Global Nursing

​Our outpt organization is exploring how we currently provide initial education/signing of consent to pts receiving IV & PO treatments (both new and change of protocol).
Current state: Either an NP or RN completes 1 hour of focused education on the regimen, schedule, home medications, etc and has the pt sign consent for treatment which is scheduled on a different day. The rationale- to avoid "teach & treat" on the same say of therapy so as not to overwhelm pts with information and give them time to process and ask questions pertaining to their care.
Proposed idea: provide a cancer basics group course and give folders containing individualized drug regimen/schedule content to pts. The rationale- pts will begin to start their "cancer network" with other attendees, have an opportunity to review regimen materials at home themselves/with family. On the first day of treatment either an NP appt or Infusion RN will answer questions & sign consent depending on the assessed pt need or complexity of protocol. Inpts who may have needed to start care urgently as Inpt then subsequently as Outpt would also be encouraged to attend.
Has anyone utilized this type of format successfully? Any advice, ideas, or references to review would be greatly appreciated.

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Sarah Stankus RN BSN OCN
Nurse Educator
Beacon Health System
Osceola IN
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Original Message------

​Our outpt organization is exploring how we currently provide initial education/signing of consent to pts receiving IV & PO treatments (both new and change of protocol).
Current state: Either an NP or RN completes 1 hour of focused education on the regimen, schedule, home medications, etc and has the pt sign consent for treatment which is scheduled on a different day. The rationale- to avoid "teach & treat" on the same say of therapy so as not to overwhelm pts with information and give them time to process and ask questions pertaining to their care.
Proposed idea: provide a cancer basics group course and give folders containing individualized drug regimen/schedule content to pts. The rationale- pts will begin to start their "cancer network" with other attendees, have an opportunity to review regimen materials at home themselves/with family. On the first day of treatment either an NP appt or Infusion RN will answer questions & sign consent depending on the assessed pt need or complexity of protocol. Inpts who may have needed to start care urgently as Inpt then subsequently as Outpt would also be encouraged to attend.
Has anyone utilized this type of format successfully? Any advice, ideas, or references to review would be greatly appreciated.

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Sarah Stankus RN BSN OCN
Nurse Educator
Beacon Health System
Osceola IN
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One interesting approach I have seen for obtaining informed consent (albeit for a clinical trail not chemo) was to supplement the written material we were given, by being provided an iPad to watch the PI giving an overview of the trial and commonly asked questions. The study nurse then followed up with additional questions. This approach permitted the PI to explain treatment in his/her own words, patients all received the same information and it was a good use of the PIs time. A good nursing study???

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Laura Benson RN, MS, ANP
President
Conversations In Care
New Rochelle NY
914 819-8913
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Original Message:
Sent: 12-04-2019 09:00
From: Lynne Brophy
Subject: Chemotherapy Teaching- Group Format

Hi Sarah,

 

What a great idea.  May I point out the importance of remembering that providers have the informed consent discussion with a patient, according to Joint Commission regulations and law and nurses may hand the informed consent document to the patient to sign but must never "have the informed consent discussion" with a patient. 

 

How do you plan to document this discussion?

Lynne Brophy, RN-BC, MSN, CNS, AOCN

Breast Oncology Clinical Nurse Specialist

Stefanie Spielman Comprehensive Breast Center

Room 2040
1145 Olentangy River Rd., Columbus, OH, 43212

614.293.1524

Original Message------

​Our outpt organization is exploring how we currently provide initial education/signing of consent to pts receiving IV & PO treatments (both new and change of protocol).
Current state: Either an NP or RN completes 1 hour of focused education on the regimen, schedule, home medications, etc and has the pt sign consent for treatment which is scheduled on a different day. The rationale- to avoid "teach & treat" on the same say of therapy so as not to overwhelm pts with information and give them time to process and ask questions pertaining to their care.
Proposed idea: provide a cancer basics group course and give folders containing individualized drug regimen/schedule content to pts. The rationale- pts will begin to start their "cancer network" with other attendees, have an opportunity to review regimen materials at home themselves/with family. On the first day of treatment either an NP appt or Infusion RN will answer questions & sign consent depending on the assessed pt need or complexity of protocol. Inpts who may have needed to start care urgently as Inpt then subsequently as Outpt would also be encouraged to attend.
Has anyone utilized this type of format successfully? Any advice, ideas, or references to review would be greatly appreciated.

------------------------------
Sarah Stankus RN BSN OCN
Nurse Educator
Beacon Health System
Osceola IN
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At my outpatient HemOnc, we do group teaching and then individualized folders if they have different regimens. We have a standard "common side effect" pamphlet that goes over majority of side effects most patients deal with, so we go over that as a group. Then we do individualized teaching with the specific regimen medications. Included in the folder are resources for wigs, support groups, things common to their illness, etc. After we go over the side effects and do the individualized teaching, then the patient signs our consent. 

This seems to work for our clinic and then patients have a folder to keep all of their information in.  I hope this helps!

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Alyssa Lafond BSN RN
Sarasota FL
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Original Message:
Sent: 12-03-2019 10:38
From: Sarah Stankus
Subject: Chemotherapy Teaching- Group Format

​Our outpt organization is exploring how we currently provide initial education/signing of consent to pts receiving IV & PO treatments (both new and change of protocol).
Current state: Either an NP or RN completes 1 hour of focused education on the regimen, schedule, home medications, etc and has the pt sign consent for treatment which is scheduled on a different day. The rationale- to avoid "teach & treat" on the same say of therapy so as not to overwhelm pts with information and give them time to process and ask questions pertaining to their care.
Proposed idea: provide a cancer basics group course and give folders containing individualized drug regimen/schedule content to pts. The rationale- pts will begin to start their "cancer network" with other attendees, have an opportunity to review regimen materials at home themselves/with family. On the first day of treatment either an NP appt or Infusion RN will answer questions & sign consent depending on the assessed pt need or complexity of protocol. Inpts who may have needed to start care urgently as Inpt then subsequently as Outpt would also be encouraged to attend.
Has anyone utilized this type of format successfully? Any advice, ideas, or references to review would be greatly appreciated.

------------------------------
Sarah Stankus RN BSN OCN
Nurse Educator
Beacon Health System
Osceola IN
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