Podcasts about agcns bc

“It is very much a collaborative group process. There are group meetings where we come to consensus on our different ratings. There's so much support from ONS staff, even amongst our different groups, even when you're assigned to one peer reviewer. Let's say you go on vacation, sometimes we're paired with other people, too. So there is some flexibility in the opportunity as well,” Holly Tenaglia, DNP, APRN, AGCNS-BC, OCN®, lecturer at Old Dominion University in Norfolk, VA, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about what oncology nurses need to know about breast cancer treatment.  Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0   Episode Notes   Complete this evaluation for free NCPD. ONS Podcast™ episodes:  Episode 342: What It's Like to Serve on the Leadership Development Committee  Episode 323: What It's Like to Participate in an ONS Think Tank  Episode 76: ONS Guidelines Will Answer Key Symptom Management Questions  ONS Voice articles: A Spirit of Inquiry Leads to Evidence-Based Answers to Practice Questions  Search the Literature to Critically Appraise Evidence  Working Together, Passionate ONS Volunteers Are Transforming Cancer Care  What Brings You Value in ONS? You Can Thank a Volunteer for That  ONS blog: I Volunteered at the 47th Annual ONS Congress®—Here's What I Learned  ONS course: Treatment and Symptom Management—Oncology RN  To discuss the information in this episode with other oncology nurses, visit the ONS Communities.    To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library.   To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.   Highlights From This Episode   “As far as how it would help oncology nurses, we try to make it honestly simpler by doing the legwork of reviewing the evidence, synthesizing what the rating of the evidence and what it means. And then as you'll see on the symptom intervention resource, you'll see kind of a snapshot of what our recommendations are for applying it to practice.” TS 7:46  “I am a clinical nurse specialist and now that I work in academia, this is a very important skill for me to build and have in my profession. Also, those group meetings that we have, I really appreciated being able to learn from others and then being able to teach that to others. So in this second round, for example, the thing that I've really enjoyed personally is actually being able to mentor somebody that maybe hasn't done it as often and just being able to watch them grow and improve in their skills while you provide feedback.” TS 9:05  “We get a new article about every two weeks, and this involves about a week for myself and then about a week or less than that for my partner to go through this process as well. So being able to manage your time to afford your partner the time to solidly look through the article as well. And then being able to collaborate and receive feedback from your peers.” TS 13:06  “There have been times where the evidence has not given us the results that I think we were assuming we would see. And so while the standardized tools mitigate some of the bias, we do recognize that it won't remove the bias entirely, but it does help make your view more objective. What are some common misconceptions about developing symptom intervention resources? I'd say personally, I don't know if I had misconceptions before I was part of the team as much as I just didn't know what the process entailed.” TS 18:18  “ONS is really committed to the growth of its members. I've really enjoyed being part of this volunteer opportunities and the other ones that I've been a part of. So truly, if you have a passion for something and you have the skills, ONS would love to have you and you will meet some of the greatest people in doing these opportunities. I've made some of the best connections and friendships through the volunteer opportunities I've done.” TS 21:35 

In this episode, Emily Gentry, BSN, RN, HON-ONN-CG, OCN, and Chelsea Passwater DNP, RN, AGCNS-BC, OCN, discuss the benefits and background of the Cancer Advocacy & Patient Education (CAPE) Portal.Thank you to our sponsor, Exelixis, for providing funding for this podcast. 

In this episode, MEDSURG Nursing Journal Editorial Board Member Dr. Barbara Potts talks with Karen Meade, an Oncology Clinical Nurse Specialist at the James Cancer Hospital and Solove Research Institute, at The Ohio State University Wexner Medical Center. They discuss the creation and development of a product—urinary drainage bags designed to be positioned below the bladder—to address a gap in patient care. Their conversation explores the entire innovation process, from generating the initial idea to creating the device and bringing the product to life.Karen Meade, MS, APRN-CNS, AGCNS-BC, OCN, is an Oncology Clinical Nurse Specialist at the James Cancer Hospital and Solove Research Institute, at The Ohio State University Wexner Medical Center.  Dr. Barbara Potts, DNP, M.Ed, RN, APRN-CNS, ACCNS-AG, MEDSURG-BC, is a Clinical Nurse Specialist at The Ohio State University Wexner Medical Center, and is a member of the MEDSURG Nursing Journal Editorial Board.Visit our new online journal platform at www.jannettipublications.comChoose what works best for you – purchase individual articles, or subscribe and access all MEDSURG Nursing articles, including archives from past years. Plus, NCPD assessments are FREE for individual subscribers or through the purchase of the NCPD article.For archived episodes of this podcast and to learn more about MEDSURG Nursing, visit the journal's website at www.medsurgnursing.net.© Jannetti Publications, Inc.Music selections by Scott Holmeshttp://www.scottholmesmusic.com

“Chemotherapy exposure during the first trimester is contraindicated and increases the risk of spontaneous abortion, fetal death, and major congenital malformations. Second- and third-trimester exposure may affect some body systems still developing and can still result in fetal growth restriction, low birth weight, and preterm labor. Yet, I do want to stress that pregnancy can remain a possibility,” Kelsey Miller, MSN, RN, AGCNS-BC, OCN®, clinical nurse specialist in oncology and infusion therapy at Reading Hospital in West Reading, PA, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about policies and procedures for pregnancy testing during cancer treatment. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.25 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by May 10, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to pregnancy screening procedures during cancer treatment. Episode Notes  Complete this evaluation for free NCPD.  Oncology Nursing Podcast episodes: Episode 217: Support Pregnant and Postpartum Patients During Cancer Diagnosis and Treatment Episode 208: How to Have Fertility Preservation Conversations With Your Patients ONS Voice article: The Case of the Pregnancy Predicament ONS book: Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum (second edition) Clinical Journal of Oncology Nursing articles: Pregnancy and Cancer Treatment: Developing a Standardized Testing Policy and Procedure Unintended Pregnancy: A Systematic Review of Contraception Use and Counseling in Women With Cancer ONS Huddle Cards Fertility Preservation Sexuality ONS Congress® abstract: System Approach to Fertility Preservation and Pregnancy Status During Active Cancer Treatment (by Kelsey Miller and Ainsley Hartman) ECHO program (Enriching Communication Skills for Health Professionals in Oncofertility) Journal of the National Comprehensive Cancer Network article: Pregnancy Screening in Patients With Cancer National Comprehensive Cancer Network Guidelines: Adolescent and Young Adult (AYA) Oncology To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “It's really crucial to identify [pregnancy] prior to treatment, as this should be considered a patient safety ‘never' event. We know that exposure to chemotherapy or radiation can cause mutagenic changes in reproductive cells and teratogenic effects in a developing fetus. Women of childbearing potential should have a documented pregnancy test prior to beginning cancer treatment due to the adverse effects of chemotherapy and radiation on a developing fetus.” TS 1:42 “We had a fertility risk checklist that was based off American Society of Clinical Oncology standards, that was not fully operationalized nor built into physician workflows. The checklist was a way of documenting that risks of infertility, fertility preservation, and contraception was discussed, as well as an attestation that referral to a reproductive endocrinologist was made if needed. I had a physician partner at the time who said the only way to get the providers to fill out this checklist is to make it a hard stop, so that's what we did. The fertility risk checklist is now a hard stop by means of an order validation that will pop up when the provider goes to sign the oncology treatment plan, and it will say, ‘Orders cannot be signed unless the fertility risk checklist is complete.'” TS 9:27 “Whenever I develop teams, I like to share a common vision. We're all here for patient safety, and we want to prevent harm by pregnancy screening these patients that could potentially become pregnant during cancer treatment.” TS 13:20 “There's a misconception that all cancer therapy will render patients infertile, and this is not the case. Even though chemotherapy and radiation reduce fertility and may cause premature ovarian failure, many patients still remain fertile. And we know from research that physical intimacy remains important during cancer treatment, and unintended pregnancies may occur.” TS 18:13

“It was really the ability to be able to connect with many individuals from my profession. Reflecting on what initially drew me to ONS Congress, I can't help but reminisce about my first time attending in 2002. I was going down memory lane the other day and found some pictures from my first time attending. As I reflected, I could not help but feel immensely grateful for the support and education I received as a novice nurse during that time from attending Congress,” Jessica MacIntyre, DNP, MBA, APRN, AOCNP®, 2024–2026 ONS president, told Lenise Taylor, MN, RN, AOCNS®, BMTCN®, oncology clinical specialist at ONS, during a conversation about ONS Congress. Taylor spoke with several 2024 ONS Congress attendees, asking the question “What brought you to ONS Congress?” Listen to their stories and learn how the conference has affected their careers in this special episode. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Episode Notes  Information on submitting an abstract to ONS Congress Oncology Nursing Foundation ONS Congress Scholarships Oncology Nursing Podcast episodes: Episode 258: ONS Through the Ages: Stories From the Early Days With Cindi Cantril and George Hill Episode 160: Build Innovative Staff Education Tools and Resources Episode 191: Explore Orientation Opportunities for New-to-Practice Nurses ONS Voice articles: Our Unified Voices Can Improve Cancer Survivorship Care Personalized Patient Education: Ensure Effective, Inclusive, and Equitable Patient Education With These Five Strategies ONS Congress presentations from episode guests The Nurse as an Effective Educator: Facilitating Patient-Centered Learning (Beau Amaya) Powerful Outcomes From Nurse and Patient Policy Advocacy (Gilanie De Castro) Back to Basics: Utilizing Huddles to Emphasize Standard Care and Maintenance of Central Venous Catheters in an Effort to Reduce CLABSI (Erin Hillmon) Enhancing Triage Precision: Nurse Navigation's Impact on a Lymphedema Program (Jessica MacIntyre) Implementing a Graduate Nurse Residency Program (Leah Scaramuzzo) To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “What I want to accomplish is really to contribute significantly to an organization that has contributed so greatly to me. And until you go to Congress, you don't fully realize the ripple effect that ONS has on the field of oncology nursing. They really are a cornerstone to our profession. So when I volunteer with ONS, I feel like I'm serving the oncology nursing community as a whole, and I'm so grateful to get to do that on a national level.” (Stacey Clements, BSN, RN) TS 3:35 “What is bringing me to Congress is to talk about patient education, health literacy, ways that we can improve the patient experience and help them understanding. And I think this is such an important topic because it's what we do at the core of nursing. We really teach patients and their caregivers how to take care of themselves. And sometimes we forget that it's not just a checklist to get the education done. It's really learning what the patient needs, what they need to think about—some consideration about what may be affecting the way that they're retaining information. Then hopefully I can give some tools and have some discussion with many different nurses across the U.S.” (Beau Amaya, MS, RN, OCN®) TS 5:04 “Why I am so excited to attend Congress is that it really gives us an opportunity to work together with our colleagues, learn what each other is doing, and kind of leverage our collective wisdom. So this way we work smarter instead of harder.” (Leah Scaramuzzo, MSN, RN, MEDSURG-BC, AOCN®) TS 7:58 “I was a scholarship recipient, which I was super excited to receive this year for the Congress 2024 in D.C. … Out of COVID, we all were virtual, so I wanted to able to see people in person and attend a national event. Also, I'm looking forward to reigniting my passion for oncology nursing because you kind of get burned out after a while in this field.” (Brenda Marsolek, BSN, RN, OCN®) TS 9:14 “I'm also really excited to share my role as a nurse resident. I hear a lot that new nurses shouldn't be hired in oncology or it's difficult to hire them. And I did it. I successfully did it with the help of [Leah and Brenda]. And so, I think other people can do that as well and that we can have new grad nurses have really healthy careers in oncology in the future.” (Brandy Thornberry, ASN, RN, OCN®) TS 10:38 “I chose to be a presenter this year because I always enjoyed listening to the presentations that everyone else brings to Congress. I always learned so much. I wanted the opportunity to be able to share one of the projects I did last year that had great results attached to it, so that hopefully others can listen to my presentation and maybe take something away from it back to their own centers.” (Erin Hillmon, MSN, RN, BMTCN®) TS 11:28 “Nurses can find ways to engage in shaping health policy. Many nurses don't recognize the connection between health policy and the bedside. Policies beyond one's institutions or organizations have a direct impact on how we nurses practice. And my goal is to empower nurses to understand that because of our professional experience, education, and interactions with those populations who we care for, we are really poised to influence and shape health policy.” (Gilanie De Castro, MSN, RN, OCN®, NE-BC, CNML) TS 14:38 “The big thing I want to let everybody know about Congress is that there's so much to learn, and there's so much experience that every attendee brings. No matter what level of education you have, what setting you work in, what kind of patients you take care of, everybody has something that they can bring to the table. It doesn't matter where you learn this information either. There's lots of sessions, posters, and networking roundtables. What I've learned in these few years is really just embracing what Congress can bring to everybody. So for anybody that's on the fence, I'd urge you to take that leap and register. Attending Congress is a decision you won't regret.” (Holly Tenaglia, DNP, APRN, AGCNS-BC, OCN®) TS 19:47

Improving healthcare is a multifaceted challenge, with the provider experience playing a pivotal role alongside patient care. In a recent episode of the "Highway to Health" podcast, host David Kemp delved into this critical issue with Stephanie Prechowski, MBA, MSN, RN, AGCNS-BC, CNOR, Chief Operating Officer at Surgeons Choice Medical Center.In this episode, Kemp and Prechowski explore the intricate dynamics of healthcare, focusing on enhancing the provider experience. They discuss the myriad challenges faced by healthcare providers, including staffing issues, healthcare costs, and the mental health toll of the profession. Prechowski shares her insights on building a supportive community within healthcare settings, emphasizing the importance of leadership in cultivating a culture of trust and performance. The conversation also touches upon personal health and well-being practices, illustrating how these factors significantly impact professional performance.

“I think the key in effective communication is building trust, because without trust, patients are not likely to engage in their care as effectively, which can influence patient well-being and their overall health outcomes. Building trust is, I think, crucial,” Deb Christensen, MSN, APRN, AGCNS-BC, AOCNS, founder and chief patient officer at the Cancer Help Desk, a nonprofit that provides personalized cancer treatment resources, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a discussion about strategies oncology nurses can use when approaching difficult conversations with patients across all populations.   You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.   Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD), which may be applied to the oncology nursing practice ILNA category, by listening to the full recording and completing an evaluation at myoutcomes.ons.org by November 24, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge related to difficult conversations in cancer care.  Episode Notes  Complete this evaluation for free NCPD. Deb Christensen's ONS Voice articles about communication  Oncology Nursing Podcast:  Episode 14: Having Difficult Conversations in Oncology Practice  Episode 208: How to Have Fertility Preservation Conversations With Your Patients  Episode 235: Self-Advocacy Skills for Patients  Episode 253: The Ethics of Caring for People You Know Personally  Clinical Journal of Oncology Nursing articles:  Tools for Communication: Novel Infrastructure to Address Patient-Perceived Gaps in Oncology Care  Breaking Bad News: An Evidence-Based Review of Communication Models for Oncology Nurses  ONS Resources:  Palliative Care Communication Strategies  Shared Decision Making in Prostate Cancer  Journal of Oncology Practice article: Role of Kindness in Cancer Care  SPIKES: A Framework for Breaking Bad News to Patients With Cancer   Ask-Tell-Ask method  City of Hope: The Interprofessional Communication Curriculum  Center to Advance Palliative Care   Agency for Healthcare Research and Quality's Health Literacy Universal Precautions   To discuss the information in this episode with other oncology nurses, visit the ONS Communities.    To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From Today's Episode  “Patients tend to be less anxious when they have a trusting relationship with their providers, with their oncology team on a whole, and they tend to follow through better on their treatment plan because they trust what you're saying. It's not easy to establish a trusting relationship when you first meet someone. But what I found in my practice is that anticipating their needs and really listening to their story has made a world of difference in establishing that trusting relationship—and admitting if I don't know the answer to something or if perhaps I've gotten something wrong.” TS 2:32  “Intellectual empathy asks you to imagine yourself in that person's place. And we've all had challenging experiences; we just don't get through life without them. And as a result, we can generally think of a time when we might have been in a similar situation, maybe not exactly the same, but a similar situation, and garner that empathy for the patient and, importantly, for the caregiver, too. Because we genuinely, genuinely want to understand somebody. Intellectual empathy really comes from listening carefully to what's being said and what's not being said, analyzing different people's perspective, knowing your own bias, and asking open-ended questions.” TS 4:41  “I think that the first thing that an oncology nurse needs to do is recognize that patients have their own autonomy to make their own decisions and not go into a conversation expecting a specific outcome. So going in with the intention to do your best, but also be open to what the patient wants to do.” TS 8:30  “Our biggest foe in all of this communication, these communication strategies, really is time. We just do not have the amount of time. I mean, we love the luxury of time to be able to sit and really get into these kind of deeper conversations with people, but we may only have 30 minutes. We may only have 15. So, how do we do that? That is still a question that's out there that there's a lot of investigating. Are there techniques that can help? And there are.” TS 13:47  “All of these points in the continuum have one thing in common, and that's uncertainty. That's really a whirlpool—uncertainty—for people. One of the communication strategies that I've used with people is letting them know that this is a very common emotion to experience—a sense of loss of control, uncertainty—and that in my experience, that people generally, once they have a plan, the anxiety settles. So, giving them kind of a guidepost, hope in the future, that the anxiety will settle. Because I would say 98% of the time it does, once people gain a sense of control, because they have a plan of action to move forward.” TS 16:10  “The setting is really, really important, especially when you're having these challenging conversations. Always checking for understanding: What is that perception? What is the patient perceiving? What is the caregiver family perceiving? Are they understanding you correctly? And being respectful of what people want to know, because sometimes they don't want to know specific things.” TS 21:57  “Oncology nurses need to be aware of their own biases and their own emotional state when they're going into these emotional conversations, these difficult conversations they really need to be in. You might not always be the right one for the conversation. I think that's an important thing to note too, and be able to admit that you may have had a personal life experience that just is not going to allow you to get around a bias or an emotional reaction to the conversation, and so you might not be the right one.” TS 23:11  “I've always felt like if you can help someone find joy and peace in the moment, then that moment was made better. Life is a series of moments. That's kind of how I get through that piece of it.” TS 26:20 

