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CALENDAR FOR FASTER AND MORE ACCURATE NURSING COVERAGE RESPONSES REGARDING TIMING OF COMPLEX CHEMOTHERAPY REGIMES
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Journal Article
CALENDAR FOR FASTER AND MORE ACCURATE NURSING COVERAGE RESPONSES REGARDING TIMING OF COMPLEX CHEMOTHERAPY REGIMES
2024
Overview
The objective was for nurses who are covering unfamiliar oncology clinics to increase the accuracy of advice and decrease time to respond to patients calling about timing of specific medications with their complex oral chemotherapy regimens. Oral chemotherapy regimens are becoming increasingly complex, and along with that comes questions about how and when to take the pills. At Moores Cancer Center (MCC), there are 9 specialty cancer groups. It is not uncommon for a covering nurse to be unfamiliar with the particular chemo regime the patient is undergoing. With the goal of increasing accuracy and decreasing delays in time to respond to patients questions about timing of complicated chemo, a calendar smart phrase tool has been developed. This performance improvement project utilized the PDSA approach. .Txcal was created in conjunction with input from PharmDs, MCC nurses, physicians, and Epic staff. This creates the ability to place a calendar into an after visit summary, or mychart message to patients which then has the specific chemotherapy names placed on the appropriate dates. A 10 question survey was sent to MCC nurses prior to the implementation of the .Txcal smartphrase to establish a baseline. Over the course of 3 months, educational sessions and one on one meetings were held introducing the smartphrase. A 10 question survey was immediately sent out after the educational session, as well as sent out 3 months after the education to evaluate effectiveness. As a result of the .txcal smartphrase, nurses were able to respond to questions much more quickly. Response times went from \"hours and days\" to \"seconds and minutes\". There was a significant decrease in time taken to answer the questions of which medications should be taken on any given day; from 81 and 220 seconds pre-intervention to 15 and 21 seconds post intervention. Accuracy in advice was also increased. Prior to implementing the .txcal smartphrase, only 79% of the time the covering nurse was able to correctly advise on which date an oral chemotherapy should be stopped. After the implementation, 100% identified correctly which date an oral chemotherapy should be stopped. The .txcal smartphrase increased accuracy of nurses covering for other teams when advising oral chemotherapy timing with patients/family members, as well as decreased the time it took to respond.
Publisher
Oncology Nursing Society
Subject
