Please login (Members) to view content or
(Nonmembers) this article.
0

No votes yet

CNE Article

Self-Administered Premedication: Improving Taxane Chemotherapy Treatment


Kristin Roper
Mary Lou Siefert
Frances Fuller
Diane Lucier

Donna L. Berry
CJON 2017, 21(2), 234-239 DOI: 10.1188/17.CJON.234-239

Background: Patients receiving taxane therapy are at risk for hypersensitivity reactions without appropriate premedication management. Patients must understand the importance of taking premedications as prescribed to prevent reactions.


Objectives: The objectives of this study were to implement and evaluate a multidisciplinary practice protocol comprised of standardized nursing documentation of premedication regimens, teaching, and patient adherence to at-home premedication in an electronic health record (EHR).


Methods: A new process was developed to provide standardized prescriptions, a personalized instruction sheet for patients and families, and a standardized approach to document adherence and teaching in the EHR. Pre- and post-EHR audits were used twice to evaluate the practice changes.


Findings: The findings of the first audit suggested improvement in all practice changes. After the first audit, reinforcement of the changes occurred within the group and with one-on-one meetings. The goal of 90% adherence was met at the second audit.

Earn contact hours: ONS members can receive free CNE for reading this article and completing an evaluation online. To do so, click HERE or visit cjon.ons.org/cne to access a current list of all available activities. This article's CNE is available for two years from the date of publication.

Members Only

Access to this article is restricted. Please login to view the full article.

Not a current ONS Member or journal subscriber?
Join/Renew Membership or