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What does it stand for?
Find the policy!
ICU
Meet the Standard!
Education
100
F in FACT stands for:
Foundation
100
Where can we find written policies on relevant nursing procedures?
PPM
100
What ICU is our designated "BMT" unit?
7SCCT
100
What aspect of clinical care will FACT survey look at?
Outpatient, inpatient, stem cell lab, quality improvement measures, competency training
100
What on-going education does 4S offer?
Weekly pearls and posters, annual competency class
200
A in FACT stands for:
Accreditation
200
How would you find the policies, "Neutropenic precuations for inpatients policy" and "Neutropenic fever procedure?
Go to PPM and type "neutropenic"
200
Standard B3.6.3 specifies training to include management of transplant complications. What are the units that must complete the "Oncologic Emergencies" module in Healthstream?
Oncology units: 4S, OCC, 7SCCT
200
Per Standard B3.6.3, training shall include "care interventions to manage transplant complications such as..."
neutropenic fever, mucositis, nausea and vomiting
200
What courses cover the topics of patient care, transplant complications, pain management and palliative care?
Chemotherapy course, Stem Cell Course, 4S New Grad/New Hire Course
300
C in FACT stands for:
Cellular
300
How would you find the policies, “Chemotherapy: Methods of administration, safe handling precautions, accidental spill clean-up and medical surveillance of employees nursing policy” and “Blood and marrow transplant administration of conditioning chemotherapy?”
Go to PPM and type "chemotherapy"
300
What information must be indicated during handoff report when transferring to ICU?
That the patient is a BMT patient.
300
Per Standard B3.6.3, "training shall include: patient care, administration of preparative regimens, administration of..."
blood products, growth factors, cell products
300
Who are trained on our "Neutropenic Fever Protocol?
All staff
400
T in FACT stands for:
Therapy
400
How would you find the policies, “Hematopoietic stem cell transplant policy” and “Transplant stem cell reinfusion procedure?”
Go to PPM and type "stem cell." It may take some page searching to find them.
400
Standard B3.6.1 states that "nurses should be formally trained and experienced in the management of patients receiving cellular therapy." What training is required for 7SCCT nurses at the minimal level?
Chemotherapy competency and annual BMT Competency in Healthstream.
400
Per Standard B3.6.1 ("Nurses should be formally trained and experience in the management of patients receiving cellular therapy"), who do we demonstrate this for nurses infusing BMT products?
Must have chemotherapy competency, take and pass CSMC BMT Course, and have initial and annual clinical competence in infusing the product.
400
How do we train to recognize cellular therapy complications and emergencies and rapid notification of the transplant team?
This is reviewed in the SCT Course, the Annual SCT Competency as well as delineated and documented on our SCT Infusion Form
500
When are we having the FACT Survey?
February 6th
500
What is the specific stem cell-related policy that augments our nursing care policies and procedures?
Stem Cell (Blood and Marrow) Program Standard Operating Procedures
500
In order to maintain sufficient expertise to care for transplant patients, what other course is offered that 7SCCT nurses can take aside from chemotherapy or Healthstream module?
BMT 2 day course can be taken by 7SCCT nurses as well.
500
Per Standard B3.6.1 ("Nurses should be formally trained and experience in the management of patients receiving cellular therapy"), how do we demonstrate this for most 4S RNs (not necessarily infusing the product.)
Most 4S RNs are chemo competent and have taken the SCT course, even if they have not infused stem cells (eg. 4SE staff), so they have been trained to take care of patients who may be readmitted to 4SE or 4SW even if they do not infuse cells
500
Per Standard B3.6.5 ("There shall be adequate number of nurses experienced in the care of transplant patients. And there shall be a nurse/patient ratio satisfactory to manage the severity of the patients' clinical status"), how do we staff the unit?
We staff according to acuity. If the patient is very ill, they may be staffed 1:2 based on that. On the day of transplant, staffing is made to make sure the RN performing the transplant is able to stay at the bedside the entire time.