Off-shift nursing professional development (NPD) practitioners serve unique but valuable roles in the health care setting. In this episode of NPD Forecast, hosts Stephanie Zidek, MSN, RN, AGCNS-BC, NEA-BC, NPD-BC, and Naomi Fox, MSN, RN, NPD-BC, CCRN, discuss the successes and challenges of nightshift NPD work with three experts on the subject: Dorothy Chan, DNP, APN, FNP-C, NPD-BC, CEN, CCRN-K, CNEcl, and Donna DellaFemina, MSN, BSN, RN, of Hackensack Meridian Health Raritan Bay Medical Center, and Hannah Christophersen, BSN, RN, NPD-BC, CCRN, SCRN, of Allina Health System. Rich discussion on the importance of this role covered the following topics and more: Unique experiences as off-shift NPD practitioners The role shifts between working nights versus days as an NPD The most pressing needs during nightshift Fun approaches to nightshift work, from glowsticks to mannequins The challenges of nurse transition to nightshift What's most rewarding about working the off-shift Advice for future off-shift NPD practitioners   Thanks to Elsevier for sponsoring this podcast. This episode includes a sponsored message. The opinions and viewpoints expressed in this sponsored message are the sponsor's own and do not reflect the viewpoint of the Association for Nursing Professional Development (ANPD).

It's National Substance Abuse Prevention Month, and Stephanie Zidek, MSN, RN, AGCNS-BC, NEA-BC, NPD-BC, and Naomi Fox, MSN, RN, NPD-BC, CCRN, are joined on this episode of NPD Forecast by an expert on substance use disorders (SUDs)—Whitney Fear, RN, MSN, PMHNP-BC, PMH-C, a psychiatric nurse practitioner in Fargo, North Dakota. They discuss the crucial aspects of caring for people with SUDs and supporting nurses along the way, diving into the following topics: Suboxone's role as a life-saving medication Challenges NPD practitioners and nurses face when providing care for substance use disorder patients, including misperceptions and biases The evolution of high-risk drugs Understanding the connections between substance use, trauma, and mental health The importance of safe injection sites in harm reduction How NPD practitioners and nurses can provide more effective care by building relationships outside of health care silos During the podcast, Stephanie mentions the book Dopesick: Dealers, Doctors, and the Drug Company that Addicted America. Thanks to Elsevier for sponsoring this podcast. This episode includes a sponsored message. The opinions and viewpoints expressed in this sponsored message are the sponsor's own and do not reflect the viewpoint of the Association for Nursing Professional Development (ANPD).

Greg O'Neill, MSN, APRN, AGCNS-BC, is Director of Patient & Family Health Education at ChristianaCare in Delaware. Building on his experience in patient care as a trauma/surgical ICU nurse, O'Neill has developed a team of professionals who champion health literacy best practices systemwide and support all manner of patient education initiatives and vendor relationships. In […] The post Health Literacy from a Systems Perspective (HLOL #240) appeared first on Health Literacy Out Loud Podcast.

“Since gastrointestinal complications are so broad, you will see these types of complications in really any oncology setting,” ONS member Kara Freedman, MS, RN, AGCNS-BC, PCCN, OCN®, clinical nurse specialist in ambulatory GI surgery/medicine at Memorial Sloan Kettering Cancer Center in New York, NY, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, oncology clinical specialist at ONS, during a discussion about managing gastrointestinal complications. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.  Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 21, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.   Learning outcome: The learner will report an increase in knowledge related to gastrointestinal symptom management. Episode Notes Complete this evaluation for free NCPD.  Previous Oncology Nursing Podcast episodes on cancer symptom management basics ONS book: Cancer Basics (third edition) ONS Clinical Practice Resource: Nutrition Impact Symptom Management Guide ONS course: Cancer Basics ONS Nutrition Learning Library ONS Guidelines™ and Symptom Interventions: Chemotherapy-Induced Nausea and Vomiting—Adult Chemotherapy-Induced Nausea and Vomiting—Pediatric Mucositis American Society of Clinical Oncology Antiemetics Guidelines Avasopasem National Cancer Institute: Nausea and Vomiting National Cancer Institute: Gastrointestinal Complications National Comprehensive Cancer Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.   To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.   Highlights From Today's Episode “Preparing our patients, not scaring the daylights out of them, but preparing them for what to expect and really when to contact us, not to wait until it gets too severe so that it's even harder to treat. We really do want to make sure we're driving this home when we're educating our patients.” Timestamp (TS) 17:52 “As nurses, we know dietary suggestions that we can give them, but if we are finding a patient needs a little more help, reaching out to our local dietician could really help benefit the patient in a positive way.” TS 24:12 “It takes a village. You know, we are not siloed by ourselves caring for these patients. The patient will benefit from the more support that we give them.” TS 39:05 “There are many other issues and problems that occur, other than nausea and vomiting, for these patients with cancer. This can not only affect their weight and their nutritional status but their overall quality of life as well. It's really important to make sure we are looking at the whole patient.” TS 39:58

An essential act of well-being, the practice of storytelling creates a social connection that fosters a sense of community and mutual support in both the storyteller and listener. During the Second Annual ONS Storytelling session held at the 48th Annual ONS Congress® in April 2023, ONS members Sarah Lewis, MNE, RN, OCN®, palliative care nurse navigator at Oregon Health and Science University in Portland; Crystal Johnson, RN, BSN, OCN®, patient engagement liaison at Genmab who lives in Ohio; Susie Maloney, MS, APRN, AOCN®, AOCNS®, senior director of the Medical Affairs Company and principal of Oncology Nursing Advisors, LLC, in Dayton, OH; and Brenda Sandoval Tawakelevu, BSN, RN, OCN®, nursing professional development practitioner at the Huntsman Cancer Institute in Salt Lake City, UT, engaged in the practice of storytelling around the theme of renewal in the context of oncology nursing. In this episode, the four oncology nurses share their tales with hosts Anne Ireland, DNP, RN, AOCN®, CENP, and Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialists at ONS. Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by April 28, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge related to how nurses learn from one another through storytelling.  Episode Notes  Complete this evaluation for free NCPD.  Oncology Nursing Podcast episodes:  Episode 101: Why We Love Oncology  Episode 90: The Year of the Nurse  ONS Voice articles:  Behind Our Masks, I See You, I Hear You  Mrs. Jones Gave Me the ‘Ah-Ha' Moment That Guided My Entire Nursing Career  As Oncology Nurses, We Are the Fish  Connect With Your Patients on a Human Level as Well as a Healthcare Level  Our Patients Give Us Peace in Unexpected Circumstances  Beyond the Bedside: Oncology Nurses Have Endless Opportunities in Unexpected Careers  Nursing Representation Is Critical in All Industries—Even Those Outside of Health Care  Clinical Journal of Oncology Nursing article: How Can Nurses Stay Resilient and Engaged During a Long and Ever-Changing Career Path?  ONS books:  Continuing the Legacy: More Voices of Oncology Nurses  Reflections on COVID-19 and Cancer Care: Stories by Oncology Nurses  Reflections on COVID-19 and Cancer Care: Stories by Oncology Nurses (volume 2)  ONS Career Development Learning Library  To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From Today's Episode  Sarah Lewis  “An opportunity presented in spring 2021 to join the outpatient palliative care team as a registered nurse and after much careful consideration, I decided to take the leap. It seemed like it was a good time for a change, it seemed like a ‘dream' position, and I knew I could always go back to bone marrow transplant if it didn't work out. I was surprised when so early after I switched positions my decision was affirmed, and my oncology nursing career reinvigorated.” Timestamp (TS) 04:06  “I learned early on in my oncology nursing career the power of education but will always appreciate the real-life lesson my patient taught me that day. It not only reinforced my decision to step into this brand-new role, but it also re-energized my practice and spirit to continue to perform this awesome work we oncology nurses have the privilege to do every day.” TS 06:32  Crystal Johnson  “Being an oncology nurse, you inevitably become an extension of your patient's family. Often, we are with our patients throughout every step of their oncologic journey: initial diagnosis, first chemo, symptom management, remission, relapse, progression and, ultimately end-of-life transition.” TS 07:24  “From the moment I cared for my first oncology patient, I knew I had found my calling, but being able to be a part of something and inspire others in a way that is able to reach far greater than the patients I've cared for throughout my career is the reason I continue to show up every single day. Trusting that what we do makes a difference, and we can continue to cultivate a culture of hope within a community that is forever linked together by an unimaginable bond that no one asked to share.” TS 10:44  Susie Maloney  “One thing I've learned when teaching in countries with different cultures is that it is important to respect the people and be educated on what their beliefs happen to be. It is not our job to ‘teach them our Western ways.' This can be a challenge, however, particularly when some beliefs or practices are not evidence based.” TS 12:28  “When working in impoverished countries, it is important to consider what is within their achievable means. We would not teach about the latest therapies that are used in the United States if there is no chance of patients having access to such therapies or medications.” TS 15:28  Brenda Sandoval Tawakelevu  “Although I have many fond memories or patients and families that I have loved and cared for, I wouldn't be truthful if I didn't tell you I've also had many doubts about oncology nursing during some of the very rough seasons of life that we all experience. I've been at the crossroads, and I have seen the two roads the poet Robert Frost has so beautifully written about. This hasn't occurred just once but many times through the years as I have experienced the highs and the lows of ‘this road less traveled' of oncology nursing.” TS 18:40  “Now, eight years have passed, and I keep going day by day in the wonderful field of oncology. The flames of passion continue to grow, and that passion has been shared with hundreds of students and nurses that have been in my path over the years. I invite each one of you to choose to connect, choose to find your own balance in the field of oncology nursing, choose to heal your own wounds life has left upon you, and most of all, continue to choose oncology nursing.” TS 26:26 

In this episode of NPD Forecast, join hosts Naomi Fox, MSN, RN, NPD-BC, CCRN, and Stephanie Zidek, MSN, RN, AGCNS-BC, NEA-BC, NPD-BC, as they converse with Kathy Casey, PhD, RN, NPD-BC, about the revised Casey-Fink Graduate Nurse Experience Survey and its role in assessing the experiences of graduate nurses during their transition to professional practice. Key points covered in the podcast include: ·         Updated AACN Essentials ·         Origins and evolution of the Casey-Fink Graduate Nurse Experience Survey ·         Incorporation of user feedback to address contemporary challenges ·         Eight new concepts included in the revised survey ·         The value of preceptorship ·         Utilization of the survey in various healthcare settings beyond nurse residency programs ·         Collaboration between academia and practice to bridge the education-practice gap   Be sure to learn more about the revised Casey-Fink Graduate Nurse Experience Survey.   Thanks to Elsevier for sponsoring this podcast.

“I think it's important to ensure that you consider each person uniquely. Because no matter how much I know or the nurse knows about the population, everybody is a little bit different. It's really important to personalize every approach and ask them what they know and meet them where they are,” ONS member Reneé Kurz, DNP, RN, FNP-BC, AOCNP®, director of clinical research operations at Rutgers Cancer Institute of New Jersey in New Brunswick, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about increasing diversity in clinical trials. You can earn free NCPD contact hours by completing the evaluation we've linked in the episode notes. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by May 19, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to increasing diversity in clinical trials. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 19: The Practical Side of Clinical Trials Episode 126: Oncology Clinical Trials and Drug Development ONS Voice articles: Overcome Inequalities in Cancer Treatment Options Across the Ages Balance Hope and Quality of Life for Phase I Clinical Trials Drug Clinical Trials Focus on Efficacy Over Quality of Life The Case of the Clinical Trials Consultation Traits That Make You a Great Nurse Also Lead to Success as a Clinical Trials PI Use ClinicalTrials.gov to Find the Right Cancer Research Studies for Your Patients Nursing Roles in Clinical Trials ONS Oncology Clinical Trials Nurse Competencies ONS Clinical Trials Huddle Card™ Clinical Journal of Oncology Nursing article: Cancer Clinical Trials: Improving Awareness and Access for Minority and Medically Underserved Communities Oncology Nursing Forum article: The Role of Oncology Nurses in Discussing Clinical Trials ONS book: Manual for Clinical Trials Nursing (third edition) Citi Program ClinicalTrials.gov U.S. Food and Drug Administration Drug Development and Approval Process To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “By ensuring access for diverse populations, we also promote trustworthiness within the diverse communities that we serve.” Timestamp (TS) 02:04 “We have a centralized education team for clinical trials, and all of the new investigators get a toolkit that they can use and get training on different informed consent processes and different resources that we have. We also have a really good relationship between research and our community outreach and engagement area. . . . And if either the research nurses or the investigators come up with any barriers to enrolling a specific population, there's an online form to request community outreach services for their patients or location.” TS 09:50 “A major step is the scientific review board going through each protocol and making sure that the catchment area is really represented and that protocols are inclusive. We also have disease-specific group meetings where the investigators and all the research staff discuss new protocols and the barriers to opening it in specific locations.” TS 12:59 “I think nurses have to step back and figure out what they know about the communities that they serve. They're used to being on the front lines and seeing patients every day. What kind of experiences have they had with the community, or what do they know about the community? And really what do the communities know about clinical trials, because a lot of it is going to be the nurse educating them.” TS 18:18 “I think it's important to ensure that you consider each person uniquely. Because no matter how much I know or the nurse knows about the population, everybody is a little bit different. It's important to personalize every approach and ask them what they know and meet them where they are.” TS 18:59

“I think there's a big misconception that health literacy means someone's ability to read or write, and really it's much more than that,” ONS member Regina Carlisle, MS, BSN, RN, OCN®, senior cancer information nurse at University Hospitals Seidman Cancer Center in Cleveland, OH, and member of the Cleveland ONS Chapter, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Carlisle discussed developing and providing patient education across various formats for patients with limited English proficiency. You can earn free NCPD contact hours by completing the evaluation we've linked in the episode notes. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by May 12, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to providing education for patients with limited English proficiency. Episode Notes Complete this evaluation for free NCPD. ONS Voice articles: Low Cost-Related Health Literacy May Prevent Survivors From Following Care Plans Master the Essentials of Effective Communication Clinical Journal of Oncology Nursing articles: Patients With Limited English Proficiency: A Challenge for Oncology Nursing Providers Cultural Awareness: Ensuring High-Quality Care for Limited English Proficient Patients Health Literacy: Exploring Nursing Challenges to Providing Support and Understanding Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit Cancer Patient Education Network Culturally Connected Health Information Translations Institute for Healthcare Advancement Health Literacy Discussion List National Council on Interpreting in Health Care The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman Think Cultural Health Culturally and Linguistically Appropriate Services Program Learn more about Section 1557 of the Patient Protection and Affordable Care Act. Learn more about Title VI of the Civil Rights Act of 1964. To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “I think there's a big misconception that health literacy means someone's ability to read or write, and really it's much more than that. There are two basic definitions of health literacy—we have personal health literacy and organizational health literacy.” Timestamp (TS) 01:48 “The best practice is to apply this approach called health literacy universal precautions to all your encounters with any patients or family members. So just as you would use proper personal protective equipment if you were encountering body fluids, you're going to use those universal precautions as you don't know what you're dealing with—the same is true for encounters with health literacy.” TS 08:16 “There are international best practices that really advise against using family or staff for translations because they might not know the medical terminology, or you might be putting them in an uncomfortable situation. Plus, there might be cultural norms or family dynamics that affect that conversation, and they affect how the information is delivered between you, the family member, and the patient. It can really muddy the waters.” TS 18:50

