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A flow sheet for follow-up after chemotherapy extravasation
M E Davis1, D DeSantis, K Klemm
1Memorial Sloan-Kettering Cancer Center's Adult Day Hospital/Chemotherapy Unit in New York, NY, USA.
Purpose/Objectives:
To introduce and describe the development and implementation of a flow sheet used to document patient follow-up after chemotherapy extravasation.
Data Sources:
Published articles, institutional standards of nursing practice, and the Oncology Nursing Society Cancer Chemotherapy Guidelines.
Data Synthesis:
Extravasation is a potentially serious and severe complication of vesicant chemotherapy administration. A tool was designed to streamline documentation of patient symptoms, nursing interventions, patient education, and follow-up care after a suspected or actual extravasation.
Conclusions:
The flow sheet improves nursing documentation after a suspected or actual vesicant chemotherapy extravasation and provides a consistent, concise method for monitoring extravasations over time.
Implications For Nursing Practice:
The flow sheet standardizes nursing assessment, intervention, patient education, and follow-up care after a suspected or actual chemotherapy extravasation. Use of the flow sheet saves time and improves consistency of nursing documentation.