Work

Developing nursing standards of practice for blood and marrow (BMT) patients through a shared governance council structure in preparation for the foundation for the accreditation of cellular therapies (FACT) inspection

Year: 2004

Type: article

Abstract: The inpatient, unit-based self governance clinical practice council was very actively involved in the preparation for the Foundation for the Accreditation of Cellular Therapies (FACT) inspection at our large NCI designated cancer center by developing and formatting nursing Standards of Practice (SOP). These SOP’s were in compliance with FACT standards that all relevant nursing procedures have written policies. The clinical practice council met bimonthly to develop the standards. Each topic was assigned to a different member who researched and developed the SOP having done a literature search with the assistance of the research council to maintain that our practice was evidence based. The draft was presented to our council members and discussed until a completed version was developed. The completed SOP was then formatted according to FACT standards. Upon completion, it was reviewed by a committee consisting of the BMT Clinical Coordinator, Medical Director, Center Administrative Director, Nurse Manager and Assistant Nurse Managers and the BMT Compliance Officer for final approval. Once approved, the educational council introduced the SOP’s to the nursing staff. All the nursing staff were then required to review and sign off on each SOP. This included all the units that care for BMT patients throughout the institution (ie. Intensive care Unit, Protective Environment, Pediatrics-inpatient unit and outpatient clinic, Outpatient BMT Clinic and Pheresis Unit). The development and implementation of these standards was the result of a strong collaborative effort that included other unit based self-governance councils-the education, communication and research councils in addition to other areas within the institution such as the Pediatric Department, the Outpatient Clinic, Pheresis Unit and the Protective Environment. Our goal was to ensure the highest quality of care for our BMT patients and continuity of that care across the entire BMT program.

Source: Transplantation and Cellular Therapy

DOI: 10.1016/j.bbmt.2003.12.259

Authors: C.A. Causton, J.L. Neumann, R. Jacob, T. Tischhauser, V. Weaver

Institution: The University of Texas MD Anderson Cancer Center

Language: English

Topic: Healthcare Quality and Management

Subfield: Health Information Management

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,650