Lesson 1Documentation an handover: focused nursing notes, escalation triggers, ISBAR communicationDis section outline best practices fi documentation an handover in inpatient chemo care. Nurses learn focused note structure, escalation triggers, an standardized ISBAR communication fi ensure continuity, safety, an shared understanding.
Writing concise, focused oncology nursing notesRecording assessment findings and trendsDocumenting escalation triggers and responsesPreparing effective ISBAR handoversHandover of high-risk chemotherapy patientsLegal and quality aspects of documentationLesson 2Physical exam specific to oncology: oral mucosa, skin/hair, IV access, vital signs, hydration statusDis section focus pon targeted physical exam fi oncology inpatients, includin oral mucosa, skin, hair, IV access, vital signs, an hydration. Nurses learn fi detect early toxicity, extravasation, dehydration, an signs o sepsis or bleedin.
Oral cavity exam for mucositis and infectionSkin, hair, and nail changes from chemotherapyAssessment of peripheral and central IV accessVital signs, early warning scores, and trendsHydration status, edema, and fluid balanceFindings requiring urgent medical reviewLesson 3Lab interpretation: neutropenia grades, ANC calculation, hemoglobin, platelets, electrolytes, renal and liver functionDis section teach interpretation o key lab values in oncology inpatients, includin neutropenia gradin, ANC calculation, hemoglobin, platelets, electrolytes, an renal an liver function. Emphasis pon linkin results to actions an safety.
Calculating and interpreting ANC valuesNeutropenia grades and infection precautionsHemoglobin thresholds and transfusion triggersPlatelet counts, bleeding risk, and safetyElectrolyte abnormalities and urgent actionsRenal and liver function and chemo dosingLesson 4Functional status and work ability assessment: ADLs, IADLs, performance status scales (Karnofsky, ECOG)Dis section explain how fi assess functional status an work ability usin ADLs, IADLs, an performance status scales. Nurses learn fi link scores wid chemo tolerance, discharge plannin, rehabilitation needs, an safety considerations.
Assessing basic ADLs in oncology inpatientsEvaluating IADLs and community functioningUsing Karnofsky Performance Status scaleUsing ECOG Performance Status scaleDocumenting baseline and trend changesImplications for chemo dosing and dischargeLesson 5Assessment of comorbidities affecting oncology care: diabetes, hypertension, medication reconciliation, glycemic controlDis section cover systematic assessment o comorbidities dat influence oncology care, includin diabetes, hypertension, cardiovascular disease, an renal impairment. Nurses learn medication reconciliation, glycemic control targets, an when fi alert prescribers.
Identifying key comorbidities impacting chemoMedication reconciliation and interaction risksAssessing glycemic control and insulin needsMonitoring blood pressure and volume statusRenal and hepatic comorbidity considerationsEscalation criteria for unstable comorbiditiesLesson 6Focused symptom review: nausea, vomiting, fatigue, mucositis, pain, appetite, bowel habitsDis section detail a focused symptom review fi inpatients pon chemo, emphasizin nausea, vomitin, fatigue, mucositis, pain, appetite, an bowel habits. Nurses learn structured questionin, gradin severity, an identifyin red flags needin escalation.
Structured nausea and vomiting assessmentEvaluating cancer-related and treatment fatigueOral mucositis grading and impact on intakeComprehensive pain assessment and reassessmentMonitoring appetite, intake, and weight trendsBowel habit changes, constipation, and diarrheaLesson 7Psychosocial and family assessment: anxiety screening, caregiver readiness, health literacy, cultural beliefsDis section address psychosocial an family assessment fi inpatients gettin chemo. Nurses learn anxiety an depression screenin, caregiver readiness, health literacy, cultural beliefs, an how fi tailor education an support resources.
Screening for anxiety, depression, and distressAssessing coping style and support systemsEvaluating caregiver readiness and burdenAssessing health literacy and education needsExploring cultural and spiritual care beliefsReferrals to psychosocial and spiritual servicesLesson 8Infection risk evaluation and sources: central lines, breaks in skin, recent procedures, household exposuresDis section explain how fi evaluate infection risk in oncology inpatients, focusin pon central lines, skin breaks, recent procedures, mucosal damage, an household exposures. Nurses learn fi recognize early infection signs an initiate timely precautions.
Assessing central venous access infection riskInspecting skin breaks, wounds, and devicesRecent procedures and postoperative risksMucositis and gastrointestinal barrier injuryHousehold and community exposure historyEarly sepsis indicators and isolation needs
