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    Nursing Students Connect Beyond the Classroom With ONS Resources
    Nursing education
    Nursing Students Connect Beyond the Classroom With ONS Resources
    March 05, 2021
    COVID-19 Affects Cancer Caregivers, but Here Are Ways to Support Them
    COVID-19
    COVID-19 Affects Cancer Caregivers, but Here Are Ways to Support Them
    February 19, 2021
    Celebrate Oncology Nurse Leaders During Black History Month
    ONS Leadership
    Celebrate Oncology Nurse Leaders During Black History Month
    February 03, 2021
    Am I Too Shy to Lead?
    Nurse staffing
    Am I Too Shy to Lead?
    January 29, 2021
    Zoom Through Video Job Interviews With These Tips for Applicants and Hiring Managers
    nursing professional development
    Zoom Through Video Job Interviews With These Tips for Applicants and Hiring Managers
    January 22, 2021
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    Safety

    Nursing Workplace Violence; Aggressive Drug Pricing Legislation; Gottlieb Steps Down
    Safety

    Nursing Workplace Violence; Aggressive Drug Pricing Legislation; Gottlieb Steps Down

    Although nurses are the number one trusted profession in the United States for the past 18 years in a row, they’re not necessarily the most protected sector. Hostile workforce environments and exposure to hazardous chemicals are still a part of too many nurses’ daily lives. Recently, the U.S. House Education and Labor Committee held hearings on workforce safety to better understand the what nurses and other healthcare workers endure.

    March 11, 2019
    Hospital-Acquired Conditions Reduced by Nearly 1 Million From 2014–2017
    Clinical practice

    Hospital-Acquired Conditions Reduced by Nearly 1 Million From 2014–2017

    According to an Agency for Healthcare Research and Quality (AHRQ) analysis, the number of hospital-acquired conditions (HACs) reported in the United States dropped by 910,000 (13%) from 2014–2017. 

    March 06, 2019
    Do Cytotoxic Agents Impact Ground Soil or Well Water?
    Safety

    Do Cytotoxic Agents Impact Ground Soil or Well Water?

    When patients go home after receiving their regimen of powerful cytotoxic agents, oncology nurses routinely encourage them to double flush after using the bathroom to ensure that trace amounts of hazardous medication are eliminated from the environment to prevent other members of the household from being exposed. But what happens with chemotherapy chemicals found in human waste as they enter a patient’s septic system—and eventually the water supply?

    January 16, 2019
    ONS Responds to 2019 ASCO Safe Handling Standards
    Press Releases

    ONS Safe Handling Guidelines Are Consistent With National Recommendations

    Last week, the American Society of Clinical Oncology (ASCO) released its 2019 safe handling standards. Although oncology nurses contributed to the expert panel, ONS does not endorse the ASCO standards because they differ from ONS guidelines and recommendations and guidelines from national and governmental organizations in several key ways. As an oncology nurse administering hazardous drugs, here’s what you need to know to keep yourself, your colleagues, and your patients safe.

    January 14, 2019
    JADPRO Live

    Action Plan May Reduce CLABSIs in Hospitalized Patients With Cancer

    Despite being preventable, central line-associated bloodstream infections (CLABSIs) result in thousands of deaths each year and cost the U.S. healthcare system billions of dollars. Infection is a common problem in patients with cancer, particularly those receiving chemotherapy and radiation.

    November 13, 2018
    How Oncology Nurses Support Non-Oncology Units Administering Chemotherapy
    Safety

    How Oncology Nurses Support Non-Oncology Units Administering Chemotherapy

    Most patients and practitioners associate chemotherapy with cancer treatments, yet the drugs are also used to treat a number of autoimmune diseases, including multiple sclerosis, rheumatoid arthritis, antineutrophil cytoplasmic antibody–associated vasculitis, and systemic lupus erythematosus. 

    October 23, 2018
    Monitoring Surface Contamination of Hazardous Drugs and Considerations for Remediation
    Safe handling

    Monitoring Surface Contamination of Hazardous Drugs and Considerations for Remediation

    Hazardous drugs are medications known to cause adverse health effects because of exposure in the workplace, according to the National Institute for Occupational Safety and Health. Examples of such agents include chemotherapy drugs, antivirals, hormones, and bioengineered drugs.

    October 18, 2018
    drug spill safe handling
    Safe handling

    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?

    A. 5-Fluorouracil 

    B. Cyclophosphamide 

    C. Adriamycin  

    D. Nitrogen mustard 

    July 26, 2018
    What Happens if Patients With Cancer Have Bedbugs?
    Safety

    What Happens if Patients With Cancer Have Bedbugs?

