Tailor-made Training Program on Clinical Pathway of Transarterial Chemoembolization (TACE) for New Joined Nurses in Medical Ward of United Christian Hospital

This abstract has open access
Abstract Description
Abstract ID :
HAC5934
Submission Type
Authors (including presenting author) :
Li LK(1), Chau SW(1), Ng YB(1), Tsang WY(1)
Affiliation :
(1)Medicine and Geriatric, United Christian Hospital
Introduction :
Transarterial chemoembolization (TACE) is one of the common clinical procedures for patients with hepatocellular carcinoma (HCC) in our setting. A clinical pathway was established to simplify the lists of pre- and post-TACE nursing care. However, it is a challenge for new joined nurses to get used to the clinical pathway especially the complicated medication regime used in TACE. There were numerous medication incidents taken place related to TACE such as giving the medication at wrong time and not withholding oral metformin after TACE. In order to eliminate the medication incident related to TACE, a training program was formulated to facilitate the new joined nurses to get familiar with the TACE clinical pathway since September 2018.
Objectives :
Objectives: All new joined nurses can manage the TACE clinical pathway well with:

1. no medication incident.

2. no missing task in pre-TACE preparation day.

3. handling job sheet of blood taking correctly.
Methodology :
The training program includes:

1. A group briefing with the new joined nurses was held once they come to our unit. An evaluation about their satisfaction level would be collected.

2. A 11-paged TACE handbook was made. The content is about the whole journey of TACE, from pre-TACE preparation checklist to post TACE nursing care as well as the tips and tricks in checking of medication prescription. Precaution about the application of In-patient Medication Order Entry System (IPMOE) was specially highlighted.

3. New joined nurses need to demonstrate the nursing care and medication prescription checking with supervision at least once, an audit using a designated checklist would be done before they take care of patients independently.
Result & Outcome :
There were 15 newly joined nurses engaged in this program, all of them were highly impressed with the training program, they specially highlighted the sharing about the medication incident, explanation by using real cases and IPMOE were very useful. Furthermore, they all had positive feedback on the tailor-made handbook, the tips and tricks about the medication prescription can be served as a good reminder for them practically. On the other hand, all of them passed the audit. No medication incident related to TACE was reported and no report about missing preparation task or blood taking after initiation of the training.

Abstracts With Same Type

Abstract ID
Abstract Title
Abstract Topic
Submission Type
Primary Author
HAC6312
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
HA Staff
Kit Ling WONG
HAC6090
Research and Innovations (new projects / technology / innovations / service models)
HA Staff
chan marko
HAC5861
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
HA Staff
Ms. Sabrina Ho
HAC5712
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
HA Staff
Mr. CHIT YI LAU
HAC5716
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
HA Staff
Shuk Ching MAK
HAC5675
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
HA Staff
Connie Suk Ling LO
HAC6327
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
HA Staff
Yuk Sim LUI
HAC5990
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
HA Staff
P Y SY
316 visits