I heard that in Huddle
The SBAR acronym stands for
Situation
Background
Assessment
Recommendation
Name 2 vesicant chemotherapy meds
Adria
Vincristine
...
PPE stands for
Personal protective equipment
First thing you do when a patient complains of back pain during a Taxol infusion.
Stop the pump
Preferred administration of IM medications
Ventrogluteal
This medication is currently on backorder
Retacrit
(extra point if you know which dose)
When administering a vesicant, your patient complains of burning and pain at the IV site, your next 3 steps (in order) should be:
1. stop ALL infusions
2. disconnect the IV tubing
3. attempt to aspirate residual vesicant
What is used to protect the hands when administering chemotherapy
2 pairs of chemo rated gloves
After giving epi, the patient must
Be transported to the ED
Identify 1 reasons why this is the preferred location for IM injections
Largest muscle w/fewest nerves
Timing of radiation for patients receiving Cetuximab w/concurrent radiation
Chemotherapy begins 1 week prior to starting radiation
When giving an IVP vesicant in a peripheral line, the nurse should check for blood return how often
Every 3-5 mls
In the event of a chemo spill, what wipes may be used for a spill less than 5mls
Hydrogen peroxide or bleach wipes
What is the first rescue medication given in the event of an iron reaction?
Hydrocrotisone
Name the body's landmarks that you should locate when selecting the site for the injectcion
greater trochanter & iliac crest
When pulling a medication for another nurse that will be administering the medication, I must
Document a handoff in the MAR
How often should you check for blood return for a patient receiving an IVPB vesicant?
At the beginning, middle and end of the infusion.
In a spill larger than 5mls, who is contacted to assist with clean up?
Environmental services
How would you address hypotension in a reaction
NS wide open
Lay patient back
Elevate legs
When giving an IM injection, after injecting the needle the nurse should
The ordered dose is more than the dose being given, the nurse will
Obtain a new order
Name 1 visual sign of extravasation
skin blanched, cold, hard, painful, swelling
What PPE items should be worn when giving intravesical chemotherapy
Goggles, mask, double gloves and gown
When using a non-rebreather, what should the wall oxygen be set on?
10L
What is the angle that the need should be when giving a ventrogluteal injection?
90 degrees