    Lurking in the dark corners of bedrooms across the country, unseen figures wait to feast of the blood of humans and animals alike. When the lights go dark, they come out for dinner. No, they’re not vampires or mystical beasts—they’re bedbugs. These parasitic insects feed exclusively on the blood of humans and animals and are a prevalent parasite in the United States. 

    July 19, 2018
    Verbal Abuse Is Still Violence, Joint Commission Says
    Incivility in nursing

    Verbal Abuse Is Still Violence, Joint Commission Says

    Healthcare workers, especially nurses, are less likely to report incidents of workplace violence, including verbal abuse from patients, families, and coworkers, according to a sentinel event alert the Joint Commission released in April.

    June 20, 2018
    ASCO Annual Meeting

    Organizational Learning and Perception Tied to Improved Patient Safety Culture

    Patient safety is an important focus for hospitals: protecting patients improves outcomes and quality of care, meets standards, and ensures payments and reimbursement. But what factors contribute to a culture of safety? Researchers assessed and analyzed the components of patient safety culture and published their study findings in conjunction with the 2018 American Society of Clinical Oncology Annual Meeting.

    May 29, 2018
    ONS Congress

    Nurse-Led Initiatives Are Improving Patient Safety

    During a session at the 43rd Annual Congress in Washington, DC, various speakers discussed the latest findings in patient safety.

    May 19, 2018
    What’s the Preferred Method for Vincristine Administration When Treating a Patient With Lymphoma or Leukemia?
    Chemotherapy

    What’s the Preferred Method for Vincristine Administration When Treating a Patient With Lymphoma or Leukemia?

    What is the preferred method to administer vincristine into a peripheral IV site when treating a patient with lymphoma or leukemia? 

    A. Direct IV push by syringe 

    B. By syringe through free-flowing IV fluids (side-arm technique) 

    C. Gravity drip using an IV minibag 

    D. By minibag using an IV pump 

    May 10, 2018
    Which Is Not an ASCO/ONS Chemotherapy Safety Standard?
    Chemotherapy

    Which Is Not an ASCO/ONS Chemotherapy Safety Standard?

    Which of the following is NOT an ASCO/ONS Chemotherapy Administration Safety Standard?

    A. Chemotherapy orders include sequencing of agents, when applicable.  

    B. A licensed independent practitioner is on-site and readily available to staff where chemotherapy is administered.

    C. Two chemotherapy-competent RNs must be in the infusion area at all times when chemotherapy is infusing.  

    D. If chemotherapy is administered in a non-healthcare setting, a second identifier such as a driver’s license, is used to verify the patient’s identity.  

    April 19, 2018
    Supporting Second Victims Will Make Your Practice Safer
    Safety

    Supporting Second Victims Will Make Your Practice Safer

    Adverse events and traumatic moments send shockwaves through the entire care team. As families grieve the loss of a loved one, providers can often suffer from feelings of overwhelming guilt, remorse, or helplessness. When clinicians struggle with the aftermath of a tragic care event, they become known as second victims. Second victim experiences can lead to lapses in safety and care and could be potentially dangerous for future patients.

    April 12, 2018
    States Have a Role in Creating Public Health Policies
    Cancer health policy

    States Have a Role in Creating Public Health Policies

    The federal government structure in Washington, DC, is hard to ignore. U.S. children are taught about it in schools, and we hear about it regularly as elections, legislation, appointments, and the like are discussed in the news. Less recognized, though, is that each state has a similar legislative structure.

    February 06, 2018
    Safety information on Varubi (Rolapitant) Injectable Emulsion
    U.S. Food and Drug Administration (FDA)

    Safety Information on Varubi (Rolapitant) Injectable Emulsion

    The Oncology Center of Excellence of the U.S. Food and Drug Administration (FDA) is informing healthcare providers about new safety information for Varubi® (rolapitant) injectable emulsion, a substance P/neurokinin (NK-1) receptor antagonist indicated for the prevention of delayed nausea and vomiting associated with cancer chemotherapy in adults.

    January 17, 2018
    Prevent Physical Injury Through Safe Patient Handling
    Safety

    Prevent Physical Injury Through Safe Patient Handling

    Every job has its perils, and some of those perils are more pronounced than others. For nurses, professional hazards range from dangerous chemical exposure to workplace violence, to severe back and arm injuries, and everything in between. In fact, National Public Radio reported that more than 35,000 nursing professionals experience back and body injuries every year.

