Quality & Safety

Rapid Rituximab: An Inpatient Pilot Project to Increase Education and Use Among Oncology Nurses

Casey Schade

rapid rituximab, administration guidelines, quality improvement, nursing education
CJON 2022, 26(4), 433-437. DOI: 10.1188/22.CJON.433-437

Suboptimal clinician awareness of the appropriate order set and lack of nursing education on admin­istration guidelines led to rapid rituximab infusion ad­ministration (RRIA) being underused on an inpatient oncology unit. A quality improvement pilot project was developed to stimulate ordering RRIA, increase nursing knowledge, optimize inpatient chemothera­py admission and discharge schedules, and decrease nursing workload. Educational interventions led to a 38% increase in nurses’ comfort with RRIA, and data showed an increase to 100% use of RRIA for eligible patients. Improving nursing education and clinician awareness of how RRIA can decrease duration of infusions for patients, creates more efficient schedul­ing workflows and reduces nursing workload.

At a Glance: 

  • Development of unit-specific guidelines may stimulate increased use of RRIA.
  • Improved clinician knowledge on patient eligi­bility and the appropriate order set for RRIA can reduce infusion duration.
  • Optimizing efficiency of nursing workflows by using RRIA can result in more predictability and efficiency in chemotherapy inpatient admissions and discharge scheduling.
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