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ONS Community Acute & Critical Care Advanced Nursing Research Document1 Seed Question(s) 1. What should be the role of oncology nurses related to the use of technology in their clinical setting? 2. Do you think oncology nurses assess for potential oncologic emergencies specific to their patient’s diagnosis? 3. Do you think it would be helpful to have education on what medications have the potential to increase the development of pancreatitis in cancer patients? 4. Do we need education on the role medications and cancer play in blood sugar levels? 5. What electrolyte results do you need more information on? 6. Is knowledge and evaluation of pulse pressure relevant in the assessment of the acute care patient? 7. What questions are most relevant in your practice related to vascular access? 8. What role does ECG readings plan in initial chemotherapy and/or immunotherapy treatments? 9. What should be some specific areas for assessment of potential sepsis in the cancer patient? 10. What is the optimal RN to cancer patient ration in critical care oncology and what is your current RN: Patient ratio? 1. What ANR Learning Community values and methods would be supportive of a collaborative process for learning community activities/initiatives? 2. What are ways that the ANR members can help create intentional, integrative, engaging and transformational experiences for ONS members interested in research? 3. What are critical areas for ANR Learning Communities to bridge translational research Comment into practice? 4. What are ways in which Community members can cultivate a research enterprise sustainable to support priority areas of research consistent with ONS’s mission to promote excellence in oncology nursing and quality cancer care? Ambulatory/Office Nursing Blood & Marrow Stem Cell Transplant Breast Care Cancer Genetics Chemotherapy & Biotherapy Document1 1. UPS 800 has endorsed the use of the closed chemotherapy system, which do you utilize? Both inpatient and clinics? 2. Do you utilize a separate chemotherapy consent or just a general permission to treat consent? 3. Do you obtain a new chemotherapy consent each time treatment changes? 4. How are the vinca alkaloids given – IVP or IVBP? What is your technique? 5. Do your patients utilize cold caps to reduce alopecia? What is your process? Is there research to support? 6. Our center is starting EPOCH as outpatient treatment if your practice is administering this chemotherapy as a home treatment can you please share your process? 7. Do you use the ONS On-line Chemotherapy/Biotherapy course? If yes – what is your process? If you do not what is your course? 8. We are starting to use chemotherapy intraoperative – how do you clean the instruments? Will you share your process? 9. Chemotherapy spills can occur both in the clinics and hospitals – what are your processes and guidelines? 10. Do you have patient education and safety instructions for patients going home on chemotherapy? Can you please share? Clinical Nurse Specialist Clinical Trial Nurses Complementary & Integrative Therapies Ethics Home Care & Palliative Care Lymphedema Management Document1 1. How does your oncology practice determine if the patient needs a Palliative Medicine consult? 2. How often do you assess for depression in your practice and how do you determine a need for psychologist or psychiatrist to intervene? 3. When your patient requests information or discussion about Marijuana and Marijuana products, what information do you give them? 4. 67 year-old male with a history of rectal carcinoma and has had surgery and radiation. He is clinically in remission but he is experiencing severe rectal pain. He wants to continue to work so he does not want to take oral narcotics. This is the only thing that has helped him. He takes 10 mg of oral morphine before bed and this works. He needs something for the daytime. Help! 5. Have you been trained on advanced directives? When do you talk to your patient's about advance directives? 1. Does anyone have a clinical situation they would like to discuss regarding lymphedema? Please don’t use a patient’s name. 2. Is exercise good for lymphedema? Let’s discuss your thoughts. 3. What can be done to help prevent lymphedema? 4. Does manual massage help with lymphedema? 5. What makes a person at high risk for lymphedema development? 6. Is a breast cancer patient always at risk for lymphedema development? 7. What types of psychological issues are you seeing with lymphedema patients? 8. What type financial issues are you seeing with lymphedema patients? 9. Are your lymphedema patients experiencing social issues? 10. Which antibiotics are best for cellulitis development from lymphedema? 11. What financial issues are you finding regarding lymphedema? Neuro-Oncology Neutropenia Nurse Leaders & Program Development Document1 1. What type of infection do you see most in your practice? 2. What medications do you use to prevent/treat neutropenia? 3. What treatment regimens are more\higher risk for neutropenia? 4. What type of patients do you see have neutropenia more often i.e. sex, age, ethnicity? 5. What side effects most commonly do you see from colony-stimulating factors? 6. What tips would you give the patient and family about being outside to prevent neutropenia? 7. What tips would you give the patient and family about being inside to prevent neutropenia? 