    January 08, 2018
    How Are You Tracking Patients on Oral Chemotherapy?
    Chemotherapy

    How Are You Tracking Patients on Oral Chemotherapy?

    Oral cancer treatments are effective and practical and can provide a level of flexibility for patients, allowing them to seamlessly continue their treatments without the burden of infusion visits. With many patients receiving oral chemotherapy, oncology nurses must recognize complications that can arise regarding procedure and documentation in practice.  

    December 29, 2017
    What You and Your Patients Should Know About the Flu This Season
    Patient Education

    What You and Your Patients Should Know About the Flu This Season

    As an oncology nurse, you know the prevention of any infection is critical to patients. This couldn’t be truer than with flu. Although not all illnesses are preventable, the flu vaccine is the first and best way that patients with cancer can protect themselves from flu. Oncology nurses should keep the following new information for the 2017–2018 flu season in mind.

    December 18, 2017
    What’s the Procedure for Delivering Chemotherapy to an Inpatient Unit?
    Safety

    What’s the Procedure for Delivering Chemotherapy to an Inpatient Unit?

    The elements of an oncology unit are often very similar from location to location—the crescendo of plastic wheels clicking across brightly shined linoleum, beaming fluorescent lights that flicker to life when switched on, mounted fountains of cool hand sanitizer gel. But although oncology units have many similarities, clear differences exist as well.

    November 24, 2017
    culture of safety for cancer patients
    Safety

    Take Patients From Falls Risk to Mobility

    Promoting a culture of safety is the responsibility of all members of the healthcare team. Nurses and advanced practice providers have a unique role in ensuring patient safety, especially through interventions aimed at reducing the risk of falls and falls with injury. Hundreds of thousands of hospitalized patients fall each year, each costing organizations an average additional $14,000 and resulting in more than six additional hospital days. Up to 30% of falls result in injury, including fractures, decreased mobility, and a loss of independence.

    November 09, 2017
    USP <800> Implementation Delayed
    Safety

    USP <800> Implementation Delayed to December 2019

    The U.S. Pharmacopeia (USP) announced on September 29, 2017, it would delay the implementation of USP General Chapter <800> Hazardous Drugs—Handling in Healthcare Settings to coordinate its implementation with chapter <797> Pharmaceutical Compounding—Sterile Preparations.  According to USP, chapter <797> is still undergoing revisions and will be available for public comment in fall 2018. UPS <800> was set for implementation by July 1, 2018, but both chapters are now expected to become official on December 1, 2019.

    October 05, 2017
    Should a Provider Be on Site During Chemotherapy Administration?
    Safety

    Should a Provider Be on Site During Chemotherapy Administration?

    In clinics and oncology floors across the country, IV pumps are infusing, chemotherapy is administered through IV push, and nurses are moving swiftly from one patient to the next. Administering chemotherapy is a complex, in-depth procedure that requires training, education, and a level of experience beyond that of the standard healthcare professional. However, even the best oncology nurses need the support of their team members and the administration to provide the safest possible care environments for their patients.

    September 28, 2017
    Chemotherapy at home
    Chemotherapy

    What Precautions and Recommendations Are Necessary for Patients Receiving Oral Chemotherapy in the Home?

    So far, 2017 has seen an incredible amount of U.S. Food and Drug Administration approvals for new agents and indications. Biotherapy and targeted agents represent many of the newly approved treatment options—a great deal of which are offered in oral form, increasing the opportunity for patients to receive treatment at home.

    September 26, 2017
    sepsis awareness
    Adverse events

    September Is Sepsis Awareness Month

    As September winds down, ONS, a partner in the Centers for Disease Control and Prevention’s (CDC’s) and American Nurses Association’s Nursing Infection Control Education Network, is raising awareness of Sepsis Awareness Month by highlighting resources and strategies for oncology nurses who are deeply rooted in preventing and treating sepsis in patients with cancer.

    September 25, 2017
    Cancer Care for Patients After a Natural Disaster
    Oncology nursing community

    How Did You Continue to Provide Cancer Care for Patients After a Natural Disaster?

    When a severe tornado hit Joplin, MO, on the evening of May 22, 2011, the situation was serious. St. John’s Regional Medical Center in Joplin was hit so hard that it is still unusable. It needed to be evacuated, nearby Freeman hospital became quickly overwhelmed with patients, and the surrounding community prepared for action.

