:2013-12-01 00:00:00

  • Mucormycosis: a rare but serious infection.

    abstract::Infection is among the leading causes of morbidity and mortality in patients undergoing bone marrow transplantation. Although all infections create difficulties, the most troublesome to those patients are fungal infections. Therapies used to prevent rejection and graft-versus-host disease, as well as an increase in po...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/08.CJON.108-112

    authors: Eichna DM,Brown KS,Breen A,Dean RB

    更新日期:2008-02-01 00:00:00

  • Optimizing the efficiency and quality of sipuleucel-T delivery in an academic institution.

    abstract:BACKGROUND:Sipuleucel-T, an autologous cellular immunotherapy, is approved for the treatment of certain patients with metastatic castration-resistant prostate cancer (mCRPC). Sipuleucel-T is the first personalized treatment for prostate cancer to be manufactured using the immune system of each individual patient. Patie...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/15.CJON.297-303

    authors: Davis K,Wood S,Dill E,Fesko Y,Bitting RL,Harrison MR,Armstrong AJ,Moul JW,George DJ

    更新日期:2015-06-01 00:00:00

  • Central Line Care: Reducing Central Line-Associated Bloodstream Infections on a Hematologic Malignancy and Stem Cell Transplant Unit.

    abstract:BACKGROUND:Patients with hematologic malignancies and stem cell transplant recipients are at increased risk for infections because of their prolonged periods of profound neutropenia. Central line-associated bloodstream infections (CLABSIs) can result in lengthy hospitalizations, increased healthcare costs, and increase...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.148-152

    authors: Beaudry J,ScottoDiMaso K

    更新日期:2020-04-01 00:00:00

  • Fertility preservation for patients with cancer.

    abstract::A key concern for young patients with cancer and survivors is the desire to parent a child. With infertility being a well-established long-term effect of many oncologic regimens, patients who want to have children often become distressed when faced with the possibility of losing their fertility. Several organizations ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/12.CJON.205-210

    authors: Kelvin JF,Kroon L,Ogle SK

    更新日期:2012-04-01 00:00:00

  • Biologic, demographic, and social factors affecting triple negative breast cancer outcomes.

    abstract:BACKGROUND:Triple negative breast cancer (TNBC) is an aggressive breast cancer subtype that disproportionately affects women who are African American, younger, or carriers of the BRCA1 gene. No targeted treatments exist for the disease, which has distinct features and presents unique challenges to patients who have bee...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/15.CJON.62-67

    authors: Turkman YE,Sakibia Opong A,Harris LN,Knobf MT

    更新日期:2015-02-01 00:00:00

  • Preventive Dental Care: An Educational Program to Integrate Oral Care Into Pediatric Oncology
.

    abstract:BACKGROUND:Early childhood dental caries (dental cavities) is an infectious process. The development of oral problems during cancer care results in pain, fever, and delay in treatment. 
. OBJECTIVES:The objective of this project was to integrate preventive oral care into pediatric oncology care. 
. METHODS:This proje...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/17.CJON.611-616

    authors: Hartnett E,Krainovich-Miller B

    更新日期:2017-10-01 00:00:00

  • Extravasation of infusate via implanted ports: two case studies.

    abstract::Over the past two decades, implanted ports have become widely used infusion therapy devices. Although these devices have revolutionized the care of patients with cancer and are used routinely to administer various treatments, complications still can occur. Nurses must be vigilant in identifying potential and actual po...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:

    authors: Viale PH,Yamamoto DS,Geyton JE

    更新日期:1999-10-01 00:00:00

  • Factors affecting genetic testing and decisions about prophylactic surgery.

    abstract::Both of the articles reviewed here as well as the references, suggest that very little is actually known about the impact of many aspects of genetic testing. How decision are made about genetic testing in people who do not have cancer, how the results of testing are used used to guide care, and ultimately how people a...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:

    authors: Mahon SM

    更新日期:2001-05-01 00:00:00

  • Acute myeloid leukemia: a classification and treatment update.

    abstract::Approximately 11,000 Americans will be diagnosed with acute myeloid leukemia (AML) in 2003, and about 75% ultimately will die from the disease. Despite significant advances in understanding biologic, molecular, and cytogenetic aspects of this malignancy, several other areas remain poorly understood. During the 1990s, ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/03.CJON.535-540

    authors: Iovino CS,Camacho LH

    更新日期:2003-09-01 00:00:00

  • Use of Exemplars: Identification of Best Practices in Cancer Prevention and Screening.

    abstract:BACKGROUND:Prevention strategies help to teach what individuals can do to potentially offset cancer risks. Screenings can detect cancer at earlier stages, allowing for earlier treatments and better outcomes. OBJECTIVES:This article seeks to identify best practices in cancer prevention and screening. METHODS:This arti...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.S2.45-48

    authors: O'Leary C

    更新日期:2020-10-01 00:00:00

  • Oncology nurse navigator role delineation study: an oncology nursing society report.

