首页> 外文期刊>Journal of pediatric oncology nursing: official journal of the Association of Pediatric Oncology Nurses >Implementation of a Pathway for the Treatment of Fever and Neutropenia in Pediatric Patients With Cancer
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Implementation of a Pathway for the Treatment of Fever and Neutropenia in Pediatric Patients With Cancer

机译:在癌细胞儿科患者中治疗发烧和中性粒细胞率的途径的实施

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Fever and neutropenia is an oncologic emergency. Time-to-antibiotics (TTA) refers to the amount of time from initial provider evaluation for fever and neutropenia to intravenous antibiotic administration. Research supports that rapid time-to-antibiotics (RTTA) is associated with improved patient outcomes. This quality improvement project evaluated the success of implementing an RTTA pathway in pediatric oncology patients with fever and neutropenia. The setting was an advanced practice nurse-managed pediatric ambulatory infusion center where patients with fever and neutropenia were often evaluated and treated. In order to improve TTA, a multidisciplinary pathway was implemented with a goal of TTA that was less than 60 minutes from initial provider evaluation. Implementation of the RTTA pathway included discussion of shared expectations with the pharmacy and education departments and discussion of shared expectations with the bedside nurses and advanced practice nurses staffing the unit. Additionally, a preliminary lab test was utilized. Success of the implementation was evaluated through 2 measures: TTA and nurses' knowledge of fever and neutropenia and the importance of RTTA. The aims of this project were to improve TTA as well as nurses' knowledge of fever and neutropenia and the importance of RTTA, and both these aims were successfully attained.
机译:发烧和中性粒细胞病是一种肿瘤急诊症。抗生素(TTA)是指来自初始提供者评估发热和中性粒细胞减少对静脉内抗生素给药的时间量。研究支持快速抗生素(RTTA)与改善的患者结果有关。这种质量改进项目评估了在儿科肿瘤患者发烧和中性粒细胞凋亡中实施RTTA途径的成功。该景观是一家先进的护士管理的儿科气象输液中心,通常评估和治疗发热和中性粒细胞凋亡的患者。为了改善TTA,利用TTA的目标实现了多学科途径,其与初始提供商评估小于60分钟。 rtta路径的实施包括与药房和教育部门的共同预期讨论以及与床边护士和高级实践护士的共同预期讨论单位。另外,利用了初步实验室测试。通过2项措施评估实施的成功:TTA和护士的发烧和中性粒细胞病和RTTA的重要性。该项目的目标是改善TTA以及护士对发烧和中性粒细胞率的了解以及RTTA的重要性,并成功地获得了这两项目标。

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