    August 30, 2017
    Cancer Care When Disaster Strikes
    Oncology nursing community

    Cancer Care When Disaster Strikes

    In the early hours of September 13, 2008, Hurricane Ike—a category 2 hurricane—hit Galveston Island, TX, bringing with it sustained winds of up to 110 miles per hour and storm surges reaching as high as 17 feet. By the next day, more than 200 shelters had opened across Texas to house the estimated 40,000 people who had been forced to evacuate from their homes.

    August 30, 2017
    Natural Disasters Take a Toll on Both Patients and Nurses
    Oncology nursing community

    Natural Disasters Take a Toll on Both Patients and Nurses, at the Cancer Center and at Home

    I live in Middle Tennessee, an area that’s part of tornado alley, a pathway across central United States that has a higher incidence of tornadoes. We routinely prepare for the storms, listening for the tornado sirens whether at home or work. Although there have been a number of tornado touchdowns in our region in recent years, fortunately none have directly hit our healthcare facilities.

    August 29, 2017
    Ambulatory Staffing
    Nurse staffing

    What Is ONS’s Perspective on the Ambulatory Staffing Dilemma?

    Appropriate nurse staffing is only one of the critical factors that contribute to optimal patient outcomes and is as important as the systems, technology, and quality standards in any care setting. The relationship between poor staffing, daily variation in quality, and increased workload to increased care errors, missed care, and patient and nurse dissatisfaction is well described.

    August 23, 2017
     Addressing Hypersensitivity Reactions to Chemotherapy
    Safety

    Time Is Short When Addressing Hypersensitivity Reactions to Chemotherapy

    Between administering antineoplastic agents, monitoring patient vitals, and preparing patients for treatment, oncology nurses are required to balance their attention between many intricate tasks. Chief among the division of duties is that oncology nurses closely monitor their patients for hypersensitivity reactions (HSRs) to prescribed agents.

    August 17, 2017
    Scalp Cooling for Chemotherapy-Induced Alopecia
    Treatment side effects

    How Safe and Effective Is Scalp Cooling for Chemotherapy-Induced Alopecia?

    Chemotherapy-induced alopecia has been reported by 77% of patients as the most-feared side effect of cancer treatment. In fact, as many as 10% of women say they would consider refusing chemotherapy or choosing a less effective treatment to avoid losing their hair.

    August 08, 2017
    hematopoietic stem cell transplant care
    Advanced practice nursing (APN)

    Safely Provide Outpatient Care to Patients Receiving Hematopoietic Stem Cell Transplantations

    High-dose chemotherapy with hematopoietic stem cell support is a well-established treatment for many hematologic malignancies. This treatment can be a difficult journey for patients and families. Historically, patients have been treated in a traditional hospital setting in anticipation of severe side effects, including mucositis, febrile neutropenia, thrombocytopenia, and pulmonary, renal, and hepatic complications. Patients can remain profoundly immunosuppressed for months while recovering from transplant. However, better supportive care in recent years has allowed many centers to move all or a portion of their transplant care into an outpatient setting.

    August 03, 2017
    oncology patient safety in treatments
    Standards

    Using Standards Balances Technology Advancements With Critical Thinking

    Advancements in medical records technology provide safeguards and contribute to overall patient safety. However, consider the following treatment scenarios and how they may present opportunities for error and jeopardize patient safety.

    July 25, 2017
    Chemotherapy administration safeety
    Safety

    Who Is Monitoring Your Infusions for Administration Safety?

    Inquiries received in the ONS clinical inbox often ask about various responsibilities of nurses who hold an ONS chemotherapy provider card and have been deemed competent to administer cancer treatments within their practice setting.

    July 25, 2017
    USP <800>
    Safe handling

    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.

    July 11, 2017
    Ultraviolet Safety and Skin Cancer Risk
    Safety

    Raise Awareness in July for Ultraviolet Safety and Skin Cancer Risk

    With summer in full swing, it’s the perfect time to head outdoors and enjoy the sunny weather. But are you protecting yourself from potential risks? The U.S. Department of Health and Human Services has named July as Ultraviolet (UV) Safety Month. The goal is to spread the word about how important it is to protect everyone’s skin from the harmful effects of UV rays. This presents a teaching opportunity for oncology nurses and their patients—not just during July but all year long.

    July 06, 2017
    Multi-Drug Resistant Fungus
    Safety

    CDC Warns Healthcare Workers of Emerging, Multidrug-Resistant Fungus

    Candida auris is a multi-drug resistant yeast that is known to cause invasive infection and death. It first emerged in June 2016 and continues to present itself as a serious global threat. According to the Centers for Disease Control and Prevention (CDC), throughout 2017, healthcare facilities in multiple countries report serious illnesses caused by C.auris in hospitalized patients.

