The First Time I Gave a Patient My Contact Information
In nursing school I was always taught to maintain professional boundaries with patients, including never sharing any personal information like my address or contact information. No matter how many times faculty members said it, we never role played scenarios with that situation. I was unprepared for the moment, six months into my nursing career, when a kind, gentle, nonthreatening woman asked me for my address so she could send me a Christmas card.
Title VIII Support; Trump's 2021 Federal Budget; Ineffective E-Cigarette Ban
When oncology nurses speak, people listen. An op-ed column published February 24, 2020, written by ONS member Janice Phillips, PhD, RN, FAAN, outlined the potential harm to the future of health care and the nursing profession if the Trump administration’s budget cuts are approved. As an oncology nurse, Phillips’ insights have made a difference in Washington before, and she explained that the budget cuts could target key funding for items like nursing development and workforce programs.
Germline and Somatic Mutations: What Is the Difference?
Cancer occurs from mutations, or harmful changes from an alteration in a gene’s DNA sequence. Most mutations involve changes in the order of the base pairs, including substitutions, deletions, additions, or shifts. Mutations can be divided into broad categories based on the tissue where they occur.
Russia Fosters Oncology Nursing Professional Development With ONS, EONS Presentations at Cancer Conference
U.S. and European oncology nurses might feel out of their element in a Russian model of nursing practice, which is considerably different than what they’re used to in their own countries. For example, Russian nurses mix all chemotherapy infusions for patients and have no access to pharmacists. Russian blood and marrow transplant (BMT) units have a much higher ratio of physicians to nurses than what’s traditionally seen in other parts of the west. But, like nurses around the world, Russian nursing professionals are keenly interested in improving their oncology practice—although they typically receive education in an academic rather than technical setting.
What Is the Difference Between Genetics and Genomics?
Genetics versus genomics: Is there a difference? Does it even matter? There is, and it does. In our era of precision medicine, also referred to as individualized or genomic medicine, being able to differentiate the terms is a first step in establishing a foundational understanding of what they mean for cancer care from prevention to treatment.
How Does ONS Support Nurses Who Care for Older Adults With Cancer?
By bringing together gero-oncology experts from the ONS membership, staff, and leadership, the ONS geriatric oncology group is identifying gaps in geriatric oncology nursing research and care and connecting ONS members with available resources targeting this vulnerable population. Adult patients with cancer—aged 65 and older—already make up a majority of patients that oncology nurses see. Despite the population’s prevalence throughout cancer institutions and clinics, many nurses are not acutely familiar with the specialized care required to successfully help them navigate their treatment.
ONS Signature Legislation, PCHETA, Reintroduced in U.S. Senate
The Palliative Care and Hospice Education Training Act (PCHETA) is a key ONS policy priority. After unsuccessfully navigating both chambers of the 115th Congress prior to the 2018 midterm elections, the bill had to begin its legislative journey once again in the new 116th congressional session.
Educational Integrity Is an ONS and ONCC Priority, Evident in Revised Policy
Leadership, integrity, inclusion, and diversity were common threads in several discussions during the ONS Board of Directors’ conference call on May 21, 2019. In addition to finalizing plans for their participation in the Leadership Think Tank, which will be held on July 22–23, 2019, the Board made the following decisions and approvals.
Continued Conversation Shows That Nurses Need More Genetics Education
During the 44th Annual ONS Congress in April 2019, some sessions featured a Continuing the Conversation event following the main session. As a speaker, this might have been the best part for me. It was filled with unexpected, wonderful surprises and great conversations with oncology nursing colleagues.
Which Tumor Marker Can Be Used to Assess Stage, Prognosis, Response to Treatment?
Which tumor marker can be used to assess stage, prognosis, response to treatment in germ cell tumors, lymphoma, melanoma, acute leukemia, and neuroblastoma?
A. Programmed death ligand 1 (PD-L1)
C. Cytokeratin fragment 21-1
D. Lactate dehydrogenase
Innovative Technology Improves Provider Education on Distress Management for Cancer Survivors
Depression, anxiety, post-traumatic stress, and cognitive difficulties are just some mental health concerns that can affect cancer survivors: those living with, through, and beyond a cancer diagnosis. As many as three out of every four cancer survivors can experience acute or chronic symptoms of psychological distress, which can negatively affect quality of life, engagement in follow-up care, and health outcomes.
How ONS Is Supporting ONNs’ Professional Development
Professional development needs of oncology nurse navigators (ONNs) have not been clearly identified, both for novice and more experienced navigators. Although some work has begun to define training for novice ONNs, most information about education for experienced ONNs comes from evaluation data and anecdotal reports.
