Oncology Skills Checklist: Name - Date

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ONCOLOGY SKILLS CHECKLIST

Name___________          ____________________
Date_________          _______________________
Key: 1 = No Experience
2 = Some Experience
3 = Moderate Experience
4 = Proficient

CHECK PROFICIENCY 1 2 3 4 CHECK PROFICIENCY 1 2 3 4


Oncologic Procedures Chemotherapy (Continued)
Assist with bone marrow Biopsy i. Oral
Bronchoscopy j. Subcutaneous
Pericardiocentesis Calculate Body Surface Area (BSA)
Pleurodesis
Check dosage
Assist with liver biopsy
Evaluate Pertinent lab data
Assist with paracentesis
Follow Protocols
Assist with chest tube insertion
Manage cytotoxic spills
Assist with central line placement
Assist with thoracentesis Patient teaching

IV Therapy: Safety Handle


a. Cytotoxic agents
1. Starting IV’s
b. Body fluids after chemotherapy
2. Administer bone marrow
Radiation therapy
3. Administer Blood Components
Brachytherapy
a. Cryoprecipitate
External Radiotherapy
b. Fresh Frozen Plasma
Intraoperative Radiotherapy
c. Irradiated Components

d. Packed red Blood Cells Intraoperative Radiotherapy (IORT)


(PRBC)
Non-sealed radioactive therapy
e. Platelet concentrates
Patient teaching
4. Antifungals
Radiation safety precautions
5. Antivirals
Total body irradiation (TBI)
6. Total parenteral Nutrition
Care of Patients with:
Chemotherapy:
Acute and/or chronic pain
Administration Chemotherapy:
a. Adjuvant medications
a. Intra-arterial
b. Transdermal agents
b. Intramuscular
c. Oral timed release agents
c. Intra-peritoneal
d. PCA pump
d. Intra-pleural
e. Epidural medications
e. Intra-veslcular
f. IV push narcotic agents
f. Intra-thecal (administer & assist)
g. Continuous narcotic infusion
g. Intra-vesicular
h. Alternative therapies
h. IVPB & continuous infusion

MCNW-F-008, R2 (2/1/2022) Page 1 of 5


ONCOLOGY SKILLS CHECKLIST
CHECK PROFICIENCY 1 2 3 4 CHECK PROFICIENCY 1 2 3 4
Care of Patients with: (Continued) Care of Patients Receiving: Continued
i. Non-pharmacologic strategies 2) Interferons
j. Oral time release agents 3) Interleukins
k. PCA pump
b. Patient teaching
l. Transdermal agents
c. Recognize and manage side
Experiencing Surgery effects
a. Chest tubes Bone Marrow Transplant (BMT)
b. Enteral feeding tubes a. Allogeneic BMT
c. Gastrointestinal drainage tubes
b. Autologous BMT
d. Lymphedema
c. Complications
e. Ostomy care
1) Graft rejection
f. Patient teaching
2) Graft vs. host disease
g. Reconstructive surgery (GVHD)
h. Wound drains and tubes 3) Infection
Alteration of Protective Mechanisms 4) Pneumonitis
a. Altered mental status
5) Venoocclusive disease
b. Altered skin integrity
c. Laminar airflow units Peripheral blood stem cells

d. Neuropathy Ambulatory Infusion Pumps

e. Neutropenia Auto Syrige

f. Stomatitis a. Auto syringe

g. Thrombocytopenia b. CADD

Oncologic Emergencies: c. Cormed

Disseminated intra-vasculare d. Pancretec


coagulation (DIC) e. Pharmacia
Hemorrhage f. Synchromed
Anaphylaxis Implantable Pumps
Septic shock a. Infusaid
Hypokalemia b. Medtronic
Hypercalcemia c. Therex
SIADH Implantable Vascular Access Ports:
Superior Vena Cava Syndrome Accessing catheter port
Capillary leak syndrome Chemoport
Fever Flushing catheter
Acute Tumor Lysis Syndrome (ATLS) Obtain Blood Specimens
Care of Patients Receiving: Omega Port
Biotherapy Opti-Port

a. Administration of: Port-O-Cath

1) Growth Factors S.E.A. Port

MCNW-F-008, R2 (2/1/2022) Page 2 of 5


ONCOLOGY SKILLS CHECKLIST
CHECK PROFICIENCY 1 2 3 4 CHECK PROFICIENCY 1 2 3 4
Implantable Vascular Access Ports: (continued) Immunosuppressed Patients: (Continued)
Patient teaching: Reverse isolation procedures
a. Pre-op Laminar air flow units
b. Post-op Patient teaching
c. Home care Pulmonary

