DESCRIPTIVE ANALYSIS OF THE TIME OF MANAGEMENT BY NURSING IN THE AMBULATORY CHEMOTHERAPY SERVICE

Jhonatan Durango Frias; Christian Aguilar Erazo; Oscar Aldas Burbano; Diana Tolagasi Quilumba; Santiago Almeida Pinto; Gabriela Claudio Pombosa; Paola Claudio Pombosa; Juan Navarrete Moreno

Volume : VIII, Issue : IX, September - 2019

DESCRIPTIVE ANALYSIS OF THE TIME OF MANAGEMENT BY NURSING IN THE AMBULATORY CHEMOTHERAPY SERVICE

Jhonatan Durango Frias, Christian Aguilar Erazo, Oscar Aldas Burbano, Diana Tolagasi Quilumba, Santiago Almeida Pinto, Gabriela Claudio Pombosa, Paola Claudio Pombosa, Juan Navarrete Moreno

Abstract :

Objectives: To determine the time required in the chemotherapy scheme managed in the institution as well as to stratify them by their complexity. Methods: A descriptive analysis of the flow of patients attended during the week for both chemotherapy and procedures from January 2018 to May 2019. The time of care, preparation and perfusion of chemotherapy was determined to determine the time required for each patient. Results: A direct relationship was obtained in a descriptive way between the number of patients attended in the outpatient chemotherapy service and the number of procedures (intravenous catheter heparinization and administration of Zoledronic acid) having a greater flow of patients on weekdays, while that Monday and Friday is the opposite, likewise it could be stratified in 4 levels of complexity of the different chemotherapy schemes. Recommendations: In order to improve the workload of nursing it is necessary to distribute the complexity of their work, in order to administer the chemotherapy scheme of Level 4 and 3 to the first care of the morning, later distribute according to the level of complexity, as well as also the level of complexity 1 must be taken care of from noon, finally the attention of procedures must be coordinated from midday on Monday and Friday. Conclusions: It is necessary in a service like Ambulatory Chemotherapy to stratify levels of complexity to provide better patient care, likewise to carry out a follow–up according to our recommendations and to evaluate in a year.