nursing.elitecme.com Page 71 Complete Your CE Test Online - Click Here It is helpful to ask cancer patients open-ended questions about vitamins and herbal supplements and any other complementary therapies they may be using when reviewing their current medications [158]. Health concerns for nurses treating cancer patients As nurses and caregivers, those who prepare and administer hazardous drugs need special training and procedures to avoid skin contact, splashes, and aerosols. Mechanical protection such as compounding biologic safety cabinets are used along with careful splash-minimizing procedures during drug preparation. Those administering dangerous and cytotoxic drugs should use personal protective equipment (PPE, such as disposable chemotherapy gloves, gowns, and goggles) for reducing the risks of splashes, aerosols, and other exposures. Used PPE must be disposed of appropriately, along with bags, syringes, tubing, and other administrative equipment. Reusable goggles should be carefully cleaned following procedures that minimize possible contamination of the health care worker or the work environment. NIOSH has a list of hazardous drugs in healthcare settings along with how those drugs were chosen, and what those hazards are online at http://www.cdc.gov/niosh/docs/2014-138/pdfs/2014-138_v3.pdf [216]. Eye-wash stations and drenching hoses are also strongly recommended by OSHA in areas near areas where cytotoxic drugs are prepared and administered and near possible bloodborne pathogen exposures. These are intended to manage potentially hazardous splashes after the fact, but they are not a substitute for preventive measures [278]. Summary This continuing education course covered cancer prevention, cancer nursing, early detection, myths about cancer and cancer prevention, drug interactions, dangers to the nurse and the patient from cancer treatment, financial issues, and standards of care. Cancer prevention and cancer nursing are broad topics with many interesting facets and complex challenges, from the molecules of drugs to patient interactions. As each patient’s story unfolds, it is easy to see the impact that a cancer diagnosis can have. There is so much to know that cannot be covered in education modules like this, which can only examine small bits of the big picture in the hope that some of it will be useful to the nurse caring for these patients and families. But given the scope of the information for which there is not space, following are some resources that might be of help in inpatient and outpatient settings, for the nurse and to share with patients and the people who (almost) never get a day off, caregivers. Resources for nurses Cancer screening, prevention, and treatment information ● ● The National Cancer Institute has cancer information including PDQs for professionals at http://www.cancer.gov/resources-for/ hp with evidence to support many aspects of cancer including treatment, palliative care, prevention, genetics, and complementary and alternative treatments. Much more can be found at http://www. NCI.gov or by calling 1-800-4-CANCER. ● ● The American Cancer Society has cancer screening guidelines, complementary and alternative medicine information, carcinogen lists, and information on cancer types and stages, survival and treatment at http://www.cancer.org or 1-800-ACS-2345. ● ● The National Comprehensive Cancer Network (NCCN) has guidelines for care both for various cancer types and stages as well as supportive care for symptoms like nausea, fatigue, pain, palliative care, survivorship and more. Free of charge to health professionals (requires registration) at http://www.nccn.org. ● ● The U.S. Preventive Services Task Force health recommendations, including cancer screening information and evidence, at http:// www.uspreventiveservicestaskforce.org. ● ● The Joint Commission for inpatient and outpatient practice standards, at http://www.jointcommission.org. Practice standards and safety information ● ● National Institute for Occupational Safety and Health for safety information, technical assistance for safety issues at work; antineoplastic and hazardous drug information: http://www.cdc. gov/niosh/topics/antineoplastic/effects.html. ● ● The Occupational Safety and Health Administration has regulatory standards for health care workers and others, such as Material System Data Sheet (MSDS) requirements at http://www.osha.gov. ● ● The Centers for Disease Control Basic Infection Control and Prevention Plan for Outpatient Oncology Settings: Minimum Expectations for Safe Care at http://www.cdc.gov/hai/pdfs/ guidelines/Ambulatory-Care+Checklist_508_11_2015.pdf; also smoking and tobacco, infections that can cause/promote cancer at http://www.cdc.gov. ● ● Oncology Nursing Society (ONS) has information for patient care, nursing standards, and professional information at http://www.ons. org. ● ● American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards (2013) can be found at https://www.ons.org/sites/default/ files/2013chemostandards.pdf. ● ● The American Society of Clinical Oncology (ASCO) has a discussion guide for informed consent for cancer treatment as well as a sample consent form at http://www.instituteforquality.org/ informed-consent-chemotherapy-administration. ● ● The Association of Community Cancer Centers has listings of Cancer Program Guidelines at https://www.accc-cancer.org/ publications/CancerProgramGuidelines-4.asp#section. ● ● FDA – MedWatch has information on reporting new adverse events of drugs at http://www.fda.gov/Safety/MedWatch/ HowToReport/ucm085568.htm or the nurse can call 1-800-332- 1088 during regular business hours. Specialized cancer and treatment-related information ● ● The U.S. Food and Drug Administration (FDA) has drug and dietary supplement information, regulations, and new drug approvals at http://www.fda.gov or 1-888-INFO-FDA. There is a sign-up for email notices on new drug approvals, safety alerts, radiological health, and recalls at http://www.fda.gov/AboutFDA/ ContactFDA/default.htm. ● ● The National Library of Medicine, PubMed, has free scientific information about nearly any medical topic in searchable data base: http://www.ncbi.nlm.nih.gov/pubmed. ● ● FDA DailyMed has detailed information for health professionals on thousands of drug at https://dailymed.nlm.nih.gov/dailymed/ index.cfm (search by name or browse by class). ● ● Clinical Trials is an online listing of clinical trials worldwide: http://www.clinicaltrials.gov. ● ● NTP for toxicology information, including monographs with research summaries on carcinogenic agents at http://ntp.niehs.nih. gov/; the 13th Report on Carcinogens, 2014, is at http://ntp.niehs. nih.gov/pubhealth/roc/roc13/index.html.