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This profile is for use by healthcare professionals in the Oncology discipline and specialty. It will not be a determining factor for the program.

CHECKLIST INSTRUCTIONS

Please mark your level of experience      1. No theory and/or experience      2. Limited experience/need supervision and/or support      3. Experienced/minimal support needed to perform      4. Proficient/can perform independently

MEDICATIONS / IV THERAPY

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2

3

4

Administer PO Medications

Administer IM / SQ Medications

Administer IV Medications

Needle-less Systems

Infusion Pumps

Establish Peripheral IVs

Discontinue Peripheral IVs

Pain Assessment / Management

Draw Blood for Lab Studies

Admin Blood / Blood Products

Central Venous Lines (CVL)

Hickman / Broviac Catheters

PCA / CADD

Port-A-Cath

Infusaid

Infuse-A-Port

CARE OF ONCOLOGICAL PATIENT

1

2

3

4

Head, Neck, Chest

Hematologic System

Gastrointestinal Tract

Reproductive System

Skin (Melanomas / Nonmelanomas)

Urinary Tract

EMERGENCIES

1

2

3

4

Cardiac Tamponade

Dissesminated Intravascular Coagulation

Hypercalcemia

Organ Obstruction

Sepsis

Spinal Cord Compression

Superior Vena Cavae Syndrome

Tumor Lysis Syndrome

FAMILY / PSYCHOSOCIAL NEEDS

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2

3

4

Patient / Family Education

Advance Directives

Acute Phase

Chronic Phase

Terminal Phase

Bereavement Phase

After Treatment (Survivorship)

ANTINEOPLASTIC AGENTS

1

2

3

4

Bleomycin

Dactinomycin (Actinomycin)

Daunorubicin (DaunoXome)

Doxorubicin (Adriamycin)

ROUTS OF ADMINISTRATION

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2

3

4

Oral / SQ / IM

Oral / SQ / IM

Intraarterial

Intrathecal / Intraventricular

Intraperitoneal (Tenckhoff Catheter)

Intrapleural

Intravesicular

ALKYLATING AGENTS

1

2

3

4

Bulsulfan (Myleran)

Chlorambucil (Leukeran)

Cisplatin (Platinol)

Cyclophosphamide (Cytoxan)

Mechlorethamine (Mustargen)

ANTIMETABOLITES

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2

3

4

Cytarabine (Ara-C)

Fluorouracil (5-FU)

Mercaptopurine (6-MP)

Methotrexate

Leucovorin Rescue Protocol

ANTINEOPLASTIC ANTIBIOTICS

1

2

3

4

Bleomycin

Dactinomycin (Actinomycin)

Daunorubicin (DaunoXome)

Doxorubicin (Adriamycin)

Plant Alkaloids

Paclitaxel (Taxol)

Vinblastine (Velban)

Vincristine (Oncovin)

HORMONAL ANTINEOPLASTICS

1

2

3

4

Leuprolide (Lupron)

Megestrol (Megace)

Tamoxifen (Nolvadex)

Testolactone (Teslac)

STAFF MINIMIZE RISK OF EXPOSURE

1

2

3

4

During Preparation

During Administration

During Disposal

CLASSIFICATION OF NEOPLASMS

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2

3

4

Staging - TNM System

Tissue of Origin

Biologic Behavior

Degree of Cell Differentiation

RADIATION THERAPY (RT)

1

2

3

4

Electromagnetic (Xrays, Gamma Rays)

Particulate (Alpha, Beta)

External Beam Therapy

Knowledge of Early Effects of RT

Knowledge of Interim. Effects of RT

BRACHYTHERAPY (SEALED SOURCES)

1

2

3

4

Interstitial Radiation Therapy

Intracavitary Radiation Therapy

RADIOPHARMACEUTICAL (UNSEALED SOURCES)

1

2

3

4

Tracer Dose

Therapeutic Dose

SURGICAL INTERVENTION

1

2

3

4

Curative Surgery

Diagnostic Surgery

Mechanical Device Insertion

Palliative Surgery

Prophylactic Surgery

Reconstructive Surgery

Rehabilitative Surgery

Bone Marrow Transplant - Allogenic

Bone Marrow Transplant - Syngenic

ONCOLOGY HEALTH CARE SETTINGS

1

2

3

4

Adult

Pediatrics

Cancer Center

Radiation Oncology

Surgical Oncology

Bone Marrow Unit

Research / Clinical Trials

Subacute / Skilled Nursing

Home Health Care

Hospice

Clinic - Risk Assess / Screening / Diagnosis

Clinic - Surgery / Gyn

Clinic - Medical / Hematology

Clinic - Immunology / Infectious

RECOGNITION & MANAGEMENT OF

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2

3

4

Anxiety / Depression

Metabolic Alterations

Hypersensitivity

Fatigue

HEMATOPOIETIC

1

2

3

4

Anemia

Leukopenia

Thrombocytopenia

GASTROINTESTINAL

1

2

3

4

Anorexia / Dehydration

Nausea / Vomiting

Constipation / Diarrhea

Muscositis / Ulceration

Hepatic Toxicity

Integumentary

Alopecia

Dermatitis

Hyperpigmentation

Genitourinary

Cystitis

Renal Toxicity

CARDIOVASCULAR

1

2

3

4

Cardiac Toxicity

Phlebitis

Extravasation

NEUROLOGIC

1

2

3

4

Neurotoxicity

Ototoxicity

Metabolic Encephalopathy

Peripheral Neuropathy

PULMONARY

1

2

3

4

Fibrosis

Pneumonitis

Edema

REPRODUCTIVE

1

2

3

4

Infertility

Changes in Libido

Erectile Dysfunction

NUTRITION

1

2

3

4

Assess Nutritional Status

Assess / Manage Nutritional Impairment

Interpretation of Lab Values

Oral Feedings

Enteral Tube Feeding

Peripheral Parenteral Nutrition (PPN)

Central TPN

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