Section 1: Pediatric Hematology/oncology Nursing Practice

Front 1

What milestones for cancer treatment occurred in- 1940, 1950/60, 1970s?

Back 1

1940s - remission w/folic acid antagonists
1950/60s - single chemo used
1970s - combination therapy & CNS prophy/tx

Front 2

What 2 national cooperative studies were establised in 1955 to improve Childhood Cancer Treatment?

Back 2

CCG - Children's Cancer Group
POG- Pediatric Oncology Group

Front 3

What unified group was formed in 1998 between CCG, POG, Ntn'l Wilms tumor study group and Intergroup Rhabdomyosarcoma?

Back 3

COG - Children's Oncology Group

Front 4

When and where was 1st academic course for oncology nursing initially established?

Back 4

1947, Teacher's College at Columbia Univ.

Front 5

Discovered in 1974, what nursing group was formed that identified that Pedi Onc nursing required specific knowlegde/expertise in care of children who have cancer?

Back 5

APON

Front 6

What philosophy is central to pediatric oncology nursing practice?

Back 6

Family-Centered care

Front 7

Standards of Care Pedi Onc Nurse- ADOPICHE

Back 7

Assessment, Diagnosis, Outcomes Identify, Planning, Implementation, Coordination of Care, Health Ed/Promo, Evaluation

Front 8

Standards of Professional Performance - Pedi Onc Nurse - QEPCCERRL

Back 8

Quality of practice, Education, Self Eval, Collegiality, Collaboration, Ethics, Research, Resource Utilize, Leadership

Front 9

SOC - RN vs APN: Standard #1 - ASSESSMENT. What is the difference between RN & APN standards?

Back 9

RN = Data collection (G&D, PE, psychosocial) at points in treatment process.
APN = Data & assessment to determine needs (physical, emotional, cultural, social) & general well being

Front 10

SOC: #2 DIAGNOSIS. What is difference between RN vs APN?

Back 10

RN: Determination of diagnosis using assess data from nrsg & other disciplines.
APN: Analyze assess data to determine actual & potential diagnosis

Front 11

SOC #3 OUTCOMES IDENTIFICATION. What is difference between RN vs APN?

Back 11

RN: ID outcome to aid RN, child & family to work toward mutual goals of care.
APN: Develope individualized expected outcomes in collaboration with multi-disciplinary team.

Front 12

SOC #4 PLANNING. What is difference between RN vs APN?

Back 12

RN: Prescription of interventions that will acheive outcomes.
APN: Formulate & implement plan of care, includes interventions based on diagnosis to acheive desired outcomes

Front 13

SOC #5 IMPLEMENTATION. What is difference between RN vs APN

Back 13

RN: Implement POC to meet expected outcome of child & family.
APN:Implement POC using APRN role (coordinating, health teaching & promotion, consultation, prescriptive auth, & treatment, and referral)

Front 14

SOC #5 RN - Implementation.
What are 5a and 5b sub- standard specifics for RN role.

Back 14

5a = Coordination of care - maintain communication to ensure safe & appropriate care
5b = Health Teaching & promotion provide ongoing education for optimal health & prevention of illness.

Front 15

SOC #5 - IMPLEMENTATION. APN Substandards of 5a, 5b, 5c, 5d specifics.

Back 15

APN 5a: Coordinate care (develop, implement, & facilitate) using POC to promote optimal pt. outcomes
5b: Health teaching & promotion - continue to restore & maintain health.
5c:Consult w/authoritative sources to manage complex pt. care
5d:Script Authority & Tx - accurately & independently prescribe med & peform procedures to promote continuity of care

Front 16

SOC #6- EVALUATION: What is difference in SOC between RN & APN?

Back 16

RN: measure child & family progress toward outcomes
APN:Eval response to plan & interventions, & monitor progress towards acheiving outcomes

Front 17

SOPP #7 - QUALITY OF PRACTICE: What is difference between RN vs APN?

Back 17

RN: actively participate in improving quality, safety and effectiveness of nursing care.
APN: Eval quality of care in terms of outcomes, effectiveness of RN & APN practice.

Front 18

SOPP #8- EDUCATION: What is difference between RN vs APN?

Back 18

RN: demonstrate competancy in Pedi Onc nursing practice & maintain knowledge.
APN: Acquire & maintain knowledge & skills in Pedi Onc nursing & related disciplines.

Front 19

SOPP #9- PROFESSIONAL PRACTICE EVAL: What is difference between RN vs APN?

Back 19

RN: self-eval in relation to practice standards & legal statues.
APN: Accountability to oneself, public & profession to provide competant & culturally sensitive care

Front 20

SOPP #10- COLLEGIALITY: What is the difference btwn RN vs APN?

Back 20

RN: contribute to professional development of peers, colleagues, & others.
APN: develop collegial relationships w/many disciplines to ensure quality care for Onc pt's & families.

Front 21

SOPP #11 - COLLABORATION: What is difference btwn RN vs APN?

Back 21

RN: Collaborate with kids, families & multidisciplinary team to provide care
APN:Promote collaboration w/multi disciplinary team to care for kid & family.

Front 22

SOPP #12- ETHICS: What is difference btwn RN vs APN?

Back 22

RN: Recognize rights of kids & families & make decision according to ethical principles.
APN:Respect rights of kids & families; conform to ethical principles when making decisions & interventions

Front 23

SOPP #13- RESEARCH: What is difference btwn RN vs APN?

Back 23

RN: participate, review, & integrate research to develop knowlegde used in clinical practice & decision making.
APN:Contribute to nrsg knowledge by utilizing research findings & maintain evidence-based practice.

Front 24

SOPP #14 - RESOURCE: What is difference btwn RN vs APN?

Back 24

RN:Manage care environment, ensure safe,effective, & cost-effective.
APN:Identify & implement strategies to utilize healthcare resources for kids n families with cancer.

Front 25

SOPP #15 - LEADERSHIP: What is difference btwn RN vs APN?

Back 25

RN: Serve as leader, role model & mentor of collegues & students in clinical setting
APN:Serve as leader, role model, & mentor for profess development of peers, collegues, staff, and students.

Front 26

When and where was APHON was established?

Back 26

Established 1973
St. Jude's, Memphis, TN - 4 nurses
Encorporated 1976

Front 27

APHON Vision

Back 27

"Children & adolescents with cancer and blood disorders & their families will receive the highest quality of care"

Front 28

APHON Mission Statement

Back 28

"is the professional organization for Pedi Heme/Onc nurses and other Pedi Heme/Onc healthcare professionals. Member are dedicated to promoting optimal nursing care for children, adolescents, and young adults w/cancer & blood disorders, and their families.

Front 29

APHON Mission Statement, part 2

Back 29

"Provides leadership and expertise to Pedi Heme/Onc nurses by defining and promoting the highest standard of practice & care to pedi, adolescent, and young adult communities".

Front 30

APHON Provides what for nurses?

Back 30

Educational conferences, patient education materials, publications, and certifications