ONCOLOGY SKILLS CHECKLIST

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Job Description: Staff Nurse - RN - Oncology Provides professional nursing care, evaluates, plans, implements, and documents nursing care for oncology patient population. Assists physician during examinations and procedures. Provides supportive care and administration of chemotherapy, blood components, fluid and electrolyte replacements, and other oncology treatments as prescribed. Requires an associate's degree and is certified as a registered nurse with at least 2 years of clinical experience. Familiar with standard concepts, practices, and procedures within a particular field. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A wide degree of creativity and latitude is expected. Typically reports to a manager or head of a unit/department.

KEY: For each criteria Score 1: Two plus years Expert Experience Score 2: One-Two Years Current Experience Score 3: Less than one year or Intermittent Experience Score 4: Theory, no experience

CRITERIA	SCORE
	1 2 3 4
PAIN MANAGEMENT
Continuous narcotic infusion
Continuous epidural infusions
IV push narcotic agents
Oral timed release agents
Use of duragesic patches
Use of PCA pump
Adjuvant Medications
Alternative Therapies
Nonpharmacologic strategies
Infusion therapy
Saline/Heparin locks (insertion/maintenance)
Knowledge of long-term infusion catheters(Hickman, Groshong, PICC)
Knowledge of long-term implantable ports (Mediport, Portacath)
Can draw blood from long-term catheters
Can draw venous blood
Able to insert PICC line
Chemotherapy Administration
Evaluate pertinent lab data
Calculate body surface area (BSA)
Care of patient with extravasations
Manage cytotoxic spills
Safety handle cytotoxic agents & body fluids post-chemo
IVPB & Continuous infusion
IV push
Subcutaneous
Intrathecal (administer)
Assist with intrathecal
Intraperitoneal
Intrapleural
Intravesicular
PATIENTS WITH RADIATION THERAPY
Provide radiation therapy teaching
Provide special skill care post-radiation
Brachytherapy
Nonsealed radioactive therapy
Intraoperative radiotherapy (IORT)
External radiotherapy
Total body irradiation (TBI)
Radiation safety precautions
PATIENTS WITH BONE MARROW TRANSPLANT
Adult BMT experience
PATIENTS RECEIVING BIOTHERAPY
Patient teaching
Administration of
Interferons
Interleukins
Growth factors
ASSESS AND INTERVENE IN ONCOLOGICAL CRISIS
SIADH
Superior Vena Cava Syndrome
Spinal Cord Compression
Tumor Lysis Syndrome
DIC
Septicemia
Tamponade
Hypercalcemia
Implantabel Pumps
Infusaid
Medtronic
Therex
Ambulatory Infusion Pumps
Auto syringe
Pharmacia
Pancretec
Cormed
Synchromed
CADD
PATIENTS WITH ALTERATION IN PROTECTIVE MECHANISMS
Care of patients in reverse isolation
Care of neutropenic patient
Altered skin integrity
Neuropathy
Altered mental status
Provide mucositis and stomatitis care
Care of patient in LAF room
Care of AIDS patient
GASTROINTESTINAL
TPN/PPN administration
G-Tubes/J-Tubes (site care and feeding through)
Enterostomal care (ostomy care)
Flexible feeding tube insertion (Dobhoff, Miller-Abbott)
NG tube insertion
Colostomy irrigation and patient teaching
Tube feeding assessments (residual checks, irrigation)
Management of sudden wound dihiscence
Pediatric BMT experience
Stem cell transplant experience
Familiar with complications
Graft rejection
Venoocclusive disease
Graft-versus-host disease (GVHD)
PSYCHOSOCIAL CARE
Understand the Kubler-Ross stages of Grieving
Identify resources/support groups for patient /family
Patient teaching self-care and coping skills
Assist with goal setting
Advance directives
Quality of life issues
Death and dying counseling
Hospice Care
Patient/family education with Cancer screening/detection
PULMONARY
Assessment of breathing patterns
Oropharyngeal suctioning
Tracheostomy suctioning
Proficient at
Incentive spirometry teaching
Pulse oximetry
Chest tube maintenance
ENDOCRINE
Care of diabetic patient
Administration of SQ insulin
Administration of IV insulin (IVP and drip)
Blood glucose monitors (Accucheck, Onetouch, Basic)
Care of patient with hypothyroidism (Graves Disease)
Use and Administration of
Synthroid
Solu-Cortef
Prednisone
Decadron
MISCELLANEOUS
Wound debridement
Wet to dry dressing changes
Care of drains and tubes (Hemovac, JP, Penrose)
Administration Blood and blood products

AGE SPECIFIC CARE
Please indicate the frequency with which you provide care for each age group inthis specialty area.	1	2	3	4
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent ( 12-18 years)
Young Adult ( 18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

JCAHO: I acknowledge and understand JCAHO's list of "Do Not Use Abbreviations" : Yes No

The information I have given is true and accurate to the best of my knowledge. I have read and fully understand the job description. By signing below or submitting electronically, I attest that the information provided within this skills checklist represents a full and complete disclosure of information, and is true and correct to the best of my knowledge and belief. I hereby authorize Sagent Healthstaff to release this skills checklist to client facilities for employment purposes.

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