Young and Jones Introduce Nursing Where It’s Needed Act
In an increasingly rare show of bipartisan common ground, U.S. Senators Todd Young (R-IN) and Doug Jones (D-AL) introduced the Nursing Where It’s Needed (Nursing WIN) Act in April 2019. The bill would assist nurses in underserved areas of the country—particularly rural communities—that are facing nursing staff shortages.
Different Strategies Needed for Orienting New Graduates and Experienced Nurses to Ambulatory Oncology
Oncology care has shifted from the hospital inpatient setting to outpatient ambulatory care. Indications are that this will be a continuing and expanding trend for the future, increasing the need for ambulatory care nurses. Ambulatory care is complex and requires highly specialized nursing skills gained with education and experience. Most new graduate nurses are employed in acute care settings rather than ambulatory settings because they lack the skill set needed for ambulatory care. How can ambulatory care settings bridge the education and experience gap to fill this expanding need?
More Nurses Are Obtaining BSN Degrees
After the Institute of Medicine’s (IOM) 2010 report on the “Future of Nursing,” the nursing field made a concerted effort to encourage current and incoming nurses to achieve higher education through a Bachelor of Science Nursing (BSN) degree or higher. As lifelong learners, nurses are committed to providing the best care possible and consistently furthering their education is part of that commitment. According to a report from AARP and the Robert Wood Johnson Foundation, 56% of U.S. nurses hold a BSN or higher, an all-time high for the profession.
Which of the Following Leads to the Greatest Percentage of Superior Vena Cava Syndrome Cases?
Which of the Following Leads to the Greatest Percentage of Superior Vena Cava Syndrome Cases?
A. Small cell lung cancer
B. Non-Hodgkin lymphoma
C. Non-small cell lung cancer
D. Kaposi sarcoma
Education May Improve Adherence, Quality of Life for Patients With AML
Patients and families can make better healthcare decisions that are consistent with patients’ needs, values, and preferences when they are more informed and educated about the disease, according to study findings that Anne C. Roc, PhD, of PlatformQ Health in Needham, MA, discussed at the ASH Annual Meeting on December 3, 2018.
Which of the Following Drug Spills Doesn’t Require a Full-Facepiece, Chemical Cartridge-Type Respirator or PAPR?
Which of the following drug spills doesn’t require a full-facepiece, chemical cartridge-type respirator or PAPR during clean up?
D. Nitrogen mustard
APRNs Must Stay Educated About Medical Cannabis in Cancer Care
As more U.S. states approve the use of medical cannabis, oncology advanced practice RNs (APRNs) may see increasing inquiries from patients who are interested in using it to manage cancer-related symptoms. However, the drug remains illegal under federal law, confounding research efforts for its use in cancer care and limiting the generation of supportive evidence.
Instructional Class Improves CAR T-Cell Knowledge in ICU and BMT Nurses
Chimeric antigen receptor T-cell (CAR T-cell) therapy has become an integral part of the advancement of lymphoma and other cancer treatments. However, educational resources and available published literature are still lacking for oncology and intensive care nurses.
Oncology Nursing Certification Is a Valuable Step on the Road to Leadership
I still remember what it felt like to sign my name in the chart for the first time after passing the OCN®—and later the AOCN®—examination: excitement, accomplishment, relief, and pride. I knew that the credential didn’t automatically make me a smarter or better clinician, but it did validate the knowledge and skills that I had been working so hard to achieve over my years of practice as an oncology nurse.
Using the Web for Oncology Training Curriculum
Internet and web-based programs are becoming increasingly important resources in career training, including for oncology nursing. However, training in supportive oncology can still pose challenges. Researchers studied how institutions used web-based oncology training for healthcare professionals (HCPs) and presented their findings on Monday, June 4, at the 2018 American Society of Clinical Oncology Annual Meeting.
Team-Based Professional Development Improves Knowledge Gap for Oncology Geriatric Care
Oncology nurses often work with older patients with cancer, but knowledge gaps in training can remain. To combat this issue, researchers implemented an educational curriculum in geriatric care for oncology nurses and presented the results of that training at the 2018 American Society of Clinical Oncology Annual Meeting.
New Eligibility Criteria for Initial Oncology Certification Begin in 2019
Oncology nurses seeking basic oncology certification in 2019 will need to have more experience as an RN and more hours of specialty practice before they can take an initial certification test, according to the Oncology Nursing Certification Corporation’s (ONCC’s) new eligibility criteria. The new criteria affect OCN®, CPHON®, CBCN®, and BMTCN® initial test candidates. They do not affect nurses who are renewing certification.
