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Oncology

Oncology

Oncology

SETTINGS EXPERIENCE:

Question 

Proficiency 

Frequency

Inpatient oncology unit
Outpatient oncology unit
Hospice / palliative care
Participation in support groups
Death & dying counseling

GENERAL SKILLS EXPERIENCE:

Awareness of HCAHPS
Advanced directives
Patient / family teaching
Restrictive devices (restraints)
Lift / transfer devices
Specialty beds
End of life care / palliative care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Labeling
Anticoagulation therapy
Reconciliation
Monitoring conscious sedation
Pain assessment & management
Use of PCA (IV, intrathecal, epidural)
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers
Wound care

CARDIAC MONITORING & EMERGENCY CARE:

Obtains 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrythmias
Use of rapid response teams
Cardiac arrest/CPR
O2 therapy & delivery
Pulse oximetry
Use of doppler

IV THERAPY:

Starting & maintaining peripheral IVs
Blood draw: venous
Central line care
Blood draw: central line
Care & management of ports
Care & management of PICC / Groshong / Hickman
TPN & lipids
Administration of blood / blood products
Administration of chemotherapy
Continuous infusion
IV push
Oral
Monitoring chemotherapy (does not initiate)

OTHER:

Diabetes mellitus
Blood Glucose Monitoring (BGM)
Insulin administration

CARDIOVASCULAR EXPERIENCE:

Cardiac assessment
CHF
Cardiac disease (CAD / MI / post CABG)
Hypertension
Pacemakers

CARE OF PATIENT WITH:

Ascultation of breath sounds
Chest PT
Tracheostomy care
Oral or nasotracheal suctioning
Assist with chest tube insertion & management
Assist with thoracentesis

RESPIRATORY EXPERIENCE:

Asthma
COPD
Pneumonia
Tuberculosis

GI/GU EXPERIENCE:

NG tube insertion
Long term feeding tube insertion (Dobhoff / Keofeed)
Care of the patient with enteral feedings
Gastrostomy tube
Jejunostomy tube
Colostomy & enterostomal care
Ileostomy
Peritoneal dialysis
Hemodialysis
Care of shunts & fistulas
Nephrostomy tube
Suprapubic catheter
Foley catheter insertion & management

NEURO EXPERIENCE:

Comprehensive neuro assessment
Seizure precautions

CARE OF PATIENT WITH:

Post neuro surgery
TIA/CVA
Degenerative neurological disorders

ONCOLOGY SPECIFIC CARE EXPERIENCE:

Assist with bone marrow biopsy
Immuno- suppression / laminar airflow
Administration of chemotherapy

USE & ADMINISTRATION OF THE FOLLOWING:

Fluorouracil (5-FU)
Doxorubicin (Adriamycin)
Methotrexate (amethopterin)
Mitomycin (Mutamycin)
Bleomycin (blenoxane)
Hydroxyurea (Hydrea)
Melphalan (Alkeran)
Usulfan (Myleran)
Etoposide (VP- 16- 213)
Cistplatin
Vinblastine (Velban)
Vincristine (Oncovin)
Cyclo- phosphamide (Cytoxan)
Avastin
Taxol
Herceptin
Carboplatin
Taxotere
Oxaliplatin
Dilantin
Corticosteroids
Decadron
IVIG
Epogen / neupogen
Biotheraputic agents (Rituxan)

CARE OF THE PATIENT EXPERIENCE:

Pre & post Bone Marrow Transplant (BMT)
BMT patient care
Patient & donor education
Peripheral blood stem cells
Solid tumors
Hematologic disorders
Autologous BMT
Allogeneic BMT
BMT complications
Infection
Graft rejection
GVHD Graft- Versus- Host Disease
Nausea / vomiting / diarrhea
Stomatitis
Neuropathy
Neutropenia
Thrombo- cytopenia
Nutritional needs
Fever
Infection
Septic shock

CARDIOVASCULAR COMPROMISE:

Cardiac dysrhythmias
Superior vena cava syndrome
Cardiac tamponade
Carotid rupture
Lymphedema

RESPIRATORY COMPROMISE:

Pneumonia
Atelectasis
Pneumothorax
Pleural effusion
Pulmonary embolism
Respiratory distress

GI/GU COMPROMISE:

Bowel obstruction
Renal failure
Pancreatitis
GI bleed

HEMATOLOGIC COMPROMISE:

DIC (Disseminated Intravascular Coagulopathy)
Hemorrhage

FLUID & ELECTROLYTES COMPROMISE:

Electrolyte imbalances
Hypercalcemia
Hypovolemia

SKIN & MUSCLE:

Stress fractures
Spinal Cord Compression (SCC)

CARE OF PATIENTS RECEIVING EXPERIENCE:

Radiation therapy
External radiotherapy
Total body irradiation
Intraoperative Radiation Therapy (IORT) & implants
Brachytherapy
Radiation safety procedures

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)

Rank each of the following sections on a scale

No experience

Little Experience

High Experience

Master

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