“The bell can have so much more meaning and significance than just the end of treatment. So, work with your patients to define what the significance of that bell can mean,” ONS member Monica Cfarku, RN, MSN, BMTCN®, CCM, NE-BC, associate vice president and chief of oncology nursing at Duke Cancer Institute in Durham, NC, and member of the North Carolina Triangle ONS Chapter, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Cfarku discussed the ethics of the bell that patients with cancer ring following the completion of their treatment and how her institution has redefined the bell's ritual. You can earn free NCPD contact hours by completing the evaluation we've linked in the episode notes. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by April 28, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to treatment bell meaning and options. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 78: Ethical Distress Impacts Nursing Practice ONS Voice articles: Four R's and Resilience Approach Help Oncology Nurses Respond to Morally Distressing Challenges Redefining the Bell Makes the Ritual Inclusive for All Patients With Cancer Use the Evidence to Integrate Ethics in Teleoncology Care How to Have Ethical Discussions in Your Practice ONS Moral Resilience Huddle Card™ MD Anderson Cancer Center: Ringing the Bell Marks a Milestone in Cancer Treatment Duke Cancer Institute To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “The bell has typically been associated with completion of treatment, and the patient is now considered free of cancer. The challenge with that is when patients that will never get to experience that—because there are certain cancers now that are essentially chronic conditions—they hear that bell and that is not a good sound for them. That can bring a lot of emotions around how they're never going to get to that point.” Timestamp (TS) 02:19 “As nurses, it is our duty to recognize an ethical situation and help to determine what that next action or decision is in those situations. We really need to be applying our ethical sensitivity.” TS 04:06 “The bell doesn't just have to be for the end of treatment. It can be the end of a particular journey, or ringing the bell for courage before you walk in. It can be used for anything.” TS 13:14 “I've seen patients ring the bell before walking into the building. . . . I've been asked to meet patients at the bell on their last day of treatment so they can ring it in celebration. . . . I've seen non-oncology patients that are going into a different part of the campus and their family ring it, and I love to see that, as our bell is being used to inspire hope and courage to so many other patients across Duke University. . . . I've seen staff ring it. . . . This little project has really had a reverberating effect that we did not even anticipate.” TS 16:23 “The bell can have so much more meaning and significance than just the end of treatment. So, work with your patients to define what the significance of that bell can mean.” TS 20:45

“When someone is faced with a cancer diagnosis, you want to really try to work to make that patient an active part of their care team. Understand that there are things out of their control, but there are also things that are within their control. You can teach them how to manage fatigue associated with anemia, or how to prevent falls. These are the things you can do to prevent infection; these are the nutrition things you should focus on to help you feel your best,” ONS member Kimberly Miller, BSN, RN, BMTCN®, transplant case manager at Nebraska Medicine in Omaha, and member of the Metro Omaha ONS Chapter, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about nursing management of cancer-related hematologic complications. This episode is part of a series about cancer symptom management basics. The others are linked in the episode notes. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by April 21, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to hematologic complications. Episode Notes Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on cancer symptom management basics Additional Oncology Nursing Podcast episodes: Episode 181: Oncologic Emergencies 101: Febrile Neutropenia Episode 196: Oncologic Emergencies 101: Bleeding and Thrombosis Episode 220: Oncologic Emergencies 101: Febrile Neutropenia and Sepsis Episode 234: Oncologic Emergencies 101: Thrombotic Thrombocytopenia Purpura ONS book: Cancer Basics (third edition) ONS course: Cancer Basics ONS Symptom Interventions for Prevention of Bleeding American Cancer Society patient education handouts: Low Red Blood Cell Counts (Anemia) Low Platelet Count (Bleeding) Low White Blood Cell Counts (Neutropenia) American Society of Clinical Oncology Answers fact sheets Centers for Disease Control and Prevention patient education on neutropenia Leukemia and Lymphoma Society patient education To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “The biggest complication is infection. You do not have the ability to present with the normal signs and symptoms of infection. You're not going to have redness and swelling and drainage. You're going to have more fever, hypertension, dysuria, shortness of breath, or cough.” Timestamp (TS) 07:22 “Some patients get really nervous if their blood counts get to a certain point. I find that we just try to explain to them, ‘We're watching your labs very frequently, we see you several times a week, these are the complications that can happen,' and talk them through the rationale for not giving a lot of maybe not necessary transfusions.” TS 15:15 “In general, the guidelines are if you expect a patient to have severe prolonged neutropenia, lasting greater than seven days, then you would want to consider giving them an antibiotic to help prevent neutropenic fever. . . . A high-risk patient would benefit from that.” TS 17:23 “Myelosuppression can delay chemotherapy, so patients who are getting treatment for their cancer may experience delays in their next cycle, they may have dose reduction, they may have to discontinue that chemotherapy if they have severe myelosuppression. That could affect their outcomes as far as their cancer treatment goes. Patients who are anemic—if you are fatigued and your legs feel heavy and you feel dizzy when you get up and you fall and your platelets are low as well, that leads to an increased risk of bleeding, and really a decrease in quality of life.” TS 23:30 “Myelosuppresion and cancer treatment in general does carry other toxicities besides the physical: emotional, mental, financial, and social.” TS 25:33 “For a patient with cancer, from diagnosis on, there's a lot that they can't control. When you're faced with that diagnosis, you want to really try to work to make that patient an active part of their care team. So, I think it's important to talk with a patient—understand that there are things out of their control, but there are things that are within their control. You can teach them how to manage fatigue associated with anemia or how to prevent falls. These are the things you can do to prevent infection; these are the nutrition things you should focus on to help you feel your best. Anything that you can let the patient have control over because their life has just changed dramatically.” TS 29:03 “Oncology nurses are wonderful at looking at the patient as a whole person. Keep in mind that there are financial toxicities as well as physical, emotional, and mental. So, it might create a bigger team of people that need to step in and help the patient find the resources that they need to be successful. Also, don't forget about the caregivers.” TS 33:47

“Certification increases nurses' knowledge, ensures that they are up to date on cancer care, and helps them to be prepared to effectively manage symptoms associated with cancer and cancer treatments. They will acquire effective therapeutic communication skills while caring for people with cancer, their caregivers, and other members of the interprofessional team,” ONS member Kerstin Scheper, DNP, RN-BC, OCN®, CHPN, interim assistant vice president at Robert Wood Johnson University Hospital in Somerville, NJ, and Oncology Nursing Certification Corporation Board of Directors member, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a discussion about oncology nursing certification. You can earn free NCPD contact hours by completing the evaluation we've linked in the episode notes. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by April 7, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to nursing certification. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 7: Addressing the Common Questions Facing Certification Episode 47: Oncology Nursing Certification Test Prep Episode 67: How Certified Nurses Help Hospitals Obtain Magnet Recognition Episode 89: How to Engage Employers in the Certification Process Episode 186: Certification Can Fuel Your Leadership Skills and Professional Growth ONS Voice articles: Demonstrate Your Scope of Practice by Becoming an Oncology Certified Nurse What Does the Research Say About Oncology Nursing Certification? ONS position statement on oncology certification for nurses Oncology Nursing Certification Corporation (ONCC) Patients and Families Resources for Employers and Advocates Preparing for Certification ONCC FreeTake® Certification Program ONCC DoubleTake Prepare for certification with these ONS and ONCC certificate courses and resources: Chemotherapy Immunotherapy Certificate Course Chemotherapy Immunotherapy Certificate Renewal Course Radiation Therapy Certificate Course OCN® Certification Review Bundle AOCNP® Certification Review Bundle ONS books: Core Curriculum for Oncology Nursing (sixth edition) Study Guide for the Core Curriculum for Oncology Nursing (sixth edition) Institute for Credentialing Excellence 2020 Medscape RN/LPN Compensation Report To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “The primary purpose of a certification is an assessment. . . as it's related to oncology nursing, certification evaluates mastery of knowledge and skills required to competently provide specialized oncology care. A certificate program is different. . . . These types of programs are usually short, non-degree–granting programs that provide instruction and training to aid participants in acquiring knowledge, skills, and competencies.” Timestamp (TS) 02:34 “I find that nurses who achieve certification often report an increased feeling of personal accomplishment and satisfaction, and I see right away that increased confidence they have after they've passed their certification. They believe that certification validates specialized knowledge, and it gives them a strong commitment to the profession.” TS 06:09 “The personal confidence and knowledge that the nurse attains from that certification, I do believe, leads to that improved communication and improved patient outcomes. Certification can also promote recognition from peers, and that recognition promotes professional autonomy, which in turn enables the oncology nurse to take on more leadership roles . . . and gives nurses the confidence to speak up and advocate for their patients.” TS 09:37 “Certification increases nurses' knowledge, it ensures that they are up to date on cancer care, and it helps them to be prepared to effectively manage symptoms associated with cancer and cancer treatments. I think teamwork and being able to use effective therapeutic communication skills while caring for people with cancer is something they will acquire, and not only communicating with people with cancer, but also their caregivers and other members of the interprofessional team.” TS 20:22 “Certification offers both personal and professional awards to nurses. It promotes professionalism and demonstrates a commitment to oncology nursing and accountability for our own professional development. While that's obtaining the initial certification, we can't forget maintaining certification. That's an example of lifelong learning, which ensures our nurses are providing up-to-date and evidence-based cancer care.” TS 24:58

“Nursing ethics is relationship centered because when your friend, family member, or colleague becomes a patient, that relationship can't be uninformed by how you know that person before they got sick. The first thing is to recognize you know them, and caring or them poses some fairly unique challenges in terms of, ‘How do I maintain professional boundaries?'” Lucia D. Wocial, PhD, RN, FAAN, HEC-C, senior clinical ethicist at the Lynch Center for Ethics at the MedStar Washington Hospital Center in Washington, DC, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, about the ethical considerations and implications of providing cancer care when people you know become the patient—whether they're a friend, family member, or a colleague. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 31, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to the ethical issues surrounding caring for personal acquaintances. Episode Notes Complete this evaluation to earn free NCPD. Learn more about the 988 suicide and crisis lifeline. Learn more about National Healthcare Decisions Day on April 16. Oncology Nursing Podcast episodes: Episode 21: Normalizing the Use of Advance Directives in Cancer Care Episode 78: Ethical Distress Impacts Nursing Practice ONS Voice resources: Ethics in nursing topic tag Advance care planning topic tag My Practice video: Advance Care Planning Clinical Journal of Oncology Nursing articles: Strategies to Mitigate Moral Distress in Oncology Nursing Advance Care Planning: Having Goals-of-Care Conversations in Oncology Nursing Advance Care Planning: Advanced Practice Provider–Initiated Discussions and Their Effects on Patient-Centered End-of-Life Care ONS Moral Resilience Huddle Card™ ONS Nurse Well-Being Learning Library ONS Advance Care Planning Worksheet ONS Advance Care Planning Video National Council for State Boards of Nursing: Information on professional boundaries VitalTalk training program: IMPACT-ICU Nursing Code of Ethics The Conversation Project Conversation tools and games: Hello GoWish card game To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Nursing ethics is relationship centered because when your friend, family member, or colleague becomes a patient, that relationship can't be uninformed by how you know that person before they got sick. The first thing is to recognize you know them, and caring or them poses some fairly unique challenges in terms of, ‘How do I maintain professional boundaries?'” Timestamp (TS) 02:55 “Many oncology nurses will see patients over years, so they develop relationships with them, and maybe you see those patients outside of the hospital. It's hard to turn on and off the professional you from the personal you when those natural relationships form. So, how can you prepare yourself for that? One is: Think about it. If you're in an environment like a small town or at an important cancer center even in a mid to large city, if you are the cancer center, people are going to come and want to be cared for. So, chances are pretty good that you will, one day, encounter someone that you know in this professional capacity.” TS 09:30 “It's challenging because there's this middle zone of helpfulness where on one end, there's clearly a boundary violation, and on the other end is maybe a boundary crossing. And there's no right line when we're taking care of a family member or friend. It's not like an alarm is going to go off when you cross a boundary and make a slip. So thinking about it in advance is really important, and talking with your colleagues about it openly.” TS 10:41 “Nurses are so well positioned to have conversations with patients about values and goals. If you can learn about patients' values and goals, you can help them and physicians frame serious news they have to deliver. We're the most trusted profession. People look to us and think they can have these conversations with us. . . . Some of these patients feel like your friends because you've cared for them for years. You have a deep relationship with them that's been built over several years. Those are the times where you feel like somebody's got to have this conversation, and I know the information. What is my role here? What does the code of ethics tell me I'm supposed to do?” TS 26:07 “People ask me all the time: ‘What would you do?' Do I answer the question? When people ask me that question, I learned recently a really nice way to answer that question. ‘First of all, I'm not you, but I'd like to help you think about it. Can I help you think about this?'. . . And sometimes after all of that, patients will still press, ‘Well, what would you do?' And as long as you're clear and say, ‘I'm not you. If I tell you the decision I would make, I need to tell you why. And here's the decision I would make and here's why.'. . . What's within your scope of practice? It is within everybody's scope to ask permission to the patient and say, ‘Would it be okay if I shared something with you?'” TS 28:44

“Before you even get started, you have to do your checks. Just like you do with a regular systemic infusion. You're going to be doing your physical assessment prior to starting your patient, looking at your orders to make sure everything looks right, looking at the lab work,” ONS member Emoke Karonis, MSN, RN, CRNI, clinical nurse specialist fellow at Memorial Sloan Kettering Cancer Center in New York, NY, said. “You have to be absolutely sure that day that patient is presenting to you in your suite, you're definitely giving what is expected for that day.” Karonis was speaking to Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, about oncology nursing considerations for intraperitoneal chemotherapy administration. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 24, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to intraperitoneal therapy for cancer. Episode Notes: Complete this evaluation to earn free NCPD. Oncology Nursing Podcast Episode 162: What Nurses Need to Know About Central Lines and Ports ONS Voice articles: Nursing Considerations for Ovarian Cancer Survivorship Care Ovarian Cancer: Prevention, Screening, Treatment, and Survivorship Recommendations ONS book: Access Device Standards of Practice for Oncology Nursing American Cancer Society: Chemotherapy for ovarian cancer American Society of Clinical Oncology guideline: Treatment of Metastatic Colorectal Cancer Cancercare.org treatment update: Ovarian cancer Centers for Disease Control and Prevention: Information on ovarian cancer National Institute of Diabetes and Digestive and Kidney Diseases: Information on peritoneal dialysis European Society for Medical Oncology Infusion Nurses Society National Comprehensive Cancer Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Intraperitoneal (IP) therapy is basically the administration of an agent into that space where the abdominal organs float around via an implanted port or one of those direct intraabdominal catheters. . . Patients with cancer that have metastasized to the peritoneum, who have either had a debulking surgery and have very little disease left inside or small tumors to begin with, they can be considered for IP therapy.” Timestamp (TS) 02:02 “Hyperthermic IP chemotherapy is done in the operating room right after the surgeon has done all of their tumor removal. It is hyperthermic, meaning this stuff is hot, and it gets administered via a special circulating machine that heats up the chemotherapy and circulates it throughout the abdomen. . . . They are circulated for about 90 minutes–2 hours if they are at risk of overheating.” TS 07:39 “In the infusion suite, before you even get started, you have to do your checks. Just like you do with a regular systemic infusion. You're going to be doing your physical assessment prior to starting your patient, looking at your orders to make sure everything looks right, looking at the lab work. . . If it's the first time you're seeing the patient, you want to check for catheter confirmation. It's not going to be in a vessel, it's going to be in the abdomen. You want to make sure that, especially if the person has more than one access device, you are looking for the correct confirmation.” TS 14:00 “It is necessary to repeat yourself because we're giving patients so much information at the presurgical visit, while they're going into the operating room, when they come out of the operating room, on their discharge, and then they're going to go into the clinic for their post-op visit. There's so much being thrown at these folks all the time that you do need to constantly reteach the same thing and to always be very neutral and accepting of that—that people might not retain everything you tell them the first time.” TS 22:00 “You can't emphasize enough that if there's one point where you need to slow down, take a breath, is during that independent double check. You have to be absolutely sure that day that patient is presenting to you in your suite, you're definitely giving what is expected for that day. If they're coming in multiple days, they could have a regimen that changes from day to day. . . . It's so easy to get confused, and it's very important to go back and see what has happened before that patient showed up at your suite, what's expected to happen that day, and what's going to happen the following day.” TS 31:16

