Download Skill

Skill:
Administration of Cytotoxic Chemotherapy via CVADs
Area of Practice:
Module and Status:
Cancer Care
WBL: Administration and Safe Handling of Cytotoxic Chemotherapy
MANDATORY
3
Clare Dikken and Helen Evans – July 2005
Level:
Author/date of origin:
Author/date of review:
Time estimate:
Knowledge required related to skill (should
know):
 Classify chemotherapy treatment aims for
the regime specific to this skill
 Describe how cytotoxic drugs act at a
cellular level and are classified for the
regime specific to this skill
 Discuss rationale of administration of
chemotherapy by CVAD
 Identify how cytotoxic chemotherapy drugs
are metabolised and by which route
 Discuss COSHH and relevant health and
safety policies: spillage, disposal, critical
incident, extravasation, transport and
storage of cytotoxic drugs
 Critically discuss the use of: mechanical
devices and different administration sets
 Discuss rationale of administration of
chemotherapy by CVAD
 Identify vesicant chemotherapy agents
and how to manage them safely via CVAD
Practice descriptor, i.e. can demonstrate skill
used stating knowledge base and act
appropriately at this level:
 Awareness of health and safety of
chemotherapy administration, including
protective clothing, safe handling and
waste disposal. Adheres to local policies.
 Assesses suitability of treatment for
individuals
 Acts as the patients advocate and
communicates with other members of
MDT as appropriate
 Obtains verbal informed consent
 Uses appropriate interpersonal skills
during treatment administration
 Maintains comfort , dignity and
consideration of the patient as an
individual
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Discuss differences between the CVAD
and which is most suitable for certain
types of patients/treatments
Outline understanding of anatomy for
central line placement.
Critically discuss the nursing care of a
patient before and after placement of
CVAD
Discuss the education of patient/carer’s
management of CVAD
Describe how to manage a patient with
line infection, line blockage and a
fractured line
Explain how to differentiate between
mechanical phlebitis and line infection
Discuss local and network chemotherapy
policies
Effectively assesses, plans, implements
and evaluates care of the patient receiving
chemotherapy.
Ensures effective documentation adhering
to NMC guidelines on Record
Recognises the psychological impact of
having a CVAD on the patient & carer
Applies current research findings to the
care of patients receiving chemotherapy
Aseptic technique as appropriate
Effective hand washing techniques
Effective discharge or transfer of patient if
appropriate
Evidence of recent competence in IV drug
administration
Critically reflects on personal professional
practice
References:
National Board for Nursing, Midwifery and Health Visiting for Scotland.2001.A core curriculum for the
administration and safe handling of cytotoxic chemotherapy. Scotland: QA CPD.
Sussex Chemotherapy Group 2002. The administration of IV cytotoxic therapies by registered nurses: A
framework for training and practice in Sussex. Second edition. Chemotherapy Group, sussex cancer
network.