Setting Standards for Chemotherapy & Biologic Administration: Organizational Clinical Nurse Specialists Led Practice...

Area of Science:

• Oncology Nursing
• Evidence-Based Practice
• Infusion Therapy

Background:

• Variations in chemotherapy and biologic administration practices were identified due to a lack of institutional standards.
• Standardizing small-volume infusion administration is crucial for patient safety and treatment efficacy.

Purpose of the Study:

• To describe the successful implementation of a standardized small-volume infusion administration method using the circle priming technique.
• To detail the education and training process for nurses at a National Cancer Institute-designated cancer center.

Main Methods:

• A system-wide practice change was led by clinical nurse specialists (CNSs) in collaboration with an interprofessional team.
• A 2-week soft rollout was conducted, followed by a 20-minute education module with hands-on training for nursing staff.
• A train-the-trainer model and daily debriefs were utilized to support nurses and troubleshoot issues.

Main Results:

• 91% of frontline nurses (643 out of 714) were educated on the circle priming technique.
• Training encompassed safety, flushing, pump programming, handling, and patient education.
• The standardized method was disseminated internally, and patient education materials were developed.

Conclusions:

• Clinical nurse specialists are pivotal in establishing best practices and implementing evidence-based recommendations.
• The circle priming technique ensures complete drug delivery, optimizing patient care.
• Standardized nursing practices are essential for high-quality chemotherapy and biotherapy administration.