Discontinuing a Chemotherapy Infusion

presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board

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Financial: Lisa Gorski receives compensation from MedBridge for this course. She also receives compensation from 3M, BD Medical, Genentech, and Nexus Medical.
Nonfinancial: Lisa Gorski is a professional member of Infusion Nurses professional society.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 4 Minutes

Chemotherapy infusions are usually set up at the oncology center. Some patients undergoing chemotherapy will receive these infusions at home over several days, with orders for the home care agency nurse to discontinue the infusion. Notably, some patients may be taught to do this procedure independently by the oncology center nurses. Most patients will have an implanted vascular port in place for the infusions. There are a number of chemotherapy infusions that are home administered, 5-fluorouracil being an example of a very common home infusion chemotherapy drug. Chemotherapy drugs are hazardous drugs, based on characteristics including carcinogenicity, teratogenicity, reproductive toxicity, organ toxicity at low doses, and genotoxicity. While there is scarce literature on hazardous drug education for home care nurses, nurses who administer any level of chemotherapy should receive specific education. The Oncology Nursing Society provides excellent online education and recommendations, such as a best practice and a clinical competency for all home care nurses who perform any chemotherapy procedures. While nurses may consider this procedure a task, often referring to it as a "chemotherapy takedown," it involves much more than performing procedures.

In this training, we'll review the equipment and procedures for discontinuing a chemotherapy infusion. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

Meet Your Instructors

Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

Lisa A. Gorski has worked for 40 years as a clinical nurse specialist (CNS) and educator for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home, in Milwaukee, Wisconsin. As a CNS, she has played a key role in the home infusion therapy program, contributing to clinician education, policy and procedure development,…

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Clinical Procedure Manual Review Board,

The MedBridge Clinical Procedure Manual Review Board ensures the development and maintenance of up-to-date and evidence-based clinical procedures. The review board is composed of leading nurse experts in the field: Danielle Pierotti, RN, PhD, CENP, and Margherita Labson, RN, BSN, MSHSA. The review board is involved in selecting the scope of procedures developed, approving subject…

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Chapters & Learning Objectives

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Download the learning objectives for Discontinuing a Chemotherapy Infusion.

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1. Introduction

This chapter includes an introduction to discontinuing a chemotherapy infusion, information on all of the equipment needed to discontinue a chemotherapy infusion, and recommended infection control policies.

2. Procedure: Discontinuing a Chemotherapy Infusion

This chapter will provide a step-by-step procedure guide and video demonstration of discontinuing a chemotherapy infusion.

3. Tips and Precautions

This chapter provides tips and considerations for performing these skills in the home. It also covers related procedures.

4. Documentation Guidelines

This chapter provides recommendations on what to note when documenting for patients receiving CVAD care.

5. Conclusion

This chapter includes learning assessment questions to assess the learner's knowledge of skills covered in this course. A bibliography of referenced material is also included.

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