8. How does marijuana effect neutropenia? 9. How would you explain dangers of crowded, public places? 10. What happens if there are young kids in the home with infectious diseases? 1. Welcome to the Nurse Leaders and Program Development Community. Please provide us with feedback on how you see this platform being used. 2. Please tell us about yourself. Are you a a. ONS Chapter Leader b. ONS Community Leader c. Charge Nurse d. Emerging Nurse Leader e. Administrator for the service line f. Nursing Supervisor g. Director h. CNO i. Nurse Manager, Unit Leader j. Other, please specify 3. What challenges would you like this community to help with? Nurse Navigator Document1 1. What role do your navigators play in your institution’s community needs assessment? 2. How do you train your navigators to their role, what are your resources? 3. How are you tracking the data from the services your navigators provide? Excel/manual collections, electronic medical records, or web based programs? Does this capture the return on their investment? 4. What outcome measures are being utilized to evaluate your program and how do you show return on investment? 5. Do your navigators accompany patients to MD visits? What is the criteria used? 6. Our cancer center is participating in CMS oncology care model (OCM) and we are hiring a nurse to navigate our Medicare patients? Does anyone have any navigation experience with this model and can you share your process/job description? 7. We just implemented an acuity scale in our navigation software. For navigators currently using acuity scales, would you please share any improvements or success stories you had by using data from acuity scales? 8. My institution is considering NPs as nurse navigators so they can bill for services. Are other organizations doing this? 9. How many of you are losing staff RNs who may be navigators or coordinators from outpatient practices and having them “replaced” with 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Nurse Practitioner Pain Management Pharmaceutical/Industry Nursing Prevention/Early Detection Document1 medical assistants or NPs? How do you ensure that ALL cancer patients receive a distress screening? My institution is looking at adding lay navigators to the navigation team. Does anyone have experience working with lay navigators as part of a navigation team? What entry points into navigation are used in your institution? (e.g. path reports, external referral, internal referral, tumor board, etc.)? My institution is looking into purchasing navigation software. Does anyone have any experience using OncoNav, NurseNav or any other? Do navigators participate in palliative care team consults? If so, when is the best time to have conversations around advance care planning? I am looking for a way to streamline the development of survivorship care plans. I have tried some of the online programs but find it can take up to an hour to complete. How are others managing this within their institutions when this is included in the role of the ONN? What departments within your health system and cancer center utilize nurse navigators? What are the ration of navigators to patients? How does your organization determine the workload of navigators? Does anyone utilize care coordinators as their title for nurse navigators? 1. What are the most common cultural and socioeconomic factors affecting cancer screening? 2. Why is there so much controversy over the 3. 4. 5. 6. 7. 8. 9. 10. Radiation latest USPSTF recommendations for breast and prostate cancer screening? What is the latest recommendations from ACS and NCCN related to site specific cancer screening (site specific e.g. breast, cervical, lung, prostate, skin) What topics about cancer screening as an oncology staff nurse should I discuss with my patients? How can I develop an outreach plan for my community related to cancer screening and prevention? Who needs genetic screening for cancer? Do e-cigarettes or vaping increase cancer risk? What is known about extending the use of immune-based cancer therapies to prevent cancer in those at increased risk? What is the role of aspirin and metformin, which are used safely and effectively to treat other conditions and are known to affect molecular pathways involved in cancer, in halting the development or progression of cancer? What is the role of diet in cancer prevention? 1. What is your institution’s policy/procedure for the insertion of eye shields for EBRT treatment? 2. What is the nursing care model followed in your Department? 3. Do you have a policy/procedure for mucositis prevention and management and do you have an algorithm? Document1 4. Do you have a policy/procedure for weight loss prevention and management and do you have an algorithm? 5. Do you use ONS PEP guidelines for the management of radiation dermatitis? 6. How is a patient’s acute pain managed in your Department during simulation or treatment? 7. What type of sedation is used during T & O or T & Ring High Dose Rate (HDR) brachytherapy procedures? 8. What evidence based patient education tools do you give your patients? 9. What are the nursing quality measurements, patient safety goals or quality improvement projects that you monitor? 10. How do you meet your professional development needs in radiation oncology? Spiritual Care Staff Education Surgical Oncology Survivorship, Quality of Life & Rehabilitation Transcultural Nursing Issues Rev. 8/31/16 Document1