Which Is Not an ONS Recommendation When Accessing an Implanted Port?
Which of the following is not an ONS recommendation for practice when accessing an implanted port?
A. Sterile gloves must be worn during the procedure.
B. Palpate the outline of the port body prior to accessing.
C. Aspirate to confirm blood return after accessing.
D. Use only a noncoring needle.
Oncology Nurses Enhance Cancer Care Through Mentorship Opportunities
Whether it’s with your smiling patient who always brings sweets to her appointments, the colleague Who started when you did, an inquisitive family member, or your supervisor, relationships are an ever-evolving component of successful oncology nursing careers. Fostering professional relationships among colleagues can often lead to mentoring opportunities that are mutually beneficial for mentors and mentees.
The Role of Oncology Nursing Navigation Continues to Grow
Oncology nurse navigators (ONNs) fill a critical, ever-growing role in cancer care settings across the country, providing patients with the resources, education, and care coordination they need to successfully navigate their cancer journey. By reducing barriers and burdens on patients and their caregivers, ONNs help lead patients from initial diagnosis, during treatment, into survivorship, and often through end-of-life care.
Which Is a Breast Cancer Risk Factor?
Test your oncology knowledge with ONS. Which of the following is a risk factor for developing breast cancer?
- Women who are gravida 3 para 2
- Mild to moderate alcohol use
- Absence of the BRCA1 or BRCA2 mutation
- Going through menopause prior to age 55
ONS Shares Chemotherapy Education in Sub-Saharan Africa
For sub-Saharan African (SSA) countries, cancer incidence is on the rise. The increase in cancer rates can be attributed to several factors, including economic and social development and infectious disease rates. In that part of the world, many healthcare professionals don’t have access to up-to-date information regarding safe chemotherapy handling and administration. The American Cancer Society (ACS) and Clinton Health Access Initiative (CHAI) developed the ChemoSafe program to share critical information and resource acquisition focused on safe chemotherapy administration and cancer treatments with healthcare providers in SSA. ONS provided specific nursing content to support the ChemoSafe initiative, including educational materials and courses.
How One ONS Chapter Is Providing Education on New Drug Approvals
With more than 50 new U.S. Food and Drug Administration approvals for cancer therapy in 2017 alone, oncology nurses are challenged about how to keep up with all of the latest practice updates. However, the Philadelphia Area Chapter of the Oncology Nursing Society (PACONS) leadership has taken an active role in helping to ensure their chapter members are given the evidence-based cancer treatment information they need to improve their practice.
A Spirit of Inquiry Leads to Evidence-Based Answers to Practice Questions
Addressing a clinical problem through evidence-based practice (EBP) involves asking the right questions in the right way, finding the best available evidence, and assessing what practice change may be needed. A core factor in the EBP journey is the development of nurses who possess a spirit of inquiry within a culture that supports a systematic process for asking clinical questions.
How Nurse Practitioners Are Enhancing the Oncology Workforce
With improved early detection guidelines and techniques as well as advancing cancer treatments, cancer is now a chronic disease in an already aging population. In addition, the Affordable Care Act expanded healthcare coverage to millions of previously uninsured Americans, increasing the need for medical services. With these trends in health care, nurse practitioners (NPs) are needed at the forefront to positively impact and enhance oncology care.
What Routes of Administration Are Available for Medicinal Cannabis?
As medicinal cannabis continues to make its way into practice in states in which it has been legalized for medical use, oncology nurses, nurse practitioners, physicians, and all members of the cancer care team must be aware of the ways in which cannabis can be administered to patients. Although medicinal cannabis is still being studied, patients have several ways to use it to combat side effects like pain, nausea, and vomiting associated with cancer and its treatments. Knowing the routes of administration and the potential for drug interactions can help all oncology professionals approach medicinal cannabis in the safest possible ways for their patients.
Get Resources to Educate and Monitor Patients for Sepsis
Sepsis is a formidable complication of cancer and cancer treatment. Claiming more than 250,000 lives annually, it is a medical emergency. Do you have sepsis algorithms and protocols in place? Do all specialty areas have a way to identify patients with cancer as a highly vulnerable population? Is sepsis-specific education provided to nurses and patients? Starting the conversation and advocating for policy development and change may just save a life.
Why Do Oncology Nurses Need to Screen for Financial Toxicity?
