- Patient assessment to do an assessment of patients for treatment side effects, as well as assessing patients pre-, during and post-chemotherapy.
- Use her interpersonal skills to listen to the patient, assessing their understanding of the disease and its process as well as the patient’s emotional state.
- Clearly document all nursing cares, keeping updated medical records to ensure continuity of care both within the nursing team and across the multi-disciplinary group that is responsible for each patient.
- Administration of chemotherapy drugs to patients.
- Adhere on safe handling, cytotoxic spills and management of allergic reactions.
- Follow the medical oncologist’s prescriptions, ensuring the correct drug dose is administered to the correct patient via the correct route.
- Inform and documents side effects like nausea, vomiting and fatigue, as these are three of the most common side effects of cancer treatments, especially chemotherapy.
- Pain assessment and management through both pharmacological and non-drug-related methods.
- To supervise and provide nursing care to cancer patients.
- Work hand-in-hand with physicians and other healthcare team members to ensure the greatest quality of care for the patient.
- Create individualized care plans on patient under their supervision and care.
- Recognize and report cancer-related issues.
- Collaborate with a team of healthcare professionals to share expertise and knowledge.
- Participate in cancer research to enhance treatment protocols assigned to cancer patients.
- Give supportive resources on the patient and the families to promote a positive outlook.
- Teach patients and families regarding post-treatment precautions.
- Watch and record the patient’s progress on a constant basis.
- Chart the patient’s response to treatment and medication.
- Prepare care plan including palliative, supportive, and rehabilitative services.
- Check and take over the ward/area / rooms, patients, instruments.
- Take charge of the patient; check peripheral IV line, central line, chemo-port drainage site, operated site and take necessary action as per hospital policies, to see that appropriate care is given.
- Check patient’s case file and give medication including chemotherapy
- Follow all rights of medication administration which include
- Right patient
- Right drug
- Right dose
- Right time
- Right route
- Right documentation
- Right Education
- Check and send correct specimen properly filled lab requisition and labeled to the lab following the hospital policy.
- For any investigation or any procedure, the patient should be prepared as per the consultant’s order and shifted as per hospital policy.
- Complete the nurse’s documents immediately after each procedure.
- Follow orders of chemotherapy protocol as given in Chemo order sheet.
- Ensure that reports are done and collected and normal prior starting chemo.
- Chemo must be started only on written chemo-plan is written by the respective consultant. If not get it written and then only the chemotherapy. To be started.
- Check for consent is filled before each cycle is begun
- Observe IV Line frequently so that there is no extravasation/infiltration.
- Check TPR, BP of all patients on chemotherapy or as recommended.
- In case of very ill patients, monitor patient per hourly and any fall or rise in vital signs inform duty doctor/consultant immediately and take written instruction and carry it out immediately.
- Take round’s with the consultant and see that the instructions are followed.
- Proper disposal of cytotoxic waste right from the generated point
- To take care of acutely ill patients
- To co-ordinate and work for the smooth functioning of the hospital
- Supervise and help in bed making.
- Help patient in his/her bath, mouth care, hair combing, hair wash and nail care.
- Change 2 hourly positions after attending pressure points of bedridden patient.
- Give sponge bath to patients –major post-operative cases, bed patients etc.
- Perform major dressings of the patient and also central line, chemo-port, colostomy dressing, colostomy bag changing.
- Maintain inventory of drugs, instruments, trolley, equipment through a checklist.
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