260861331675132610.weebly.com



Project Scope and Plan (PSP)General Information:Project name: Nursing adherence to safe medication handling practices of cytotoxic agents Project Manager name: Lindsey RanstadlerSite:_Munson Medical Center Outpatient Infusion Clinic Location: Traverse City, MI A. Project Overview: Describe the product or service of the project, the reason project will be undertaken, and the purpose of the project. Discuss the problem or opportunity this project addresses. Include the quality and safety issue this project will address. Support with current evidence-based practice literature or data specific to the project. This project will look at nursing adherence to safe medication practices when handling and administering cytotoxic agents. The reason this was selected is that compliance with recommendations set forth regarding safe handling of cytotoxic agents is often inconsistently practiced CITATION Eis12 \l 1033 (Eisenberg, 2012). Concerns for occupational exposure to cytotoxic agents first appeared in the 1970’s, and the effects of occupational exposure to such agents have been well documented in the years since CITATION Nat04 \l 1033 (National Institute for Occupational Safety and Health, 2004). This project will serve to educate staff nurses about the importance of safe handling practices, evaluate reasons for noncompliance and attempt to close perceived barriers with their use. This is a huge safety issue, as the presence of cytotoxic agents on surfaces in areas in which they are used is well documented CITATION Sot10 \l 1033 (Sottani, Porro, Comelli, Imbriani, & Minoia, 2010). B. Project Goal(s): Describe the project goal(s) using SMART (specific, measurable, accurate and agreed to, realistic, and time bound) formula. These goals will be used to measure and determine the project’s success at its conclusion.The primary goal of this project will be to increase nursing compliance use of personal protection equipment in keeping with the standards set forth by the oncology nursing society to 100%. Success will be measured by observation and audits conducted to monitor compliance. This goal will be met April 1, 2014.The secondary goal of this project will be to increase nursing awareness of the potential for exposure to cytotoxic agents as well as possible implications and risk to personal health. Baseline of current knowledge will be assessed using a pretest to determine current knowledge of health risks. After education provided, a post test will be given to determine knowledge gained. This goal will be met by April 1, 2014.C. Project Objectives/Deliverables: List the specific items or services that must be produced in order to fulfill the goal of the project. Objectives/deliverables should be measurable results, measurable outcomes or specific products or services. List and number in a logical order to complete the project. 1. Formation of multidisciplinary committee to review current practice and establish plan to increase compliance by February 1, 2014.2. Complete literature review of current standards of practice re: cytotoxic agents, as well as for implications of exposure, barriers for compliance and strategies to increase nursing compliance by February 14, 20143. Assessment of current knowledge of staff nurses re: cytotoxic agents by February 14, 20144. Assessment of current nursing practice while handling cytotoxic agents by February 14, 2014.5. Write plan to increase nursing compliance based on assessment findings and input of multidisciplinary team by March 1, 2014.6. Begin staff education re: compliance of recommendations by March 15, 20147. Reassess nursing compliance and evaluation of progress by April 1, 2014D. Comprehensive List of Project Requirements/Activities/Tasks: List by corresponding objective the necessary specifications of the objective/deliverable. Example 1.1, 1.2, 1.3, 1.4, etcThis is a breakdown of the objectives/deliverables into their most basic components. Consider this the action plan of the project.Strategize about who could contribute valuable information to project1.1a Confer with other staff nurses re: who could contribute1.2 Contact identified individuals requesting their assistance with project 1.2a email Joanne McGurn and Aimee Cloud, Onc pharmacists to request participation 1.2b email Kelly Guswieler, RN clinical nurse specialist requesting participation1.3 Set meeting times to discuss project 1.3a send email requesting input for availability 1.3b determine meeting schedule based on group availability1.4 Collect input from team members 1.4a Discuss current practices 1.4b Discuss current standard of care 1.4c Discuss strategies to improve compliance 1.4d Discuss educational needs of staff- review pretest 1.4e Determine what, if any, repercussions for noncompliance2.1Perform literature search for standard of care 2.1a Search Ferris library for