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Critical pathway for administering high-dose chemotherapy followed by peripheral blood stem cell rescue in the
J M Burns1, D K Tierney, G D Long
1Stanford University Hospital, CA, USA.
Purpose/Objectives:
To explain the rationale and process of outpatient critical pathway development for sequential high-dose chemotherapy followed by peripheral blood stem cell transplantation.
Data Sources:
Published books and journal articles.
Data Synthesis:
Complex treatment for patients with metastatic breast cancer is shifting to the outpatient area. To make this therapy safe and cost effective, a process for monitoring this type of outpatient care needs to be developed.
Conclusions:
Collaboration with a multidisciplinary team is important in ensuring quality of care for complex outpatient treatment protocols. Critical pathway development can serve as a road map for delivering this care.
Implications For Nursing Practice:
As team leaders, nurses should oversee the critical pathway development and implementation. Nurses also should maintain their role of patient advocacy through monitoring pathway compliance.