Norton Healthcare's Plugged in to Nursing is the podcast that celebrates and informs the profession of nursing.   This Episode: Back to Baseline: Enhanced Recovery After Surgery (ERAS)   Summary: Getting back to baseline is an important part of the post-operative recovery process. In this month's episode of Plugged In to Nursing listen to Kirsten McCoy Dietrich, RN, and Amanda Murray, MSN, APRN, AGCNS-BC, CMSRN, director with Clinical Effectiveness, discuss enhanced recovery after surgery (ERAS) and why mobility is key to better patient outcomes. As Amanda shares, it's all about “education and empowerment!”   Speakers: Kirsten McCoy Dietrich, RN Norton Audubon Hospital   Amanda Murray, MSN, APRN, AGCNS-BC, CMSRN Director, Clinical Effectiveness     About Norton Healthcare's Center for Nursing Practice Norton Healthcare's Center for Nursing Practice is responsible for readying student nurses for practice and transitioning new graduate nurses into practice.  Our team is committed to serving the profession of nursing, meeting people where they are and taking them to where they want to be.   Contact Information:  PluggedInToNursing@nortonhealthcare.org

“The idea of early palliative care was really a strategy for preventing people from going through unnecessary and unwanted suffering, treatments, and things that were not consistent with their values and preferences. . . . For people who have a serious illness, it's not good to wait until you're facing these very critical decisions. You need to plan upfront,” ONS member Marie Bakitas, DNS, APRN, FAAN, AOCN®, professor and associate dean for research and scholarship at the University of Alabama at Birmingham, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about implementing palliative and supportive care for patients with cancer. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 17, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge related to palliative care for patients with cancer. Episode Notes: Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 41: Advocating for Palliative Care and Hospice Education Episode 135: ELNEC Has Trained More Than One Million Nurses in End-of-Life Care Episode 204: How Radiation Is Used in Palliative Care ONS Voice articles: APRNs Can lead by Example When Integrating Palliative Care in Practice Managing COVID-19 and Cancer Requires Enhanced Palliative Care Skills ELNEC Milestone Marks Transformation of EOL Care for Countless Patients With Cancer Palliative care topic tag ONS Position Statement on Palliative Care for People With Cancer Clinical Journal of Oncology Nursing article: Clinical Oncology Nurse Best Practices: Palliative Care and End-of-Life Conversations Palliative and Supportive Care articles: The Project ENABLE II Randomized Controlled Trial to Improve Palliative Care for Rural Patients With Advanced Cancer: Baseline Findings, Methodological Challenges, and Solutions Developing a “Toolkit” to Measure Implementation of Concurrent Palliative Care in Rural Community Cancer Centers Journal of the American Medical Association article: Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer New England Journal of Medicine article: Early Palliative Care for Patients With Metastatic Non–Small-Cell Lung Cancer Book: Charting Your Course: A Life-Long Guide to Health and Compassion End-of-Life Nursing Education Consortium American Society of Clinical Oncology: Palliative Care in Oncology Resources To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Now we think of palliative care as really the umbrella—it's a medical specialty, it's a nursing specialty field that you can get certified in. And hospice and comfort care are a subset of palliative care. Think of palliative care as the umbrella, and then toward the very end of life, hospice care—which is often guided by a very limited prognosis time frame of six months or less—and then within hospice care, comfort care is that care that is provided typically at the very end of life.” Timestamp (TS) 03:13 “For us, the idea of early palliative care was really a prevention strategy for preventing people from going through unnecessary and unwanted suffering, treatments, and things that were not consistent with their values and preferences. We took a page out of the childbirth movement playbook and said, ‘If you're pregnant, you don't wait until 8 months and 29 days, to say, ‘Oh, I'm having a baby. Maybe I should think about how to plan for that.'' Similarly, for people who have a serious illness, it's not good to wait until you're facing these very critical decisions. You need to plan up-front. That was the genesis of our program that we call Project ENABLE.” TS 07:18 “ENABLE was about at the time people were diagnosed, meeting them there and helping them to learn skills of symptom management, communication, problem solving, advance care planning. So that when they were ill and facing these issues, they had the skills and preparation to do so.” TS 08:17 “I think the health equity issues are ones that we can overcome. We have to be aware of them. In particular with palliative care, we need to offer these treatments in ways that have been determined to be culturally acceptable.” TS 11:20 “We need to be doing what we call primary palliative care, and that is that every clinician who interacts with an oncology patient who has advanced cancer, metastatic disease, or high symptom burden, has these skills of communication. Oncology nurses are the lead for pain and symptom management. But there are many communication skills that are really important and prioritizing these kinds of conversations and this kind of content being presented at the front end when people are newly diagnosed.” TS 26:34 “I think it's really beneficial for individual nurses to understand to get their own individual information, but I know we all have the need to do quality improvement projects and other kinds of efforts in our clinics and organizations. This might be something that you prioritize for the year: What aspects of palliative care—this extra layer of support—can we provide? . . . We should continue to educate ourselves about the differences and the ways to present and talk about palliative care so that it removes some of the mystery, reduces some of the perceptions. . . and skillfully say, ‘Hey, this is an extra layer of support for you and your family.'” TS 29:46

“Sometimes when we talk about skin toxicities, it can get lost in translation for these patients when we start talking about nausea, vomiting, all those other things. . . . They don't take into consideration how serious these skin toxicities can be and how they can quickly get out of control if they're not reported to the medical team in a timely manner,” ONS member George Ebanks, MSN, RN, OCN®, a medical oncology nurse in the Cutaneous Oncology Clinic at Moffitt Cancer Center in Tampa, FL, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about symptom management for the dermatologic complications of cancer therapies. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. This episode is part of a series about cancer symptom management basics. The others are linked in the episode notes. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 1 contact hour of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 10, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to dermatologic complications. Episode Notes Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on cancer symptom management basics Oncology Nursing Podcast Episode 120: Manage Skin Toxicities With ONS Guidelines™ ONS Voice articles: Manage Cancer Treatment-Related Skin Toxicities With ONS Guidelines™ Diagnose and Manage Dermatologic Toxicity Secondary to Immunotherapy ONS Guidelines™ for Cancer Treatment–Related Skin Toxicity Clinical Journal of Oncology Nursing articles: Skin Toxicities: Common Side Effect Radiation Dermatitis: A Prevention Protocol for Patients With Breast Cancer ONS book: Cancer Basics (third edition) ONS course: Cancer Basics National Cancer Institute: Common Terminology Criteria for Adverse Events To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “The number one thing that I teach my patients is that the skin is their largest organ. It helps protect them from serious events, and we want to maintain that skin integrity because that's the first line of defense. That's one starting point there, and I think that helps drive home the point to the patient when you do start to talk about skin toxicities that they do have to take this a little more seriously.” Timestamp (TS) 02:16 “Sometimes when we talk about skin toxicities, it can get lost in translation for these patients when we start talking about nausea, vomiting, all those other things. . . . They don't take into consideration how serious these skin toxicities can be and how they can quickly get out of control if they're not reported to the medical team in a timely manner.” TS 14:48 “I started doing this teaching of please, please, please keep a journal so that if this happens again, you know when this toxicity is coming back.” TS 32:06 “One thing we need to remember as nurses is the photosensitivity aspect of these drugs. We need to teach patients that even if they think they're running outside for five minutes, they need to use SPF 30 or higher and keep as much of their skin covered as they possibly can.” TS 34:28 “One tool that I would encourage you to use is the teach back method with our patients. Have them repeat back to you what you've taught them, and keep an eye out. Did they gloss over the rash that you talked about or the skin complication you talked about?” TS 50:15

Tune into the first episode of season 2 of the NPD Forecast podcast as new hosts Stephanie Zidek, MSN, RN, AGCNS-BC, NEA-BC, NPD-BC, and Naomi Fox, MSN, RN, NPD-BC, CCRN, speak with guests Megan Koth, MSN, RN, NPD-BC, Pheonix Silverlight, MSN, RN, CNL, and Greg Durkin, MEd, RN, NPDA-BC®, about the role of the NPD practitioner, as well as common challenges and best practices relative to the NPD specialty. Be sure to subscribe and visit www.anpd.org for more information.

“We as oncology nurses have to understand who is this patient, where do they come from, and who is going to touch that patient, so that we can provide comprehensive, good care without these barriers, or at least to eliminate as many of these barriers as much as we can,” ONS member Idalina Colburn, RN, OCN®, ONN-CG, nurse navigator at the Dana-Farber Cancer Institute in Boston, MA, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a discussion about nursing care considerations for patients with developmental disabilities and cancer. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 3, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to caring for patients with developmental disabilities and cancer. Episode Notes Complete this evaluation for free NCPD. Colburn's 44th Annual ONS Congress® ePoster: A Communication Tool to Assist With Coordination and Implementation of Cancer Care for Adults With Developmental Disabilities in Large Urban Medical Cancer Centers American Society of Clinical Oncology articles: Developmental Disabilities, COVID-19, and Cancer: Creating a Model of Flexible Comprehensive Care Autism and Cancer: Creating Comprehensive Solutions for Complex Needs Intellectual and Developmental Disabilities article: Are Researchers Addressing Cancer Treatment and Survivorship Among People With Intellectual and Developmental Disabilities in the U.S.? A Scoping Review Journal of Pain and Symptom Management article: Cancer Pain in People With Intellectual Disabilities: Systematic Review and Survey of Health Care Professionals Lancet Oncology article: Cancer Treatment Decision Making in Individuals With Intellectual Disabilities: A Scoping Literature Review American Nurses Association book: Intellectual and Developmental Disabilities Nursing: Scope and Standards of Practice (third edition) Oncodefi Highlights From Today's Episode “Barriers for these patients could be significant or mild. The barriers are directly related to the severity of the limitation of the individual. If you have a patient who presents with a cancer diagnosis for treatment and they have a developmental or intellectual disability, but they are pretty high functioning, the barriers that they present with may be very different than that patient who is really low functioning and severely impaired.” Timestamp (TS) 04:50 “We always have to consider how we assess and coordinate care for this patient population. It requires excellent coordination and communication with other providers who are caring for this patient. But mostly reaching out to the community, involving the family or the other caregivers. We as oncology nurses have to understand who is this patient, where do they come from, and who is going to touch that patient, so that we can provide comprehensive, good care without these barriers, or at least to eliminate as many of these barriers as much as we can.” TS 12:21 “The goal would be patient-centered, safe oncology care for every patient who hits your chair with a developmental disability. The idea behind it is that it uses a multidisciplinary approach to care. So, it utilizes the team, including your social workers, nursing assistance, navigators, really anyone who is going to touch that patient within the medical team, but also involves the family and those community caregivers, and government or state programs that take care of these patients as well. So, we utilize all of those pieces in assessment and coordination of a specific care plan for these patients.” TS 18:40 “We would want to identify the strengths for a patient, understand the level of comprehension and communication of that specific patient, what potential behaviors we might be needing to think about, what are the medical commodities that we need to address, and also an assessment of the level of training needed to the caregivers. So that when a patient leaves our chemo chair, those caregivers are prepared to provide the level of care that that patient needs in the community.” TS 19:34 “Patient-centered care would also include things like environmental barriers. Part of that plan would be thinking about what do we need to do with our environment to make it conducive. So, things like making sure that the patient has the same nurse as much as possible, making sure that they're not waiting in a waiting room and they're going right into a chair, that there's someone with them with their appointments whenever possible, that we allow extra time during those appointments. All of those things would be part of the care plan.” TS 20:21 “We as nurses are really in a prime position to advocate for this kind of level of care, to continue to educate ourselves. . . . I think that we can continue to make a difference, and I think community outreach is a great area that we need to do more of. And simply just educating ourselves and others and just talking about it.” TS 27:02

“I love the motto, ‘If you see a problem, you can solve a problem.' So, no matter what level you fall on on the clinical ladder or within your administration, you always have the opportunity to promote and create positive change and do that with the leadership support,” ONS member Klara Culmone, MSN, RN, OCN®, assistant nurse manager at the Laura and Isaac Perlmutter Cancer Center at NYU Langone Health, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a discussion about the factors involved in creating a fair and just culture. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. This episode is part of a series on creating a culture of safety, we'll add a link to future episodes in the episode notes after the next episode airs. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by February 10, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to creating a just and fair culture. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 231: Nurses Thrive in a Healthy Work Culture ONS Voice resources: Culture of safety topic tag Licensure, Scope of Practice, and Reporting: Every Nurse's Essential Responsibilities Under the Nightingale Pledge Clinical Journal of Oncology Nursing articles: Vaught's Single Story and Health Care's Culture of Safety Improving Patient Safety With Error Identification in Chemotherapy Orders by Verification Nurses Kulmone's 2022 ONS Congress® poster: Promoting a Culture of Safety: High Reliability at an Ambulatory Oncology Infusion Center ONS book: Scope and Standards of Oncology Nursing Practice ONS clinical practice resource: Recognize It; Report It Learn more about the Swiss cheese model. The Joint Commission The Essential Role of Leadership in Developing a Safety Culture Sentinel Event Alert Newsletters Patient Safety Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “A fair and just culture includes encouraging and supporting people to discuss safety-related events or information with one another. This culture really includes a transparent, nonpunitive approach to reporting and learning from adverse events or close calls and even unsafe conditions. The goal is to prevent and minimize events that may cause harm.” Timestamp (TS) 02:15 “Oncology nurses are critical in the establishment of this type of culture. They are leaders and often role models within their institutions. Oncology nurses understand policies, standards of care, and up-to-date evidence-based practice. Being on the front lines, oncology nurses see how these three things can come together and directly affect our patients and also the work environment. This global understanding positions the oncology nurses to be the liaison between patients, members of the healthcare team, and leadership.” TS 02:43 “In health care, we really need to look at these different safety steps we have in place to prevent patient harm. It's really important to remind oncology nurses that we report safety events so that we can prevent them from happening again.” TS 12:15 “Leaders need to support a questioning attitude from oncology nurses. They should stop and resolve using thoughtful, two-way questioning. We really encourage nurses to report anything that doesn't seem right so we can work together to ensure patient safety.” TS 13:19 “Oncology nurses are equipped with knowledge and skills to create this culture. They can be familiar with current practices and standards of care for oncology patients and recommend changes if applicable. Oncology nurses can also participate in quality improvement projects, peer-to-peer education or re-education, and applicable competencies on their unit. Oncology nurses can also do team daily huddles at the beginning of their shifts to review their schedules for the day and perhaps any potential complications or safety issues that they may anticipate and come up with a plan.” TS 19:01 “I love the motto, ‘If you see a problem, you can solve a problem.' So, no matter what level you fall on on the clinical ladder or within your administration, you always have the opportunity to promote and create positive change and do that with the leadership support.” TS 21:22