    May 30, 2017
    Chemical Coping
    Pain management

    When Ineffective Pain Control Means Chemical Coping

    Central to our role as oncology nurses is provision of symptom relief balanced with a manageable side-effect profile. Although opioids are extremely effective at cancer pain management, they also bind to the brain’s limbic system and can produce reward responses. This can result in dependence and drug-seeking behaviors.

    May 22, 2017
    ONS Congress

    Multidisciplinary Approach Is Useful for Radiation Safety Training

    Tara Tatum, MBA, RN, and Stella Dike, MSN, RN, OCN®, both from the University of Texas MD Anderson Cancer Center, presented the findings during a poster session at the ONS 42nd Annual Congress in Denver, CO. The poster was titled “Radiation Safety Education: An Innovative, Multidisciplinary Approach to Enhancing the Knowledge and Skills of Oncology Nurses in an Inpatient Radiation Setting.”

    May 06, 2017
    Standards of Care
    Standards

    How Do I Move Standards of Care Into Practice?

    April 26, 2017
    What Are ONS’s Recommendations for Safe Handling of Hazardous Drugs?
    Safety

    What Are ONS’s Recommendations for Safe Handling of Hazardous Drugs?

    Research suggests that healthcare workers who handle hazardous drugs may experience acute effects such as skin rashes or more chronic effects including adverse reproductive events and malignancy. This has led numerous government agencies to make recommendations regarding the safe handling of hazardous drugs. 

    April 25, 2017
    Text Messaging
    Safety

    Secured Text Messaging Orders Declared Unacceptable by the Joint Commission

    Using secure text messaging for patient care orders is unacceptable, the Joint Commission concluded in January 2017.

    April 13, 2017
    Immunotherapy Agents
    Immunotherapy

    What Oncology Nurses Need to Know About Immunotherapy Agents

    As immunotherapeutic options for cancer treatments continue to grow, oncology nurses need a deeper understanding of the therapies, how they work, and how to manage their side effects, so they can continue to provide the best patient care.

    April 11, 2017
    Mindfulness Meditation
    Safety

    Mindfulness Meditation Can Improve Safety in Your Practice

    Mindfulness meditation is a popular topic in the media now. Research has already demonstrated the clinical benefits of mindfulness-based stress reduction for patients with chronic pain or anxiety disorders. Although there’s been limited research about the benefits of mindfulness stress reduction for oncology nurses and their patients, some evidence suggests that engaging in mindfulness exercises could lead to a safer environment.

    April 06, 2017
    Nursing Competencies
    Safety

    Competencies Create Expert, Accountable Nurses Delivering Quality Care

    When the National Academy of Medicine, formerly the Institute of Medicine, released its 2010 report, The Future of Nursing: Leading Change, Advancing Health, it cited a need for improvement in nursing education and practice through the implementation of nursing competencies.

    April 03, 2017
    Best Practice Released for Targeted Medication Safety - Router.
    Safety

    Do You Know the Best Practices for Targeted Medication Safety?

    The Institute for Safe Medication Practices (ISMP) has added five new best practices and revised two existing ones for safe medication administration in its recent release of the 2016-2017 Targeted Medication Safety Best Practices for Hospitals.

    February 07, 2017
    Access Device book cover
    Safety

    New Access Device Standards Will Help Improve Safety in Your Practice

    Access devices have been used for decades to administer the complex treatments and supportive care that oncology nurses deliver daily to patients with cancer. As these devices and other products evolve, nurses need evidence-based methodologies for critiquing their safety and effectiveness.

    January 28, 2017
    nurse while pregnant
    Clinical practice

    What Is ONS’s Stance on Handling Chemotherapy While Pregnant, Breastfeeding, or Trying to Conceive?

    One of the questions that ONS commonly receives in the clinical inbox is whether nurses who are pregnant, breastfeeding, or trying to conceive can safely administer or handle chemotherapy and other hazardous drugs.

    January 03, 2017
    Grief & bereavement

    How Grief Can Impact Safety and Patient Outcomes

    Oncology nurses face some uncomfortably common truths when treating patients with cancer. Invariably—no matter how hard certain patients fight—some will die from their diseases. Patient death is a part of oncology care, and no nurse would tell you differently. But accepting and dealing with loss and grief is sometimes pushed aside in favor of stoic attitudes that some may equate with professionalism.
    November 24, 2016
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