Venous Access Devices Assessment of breathing patterns


a. Broviac Oropharyngeal suctioning
b. Central venous thrombosis Tracheostomy suctioning
c. Declot occluded ports or Proficient at:
catheters
a. Incentive spirometry teaching
d. Dressing change
b. Pulse oximetry
e. Flush lumens and change caps
c. Chest tube maintenance
f. Groshong GASTROINTESTINAL
g. Hickman TPN/PPN administration
h. Insertion of PICC Line G-Tubes/J-Tubes (site care and feeding
through)
i. Obtain blood specimens
j. Patient teaching Enterostomal care (ostomy care)

k. Peripherally inserted central Flexible feeding tube insertion (Dobhoff,


Catheters (PICC Lines) Miller-Abbott)
NG tube insertion
l. Quinton
Colostomy irrigation and patient teaching
m. Temporary repair of severed or
punctured catheter Tube feeding assessments (residual
checks, irrigation)
Psychosocial Care
Management of sudden wound
Communication with patients/family dihiscence
Advance directives Pediatric BMT experience
Assist with goal setting Stem cell transplant experience
Death and dying counseling Familiar with complications
Hospice care a. Graft rejection
Identify support groups for patients & b. Venoocclusive disease
families
c. Graft-versus-host disease
Participate in ethical decision making (GVHD)
ENDOCRINE
Patient & family education
Care of diabetic patient
a. Cancer screening & detection
Administration of SQ insulin
b. Risk factors Administration of IV insulin (IVP and
drip)
Patient teaching self-care & coping skills Blood glucose monitors (Accucheck,
Onetouch, Basic)
Quality of life issues
Care of patient with hypothyroidism
Referral to interdisciplinary team (Graves Disease)
members
Use and Administration of
Immunosuppressed Patients:
a. Synthroid
Universal precaution
b. Solu-Cortef

MCNW-F-008, R2 (2/1/2022) Page 3 of 5


ONCOLOGY SKILLS CHECKLIST
CHECK PROFICIENCY 1 2 3 4 CHECK PROFICIENCY 1 2 3 4
c. Prednisone Care of drains and tubes (Hemovac, JP,
Penrose)
d. Decadron
Miscellaneous
Wound debridement
Wet to dry dressing changes
Administration Blood and blood

Please check the box/es below for each group in which you have provided age-
appropriate care:
A. Newborn/Neonate F. Adolescents (12-18
(birth-30days) years)
G. Young adults (18-39
B. Infant (30 days-1 year)
years)
H. Middle adults (39-64
C. Toddler (1-3 years)
years)
D. Preschooler (3-5 I. Older adults (64-79
years)  years)
E. School age children (5- J. Elderly adults (80+
  12 years) years)

The information I have provided is true and accurate to the best of my knowledge. I authorize MedCall NorthWest,Inc. to release this Skills Checklist to
. client hospitals as needed in relation to my employment.

Please enter your full legal name as it appears on your Social Security Card.

First Name*       Middle Name *       Last Name*      

Last 4 of Social Security Number *       Date *       (mm/dd/yyyy)

Email:       Month/year Oncology skills were last used:      /      
* Electronic Signature Agreement. By signing and typing the last 4 of your Social Security Number (SSN) on
this document, you are signing the Document electronically. You agree your electronic signature is the legal
equivalent of your manual signature on the Agreement

MCNW-F-008, R2 (2/1/2022) Page 4 of 5

Name: __________________________________________
ONCOLOGY SKILLS CHECKLIST

Registered Nurse Job Description Oncology

Name: ___________          ______________________Date: _________          __________

Essential duties and responsibilities include:

1. One year general oncology experience in a hospital setting


2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS
4. Knowledge and skill of caring for the terminally ill patient
5. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of
abnormal findings to Charge Nurse, M.D., if warranted
6. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of
acute and chronically ill patients
7. Knowledge of hemodynamics
8. Basic IV and central line skills
9. Phlebotomy skills
10. The ability to identify and manage life-sustaining physiologic functions in unstable patients
11. The ability to care for medical/surgical patient, to include orthopedic and neuro skills
12. Knowledge and care of patients undergoing chemotherapy and/or radiation therapy
13. Other duties, as assigned

Please enter your full legal name as it appears on your Social Security Card.

First Name*       Middle Name *       Last Name*      

Last 4 of Social Security Number *       Date *       (mm/dd/yyyy)

Email:       Month/year Oncology skills were last used:      /      
* Electronic Signature Agreement. By signing and typing the last 4 of your Social Security Number (SSN) on
this document, you are signing the Document electronically. You agree your electronic signature is the legal
equivalent of your manual signature on the Agreement

MCNW-F-008, R2 (2/1/2022) Page 5 of 5

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