current standards of care 2.1b Consult ONS resources 2.2Perform literature search for implications of exposure 2.2a Search Ferris library for sources2.3Perform literature search for barriers to compliance and strategies to eliminate them 2.3a search Ferris library for sources3.1 Develop and distribute questionnaire re: risk of exposure to cytotoxic agents 3.1a Write pretest to be given to assess current knowledge3.2 Develop and distribute questionnaire re: current practices when handling chemo 3.2a write questionnaire re: current practices4.1 Conduct an audit re: current compliance with standard of care 4.1a observe nurses on the floor when administering chemotherapy 4.1b document instances of administration and compliance with PPE 5.1 Put together data from meetings, assessments and lit reviews 5.1a Gather data from pretests 5.1b Gather input from interdisciplinary meetings 5.1c Gather data from audits/direct observation 5.1d Formulate source list from references used5.2 Use data collected to formulate a plan to increase compliance 5.2a Write plan to increase compliance5.3 Present plan to group for input and revision if needed 5.3a Meet with group and present plan 5.3b Revise plan if needed6.1 Educate staff of potential complications of non-compliance 6.1a Create educational poster board to be displayed in common area 6.1b Hold short in-service6.2 Educate staff re: standards of care and recommendations of team 6.2a Create educational poster board to be displayed in common area 6.2b Hold short in-service6.3 educate staff on expectations of compliance with recommendations 6.3a Include this with in-service re: recommendations of team7.1 Evaluate process of product development and implementation 7.1a Complete leadership journal assignments 7.1b Reflect on product development process 7.1c reassess nursing compliance with observation/audits 7.1d Determine if process was effective in increasing nursing compliance (goal 100%)E. Timeline: Identify time estimates by hours for each objective/deliverable in hours. These are estimates only and will be updated as project progresses.Team formation- 2 hours, plan development 20 hoursLiterature search- 8 hoursSurvey - 6 hoursAudits- 14 hoursWrite plan- 15 hoursEducation- 5 hoursEvaluation- 20 hoursF. Assumptions & Constraints: Identify all project assumptions and constraints. AssumptionsNurses intend on practice to standard of careStaff nurses will participate with projectTeam members will be allowed time to participate with projectTeam members have working knowledge of cytotoxic agents ConstraintsCost of equipmentScheduleScopeQualityCommunicationG. Success Criteria: Provide the “value” of the project. Why is this project important and of what benefit it is? What impact will it have on client care and client outcomes including aspects related to quality and safety? How will you know if the project was a success? Support with evidence-based literature or nursing data.This project will serve to increase nursing knowledge of cytotoxic agent exposure, which is known to cause lasting detrimental health effects when handled improperly CITATION Nat04 \l 1033 (National Institute for Occupational Safety and Health, 2004). Competent oncology nurses must have a working knowledge of safe handling of cytotoxic medications and apply those principles consistently to protect not only themselves but also everyone else in the environment CITATION Nix09 \l 1033 (Nixon & Schulmeister, 2009). Safe handling then will decrease the amount of particulate on surfaces, thus decreasing risk of exposure for everyone in the immediate environment CITATION Sot10 \l 1033 (Sottani, Porro, Comelli, Imbriani, & Minoia, 2010). Project success will result in safer working environment for staff and can be measured by direct observation of compliance with NIOSH-PPE recommendations.H. Signatures: (no electronic signatures)Project Manager_____________________________________________Nurse Manager/Supervisor/________________________________________Phone: email: BIBLIOGRAPHY \l 1033 Eisenberg, S. (2012). NIOSH Safe Handling of Hazardous Drugs Becomes Law. Journal of Infusion Nursing, 35(5), 316-319. doi:10.1097/NAN.0b013e31826596c4National Institute for Occupational Safety and Health. (2004). NIOSH alert: Preventing occupational exposure to antineoplastic and other hazardous drugs in health care settings. Cincinnati: Department of Health and Human Services. Retrieved from , S., & Schulmeister, L. (2009, August). Safe handling of hazardous drugs: Are you protected? Clinical Journal of Oncology Nursing, 13(4), 433-439. doi:10.1188/09.CJON.433-439Sottani, C., Porro, B., Comelli, M., Imbriani, M., & Minoia, C. (2010). An analysis to study trends in occupational exposure to antineoplastic drugs. Journal of Chromatography, 2593-2605. doi:10.1016/j.jchromb.2010.04.030 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download