It’s beneficial to think about financial toxicity in terms of issues adhering to treatment. Mounting evidence suggests that patients with financial toxicity aren’t adhering to their cancer care. It’s becoming a common side effect of cancer treatment, and patients might be less likely to take treatments their medical team prescribes because of it, leading to substandard care.
Why Oncology Nurses Need to Embrace Genetics
Genetics in clinical oncology nursing practice permeates all aspects of care from prevention and detection to treatment decisions to long-term survivorship care. Each of these areas often overlap, and oncology nurses need a solid genetics understanding to provide optimal care.
Supporting Cancer Prevention Through Resources and Education
Estimates suggest that 30% of all cancers are preventable through lifestyle changes and vaccinations. We know that tobacco accounts for 90% of all lung cancers and contributes to increased risk for head and neck cancers. It’s also well known that sun exposure is associated with increased incidence of basal and squamous cell skin cancers, as well as the most dangerous skin cancer, melanoma.
After 100 Years, Nursing School Is Both Different Yet Still the Same
Earlier this month, I found this picture of my grandmother from 1918. She must have sent it to her sister, because on the back of the photo was scrawled a message: “I thought you might want a snap to see me in my nursing uniform.” This is like a selfie from nearly a hundred years ago. Although the sign behind her says, “Don’t park here,” that’s exactly what she’s doing. The humor was not lost.
Why Is Certification Important? Let Us Count the Ways
The impact of professional certification goes far beyond the authority to practice. Certification is a testament to expertise, excellence in patient care, and commitment. This article uses the diverse certification journeys of three oncology nurses to highlight some of the key benefits of certification. Their paths offer direction and motivation to new and experienced nurses in this specialty.
Oncology Nurses Can Have a Global Impact—in Bhutan and Beyond
Oncology nursing has certain universal truths: Your patients are going to need care. They’re going to need advocates, educators, and support systems to help them face their cancer diagnoses. Whether you work in a town that’s as American as apple pie or the Kingdom of Bhutan in the Eastern Himalayas, oncology nurses are at the ground level providing patient-centered care that leads to positive outcomes.
What Oncology Nurses Need to Know About USP <800>
Because of the risks and dangers associated with hazardous drugs, guidelines surrounding their use and handling have been issued since 1981. Since then, several organizations, including ONS (in tandem with the American Society of Clinical Oncology), the American Society of Health-System Pharmacists, the Occupational Safety and Health Administration, and the National Institute of Occupational Safety and Health, have released guidelines for various providers who handle the drugs.
Improve Patient Safety by Defining and Refining Nurse Competencies
Carole Elledge, DNP, RN, AOCN®, clinical program specialist at Methodist Hospital in San Antonio, TX, described the concept of nursing competencies with a kitchen metaphor: “It’s kind of like baking a cake. If you’re going to bake a cake, you need all the ingredients.” For nurses, she said, the ingredients of competency include not only hands-on clinical skills, but also an ability to see past the disease, compassion, critical thinking, self-motivation, patience and insight, leadership, a team approach, and more. “There’s much more to competency than just skills.”
What Safe Handling and Administration Requirements Apply to Immunotherapy?
In a supplement to the April 2017 issue of the Clinical Journal of Oncology Nursing, ONS released its first set of recommendations for nurse education and safe handling principles regarding immunotherapy administration. ONS recommendations are based on best-available evidence and the anecdotal experiences of professionals at cancer centers with varied experiences in immunotherapy administration.
Certification and Survivorship Care Plans Present Challenges for Nurse Navigators
During a session at the Oncology Nurse Advisor Navigation Summit, ONS member Pamela J. Haylock, PhD, RN, FAAN, at the Association for Vascular Access in Medina, TX, and Cindy Stern, RN, MSN, CCRP, of the University of Pennsylvania Cancer Network, delivered a joint presentation about some of the hurdles nurse navigators face.
ONS Chief Executive Officer Provides Nursing Tips for the Future of Cancer Care
During the keynote address at the Oncology Nurse Advisor Navigation Summit, Brenda Nevidjon, MSN, RN, FAAN, chief executive officer at ONS, addressed the future of oncology care by opening with a quote from Mahatma Gandhi, “The future depends on what you do today.”
Managing Pain in Patients With Substance Use Disorder
In their article in the April 2017 issue of the Clinical Journal of Oncology Nursing, Compton and Chang provided a guide for nurses caring for patients with substance use disorder (SUD), including overview, diagnosis, and treatment of SUD as well as its implications for pain management and cancer treatment considerations when a patient with SUD is diagnosed with cancer.