EBMT MILAN 2014 JACIE Accreditation What Happens Next? Training and Competency Session 20 Minutes Discussions Time and Scheduling ? Motivation and Engagement for training sessions? How to document and evidence Competency?

A

Common Problems Staff are too busy

B

Staff are not motivated or engaged

C

Documented Evidence

Suggested Solutions Schedule more non clinical time regularly to ensure training is updated. Link competencies to mandatory training. Keep training sessions short and relevant. Schedule training with treats such as refreshments and cakes. Many programmes use electonic quality management systems which log the training against documents and SOP’s. Template paper records provided for examples of how to keep track of competency Give certificates for personal training files.

A popular suggestion from the group was to develop a specialist eLearning programme for essential nursing competencies associated with the Stem Cell programs based on the JACIE list. Hand outs provided Nursing Core Competencies (JACIE STANDARD B 3.7) Specialist Registrar Core Competencies Document Comprehension Template Competency Template Key Skills Mix

Sarah Holtby and Deborah Anderson

A Hospital Competency Questionnaire Standard Operating Procedure Number...xxxxsct 19... Mobilisation with G-CSF Name

Date

Competency Area Observation and Questions

What observations should be done pre injection with G-CSF ? Interim health assessment must be done for Day 4 G-CSF administration. What are the assessments to be done ? If the WCC is greater than 70 x109g/l what should be given? If the patient has had more than 5 episodes of nausea and vomiting in 24hrs what would you do? Trainer comments

Competency Questionnaire Answers. See forms folder in shared drive: I:\FORMS\Competency Answers

Form SCTU Template 1 Review date xxxxxx

Checked by

Answers

Hospital XXX

Nursing Core Competencies JACIE STANDARD B 3.7 Name

__________________________________________________ Staff Grade__________________________________________________

Number of years nursing SCT patients:

________________________________

Involvement in SCT (HPC) programme: Inpatient  Apheresis



Outpatient



The following is a list of skills required to meet HTA std GQ3 and JACIE Standard B3.7.3. Please tick in the appropriate box. The Program Director, trainer and person completing this checklist are required to sign and date the document as evidence of competency. Yes Knowledge of preparative regimens prior to commencement of the transplant process Knowledge of the appropriate use of myeloablative or reduced intensity conditioning regimen Knowledge and Administration of high-dose therapy Knowledge and Administration of growth factors for HPC mobilization and for posttransplant hematopoetic cell reconstitution HPC product infusion and patient management Fresh Cells and Frozen cells Management of neutropenic fever Isolation management and Infection control Management of infectious and non-infectious pulmonary complications of transplantation Knowledge and monitoring of fungal disease Management of veno-occlusive disease of the liver Knowledge of thrombocytopenia and bleeding Knowledge of haemorrhagic cystitis Management of nausea and vomiting Management of pain Transfer to CCU Cleaning of transplant Unit Care of CVC’s Recognition and Management of acute and chronic GVHD Knowledge of parenteral/enteral feeding Management of Diarrhoea Knowledge and Competence of the London Clinic Transfusion Policy Quality Manual The following is a list of procedural skills that may be appropriate, Please mark when Not Applicable

No

N/A

Trainer

SOP ID

Hospital XXX

Yes

No

N/A

Trainer

Knowledge of the vaccination programme Care of patient on TBI Knowledge of Bone Marrow Harvest procedures Knowledge of Apheresis procedures and complications Pre-transplant patient evaluation, including assessment of appropriate patient eligibility and HPC adequacy with respect to collection Documentation and reporting for patients on investigation protocols

I confirm that I am competent in the above cognitive and practical skills and will participate in ongoing continuous professional development. Signed: _____________________________

Dated: ______________

Trainer I confirm that ___________ is competent in the above cognitive and practical skills Signed: _____________________________

Dated: ______________

Quality Manager I confirm that I have spoken with the above member of the program and explained the requirements of the JACIE standards. Signed: _____________________________

Dated: ______________

Programme Director I am satisfied that the above member of the team has appropriate nurse training in Haematopoietic Progenitor Cell Transplant accordance with their role in the program. Signed: _____________________________

Dated: ______________

Hospital / Unit Logo

SpR Training in Cognitive and Procedural Skills – JACIE standard B3.4 Name:

Year of Training:

GMC Registration Number:

Number of years / months of Transplant Experience:

The following is a list of cognitive skills required to meet JACIE standard B3.4. Please score your current level of training and competence on a scale of 0 – 5, where 0 is no experience or knowledge and 5 is competent to practice independently. Cognitive Skills

Documentation Level

Initials

Indications for Haematopoietic Progenitor Cell Transplantation Selection of appropriate patients and preparative high dose therapy regimens Pre-transplant patient evaluation, including assessment of appropriate patient suitability and haematopoietic progenitor cell adequacy with respect to collection Donor and recipient informed consent Administration of preparative regimes Donor evaluation and management Administration of growth factors for haematopoietic progenitor cell mobilisation and for post transplant haematopoietic cell reconstitution HPC product infusion and patient management Management of neutropenic fever Diagnosis and management of infectious and non – infectious pulmonary complications of transplantation. Diagnosis and management of fungal disease Diagnosis and management of veno-occlusive disease of the liver Management of thrombocytopenia and bleeding Management of haemorrhagic cystitis Management of mucositis, nausea and vomiting Management of pain Palliative and end of life care Diagnosis and management of acute haematopoietic progenitor cell graft failure Evaluation of post transplant cellular therapy outcomes Evaluation of late effects of allogeneic and autologous transplants, including cellular, pharmacologic and radiation therapy Documentation and reporting for patients on investigational protocols Applicable regulations and reporting responsibilities for adverse events Identification and selection of haematopoietic progenitor cell source, including the use of donor registries. Donor eligibility determination Methodology and implications of HLA typing Management of ABO incompatible haematopoietic progenitor cell

Document number…………….Issue / review date

Page x of y

components. Diagnosis and management of CMV infection and disease. Diagnosis and management of other viral infections in immunocompromised hosts. Diagnosis and management of acute and chronic graft versus host disease Diagnosis and management of post transplant immunodeficiencies

Procedural Skills

Documentation Level

Initials

Knowledge of HPC processing Knowledge of HPC cryopreservation Knowledge of bone marrow harvest procedures Knowledge of apheresis collection procedures Knowledge of extracorporeal photopheresis

I confirm that I have read the relevant standard operational procedures and that the above represents my current level of competence in the above cognitive and practical skills. I also confirm that I am participating in ongoing CPD as appropriate to my role within the programme.

Signed:

Date:

(SpR)

I confirm that I have spoken with the above SpR, and am satisfied the information given here represents their current level of cognitive and procedural skills

Signed:

Date:

(Clinical Programme Director / Educational supervisor)

Action Plan Objective / Standard

Specific Actions

Timescale

1

2

3

Document number…………….Issue / review date

Page x of y

Hospital Logo

Certificate of Achievement Presented to ..................................................................................................................................

for successfully completing the training program for Stem Cell Transplant Nursing Standard Operating Procedures

Trainer

Date