| Chemotherapy |
Not Performed |
Minimal Experience |
Proficient |
| Patient Teaching |
|
|
|
| Follow Protocols |
|
|
|
| Calculate Body Surface Area (BSA) |
|
|
|
| Evaluate Pertinent Lab Data |
|
|
|
| Check Dosage |
|
|
|
| Care of Patient with an Extravasation |
|
|
|
| Safely Handle Cytotoxic Agents & Body Fluids |
|
|
|
| Routes of Administration: |
Not Performed |
Minimal Experience |
Proficient |
| IVPB & Continuous Infusion |
|
|
|
| IV Push |
|
|
|
| Subcutaneous |
|
|
|
| Intramuscular |
|
|
|
| Assist with Intrathecal |
|
|
|
| Intraperitoneal |
|
|
|
| Intrapleural |
|
|
|
| Intravesicular |
|
|
|
| Intra-Arterial |
|
|
|
| Radiation Therapy |
Not Performed |
Minimal Experience |
Proficient |
| Patient Teaching |
|
|
|
| Brachytherapy |
|
|
|
| Non-sealed Radioactive Therapy |
|
|
|
| Intraoperative Radiotherapy (IORT) |
|
|
|
| External Radiotherapy |
|
|
|
| Total Body Irradiation (TBI) |
|
|
|
| Radiation Safety Precautions |
|
|
|
| Bone marrow Transplantation |
Not Performed |
Minimal Experience |
Proficient |
| Peripheral Blood Stem Cells |
|
|
|
| Autologous BMT |
|
|
|
| Allogenic BMT |
|
|
|
| Complications: |
Not Performed |
Minimal Experience |
Proficient |
| Graft Rejection |
|
|
|
| Infection |
|
|
|
| Pneumonitis |
|
|
|
| Venoocculsive Disease |
|
|
|
| Graft-Versus-Host Disease (GVHD) |
|
|
|
| Biotherapy |
Not Performed |
Minimal Experience |
Proficient |
| Patient Teaching |
|
|
|
| Recognize and Manage Side Effects |
|
|
|
| Administration of: |
Not Performed |
Minimal Experience |
Proficient |
| Interferons |
|
|
|
| Interleukins |
|
|
|
| Growth Factors |
|
|
|
| Surgery |
Not Performed |
Minimal Experience |
Proficient |
| Patient Teaching |
|
|
|
| Reconstructive Surgery |
|
|
|
| Ostomy Care |
|
|
|
| Wound Drains and Tubes |
|
|
|
| Chest Tubes |
|
|
|
| Enteral Feeding Tubes |
|
|
|
| Gastrointestinal Drainage Tubes |
|
|
|
| Lymphedema |
|
|
|
| IV Therapy |
Not Performed |
Minimal Experience |
Proficient |
| Administer Bone Marrow |
|
|
|
| Total Parenteral Nutrition |
|
|
|
| Antifungals |
|
|
|
| Antivirals |
|
|
|
| Administer Bone Components: |
Not Performed |
Minimal Experience |
Proficient |
| Packed Red Blood Cells (PRBC) |
|
|
|
| Platelet Concentrates |
|
|
|
| Fresh Frozen Plasma |
|
|
|
| Cryoprecipitate |
|
|
|
| Irradiated Components |
|
|
|
| Venous Access Devices |
Not Performed |
Minimal Experience |
Proficient |
| Hickman |
|
|
|
| Broviac |
|
|
|
| Quinton |
|
|
|
| Groshong |
|
|
|
| Insertion of PICC Line |
|
|
|
| Declot Occluded Ports or Catheters |
|
|
|
| Flush Lumens and Change Caps |
|
|
|
| Implantable Vascular Access Ports |
Not Performed |
Minimal Experience |
Proficient |
| Port-A-Cath |
|
|
|
| Opti-Port |
|
|
|
| Chemoport |
|
|
|
| S.E.A. Port |
|
|
|
| Omega Port |
|
|
|
| Patient Teaching |
|
|
|
| Flush Catheter |
|
|
|
| Access Catheter Port |
|
|
|
| Obtain Blood Specimens |
|
|
|
| Implantable Pumps |
Not Performed |
Minimal Experience |
Proficient |
| Infusaid |
|
|
|
| Medtronic |
|
|
|
| Therex |
|
|
|
| Ambulatory Infusion Pumps |
Not Performed |
Minimal Experience |
Proficient |
| Auto Syringe |
|
|
|
| Pharmacia |
|
|
|
| Pancretec |
|
|
|
| Cormed |
|
|
|
| Synchromed |
|
|
|
| CADD |
|
|
|
| Care of Patient with Alteration in Protective Mechanisms |
Not Performed |
Minimal Experience |
Proficient |
| Neutropenia |
|
|
|
| Thrombocytopenia |
|
|
|
| Altered Skin Integrity |
|
|
|
| Neuropathy |
|
|
|
| Altered Mental Status |
|
|
|
| Stomatitis |
|
|
|
| Laminar Airflow Units |
|
|
|
| Emergencies |
Not Performed |
Minimal Experience |
Proficient |
| Hemorrhage |
|
|
|
| Disseminated Intravascular Coagulation (DIC) |
|
|
|
| Septic Shock |
|
|
|
| Acute Tumor Lysis syndrome (ATLS) |
|
|
|
| Hypercalcemia |
|
|
|
| Superior Vena Cava Syndrome (SVCS) |
|
|
|
| Spinal Cord Compression (SCC) |
|
|
|
| Capillary Leak Syndrome |
|
|
|
| Anaphylaxis |
|
|
|
| Cardiac Tamponade |
|
|
|
| Increased Intracranial Pressure (ICP) |
|
|
|
| Care of Patients with Acute/Chronic Pain |
Not Performed |
Minimal Experience |
Proficient |
| Continous Narcotic Infusion |
|
|
|
| IV Push Narcotic Infusion |
|
|
|
| Oral Timed Release Agents |
|
|
|
| Transdermal Agents |
|
|
|
| PCA Pumps |
|
|
|
| Epidural Medication |
|
|
|
| Adjuvant Medications |
|
|
|
| Alternative Therapies |
|
|
|
| Non-pharmacologic Strategies |
|
|
|
| Family/Psychosocial Needs |
Not Performed |
Minimal Experience |
Proficient |
| Patient Teaching Self Care and Coping Skills |
|
|
|
| Quality of Life Issues |
|
|
|
| Advance Directives |
|
|
|
| Death and Dying Counseling |
|
|
|
| Hospice Care |
|
|
|
| Bereavement Phase |
|
|
|
| Survivorship (After Treatment) |
|
|
|
| Assisting with Procedures |
Not Performed |
Minimal Experience |
Proficient |
| Central Line Placement |
|
|
|
| Bone Marrow Biopsy |
|
|
|
| Thoracentesis |
|
|
|
| Pleurodesis |
|
|
|
| Pericardiocentesis |
|
|
|
| Chest Tube Insertion |
|
|
|
| Bronchoscopy |
|
|
|
| Liver Biospy |
|
|
|