“The way I approach patient education conversations is to discuss it, address it, but not to emphasize it. I really like to focus on what the drug is. I mention if it's a biosimilar, I explain it, I give resources if they want it, but I really try to focus on the things that they're going to need to know in order to help be part of their care, but have readily available information to give them if they want more,” ONS affiliate member Rowena (Moe) Schwartz, PharmD, BCOP, professor of pharmacy practice at the University of Cincinnati in Ohio, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS during a discussion about the basics of biosimilars for nurses and patients. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by February 3, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report a gain in knowledge related to biosimilars. Episode Notes Complete this evaluation for free NCPD. ONS Biosimilars Learning Library ONS Voice articles: FDA Publishes Three New Biosimilars Resources for Healthcare Providers Nurses Will Forge New Territory With Biosimilars in Cancer Care Biosimilars, Oral Agents, and Drugs Targeted Genetic Mutations Are Creating a Paradigm Shift in Cancer Treatment Clinical Journal of Oncology Nursing articles: Approval Process: An Overview of Biosimilars in the Oncology Setting Nursing Roles: Clinical Implications Regarding Trends, Administration, and Education for Biosimilars in Oncology Practice Biosimilars: Exploring the History, Science, and Progress Clinical Trials: Nursing Roles During the Approval Process and Pharmacovigilance of Biosimilars American Society of Clinical Oncology Statement: Biosimilars in Oncology American Journal of Health-System Pharmacy article: Biosimilar Strategic Implementation at a Large Health System S. Food and Drug Administration (FDA) resources on biosimilars Nonproprietary Naming of Biological Products Purple Book Database of Licensed Biological Products Patient education Review and approval Hematology/Oncology Pharmacy Association International Society of Oncology Pharmacy Practitioners To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “For generic products, it's important that they are the same as the brand-name product. The differences there tend to be only inactive ingredients. And for a biosimilar, it's very similar to that biologic, and it's supposed to have no clinically meaningful differences from the reference product.” Timestamp (TS) 06:46 “There was a lot of discussion about how would we identify when a patient got a biosimilar? A naming convention was implemented in 2017 that would help address understanding what particular drug a patient got at every point in care. The naming is done so that you have the core nonproprietary name, and then there's a four letter suffix added. . . . That naming convention was for all biologics that were approved that U.S. Food and Drug Administration naming guidance was implemented. And it's so that when that biologic comes out, if a biosimilar is ever approved, you would be able to differentiate.” TS 12:50 “The way I approach patient education conversations is to discuss it and address it but not to emphasize it. Because then I think it almost creates a question in the person's mind, ‘Is this as good?' We saw that with generics, we see that with biosimilars, and I really think that people need to know that this is the drug that you're using. They're pretty much overwhelmed, just even about the side effects. So I really like to focus on this is what the drug is, I mention if it's a biosimilar, I explain it, I give resources if they want it, but I really try to focus on the things that they're going to need to know in order to help be part of their care but have readily available information to give them if they want more.” TS 17:19 “As we get more of these products, as we use them, I think that the healthcare team is becoming more comfortable. And I think that is definitely felt by patients, caregivers, and families. As people get more comfortable with the data and the understanding of these, I think that will help patients and kind of flow over to the whole team.” TS 19:06

“When I draw the interprofessional team for the management of cardio-oncology patients, I always place nurses in the center of it, besides the patient, because nurses are the eyes and ears of interprofessional care 24 hours a day,” ONS member Anecita Fadol, PhD, FNP-BC, FAANP, FAAN, FHKAN, associate professor at the University of Texas MD Anderson Cancer Center in Houston, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about getting to “the heart of the matter” of symptom management for the cardiovascular complications of cancer therapies. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. This episode is part of a series about cancer symptom management basics. We'll add a link to future episodes in the episode notes after the next episode airs. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 1 contact hour of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by January 27, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to cardiovascular complications associated with today's cancer treatments. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 193: How Social Determinants of Health Affect Cardio-Oncology Survivorship ONS Voice articles: Nursing Considerations for ICI-Related Myocarditis Advanced Practice Nurses Are at the Heart of Patient Care in Cardio-Oncology Cardio-Oncology Program Monitors Heart Toxicities Throughout Survivorship Further Research Can Help Nurses Balance Cardiovascular Conditions With Cancer Treatments Clinical Journal of Oncology Nursing articles: Immune Checkpoint Inhibitor–Related Myocarditis: Recognition, Surveillance, and Management Cardio-Oncology: A Continually Evolving Subspecialty in Oncology Nursing Cardio-Oncology Health Disparities: Social Determinants of Health and Care for Black Breast Cancer Survivors Oncology Nursing Forum article: Mitigating Cardiovascular Dysfunction Across the Cancer Continuum ONS book: Cancer Basics (Third Edition) ONS course: Cancer Basics Learn more about the 48th Annual ONS Congress®. Journal of the American Heart Association article: Immune Checkpoint Inhibitor Myocarditis: Pathophysiological Characteristics, Diagnosis, and Treatment Circulation articles: Clinical Features, Management, and Outcomes of Immune Checkpoint Inhibitor–Related Cardiotoxicity Immune Checkpoint Inhibitor–Associated Myositis Cardio-Oncology: Vascular and Metabolic Perspectives: A Scientific Statement From the American Heart Association New England Journal of Medicine article: Fulminant Myocarditis With Combination Immune Checkpoint Blockade Lancet Oncology article: Cardiovascular Toxicities Associated With Immune Checkpoint Inhibitors: An Observational, Retrospective, Pharmacovigilance Study Journal of the American College of Cardiology article: Cardiovascular Disease Risk Among Cancer Survivors: The Atherosclerosis Risk In Communities (ARIC) Study American College of Cardiology Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes Advancing the Cardiovascular Care of the Oncology Patient Heart Failure Society of America 2022 American Heart Association/American College of Cardiology/Heart Failure Society of America Guideline for the Management of Heart Failure International Cardio-Oncology Society European Society of Cardiology Guidelines on Cardio-Oncology Joint National Committee Guidelines for the Management of Hypertension in Adults Attend the Cardio-Oncology Multidisciplinary Practice Virtual Environment on February 13, 2023. To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “The most commonly reported cardiovascular toxicities can be classified into five main categories: 1. Cancer treatment-induced hypertension; 2. Cardiomyopathy, left ventricular dysfunction, or heart failure; 3. Myocarditis; 4. Vascular toxicity; and 5. Arrhythmias and QTc prolongation. These cardiovascular toxicities can be caused by the different anti-cancer agents.” Timestamp (TS) 01:46 “Cardio-oncology is more complex than the straightforward cardiology practice. Because in terms of the cardiovascular complications, these symptoms can overlap. But on the other hand, it's a very interesting area of practice because, especially as a nurse, it's like you are a detective, looking into a case and trying to find out what is the main etiology.” TS 23:50 “Nurses have a critical role in identification, monitoring, and management of these treatment-related cardiovascular complications, both in the inpatient setting and the outpatient setting with our cancer survivors. So, a nurse should remember in nursing practice, before administering anticancer treatments. . . a comprehensive cardiovascular history and a full cardiovascular assessment should be performed.” TS 30:27 “When I have to draw the interprofessional team for the management of cardio-oncology patients, I always place nurses in the center of it, besides the patient. Because nurses are the eyes and the ears of the interprofessional care who is seeing the patient 24 hours a day. And early recognition—nurses can do it and monitor the response and all the other symptoms.” TS 36:42 “Nurses are very critical in the management of these patients. Nurses are the experts in terms of doing patient teaching because we have an intimate relationship with patients. In terms of the baseline cardiovascular disease in terms of patient teaching, it is very important for nurses to teach the patient aggressive management of the known cardiac risk factors. . . because these are the ones that could cause cardiovascular complications later on when patients are receiving anticancer treatments.” TS 39:05

“Cultural competence is about being able to deliver care while respecting and valuing the differences people bring with them to the table. Did we consider their uniqueness? Have we done our best to care for them in a way that's individualized?” Erica Fischer-Cartlidge, DNP, RN, AOCNS®, EBP-CH, chief clinical officer at ONS, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about cultural considerations that can arise in cancer care and how oncology nurses can deliver culturally competent care. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by January 20, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to delivering culturally competent care. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 235: Self-Advocacy Skills for Patients Episode 75: LGBTQ+ Patients Face Significant Barriers to Successful Cancer Care Episode 63: Why Your Words Matter to Patients With Cancer ONS Voice articles: Religious Fasting During Cancer Treatment Prevent Implicit Bias in Patient Care With These Cultural Conversation Starters Cultural Humility Is a Nursing Clinical Competency Cultivate Cultural Humility in Yourself and Your Practice Clinical Journal of Oncology Nursing articles: Addressing Cultural Competency: Lesbian, Gay, Bisexual, Transgender, and Queer Cancer Care Cultural Humility: Retraining and Retooling Nurses to Provide Equitable Cancer Care Providing Culturally Appropriate Care to American Muslims With Cancer Oncology Nursing Forum article: Cultural Competency in Nursing Research National Center on Disability and Journalism Disability Language Style Guide Journal of Clinical Nursing article: Nurse Bias and Nursing Care Disparities Related to Patient Characteristics: A Scoping Review of the Quantitative and Qualitative Evidence Lancet Oncology series: Disabilities and Cancer Video: Inequality in Cancer Care for People With a Disability To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Most specifically, cultural competence is about being able to deliver care while respecting and valuing the differences people bring with them to the table.” Timestamp (TS) 02:00 “We can never be fully culturally competent because people are always evolving and changing based on new experiences in their life. We should always be questioning and asking and seeking to learn, not just going to obtain a set information of knowledge and then applying that to all the people in that group.” TS 04:00 “Every situation is different, but it always starts with having an open dialogue with your patients. It's important to not make assumptions about their life or their behaviors. No one is ever expected to know everything, but taking the time to ask is the first step. I think then the next thing is to read about different groups so you're more aware of differences and know what types of questions to ask.” TS 06:08 “You have a patient who wants to fast for Yom Kippur but they're on chemotherapy. Do you automatically say no? If a patient is active in their church and requesting to have a prayer group hold their weekly meeting in his room while he's admitted but the visitor policy is only two people at a time, do you say no? The answer to these situations isn't always that we say yes and the rule changes, but it's more about reflecting on if we actively tried to meet their needs the best way we can. Did we consider their uniqueness? Have we done our best to care for them in a way that's individualized?” TS 10:37

“It's incumbent on us as nurses to stay informed about these newly approved drugs or new indications in drugs because we're the front line in helping these patients manage adverse events,” Teresa Knoop, MSN, RN, AOCN®, nurse consultant in Nashville, TN, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about the latest updates and approvals in oncology pharmacology. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 1 contact hour of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by January 13, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Participants will report an increase in knowledge related to the latest updates and approvals in oncology pharmacology. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 126: Oncology Clinical Trials and Drug Development ONS Voice articles: S. Food and Drug Administration (FDA) updates Drug reference sheets Predictive and Diagnostic Biomarkers: Identifying Variants Helps Providers Tailor Cancer Surveillance Plans and Treatment Selection Help Patients Understand Biomarker Test Results and Clinical Trials Options Use ClinicalTrials.gov to Find the Right Cancer Research Studies for Your Patients ONS Biomarker Database ONS Genomics and Precision Oncology Learning Library ONS Immuno-Oncology Learning Library ONS Oral Anticancer Medication Learning Library ONS Biosimilars Learning Library ONS Seal of Approval Library Oral Chemotherapy Education Sheets Intravenous Cancer Treatment Education Sheets Clinical Journal of Oncology Nursing article: Clinical Trials: Nursing Roles During the Approval Process and Pharmacovigilance of Biosimilars FDA resources: Drug development and approval process Oncology/hematologic malignancies approval notifications Ongoing cancer accelerated approvals Verified clinical benefit cancer accelerated approvals Withdrawn cancer accelerated approvals Project Renewal Biosimilars review and approval Drug Information Soundcast in Clinical Oncology (D.I.S.C.O.) Project Livin' Label Oncology Center of Excellence To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Full approval through the Center for Drug Evaluation and Research (CDER) and FDA means that those drugs have gone through the laboratory testing, human clinical trial testing, and very extensive clinical trials to make sure that they are effective and that the benefits of those drugs outweigh the risks.” TS 02:28 “In 1992, CDER established a new program that would help these drugs get expedited, particularly in life-threatening or serious diseases like cancer. So they established an accelerated approval pathway for these promising therapies. They were hoping to shorten that period of time, and a number of our cancer-fighting drugs have come onto the market through this accelerated approval pathway.” TS 04:29 “When a drug gets an FDA approval, whether it be accelerated or final, then typically they get approved for one, possibly two indications on that first approval. But there are clinical trials ongoing in other diseases and in other indications. So we will then see drugs—after those clinical trials are conducted—taken to CDER for approval for that new indication.” TS 24:02 “The exciting thing for our patients is that new indications often treat more advanced cancers in which you discover a biomarker and could give patients potential treatment options when other options may have been exhausted.” TS 27:43 “It's incumbent on us as nurses to stay informed about these newly approved drugs or new indications in drugs because we're the front line in helping these patients manage adverse events. Many of these drugs are designed so patients have to stay on them for extended periods of time, or at least they get the greatest benefit by staying on it for extended periods of time. Our patient education is key in helping patients do that.” TS 34:50 “In 2023, I think we will continue to see many new drugs that are approved. We will see new indications. I think particularly we will continue to see cellular therapy agents developed—we'll see them gain new indications. I would be willing to forecast that we're going to see more and more of specific immunomodulatory drugs or those antibody drug conjugates—all of those drugs that are designed to treat the cancer in a couple of different ways.” TS 37:29

“It's important for all nurses to advocate—for themselves, for their practice, for their profession, for their patients. Without the nursing community advocating for itself, no other entity will. It is the nurses' responsibility to be their own advocate,” Alec Stone, MA, MPA, ONS director of government affairs, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about how you can advocate for oncology nursing with ONS. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by January 6, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Participants will report an increase in knowledge related to advocating for oncology nursing with ONS. Episode Notes Complete this evaluation for free NCPD. Get updates on the issues affecting oncology nurses. Contact Alec Stone. Read more from Alec Stone. Join a local ONS chapter. ONS Voice articles: Legislation and Cancer Care: New Policies Improve Nursing Practice and Patient Outcomes When Healthcare Professionals Join Organizations to Advocate, Patients' Voices Are Heard All Politics Is Local, and That's Why You Should Get Involved in ONS Advocacy Clinical Journal of Oncology Nursing articles: Advocacy: The Pivotal Role of Oncology Nurses Voices of Oncology Nursing Society Members Matter in Advocacy and Decisions Related to U.S. Health Policy ONS Center for Advocacy and Health Policy ONS Health Policy Agenda ONS course: Advocacy 101: Making a Difference Learn more about the Lymphedema Treatment Act. Palliative Care and Hospice Education and Training Act Cancer Drug Parity Act of 2021 To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “ONS is the nursing voice in the cancer community, we are the cancer voice in the nursing community, and we are a member in the general health advocacy community. So we have distinct roles to play in those three buckets.” Timestamp (TS) 05:47 “We'll review our priorities, we'll look at the Congressional landscape, we will assess the appetite for what's on our agenda, and then we'll prioritize legislation that we hope will eventually pass or that we think has a shot as it moves through this process.” TS 14:10 “We use our members' expertise to educate elected officials; congressional staff; and federal agencies like the National Institutes of Health (NIH), U.S. Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS) on the impact of legislative language on patients and providers. The ONS Health Policy Agenda is created from a lot of different moving parts that are important to oncology nurses.” TS 15:43 “It's important for all nurses to advocate—for themselves, for their practice, for their profession, for their patients. Without the nursing community advocating for itself, no other entity will. . . . It is the nurses' responsibility to be their own advocate.” TS 17:24 “You might ask, ‘What does success look like?' When it comes to the White House, the FDA, CDC, congressional offices—when they reach out to ONS and they ask our leaders if we would provide insight into a policy as it's being created and formed, that means we have both a figurative and literal seat at the table. That is success.” TS 25:25

