Authors (including presenting author) :
WONG HM(1), CHAN TY(1), WONG MS(1), YAU LY(1), FUNG VHK(1), TSE WK(1), LAI FY(1), HO CH(1), CHIN WU(1), TSUNG PPK(1), LEE CK(1)
Affiliation :
(1)Operating Theatre, Department of Anaesthesia, Pain and Perioperative Medicine, Prince of Wales Hospital
Introduction :
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a targeted chemotherapeutic treatment that delivers high concentrations of drugs directly to peritoneal metastases and minimizing systemic toxicity. To avoid accidental exposure to the cytotoxic drug, ensure the staff’s skill and knowledge on to safety protocols were essential before conduct the procedures.
Objectives :
This project was aimed to enhance nurse competency and operating room safety in HIPEC surgery including the knowledge, skills and confidence of nurses; to improve and standardize safety measures for the patient, occupational safety and health (OSH), medication and environmental safety; and to promote sustainability of best practices.
Methodology :
Various approaches were implemented for knowledge enhancement, including develop a reference book on HIPEC surgery, establish emergency response plan and cue cards for cytotoxic drug spillage, design safety checklist of HIPEC procedure, and improve the skill and confidence of nursing staff during the HIPEC surgery. Competency assessment form was established to evaluate of the staff proficiency in providing safe and effective care during HIPEC surgery. It was also used to identify the strength and weakness for further improvement. Questionnaire was designed for per- and post-test to assess the project effectiveness with statistical analysis conducted using IBM SPSS Statistics 24 and Microsoft Excel.
Result & Outcome :
30% staff in operation theatre had been participated in this project which involved 5 advanced practice nurses (APN) and 30 registered nurses (RN). Result indicated a significant improvement in knowledge of HIPEC surgery, with over 85% of participants answering correctly in the post-test questionnaire (p< 0.001). Eight sessions of scenario-based learning workshops focused on practices skills related HIPEC surgery, OSH awareness, medication and environment safety had been conducted. Proficiency and adherence to safety protocols and substantial improvement of knowledge and skill had been shown in the competency assessment form and the post-test questionnaire. Besides, staff confidence had been enhanced which was demonstrated as majority of participants rated their confidence level as 4 or higher in Likert scale after the training session. Therefore, it was suggested the project effectively improved nursing staff competency and operating room safety in HIPEC surgery. Continuous delivery of training was recommended to reinforce skill and knowledge among remaining nursing staff and ensure sustainability.