    abstract::The purpose of the Oncology Nursing Society (ONS) Oncology Nurse Navigator Role Delineation Study was to examine the job-function activities of the oncology nurse navigator, thus providing an understanding of this unique role. The Role Delineation Advisory Committee consisting mainly of oncology nurse navigators was f...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/12.CJON.581-585

    authors: Brown CG,Cantril C,McMullen L,Barkley DL,Dietz M,Murphy CM,Fabrey LJ

    更新日期:2012-12-01 00:00:00

  • Cannabis Use and Bleomycin: An Overview and Case Study of Pulmonary Toxicity.

    abstract:BACKGROUND:Legalization efforts in many states have heightened awareness of the medicinal uses of cannabis, and oncology nurses are more frequently caring for patients who have used or are using cannabis. Significant epidemiologic data on the prevalence of cannabis use in patients with cancer are not yet available, and...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/18.CJON.438-443

    authors: Merkle S,Tavernier SS

    更新日期:2018-08-01 00:00:00

  • Enhancing patient outcomes in healthcare systems through multidisciplinary teamwork.

    abstract::The increasingly complex needs of patients with cancer and their families call for a multidisciplinary team to achieve optimal patient outcomes. The purpose of the current article is to describe a teamwork model that can be used to address the needs of patients and the challenges associated with a healthcare system. T...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/13.CJON.669-670

    authors: McComb S,Hebdon M

    更新日期:2013-12-01 00:00:00

  • Cate's Story: Hereditary Diffuse Gastric Cancer.

    abstract::Gastric cancer is a major cause of cancer-related mortality worldwide and is thought to be responsible for about 10% of cancer-related deaths across the globe. A small proportion of all gastric cancers arise because of a known hereditary syndrome, the most common of which is hereditary diffuse gastric cancer (HDGC). T...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/16.CJON.443-445

    authors: Rogers M

    更新日期:2016-08-01 00:00:00

  • Tracking and journaling the cancer journey.

    abstract::Clinicians sometimes suggest to patients that they keep track of illness-related issues. Self-monitoring is a helpful term to describe these at-home activities that yield essential information for self-management. The purpose of this article is to create greater awareness of the opportunities (and potential shortcomin...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/14.CJON.388-391

    authors: Hermansen-Kobulnicky CJ,Purtzer MA

    更新日期:2014-08-01 00:00:00

  • Advances in brachytherapy: new approaches to target breast cancer.

    abstract::Advances in breast brachytherapy techniques have led to the development of new approaches for treatment of patients with early-stage breast cancer. This article reviews the indications, clinical utility, and nursing interventions for the Mammosite Radiation Therapy System (Proxima Therapeutics, Alpharetta, GA) and INT...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/03.CJON.324-328

    authors: Hogle WP,Quinn AE,Heron DE

    更新日期:2003-05-01 00:00:00

  • Celiac plexus block in pancreatic neuroendocrine tumors.

    abstract::Pancreatic neuroendocrine tumors (pNETs), an uncommon finding, are distinct from pancreatic carcinomas. When pNETs are unresectable and progressive, visceral pain often presents and is challenging to treat. Opioids commonly used for pain control are difficult to implement in this setting because of adverse side effect...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/11.CJON.218-220

    authors: Morturano RA,Dunphy EP

    更新日期:2011-04-01 00:00:00

  • Establishing an integrative medicine center.

    abstract::Cast a wide net, and include internal and external customers in planning. Keep communicating about the results of the needs assessment and each plan as it emerges. Ask everyone involved for feedback. Employ clinicians with experience and solid credentials, and have a plan for measuring outcomes. ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/05.CJON.373-374

    authors: Murray Edwards D

    更新日期:2005-06-01 00:00:00

  • Standing Up Together.

    abstract::Nurses represent the heart, soul, and future of the movement to end cancer. We are the ultimate collaborators. We interact across the spectrum of healthcare professionals, and we know the patients better than anyone. As the first line in the inpatient setting and the primary contact in the outpatient world, we often a...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/18.CJON.371

    authors: Poblete SA

    更新日期:2018-08-01 00:00:00

  • Targeted Therapy: New Radiolabeled Somatostatin Analogs to Treat Gastroenteropancreatic Neuroendocrine Tumors.

    abstract::Neuroendocrine tumors (NETs), including gastroenteropancreatic NETs, or GEP-NETs, are heterogenous tumors that arise from diffuse neuroendocrine cells and other organs, such as the lung, ovary, and thyroid. Lutetium Lu 177 dotatate (Lutathera®) is a newly approved targeted therapy for patients with advanced GEP-NETs. ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/18.CJON.565-568

    authors: Boucher JE,Sommers R

    更新日期:2018-10-01 00:00:00

  • Development of a radiation skin care protocol and algorithm using the Iowa Model of Evidence-Based Practice.

    abstract::Limited evidence-based standards of care exist in the management of irradiated skin; therefore, the development of a skin care protocol is necessary to improve patient outcomes. This article describes the use of the Iowa Model of Evidence-Based Practice to Promote Quality Care as a framework to identify and validate c...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/11.CJON.593-595

    authors: Bergstrom K

    更新日期:2011-12-01 00:00:00