“When we are able to connect with the things that give us meaning in our life, it makes us stronger, it makes us happier, it makes our life more fulfilled,” Caroline Peacock, ACPE certified educator, LCSW, episcopal priest, and director of spiritual health and community care at the Winship Cancer Institute of Emory University in Atlanta, GA, said in a conversation with Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Peacock discussed how oncology nurses can support patients' spirituality during cancer care. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by December 30, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to spirituality in cancer care. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 187: The Critical Need for Well-Being and Resiliency and How to Practice ONS Voice articles: The Case of the End-of-Life Evaluation Prevent Implicit Bias in Patient Care With These Cultural Conversation Starters How Do You Bridge the Gap Between Ethical Dilemmas and Spirituality? The Role of Patient Spirituality in a Culture of Safety Clinical Journal of Oncology Nursing articles: The State of Spirituality Scale as a Screening Tool for Spiritual Distress Challenges in Assessing Spiritual Distress in Survivors of Cancer Oncology Nursing Forum articles: Interprofessional Perspectives on Providing Spiritual Care for Patients With Lung Cancer in Outpatient Settings Spirituality and Uncertainty at the End of Life Spiritual Growth and Decline Among Patients With Cancer ONS book: Psychosocial Nursing Care Along the Cancer Continuum (third edition) Identify what gives your patients meaning. Center to Advance Palliative Care Emory University's spiritual health resources Wellness videos Winship Cancer Institute's spiritual health resources Listen to Our Stories, a podcast hosted by Caroline Peacock. To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “When my team and I are approaching patients, what we want to know is what matters to that particular patient, what gives them a sense of meaning, what gives them a sense of purpose in their life—and we want to approach them without judgement.” Timestamp (TS) 04:22 “If you have a patient who is experiencing distress, I often recommend that you don't say, ‘Would you like to see the chaplain?' or, ‘Would you like to see spiritual health?' I often recommend that you make the referral. We know how to interface with a patient. The reason I recommend that is because a lot of times, there's a stigma associated with receiving help when someone is in distress.” TS 13:51 “When a person has a new diagnosis, that can be so overwhelming. Often, once they have a plan in place with their provider, their distress goes way down. I do think that after that first diagnosis, that's often a point where spiritual health might want to interface, and when there's changes in goals of care.” TS 16:23 “When we are able to connect with the things that give us meaning in our life, it makes us stronger, it makes us happier, it makes our life more fulfilled.” TS 23:37 “Let's say a patient is just talking your ear off. . . and the nurse just doesn't have the time or capacity to tend to the patient. It might be helpful to call in spiritual health to provide a little bit of companionship to that patient. That can actually help the nurse to be more effective in their work so they're able to the medical needs that they're needing to get to while we can absorb some of the spiritual and emotional content that the patient might be carrying.” TS 28:06 “A very simple question is, ‘What matters to you?' It's so basic, but I think that can help a nurse get to, when they're having a conversation with a patient, what gives the patient a sense of meaning in their life. . . . And I think one thing that's really important is to know that spirituality and religion are very complex. There's a lot of diversity within any given group. It's important for nurses to know that when they're interfacing with a patient of a particular religious background not to assume that they maybe have all the same beliefs as other people within that particular religious group.” TS 30:07 “We consider staff to be part of our groups of people that we're responding to, and my team and I care deeply about our nurses that work in healthcare settings. . . . Nurses have complex lives, and they're dealing with all kinds of things within their own lives—challenges with family, appointment stressors, working very hard hours, having really hard patients, having heavy caseloads—all of those things can be extraordinarily overwhelming for healthcare staff and for nurses in particular.” TS 26:31

“Genomics is part and parcel of oncology treatment today. Even if a patient's genomics might not affect the current choice of therapy, it may do so in the future. The use of genomics and biomarkers is just an evidence-based expansion and extension of our previous care,” ONS member Kristin Daly, MSN, ANP-BC, AOCNP®, nurse practitioner at the Washington University School of Medicine in St. Louis, MO, said in a conversation with Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Daly and Weimer discussed oncology nurses' educational needs to bridge knowledge gaps in cancer genomics, identified genomics tools and resources specifically designed for clinical nursing practice, and shared strategies to implement them inn your patient care processes. Daly presented on the topic during the 2022 ONS Bridge™ virtual conference in September 2022. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by December 16, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: The learner will report an increase in knowledge related to cancer genomics. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 172: Address Knowledge Gaps in Evidence-Based Precision Medicine Care ONS Voice articles: Predictive and Diagnostic Biomarkers: Identifying Variants Helps Providers Tailor Cancer Surveillance Plans and Treatment Selection Educational Resources Will Help Biomarkers Have Even More Impact Understand Genomic Variants to Confidently Educate Your Patients Genomics' Red Flag Rule of Too and Two Find all ONS Voice articles about genetics and genomics. ONS Biomarker Database ONS Genomics Taxonomy ONS Genomics and Precision Oncology Learning Library ONS Congress® scholarships ONS course: Foundations in Genomics and Precision Oncology Learn more about ONS Bridge™. American Nurses Foundation survey: Pulse on the Nation's Nurses Survey Series: COVID-19 Two-Year Impact Assessment Survey Medscape nursing activities National Comprehensive Cancer Network National Human Genome Research Institute National Cancer Institute resources: Dictionary of Genetic Terms Dictionary of Cancer Terms Drug Dictionary Psychiatric Clinics of North America article: Genomics for Disease Treatment and Prevention To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Precision medicine, genomics, and biomarkers aren't just buzzwords or trendy new terms. They are the tools that enable oncologists to continue to refine and improve what we have always striven for in oncology care—the continual and ongoing search to provide the most appropriate, and crucially, the most effective treatments for our patients. The use of genomics and biomarkers is just an evidence-based expansion and extension of our previous care.” Timestamp (TS) 03:39 “Our healthcare colleagues, especially our physician colleagues, are often not aware of our nursing training and curriculum. And therefore, sometimes they're unaware of both our strengths and gaps in our knowledge compared to medical training, especially when we enter a specialized area of nursing like oncology. . . . And that's a gap between our healthcare colleagues' knowledge of what our formal training has been and our formal education has been and the kind of care we're supposed to provide and understanding the science behind that care.” TS 10:52 “Genomics is part and parcel of oncology treatment today. It should be a part of a patient's evaluation and record at every point in their cancer journey. Even if a patient's genomics might not affect the current choice of therapy, it may do so in the future. So, it's important, and it's important to have it documented.” TS 18:25 “Many new oncology nurses have less time and training, fewer opportunities for in-person education, and fewer experienced nurses to serve as mentors and sources of knowledge. All of this, coupled with that increase pace of change and treatments for a variety of cancers. So, keeping up and staying current is, I know, particularly challenging in these circumstances. And I have to say, I am always so impressed by how oncology nurses come up with solutions, share information, and seek out opportunities to learn in order to take the best care of their patients.” TS 20:46 “It's important to make it a priority, to set some time aside, regularly for continuing education, however you do that. . . and to use these types of tools. And if you find websites that you find particularly helpful, bookmark them on your phone or computer so they're easily accessible and to share them with other people.” TS 33:05

“These policies, procedures, order sets, and algorithms for oncologic emergencies are so important. They give you knowledge in your back pocket: This is the way we're going to treat this, this is the way to quickly respond to this, and this is the way to treat this in the safest way possible,” ONS member Cassie Durand, MS, RN, CNS, AGCNS-BC, OCN®, clinical nurse specialist at Memorial Sloan-Kettering Cancer Center's Long Island, NY, regional site, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Durand discussed how to develop and apply procedures to care for patients with oncologic emergencies. This episode is part of a series of oncologic emergencies; the others are linked in the episode notes. You can also earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn .5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by December 9, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: At the conclusion of this podcast, the learner will report an increase in knowledge related to an institutional approach to preparing for oncologic emergencies. Episode Notes Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on oncologic emergencies ONS book: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition) ONS courses: Oncologic Emergencies Treatment and Symptom Management—Oncology RN Essentials in Oncologic Emergencies for the Advanced Practice Provider ONS Huddle Cards™ ONS Oncologic Emergencies Learning Library To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Nurses who are caring for these patients getting certain infusions have such a greater sense of autonomy. They can react in a moment's notice. You need to have an algorithm and order set in order to treat the patients so, so, so quickly.” Timestamp (TS) 07:28 “We know that following metrics is so important for checking adherence to our standards and, most importantly, for improving patient outcomes.” TS 08:23 “We all combine thoughts to figure out what the most relevant simulation would be for nurses in specific areas. The scenarios are very real-life mannequins—they're life-sized, they breathe, they talk, they have IV access, and they portray what we want them to. We load up the mannequin software before nurses come here. In our infusion unit, we'll have the mannequin portray a hypersensitivity reaction, and then, all of a sudden, they'll be in respiratory distress, and they may or may not code, just to keep the nurses on their toes. Because of all the preparation that goes into it on our end before the simulation is so relevant to their area, the nurses really like it because it's not random. We also hold a structured informal debrief, just like what we do in real life, after the simulation so we can ask questions, what went well, what didn't, and what we can change in the future. Simulation has become a huge aspect of our nursing education here.” TS 13:51 “We have a lot of new staff members on the floor, just like I'm sure that every institution has. So I think they really appreciate a debrief, because they can really learn so much from it. We call it a ‘hot debrief,' which means we're debriefing right after the event so that way we can get almost every member from our interprofessional group to stay and very quickly and succinctly talk about the event. That way, we're not chasing people down the next day or next shift to debrief. And we've seen some pretty good results.” TS 17:33 “We have a clinical nurse specialist (CNS) who is available 24 hours a day at our main campus site where all of our inpatient beds are. Nights, weekends—there's always one there. And they support the nurses and respond to emergencies. Our CNSs have such a great rapport with our staff members, and I find that the nursing staff always feel so comfortable now asking them questions, calling for help, wanting to show them something, or asking them to look up a policy for them. . . . As the CNS at the bedside, I think that sometimes when the nurses see us there, even just our presence there, it keeps them at ease during a critical situation because they know that we can jump in and help when needed. Our nurses do such a great job in emergencies, but I do think that having people in the CNS role there really just makes them feel so much more comfortable.” TS 23:13

“Acknowledge that grief is a reoccurring theme. This isn't something that's a one and done. This is a process that you're going to continue to revisit, and in recognizing that, I think this allows us to be more proactive and responsive to this emotional part of our job,” ONS member Carla Jolley, MN, ARNP, ANP-BC, AOCN®, ACHPN, palliative care advanced practice nurse and coordinator for the palliative care consult service embedded within the oncology program at the Whidbey Health Medical Center in Coupeville, WA, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, in a conversation about how oncology nurses can approach and manage the grief they face in their work. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 1.00 contact hour of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by December 2, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Upon completion of this activity, the learner will report an increase in knowledge related to grief experienced by oncology nurses. Episode Notes Complete this evaluation for free NCPD contact hours. Oncology Nursing Podcast episodes: Episode 85: Nursing Resilience and Self-Care Aren't Optional Episode 135: ELNEC Has Trained More Than One Million Nurses in End-of-Life Care Episode 187: The Critical Need for Well-Being and Resiliency and How to Practice ONS Voice articles: When Grief Goes Beyond Burnout, Organizations Must Intervene A Deliberate Well-Being Plan Protects You From the Hazards of Your Work Use Storytelling to Hear Your Patient's Voice Clinical Journal of Oncology Nursing articles: Complicated Grief: Risk Factors, Interventions, and Resources for Oncology Nurses Songs for the Soul: A Program to Address a Nurse's Grief A Concept Analysis of Nurses' Grief Helping Nurses Cope With Grief and Compassion Fatigue: An Educational Intervention ONS course: Facilitating Intentional Conversations ONS Nurse Well-Being Learning Library ONS Information Regarding the Coronavirus (COVID-19) ONS Sympathy Notecards Journal of Radiology Nursing article: Can You PACE Yourself? Using PACE in the Clinical Setting, at End of Life and in Grief Work Dealing With GRIEF: A Series of Five Short, Powerful Videos com End-of-Life Nursing Education Consortium To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Really look at where our own losses have happened in life, whether that's mapping out people who have passed on that we've cared for and loved that have had a lot of meaning to us, what kind of changes or transitions that have happened in our own lives. . . . There's a lot of loss that happens on a day-to-day basis, and so think about who we are and the accumulation of our own personal losses, because I think sometimes where it gets triggered in that secondary trauma is when we see ourselves in other people's situations.” Timestamp 09:48 “How good or challenged are you with boundaries? There's always going to be patients and situations that are going to tug at your heart, and that doesn't make you bad with boundaries. But if you're going home and always taking it all in and can't separate your work life from your personal life, then there's a place to start thinking about that as far as that assessment. Is there something I can do for myself to make this not so difficult? Because that of course leads to burnout and compassion fatigue.” TS 13:06 “I think the culture in our workplace can sometimes really impact our ability to be authentic and respond to our own personal grief.” TS 17:48 “Create a place and a space to debrief patients that we have lost. A place where we can remember and acknowledge, and not only acknowledge the names of the names . . . really reflect on those gifts and the learnings from the patients and families that you care for.” TS 18:48 “Acknowledge that grief is a reoccurring theme. This isn't something that's a one and done. This is a process that you're going to continue to revisit, and in recognizing that, I think this allows us to be more proactive and responsive to this emotional part of our job. I so recommend that you put a self-care plan in place ahead of time and be thinking about that.” TS 41:57 “We also need that card like from a game that says, ‘Call a friend.' If you are feeling overwhelmed, I really encourage you to identify who is going to be that call a friend name? Who is it that you can find as a partner or mentor that you can urgently debrief if something really tragic happened during your day? Maybe it's not your family or partner, and maybe it is. But sometimes I think that nurses' pain—we hold it and can share it with each other better. Because again, just like the families in their grief process, the telling of the story is important. It's important that we can tell it, and then it's also important that we can hear other people's stories and hold those in that container in that sacred space as well. So, find that ‘call a friend.'” TS 45:49

“Effective communication with healthcare providers, making informed decisions about their care, and gaining strength through connections to others” are the key aspects of patient self-advocacy, ONS member Teresa Thomas, PhD, RN, assistant professor at the University of Pittsburgh School of Nursing in Pennsylvania, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, in a conversation about how patients can self-advocate and how nurses can support them. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 1.25 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by November 25, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Upon completion of this activity, participants will report an increase in knowledge related to patient self-advocacy. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 183: How Oncology Nurses Find and Use Credible Patient Education Resources Episode 197: Patient Learning Needs and Educational Assessments Thomas's research articles: “I Was Never One of Those People Who Just Jumped Right In for Me”: Patient Perspectives on Self-Advocacy Training for Women With Advanced Cancer “I Pretty Much Followed the Law, and There Weren't Any Decisions to Make”: A Qualitative Study of Self-Advocacy Experiences of Men With Cancer A Conceptual Framework of Self-Advocacy in Women With Cancer Symptom Burden and Self-Advocacy: Exploring the Relationship Among Female Cancer Survivors Teaching Patients With Advanced Cancer to Self-Advocate: Development and Acceptability of the Strong Together™ Serious Game Perspectives on Self-Advocacy: Comparing Perceived Uses, Benefits, and Drawbacks Among Survivors and Providers Patient Education vs. Patient Experiences of Self-Advocacy: Changing the Discourse to Support Cancer Survivors Thomas's clinical trial: Efficacy of a Self-Advocacy Serious Game Intervention Clinical Journal of Oncology Nursing article: Oncology Nurses' Role in Promoting Patient Self-Advocacy Sigma Theta Tau International Honor Society of Nursing University of Wisconsin–Madison Center for Patient Partnerships American Society of Clinical Oncology National Coalition for Cancer Survivorship To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Effective communication with healthcare providers, making informed decisions about their care, and gaining strength through connections to others. That's really how we define the key aspects of what patients do to advocate for themselves.” Timestamp (TS) 04:39 “At the end of the day, if a patient doesn't feel like the care really is attuned to what is going on in their life and they don't feel like they're understood or appreciated, or their self-worth isn't identified by their care team, then are we really patient-centered?” TS 06:32 “Really, patient self-advocacy is about making sure that your clinical care team knows what's most important to you, even if the clinician doesn't ask you, ‘What is it like at home?' or ‘Tell me about your family,' or ‘Tell me about what you're looking forward to getting back to after treatment.' Put that into the conversation where they understand exactly what your quality of life means to you and they understand what your main goals of treatment are.” TS 12:33 “When patients don't have that voice to speak up, ask questions, and push a little bit if they don't understand what's happening, their care, adherence, health, and quality of life suffer because they don't know enough to be engaged enough to ask for help.” TS 19:53 “We're interested in patients' quality of life, and we see that their emotional, social, physical, religious, and spiritual quality of life just goes down because they're not themselves and they don't quite know how to get back to themselves. And that's the saddest part to see—them going through the physical rigor of going through cancer treatment is one thing, but feeling like you're not yourself—we've had several people call it self-worth, the idea that I'm worth fighting for and I'm worth standing up to my providers and insisting that my pain finally gets a treatment that works.” TS 21:27 “Patient self-advocacy really centers around communication, and the informed decision making comes part and parcel with that because that's the getting the information and gathering the resources to help communicate those ideas to your providers or whomever. And the connected strength also is about communication, too, since frequently family dynamics also require really good communication skills. So, if there was one thing that we would really want to train our patients in in terms of self-advocacy, it's that effective communication aspect.” TS 31:42 “We know that cancer puts people at a disadvantage and makes them feel different from who they are. And what we're trying to do is get them to feel like who they are is the same person they were, maybe slightly different from, who they were before cancer and that their cancer team and their loved ones know and support them for who they are.” TS 57:47

“Once patients come out on the other side, nursing care involves understanding how to triage their disease: If they call you with concerns, how would you address those concerns? How would you find out if there's something going on? Just given how acute the onset is, a lot of these patients have some post-traumatic stress disorder, so there's a lot of worried-well conversations, and in outpatients you need to figure out how to coordinate future care given their history of thrombotic thrombocytopenia purpura (TTP),” ONS member Amanda Weatherford, MSN, RN, OCN®, clinical nurse coordinator at Fred Hutchinson Cancer Center in Seattle, WA, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS in a conversation about nursing considerations to manage TTP. This episode is part of a series about oncologic emergencies; the others are linked in the episode notes. You can earn free NCPD contact hours after listening to this episode by completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by November 18, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Upon completion of this activity, participants will report an increase in knowledge of thrombotic thrombocytopenia purpura. Episode Notes Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on oncologic emergencies ONS book: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition) ONS courses: Oncologic Emergencies Treatment and Symptom Management—Oncology RN Essentials in Oncologic Emergencies for the Advanced Practice Provider ONS Huddle Cards™ American Society of Hematology National Organization for Rare Diseases To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Immune or acquired thrombotic thrombocytopenia purpura (TTP) is the most common. It's 95% of all the cases. It is what we as nurses are most likely to encounter in our practice.” Timestamp (TS) 03:29 “TTP can show up in cancer and also as the result of chemotherapy and medications. They say it's either a system of malignancy or a consequence of treatment, and it has also shown up in patients who are post allogenic stem cell transplants.” TS 07:05 “Once you suspect that TTP is into play, you would immediately start the patient on plasma exchange or plasma pheresis, daily or twice daily, and also on high-dose steroids. You do that until you start to see improvement in platelet counts and some of the other hemolysis markers, like LDH.” TS 11:26 “Once patients come out on the other side, nursing care involves understanding how to triage their disease: If they call you with concerns, how would you address those concerns? How would you find out if there's something going on? Just given how acute the onset is, a lot of these patients have some post-traumatic stress disorder, so there's a lot of worried-well conversations, and in outpatients you need to figure out how to coordinate future care given their history of TTP.” TS 14:58 “In patients with cancer, TTP is either a symptom of disease or caused by the treatment. So, you could potentially just have a new patient with cancer and, along with this major, acute crisis that they've had, so dealing with a cancer diagnosis and having had TTP. Or trying to figure out if it was medication. How do we resolve that? Are we able to find a different drug and switch to a different regiment, or do we continue to give it because it's the only therapy? And do we have to continue to be on the lookout for relapse?” TS 17:47

“Participating in formal academic degree programs, obtaining contact hours for renewing your certification, peer-to-peer sharing with colleagues—they're all types of education that you can use to be the best version of the oncology nurse that you want to be for our patients,” Danya Garner, PhD, RN, OCN®, CCRN-K, NPD-BC, ONS director-at-large from 2021–2024 and associate director of continuing professional education at the University of Texas MD Anderson Cancer Center in Houston, TX, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about how nurses can stay current in the evolving landscape of oncology. Garner presented on the topic during the 2022 ONS Bridge™ virtual conference in September 2022. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by November 11, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 138: Why Higher Education May Be the Next Step in Your Oncology Nursing Career Episode 160: Build Innovative Staff Education Tools and Resources Episode 186: Certification Can Fuel Your Leadership Skills and Professional Growth ONS Voice article: How Enhancing Your Career Benefits Both Your Patients and Yourself ONS virtual educational resources: Assessment tools Courses Clinical practice resources Huddle Cards™ Journals Oncology Nursing Podcast ONS Voice Standards Oncology Nursing Certification Corporation Share your expertise with the ONS Communities. Register for the 48th Annual ONS Congress®. Learn more about ONS Bridge™. To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “With the availability of many virtual conference opportunities and several conferences offering in-person options, the past adage of divide and conquer has really been reinvigorated. I use the acronym ACE: A for attend the event, C for categorize the content, and E for explain to colleagues. There is so much great work that oncology nurses are doing across the nation that should be disseminated. Aside from attending formal education events, oncology nurses can also involve themselves in opportunities for formal and informal mentorship opportunities at their work locations. . . . Peer-to-peer training and dissemination is a wonderful opportunity to continue the conversation and disseminate those practices.” Timestamp (TS) 06:26 “Just-in-time training is really applicable for those refreshers. And considering the constant changes that have taken place and are continuing to take place, when you know about the content that you need for practice but just need a few quick reminders that are easily accessible, that's the perfect place for just-in-time training to occur.” TS 11:51 “Certification is not necessarily a formal education, but in that preparation of expanding that particular content knowledge in a field, such as your OCN® examination, your bone marrow transplant certification—those really increase that scope of content and add to what knowledge you have to take care of these patients and ultimately improve the outcome of care that we provide to oncology patients.” TS 14:46 “Participating in formal academic degrees, renewing your certification, obtaining contact hours for certification, peer-to-peer sharing with colleagues—they're all types of modalities of education that you can utilize to be the best version of the oncology nurse that you want to be for our patients.” TS 18:23

“For those without cancer or other illnesses, we often have a resolution or relief of this fatigue. ‘Oh, I'm just going to go to bed early and get a couple more hours of sleep tonight.' Or ‘I'm going to have a cup of coffee.' But for people with cancer, it's not an easy fix. People with cancer describe fatigue as something much more long-lasting,” ONS member Paula Anastasia, MN, RN, AOCN®, clinical nurse specialist for UCLA Health in Los Angeles, CA, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Anastasia discussed fatigue in patients with cancer undergoing PARP inhibitor maintenance therapy, management strategies, and nursing considerations. This podcast episode is supported by a sponsorship from AstraZeneca. ONS is solely responsible for the criteria, objectives, content, quality, and scientific integrity of its programs and publications. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Episode Notes NCPD contact hours are not available for this episode. Clinical Update: Ovarian Cancer Focus Group Summary ONS Get Up, Get Moving resources ONS Guidelines™ on Fatigue Oncology Nursing Podcast Episode 227: Biomarker Testing, PARP Inhibitors, and Oral Adherence During Ovarian Cancer Maintenance Therapy ONS Voice articles: Symptom Assessments: Use a Team-Based Approach to Inform Care and Optimize Outcomes Master the Essentials of Effective Communication What the Evidence Says About Music Therapy for Cancer-Related Fatigue Acupuncture for Cancer-Related Fatigue Biomarkers Are Advancing Understanding of Cancer-Related Fatigue Clinical Journal of Oncology Nursing articles: The Impact of a Nurse-Led Exercise Activity for Cancer-Related Fatigue in Patients With Leukemia Exercise Intervention: A Pilot Study to Assess the Feasibility and Impact on Cancer-Related Fatigue and Quality of Life Among Patients With High-Grade Glioma Oncology Nursing Forum article: The Effectiveness of Yoga on Cancer-Related Fatigue: A Systemic Review and Meta-Analysis National Comprehensive Cancer Network Guidelines > Supportive Care > Cancer-Related Fatigue ASCO Answers: Cancer-Related Fatigue To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Fatigue is not necessarily life threatening, so I think unfortunately, it's underplayed at how disruptive it can be in somebody's quality of life and day-to-day life.” Timestamp (TS) 03:10 “For those without cancer or other illnesses, we often have a resolution or relief of this fatigue. ‘Oh, I'm just going to go to bed early and get a couple more hours of sleep tonight.' Or ‘I'm going to have a cup of coffee.' But for people with cancer, it's not an easy fix. . . . People with cancer describe fatigue as something much more long lasting.” TS 04:02 “I think it's really important when we educate our patients to let them know that this is a common side effect. Research tells us, and also patient experience, that fatigue does plateau after about four to eight weeks. It's not zero, but it gets much more manageable for our patients. So, I think priming our patients with what to expect can be very helpful.” TS 07:48 “I want patients to have some sort of physical activity. It doesn't have to be hours or marathons. Just a 10-minute walk in the morning and then maybe a 10-minute walk in the afternoon. Things like that. We try to, if possible, refer patients to a physical therapy-type setting initially, and that will help give them tools on how to be active and safe activities, and also gets them motivated. So, that's really helpful for patients.” TS 09:41 “I think it's important to assess the cause of the fatigue. Ruling out anemia, hypothyroidism, vitamin deficiencies, things like that. So, that is ruled out and we know what we're doing to our poor patient with the interventions; they've had surgery, they've had chemotherapy, now we're going to put them on a PARP inhibitor, all of these lifestyle changes.” TS 12:20 “I think since COVID-19, there's a lot more awareness of how much people have anxiety and depression. I think we're more in tune with that and how stressful life is, and that's not even having cancer and all of the challenges with that. So, I think that plays into it. Depression and anxiety can contribute to fatigue.” TS 16:53  “One of the biggest misconceptions about fatigue is that there's nothing that you can do about it. Just accept it. And I totally disagree with that. It's an undervalued side effect. It's not necessarily life threatening, but it's definitely something that can interfere with patients' day-to-day quality of life. So, we really need to address it. We need to assess, communicate, and plan for it.” TS 28:39

“Work culture is really how people work together. But in my opinion, there are three major components: it's the employer, it's the leadership, and it's the staff—all staff, we're not only talking nurses. We know that it takes a village to really make clinical care happen. All three of those components are critical in creating a healthy work environment. The staff component, including the clinical nurses, is key to that,” Linda Laskowski-Jones, MS, APRN, ACNS-BC, CEN, NEA-BC, FAWM, FAAN, editor-in-chief of Nursing 2022: The Peer-Reviewed Journal of Clinical Excellence, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Laskowski-Jones led a panel discussion on the topic at the ONS Bridge™ virtual conference in September 2022. You can earn free NCPD contact hours after listening to this episode by completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by October 28, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Complete this evaluation for free NCPD. ONS Voice articles: Leaders Shape You, and as a Leader, You Influence Others, Too Strong Social Relationships Strengthen and Sustain You Lessons From Our Olympians Apply to Nurses, Too We Are Four Million Nurses, Hear Us Roar Listening to Nurses Is a Start, but Hearing Them Leads to Solutions Cornell University certificate program on conflict resolution Books on conflict management and conversations: Crucial Conversations: Tools for Talking When Stakes Are High The Anatomy of Peace: Resolving the Heart of Conflict Can We Talk? Seven Principles for Managing Difficult Conversations at Work Additional books about conflict resolution Journal of Nursing Administration article: Nurses' Intent to Leave Their Position and the Profession During the COVID-19 Pandemic Journal of Pediatric Nursing article: Recognition: Is It Just a Bunch of Fluff, or Is It the Right Stuff? SAGE Open article: Job Satisfaction in Relation to Communication in Health Care Among Nurses: A Narrative Review and Practical Recommendations To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Work culture is really how people work together. But in my opinion, there are three major components: it's the employer, it's the leadership, and it's the staff—all staff, we're not only talking nurses. We know that it takes a village to really make clinical care happen. All three of those components are critical in creating a healthy work environment. The staff component, including the clinical nurses, is key to that. When you look at how the nurses work together and the environment that they are working in, their teamwork, camaraderie, and connections to each other can actually help those staff make it through when perhaps there may be some challenges with employers or leaders as they work through whatever changes they need to make.” Timestamp (TS) 04:12 “It's important to recognize that when you motivate and influence people, whether it's positively or negatively, you're behaving as a leader. There may be people who have some personal need to feel like they can be the judge of others and that they have a very tight group, and unless you're looked at favorably by that group, then you don't have value. So, in this particular type of case, you can have a nursing leader show all the value in the world to that staff, but if you have these cliques where people come in and they feel like, ‘Oh my gosh, I'm working with so-and-so on this particular shift.' Or ‘I've been assigned to this shift permanently. How will I survive?,' that is a big driver of turnover.” TS 10:40 “Watching someone working with a family or a patient, and when the person comes out when they least expect it, saying something like, ‘That was really an amazing interaction, and a very tough situation, and you handled that beautifully.' That can go a long way, and it's all part of value and recognition. . . . Let's show value where value needs to be shown.” TS 21:24 “That value is a 360-degree type of value where really everyone that you're working with in the physician-nurse relationship is critical. Recognizing the role that nurses play and looking at the nurses as colleagues is absolutely critical.” TS 22:56 “Right now, in many places still across the country, nurses feel that they don't have the tools they need to do their job. That of course leads to this negative culture where nurses are very upset, they're coming in extremely unhappy, and they're communicating that unhappiness to everybody, and they have very real concerns. And management has taken different approaches to that, in health or not health as the case may be, and now we have to focus on: How do we fix it? And I think those are the factors that led to where we are. We have a lot of work to do, but at the same time, organizations have to also make fundamental changes.” TS 26:45 “Ultimately, I don't think people on the front line realize how much power they actually have. And the power is in creating effective working relationships, and that includes the nurse-patient interaction, but it also includes working with people.” TS 39:15

“Consider your patient's diagnosis. What kind of cancer do they have? And ask yourself, ‘Could this patient be in disseminated intravascular coagulation (DIC)? Is there something more that we should be doing or looking at?'” Leslie Smith, RN, APRN-CNS, DNP, BMTCN®, AOCNS®, oncology clinical specialist at the National Institutes of Health in Bethesda, MD, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Smith discussed the nursing considerations for the management of DIC. This episode is part of a series about oncologic emergencies; the others are linked in the episode notes. You can earn free NCPD contact hours after listening to this episode by completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by October 7, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on oncologic emergencies ONS book: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition) ONS courses: Oncologic Emergencies Treatment and Symptom Management—Oncology RN Essentials in Oncologic Emergencies for the Advanced Practice Provider ONS Huddle Cards™ DIC Huddle Card ONS Prevention of Bleeding Symptom Intervention and Guideline UpToDate Information from Cleveland Clinic Information from the National Heart, Lung, and Blood Institute To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “If the D-dimer is high, that is indicative of a clotting issue occurring. So, the next step for the nurse would be to look for the lab or ask for an order—you can order a DIC panel in some institutions—but look at coagulation labs. And really care and support these patients. DIC is not a disease in itself; it is a symptom of a disease, it is a syndrome. And it's indicative of another problem occurring.” Timestamp (TS) 07:09 “In the chronic form, patients who live in a chronic inflammatory state—maybe from arthritis or whatever the process is—their coagulopathy will not be as severe as an acute form. They may have an elevated prothrombin time (PT) or partial thromboplastin time (PTT). Their platelets may be a little bit low and their fibrinogen may be just a little bit low, but it's not life-threatening. And in an acute stage of DIC, it is life-threatening.” TS 08:43 “If we are taking care of patients who have received CAR T cells, for example, nurses know to monitor for cytokine release syndrome, we're watching for fever, we're watching the C-reactive protein levels or the ferritin levels, and we're treating appropriately via tocilizumabs . . . preventing DIC that way. Patients who are at risk for developing sepsis. . . . watching for signs of impeding infection . . . . Those types of things can prevent DIC from occurring.”  TS 12:26 “I think it can be a little bit confusing for the nurse because they're vague symptoms. So, if you have a patient that is maybe thrombocytopenic, you could attribute, ‘Well, they have all this petechiae from their thrombocytopenia.' It's difficult. That's why you need to really draw a lab. . . . It is not just one lab or one sign or symptom that will diagnosis DIC. There's no one thing that tells you that the patient has DIC. You need to look at all the lab work to make that determination.” TS 14:15 “Nurses are going to support the patient with transfusions. . . . And this will help in an attempt to normalize the lab or at least get the factors and the platelets back up. And then treating the disease. . . . And then in addition, if the patient is infected or septic, administering the antibiotics.” TS 16:26 “DIC is often thought—especially by patients or family—that once you start that chemotherapy or the antibiotics, that the DIC will go away. That is not true. It can take days to weeks for the DIC to resolve itself. It's not something that is going to happen overnight. The patient will need to continue to be supported.” TS 18:13 “Consider what is the diagnosis of your patient. If they have cancer, what kind of cancer do they have? And ask the question to yourself, ‘Could this patient be in DIC? Is there something more that we should be doing or looking at?'” TS 19:22

“We found that nurses still needed clarity of terminology and the rationale for germline, somatic, and homologous recombination deficiency testing,” ONS member Paula Anastasia, MN, RN, AOCN®, clinical nurse specialist for UCLA Health in Los Angeles, CA, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Anastasia discussed the findings of a July 2022 ONS focus group that she facilitated on PARP inhibitor therapy, biomarker testing and terminology, and oral medication adherence for patients with ovarian cancer. This podcast episode is supported by a sponsorship from AstraZeneca. ONS is solely responsible for the criteria, objectives, content, quality, and scientific integrity of its programs and publications. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Episode Notes NCPD contact hours are not available for this episode. Clinical Update: PARP Inhibitors Survey: 2022 Member Feedback on Ovarian Cancer Treatment Focus Group Outcomes ONS Biomarker Database ONS Genomics and Precision Oncology Learning Library ONS Guidelines™ to Support Patient Adherence to Oral Anticancer Medications Oncology Nursing Podcast episodes: Episode 215: Navigate Updates in Oral Adherence to Cancer Therapies ONS Voice articles: Oncology Nurses' Role in Translating Biomarker Testing Results Maintain Oral Adherence With ONS Guidelines™ Help Patients Understand Biomarker Test Results and Clinical Trials Options Genetic Counselors Help Patients and Providers Understand Biomarker Testing Goals and Results Nursing Considerations for Ovarian Cancer Survivorship Care An Oncology Nurse's Primer on Genomics and Biomarker Terminology Ovarian Cancer: Prevention, Screening, Treatment, and Survivorship Recommendations Clinical Journal of Oncology Nursing article: Shifting to a Biomarker Paradigm Across Cancer Care ONS video: Cancer Treatment Therapies Overview Oral Chemo Patient Education Sheets National Society of Genetic Counselors To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “We found in this focus group that nurses still needed clarity of terminology and the rationale for germline and somatic/homologous recombination deficiency (HRD) testing. They all shared that those who worked in the infusion center in general medical oncology offices as opposed to the specific gynecologic clinics, that they weren't as familiar with somatic and HRD terminology as you would suspect.” Timestamp (TS) 06:31 “As cancer care is evolving and patients are living longer and better, I think it's we nurses who are actually the ones that are doing these behind the scenes. The most common barriers that were consistently discussed across the board were cost and insurance approvals. . . . Other issues were access to the results. Results are not always being uploaded into the patient's medical record.” TS 09:51 “The nurses discussed wanting more knowledge of the mechanism of action with PARP inhibitors and how that alteration benefits patients with germline or somatic mutations. And most nurses did agree that their patients were offered germline testing at the time of diagnosis, but they were unclear as to when somatic or HRD testing was being done. . . . It was very inconsistent, so not all nurses knew where to find these results or to even know if it was done.” TS 16:54 “Education was key, and the nurses all agreed that it was important to identify who the appropriate patient would be that would most likely receive a clinical benefit, and who also would be following through or maintaining oral adherence. It was recommended to reinforce the side effects with the patients. . . . It was determined that patients should be informed that the goal of treatment of maintenance therapy was to prevent or decrease risk of recurrence.” TS 18:17 “It was recommended to assess patient adherence by asking open-ended questions. . . . The nurses agreed that the most common question to ask a patient would be: ‘How many doses did you miss this week? Or this month?' Recognizing that people miss doses, and it's not necessarily intentional, but it does happen, so we are validating and giving them permission to be honest with us.” TS 21:26 “I think having tools or resources—quick handouts—that they can give their patients that's like an easy guide, and they can review it with the patient, but the patient if they have questions can follow up. I think it's important to find out the patient's needs and how they learn best, on a video or paper, that sort of thing. . . . But the nurses also wanted quick-references guides, just an overview of what the indication is, what needs to be done prior to ordering this, and the mechanism of action.” TS 30:32

It's common for cancer programs and practices to struggle with timely treatment education, consent gathering, and adherence tracking, especially when an oral oncolytic is prescribed. These challenges are due in part to older solutions that are no longer benefiting all patients equally. To better address these concerns, Baptist Health South Florida, Miami Cancer Institute in Florida turned to technology solutions that were already being used by the health system and that were well understood by their healthcare teams and patients. By using these technologies and implementing existing staffing resources, Miami Cancer Institute staff are providing high-quality cancer care without having to dip deeper into its operating budget. Guest: Morgan Nestingen, MSN, APRN, AGCNS-BC, NEA-BC, OCN, ONN-CG Director of Nursing Services, Patient Intake and Navigation Baptist Health South Florida, Miami Cancer Institute Resources: Improving Oral Oncolytic Compliance with Technology 2022 ACCC Innovator Award Details ACCC 39th National Oncology Conference Care Coordination: The Role of Pharmacy to Help Manage Patients with Cancer on Oral Oncolytics Leveraging Pharmacy Informatics to Standardize Pharmacists' Review of Oral Oncolytics for Hospitalized Patients Defining the Role of Oncology Advanced Practitioners Improve Oral Oncolytic Workflow and Reduce Treatment Delays with a Pharmacist Collaborative Practice Agreement This podcast is part of a special series on the 2022 ACCC Innovator Award winners. For a deeper dive into this content, visit ACCC's Innovator Award website.

“What does the patient need to know? What are their knowledge gaps? What are they most in need of? Once you determine the areas you need to pinpoint, branded or nonbranded, then there's resources out there for you to use,” Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, VA-BC, oncology clinical specialist at ONS, told Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS. Backler explained the differences between branded and nonbranded patient education resources, ways for oncology nurses to identify credible resources, and ONS's Seal of Approval Program for branded and nonbranded resources. You can earn free NCPD contact hours by completing the evaluation linked below. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 15, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Check out these resources from today's episode: Complete this evaluation for free NCPD. ONS Seal of Approval Library Oncology Nursing Podcast Episode 43: Sharing Patient, Provider, and Caregiver Resources Episode 87: What Are the Biggest Barriers to Patient Education? Episode 179: Learn How to Educate Patients During Immunotherapy Episode 183: How Oncology Nurses Find and Use Credible Patient Education Resources Clinical Journal of Oncology Nursing article: Patient and Healthcare Provider Education Tip Sheets Oncology Nursing Forum article: The Internet as a Source of Health Information: Experiences of Cancer Survivors and Caregivers With Healthcare Providers Pharmaceutical Research and Manufacturers of America (PhRMA) codes and guidelines PhRMA's Principles on Responsible Sharing of Truthful and Non-Misleading Information To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.

Guest: Rachel Orfei, MSN, RN, AGCNS-BC, SCRN, CMSRN, ONC Clinical Nurse Specialist, Michigan Medicine --- Send in a voice message: https://anchor.fm/wsu-nightintales/message

Marcus is joined by Dr. Tara Nichols, an Advanced Practice Nurse, academic and pain management expert. They discuss what is the definition of pain, how it manifests in different people and how there are no cost solutions to pain control.Dr. Nichols shares her model of pain management and the two discuss how human comfort, recognition and validation all act as elements for pain control. Key topics:[1:58] Dr. Tara Nichols' background and experience in pain management[6:57] Pain is a perception[10:02] Validating one's pain and the stress that comes along with that[13:05] Acute vs chronic pain[14:38] Coming up with a self-care plan for pain management with a healthcare professional[33:31] Dr. Nichols shares a beautiful story where she was there for a patient[44:40] The foundation behind Dr. Nichols' Therapeutic Model of Comfort[47:38] What piece of art would Dr. Nichols take with her on a desert island?[48:57] What fictional character would Dr. Nichols be for a day?[49:56] If Dr. Nichols found $100 today, how would she choose to spend it?Resources for you:Learn more about Dr. Nichols' Therapeutic Model of Comfort: https://pubmed.ncbi.nlm.nih.gov/29871725/Connect with Dr. Nichols on LinkedIn: https://www.linkedin.com/in/tara-nichols-dnp-arnp-ccns-agcns-bc-pmgt-bc-87589658Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/Subscribe to the podcast: https://bit.ly/CompassionAndCouragePodcastLearn more about Dr. Tara Nichols, DNP, ARNP, CCNS, AGCNS-BC, PMGT-BC:Dr. Nichols is an Advanced Registered Nurse Practitioner, practicing as a Clinical Nurse Specialist in Pain Management. She started her nursing career as an associate degree nurse and return to school one year later to complete an RN-BSN program. During the completion of the RN-BSN program she was a single-parent and is now a grandmother, just completing her Doctor of Nurse Practice. She is a life-long learner. Dr. Nichols is triple certified in Critical Care, Adult-Gerontology and Pain Management and she is a Relationship Based Care-Caring Science expert.She was the Principle Investigator on a Caring Science Study: Implementing the Relationship Based Care Model and Creating a Flexible and Efficient Workforce. She is a national and international speaker and always begin her presentations with the question what do you believe? She endeavors to challenge healthcare professionals to exam their beliefs to change their behavior about the importance of caring, empathy, and compassionate relationships including self-care and relationships with colleagues and those they care for.Dr. Nichols believes the embodiment of these attributes are necessary for comfort and healing to occur. She applied these beliefs and over 20 years of patient stories to the expansion of the physiology of pain to include the physiology of comfort and published the Nichols-Nelson Theoretical Model of Comfort. As the Program Director of the RN-BSN program at Waldorf University, she brings over 30 years of expertise, education and clinical practice to continue commitment to students. Dr. Nichols understands the diversity of needs and strengths that RN-BSN students bring to their desire to complete their baccalaureate degree and she is at Waldorf University to help make that desire a reality!Date: 03/08/2022Name of show: Compassion & Courage: Conversations in HealthcareEpisode title and number: Episode 39 – Dr. Tara Nichols: Pain Management and Therapeutic Competencies

In this episode, Jenn and Jillian explore the role of the multisite NPD leader with ANPD Board Director, Stephanie Zidek, MSN, RN, AGCNS-BC, NPD-BC, NEA-BC. The NPD Forecast features leading voices of the NPD community, discussing best practices and the application of knowledge integral to nursing professional development. Join Jenn Bodine, DNP, FNP-C, NPD-BC, CEN, and Jillian Russell, MSN, RN, NPD-BC—your personal environmental scanning forecasters—for monthly episodes analyzing information gathered through environmental scanning and discussing NPD implications that you can apply to your daily practice.  Visit www.anpd.org for more information. #NPDsoundbites 

On this episode of WOCTalk, we sit down with three NYU Langone Health Nurses, Elizabeth Savage, MSN, RN, ACNS-BC, CWON, IIWCC-NYU, Oksana Nekoz, MSN, RN, AGCNS-BC, CWOCN, and Diana Kmita, BSN, RN, CRRN, CWOCN as they discuss their poster from WOCNext® 2021:A Virtual WOW Experience with the WOCN® Society and Relias titled Wound Consult Telehealth Validation. Interested in submitting an Abstract for WOCNext® 2022:A Global Education Event from WOCN® And WCET®? Visit wocn.org/abstract to learn more and to submit your Abstract. Episode Resources:Click here to view their poster Wound Consult Telehealth Validation.Click here to view the WOCNext 2021 accepted Abstracts. 

In this episode of the Nursing Management Podcast, we sat down with Holly Kirkland-Kyhn, PhD, FNP, GNP, CWCN, FAANP, director of wound care at UC Davis Medical Center in Sacramento, California; certified wound ostomy continence specialist Melania Howell, DNP, RN, AGCNS-BC, CWOCN, DAPWCA; and cardiac ICU clinical nurse Jesse Senestraro, MBA, BSN, RN, CCRN-CMC, authors of the November article "Leveraging technology to improve wound care delivery and care transitions".

ONS member Rebekah Flynn, DNP, APRN, AGCNS-BC, AOCNS®, CNE, OCN®, associate director of quality improvement and education at the Washington University Siteman Cancer Center in St. Louis, MO, and board president of the St. Louis ONS Chapter, joins Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS, to discuss how to safely administer ifosfamide chemotherapy infusions. This episode is part of an ongoing series about outpatient oncology drug infusion. The others are linked in the episode notes. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 16, 2023. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Check out these resources from today's episode: Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on outpatient oncology drug infusion ONS Voice article: Nurses Advocate for Palliative Care, Drug Parity by Sharing Patient Experiences ONS Voice article: Manage Cancer Treatment-Related Skin Toxicities With ONS Guidelines™ ONS Voice article: Infection Prevention for Oncology Nurses ONS book: Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice ONS Communities thread on ifosfamide toxicity ONS course: Fundamentals of Chemotherapy Immunotherapy Administration ONS course: Safe Handling Basics ONS/ONCC Chemotherapy Immunotherapy Certificate Course American Cancer Society information on approved and off-label indications for ifosfamide Chemocare information on ifosfamide Ifosfamide package insert National Comprehensive Cancer Network chemotherapy order templates National Institute for Occupational Safety and Health: Hazardous Drugs in Healthcare Settings To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.

Lisa Kennedy-Sheldon, PhD, ANP-BC, AOCNP®, FAAN, ONS clinical and scientific affairs liaison, joins Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, ONS oncology clinical specialist and former home care nurse, to discuss how the COVID-19 coronavirus pandemic affects antineoplastics administration and safety considerations for in-home cancer care. More information is available in ONS's recent position statement, linked in the episode notes. This episode is supported by an educational grant from Genentech, a member of the Roche Group. ONS is solely responsible for the criteria, objectives, content, quality, and scientific integrity of its programs and publications. Music Credit: "Fireflies and Stardust" by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Episode Notes Check out these resources from today's episode: Complete this evaluation for free nursing continuing professional development.  ONS position statement: Infusion of Antineoplastic Therapies in the Home  Oncology Nursing Podcast Episode 53: Home Care Nursing for Patients With Cancer  Oncology Nursing Podcast Episode 96: The COVID-19 Coronavirus and Cancer Care  Oncology Nursing Podcast Episode 97: COVID-19 Cancer Care Lessons From Seattle and New York  ONS Voice article: Home Care for Patients With Cancer  ONS Recommendations for Oncology Staff Assignments During the COVID-19 Pandemic  ONS Interim PPE Guidelines During the COVID-19 Pandemic  ASCO/ONS Chemotherapy Administration Safety Standards  American Association of Cancer Research meeting: COVID-19 and Cancer     

ONS and Greater Los Angeles ONS Chapter members Carolina Uranga, MSN, AGCNS-BC, RN-BC, OCN®, clinical nurse specialist, and Leana Chien, MSN, RN, GCNS-BC, GNP-BC, nurse practitioner, from the City of Hope in Duarte, CA, join Chris Pirschel, ONS staff writer, to discuss caring for older adults with cancer, including addressing complexities found in that patient population, geriatric assessments, physical activity in older adults, and guidelines for geriatric oncology care. Music Credit: "Fireflies and Stardust" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 Episode Notes:  Check out these resources from today's episode: Complete this evaluation for free nursing continuing professional development. Older Adults With Cancer Geriatric Assessments Can Improve Shared Decision Making, Patient Satisfaction Geriatric Oncology Ambulatory Care Clinics Address Older Patients' Needs How Does ONS Support Nurses Who Care for Older Adults With Cancer? Get Up, Get Moving Cancer Aging Research Group ConsultGeri International Society of Geriatric Oncology Guidelines for Older Adult Oncology

ONS's Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, oncology clinical specialist and former home care nurse, joins Chris Pirschel, ONS staff writer, to discuss the intersection of oncology care and home care nursing, the role of home care nurses in caring for patients with cancer, and how oncology nurses can support their home care colleagues. Music Credit: "Fireflies and Stardust" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0 Episode Notes: Check out these resources from today's episode: Complete this evaluation for free nursing continuing professional development. Which Ambulatory Infusion Pump Is Best for 5-FU? Safe Handling of Hazardous Drugs (Third Edition) Home Health Services—Medicare National Association for Home Care & Hospice

ONS member Ashley Leak Bryant, PhD, RN-BC, OCN®, assistant professor and researcher at the University of North Carolina School of Nursing, clinical nurse at the North Carolina Cancer Hospital, and chair of ONS's Leadership Development Committee, joins Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, to discuss the importance of nursing leadership roles, how to become an oncology nursing leader, and more. Music Credit: "Fireflies and Stardust" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0 Episode Notes: Check out these resources from today's episode: The NCPD activity for this episode has expired, but you can still earn NCPD through many other Oncology Nursing Podcast episodes. Find a full list of opportunities. 2019 ONS Election Candidates Board Leadership: Nurses in Governance ONS Leadership Competencies Designing Your Path to Leadership at ONS Congress 21st Century Nursing Leadership It Took Courage, Compassion, and Curiosity: Recollections and Writings of Leaders in Cancer Nursing

ONS member Patricia Jakel, RN, MN, AOCN® joins ONS's Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, to discuss difficult conversations in oncology nursing practice, the challenges providers face, and why having tough talks with patients is so important. Music Credit: "Fireflies and Stardust" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0   Episode Notes: Tips for Discussing Tough Topics With Patients Oncology Nurses' Perceptions of Barriers to Discussion of Fertility Preservation With Patients With Cancer Improving Oncology Nurses' Communication Skills for Difficult Conversations What to Do When Your Patients Talk About Medical Aid in Dying